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

{"title":"A Radiographic Morphometric Analysis for the Preoperative Localization of the Sphenopalatine Artery.","authors":"Sanu P Moideen, Thara Joseph, Irine Thomas, Neenu Anna Joseph, Davis Thomas Pulimoottil","doi":"10.1007/s12070-025-05354-2","DOIUrl":"https://doi.org/10.1007/s12070-025-05354-2","url":null,"abstract":"<p><p>The sphenopalatine foramen (SPF) is a crucial anatomical landmark in major anterior skullbase procedures and in challenging situations, the traditional method of identification of the crista ethmoidalis may be inadequate or impossible. This study aimed to evaluate different radiological bony landmarks to assist endoscopic localization of the SPF. This was a cross sectional study which was done using computed tomography (CT) of the paranasal sinuses of 50 patients who presented to a tertiary care hospital with a history of recurrent posterior epistaxis. The distances from the SPF to the following surgical landmarks were measured from each side: nasal floor, choanal arch, maxillary line, anterior head of the middle turbinate, and the basal lamella of the middle turbinate. The mean (SD) SPF was 23.6 ± 4.6 mm above the nasal floor, as measured in the vertical dimension. In the anteroposterior dimension, the mean (SD) SPF measured 36.3 ± 2.3 mm deep to the maxillary line, 34.8 ± 3.1 mm deep to the anterior head of the middle turbinate, 7.5 ± 2.0 mm deep to the level of the basal lamella, and 9.0 ± 1.8 mm anterior to the choanal arch. This study found that the mean distances were almost the same in male and female patients. This study concluded that radiological measurements from the SPF to nasal floor, choanal arch, maxillary line, anterior head of middle turbinate and basal lamella are reliable for both sexes. Measurements from the choanal arch and basal lamella of the middle turbinate were reliable landmarks for finding the SPF. Hence, addition of above surgical bony landmarks has potential clinical application in rapid localization of the SPF.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1424-1428"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651274","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":"A Study on Association Between Anaemia and Cricoid Webs in Patients with Dysphagia Attending a Tertiary Care Hospital in Chengalpattu District.","authors":"K Ragapriya, M Ajaiy","doi":"10.1007/s12070-025-05363-1","DOIUrl":"https://doi.org/10.1007/s12070-025-05363-1","url":null,"abstract":"<p><p>Dysphagia is defined as having difficulty in swallowing which may affect any part of the swallowing pathway from the mouth to stomach. Oesophageal webs are rare cause of dysphagia. It is found to occur in association with iron deficiency anaemia and dysphagia. Classical features of Plummer Vinson Syndrome include dysphagia, iron deficiency anaemia, oesophageal webs, koilonychia, angular stomatitis. Predominantly affects females past 40 years. Barium swallow and esophagoscopy shows web in the post cricoid region. About 10% of cases with this syndrome will develop post cricoid carcinoma. Treatment is to correct anaemia by oral and parenteral iron. To estimate the occurrence of anaemia and cricoid webs in patients with dysphagia attending ENT OPD in a tertiary care centre. It is a six-month observational study with 186 patients. Patients with dysphagia was further evaluated for anaemia and cricoid webs. A detailed clinical history along with blood investigations and barium swallow was done. In our study out of 186 patients with dysphagia 176 have decreased haemoglobin with decrease in serum iron and serum ferritin levels. Out of 176 only 6 patients have cricoid webs and it is commonly seen in females above 35 years. Plummer-Vinson syndrome is predominantly seen in middle aged women and present with symptoms of iron deficiency anaemia and dysphagia. Iron supplementation alone is helpful in majority of patients. PVS is a precancerous condition with high malignant potential, hence early diagnosis and regular follow up is necessary.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12070-025-05363-1.