Publications by authors named "Nk Panda"

Article Synopsis
  • The study focuses on patients with carcinoma of unknown primary who underwent specific surgical procedures, including transoral robotic surgery and neck dissection, to understand the patterns of cervical nodal metastasis.
  • It reports a majority of patients presenting clinically as N2b, while histopathological results showed a higher prevalence of N3b disease, indicating some discrepancy between clinical evaluation and actual disease state.
  • The most affected lymph node level was consistently found to be level II, with significant findings related to Lymph Node Yield (LNY) and emerging concepts like Lymph Node Ratio (LNR) and Lymph Node Density (LND) to better analyze the metastasis characteristics.
View Article and Find Full Text PDF

Yellow stem borer (YSB), , is a major rice pest causing significant yield losses worldwide. We investigated how volatile organic compounds (VOCs) released by the rice variety TN1, both before and after infestation, as well as by its companion weeds, and , influence the behavior of YSB in host selection, recognition, and establishment. Olfactometry bioassays showed that uninfested TN1 plant VOCs attracted YSB more than those from YSB-infested rice plants and weeds.

View Article and Find Full Text PDF
Article Synopsis
  • Oral cancer is the most common type of cancer in the head and neck region, with rising incidence globally, causing significant health issues at advanced stages; early diagnosis is crucial for effective management.
  • The study focuses on the serum levels of a protein called MMP-9 as a potential predictive biomarker for oral cancer progression, analyzing its concentrations in 38 patients using blood samples.
  • Results showed that MMP-9 levels were higher in patients with advanced oral cancer stages, revealing significant correlations with clinical parameters like HDL and PTI, but no notable differences based on demographic factors.
View Article and Find Full Text PDF

Background: Surgical excision of the tumor remains the primary choice for the treatment of head and neck cancer patients, but it often leads to facial disfigurement, which further causes mutilation in the patients. Mutilation causes shame and stigma, which imparts significant psychological strain on patients, and tends to impair their quality of life.

Objective: The present study aimed to assess the shame and stigma over long-term postoperative survival duration in head and neck cancer patients.

View Article and Find Full Text PDF

PPS space tumors are extremely rare, accounting for 0.5% of head and neck neoplasms. Trans-oral, Trans-cervical, Trans-parotid, Trans-cervical-trans-mandibular, and infratemporal are various surgical approaches that have been described for PPS tumors.

View Article and Find Full Text PDF

Introduction: Radiation-induced hypothyroidism is a well-recognized entity that occurs after an interval of 15-21 months. However, in the treatment of locally advanced Head and neck Squamous cell carcinoma (HNSCC), thyroid-sparing techniques are infrequently employed.

Aims: To evaluate the dosimetric and early clinical outcomes of thyroid-sparing SIB-VMAT technique (Simultaneous Integrated Boost - Volumetric Modulated Arc Radiotherapy) in patients of locally advanced HNSCC.

View Article and Find Full Text PDF
Article Synopsis
  • - The study introduces the Digit in Noise test in Hindi (DIN-H), aiming to provide a quick and effective hearing screening tool for the Hindi-speaking population in India, addressing a shortage of hearing health professionals and resources.
  • - By recording and presenting digit triplets with noise to normal hearing subjects, the test was developed and validated, showing promising results in terms of speech recognition thresholds and consistency across trials.
  • - The findings suggest that DIN-H is a reliable tool for large-scale auditory system assessments, achieving a cut-off score of -5.6 dB for effective screening among the target population.
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to evaluate the significance of high-risk HPV testing in patients with unknown primary carcinoma but secondary metastasis to the neck, focusing on those who underwent surgical procedures for identification of the primary site.
  • Conducted at a tertiary care center over one year, the study included patients with proven squamous cell carcinoma in the neck and involved various surgical and testing methods, including tonsillectomy and HPV RNA/DNA analysis.
  • Results showed very low positivity rates for p16 (5.56% in tonsils, 0% in tongue, 2.78% in lymph nodes) and undetectable HPV DNA in tissues and blood, suggesting that detailed high-risk HPV analysis may not be crucial in this specific patient population
View Article and Find Full Text PDF

Smart charging of electric vehicles can alleviate grid congestion and reduce charging costs. However, various electric vehicle models currently lack the technical capabilities to effectively implement smart charging since they cannot handle charging pauses or delays. These models enter sleep mode when charging is interrupted, preventing resumption afterwards.

