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JAYPEE JOURNALS
International Scientific Journals from Jaypee
IndexCopernicus Value: 90.87
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1.  CASE REPORT
Preventing Sino-orbital Cutaneous Fistula: A Novel Approach for Radical Maxillectomy
Prateek Vijay Jain, Shrinivas S Chavan, Sunil D Deshmukh, Pramod Dhanakar, Dharmendrakumar Rai
[Year:2015] [Month:May-August] [Volume:8 ] [Number:2] [Pages:44] [Pages No:69-71] [No of Hits : 570]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1236 | FREE

Abstract

The advantages of excellent exposure and minimal scarring of the classical Weber-Ferguson incision for radical maxillectomy have been timeworn. But late complication of sino-orbital cutaneous fistula following radiotherapy and delayed healing often results in less than ideal results. Most common site for this fistula is the tip near the medial canthus, which is the point where the scar bears maximum tension and results in fistula formation. Due to persistent mucopurulent drainage and poorly vascularized tissue in the irradiated area, the repair options are limited and difficult. Here, we are presenting a case report providing a novel way for better postoperative results.

Keywords: Modified Weber-Ferguson incision, Radical maxillectomy, Sino-orbital cutaneous fistula.

How to cite this article: Jain PV, Chavan SS, Deshmukh SD, Dhanakar P, Rai D. Preventing Sino-orbital Cutaneous Fistula: A Novel Approach for Radical Maxillectomy. Clin Rhinol An Int J 2015;8(2):69-71.

Source of support: Nil

Conflict of interest: None

 
2.  ORIGINAL ARTICLE
Computed Tomography of Paranasal Sinus Pathologies with Functional Endoscopic Sinus Surgery/Nasal Endoscopy Correlation
Kiran Rao
[Year:2015] [Month:January-April] [Volume:8 ] [Number:1] [Pages:45] [Pages No:15-19] [No of Hits : 520]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1222 | FREE

ABSTRACT

A prospective study conducted on 50 patients in Sri Guru Ram Das (SGRD) Institute of Medical Sciences and Research, Amritsar, India, suffering from paranasal sinus diseases 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 which guides us towards 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, define 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 least commonly involved. Commonest pattern of inflammation was sinonasal polyposis followed by osteomeatal unit pattern. On correlating CT diagnosis with final diagnosis, chronic sinusitis has 86% sensitivity and 96.5% specificity. Polyps have sensitivity of 96.15% and specificity of 95.83%. Again for fungal sinusitis CT has lower sensitivity of 71.4% and specificity of 93.02%. For diagnosing benign and malignant lesions CT has 100% sensitivity, specificity, could be due to small number of masses evaluated. This study proved that CT is the modality of choice for evaluation 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 2015;8(1):15-19.

Source of support: Nil

Conflict of interest: None

 
3.  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 : 508]
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

 
4.  ORIGINAL ARTICLE
Efficacy of Mometasone Nasal Spray in Children with Snoring due to Adenoids
Vipan Gupta, Monika Gupta, Prithpal S Matreja, Sunder Singh
[Year:2014] [Month:January-April] [Volume:7 ] [Number:1] [Pages:46] [Pages No:1-4] [No of Hits : 27523]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1179 | FREE

ABSTRACT

Background: Snoring and OSA is very commonly seen among the pediatric population, most commonly due to adenoid and tonsil hypertrophy which requires adenotonsillectomy. The effect of this surgery on the immunity is controversial. This study was planned to see any alternative therapy which can delay or avoid the surgery by providing symptomatic relief to the patient.

Objective: To see the effect of intranasal mometasone on nasal obstruction due to adenoids, hence relieving the OSA and snoring.

Design: Prospective and observational study.

Materials and methods: Fifty-five children having snoring and or OSA due to adenoids were given intranasal mometasone. The symptoms before and after treatment were compared using OSA 18 questionnaire.

Results: There was significant improvement in all the domains of OSA 18. The average total score showed improvement from 56.33 to 51.51 which is significant (p < 0.001).

Conclusion: The use of intranasal steroids is easy and effective method to improve nasal obstruction, snoring and OSA among children having adenoid hypertrophy.

Keywords: Obstructive sleep apnea syndrome, Intranasal steroids, Adenoid hypertrophy.

How to cite this article: Gupta V, Gupta M, Matreja PS, Singh S. Efficacy of Mometasone Nasal Spray in Children with Snoring due to Adenoids. Clin Rhinol An Int J 2014;7(1):1-4.