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1478-1484"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651517","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":"Clinical Features of Oral Lichen Planus: A Pictorial and Systematic Review.","authors":"Paolo Boffano, Sophie Dugast, Helios Bertin, Pierre Corre","doi":"10.1007/s12070-025-05337-3","DOIUrl":"https://doi.org/10.1007/s12070-025-05337-3","url":null,"abstract":"<p><p>Oral lichen planus (OLP) is an inflammatory mucocutaneous relapsing and remitting condition that includes a spectrum of oral clinical manifestations including mild painless white lesions to painful erosions and ulcers. The complexity of clinical presentation of OLP lesions often represents a challenge for both young and experienced otolaryngologists and dental practitioners. Therefore, the aim of the present article was to review the literature regarding the main clinical features of OLP. A literature search was conducted in four electronic databases (Medline / PubMed, Scopus, Embase, and Web of Science) using the combination of the terms \"oral lichen planus\" AND \"symptoms\" OR \"signs\" OR \"clinical\". The initial search resulted in 432 articles. After screening the duplicates and following the application of exclusion criteria, the full texts of 18 articles were included in the review. A thorough knowledge of clinical patterns and symptoms of OLP is crucial for any otolaryngologist and dental practitioner. An early diagnosis and a long term follow up seem to be the best clinical approach to manage such subtle and chronic condition.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1692-1697"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651553","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":"A follow-up Study of Effect of PDE5i Drugs on Extended High-frequency Hearing.","authors":"Chandrahas Chandanshive, R Rangasayee","doi":"10.1007/s12070-025-05372-0","DOIUrl":"https://doi.org/10.1007/s12070-025-05372-0","url":null,"abstract":"<p><p>Phosphodiesterase type 5 inhibitors (PDE5i), such as Sildenafil (Viagra), Tadalafil (Cialis), and Vardenafil (Levitra), are commonly used to treat erectile dysfunction (ED) and other conditions like pulmonary hypertension and benign prostatic hyperplasia. While their therapeutic effects are well-documented, limited research exists on their potential ototoxicity. Some studies suggest that PDE5i drugs may impact hearing, potentially through the alteration of the nitric oxide pathway, which is crucial for cochlear function. Extended High-frequency audiometry (EHFA) has proven sensitive in detecting ototoxicity, making it a valuable tool for evaluating drug-induced hearing loss.The study involved 60 participants, 30 in the observational group (PDE5i users) and 30 in the control group (healthy individuals). Pre- and post-medication EHFA revealed that the observational group had significantly poorer hearing thresholds than the control group both before and after taking PDE5i drugs. The results showed that the pre-medication hearing thresholds of the observational group were already impaired, suggesting a pre-existing sensitivity to hearing loss. Post-medication, there was further deterioration in hearing thresholds.The study found that PDE5i users exhibited significantly poorer hearing sensitivity, even before taking the medication, possibly due to underlying hearing issues associated with erectile dysfunction. While the findings indicate potential ototoxic effects, further research is needed to confirm these results and explore the long-term impact. Close monitoring of hearing sensitivity in PDE5i users is recommended.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1537-1541"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651592","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":"Comparative Evaluation of Bilateral Cleft Earlobe Rejuvenation with and without Calendula Officinalis 10% V/W- Randomised Control Trial.","authors":"Harshal Kunjir, Lakshmi Shetty, Dharmendra B Sharma, Parth Aphale, Srikanth Gunturu, Girija Kunjir, Adnan F Chhatriwala","doi":"10.1007/s12070-024-05312-4","DOIUrl":"https://doi.org/10.1007/s12070-024-05312-4","url":null,"abstract":"<p><p>Calendula officinalis has anti microbial and anti inflammatory property and its usage for wound healing is the need of the hour. The ultimate aim of our research study was to evaluate and compare bilateral earlobe rejuvenation with and without Calendula officinalis. The purpose of the study was to examine the impact of calendula on wound healing and its effect in the duration of wound healing. This randomised control trial was conducted on