Indian Journal of Otolaryngology and Head and Neck Surgery最新文献

{"title":"Surgical Odyssey in Treating Recurrent Congenital Nasal Pyriform Aperture Stenosis.","authors":"Saidatur Rabiqah Adawiyah Md Ali, Khadijah Mohd Nor, Saraiza Abu Bakar, Suzina Sheikh Ab Hamid","doi":"10.1007/s12070-024-04924-0","DOIUrl":"10.1007/s12070-024-04924-0","url":null,"abstract":"<p><p>We present a case report of congenital nasal pyriform aperture stenosis, in which the child was managed with a series of less invasive surgical procedures, which were eventually followed by repair via a sublabial approach. This case report aims to highlight that in severe stenosis, earlier open surgical intervention with bone drilling is suggested, as dilatation alone will result in recurrent stenosis. Open surgery with bone drilling not only facilitates faster recovery but also aids in oxygen weaning, shortens hospitalization duration, and reduces the risk of complications.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5861-5863"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fungal Oto-Mastoiditis- A Rare Presentation in Immunocompetent Individuals.","authors":"Priti S Hajare, Tanubha Goel, Manishaa E V, Elsa Babu, Aditya Achyut Redkar, Akash Rai","doi":"10.1007/s12070-024-05027-6","DOIUrl":"10.1007/s12070-024-05027-6","url":null,"abstract":"<p><p>Fungal oto-mastoiditis is a rare condition and is often associated with host immunodeficiency. It has to be considered as a differential diagnosis among patients presenting symptoms despite an adequate antibacterial therapy. A 23-year-old female presented to the ENT OPD with complaints of occasional left ear discharge, since 2 years which was associated with itching, pain and reduced hearing. There were no complaints of swelling or pain behind the ear. Otoscopic examination revealed bulging, congested, immobile tympanic membrane in the left ear. Pure tone audiometry revealed 48.33 dB moderate mixed type of hearing loss in the left ear and tympanometry done showed type B curve in the left ear. Patient was taken up for exploratory tympanotomy where middle ear and antrum was filled with granulation tissue and peculiar looking, unusual greenish-brown debris suspicious of fungal otomycotic debris. Ossicular mobility was attained after clearing the disease from the middle ear and cortical mastoidectomy was completed. KOH study of the debris removed was positive for fungal elements as seen. Histopathological examination revealed features suggestive of Chronic suppurative otitis media. Specimen was sent for fungal culture where Aspergillus species was isolated. Patient was started on Voriconazole orally twice a day for 2 weeks. Postoperative period was uneventful and patient's hearing improved. ^® Fungal oto-mastoiditis is a rare but reported entity, which is usually seen in immunocompromised patients. A high index of suspicion is required to reach an early diagnosis and administer suitable treatment, especially when it presents in immunocompetent individuals.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5983-5986"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Head Shaking Nystagmus & Vertigo - Multiple Sclerosis or Vestibular Paroxysmia - A Diagnostic Dilemma.","authors":"Sandeep Kumar, Nishi Gupta, Srinivas Dorasala, Preeti Madaan","doi":"10.1007/s12070-024-05040-9","DOIUrl":"10.1007/s12070-024-05040-9","url":null,"abstract":"","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5997-5999"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Histomorphometric Analysis of Oral Squamous Cell Carcinoma, Apparently Normal Adjacent Mucosa and Epithelial Dysplasia.","authors":"Majid Mirhashemi, Nasrollah Saghravanian, Narges Ghazi, Aref Abdoljavadi","doi":"10.1007/s12070-024-05008-9","DOIUrl":"10.1007/s12070-024-05008-9","url":null,"abstract":"<p><p>Oral squamous cell carcinoma (OSCC) comprises more than 90% of oral cavity cancer and remains the leading cause of death in oral disease. Limited studies have been conducted to evaluate cellular histomorphometry changes in OSCC compared to premalignant lesions such as Dysplastic leukoplakia (DL), Nondysplastic leukoplakia (NDL), and normal epithelial. This cross-sectional descriptive-analytical study was conducted on total 72 samples, including superficial areas of squamous cell carcinoma (SCCSF), Invasive Front of Squamous Cell Carcinoma (SCCIF), Apparently Normal Adjacent Oral Mucosa (SCCANM) or normal margin, Dysplastic leukoplakia (DL), Nondysplastic leukoplakia (NDL), and normal oral mucosa tissue (NOM) (<i>N</i> = 12 per group). ANOVA was used to compare the nucleus-to-cytoplasm ratio (N/C), nucleus area (NA), and cellular area (CA) of the stained hematoxylin and eosin (H&E) samples in the studied groups. A <i>P</i> value less than 0.05 was considered to be a significant level. There was a significant increase in the CA, NA, and N/C in the basal and parabasal layers from normal epithelium to dysplastic epithelium and OSCC. The highest NA, CA, and N/C were in the SCCIF and SCCSF groups, respectively, and the lowest was observed in NOM. In addition, SCCANM basal and parabasal layer cells had a significant difference in N/C compared to NOM, which indicates a high risk of SCCANM transformation into malignancy. Cell histomorphometry changes were observed from normal tissue to premalignant lesions and OSCC. These parameters can be used as indicators of the potential for transformation into malignancy in premalignant lesions.