Source of support: Nil

Conflict of interest: None

 
5.  ORIGINAL ARTICLE
Pediatric Choanal Atresia: Our Experience
Mohnish Grover, Gaurav Gupta, Shruti Bhargava, Shashank Nath Singh, Mahendra S Hada, Beni Prasad, Man Prakash Sharma
[Year:2014] [Month:January-April] [Volume:7 ] [Number:1] [Pages:46] [Pages No:13-15] [No of Hits : 2137]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1182 | FREE

ABSTRACT

Objective: To discuss our experience with choanal atresia and factors affecting the results.

Materials and methods: A multicentric prospective study of patients diagnosed with choanal atresia from April 2008 to January 2014 at SMS Medical College, Jaipur and SP Medical College, Bikaner was conducted. All patients were evaluated by CT PNS and then operated by transnasal endoscopic route. Stents were placed in all patients. Patients were followed up for an average of 3.5 years (range 9 months to 5.5 years).

Results: Nineteen cases were included: 24 sides were operated. No intraoperative complications were there. A restenosis rate of 29.1% (7 out of 24) was found in our series requiring revision surgery.

Conclusion: Endoscopic transnasal approach is a safe and efficacious option for treatment of choanal atresia. Use of stent in our series was not associated with high rate of restenosis.

Keywords: Choanal, Atresia, Management, Endoscopic.

How to cite this article: Grover M, Gupta G, Bhargava S, Singh SN, Hada MS, Prasad B, Sharma MP. Pediatric Choanal Atresia: Our Experience. Clin Rhinol An Int J 2014;7(1):13-15.

Source of support: Nil

Conflict of interest: None

 
6.  CASE REPORT
A Subcranial Approach for Anterior Skull Base Pathology (Nasal Encephalocele)
Tapan Nagpal
[Year:2014] [Month:January-April] [Volume:7 ] [Number:1] [Pages:46] [Pages No:20-22] [No of Hits : 2049]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1184 | FREE

ABSTRACT

A modified subcranial approach based upon the procedure first described by Joram Raveh is a viable alternative to standard craniofacial resection for treating pathology of the anterior skull base. It is basically an extradural approach providing wide exposure to the anterior skull base with minimal brain retraction; thus decreasing significantly the morbidity. We present here two cases of a rare benign pathology of anterior skull base— naso-orbito-ethmoid encephalocele wherein this technique was used successfully.

Keywords: Craniofacial resection, Subcranial approach, Encephalocele.

How to cite this article: Nagpal T. A Subcranial Approach for Anterior Skull Base Pathology (Nasal Encephalocele). Clin Rhinol An Int J 2014;7(1):20-22.

Source of support: Nil

Conflict of interest: None

 
7.  ORIGINAL ARTICLE
Nasal Suction System for Endoscopic Sinus Surgery
Preetam Chappity
[Year:2014] [Month:January-April] [Volume:7 ] [Number:1] [Pages:46] [Pages No:10-12] [No of Hits : 2013]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1181 | FREE

ABSTRACT

Introduction: Endoscopic sinus surgery has developed significantly in the past decade. The indications and the frequency of the surgery have increased tremendously. Performing this surgery in an awake patient under local anesthesia has numerous additional inherent problems as opposed to surgery under general anesthesia.

Technique: Our ‘Continuous Suction Assembly’ is a simple yet effective answer to these problems. It helps in providing a clear field during surgery. It also prevents aspiration and fogging and aids in accurate analysis of intraoperative blood loss.

Conclusion: Continuous suction technique is a cost-effective, simple technique to prevent many problems inherent to endoscopic sinus surgery under both local and general anesthesia. With proper preoperative counseling, the patient discomfort and cooperation can be improved drastically.

Keywords: Aspiration, Endoscopic sinus surgery, Nasal packing.

How to cite this article: Chappity P. Nasal Suction System for Endoscopic Sinus Surgery. Clin Rhinol An Int J 2014;7(1):10-12.

