Indian Journal of Otolaryngology and Head and Neck Surgery最新文献_第6页

Outcomes of Management of Advanced oral Cavity Carcinoma (T3 and T4) Following Surgery and Chemoradiotherapy Among Rural Population in Gujarat.

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-02-05 DOI: 10.1007/s12070-025-05364-0

Swara Bhatt, Girish Mishra, Yojana Sharma

{"title":"Outcomes of Management of Advanced oral Cavity Carcinoma (T3 and T4) Following Surgery and Chemoradiotherapy Among Rural Population in Gujarat.","authors":"Swara Bhatt, Girish Mishra, Yojana Sharma","doi":"10.1007/s12070-025-05364-0","DOIUrl":"https://doi.org/10.1007/s12070-025-05364-0","url":null,"abstract":"Oral cavity squamous cell carcinoma (OSCC) makes up 30% of head and neck cancers in India, often diagnosed late (T3/T4) due to limited rural healthcare access. This study evaluates functional outcomes after surgery and chemoradiation for advanced OSCC. To assess the functional outcomes in advanced oral cavity carcinomas following surgery and chemo radiotherapy. This prospective longitudinal study of 105 patients with advanced stage oral cavity malignancies who underwent surgical management over a period of 1 year and 6 months. Functional outcomes were assessed at 6 months post-surgery using the HNC FIT scale and analysis was done using descriptive statistics, independent t-tests and ANOVA test. (p < 0.05). Functional outcomes using the HNC FIT scale revealed significant impacts on food intake (mean score 2.33/5), neck and shoulder mobility (mean score 2.68/5), and speech outcomes (mean score 2.58/5). Conversely, improved outcomes were observed in breathing (mean score 3.83/5), mood (mean score 3.75/5), and pain (mean score 3.33/5). The study emphasizes the need for holistic care in oral cavity cancer management, focusing on pain management, psychosocial support and preserving vital functions like food intake, breathing and speech to enhance patient outcomes and satisfaction.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1485-1491"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651701","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

The Role of Diagnostic Nasal Endoscopy and Computed Tomography Scan in Chronic Rhinosinusitis in Adults: A Study of Clinical Correlation.

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-02-08 DOI: 10.1007/s12070-025-05376-w

Kuldeep Acharia, Pooja Thakur, Puspen Dasgupta, Sabyasachi Gon, Dharitri Mukherjee, Anwesha Dandapath, Apu Dey, Abhishek Patra

{"title":"The Role of Diagnostic Nasal Endoscopy and Computed Tomography Scan in Chronic Rhinosinusitis in Adults: A Study of Clinical Correlation.","authors":"Kuldeep Acharia, Pooja Thakur, Puspen Dasgupta, Sabyasachi Gon, Dharitri Mukherjee, Anwesha Dandapath, Apu Dey, Abhishek Patra","doi":"10.1007/s12070-025-05376-w","DOIUrl":"https://doi.org/10.1007/s12070-025-05376-w","url":null,"abstract":"Chronic rhinosinusitis (CRS) is an inflammatory disease affecting the paranasal sinuses (PNS) with a lifetime prevalence of approximately 15%, impacting about 1 in 8 Indians. The condition is rapidly evolving, with an exponential increase in cases due to rising atmospheric pollution and exposure to various allergens. CRS is one of the most common reasons for ENT consultations, significantly impairing patients' quality of life. Defined by inflammation lasting more than 12 weeks, CRS diagnosis relies on EPOS criteria using endoscopy and computed tomography (CT) scans. CRS affects about 11% of the global population and ranks among the top 10 costliest health conditions, highlighting the need for cost-effective and accessible diagnostic tools. This observational study was conducted in a tertiary care hospital and included 53 CRS patients (age 18-70 years) undergoing diagnostic nasal endoscopy (DNE) and non-contrast CT. The Lund-Mackay and Lund-Kennedy scores evaluated CT and DNE findings, respectively. Statistical analysis included descriptive, Mann-Whitney, chi-square tests, and Spearman correlation. Nasal obstruction (98.11%) predominated, with CT revealing maxillary sinus involvement (52.83%) and common anatomical variations such as a deviated nasal septum. DNE identified edema (66.03%) and nasal polyps (15.1%). A strong correlation (0.866) between Lund-Kennedy and Lund-Mackay scores validated DNE. DNE showed 91.31% sensitivity, 71.46% specificity, and 86.44% diagnostic accuracy versus CT. DNE proves to be reliable in CRS assessment, aligning well with CT findings. It offers a cost-effective initial evaluation and management option, crucial in resource-limited settings.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1552-1557"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651740","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

Correction to: Comparing Nasal Splints and Quilting Sutures in Septoplasty: A Systematic Review and Meta-analysis.