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5478-5485"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Marginal Mandibulectomy in Oral Cavity SCC: Experience in a Tertiary Care Centre.","authors":"Gopu Govindasamy, Jerub Alex Silas A, Yaseer Arafat","doi":"10.1007/s12070-024-05070-3","DOIUrl":"10.1007/s12070-024-05070-3","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Marginal mandibulectomy is indicated for oral cavity squamous cell carcinomas that involve floor of mouth, abut or minimally erode the mandible without gross invasion. Successful outcomes after Marginal mandibulectomy is predicated on accurate patient selection and appropriate adjuvant treatment based on specific host and tumor characteristics. To study the onclogical outcomes in terms of loco-regional recurrence free survival and disease specific survival of marginal mandibulectomy done for oral squamous cell carcinomas. Study Design-Retrospective study. Setting-The study was done from January 2018 to January 2021 at our tertiary care centre Madras Medical College, Chennai. Subjects-30 cases were included in our study who underwent Marginal Mandibulectomy for oral cavity SCC. Methods-The decision to perform a marginal mandibulectomy was taken based on preoperative clinical examination, contrast enhanced computed tomography (CECT) findings and intra-operative assessment under anesthesia. Disease-free survival, cause-specific survival, and local control rates were plotted using the Kaplan-Meier method. Oncologic outcomes in terms of Overall survival and Disease-specific survival at the end of 1 year and 3 years for the gingival, buccal, tongue, floor of mouth cancers were analyzed. Independent impacts including the site of tumor, T and N stage, microscopic bony invasion, grade of differentiation, adjuvant radiotherapy on the loco-regional control and cause-specific survival were evaluated using Kaplan meier method. Our study group was comprised of 20(66.67%) males and 10 (33.33%) females of mean age 54 years. None of them had prior radiotherapy to the head and neck region. A total of 7 (23.33%) marginal mandibulectomies were carried out for SCC in the gingival region, 11(36.67%) for buccal mucosa, 8(26.67%) for tongue, 2(6.67%) for floor of mouth SCC, 1(3.33%) involving lip, 1(3.33%) in Retromolar trigone. Clinically 2 (6.67%) patients had T1 cancer, 18 (54.54%) had T2, 6 (18.18%) had T3, 4(13.33%) had T4 tumor. Clinically Neck nodes were not palpable in 17 (56.67%) patients, 10 (33.33%) had N1 disease and 3 (10%) had N2 disease. T and N stage distributions for tongue/floor of mouth and gingival buccal complex cancers are summarized in the table and there were no statistically significant differences between the 2 groups. 19 (63.33%) had selective neck dissection (levels I-III), and 11 (36.67%) had comprehensive neck dissection. Well-differentiated tumors were encountered in 12 (40%) cases, moderately differentiated tumors in 16 (53.33%) cases, and poorly differentiated tumors in 2 (6.67%) cases. Bone was microscopically involved in 4 (13.33%) cases and mucosal margin of excision was less than 5 mm from the tumor in 2 (6.67%) cases. Cumulative hazard of local recurrence was not significantly affected by mandibular involvement. On histopathologic examination, positive nodes were seen in 6(20%) cases that included 3 (10%) with pN1 and the rest","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5707-5711"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Voice and Swallowing Outcomes after Vocal Fold Medialization in Patients with Unilateral Vocal Fold Paralysis.","authors":"Mahmoud Hamouda, Kamal Ebeid, Mohamed Elsayed Darwish, Emad Mohammed Shehata","doi":"10.1007/s12070-024-04996-y","DOIUrl":"10.1007/s12070-024-04996-y","url":null,"abstract":"<p><strong>Background: </strong>Unilateral vocal fold paralysis (UVFP) is a common condition that may have varying economical and personal consequences for those afflicted by it. Patients often have dysphonia as a primary concern and may also experience aspiration in certain cases. This research aimed to assess the voice and swallowing results after injection laryngoplasty and medialization thyroplasty in patients with UVFP.</p><p><strong>Methods: </strong>This prospective study was carried out on 20 consecutive patients suffering from moderate to severe dysphonia with or without aspiration, with ages ranging from 22 to 61 years old, with clinical criteria of UVFP with glottic gap approximately ≥ 2 mm not responding to voice therapy at least 6 months after the onset of paralysis.</p><p><strong>Results: </strong>All patient showed improvement in their symptoms evaluated by objective (acoustic and aerodynamic), subjective (GRBAS scale and VHI 10) voice assessment and swallowing parameters. MT showed significant improvement when compared to injection laryngoplasty (IL) at 3 months post-operative in contrast to nearly similar outcome at 2 weeks post-operative.</p><p><strong>Conclusions: </strong>Significant short-term improvements in dysphonia and aspiration were obtained with medialization thyroplasty and injection laryngoplasty. Patients with mild to moderate gaps who complained of dysphonia alone preferred to start with injection, while patients with moderate to large gaps who complained of dysphonia + aspiration preferred MT (±)AA. Even at short time evaluation, medialization thyroplasty is superior to IL for patients with aspiration.