Source of support: Nil

Conflict of interest: None

 
8.  REVIEW ARTICLE
Endoscopic Management of Pediatric Nasolacrimal Anomalies
Sandeep Bansal, Ashok K Gupta
[Year:2014] [Month:January-April] [Volume:7 ] [Number:1] [Pages:46] [Pages No:16-19] [No of Hits : 1847]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1183 | FREE

ABSTRACT

The nasolacrimal drainage system begins development in the third fetal months from a cord of epithelium found between the maxillary and frontal nasal recesses. Canalization of this cord along its entire length leads to its communication with the inferior nasal meatus by the sixth fetal month. Failure of canalization is the most common cause of nasolacrimal drainage obstruction use of endoscopes in children is evolving, may it be endoscopic DCR or other congenital problems. In spite of the smaller anatomic dimensions posing a technical challenge, the endonasal endoscopic approach to nasolacrimal obstruction in children not only avoids a scar, it preserves the function of the lacrimal pump also.

Keywords: Lacrimal anomalies, Children, Endoscopic, Dacryocystorhinostomy.

How to cite this article: Bansal S, Gupta AK. Endoscopic Management of Pediatric Nasolacrimal Anomalies. Clin Rhinol An Int J 2014;7(1):16-19.

Source of support: Nil

Conflict of interest: None

 
9.  ORIGINAL ARTICLE
Pediatric Idiopathic Intracranial Hypertension: A not so Rare and Benign Condition
Ashok K Gupta, Karan Gupta, Manish Modi, Amod Gupta
[Year:2014] [Month:January-April] [Volume:7 ] [Number:1] [Pages:46] [Pages No:5-9] [No of Hits : 1814]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1180 | FREE

ABSTRACT

Objective: Pediatric idiopathic intracranial hypertension is an underdiagnosed entity with catastrophic presentations. High index of suspicion with early diagnosis and prompt treatment is the key to successful management. Trans-nasal trans-sphenoid Endoscopic Optic Nerve Fenestration is an effective surgical modality for the reversal of vision loss in pediatric idiopathic intracranial hypertension (IIH).

Materials and methods: This is a single center observational prospective case series. Five diagnosed pediatric patients of IIH satisfying the modified Dandy criteria and reported to the out-patient services of otolaryngology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India in the year 2012 were included in this study. All children underwent thorough clinical examination, complete Neuroophthalmological work-up including Visual acuity (V/A), Visual field charting (V/F), Fundus venogram and Radiological work-up with MRI for special optic nerve sections in sagittal reconstruction. Cerebro-Spinal Fluid pressure (CSF) measured preoperatively for all children. Standard endoscopic optic nerve Sheath Fenestration was performed on all children. visual improvement was assessed by comparing preoperative ophthalmological findings.

Results: Improvement in vision was taken as a positive outcome. Vision improved in all except one child, who had preexisting optic nerve atrophy.

Conclusion: Endoscopic optic nerve fenestration is an effective minimally invasive procedure to revert visual loss in pediatric idiopathic intracranial hypertension.

Keywords: Pediatric, Idiopathic intracranial hypertension, Optic nerve fenestration.

How to cite this article: Gupta AK, Gupta K, Modi M, Gupta A. Pediatric Idiopathic Intracranial Hypertension: A not so Rare and Benign Condition. Clin Rhinol An Int J 2014;7(1):5-9.

Source of support: Nil

Conflict of interest: None

 
10.  CASE REPORT
NK/T-Cell Lymphoma: A Nasal Nightmare
Rahul R Gupta, RG Aiyer, Prarthna J Jagtap, Jaimin Patel
[Year:2014] [Month:January-April] [Volume:7 ] [Number:1] [Pages:46] [Pages No:23-25] [No of Hits : 1802]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1185 | FREE

ABSTRACT

Nasal and paranasal lymphomas usually present an intricate diagnostic challenge considering its lack of specific signs and symptoms. In Indian setup patients usually present in late stages of the disease. Brain involvement leads to the treatment being unfruitful as the patient deteriorates were fast. We are presenting our 12-year-old tribal patient's case details in whom the terminal stage of presentation led to convulsions, respiratory failure and death. Delay in pathological and immunohistochemistry diagnosis probably also was a factor leading to delay in starting chemotherapy. Diagnostic and treatment dilemmas considering the patients socioeconomic class and general nutrition and health are also considered.

Keywords: Lymphomas, NK/T cell, Nose and PNS, Management.

How to cite this article: Gupta RR, Aiyer RG, Jagtap PJ, Patel J. NK/T-Cell Lymphoma: A Nasal Nightmare. Clin Rhinol An Int J 2014;7(1):23-25.

Source of support: Nil

Conflict of interest: None

 
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