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

{"title":"Delayed Onset of Post-Intubation Laryngeal Oedema: Navigating Patient Autonomy and Successful Medical Management.","authors":"Kuganathan Ramasamy, Davina Stasia Hui Ming Teo, Nadhirah Mohd Shakri","doi":"10.1007/s12070-025-05547-9","DOIUrl":"10.1007/s12070-025-05547-9","url":null,"abstract":"<p><p>Post-intubation laryngeal oedema typically manifests early with stridor following extubation. We present a case of a patient who underwent elective surgery for breast malignancy and developed inspiratory stridor approximately 48 h post-extubation. Initial suspicion pointed towards subglottic stenosis; however, the patient opted out of the proposed surgical intervention to address her airway concerns. Thus, medical management was initiated alongside close monitoring, resulting in a successful resolution. This prompted a revised diagnosis of post-intubation subglottic oedema. This case underscores the importance of considering delayed-onset laryngeal oedema as a differential diagnosis for post-extubation stridor, even in the absence of traditional risk factors. It also explores the delicate balance between clinical judgment and respecting patient autonomy.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2666-2669"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276428","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":"Drug Induced Sleep Endoscopy in a Child with Poland's Syndrome: A Clinical Challenge.","authors":"Stuti Chowdhary, Syed Kamran Asif, Aparna Williams","doi":"10.1007/s12070-025-05563-9","DOIUrl":"10.1007/s12070-025-05563-9","url":null,"abstract":"<p><p>Drug induced sleep endoscopy (DISE) is an accepted diagnostic tool to pinpoint sites of dynamic obstruction in sleep apnoea. However, the challenges increase manifold in a child with Poland's syndrome (PS), a congenital condition characterised by hypoplasia or agenesis of thoracic musculoskeletal elements, with rare limb anomalies. There are numerous risks associated with anaesthesia, including difficulties with ventilation and the potential for malignant hyperthermia. We describe a case of a child with Poland's syndrome, with sleep disordered breathing. The patient was taken up for DISE-guided surgery. To our best knowledge, this is the first case of Poland's syndrome described with respect to DISE in literature. We discuss the case and our experience - both surgical and anaesthesia related Poland's syndrome.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2689-2692"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276429","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":"Exclusive Endonasal Endoscopic Removal of an Old, Retained, Displaced Tooth Fragment Causing Isolated, Refractory, Chronic Maxillary Sinusitis.","authors":"Mainak Dutta, Henna Ali, Debraj Howlader, Ajay Mallick","doi":"10.1007/s12070-025-05490-9","DOIUrl":"10.1007/s12070-025-05490-9","url":null,"abstract":"<p><p>Inadvertent displacement of tooth fragments into the maxillary sinus is a known complication of dental extraction that can be managed instantaneously or soon thereafter through conventional techniques like Caldwell-Luc, alveolar crestal, and lateral approaches. However, if the event remains unidentified or ignored, recalcitrant sinus infection and intra-sinus tooth migration may result. The situation can then be difficult to investigate and treat.This report illustrates using a nasal endoscope in an exclusive endonasal approach in a 28-year-old man to extract an undiagnosed, retained tooth fragment displaced into the maxillary sinus during a dental extraction procedure four years ago, resulting in refractory, isolated chronic maxillary sinusitis. The effect of delayed diagnosis on clinical presentation and surgical decision-making, and the hurdles encountered at surgery, are discussed. Otolaryngologists require a high index of suspicion of a retained, infected tooth as the etiology of maxillary sinusitis. Conventional techniques provide limited surgical field and may be unsuitable in florid sinusitis, when the tooth migrates along the upstream mucociliary beat, and when the oro-antral fistula heals. In contrast, an exclusive endonasal endoscopic approach through middle meatal antrostomy is less invasive and provides wider exposure, but is seldom practiced and documented. Dealing with a grossly infected sinus and an intra-sinus tooth at an unpredictable depth is challenging. The benefits of endoscope-guided access being increasingly recognized in oro-dental interventions, this paper calls for a liaison between oral-maxillofacial surgeons and otolaryngologists in dealing with unforeseen complications related to maxillary sinus and the dentition at its floor.