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

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Intratympanic Membrane Cholesteatoma in a Toddler.
IF 0.6
Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-02-05 DOI: 10.1007/s12070-025-05374-y
Jae Hyun Jeong, Jeyasakthy Saniasiaya, Michel Neeff
{"title":"Intratympanic Membrane Cholesteatoma in a Toddler.","authors":"Jae Hyun Jeong, Jeyasakthy Saniasiaya, Michel Neeff","doi":"10.1007/s12070-025-05374-y","DOIUrl":"https://doi.org/10.1007/s12070-025-05374-y","url":null,"abstract":"<p><p>Intratympanic cholesteatoma (ITC) is a rare keratinous epithelial cyst of the tympanic membrane. A girl in her early childhood was referred to the otorhinolaryngology clinic following concerns about a pearly white mass in the pars tensa in the left ear. Enucleation of the lesion was performed under a general anaesthetic with a Rosen needle. A histological analysis confirmed cholesteatoma. A comprehensive assessment by an otolaryngologist is important in determining appropriate, timely surgical intervention and minimising complications such as tympanic membrane perforation and progression of cholesteatoma.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1664-1667"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650350","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}
引用次数: 0
Study of Outcome of Quilting Sutures in Septoplasty without Anterior Nasal Packing in Comparison to Only Anterior Nasal Packing Using Ribbon Gauze.
IF 0.6
Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-01-22 DOI: 10.1007/s12070-024-05318-y
Janhvi Alekar, Sanjay Gupta, Lokesh Bhalot
{"title":"Study of Outcome of Quilting Sutures in Septoplasty without Anterior Nasal Packing in Comparison to Only Anterior Nasal Packing Using Ribbon Gauze.","authors":"Janhvi Alekar, Sanjay Gupta, Lokesh Bhalot","doi":"10.1007/s12070-024-05318-y","DOIUrl":"https://doi.org/10.1007/s12070-024-05318-y","url":null,"abstract":"<p><p>Septoplasty is a routinely done procedure to correct the deviated nasal septum. Nasal packing is primarily used to control bleeding in epistaxis as well as endonasal surgery. This study aims to compare complications such as pain, bleeding, septal hematoma, and synechiae formation using Visual Analogue Score in the patients undergoing Septoplasty with anterior nasal packing with roller gauze smeared in antibiotic ointment and Quilting suture without anterior nasal packing. The study is a prospective comparative study among 50 patients undergoing Septoplasty who were randomly allotted into 2 groups of Quilting suture and anterior nasal packing. It was observed that the pain experienced by ANP patients' Median value was 7.0 which was significantly greater than the pain experienced by Quilting suture patients' median value of 4.0 on VAS and nasal blockage within 24 h post-operative period among ANP patients' VAS score median was 6.0 which was significantly greater than that experienced by patients undergoing Quilting suture, median being 3.0. The rate of synechiae formation was significantly lower in patients undergoing quilting sutures. It was found that a Quilting suture is more comfortable for the patient as it is less painful for the patient in comparison with anterior nasal packing with ribbon gauze smeared in the antibiotic ointment.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1265-1270"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651667","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}
引用次数: 0
Peripheral and Central Auditory Abilities in Children with Mild Protein-Energy Malnutrition.
IF 0.6
Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-01-31 DOI: 10.1007/s12070-025-05357-z
Chandni Jain, Saransh Jain, K B Chetak, N Varsha Chowdri
{"title":"Peripheral and Central Auditory Abilities in Children with Mild Protein-Energy Malnutrition.","authors":"Chandni Jain, Saransh Jain, K B Chetak, N Varsha Chowdri","doi":"10.1007/s12070-025-05357-z","DOIUrl":"https://doi.org/10.1007/s12070-025-05357-z","url":null,"abstract":"<p><p>Protein Energy Malnutrition (PEM) is a significant health concern affecting physical, sensory, and cognitive development. While moderate or severe PEM is associated with hearing loss, the effects of mild PEM remain understudied. We investigated the impact of mild PEM on peripheral and central auditory processing in children. 108 children aged 7-14 were divided into control and mild-PEM groups. Auditory tests included pure tone-, speech-, immittance-audiometry for peripheral hearing, and tests for binaural interaction, integration, auditory closure, temporal processing, and auditory working memory for central auditory processing. Mild-PEM did not significantly affect peripheral hearing sensitivity, but significant differences in central auditory processing were observed between groups. Children with PEM performed poorer in binaural interaction, auditory closure, and auditory working memory tasks. This study highlights the importance of investigating malnutrition's impact on auditory function. Identifying specific auditory deficits associated with PEM can inform targeted interventions for holistic development in resource-limited settings.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1439-1448"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651702","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}
引用次数: 0
Post-operative Complications after Different Turbinates Operations (Comparative Study).
