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2014 | January-April | Volume 7 | Issue 1

RESEARCH ARTICLE

Editorial

[Year:2014] [Month:January-April] [Volume:7] [Number:1] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/aijcr-7-1-v  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Vipan Gupta, Sunder Singh, Prithpal S Matreja

Efficacy of Mometasone Nasal Spray in Children with Snoring due to Adenoids

[Year:2014] [Month:January-April] [Volume:7] [Number:1] [Pages:4] [Pages No:1 - 4]

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

PDF  |  DOI: 10.5005/jp-journals-10013-1179  |  Open Access |  How to cite  | 

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.

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.

RESEARCH ARTICLE

Manish Modi, Karan Gupta

Pediatric Idiopathic Intracranial Hypertension: A not so Rare and Benign Condition

[Year:2014] [Month:January-April] [Volume:7] [Number:1] [Pages:5] [Pages No:5 - 9]

Keywords: Pediatric,Idiopathic intracranial hypertension,Optic nerve fenestration

PDF  |  DOI: 10.5005/jp-journals-10013-1180  |  Open Access |  How to cite  | 

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 Neuro-ophthalmological 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 pre-existing optic nerve atrophy.

Conclusion

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

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.

RESEARCH ARTICLE

Preetam Chappity

Nasal Suction System for Endoscopic Sinus Surgery

[Year:2014] [Month:January-April] [Volume:7] [Number:1] [Pages:3] [Pages No:10 - 12]

Keywords: Aspiration,Endoscopic sinus surgery,Nasal packing

PDF  |  DOI: 10.5005/jp-journals-10013-1181  |  Open Access |  How to cite  | 

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.

How to cite this article

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

RESEARCH ARTICLE

Gaurav Gupta, Mohnish Grover, Shruti Bhargava, Shashank Nath Singh, Mahendra S Hada, Beni Prasad, Man Prakash Sharma

Pediatric Choanal Atresia: Our Experience

[Year:2014] [Month:January-April] [Volume:7] [Number:1] [Pages:3] [Pages No:13 - 15]

Keywords: Choanal,Atresia,Management,Endoscopic

PDF  |  DOI: 10.5005/jp-journals-10013-1182  |  Open Access |  How to cite  | 

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.

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.

REVIEW ARTICLE

Endoscopic Management of Pediatric Nasolacrimal Anomalies

[Year:2014] [Month:January-April] [Volume:7] [Number:1] [Pages:4] [Pages No:16 - 19]

Keywords: Lacrimal anomalies,Children,Endoscopic,Dacryocystorhinostomy

PDF  |  DOI: 10.5005/jp-journals-10013-1183  |  Open Access |  How to cite  | 

Abstract

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.

CASE REPORT

Tapan Nagpal

A Subcranial Approach for Anterior Skull Base Pathology (Nasal Encephalocele)

[Year:2014] [Month:January-April] [Volume:7] [Number:1] [Pages:3] [Pages No:20 - 22]

Keywords: Craniofacial resection,Subcranial approach,Encephalocele

PDF  |  DOI: 10.5005/jp-journals-10013-1184  |  Open Access |  How to cite  | 

Abstract

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.

CASE REPORT

RG Aiyer, Rahul R Gupta, Prarthna J Jagtap, Jaimin Patel

NK/T-Cell Lymphoma: A Nasal Nightmare

[Year:2014] [Month:January-April] [Volume:7] [Number:1] [Pages:3] [Pages No:23 - 25]

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

PDF  |  DOI: 10.5005/jp-journals-10013-1185  |  Open Access |  How to cite  | 

Abstract

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.

CASE REPORT

S Singh, AK Kairo, R Madan, CA Singh

Nasal Vestibular Stenosis as a Nasogastric Tube Related Complication

[Year:2014] [Month:January-April] [Volume:7] [Number:1] [Pages:2] [Pages No:26 - 27]

Keywords: Nasogastric tube,Complications,Vestibular stenosis

PDF  |  DOI: 10.5005/jp-journals-10013-1186  |  Open Access |  How to cite  | 

Abstract

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.

