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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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1.  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 : 27215]
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

 
2.  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 : 2039]
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

 
3.  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 : 1944]
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

 
4.  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 : 1909]
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

 
5.  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 : 1785]
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

 
6.  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 : 1727]
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

 
7.  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 : 1718]
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

 
8.  CASE REPORT
Massive Juvenile Ossifying Fibroma of the Frontal Bone
SS Bist, Sarita Mishra, Bhartandu Bharti, Vinish Agrawal, Himanshual Kala
[Year:2014] [Month:January-April] [Volume:7 ] [Number:1] [Pages:46] [Pages No:36-39] [No of Hits : 1696]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1190 | FREE

ABSTRACT

Ossifying fibroma is a rare, benign fibro-osseous lesion composed of lamellar bone and fibrous tissue. It occurs as an osseous lesion in the craniofacial skeleton. Clinically, lesions are usually asymptomatic, slow-growing and well-circumscribed. However, in very few cases, particularly in younger patients these tumors have demonstrated an aggressive course of development. Surgical management via a wide local excision is a necessity since it is notorious for recurrence, especially paranasal sinuses lesions. Here, we describe a case of a 9-yearold male child who had left forehead swelling with painless, progressive proptosis and downward lateral displacement of the globe for approximately 8 months. Computed tomography showed a massive expansile lesion involving the left frontal bone. The mass was excised surgically via a Lynch Howarth approach and proved histopathologically to be a juvenile ossifying fi broma. The radiological interpretation will be discussed which is helpful for diagnosis and selecting appropriate surgical approach in growing child.

Keywords: Fibro-osseous lesions, Ossifying fibromas, Frontal bone.

How to cite this article: Bist SS, Mishra S, Bharti B, Agrawal V, Kala H. Massive Juvenile Ossifying Fibroma of the Frontal Bone. Clin Rhinol An Int J 2014;7(1):36-39.

Source of support: Nil

Conflict of interest: None

 
9.  CASE REPORT
Meningoencephalocele Presenting as CSF Rhinorrhea in a 7-month-old Child
Arvind Soni, VP Singh, SK Choudhary
[Year:2014] [Month:January-April] [Volume:7 ] [Number:1] [Pages:46] [Pages No:31-33] [No of Hits : 1689]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1188 | FREE

ABSTRACT

Meningoencephalocele is a saclike cyst containing brain tissue, cerebrospinal fl uid, and meninges that protrudes through a congenital defect in the skull. It usually presents as nasal broadening and/or as a blue, pulsatile, compressible mass near the nasal bridge which transilluminates, enlarges with crying or with bilateral compression of the internal jugular veins (Furstenberg test), or as an intranasal mass arising from the cribriform plate.We are presenting case of a 7-month-old boy who presented with CSF rhinorrhea and an attack of meningitis after which CT scan was done and diagnosis made of meningoencephalocele. He was operated endoscopically to remove the sac and the defect sealed.

Keywords: Meningoencephalocele, Children, CSF rhinorrhea.

How to cite this article: Soni A, Singh VP, Choudhary SK. Meningoencephalocele Presenting as CSF Rhinorrhea in a 7-month-old Child. Clin Rhinol An Int J 2014;7(1):31-33.

Source of support: Nil

Conflict of interest: None

 
10.  CASE REPORT
Nasal Vestibular Stenosis as a Nasogastric Tube Related Complication
AK Kairo, R Madan, CA Singh, S Singh
[Year:2014] [Month:January-April] [Volume:7 ] [Number:1] [Pages:46] [Pages No:26-27] [No of Hits : 1616]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1186 | FREE

ABSTRACT

The nasogastric tube is an efficient way for giving enternal nutrition in patients who are not able to take oral feeds. It is a simple procedure that can be done by any caregiver with minimal training even in a remote area. Complications are rare, there are few reported cases of esophageal perforation, inadvertent tracheobronchial or intracranial intubation, pneumothorax, and bronchopleural fistula associated with the passing of this tube. Prolonged use of nasogastric tube causes continuous pressure over the soft triangle of the nose leading to pressure necrosis and stenosis of nasal vestibule.

Keywords: Nasogastric tube, Complications, Vestibular stenosis.

How to cite this article: Kairo AK, Madan R, Singh CA, Singh S. Nasal Vestibular Stenosis as a Nasogastric Tube Related Complication. Clin Rhinol An Int J 2014;7(1):26-27.

Source of support: Nil

Conflict of interest: None

 
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