IF 0.6
Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-02-15 DOI: 10.1007/s12070-025-05353-3
Rami Fatoh Tantawy, Omneya E Bioumy, Ahmed S Elsharkawy, Abdelhakim Fouad Ghallab
{"title":"Post-operative Complications after Different Turbinates Operations (Comparative Study).","authors":"Rami Fatoh Tantawy, Omneya E Bioumy, Ahmed S Elsharkawy, Abdelhakim Fouad Ghallab","doi":"10.1007/s12070-025-05353-3","DOIUrl":"https://doi.org/10.1007/s12070-025-05353-3","url":null,"abstract":"<p><strong>Purpose: </strong>Since Inferior turbinate hypertrophy is on top list of the most common causes of nasal blockage, this study is trial for recording the exact incidence for the postoperative complications of two different procedures of turbinate reduction, thus comparing endoscopic submucosal diathermy and radiofrequency ablation.</p><p><strong>Methods: </strong>retrospective randomized comparative study involved forty patients with resistant bilateral nasal blockage due to hypertrophy of the inferior turbinates attending the outpatient clinic of Otorhinolaryngology of (XXXX) University Hospitals. Patients were assigned randomly into 2 groups. Group (1) <i>n</i> = 20 which referred to the sub-mucosal diathermy procedure and Group (2) <i>n</i> = 20 whome were treated by radiofrequency ablation, postoperative complications were assessed and quantified.</p><p><strong>Results: </strong>Comparison of the post-operative complications rates in each technique: there was a remarkable difference after one week with group (1) showed 11% rate, considering group (2) The complication rate was 5.5%. After one month, still significant difference with 9% in group (1), and only 3.5% in the second group. After six months, there was still a remarkable difference with 5%, in group (1) and only 2.7% of group (2).</p><p><strong>Conclusion: </strong>A significant improvement of nasal symptoms with less complications rate in radiofrequency technique in comparison with the sub mucous diathermy reduction of inferior turbinates.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1418-1423"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651703","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}
引用次数: 0
Viability of the temporoparietal fascia flap in closure of skull base defects. a radioanatomical study.
IF 0.6
Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-01-22 DOI: 10.1007/s12070-024-05308-0
Juan Losada-Campa, Carlos Salvador-Medina, Agustín Mayo-Íscar, Juan Francisco Pastor-Vázquez, Eduardo Tamayo-Gómez, Jaime Santos-Pérez
{"title":"Viability of the temporoparietal fascia flap in closure of skull base defects. a radioanatomical study.","authors":"Juan Losada-Campa, Carlos Salvador-Medina, Agustín Mayo-Íscar, Juan Francisco Pastor-Vázquez, Eduardo Tamayo-Gómez, Jaime Santos-Pérez","doi":"10.1007/s12070-024-05308-0","DOIUrl":"https://doi.org/10.1007/s12070-024-05308-0","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to evaluate the feasibility of using the temporopartietal fascia flap (TPFF) to close defects in the skull base through a radioanatomical study in cadaver.</p><p><strong>Methods: </strong>A radioanatomical study was performed, bilaterally, in 5 cryopreserved human heads. Transposition of the TPFF was also performed via the infratemporal fossa after an endoscopic approach.</p><p><strong>Results: </strong>The measurements of the flap resulted on an average of 124.2 mm in length and 51.8 mm in width at its distal end. The average area was 4323 mm<sup>2</sup>. The study of the correlation between these measurements and skull base defects demonstrated that the flap is valid for the reconstruction of both cribriform plates, ethmoidal roof, sphenoidal planum and posterior wall of the frontal in all the samples. However, for the reconstruction of defects in approaches to the sellar region, only an 88.8% coverage has been achieved. In the closure of posterior fossa defects, such as clivus, we have managed to cover 55.5% of the defect in our samples.</p><p><strong>Conclusions: </strong>The transposition of the TPFF is viable for the closure of defects in the skull base. Its main indication would be to cover anterior defects. In the case of approaches that aim to cover posterior defects, it may be necessary to increase the length of the flap with the pericranium or even with the contralateral temporoparietal fascia. The use of the temporoparietal flap without total resection of the pterygoid process is feasible.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1684-1691"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651784","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}
引用次数: 0
Mitochondrial Dysfunction in Oral Carcinogenesis: Insights from Exfoliative Cytology.