patients with bilateral earlobe cleft and were advised for the treatment of earlobe repair. The technique used for repair was Cross Stitching Approach modified with subcutaneus suturing. The randomization for the calendula application and sequence was generated randomly by computer generated random numbering. Calendula ointment was placed in a double blinded manner by blinding the principal investigator and the statistician. Calendula ointment was applied every 12 hourly on one ear lobe for a period of 7 days and petroleum jelly was placed on the contralateral earlobe. Scar assessment was done using the Stony Brook Scar Evaluation Scale (SBSE) on 15th day postoperatively. The wound healing after earlobe repair in 35 patients was compared after 24 h, 7 days, and 15 days using an unpaired t test in this randomized control trial. Statistical significance was defined as a P-value of less than 0.01. The repeated measures ANOVA test was used to compare mean scores at different time intervals in groups 1 and 2. The Bon Feronic test was used to compare the mean score in groups 1 and 2 at different time intervals. Statistical significance was defined as a p-value of less than 0.01. The comparison of mean score on day 1 the (p value = 0.525), day 7 was (p value = 0.324) and day 15 which was clinically significant (p value < 0.001). Calendula ointment was found to be beneficial in wound healing after cleft earlobe repair in this study. Calendula ointment has demonstrated potential benefits in treating wounds in scheduled surgery with no post-operative problems, according to the findings of this study. This study sets the landmark for the use of Calendula ointment in the treatment of cleft earlobe rejuvenation in Maxillofacial surgery.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1248-1255"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651606","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":"Optimizing Hearing Outcomes in Middle Ear Surgery: A Comparative Analysis of Titanium (PORP) Against Autologous Incus in Type IIb Tympanoplasty.","authors":"S Gopishankar, Kshitij D Shah, Anagha A Joshi, Renuka A Bradoo","doi":"10.1007/s12070-025-05340-8","DOIUrl":"https://doi.org/10.1007/s12070-025-05340-8","url":null,"abstract":"<p><p>The aim of the study is to compare the hearing improvement using Titanium prosthesis (PORP) against autologous incus in Type IIb Tympanoplasty. A prospective study was done for patients of chronic otitis media having ossicular discontinuity with necrosed lenticular process during surgery. It includes 115 patients of which 61 underwent ossicular reconstruction with titanium (PORP) and 54 with refashioned autologous incus during the period 2015-2023 (8 years). Pure tone Audiometry was done post-operatively at 1, 3, and 6 months. Air-Bone Gap (ABG) improvement was recorded as recommended by AAO-HNS (at 0.5,1,2,3 kHz) to assess hearing improvement and results were compared. The hearing improvement was analyzed by comparing the Air-Bone Gap and hearing loss before and after surgery. There was a significant hearing improvement in both groups. However, there was no statistically significant difference in hearing improvement between the two groups.As per AAO-HNS guidelines, a success outcome is defined as a of post-operative Air-Bone gap of less than20 dB. The success outcome in our study was found to be-Titanium prosthesis (PORP) - 73.77% (45/61patients) Autologous incus- 57.41% (31/54patients). Autologous incus is commonly used ossicular remnant for reconstruction with promising results in literature. In our study, titanium prosthesis also showed similar statistical significant improvement in hearing. Reconstruction using titanium prosthesis showed better results in-terms of percentile than autologous incus in AB gap closure.