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2011 | September-December | Volume 4 | Issue 3

RESEARCH ARTICLE

Editorial

[Year:2011] [Month:September-December] [Volume:4] [Number:3] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/aijcr-4-3-v  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Vinit Kumar Sharma, JP Purohit, Sampan Vishth

Atrophic Rhinitis and Its Surgical Management

[Year:2011] [Month:September-December] [Volume:4] [Number:3] [Pages:4] [Pages No:123 - 126]

Keywords: Nasal myiasis,Atrophic rhinitis,Nasal mucociliary flow rate

PDF  |  DOI: 10.5005/jp-journals-10013-1090  |  Open Access |  How to cite  | 

Abstract

Objective

Clinical evaluation of atrophic rhinitis and comparative study of its surgical treatments.

Materials and methods

This study was carried out in the Department of ORL-HNS, MLB Medical College and Hospital, Jhansi and Department of ORL-HNS, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India from June 2006 to May 2011 including the cases of atrophic rhinitis. A total of 40 patients of atrophic rhinitis were included in this study. Thirty-two patients had modified Young's nostril closure and eight patients had dermofat graft obliteration of nasal cavity. Preoperative and postoperative assessment of nasal mucociliary flow rate were also assessed by saccharine test. Fifteen cases were kept in control group to compare the nasal mucociliary flow rate results.

Results

The results of both surgical modalities were compared at various intervals for 20 months.

Conclusion

The patients with history of nasal myiasis and septal perforation do better with partial nostril closure while patients, not having history of maggots and septal perforations, had best results with dermofat graft operation. It was seen that after surgical treatment of atrophic rhinitis, either by nostril closure or dermofat grafting, there was improvement in nasal mucociliary flow or, nearly, all patients were symptomatically improved.

RESEARCH ARTICLE

Vinit Kumar Sharma, JP Purohit, Sampan Vishth

Atrophic Rhinitis and Its Surgical Management

[Year:2011] [Month:September-December] [Volume:4] [Number:3] [Pages:3] [Pages No:127 - 129]

Keywords: Nasal myiasis,Atrophic rhinitis,Nasal mucociliary flow rate

PDF  |  DOI: 10.5005/jp-journals-10013-1091  |  Open Access |  How to cite  | 

Abstract

Objective

Clinical evaluation of atrophic rhinitis and comparative study of its surgical treatments.

Materials and methods

This study was carried out in the Department of ORL-HNS, MLB Medical College and Hospital, Jhansi and Department of ORL-HNS, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India from June 2006 to May 2011 including the cases of atrophic rhinitis. A total of 40 patients of atrophic rhinitis were included in this study. Thirty-two patients had modified Young's nostril closure and eight patients had dermofat graft obliteration of nasal cavity. Preoperative and postoperative assessment of nasal mucociliary flow rate were also assessed by saccharine test. Fifteen cases were kept in control group to compare the nasal mucociliary flow rate results.

Results

The results of both surgical modalities were compared at various intervals for 20 months.

Conclusion

The patients with history of nasal myiasis and septal perforation do better with partial nostril closure while patients, not having history of maggots and septal perforations, had best results with dermofat graft operation. It was seen that after surgical treatment of atrophic rhinitis, either by nostril closure or dermofat grafting, there was improvement in nasal mucociliary flow or, nearly, all patients were symptomatically improved.

RESEARCH ARTICLE

Owais Mattoo, Aamir Yousuf, Anees Mir, Rahil Muzaffar, Rafiq Pampori

Control of Anterior Epistaxis: A Comparative Analysis of the Decongestive Effect of Xylometazoline and Adrenaline in Idiopathic Epistaxis in Emergency Settings

[Year:2011] [Month:September-December] [Volume:4] [Number:3] [Pages:6] [Pages No:130 - 135]

Keywords: Adrenaline contraindications,Anterior epistaxis,Arterial spurt,Adrenaline,Xylometazoline,Silver nitrate

PDF  |  DOI: 10.5005/jp-journals-10013-1092  |  Open Access |  How to cite  | 

Abstract

Objective

To compare the impact of decongestive effect of xylometazoline and adrenaline in controlling active idiopathic anterior epistaxis on adult patients prior to use silver nitrate for cauterization.

Study design

Prospective case study.

Methods

The study used a prospective review of 150 consecutive adult patients diagnosed as anterior epistaxis (from August 2010 to January 2011). The study group was analyzed in three groups based on method of intervention used for management of anterior epistaxis. The conventional method of pinching nose and use of xylometazoline (0.5%) or adrenaline (1:10,000) soaked cotton packs for control of active arterial spurt followed in each case with silver nitrate cauterization.