IF 0.6
Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-01-18 DOI: 10.1007/s12070-025-05334-6
R Keerthika, Jadhav Sachin Kumar, Akhilesh Chandra, Rahul Agarwal
{"title":"Mitochondrial Dysfunction in Oral Carcinogenesis: Insights from Exfoliative Cytology.","authors":"R Keerthika, Jadhav Sachin Kumar, Akhilesh Chandra, Rahul Agarwal","doi":"10.1007/s12070-025-05334-6","DOIUrl":"https://doi.org/10.1007/s12070-025-05334-6","url":null,"abstract":"<p><strong>Background: </strong>Oral squamous cell carcinoma (OSCC), a growing global health concern, is often preceded by oral potentially malignant disorders (OPMDs). Emerging evidence suggests mitochondrial dysfunction is crucial in carcinogenesis, affecting malignancy's aggressiveness. This study uses Janus Green B (JGB) staining to investigate mitochondrial dysfunction in OPMDs and OSCC and examines its relationship with tobacco exposure to better understand its etiopathogenesis.</p><p><strong>Materials and methods: </strong>Utilizing the exfoliative cytology technique, thirty buccal smears of epithelial cells from normal, OPMD and OSCC samples were collected and subjected to JGB staining. The intensity of staining and the total percentage of positively stained cells were quantified and subsequently correlated with clinicopathological parameters.</p><p><strong>Results: </strong>The mean values of varying grades of staining intensity including mild, moderate, and high as well as the total percentage of positive cells, demonstrated statistically increased significant differences among control, OPMD, and OSCC cases. Additionally, moderate, high-grade staining intensity and the total positive stained cells exhibited significant correlations with tobacco use frequency and duration. A cut-off value of 44.31 and 51.32 of JGB-positive cells was found to categorize the cases into high-risk OPMDs and OSCC transformation.</p><p><strong>Conclusion: </strong>The progressive increase in staining intensity and the number of positive cells from OPMDs to increasing histopathological grades of OSCC highlights mitochondrial dysfunction as a key factor in oral carcinogenesis and a reliable indicator for assessing malignant transformation in OPMDs and aggressive potential in OSCC. Furthermore, the study underscores tobacco as a primary cause of mitochondrial dysfunction in both OPMDs and OSCC.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1326-1335"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651556","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}
引用次数: 0
Mammary Analogue Secretory Carcinoma of the Parotid at Younger Age: An Unusual Entity.
IF 0.6
Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-02-01 DOI: 10.1007/s12070-025-05359-x
Dillip Kumar Samal, Pradipta K Parida, Amit Kumar Adhya, Pradeep Pradhan
{"title":"Mammary Analogue Secretory Carcinoma of the Parotid at Younger Age: An Unusual Entity.","authors":"Dillip Kumar Samal, Pradipta K Parida, Amit Kumar Adhya, Pradeep Pradhan","doi":"10.1007/s12070-025-05359-x","DOIUrl":"https://doi.org/10.1007/s12070-025-05359-x","url":null,"abstract":"<p><strong>Introduction: </strong>Malignancy of parotid glands is uncommon in the pediatric age group. Among the various subtypes, mammary analogue secretory carcinoma (MASC) of parotid is an unusual variant that mimics pathologically those of mammary secretory carcinoma of the breast. It usually presents as a slow-growing, painless parotid mass.</p><p><strong>Case summary: </strong>We had a 17-year-old female patient who presented with recurrent swelling in her right parotid region, which was adherent to the skin focally. Contrast-enhanced MR showed a solid multi-cystic lesion in her right parotid region. Pre-operative cytopathology was inconclusive. She underwent total parotidectomy with level II nodal clearance, and the histopathology was suggestive of mammary analogue secretory carcinoma.</p><p><strong>Discussion: </strong>MASC is considered to be a low-grade, slow-growing malignancy when presented at an earlier stage. Our patient was kept under close follow-up, and she is disease-free at nearly thirty months post-operatively.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1651-1653"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651595","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}
引用次数: 0
Comparative Utility of Voice Symptom Scale, Voice Handicap Index, and GRBAS in Assessing Voice Disorders: A Clinical Study.
IF 0.6
Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-01-18 DOI: 10.1007/s12070-025-05346-2
Srujan Vallur, V U Jagadeeswaran
{"title":"Comparative Utility of Voice Symptom Scale, Voice Handicap Index, and GRBAS in Assessing Voice Disorders: A Clinical Study.","authors":"Srujan Vallur, V U Jagadeeswaran","doi":"10.1007/s12070-025-05346-2","DOIUrl":"https://doi.org/10.1007/s12070-025-05346-2","url":null,"abstract":"<p><p>Voice disorders are routinely encountered in modern Otorhinolaryngology clinical practice. The assessment of voice disorders involves subjective and objective parameters to evaluate the impact of vocal impairments. This study aims to compare the Voice Symptom Scale (VoiSS), Voice Handicap Index (VHI), and Grade, Roughness, Breathiness, Asthenia, Strain (GRBAS) scales in diagnosing and monitoring treatment outcomes in individuals with voice disorders. A cross sectional study of 100 patients aged 18-60 years diagnosed with voice disorders participated in the study conducted at an outpatient department of tertiary otolaryngology centre. Data collection spanned from January 2023 to December 2023. Data from 100 patients with diverse voice pathologies were analysed. Strong correlations were observed between VoiSS and VHI (<i>r</i> = 0.82, <i>p</i> < 0.01), and between GRBAS Grade and both VoiSS (<i>r</i> = 0.71) and VHI (<i>r</i> = 0.68). The emotional subscales of VHI and VoiSS showed weaker correlations with GRBAS (<i>r</i> = 0.45). The findings indicate that VoiSS and VHI complement GRBAS by capturing the psychosocial impacts of voice disorders, while GRBAS provides expert perceptual analysis of vocal quality. The study highlights the strengths and limitations of each measure, advocating their combined use for comprehensive voice disorder assessment.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1372-1377"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651609","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}
引用次数: 0
Ossicular Reconstruction in Chronic Otitis Media: A Systematic Review.