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1354-1359"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651614","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":"Precision and Pitfalls: A Prospective Study Analysing the Immediate Postoperative Sequelae and Oncological Outcome of TORS When Used in Diagnostic Algorithm of Carcinoma Unknown Primary.","authors":"Naresh Kumar Panda, Karthika Chettuvatti, Jaimanti B Bakshi","doi":"10.1007/s12070-025-05347-1","DOIUrl":"https://doi.org/10.1007/s12070-025-05347-1","url":null,"abstract":"<p><p>With the realm of carcinoma unknown primary, incorporating Trans Oral Robotic Surgery represents the diagnostic frontier. This study emphasises the immediate postoperative sequelae and also oncological outcome of patients who underwent TORS to diagnose the primary site in unknown primary carcinoma and assesses the feasibility in the Indian scenario. A prospective study was carried out at a tertiary care centre over two years (January 2020 to January 2022). Patients underwent TORS-assisted ipsilateral radical tonsillectomy, tongue base mucosal wedge biopsy and neck dissection as a part of the diagnostic algorithm of carcinoma unknown primary. The postoperative complications, need for nasogastric feeding, need for tracheostomy, return to oral diet and duration of hospital stay were assessed in these patients. Oncological outcomes were assessed in the same population with the median follow up duration of 49 months. The study encompassed a group of 18 patients of Carcinoma Unknown Primary (CUP) who underwent a comprehensive set of procedures, including ipsilateral radical tonsillectomy, mucosal tongue base wedge biopsy, and neck dissection for the identification of the primary site. The average duration of inpatient stay post-surgical procedure was 3.33 ± 0.57 days. A late postoperative complication of Transoral Robotic Surgery (TORS) manifested as minor intraoral bleeding in 11.1% of patients (<i>n</i> = 2/18). An immediate postoperative complication related to neck dissection, specifically neck hematoma, occurred in 11.76% of patients (<i>n</i> = 2/17). Tracheostomy and nasogastric feeds were implemented for a short period in only 5.9% of patients (<i>n</i> = 1/17). Survival analysis conducted on the same population, with a median follow-up of 33 months, revealed no differences in Overall Survival (OS) and Disease-Free Survival (DFS) concerning primary site identification and HPV positivity. Transoral Robotic Surgery (TORS) with concurrent neck dissection proves to be an effective diagnostic and concurrent treatment option for patients with Carcinoma of unknown primary (CUP) with secondary squamous cell neck metastasis. This minimally invasive approach shows a 3-year overall survival rate of 88.69% and a disease-free survival rate of 89.12% with median follow up duration of 33 months.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1378-1385"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651705","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":"Radiological Correlation Between the Frontal Sinus Ostium and the Nasal Choana.","authors":"Alireza Mohebbi, Faranak Yazdkhasti","doi":"10.1007/s12070-025-05344-4","DOIUrl":"https://doi.org/10.1007/s12070-025-05344-4","url":null,"abstract":"<p><p>The frontal sinus is undoubtedly a great challenge; not only because of the anatomical variations of the frontal sinus ostium (FSO), but also because of the proximity of vital structures that can complicate dissection at this level. Consistent and easily identifiable landmarks and measurements could assist safe entry into the FSO. In this study, we identify standard distances from the choana to the posterior border of the FSO in males and females using high-resolution computed tomography (HRCT) scans. A total of 118 (left sides) sinus computed tomography scans were retrospectively selected and studied (unilateral analyses). The vertical and horizontal distances between posterior border of the FSO and nasal choana were measured using sagittal HRCT. The mean vertical distance from the posterior border of FSO to the choana was 31.18 ± 5.62 mm and the mean horizontal distance from the posterior border of FSO to the choana was 40.87 ± 6.02 mm. The measurements obtained in this study add anatomic knowledge that can serve as a better intraoperative localization of the FSO.