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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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List of All Articles
1.  CASE REPORT
A Rare Case of Pediatric Self-inflicted Meningoencephalocele
MK Rajasekar, Malarvizhi R Sankar
[Year:2016] [Month:September-December] [Volume:9 ] [Number:3] [Pages:45] [Pages No:143-145] [No of Hits : 1455]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1289 | FREE

ABSTRACT

Cerebrospinal fluid (CSF) rhinorrhea is common in traumatic penetrating nasal injuries. In the pediatric age group, we often encounter self-inflicted foreign body injuries of blunt type, which rarely leads to any complications. We came across a case of CSF rhinorrhea due to self-inflicted penetrating nasal injury, after 7 years of initial injury. In this case, the sharp end of a screw nail had injured the fovea ethmoidalis and caused a meningoencephalocele on removal, which had been asymptomatic until 4 years ago, when the patient came with CSF rhinorrhea. Miraculously, there were no complications in the period before presentation and after surgical correction.

Keywords: Cerebrospinal fluid rhinorrhea, Endonasal approach, Pediatric trauma, Screw nail trauma

How to cite this article: Rajasekar MK, Sankar MR. A Rare Case of Pediatric Self-inflicted Meningoencephalocele. Clin Rhinol An Int J 2016;9(3):143-145.

Source of support: Nil

Conflict of interest: None

 
2.  REVIEW ARTICLE
Recent Trends in Management of Allergic Rhinitis
Rajalaxmi Panigrahi, Sudhir K Acharya
[Year:2016] [Month:September-December] [Volume:9 ] [Number:3] [Pages:45] [Pages No:130-136] [No of Hits : 977]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1286 | FREE

ABSTRACT

Allergic rhinitis is an inflammatory, immunoglobulin E (IgE)- mediated disease, characterized by nasal congestion, rhinorrhea, and sneezing with or without nasal itching. It can significantly interfere with patient’s quality of life. The goals of treatment are to provide the patient with symptomatic relief and improve the quality of life with minimal adverse effects. Prevention has been a large focus in the treatment of allergic rhinitis, but few interventions have proven effective. Although dust mite allergies are more common.

Keywords: Allergens, Allergic menifestation, Rhinorrhea, Rhinitis.

How to cite this article: Panigrahi R, Acharya SK. Recent Trends in Management of Allergic Rhinitis. Clin Rhinol An Int J 2016;9(3):130-136.

Source of support: Nil

Conflict of interest: None

 
3.  Original Article
Epistaxis—Incidence, Etiology, and Management: A Hospital-based Study
Niru Moran, Debajit Das
[Year:2016] [Month:January-April] [Volume:9 ] [Number:1] [Pages:58] [Pages No:18-20] [No of Hits : 752]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1256 | FREE

ABSTRACT

Epistaxis is defined as bleeding from the nose. Though it is not serious, it causes anxiety both to the sufferer and to the attending physician. The objective of this study was to review the incidence, common etiological factors, and management modalities of epistaxis. It is a prospective study of 288 patients seen with epistaxis over 1.5 years at Assam Medical College and Hospital from January 2014 to July 2015. The age of patients ranged between 4 and 80 years. An incidence of 7.5% (38,400) was recorded and slight male preponderance with a male:female ratio of 25:9. Trauma and local nasal factor were the main etiological factors identified, but over 5.90% had no discernable cause. About 65% presented with active bleeding and 50% required admission. Patients were managed according to their cause. About 10.41% required blood transfusion. Epistaxis is a common rhinological emergency that requires prompt intervention to reduce morbidity and prevent mortality.

Keywords: Blood transfusion, Epistaxis, Rhinological.

How to cite this article: M oran N , D as D . E pistaxis- Incidence, Etiology, and Management: A Hospital-based Study. Clin Rhinol An Int J 2016;9(1):18-20.

Source of support: Nil

Conflict of interest: None

 
4.  Original Article
Anatomic Variations of the Nose in Chronic Rhinosinusitis: Correlation between Nasal Endoscopic and Computerized Tomography Scan Findings and a Review of Literature
Priyanko Chakraborty, Rajiv K Jain, Purnima Joshi, Rakhi Kumari, Sidharth Pradhan
[Year:2016] [Month:January-April] [Volume:9 ] [Number:1] [Pages:58] [Pages No:13-17] [No of Hits : 703]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1255 | FREE

ABSTRACT

Background: Chronic rhinosinusitis (CRS) refers to a group of disorders characterized by inflammation of the mucosa of the paranasal sinuses. Nasal endoscopy and computed tomography (CT) scans are successfully used as diagnostic modalities of nose and paranasal sinus diseases. There have been many studies regarding the anatomic variations leading to pathogenesis of paranasal sinus diseases. Considerable progress has been made in the medical and surgical control of these conditions; however, a large number of questions relating to the diagnosis, evaluation, and treatment of the diseases remain unanswered.

