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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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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 : 997]
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 : 546]
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.  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 : 621]
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

 
4.  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 : 593]
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

 
5.  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 : 564]
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

 
6.  CASE REPORT
Odontogenic Fibromyxoma of Maxilla: A Rare Case Report
Chandra Kant, Virendra Kumar Prajapati, Vishwambhar Singh, Krishna Murari Tiwari
[Year:2015] [Month:May-August] [Volume:8 ] [Number:2] [Pages:44] [Pages No:84-88] [No of Hits : 501]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1240 | FREE

Abstract

Odontogenic fibromyxoma, a myxoma with abundant collagen fibers, is a rare benign tumor of jaw which mostly affects posterior part of mandible. It is ectomesenchymal in origin and probably arises from connective tissue of dental follicle or papilla. Commonly occurs in 2nd or 3rd decade with slight female predilection. Radiological investigations, such as conventional radiography, computed tomography (CT) scan or magnetic resonance imaging (MRI) can be used to dif ferentiate it from other odontogenic tumors like ameloblastoma. Management is surgical by enucleation and curettage or by en bloc resection and segmental maxillectomy. Follow-up of patient is must for at least 2 years to diagnose any recurrence. In this ar ticle, we present fibromyxoma of maxilla which is a ver y rare site for occurrence of fibromyxoma and this relatively rare condition has been discussed in light of recent information from literature with a case report.

Keywords: Fibromyxoma, Mesenchymal maxillectomy, Myxoma, Odontogenic.

How to cite this article: Kant C, Prajapati VK, Singh V, Tiwari K M. Odontogenic Fibromyxoma of Maxilla: A Rare Case Report. Clin Rhinol An Int J 2015;8(2):84- 88.

Source of support: Nil

Conflict of interest: None

 
7.  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 : 27940]
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

 
8.  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 : 2243]
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

 
9.  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 : 2143]
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

 
10.  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 : 2099]
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

 
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