Results

A total of 150 patients reviewed who were medically fit and subjected to study design in three groups. Fifty adult patients in each group with similar presentation. In first group, 32 patients out of 50 (64%) had successful control of bleeding with silver nitrate cauterization only after pinching nose (for 10 minutes). In second group, it was seen that 43 patients out of 50 (86%) in one group had successful control of bleeding following use of 0.5% xylometazoline-soaked cotton packs (for 10 minutes). prior to silver nitrate cauterization. In another group, 45 patients out of 50 (90%) had successful control of bleeding following use of 1:10,000 adrenaline-soaked cotton packs (for 10 minutes) prior to silver nitrate cauterization.

Conclusions

1. Almost all patients with idiopathic anterior epistaxis can be managed more effectively and successfully by the use of vasoconstrictive agents followed by silver nitrate cauterization and risks of anterior nasal packing can be avoided. 2. The success rate of silver nitrate cauterization can be increased significantly with use of vasoconstrictive agents (xylometazoline and adrenaline) for control of actively bleeding arterial spurts prior to cauterization. 3. With the use of adrenaline not suitable in high-risk group patients, like coronary artery disease, cerebrovascular diseases, myocarditis, drugs like beta blockers, tricyclic antidepressants; xylometazoline can safely replace adrenaline in these cases.

RESEARCH ARTICLE

KJPS Puri, Jyotika Kalsy, PS Kalra

Otolaryngologists: How Safe They are from Skin Infections?

[Year:2011] [Month:September-December] [Volume:4] [Number:3] [Pages:5] [Pages No:136 - 140]

Keywords: Skin,Head and neck infections

PDF  |  DOI: 10.5005/jp-journals-10013-1093  |  Open Access |  How to cite  | 

Abstract

Aim

To highlight the early signs and symptoms of skin infections in patients coming to otolaryngology department and to learn to safeguard oneself from contagious skin problems as many of them are contagious in their early stages of evolution.

Patients and methods

Over a period of 1 year, 2,450 patients were screened for the skin problems. The patients were examined clinically by dermatologist for contagious skin diseases. Photographs were taken and necessary investigations done, like scrapings for fungus in 10% KOH under direct microscopy, pus for culture sensitivity for fungus, bacteria and virus, tzanck smear, direct examination of expressed material under microscope skin biopsy.

Results

Out of the 2,450 patients, 182 (7.4%) patients were found to have skin diseases with high and low virulence. They were in the age range from 1 to 66 years. Around 111(60.99%) patients were females and 71(39.01%) males. It was found that maximum patients were in the age group of 20 to 40 years. Majority of the diseases were bacterial in nature in 72 (39.5%) patients, followed by superficial fungal infections in 56 (30.9%) patients, viral infections in 36 (19.7%) and arthropod infections in 18 (9.9%) patients.

Conclusion

Otolaryngologists are daily examining patients both in clinics and theaters which makes them more prone to acquire infections. So, the emphasis of study is to be able to diagnose, treat and safeguard oneself from these skin infections.

CASE REPORT

Juan Ramon Gras-Cabrerizo, Joan R Montserrat-Gili, Albert Pujol Olmo, Manuel de Juan, Humbert Massegur-Solench

Bilateral Inverted Papilloma of the Paranasal Sinus: Literature Review

[Year:2011] [Month:September-December] [Volume:4] [Number:3] [Pages:4] [Pages No:141 - 144]

Keywords: Inverted papilloma,Bilateral,Ethmoid sinus,Maxillary sinus

PDF  |  DOI: 10.5005/jp-journals-10013-1094  |  Open Access |  How to cite  | 

Abstract

Objective

We describe an unusual case of bilateral nasal inverted papilloma.

Case report

Inverted papilloma is a benign epithelial tumor that frequently occurs unilaterally. We report a 65-year-old male patient with a bilateral inverted papilloma located in the ethmoid and maxillary sinus. Functional endoscopic sinus surgery was performed in order to completely remove both tumors.

Conclusion

We present a rare entity of bilateral independent sinonasal papilloma treated successfully with endoscopic sinus approach.