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12070-025-05490-9.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2602-2606"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276433","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":"Tracheal Stenosis and its Management - A Single Institution 10 Years Experience.","authors":"Aman Bansal, Aditi Sharma, Ashwin Ashok Jaiswal, Girish Umredkar, Amrish Kumar Garg, Praveer Kumar Banerjee, Neeta Sharma, Prachi Mene, Vineeta Dwivedi, Tanuja Anand, Amit Agrawal","doi":"10.1007/s12070-025-05576-4","DOIUrl":"10.1007/s12070-025-05576-4","url":null,"abstract":"<p><p>To analyze patient characteristics, diagnostic methods, management strategies and outcomes in tracheal stenosis following intubation or tracheostomy over a 10-year period at a tertiary care center. Retrospective observational study. Tertiary care hospital. Eighteen patients diagnosed with tracheal stenosis from 2015 to 2024 following extubation or decannulation. Data collection included patient demographics, stenosis characteristics (type and site), diagnostic approaches, treatment modalities and outcomes. Patients were evaluated through history, physical examination, and endoscopic/imaging assessments. Management included endoscopic and open surgical interventions. Treatment success was defined as decannulation with satisfactory voice quality. Among 18 patients, middle-aged males were the predominant demographic and typically presented within 20 days post-extubation or decannulation. Of the 9 post intubation tracheal stenosis cases, 6 had web-like stenosis at the cuff site and 3 developed granulation tissue. The remaining 9 cases were post tracheostomy-related, with 4 showing granulation at the stoma, 3 involving cartilage fractures and 2 developing web-like stenosis. Endoscopic management (44.4%) involved bronchoscopic or bougie dilatation with mitomycin C application. Surgical interventions (55.5%) used composite hyoid-sternohyoid grafts (50%), costal cartilage (30%), and tracheoplasty with T-tube placement (20%). Decannulation was successful in 71.4% of endoscopic and 66.6% of surgical cases. Comprehensive evaluation and individualized management based on stenosis characteristics are essential for optimal outcomes in tracheal stenosis.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2575-2584"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276438","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":"Pathological and Molecular Features of Odontogenic Myxoma: A Systematic Review.","authors":"Paolo Boffano, Panagiotis Stathopoulos, Muhammad Ruslin","doi":"10.1007/s12070-025-05552-y","DOIUrl":"10.1007/s12070-025-05552-y","url":null,"abstract":"<p><p>Odontogenic myxoma (OM) is an intraosseous benign mesenchymal odontogenic neoplasm. It is slow-growing and it may determine an extensive and painless expansion of the bone. The aim of the present article is to review the literature regarding the pathological features of OM as well as the genetic, pathogenetic, and molecular aspects of this neoplasm. An electronic search of the search terms \"oral myxoma\" and \"odontogenic myxoma\" was performed in the PubMed and Scopus databases for articles published between January 1990 and July 2024. Based on the abstracts of the articles, the articles were included or excluded in the review. Finally, data were extracted from the selected articles. Demographic data, number of patients, localization of OMs, and pathological features were extracted from the studies. The systematic review showed that OM affects patients at an average age of 8.1-40.1 years, with a female and mandibular predilection. Most study populations have a mean age within the 20-29 years and the 30-39 years decades. Most of the case series presented conventional microscopic findings, including stellate to spindle-shaped cells in a loose mucoid and/or myxoid extracellular stroma with sparse collagen fibrils. Most of the included articles confirmed the positivity to vimentin and SMA, the negativity to GFAP, keratin, NSE, and S-100. The invasive behavior of OMs has not been clarified yet. Further studies about biomarkers related to OM development and invasiveness are needed, in order to develop new therapeutical conservative approaches for this locally aggressive neoplasm.