CASE REPORT

Varsha Varshney, Gaurav Gupta, Mohnish Grover, Vikas Devra

Burkitt's Lymphoma of Anterior Skull Base associated with Acute Loss of Vision: A Rare Case Report

[Year:2014] [Month:January-April] [Volume:7] [Number:1] [Pages:3] [Pages No:28 - 30]

Keywords: Burkitt's lymphoma,Skull base,Visual loss

PDF  |  DOI: 10.5005/jp-journals-10013-1187  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Gupta G, Devra V, Grover M, Varshney V. Burkitt's Lymphoma of Anterior Skull Base associated with Acute Loss of Vision: A Rare Case Report. Clin Rhinol An Int J 2014;7(1):28-30.

CASE REPORT

VP Singh, Arvind Soni, SK Choudhary

Meningoencephalocele Presenting as CSF Rhinorrhea in a 7-month-old Child

[Year:2014] [Month:January-April] [Volume:7] [Number:1] [Pages:3] [Pages No:31 - 33]

Keywords: Meningoencephalocele,Children,CSF rhinorrhea

PDF  |  DOI: 10.5005/jp-journals-10013-1188  |  Open Access |  How to cite  | 

Abstract

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.

CASE REPORT

Gaurav Gupta, Vikas Devra, Tushar Jain

Sinonasal Hemangiopericytoma of Inferior Turbinate presenting as Chronic Dacryocystitis: A Rare Presentation

[Year:2014] [Month:January-April] [Volume:7] [Number:1] [Pages:2] [Pages No:34 - 35]

Keywords: Hemangiopericytoma,Inferior turbinate,Dacryocystitis

PDF  |  DOI: 10.5005/jp-journals-10013-1189  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Devra V, Gupta G, Jain T. Sinonasal Hemangiopericytoma of Inferior Turbinate presenting as Chronic Dacryocystitis: A Rare Presentation. Clin Rhinol An Int J 2014;7(1):34-35.

CASE REPORT

SS Bist, Sarita Mishra, Vinish Agrawal, Bhartandu Bharti, Himanshual Kala

Massive Juvenile Ossifying Fibroma of the Frontal Bone

[Year:2014] [Month:January-April] [Volume:7] [Number:1] [Pages:4] [Pages No:36 - 39]

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

PDF  |  DOI: 10.5005/jp-journals-10013-1190  |  Open Access |  How to cite  | 

Abstract

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.

CASE REPORT

Sandeep Mohindra, Satyawati Mohindra

Silent Sinus Syndrome in a Female Child with Enophthalmos and Diplopia

[Year:2014] [Month:January-April] [Volume:7] [Number:1] [Pages:3] [Pages No:40 - 42]

Keywords: Enophthalmos,Silent sinus syndrome,Hypoglobus

PDF  |  DOI: 10.5005/jp-journals-10013-1191  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Mohindra S, Mohindra S, Gupta AK. Silent Sinus Syndrome in a Female Child with Enophthalmos and Diplopia. Clin Rhinol An Int J 2014;7(1):40-42.

CASE REPORT

Yashwant Maru, Yamini Gupta

Our Experiences with Congenital Midline Nasal Dermoid Sinus Cyst

[Year:2014] [Month:January-April] [Volume:7] [Number:1] [Pages:4] [Pages No:43 - 46]

Keywords: Nasal midline sinus,Congenital nasal sinus,Development

PDF  |  DOI: 10.5005/jp-journals-10013-1192  |  Open Access |  How to cite  | 

Abstract

Introduction

Nasofrontal dermoid sinus cysts (NDSC) are rare congenital malformations. NDSCs are distinct from other facial dermoids in their potential for involving deeper contiguous structures and intracranial extension. The development of this congenital midline sinus of dorsum of nose has opened a new horizon in current concepts of embryology.

Objective

To study the embryological origin, presentation, treatment, and genetic associations of three cases of these sinus cysts.

Clinical presentation

This paper presents our experiences with managing three patients who presented with opening on nasal dorsum with recurrent swelling and purulent discharge from it. Imaging studies in these patients indicated a midline anterior nasal sinus tract with cranial dilatation but no intracranial connection. They were successfully managed surgically.

Conclusion

Nasofrontal dermoid sinus cysts have a unique embryological origin. A midline basal frontal dermoid associated with a dimple or sinus opening on the nasal dorsum with or without protruding hair and sebaceous discharge is the classical presentation. The purpose of this report is to emphasize that, though rare nasofrontal dermoid sinus cysts do occur in our practice and their clinical importance from rhinology point of view is their potential for intracranial communication.

How to cite this article

Maru Y, Gupta Y. Our Experiences with Congenital Midline Nasal Dermoid Sinus Cyst. Clin Rhinol An Int J 2014;7(1):43-46.

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