IF 0.6
Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-01-20 DOI: 10.1007/s12070-025-05327-5
Sneha Mary Joy, P Karthikeyan, Irine Thomas, Davis Thomas Pulimoottil, Ramiya Ramachandran Kaipuzha, Parvaty Ajith
{"title":"Ossicular Reconstruction in Chronic Otitis Media: A Systematic Review.","authors":"Sneha Mary Joy, P Karthikeyan, Irine Thomas, Davis Thomas Pulimoottil, Ramiya Ramachandran Kaipuzha, Parvaty Ajith","doi":"10.1007/s12070-025-05327-5","DOIUrl":"https://doi.org/10.1007/s12070-025-05327-5","url":null,"abstract":"<p><p>Ossicular discontinuity is the most common cause of conductive hearing loss. Between 40 and 90% of tympanoplasties require middle ear ossicular chain reconstruction. The objective of this review is to segregate the literature on the outcome of various available graft materials in ossicular reconstruction, the preoperative predictors of ossicular necrosis and to find the risk of residual cholesteatoma in autologous incus ossiculoplasty. English language databases, including MEDLINE, Science Direct, PubMed, Web of Science and the Google Scholar search engine, were searched from 1950 to 2021, using the MeSH keywords: Chronic Otitis media, Middle ear, Ossicular reconstruction. The available evidence is not sufficient and there is a need for much more clinical research with larger sample sizes in order to standardize ossiculoplasty techniques, an ideal ossicular prosthesis and to rule out the presence of squamous epithelium in eroded ossicles which may predispose for future recurrences.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1698-1701"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651625","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}
引用次数: 0
Comparison of the Results of Endoscopic Dacryocystorhinostomy with and without the Preservation of Nasal Mucosal Flap.
IF 0.6
Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-02-05 DOI: 10.1007/s12070-025-05367-x
Ruta K Sayani, Viral Prajapati, Jiten C Lad, Sohil Vadiya
{"title":"Comparison of the Results of Endoscopic Dacryocystorhinostomy with and without the Preservation of Nasal Mucosal Flap.","authors":"Ruta K Sayani, Viral Prajapati, Jiten C Lad, Sohil Vadiya","doi":"10.1007/s12070-025-05367-x","DOIUrl":"https://doi.org/10.1007/s12070-025-05367-x","url":null,"abstract":"<p><strong>Aims: </strong>Conventional endoscopic dacryocystorhinostomy (EDCR) typically involves removal of the nasal mucosa during the creation of osteotomy. This technique has been modified by preserving the nasal mucosa by elevating a mucosal flap before performing the osteotomy. This study aims to compare the surgical outcomes and success rates of EDCR with and without the preservation of the nasal mucosal flap.</p><p><strong>Materials and methods: </strong>This prospective cohort study included 40 patients who presented with persistentepiphora due to acquired nasolacrimal duct obstruction, attending the outpatient department (OPD) of the Otorhinolaryngology Department. All patients underwent standard preoperative evaluations, including a detailed history, physical examination, lacrimal sac syringing, canalicular probing, and nasal endoscopy. Additionally, routine investigations for general anesthesia were conducted. The patients were randomly assigned to one of two groups: Group A (n = 20), in which a nasal mucosal flap was preserved and repositioned on the bare bone following osteotomy; and Group B (n = 20), in which the mucosal flap was removed, leaving the bone exposed.</p><p><strong>Results: </strong>A total of 40 patients were included in the study. The baseline characteristics, including medical history, presenting complaints, and preoperative findings, were compared between the two groups. The overall surgical success rate was high and not significantly different between the groups, with 85% success in Group B (no flap) and 95%success in Group A (with flap).</p><p><strong>Conclusion: </strong>This study found no significant difference in surgical success or complication rates between EDCR performed with or without mucosal flap preservation. The results suggest that both techniques are equally effective.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1499-1504"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651700","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}
引用次数: 0
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