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-02-17 DOI: 10.1007/s12070-025-05383-x

Mohammed A Alhejaily, Abdullah A Alhejaily, Abdulrahman G Alosaimi, Ahmad Bogari, Badi Aldosari

引用次数: 0

Development and Validation of the Voice Handicap Index-10 (VHI-10) in Hindi.

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-01-31 DOI: 10.1007/s12070-024-05317-z

Pinki Singh, Jagmohan Singh Dhakar, Tishya Singh

{"title":"Development and Validation of the Voice Handicap Index-10 (VHI-10) in Hindi.","authors":"Pinki Singh, Jagmohan Singh Dhakar, Tishya Singh","doi":"10.1007/s12070-024-05317-z","DOIUrl":"https://doi.org/10.1007/s12070-024-05317-z","url":null,"abstract":"Any changes in voice can affect the quality of life by limiting the individual in activity participation. It is important to evaluate the individual's perception about their changes in voice rather than any objective measures. Despite of 43.63% Hindi speaking population in India there was no any self-assessment scale on which individual can express their functional, physical and emotional related impact due to voice disorder. To adapt and validate self-assessment tool Voice Handicap Index (VHI)-10 in Hindi. In this cross-sectional study, items were taken from VHI-10 English and were adapted in HindiVHI-10 Hindi was administered on participants after taking consent, these were taken from ENT outpatient, private clinic, speech and language department. Tool has been administered on 242 subjects consists of Group I- Control group and Group II- Dysphonic group. the study was completed in three phases: I Translation and Adaptation, II Administration, III Standardization. Out of total ten items, seven items were changed for better comprehensibility. The validity score (0.97) was highly significant, even difference between scores of both the groups were statistically significant (p = 0.001). The correlation of age and gender was not significantly observed. The adapted VHI-10 Hindi is a valid and reliable tool for assessing the impact of voice disorders across three domains: Functional, Physical, and Emotional. It helps to understand how changes in voice affect an individual's daily life beyond just the pathological aspects, thereby guiding tailored management strategies.Supplementary information: The online version contains supplementary material available at 10.1007/s12070-024-05317-z.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1256-1264"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651757","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

Endoscopic Approach to Laryngeal Schwannoma: A Case Report.

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-02-13 DOI: 10.1007/s12070-025-05341-7

Akanksha Garg, Anmol Kath, Prince Handa, Akshit Vermani

引用次数: 0

Management of Malignant Wound Myiasis in Advanced Head‑and‑Neck Cancer Patients: A Prospective Observational Study.

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-02-13 DOI: 10.1007/s12070-025-05360-4

Vishal Mishra, Aamir Malick Saifi, Priyam Mitra, Arjun Agarwal, Monika Meharchandani

{"title":"Management of Malignant Wound Myiasis in Advanced Head‑and‑Neck Cancer Patients: A Prospective Observational Study.","authors":"Vishal Mishra, Aamir Malick Saifi, Priyam Mitra, Arjun Agarwal, Monika Meharchandani","doi":"10.1007/s12070-025-05360-4","DOIUrl":"https://doi.org/10.1007/s12070-025-05360-4","url":null,"abstract":"Our findings highlight the significance of regularly assessing wounds and related symptoms in patients with head and neck cancer. This study found that systemic treatment with anti-helmenthic such as Ivermectin and Albendazole combined with broad spectrum antibiotics and turpentine oil dressing helps in removal of maggots, early recovery, ease of agony, and other related symptoms. However, more comprehensive studies are required to demonstrate the efficient management of malignant wound myiasis. 10 patients with advanced head and neck cancer presented with maggots either from wound site, scalp, oral cavity or nostril, with ECOG score 3 or less were enrolled in this study. Symptoms were assessed using Edmonton Symptom Assessment Scale (ESAS) and Wound was assessed by Wound Assessment Tool, at baseline and then at days 1, 3, 5, and 7. Tab Albendazole 400 mg once daily, turpentine oil for dressing three times daily for five days, Tab Ivermectin 12 mg and Broad-Spectrum Antibiotics- Tab Amoxicillin + Potassium Clavulanate and Tab Metronidazole twice a day were given to all patients for five days. We found significant improvement in scores of wound and all other related symptoms on days 1, 3, 5 & 7, except for bleeding, edema, nausea, anxiety, appetite loss and feeling of well-being, which remained same on Day 1, but improved afterward. Side effects were self-limiting. Systemic treatment with Anti helminthic- Ivermectin, Albendazole, Broad spectrum antibiotics, and turpentine oil enhances the removal of maggots, early recovery and relief from distress and associated symptoms.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1449-1453"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651546","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

Case Report on Rhabdomyosarcoma of Middle Ear in A 4 Year Old Child: A Rare Case.

