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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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1.  ORIGINAL ARTICLE
A Study on Clinical Profile of Deviated Nasal Septum and to determine the Efficacy of the Surgery
Mohan Mogarnad, Vandana Mohta
[Year:2017] [Month:May-August] [Volume:10 ] [Number:2] [Pages:57] [Pages No:70-73] [No of Hits : 674]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1311 | FREE

ABSTRACT

Aim: To study the clinical profile of deviated nasal septum and to assess the subjective efficacy of the surgical outcome using Likert scale.

Materials and methods: This study is a prospective, observational, single-center study from October 2013 to May 2015. The study was conducted in Sri Siddhartha Medical College, Tumkur, Karnataka, India. A detailed clinical history was taken and clinical examination of the patient was carried out. Sixty symptomatic patients were taken up. Patient scored their symptom-related severity using a Likert scale preoperatively. All patients underwent conventional septoplasty. Postoperatively, their symptoms were scored on 30th, 45th, and 90th day.

Results: Preoperative and Postoperative values were analyzed. Statistically significant improvement was observed in the entire population: Nasal obstruction (p<0.001), headache (p<0.001), nasal discharge (p<0.001), facial pain (p<0.001), and hyposmia (p<0.001). Patient satisfaction was high and they used fewer nasal medications.

Conclusion: After surgical correction of the septum and analysis of the subjective scale, i.e., Likert scale showed improvement in all symptoms. The principal benefits of septal surgery relate to improvement in nasal symptoms.

Keywords: Clinical profile, Deviated nasal septum, Likert scale, Septoplasty.

How to cite this article: Mogarnad M, Mohta V. A Study on Clinical Profile of Deviated Nasal Septum and to determine the Efficacy of the Surgery. Clin Rhinol An Int J 2017;10(2):70-73.

Source of support: Nil

Conflict of interest: None

 
2.  CASE REPORT
Malignancy mimicking Juvenile Nasopharyngeal Angiofibroma
Navjot Kaur, Harsimran Tiwana, Shikhar Sawhney, Ashok K Gupta
[Year:2017] [Month:May-August] [Volume:10 ] [Number:2] [Pages:57] [Pages No:99-102] [No of Hits : 614]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1317 | FREE

ABSTRACT

Nasopharyngeal masses in young males can be benign or malignant. As the treatment regimen for these masses differs considerably, it is crucial to differentiate benign from malignant masses for successful and adequate treatment of patients and also for minimizing morbidity from unnecessary interventions. We are presenting two case reports of patients with nasopharyngeal carcinoma (NPC) mimicking juvenile nasopharyngeal angiofibroma (JNA). Both the cases were presumed as JNA and underwent excessive surgical intervention only to reveal NPC on final histopathology report. We wish to highlight the importance of complete clinical examination and preoperative imaging in differentiating an ideal management of nasopharyngeal masses.

Keywords: Carcinoma, Endoscopic approach to juvenile nasopharyngeal angiofibroma, Nasopharynx.

How to cite this article: Kaur N, Tiwana H, Sawhney S, Gupta AK. Malignancy mimicking Juvenile Nasopharyngeal Angiofibroma. Clin Rhinol An Int J 2017;10(2):99-102.

Source of support: Nil

Conflict of interest: None

 
3.  ORIGINAL ARTICLE
Transnasal Endoscopic Repair of Cerebrospinal Fluid Rhinorrhea
Devang P Gupta, SK Dinesh, Ashil D Manavadaria
[Year:2017] [Month:May-August] [Volume:10 ] [Number:2] [Pages:57] [Pages No:45-48] [No of Hits : 586]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1305 | FREE

ABSTRACT

Introduction: Cerebrospinal fluid (CSF) leak can arise as a complication of trauma, hydrocephalus, endoscopic sinus surgery, or it may occur spontaneously without any identifiable cause. Surgical repair is recommended in patients who do not respond to the conservative management. In recent years, transnasal endoscopic approach has become the preferred method for repairing CSF leaks, and better outcomes have been reported as compared with the intracranial approaches that were previously used. The objective of this study was to analyze the outcome of transnasal endoscopic repair of CSF rhinorrhea.