Materials and methods: The study included 82 clinically diagnosed cases of CRS who underwent CT scan and were advised to undergo diagnostic endoscopy. The anatomical findings of the nose were compared to see correlation between nasal endoscopy and CT scan.

Results: The mean age (±standard error of the mean) of presentation was 34.11 (±1.42) years, while most patients were from the age group of 18 to 30 years. Males were predominating the study group with 62.2%, while 37.8% were females. The most common anatomic variation was deviated nasal septum with 92.68% CT reported patients. This was followed by inferior turbinate hypertrophy, septal spur, concha bullosa, and agger nasi cells.

Conclusion: Computed tomography scan is considered the gold standard for sinonasal imaging. Diagnostic endoscopy and CT scan are a must prior to any functional endoscopic sinus surgery. They help in assessing the extent of sinus disease and to know the variations and vital relations of the paranasal sinuses. Computed tomography scan assists the surgeon as a “road map” during endoscopic sinus surgery.

Keywords: Anatomic variation, Chronic rhinosinusitis, CT scan, Nasal endoscopy.

How to cite this article: Chakraborty P, Jain RK, Joshi P, Kumari R, Pradhan S. Anatomic Variations of the Nose in Chronic Rhinosinusitis: Correlation between Nasal Endoscopic and Computerized Tomography Scan Findings and a Review of Literature. Clin Rhinol An Int J 2016;9(1):13-17.

Source of support: Nil

Conflict of interest: None

 
5.  Review Article
Maxillary Sinus Hypoplasia—A Not-so-uncommon Clinical Entity: A Case Report and Review of the Literature
Anuja Bhargava, Sachin Khanduri, Mohd Shakeel, Saurabh Srivastava, Prasoon Varshney
[Year:2016] [Month:January-April] [Volume:9 ] [Number:1] [Pages:58] [Pages No:43-45] [No of Hits : 674]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1263 | FREE

ABSTRACT

Bilateral sinus maxillary sinus hypoplasia is a rare anomaly. Radiological diagnosis of maxillary sinus hypoplasia is important for diagnosis to prevent recurrent rhinosinusitis and complications during endoscopic sinus surgery. A high index of suspicion is required by outpatient department examination for proper clinical evaluation and further management of these patients.

Keywords: Anamoly, Maxillary sinus, Hypoplasia.

How to cite this article: Bhargava A, Khanduri S, Shakeel M, Srivastava S, Varshney P. Maxillary Sinus Hypoplasia-A Not-so-uncommon Clinical Entity: A Review. Clin Rhinol An Int J 2016;9(1):43-45.

Source of support: Nil

Conflict of interest: None

 
6.  Research Article
Computed Tomography of Paranasal Sinus Pathologies with Functional Endoscopic Sinus Surgery/Nasal Endoscopy Correlation
Kiran Rao
[Year:2016] [Month:January-April] [Volume:9 ] [Number:1] [Pages:58] [Pages No:1-5] [No of Hits : 666]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1253 | FREE

ABSTRACT

A prospective study was conducted on 50 patients at the SGRD Institute of Medical Sciences and Research, Amritsar, suffering from paranasal sinus disease correlating the findings of computed tomography (CT) using Siemens SOMATOM Emotion 6 slice CT machine with diagnostic nasal endoscopy or functional endoscopic sinus surgery (FESS).
Infection of the paranasal sinuses is very common. Surgical clearance of these chronically infected sinuses while maintaining their ventilation and drainage is the treatment of choice. To achieve this goal, there should be some diagnostic modality that guides us toward the exact diagnosis and safe intervention. Computed tomography proves to be the most reliable method of preoperative assessment of patients undergoing FESS as it delineates the extent of the disease and defines any anatomical variants and relationship of the sinuses with the surrounding important structures, thus providing a road map for sinus surgery.
In our study, most patients were in the 3rd and 4th decades of their life with equal disease incidence in males and females. The most common sinus involved was anterior ethmoid sinus, while sphenoid sinus was the least commonly involved. The most common pattern of inflammation was sinonasal polyposis followed by osteomeatal unit pattern. On correlating CT diagnosis with the final diagnosis, chronic sinusitis had 86% sensitivity and 96.5% specificity. Polyps had sensitivity of 96.15% and specificity of 95.83%. Again for fungal sinusitis, CT had a lower sensitivity of 71.4% and specificity of 93.02%. For diagnosing benign and malignant lesions, CT had 100% sensitivity a nd s pecificity, w hich c ould b e d ue t o t he s mall number of masses evaluated. This study proved that CT is the modality of choice for evaluating and planning the management of symptomatic patients of paranasal sinus pathologies.

