Publications by authors named "Asutosh Adhikari"
Role of Percutaneous Trans-Tracheal Endoscopic Approach in Managing Thoracic Tracheal Pathologies: A Step Back for Better Outcomes.
Indian J Otolaryngol Head Neck Surg
December 2024
Article Synopsis
- Thoracic tracheal tumors are uncommon and can present challenges for surgery and anesthesia, making their management complex.
- This study focuses on the percutaneous trans-tracheal endoscopic approach (PTTEA) as a minimally invasive alternative for patients with tracheal tumors when traditional methods fail.
- Out of 16 patients treated from 2015 to 2022, most had successful outcomes with benign tumors, while malignant tumors required further treatment after initial procedures; PTTEA proved to offer advantages like better access and fewer complications.
Background: Chronic otitis media treatment has evolved, with microscopic surgeries as the gold standard and endoscopic surgeries as a newer addition.
Materials And Methods: This retrospective study includes 209 patients who underwent type 1 tympanoplasty, utilizing both endoscopic and microscopic techniques, between January 2019 and December 2022 at a tertiary care institute in India. The study aims to compare hearing outcomes, graft uptake, hospital stay, postoperative pain, and cosmesis between the two groups.
Objective: Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) are commonly employed in pre-operative evaluation for cochlear implant surgery. However, with a decrease in the age of implantation, even minor radiation exposure can cause detrimental effects on children over their lifetime. The current study compares different cochlear measurements from CT and MRI scans and evaluates the feasibility of using only an MRI scan for radiological evaluation before cochlear implantation.
View Article and Find Full Text PDFPerioperative stroke in parapharyngeal space schwannoma: an unusual, dreaded complication.
Eur Arch Otorhinolaryngol
September 2023
Background: Post-styloid parapharyngeal space tumours (PPS) have a notorious course owing to their anatomy and proximity to neurovascular bundles. Nerve injuries are usual outcomes in schwannomas. Our case is the first documented complication of contralateral hemiplegia occurring in the postoperative period in a benign PPS tumour.
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- The study aims to assess the effectiveness of 0.1% w/w Liposomal Amphotericin-B gel compared to 10% w/w Povidone-Iodine and saline nasal douching in reducing the need for revision surgery in patients with mucormycosis (CAM) after surgery.* -
- This multi-arm randomized control trial was conducted in the ENT department at AIIMS Bhubaneswar, involving participants who had undergone surgical debridement for confirmed cases of mucormycosis, randomly assigned to receive one of the three topical treatments.* -
- Results showed that the risk of requiring revision surgery was significantly lower for those using Liposomal Amphotericin-B gel, indicating its potential benefits
Predisposing factors of rhino-orbital-cerebral mucormycosis in patients with COVID 19 infection.
Indian J Otolaryngol Head Neck Surg
October 2022
The predisposing factors of invasive fungal disease in COVID 19 infection are still debatable because of the limited human understanding of the virus with the current literature. In this study, we have tried to correlate the various predisposing factors influencing the clinical profile and treatment outcomes in patients with covid associated mucormycosis (CAM). It is a retrospective analysis of cases of CAM during the second wave of COVID 19 infection, which was managed in the department of Otorhinolaryngology from Dec 1, 2020, to June 10, 2021.
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