Publications by authors named "Bhanu Bhardwaj"

Article Synopsis
  • - The study investigates the role of the malleus in hearing restoration through a prosthesis, comparing outcomes in patients where the malleus was preserved versus those where it was removed during ossiculoplasty.
  • - It included 60 patients, showing significant hearing improvement in both groups post-surgery, with an emphasis on how the malleus affects auditory outcomes and implant stability.
  • - Results indicated that while both groups achieved similar levels of post-operative hearing improvement, preserving the malleus (M +) led to a greater average reduction in air-bone gap compared to its removal (M-).
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Article Synopsis
  • - Chronic ear diseases often lead to ossicular defects, requiring the use of ossicular reconstruction prostheses like TORP (total ossicular replacement prosthesis) and PORP (partial ossicular replacement prosthesis) to restore hearing continuity.
  • - Research shows that using a malleus to footplate reconstruction yields better mechanical outcomes than malleus to stapes superstructure, but long-term effectiveness of TORP versus PORP remains unclear.
  • - A study involving 60 patients with Austin type A defects found significant post-operative improvements in hearing for both TORP and PORP groups, with 90% of patients showing mild hearing loss after surgery compared to their pre-operative condition.
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Article Synopsis
  • The status of lymph nodes is the key prognostic factor in head-neck squamous cell carcinoma, yet the role of upfront neck dissection in organ preservation treatment is still unclear due to limited research on its benefits.
  • An observational study of 22 patients revealed a 5-year overall survival rate of 68.12% and a disease-free survival rate of 77.2%, highlighting the importance of timing after neck dissection for better outcomes.
  • The study found significant variations in survival rates based on nodal status and the timing of treatment initiation, supporting the recommendation for upfront neck dissections for certain patients eligible for organ preservation strategies.
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Article Synopsis
  • The study focuses on comparing two surgical techniques for treating frontal sinusitis: the trans-axillary technique and the intact bulla technique, highlighting the ongoing debates around their effectiveness.
  • The trial involved 40 patients randomly assigned to each technique, measuring factors like surgery duration, post-operative results, and symptom improvement through specific scoring systems.
  • Results showed that the trans-axillary technique took longer and had a higher recurrence rate and more complications compared to the intact bulla technique, but both methods were still effective in improving patient symptoms.
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Hypocalcemia is one of the most common complication after bilateral thyroid surgery. Reported rates range from 5 to 35% and 0.5 to 4.

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Epistaxis is one of the most common emergencies encountered by otorhinolaryngologist. Although anterior epistaxis is easy to manage but posterior epistaxis is usually refractory. Transnasal endoscopic sphenopalatine artery ligation (TESPAL) is now a well established surgical technique for the management of refractory epistaxis.

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Post-operative care in FESS is an important aspect. Nasal saline irrigation and Nasal steroid spray are highly recommended worldwide in post-operative protocol after endoscopic sinus surgery. Hence patients compliance for both these procedures becomes a deciding factor for outcomes following FESS and there is not much evidence in literature regarding the same.

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[This corrects the article DOI: 10.1007/s12070-020-02133-z.].

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Allergic Rhinitis is one of the most commonly recognised rhinitis globally. Though its not a life threatening entity but it is associated with severe impairment of quality of life along with substantial financial burden on patient. There has been a substantial rise in number of patients of allergic rhinitis over years and researchers worldwide have also found low levels of vitamin D in patients of allergic rhinitis.

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With expanding dimensions and an eminent member of trauma team many Ear Nose Throat specialists are exposed to Oro-maxillofacial trauma. Mandibular angle is a difficult region to operate owing to its unique anatomy. Anglefractures form around 30-40% of the mandibular fracture.

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Temporomandibular joint (TMJ) arthritis is a common cause of orofacial pain with distressing symptoms. The patients most commonly females are often anxious and worried due to the typical gritty sound produced during chewing moments. In other cases there is pain followed by decreased mouth opening.

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Cochlear Implant is the new age treatment for profound deafness especially in children who are unable to hear since birth. This is a life changing technology where in a surgically implanted device can stimulate the auditory nerve through electrical currents enabling the generation of auditory potential. Various surgical techniques have been described in literature but debate exists over Posterior Tympanotomy and Trans-canal "Veria" technique.

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OSA is a disease of modernisation. Though many modalities are available for its treatment from invasive to non-invasive; the role of lifestyle modification can never be underrated. Lifestyle modification normally includes walk; diet with less fat; abstinence from alcohol and smoking along with regularising of sleep schedule.

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Benign Paroxysmal Vertigo is one of the most common causes of vertigo. The most common semicircular canal involved in pathogenesis of BPPV is Posterior semicircular canal. However anterior and lateral semicircular canals can also sometimes be responsible for BPPV but their involvement in pathogenesis is still underrated.

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Microdebrider adenoidectomy and Coblation adenoidectomy are the two new techniques available for adenoidectomy these days. The advantages of endoscopic power assisted adenoidectomy over cold steel adenoidectomy has been well established in the literature. As adenoidectomy is one of the most common paediatric surgical procedure there is always a concern to improve the outcomes and make postoperative experience more pleasant for the paediatric population.

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HRCT temporal bone is a very valuable radiological investigation. However its still not widely used by otologists for routine surgeries. Ossicular erosion is often encountered unexpectedly in safe cases of CSOM and in limited squamous type of cases.

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Tympanic Membrane perforation is a common cause of hearing loss. Various surgical techniques with different types of graft materials have been described for the treatment of perforations. The conchal cartilage and temporalis fascia graft are most widely used.

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Tonsillectomy is one of the commonly performed otolaryngological operations. Despite a range of different techniques post-operative pain remains a major side-effect of this operation. Coblation assisted tonsillectomy is a latest technique of tonsillectomy.

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Malignant Otitis externa is a necrotizing condition of external ear involving causing the osteomyelitis of the bone and surrounding soft tissue leading to multiple cranial nerve palsies. Though most patients respond to oral ciprofloxacin but due to emerging resistance cases of refractory malignant otitis externa which are unresponsive to antibiotic therapy for at least 6 weeks are being encountered lately. A study of 20 patients of refractory malignant otitis Externa was conducted at a tertiary care centre in north India; 10 patients were randomly allotted in group A and group B each.

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Introduction: Cardiovocal hoarseness (Ortner's syndrome) is hoarseness of voice due to recurrent laryngeal nerve involvement secondary to cardiovascular disease. Recurrent laryngeal nerve in its course (especially the left side) follows a path that brings it in close proximity to numerous structures. These structures interfere with its function by pressure or by disruption of the nerve caused by disease invading the nerve.

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Introduction: The aim of this study was to evaluate audiological outcomes following adenoidectomy by the classical method and by endoscopically-assisted adenoidectomy using a powered instrument (microdebrider).

Materials And Methods: This study was conducted in a tertiary care center. It included 40 patients divided into two equal groups of 20 each.

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