CASE REPORT

Pawan Singhal

Bilateral Antrochoanal Polyp in an Adult: A Rarity

[Year:2011] [Month:September-December] [Volume:4] [Number:3] [Pages:2] [Pages No:145 - 146]

Keywords: CT scan,Bilateral AC polyp,Antrochoanal polyp

PDF  |  DOI: 10.5005/jp-journals-10013-1095  |  Open Access |  How to cite  | 

Abstract

Antrochoanal polyp is a benign solitary polypoidal lesion which arises in maxillary sinus. It appears radiologically as an opacifying and enlarging lesion in the sinus cavity without bony destruction. They are almost always unilateral and occur more commonly in children and young adults. Here we report a case of bilateral antrochoanal polyp (ACP) in an adult because of its rarity.

CASE REPORT

Sunil Kumar Dhanda

Chondroid Syringoma at Tip of the Nose: A Rare Site

[Year:2011] [Month:September-December] [Volume:4] [Number:3] [Pages:2] [Pages No:147 - 148]

Keywords: Chondroid syringoma,Nose,Nasal tip

PDF  |  DOI: 10.5005/jp-journals-10013-1096  |  Open Access |  How to cite  | 

Abstract

Chondroid syringoma is an uncommon, benign, sweat gland tumor. The usual presentation is of an asymptomatic, slowly growing mass. Preoperative diagnosis is difficult and generally histopathology examination confirms the diagnosis. We report a case of chondroid syringoma in 24-year-old male for its rarity at the tip of the nose.

CASE REPORT

Digvijay Singh, Ajit Daharwal, Hansa Banjara, Sutanu Sarkar

Hairy Polyp of Nasopharynx

[Year:2011] [Month:September-December] [Volume:4] [Number:3] [Pages:3] [Pages No:149 - 151]

Keywords: Hairy polyp,Nasopharynx,Adult

PDF  |  DOI: 10.5005/jp-journals-10013-1097  |  Open Access |  How to cite  | 

Abstract

Hairy polyps are rare benign congenital malformations occurring in the nasopharynx or oropharynx. They arise during early embryogenesis and are invariably benign. They usually present at or soon after birth with signs of airway obstruction or feeding difficulties. Hairy polyps rarely present in older patients and only few cases have been reported in adults. We report a case of hairy polyp of nasopharynx in a 22-year-old female.

CASE REPORT

Vaneeta Bhardwar, Kulbir Kaur, Sonia Arora

Lobular Capillary Hemangioma of Nasal Cavity

[Year:2011] [Month:September-December] [Volume:4] [Number:3] [Pages:2] [Pages No:152 - 153]

Keywords: Nasal mass,Capillary hemangioma

PDF  |  DOI: 10.5005/jp-journals-10013-1098  |  Open Access |  How to cite  | 

Abstract

Nasal lobular capillary hemangioma is a benign lesion of unknown etiology. Epistaxis and nasal obstruction are the most marked symptoms. We present a case of lobular capillary hemangioma, which was located on the posterior end of middle turbinate. The case is reported for its potential for being misdiagnosed and to highlight the advantage of nasal endoscopes in diagnosis and treatment.

CASE REPORT

Anuj Kumar Goel, Subhash Sylonia, Rati Goel

Nasoalveolar Cyst

[Year:2011] [Month:September-December] [Volume:4] [Number:3] [Pages:3] [Pages No:154 - 156]

Keywords: Nasoalveolar cyst,Nasal vestibule

PDF  |  DOI: 10.5005/jp-journals-10013-1099  |  Open Access |  How to cite  | 

Abstract

Nasoalveolar cyst is a nonodontogenic, soft tissue cyst characterized by its extraosseous location in the nasal alar region. It is synonymous with nasolabial cyst, nasal vestibule cyst, nasal wing cyst and mucoid cyst of the nose. It also called Klestadt's cyst. In this study, we would like to highlight the clinical presentation and the radiological features of nasolabial cyst in order to assist other healthcare providers in the diagnosis and treatment of this uncommon entity.

CASE REPORT

Ruchir Dhawan, Rahul Kawatra, Nirupama Lal, Shiv Sagar Gupta, Puneet Maheshwari

Rhinosporidiosis of Trachea: A Rare Encounter

[Year:2011] [Month:September-December] [Volume:4] [Number:3] [Pages:2] [Pages No:157 - 158]

Keywords: Tracheal rhinosporidiosis,Rhinosporidium seeberi,Bronchoscopy, Stridor.