Keywords: Computed tomography scan, Functional endoscopic sinus surgery, Paranasal sinus pathology.

How to cite this article: Rao K. Computed Tomography of Paranasal Sinus Pathologies with Functional Endoscopic Sinus Surgery/Nasal Endoscopy Correlation. Clin Rhinol An Int J 2016;9(1):1-5.

Source of support: Nil

Conflict of interest: None

 
7.  Original Article
Intermediate Osteotomy and other Unique Techniques used in Reduction Rhinoplasty
Niveditha J Sagar, Chidananda R Devasamudra
[Year:2016] [Month:January-April] [Volume:9 ] [Number:1] [Pages:58] [Pages No:6-12] [No of Hits : 619]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1254 | FREE

ABSTRACT

Background: A 25-year-old male patient came with a history of nasal obstruction on the left side. He was also concerned about his nasal framework deformities, such as gross deviation of the nose to left, hump over the nose, asymmetrical nostril, and overall bulky nose.

Materials and methods: Detailed history was taken and examination done to rule out contraindication to septorhinoplasty. Expectations, requirements, and postoperative results of the patient were understood. Open approach reduction rhinoplasty was carried out. Unique techniques, such as intermediate and transverse osteotomies were done to achieve the required results.

Results: Bulky deviated nose was reduced to an esthetically good-looking nose by humpectomy, four types of osteotomies, extended spreader grafts, columellar strut, and Tipplasty.

Conclusion: Surgical steps must be undertaken in order to achieve good esthetic results. Surgeries, such as humpectomy must be done before osteotomies, intermediate osteotomies must be done before lateral osteotomies, and Tipplasty must be done after osteotomies.

Keywords: Intermediate osteotomy, Medial lateral, Reduction rhinoplasty.

How to cite this article: Sagar NJ, Devasamudra CR. Intermediate Osteotomy and other Unique Techniques used in Reduction Rhinoplasty. Clin Rhinol An Int J 2016;9(1):6-12.

Source of support: Nil

Conflict of interest: None

 
8.  Original Article
A Radiological Study of Anatomical Variations of Uncinate Process
Shrinath D Kamath Patla, Pretty Rathnakar, Vadisha S Bhat, Jayaramesh
[Year:2016] [Month:May-August] [Volume:9 ] [Number:2] [Pages:49] [Pages No:59-61] [No of Hits : 518]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1268 | FREE

ABSTRACT

Aim: (a) To study the variations in the superior attachment of uncinate process. (b) Incidence of pneumatization of uncinate process was also studied.

Materials and methods: A total 200 sides of 100 CT scans of paranasal sinuses coronal section were studied for variations in the superior insertion of uncinate process using Landsberg and Friedman classification. Incidence of pneumatization of uncinate process was also studied.

Results: In our study out of 200 sides, type 6 attachment was commonest (41%) followed by types 1 and 2. Pneumatization of the uncinate was seen in very small percentage of cases.

Conclusion: Lateral insertion of uncinate (lamina papyracea + aggar nassi) is the commonest variant followed by the insertion into the skulbase. Pneumatization of uncinate is rare.

Clinical significance: Though the inferior attachment of the uncinate is almost constant the superior attachment has several variations, the knowledge of which is very important for the endoscopic surgeon to avoid intraoperative complications.

Keywords: Aggar nasi, Cribriform plate, Lamina papyracea, Middle turbinate, Pneumatization, Uncinate process.

How to cite this article: Patla SDK, Rathnakar P, Bhat VS, Jayaramesh. A Radiological Study of Anatomical Variations of Uncinate Process. Clin Rhinol An Int J 2016;9(2):59-61.