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5420-5427"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nasal Dermoid - A Series of Ten Cases and Review of Literature.","authors":"Neha Jain, Sonali Tyagi, Ekta Narang, Arti Khatri, Aarshi Gupta","doi":"10.1007/s12070-024-04973-5","DOIUrl":"10.1007/s12070-024-04973-5","url":null,"abstract":"<p><p>Congenital nasal swellings are commonly encountered in pediatric practice. Differential diagnosis includes dermoid cyst, meningoencephalocele, glioma, benign tumors. Here we discuss 10 cases of nasal dermoid which were studied between January 2022 - December 2022 to obtain clinical data for diagnosis and treatment in pediatric population. In total 10 patients in the age group of 1-10 years were included, patients presented either with a swelling on nose or sinus opening on nose or a combination of the two. After radiological investigation, each patient was taken up for excision of sinus/cyst and 1year follow up was done for each. The objective of this article is to present few cases of nasal dermoid cyst sinus in pediatric patients and to discuss the embryology, clinical presentation, diagnosis and surgical approach of such lesions.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5340-5345"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Actinomycosis of Middle Ear and Mastoid Presenting as Acute Otitis Media with Mastoiditis- A Case Report.","authors":"G B Munishwara, D D Deeksha, D Manasa, S H Anand, Aparna Gangoli","doi":"10.1007/s12070-024-05099-4","DOIUrl":"10.1007/s12070-024-05099-4","url":null,"abstract":"<p><p>Actinomycosis is an uncommon infection of the middle ear.Actinomycosis of ear can mimic other common diagnosis of middle ear. The treatment of actinomycosis of the middle ear differs from that of otitis media caused by aerobic bacteria, therefore an accurate diagnosis is necessary. We present a case of actinomycosis of middle ear in a 36-year-old female. Cortical mastoidectomy with tympanoplasty was performed and the patient is well on follow up. Because of its rarity, case has been reported. Middle ear actinomycosis is a rare and treatable condition. Early diagnosis and appropriate management are crucial to prevent complications and ensure a favourable outcome.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"6064-6068"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Interventional Study of Application of Manuka Honey in Post Mastoidectomy Surgery.","authors":"Satish Kumar Jain, Shivam Narang, Varun Kacker","doi":"10.1007/s12070-024-04962-8","DOIUrl":"10.1007/s12070-024-04962-8","url":null,"abstract":"<p><p>The aim of present study was to observe the effect of topical application of manuka honey in healing in the healing of postoperative mastoid cavity. A total of 100 patients diagnosed with chronic suppurative otitis media with cholesteatoma underwent canal wall down mastoidectomy, Manuka honey-soaked roller gauze pack was placed on Day 10 and was removed on day 17 and manuka honey was applied on day 17. Cavity was assessed on day 47 and day 90 on follow-up. Otoendoscopy was done on every visit to assess mastoid cavity. The primary outcome measure was the creation of a dry cavity as measured by a semi-quantitative scale as described by Merchant et al. Then Mastoid Cavity Healing Score was calculated on every visit and scoring was done at the end. On intragroup comparison it appeared that both the treatment methods exhibited improvised merchant grade score with the course of time (<i>p</i>-value = < 0.001). At 47th day and 90th day, the healing score in Group A was significantly higher than in Group B [<i>p</i>-value = < 0.001 and 0.001] respectively. We recommend Manuka honey as an adjunct to achieve a safe, dry ear in view of faster epithelization after mastoidectomy.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5272-5276"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bean-Syndrome in Maxillofacial District.","authors":"Luciano Maria Catalfamo, Danilo De Rinaldis, Carla Nava, Francesco Sbano, Francesco Saverio De Ponte, Calogero Scozzaro","doi":"10.1007/s12070-024-05011-0","DOIUrl":"10.1007/s12070-024-05011-0","url":null,"abstract":"<p><p>Bean syndrome (BS) is a rare congenital angiomatosis affecting multiple organ systems. The exact etiology is still not well-known. About 200 cases with heterogeneous clinical presentations have been reported worldwide. BS predominantly presents with characteristic multifocal mucocutaneous lesions and often leads to iron-deficiency anemia caused by occult blood loss from the gastrointestinal tract. Apart from the mucocutaneous and gastrointestinal tract involvement, this syndrome may rarely affect the craniofacial region in the form of multiple venous anomalies, characterized by being button-like, with a bluish tint, covered by skin, called <i>\"Blue Nevus\"</i>. Patients often approach a dermatologist or gastroenterologist for treatment and this entity is usually less known among maxillofacial surgeons. This article describes two consecutive cases of BS affecting the craniofacial district, with the aim of spreading greater awareness about this syndrome in the maxillofacial field.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5953-5955"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}