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2711-2718"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276364","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":"Psychometric Properties of the European Organization for Research and Treatment of Cancer Head and Neck (EORTC QLQ H&N 43) Quality of Life Tool for Use in the Eastern India Population.","authors":"Sri Priya Narayanan, Bidhu Kalyan Mohanti, Sumita Mohanty, Hemamalini Rath, Shilpa Mahapatra","doi":"10.1007/s12070-025-05549-7","DOIUrl":"10.1007/s12070-025-05549-7","url":null,"abstract":"<p><p>Head and neck cancer (HNC) and its treatment outcomes have a substantial impact on the quality of life of the patients. This study aimed to translate and psychometrically validate the European Organization for Research and Treatment of Cancer head and neck cancer-specific quality of life module, updated version (EORTC QLQ-H&N43) in Odia language for use in Eastern India. Forward-backward translation and pilot testing of the pre-final Odia version of the EORTC QLQ-H&N43 was done according to the EORTC quality of life group questionnaire translation guidelines. The psychometric properties were tested in a sample of 120 HNC patients attending a public tertiary hospital in Odisha. The patients filled in both the EORTC QLQ H&N 43 module and the EORTC QLQ C 30 questionnaire. Internal consistency was tested using Cronbach's alpha and the test-retest reliability using interclass correlation coefficients (ICC). The known group validity by disease stage was assessed and the convergent and discriminant validity were explored using the Spearman's correlation coefficient test. Exploratory factor analysis was performed to obtain information about the loading of the items and factor naming of the potential constructs was done. The Cronbach's Alpha of the scales ranged from 0.68 to 0.89 and was > 0.70 in 11 out of the 12 multi-item scales indicating good internal consistency. The ICC = 0.79 (95% confidence interval of 0.71-0.93) indicates a 'moderate' to 'good' test-retest reliability. The magnitude of the correlation of each item with its scale exceeded the correlation with another scale confirming item discriminant validity. All QLQ-H&N43 scales correlated negatively as predicted with all QLQ-C30 functioning scales. Significant known-group differences were observed between those in different stages of the disease. The factor analysis resulted in 3 different components namely oral/mouth-related symptoms, general functional disturbances, and psychosocial issues. The results suggest that the Odia version of EORTC QLQ-H&N43 is a reliable and valid tool for measuring the symptom burden of HNC patients in India. Future research on larger sample sizes can employ confirmatory factor analysis to further substantiate the findings of the present study.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12070-025-05549-7.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2523-2534"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276368","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":"Adjoining Auricular Endochondral Pseudocysts in a Child.","authors":"Konstantinos Kourelis, Anastasios Goulioumis, Zoi Stamou, Vasileios Haronis","doi":"10.1007/s12070-025-05567-5","DOIUrl":"10.1007/s12070-025-05567-5","url":null,"abstract":"<p><p>Endochondral pseudocysts of the pinna are rare intracartilaginous fluid-filled spaces of unknown origin. We present the case of a 10-year-old boy with two auricular pseudocysts occurring on either side of the cartilaginous lamina. Paired surgical deroofing took place, seeking a balance between definitive cure and sufficient tissue support.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2693-2695"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276409","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":"Burnout among Otolaryngology Residents: The Impact of Age, Gender, and Sleep.","authors":"Reza Sadeghi, Hamed Emami, Reihaneh Heidari, Reza Erfanian","doi":"10.1007/s12070-025-05565-7","DOIUrl":"10.1007/s12070-025-05565-7","url":null,"abstract":"<p><p>Burnout affects otolaryngology residents, harming their well-being and patient care. This study identifies factors linked to burnout to create strategies for enhancing resident well-being. A cross-sectional study was conducted among otolaryngology residents to investigate factors associated with burnout. Data on demographics, sleep patterns, burnout using the Abbreviated Maslach Burnout Inventory (aMBI) and the Short Form Health Survey-12 including Physical Component Summary (PCS-12) and Mental Component Summary (MCS-12) were collected. Multivariate regression models were employed to identify significant predictors of burnout. A total of 279 questionnaires were filled out. The sample had 44.4% female participants. Residents reported high Emotional Exhaustion (mean = 12.89, SD = 3.8), moderate Depersonalization (mean = 5.74, SD = 5.20), and low Personal Accomplishment (mean = 8.75, SD = 4.71). The final model for Emotional Exhaustion found three key predictors: earliest sleep onset time (Beta= -0.14, <i>p</i> < 0.001), PCS-12 (Beta= -0.273, <i>p</i> < 0.001), and MCS-12 (Beta= -0.48, <i>p</i> < 0.001). Five key factors for Depersonalization were identified: age (Beta= -0.228, <i>p</i> < 0.001), average sleep onset time (Beta= -0.126, <i>p</i> = 0.025), PCS-12 (Beta= -0.175, <i>p</i> = 0.022), MCS-12 (Beta= -0.232, <i>p</i> = 0.003), and season (Beta = 0.113, <i>p</i> = 0.036). Personal Accomplishment was predicted by gender (Beta = 0.116, <i>p</i> < 0.001), MCS-12 (Beta = 0.347, <i>p</i> = 0.037), and average sleep duration (Beta=-0.115, <i>p</i> < 0.001). Burnout is common among otolaryngology residents, especially younger and female ones. Prioritizing mental and physical health is crucial and limiting excessive sleep may help. Further research is needed to confirm these findings and explore additional well-being strategies.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2548-2555"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276423","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":"Efficacy of Mupirocin Nasal Irrigation Versus Saline Nasal Irrigation in Acute Rhinosinusitis: A Randomized Double-Blind Study.","authors":"Bharat Bhushan, D Jayapriya, Atul Mukul Bage","doi":"10.1007/s12070-025-05527-z","DOIUrl":"10.1007/s12070-025-05527-z","url":null,"abstract":"<p><p>Acute rhinosinusitis is a common inflammatory condition characterized by the inflammation of the paranasal sinuses. The use of saline irrigation in the nasal passages is a well-established and effective approach for managing both acute and chronic rhinosinusitis (CRS), allergic or nonallergic, atrophic rhinitis, facilitating postoperative care following endoscopic sinus surgery as well [4]. Various topical agents can be added to lavage solution. Among this mupirocin has notable anti-staphylococcal properties. To study and compare the efficacy of mupirocin nasal irrigation with saline nasal irrigation in reducing symptoms and duration of treatment in the case of acute rhinosinusitis. In AVMC Pondicherry a randomized double blinded trial was carried out. A total of 50 patients diagnosed with acute rhinosinusitis are selected and equally divided into two groups. One group was given mupirocin nasal irrigation solution, other group was given saline nasal irrigation solution. Patient's symptoms were evaluated at Different visits and mean symptomatic score (MSS) was used to gather data. The mean age of participants in both Group A and Group B is approximately 41.3 (<i>±</i> 11.632) years and 39.8(<i>+ 10.163)</i> years. The percentage distribution of male and female subjects is 44.0% and 56.0% in group A and in group B 36.0% and 64.0% in this present study. There was no statistical variation found in mean major symptom score between group A and group B for day 0 (0.090), but there was a statistical variation found in mean major symptom score between group A and group B for day 5 (0.04*) and day 10 (0.02*). There was no statistical variation found in duration of antibiotics course between group A and group B was 0.05*. Both mupirocin nasal irrigation and saline nasal irrigation are effective in reducing symptoms of acute rhinosinusitis. However, mupirocin nasal irrigation appears to lead to more rapid improvement in symptom severity and but may not help reduce the duration of antibiotic therapy compared to saline nasal irrigation.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2480-2486"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276430","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":"Rare Case of Mature Cystic Teratoma of the Parotid Gland in a Paediatric Patient: Surgical Management.","authors":"Girish Mishra, Yojana Sharma, Swara Bhatt, Akashkumar Ramani","doi":"10.1007/s12070-025-05518-0","DOIUrl":"10.1007/s12070-025-05518-0","url":null,"abstract":"<p><p>Teratomas are exceptionally rare in the parotid and occurrence in pediatric patients adds to their rarity, as most cases are reported in adults. Here, we present a case of a 9-year-old female with a mature cystic teratoma of the parotid, successfully managed with complete surgical excision, underscoring the unique clinical challenge and successful treatment for such rare Tumors in pediatric populations.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2626-2628"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276413","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}