Source of support: Nil

Conflict of interest: None

 
9.  Original Article
Middle Ear Dysfunction: Connection to Allergic Rhinitis
Shilpam Sharma, Abhinav Srivastava, Chander Mohan Sharma
[Year:2016] [Month:May-August] [Volume:9 ] [Number:2] [Pages:49] [Pages No:65-67] [No of Hits : 505]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1270 | FREE

ABSTRACT

Introduction: The correlation between middle ear pathology due to Eustachian tube dysfunction and nasal allergy has been a topic of debate since long. Studies of the pathogenesis of otitis media have identified interactions among infection, allergic reactions and Eustachian tube dysfunction. AIMS- The aim of this study was to evaluate the relationship between Eustachian tube dysfunction and nasal allergy and to evaluate the efficacy of oral steroids and intranasal steroidal spray on Eustachian tube dysfunction.

Materials and methods: The patients were diagnosed according to the diagnostic criteria of allergic rhinitis. A total of 50 patients having moderate/severe symptoms who had not taken any treatment for allergic rhinitis in the past 6 weeks with deranged middle ear function were included in the study. Group I patients were given Prednisolone, 30 mg once daily for 10 days in tapering dose along with intranasal steroid spray for 6 weeks. Group II patients were given only intranasal steroid spray for 6 weeks. Impedance audiometry was repeated at the end of 6 weeks and results were statistically analyzed.

Result: This study demonstrated the outcome of systemic steroids and intranasal steroidal spray in the treatment of middle ear dysfunction. In our study impedance audiometry was done at the start of study and showed type B tympanogram in 36% ears in group I and 21% in group II and type C tympanogram in 60% in group I and 50% in group II. Impedance audiometry was repeated at 10 days of treatment and showed reversal to type A curve in 26% of ears in group I and 14% of ears in group II. Impedance audiometry at the end of treatment demonstrated reversal to type A tympanogram in 64% of ears in group I and 48 % of ears in group II.

Keywords: Allergic rhinitis, Intranasal steroidal spray, Middle ear dysfunction, Oral steroids.

How to cite this article: Sharma S, Srivastava A, Sharma CM. Middle Ear Dysfunction: Connection to Allergic Rhinitis. Clin Rhinol An Int J 2016;9(2):65-67.

Source of support: Nil

Conflict of interest: None

 
10.  ORIGINAL ARTICLE
Juvenile Nasopharyngeal Angiofibroma: Correlating Histology, Surgical Approach and Blood Loss
Tanuj Thapar, Rahul R Gupta, Prarthna J Jagtap, RG Aiyer
[Year:2015] [Month:May-August] [Volume:8 ] [Number:2] [Pages:44] [Pages No:47-52] [No of Hits : 739]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1231 | FREE

Abstract

Juvenile nasopharyngeal angiofibroma (JNA) is locally destructive benign vascular tumor for which surgical excision has always been the treatment of choice, in spite of the availability of various other treatment modalities. Complete removal at the maiden attempt has always been the key to a successful outcome. Recurrences (or rather residuals) discourage both the surgeon and patient.
This prospective study was carried out in the Department of Otorhinolaryngology, Sir Sayajirao General Hospital, Vadodara, Gujarat, between August 2002 and 2015. We have studied 28 patients with JNA for growth patterns, histological characteristics and to compare various surgical modalities. Besides other investigations a detailed histological examination of the tumor was performed which suggested that as the tumor ages, the stroma predominates and the vessels are compressed into slits. In actively growing tumor the vascular component predominates. The percentage of open vascular channels is directly proportional to the bleeding while the inter vascular fibrosis is inversely related. Surgical excision of JNA is the preferred modality of treatment. Surgical approach is sometimes the most tricky decision. Choosing the right approach is akin to walking on the thin rope with adequate exposure on one side and postoperative scar on the other.

Keywords: Adolescence, Angiogenic tumor, Epistaxis, Fibroangioma, Histopathology, Juvenile nasopharyngeal angiofibroma, Nasopharyngeal neoplasms, Surgical approval.

How to cite this article: Thapar T, Gupta RR, Jagtap PJ, Aiyer RG. Juvenile Nasopharyngeal Angiofibroma: Correlating Histology, Surgical Approach and Blood Loss. Clin Rhinol An Int J 2015;8(2):47-52.

Source of support: Nil

Conflict of interest: None

 
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