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1367-1371"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651721","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":"Enhancing Voice and Swallowing: A Cross-Sectional Study on Percutaneous Injection Medialisation Laryngoplasty Outcomes in Patients of Unilateral Vocal Cord Palsy.","authors":"Vikas Gupta, Rahul Singh, S K Singh, Rajeev Chugh, Himanshu Swami, Varun Jerath, Abha Kumari","doi":"10.1007/s12070-025-05352-4","DOIUrl":"https://doi.org/10.1007/s12070-025-05352-4","url":null,"abstract":"<p><p>Unilateral vocal cord palsy (UVCP) is a condition that significantly impacts voice quality and swallowing function, leading to considerable challenges in communication and nutrition. Percutaneous Injection Medialisation laryngoplasty (PIML) has emerged as a pivotal intervention to restore vocal cord function in affected patients. To evaluate the vocal and swallowing outcomes in cases of unilateral vocal cord palsy by PIML based on vocal and swallowing parameters. A cross-sectional analytical study was conducted at tertiary care hospital among 40 adult patients of UVCP without structural lesion of larynx and were treated with PIML using hyaluronic acid. Vocal and swallowing parameters were measured prior to procedure and post procedure at 2 h, 3 month and 6 month. Subjective parameter like VHI-30 and objective parameters were measured by using (1) Acoustic analysis (2) Perceptual Evaluation by GRBAS, (3) Aerodynamic analysis by Mean phonation time (MPT). Swallowing outcome measured by using Penetration-Aspiration scale (PAS) on Functional Endoscopic Evaluation of Swallowing (FEES). 40 patients with UVCP treated with injection laryngoplasty under LA. There was significant decrease in VHI (by 32.05 points, <i>p</i> < 0.05), GRBAS (by 5.35 points, p 0.05), Jitter (by 0.63 points, <i>p</i> < 0.05), Shimmer (by 2.34 points, <i>p</i> < 0.05) and Penetration aspiration score (by 1.8 points, <i>p</i> < 0.05) noted 2 h post procedure and this effect maintained till 6 month of follow up. There was significant increase in MPT (by 7.2 seconds, <i>p</i> < 0.05) and HN Ratio (by 6.22 points, <i>p</i> < 0.05) noted 2 h post procedure and this effect maintained till 6 month of follow up. All patients (100%) achieved statistical improvement in both voice and swallowing parameter after injection laryngoplasty and this improvement maintained till 6 months. Out of the total 40 cases, 6 (15%) cases of malignancies could not survive the study duration because of primary illness, 06 (15%) cases recovered spontaneously, 24 (60%) cases were not recovered but compensated by opposite vocal cord. A total of 04 (10%) cases required medialization thyroplasty in view of progressive deterioration of benefit. Average duration of benefit was 6 month and there was no major complication noted. Early percutaneous injection medialisation laryngoplasty is a safe and effective procedure in patients with UVCP with evidence of significant long-lasting improvement in voice and swallowing.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1410-1417"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651768","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":"Study of the Role of Narrow Band Imaging in Detection of Recurrent/ Residual Lesion in Post Chemo/Radiotherapy of Hypopharyngeal and Laryngeal Malignancies.","authors":"V Saravana Selvan, M Vivek, S Mohamed Siddique, N Suresh Kumar, Balamurugan, P Karthik Raj","doi":"10.1007/s12070-025-05384-w","DOIUrl":"https://doi.org/10.1007/s12070-025-05384-w","url":null,"abstract":"<p><p>NBI as a screening tool to detect recurrent/residual lesions in Post CT/RT patients of Hypopharyngeal and Laryngeal malignancies. To evaluate the effectiveness of Narrow Band Imaging (NBI) in detecting residual or recurrent tumors in the larynx and hypopharynx of patients previously treated with radiotherapy or chemoradiotherapy. 30 patients previously treated by employing RT or CRT with curative intent for laryngeal and hypopharyngeal malignancies were enrolled in the study and were followed up for at least 3 visits that are 1-3months, 3-6 months, and above 6 months respectively with white light endoscopy/video laryngoscopy and transnasal flexible videoendoscopy with NBI mode. The sensitivity of VLS was 40% and specificity was 100%, while the positive and negative predictive values were 100% and 76% respectively. The sensitivity of NBI was 100% and specificity was 90%, while the positive and negative predictive values were 83% and 100% respectively. The accuracy of NBI was found to be 93.3%. The study showed that transnasal videoendoscopy with NBI is an excellent method for follow-up in patients with laryngeal and hypopharyngeal carcinomas treated with RT or CRT. NBI mode improves cancer detection and helps in precise biopsy.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1580-1585"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651669","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}