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-02-17 DOI: 10.1007/s12070-024-05255-w

Shyamji Rawat, Preeti Solanki, Lalit Mohan Patel, Garima Uikey

引用次数: 0

A Case Report of A Rare Giant Parotid Pleomorphic Adenoma with Atypical Preoperative Cytological Presentation of Category-IVB SUMP.

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-01-11 DOI: 10.1007/s12070-024-05288-1

Gaurav Datta, Tapan Nagpal, Nishit Gupta, Aarjav Shah, Kuldeep Joshi

{"title":"A Case Report of A Rare Giant Parotid Pleomorphic Adenoma with Atypical Preoperative Cytological Presentation of Category-IVB SUMP.","authors":"Gaurav Datta, Tapan Nagpal, Nishit Gupta, Aarjav Shah, Kuldeep Joshi","doi":"10.1007/s12070-024-05288-1","DOIUrl":"https://doi.org/10.1007/s12070-024-05288-1","url":null,"abstract":"Giant pleomorphic adenomas of the parotid gland are rare, particularly in younger patients, and their preoperative cytological evaluation can be challenging. The Milan System for Reporting Salivary Gland Cytopathology (MILAN) provides a framework for categorizing salivary gland lesions, but atypical presentations complicate diagnosis. A 31 year-old female presented with a large parotid mass, clinically suggestive of a giant pleomorphic adenoma. Preoperative fine needle aspiration cytology (FNAC) was atypical, categorized as SUMP (Salivary gland neoplasm of undetermined malignant potential) according to the MILAN system. The cytological features included cellularity with varying degrees of atypia and occasional necrotic debris, which raised concerns about the potential for malignancy. Subsequent surgical resection confirmed the diagnosis of a giant pleomorphic adenoma, measuring 13 cm in maximum dimension. Histopathological examination revealed classic features of pleomorphic adenoma with no evidence of malignancy. The atypical cytological presentation was attributed to the large size of the tumor and its degenerative changes. This case highlights the diagnostic challenges of atypical cytological findings in large pleomorphic adenomas. The MILAN system, while effective, may require careful interpretation in cases with significant tumor size and atypical features. Accurate diagnosis necessitates correlation of cytological findings with clinical and histopathological data.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1590-1597"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651590","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

Congenital Arrhinia with Profound Hearing Loss and Complete Cleft Palate: A Challenging Triad.

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-01-18 DOI: 10.1007/s12070-025-05343-5

Stuti Chowdhary, Syed Kamran Asif

引用次数: 0

Evaluation of the Internal Nasal Valve Before and After Turbinoplasty Using Cross Sectional CT.

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-01-18 DOI: 10.1007/s12070-025-05339-1

Rami Fatouh Abo Elata Tantawy, Asmaa Yousef Elsayed Ahmed, Omneya E Bioumy

{"title":"Evaluation of the Internal Nasal Valve Before and After Turbinoplasty Using Cross Sectional CT.","authors":"Rami Fatouh Abo Elata Tantawy, Asmaa Yousef Elsayed Ahmed, Omneya E Bioumy","doi":"10.1007/s12070-025-05339-1","DOIUrl":"https://doi.org/10.1007/s12070-025-05339-1","url":null,"abstract":"Airflow resistance is crucial for optimal pulmonary function during respiration. Nasal airway obstruction may be caused by collapse or obstruction of the internal nasal valve (INV). The objective of this investigation was to assess the internal nasal valve prior to and following turbinoplasty through cross-sectional computed tomography. This prospective clinical study was conducted on 60 adult patients who experienced nasal obstruction that was either partially or completely unrelieved following despite maximal medical treatment. Prior to surgery, each patient underwent a comprehensive medical history, clinical examination, and comprehensive otorhinolaryngological examination. Additionally, an endoscopic assessment of the nasal cavity and cross-sectional CT scan on nose and paranasal sinuses was conducted. There was a significant improvement postoperatively, as postoperative NOSE score was significantly decreased across time till reach 37.4 ± 6.3 at 6 months (P < 0.001). Both postoperative inspiratory and expiratory flow at 6 months were significantly increased compared to preoperative flow (P = 0.028, < 0.001). but no significant change in the nasal valve area and angle on the right and left sides, as well as the average area and angle at (at 0,1 week, 1, 3, and 6 months). Turbinoplasty has no effect on the internal nasal valve area measurements.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1347-1353"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651736","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