Publications by authors named "Awadhesh Mishra"

Noise induced hearing loss affects around 5% of the population and acoustic trauma to military personnel accounts for 30% of all injuries inflicted during active service. Initial treatment for acoustic trauma involves administration of steroids, however there are no studies regarding oral steroid regimens for best outcomes. Comparing and elucidating the benefits of four oral steroid regimens on hearing gain in patients with acute acoustic trauma.

View Article and Find Full Text PDF

Background: Eustachain tube (ET) dysfunction can aggravate the morbidity in ICU patients, but is often ignored. In this prospective observational study we followed a cohort of patients (without pre-existing ET dysfunction) requiring in-patient management, hospitalized either to ICU or to non ICU wards, for any development of ET dysfunction during hospitalization.

Methods: Patients requiring hospitalization to ICU or non ICU wards from Dec 2018 to Jun 2019 were included.

View Article and Find Full Text PDF

Post treatment voice quality is an important consideration in choosing the management option for laryngeal cancer. We assessed voice quality after radiotherapy in patients of early squamous cell carcinoma of glottis comprehensively using Videolaryngostroboscopy (VLS), Grade, Roughness, Breathiness, Asthenia and Strain (GRBAS) scores and Voice Handicap Index (VHI)-10. Fifty four consenting patients of early squamous cell carcinoma of glottis (Tis, T1 and T2) awaiting definitive radiotherapy were recruited consecutively.

View Article and Find Full Text PDF

Chronic Otitis Media is the most common cause of hearing impairment with ear discharge with which patients report to any otologist. The aim of management in such cases is to provide a safe ear and restore the hearing by Tympanoplasty. Many materials have been used for ossicular reconstruction, including both biological and synthetic materials.

View Article and Find Full Text PDF

Reinwardtia indica (Lineceae) is a medicinal plant cultivated in the Himalayan region. It is effectively used in folk medicines for the treatment of various health complications. In the present study, the shade dried leaves and stem were extracted in three different solvents such as ethyl acetate, ethanol, and hydro-alcoholic.

View Article and Find Full Text PDF
Article Synopsis
  • Management of traumatic facial nerve injuries from temporal bone fractures is complex, with debates on the necessity and timing of surgery as well as the extent of nerve decompression required.
  • A study reviewed 28 cases, initially treated conservatively, and identified criteria for surgical intervention, leading to surgery for 10 patients based on specific clinical and electrodiagnostic indicators.
  • Results showed that 70% of those who had surgery experienced significant recovery, while all conservatively treated patients also showed good outcomes, highlighting the importance of careful candidate selection and early surgical intervention in recovery success.
View Article and Find Full Text PDF

Objective: To compare the outcomes of various techniques of endoscopic dacryocystorhinostomy (DCR).

Study Design: Retrospective case record analysis.

Settings: Tertiary care referral center.

View Article and Find Full Text PDF
Article Synopsis
  • A study compared two surgical techniques for treating blocked tear ducts: balloon dacryocystorhinostomy (group 2) and conventional endoscopic dacryocystorhinostomy (group 1), involving 98 patients aged 10-73.
  • Results showed that the balloon method had a shorter surgery time and less post-operative pain, with success rates being similar between both methods after 12 months.
  • Overall, both techniques were effective and safe, but balloon dacryocystorhinostomy offered advantages in terms of quicker procedures and reduced discomfort for patients.
View Article and Find Full Text PDF

To study the use of 1 % isosulfan blue dye in identifying sentinel node, sensitivity and specificity of frozen section and predictive value of sentinel node in predicting other nodal status in the cases of oral cavity and oropharyngeal squamous cell carcinoma. 15 patients of oral cavity and oropharyngeal SCC with clinically N0 neck, who required WLE of the primary lesion as well as neck dissection as per recommended treatment protocol, were selected from OPD. 1 % Isosulfan dye was injected peritumorally intraoperatively after the induction of general anaesthesia.

View Article and Find Full Text PDF

Background: Contact Endoscopy is a non invasive tool to visualise alterations in cell architecture in vivo. In this study we investigated the diagnostic accuracy of Contact Endoscopy in detecting malignancy in oral mucosal lesions.

Methods: 76 patients with oral mucosal lesions requiring biopsy were included.

View Article and Find Full Text PDF

The purpose of this research was to form stable suspensions of submicron particles of cyclosporine A, a water-insoluble drug, by rapid expansion from supercritical to aqueous solution (RESAS). A solution of cyclosporine A in CO2 was expanded into an aqueous solution containing phospholipid vesicles mixed with nonionic surfactants to provide stabilization against particle growth resulting from collisions in the expanding jet. The products were evaluated by measuring drug loading with high performance liquid chromatography (HPLC), particle sizing by dynamic light scattering (DLS), and particle morphology by transmission electron microscopy (TEM) and x-ray diffraction.

View Article and Find Full Text PDF
Article Synopsis
  • An i.v. formulation of rubitecan was tested on five different human tumor models in mice, showing significant tumor growth delays in several types, especially melanoma and breast cancer.
  • The efficacy of rubitecan intravenously was comparable or slightly better than traditional treatments irinotecan and topotecan, with varying sensitivity across tumor types.
  • The study indicates that rubitecan's dosing schedule is crucial for its effectiveness, and suggests its potential clinical use due to its positive response compared to other methods of administration.
View Article and Find Full Text PDF