PDF  |  DOI: 10.5005/jp-journals-10013-1100  |  Open Access |  How to cite  | 

Abstract

Rhinosporidiosis, which is a chronic fungal granulomatous disease, is caused by Rhinosporidium seeberi, a protistal microbe. It is a disease affecting primarily the mucosa of nose, conjunctiva and urethra. We are reporting an extremely rare case of tracheal rhinosporidiosis from the northern part of the Indian subcontinent which presented to us as case of respiratory stridor with hemoptysis and was properly investigated following which complete excision of the tracheal mass was done by bronchoscopy.

CASE REPORT

Raj Kumar, Kranti Bhavana, Amit Keshri, Sushil Kumar Aggarwal, Deepika Upadhyay, Rakesh Pandey

Ossifying Fibroma of the Ethmoid Sinuses: Rare Scenarios

[Year:2011] [Month:September-December] [Volume:4] [Number:3] [Pages:4] [Pages No:159 - 162]

Keywords: Ethmoid,Juvenile age group,Ossifying fibroma

PDF  |  DOI: 10.5005/jp-journals-10013-1101  |  Open Access |  How to cite  | 

Abstract

Ossifying fibroma (OF) is a rare benign tumor, which is a distinct entity, despite being closely related to fibrous dysplasia, according to WHO classification of 2005.1 It is commonly found in mandible and maxilla but rarely found in ethmoid sinuses, orbit and skull base.2-4 It commonly occurs in age group of 20 to 40 years,5,6 although rarely, it can present in all age groups. OF is more common in females than males.4,7 We describe here two cases of OF involving the ethmoid sinuses in young male patients which presented diagnostic dilemmas for us. We report these cases as the site of involvement, age group and sex of patients and diagnostic and management considerations imparted uniqueness to these cases.

CASE REPORT

Anuja Santosh Kulkarni

Pyogenic Granuloma of Nasal Septum

[Year:2011] [Month:September-December] [Volume:4] [Number:3] [Pages:3] [Pages No:163 - 165]

Keywords: Pyogenic granuloma,Lobular capillary hemangioma,Epistaxis

PDF  |  DOI: 10.5005/jp-journals-10013-1102  |  Open Access |  How to cite  | 

Abstract

Pyogenic granuloma also known as lobular capillary hemangioma is although rare but well-documented clinical entity. However, it is more commonly reported in cases pertaining to lesions of oral cavity and especially in female patients during pregnancy usually in third decade of life. But, here we report a very uncommon presentation of pyogenic granuloma arising from nasal septum in a 52-year-old male patient who presented to us with history of epistaxis and left-sided nasal obstruction since 4 months.

CASE REPORT

Aseem Mishra, Smita K Nagle, Vikram Oberoi, Mohan Vasant Jagade, Vimal Kasbekar

Squamous Cell Carcinoma of Nose: An Unusual Presentation

[Year:2011] [Month:September-December] [Volume:4] [Number:3] [Pages:2] [Pages No:166 - 167]

Keywords: Squamous cell carcinoma,Nose

PDF  |  DOI: 10.5005/jp-journals-10013-1103  |  Open Access |  How to cite  | 

Abstract

Most commonly, a carcinoma of nose is a basal cell carcinoma and a squamous cell carcinoma commonly arise from the dorsum of the nose. We present here a case of 35-year-old female with a squamous cell carcinoma of the nasal vestibule, which started as a wart and was very slowly progressive, until it was excised by a practitioner in a village. It then progressed rapidly and presented to us. The mass appeared a squamous cell carcinoma arising from nasal vestibule. The wart-like presentation also associates the etiology of squamous cell carcinoma to human papilloma virus and the disadvantages of excision of mass without proper histopathological diagnosis. The case was successfully managed with wide local excision with reconstruction by buccal and Estlander's flap.

CASE REPORT

Simultaneous Primary Bilateral Orbital Invasive Aspergillosis: A Rare Presentation

[Year:2011] [Month:September-December] [Volume:4] [Number:3] [Pages:3] [Pages No:168 - 170]

Keywords: Bilateral,Invasive aspergillosis,Management,Orbital

PDF  |  DOI: 10.5005/jp-journals-10013-1104  |  Open Access |  How to cite  | 

Abstract

The occurrence of invasive orbital aspergillosis in an immunocompetent individual is rare. To our knowledge, primarily bilateral invasive orbital aspergillosis has not been reported in the English literature. We are reporting this case of primary bilateral invasive orbital aspergillosis, which posed a great dilemma regarding its ideal management, to initiate a discussion and get a feedback regarding the ideal management protocol in such a situation.

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