Materials and methods: T his p rospective s tudy w as c onducted in the Department of ENT, B.J. Medical College, Ahmedabad, India, from April 2013 to July 2016. Twenty-five patients with CSF rhinorrhea were included in the study. They were diagnosed based on the clinical evaluation, computed tomography, and magnetic resonance imaging. These patients did not respond to conservative management and were operated transnasally using rigid endoscope. Patients were followed up for a mean duration of 9 months, and the outcome was analyzed.

Results: The patients included in the study ranged in the age group of 12 to 55 years. Among the patients, 15 were females and 10 were males. The cause of CSF rhinorrhea was traumatic in 18, idiopathic or spontaneous in 7. In 12 patients, the site of leak was cribriform plate, 6 from ethmoid, 5 from sphenoid sinus, and in 2 frontal sinuses were affected. Primary surgery was successful in 23 of cases. In two cases, reexploration had to be performed. Overall success rate was 100%.

Conclusion: Transnasal endoscopic repair of CSF rhinorrhea is highly successful, safe, and less traumatic.

Keywords: Cerebrospinal fluid, Endoscopic repair, Transnasal.

How to cite this article: Gupta DP, Dinesh SK, Manavadaria AD. Transnasal Endoscopic Repair of Cerebrospinal Fluid Rhinorrhea. Clin Rhinol An Int J 2017;10(2):45-48.

Source of support: Nil

Conflict of interest: None

 
4.  ORIGINAL ARTICLE
Correlation of Computed Tomographic Findings and Intraoperative Findings in Patients with Chronic Sinusitis
Swati Tandon, Praveen K Rathore, Anoop Raj, Anjali Prakash, Vikram Wadhwa
[Year:2017] [Month:May-August] [Volume:10 ] [Number:2] [Pages:57] [Pages No:78-85] [No of Hits : 516]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10013-1313 | FREE

ABSTRACT

Objective: Chronic sinusitis affects more than 30 million people each year worldwide. Computed tomography (CT) has become a standard diagnostic tool in the evaluation of paranasal sinuses (PNS), but medical literature lacks studies correlating preoperative CT and intraoperative findings of functional endoscopic sinus surgery (FESS). The aim of our study was to evaluate ostiomeatal unit on multidetector CT (MDCT) and correlate findings of MDCT with intraoperative findings during FESS in patients with chronic sinusitis and hence check for its usefulness during surgery.

Study design: Prospective clinical study.

Materials and methods: Forty-nine patients with chronic sinusitis who visited the Lok Nayak Hospital, Delhi, India, between October 2010 and February 2012 were included in the study. All such patients underwent preoperative CT scan of PNS before surgery, i.e., FESS with or without septoplasty under general anesthesia.

Results: Maxillary sinus was found to be the most common sinus involved in chronic sinusitis. Preoperative CT findings correlated well with intraoperative findings for all sinuses except left maxillary sinus.

Conclusion: Multiplanar CT of nose and PNS helps to delineate the anatomy of nose and PNS, and drainage pathways of sinuses preoperatively. Therefore, the operating surgeon should be well versed with it. Progress of endoscopic sinus surgery can be partially attributed to revolution in imaging modalities.

Keywords: Functional endoscopic sinus surgery, Multidetector computed tomography, Ostiomeatal complex, Paranasal sinuses, Rhinosinusitis.

How to cite this article: Tandon S, Rathore PK, Raj A, Prakash A, Wadhwa V. Correlation of Computed Tomographic Findings and Intraoperative Findings in Patients with Chronic Sinusitis. Clin Rhinol An Int J 2017;10(2):78-85.

Source of support: Nil

Conflict of interest: None

 
5.  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 : 1540]
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

 
6.  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 : 1413]
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

 
7.  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 : 1154]
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

 
8.  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 : 992]
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

 
9.  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 : 886]
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

 
10.  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 : 817]
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

 
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