View Article and Find Full Text PDF

Perioperative high dose rate brachytherapy involves insertion of brachytherapy catheter over the tumor bed during surgical removal of disease followed by radiation in the postoperative period. It has applications in radiotherapy dose escalation or reirradiation and for extending the surgical margins. We report here initial results of treatment in five cases of locally advanced head and neck cancers.

View Article and Find Full Text PDF

The detection of the primary site in Carcinoma of Unknown Primary (CUP) is a challenging task which can significantly alter the course of management and also prognosis. Various modalities have been assessed with varying sensitivity and specificity. Imaging and cytological diagnosis have formed a key part of the diagnostic algorithm of CUP.

View Article and Find Full Text PDF
Article Synopsis
  • - Meniere's Disease, a rare ear disorder causing significant patient distress, has no definitive treatment, with Endolymphatic hydrops being a key complication, although its exact cause remains unknown.
  • - A study involving 25 patients with Meniere's Disease found that 56% had allergies, with airborne allergens being more prevalent than food allergens, and tyrophagus being the most common allergen identified.
  • - Despite high allergy prevalence, no significant correlation was found between allergy status and the severity of symptoms, but managing specific allergens may help reduce symptoms for patients with associated allergies.
View Article and Find Full Text PDF

Background: Head and neck cancer is the most common cancer around the globe, following lung cancer and breast cancer. Treatment at advanced stages of head and neck cancer is usually followed intense surgical procedures, which leads to mutilation among patients. Mutilation imparts a sense of disgrace and causes a feeling of shame and stigma in the patient.

View Article and Find Full Text PDF

Introduction: Medullary thyroid carcinoma (MTC) is a rare thyroid malignancy originating from parafollicular C cells. It accounts for 5%-10% of all thyroid malignancies.

Methods: An ambispective analysis of pathologically proven MTC presented in a tertiary care hospital in northwest India was performed after considering demography, clinical manifestation, mutation status, management, and outcome as denominators.

View Article and Find Full Text PDF

Parental involvement in the rehabilitation process is one of the critical factors for the success of cochlear implants in their wards. Skills to use a cochlear implant (CI) device appropriately and manipulate the different settings are essential to gain maximum benefits. There was a need to have a tool in Hindi to assess the skills of parents to manage the CI device.

View Article and Find Full Text PDF

 The surgical management of jugulotympanic paragangliomas has remained challenging. They are the second most common type of tumor of the temporal bone after acoustic neuroma. It has been noticed by the authors that the jugulotympanic paragangliomas may have extensions to the epitympanum and aditus in addition to the mesotympanum and hypotympanum.

View Article and Find Full Text PDF

Background: Sudden upsurge in cases of COVID-19 Associated Mucormycosis (CAM) following the second wave of the COVID-19 pandemic was recorded in India. This study describes the clinical characteristics, management and outcomes of CAM cases, and factors associated with mortality.

Methods: Microbiologically confirmed CAM cases were enrolled from April 2021 to September 2021 from ten diverse geographical locations in India.

View Article and Find Full Text PDF

Thyroidectomy is a common procedural skill in the armamentarium of an otolaryngologist but has its own set of complications. The more common complications are hypocalcaemia, recurrent laryngeal nerve palsy, injury to the external branch of the superior laryngeal nerve, postoperative bleeding, wound infection and, rarely, thyroid storm. High pyriform sinus injury during hemithyroidectomy is extremely rare, with this report being only the second reported case in the literature.

View Article and Find Full Text PDF

 Introduction Transoral robotic surgery (TORS) has become increasingly popular for the removal of pharyngeal and laryngeal cancers with the objective to improve functional and aesthetic outcomes. Feyh-Kastenbauer (FK) retractor is one such routinely used retractor during TORS. The setting up of this retractor has been seen to be accompanied by hemodynamic fluctuations.

View Article and Find Full Text PDF
Article Synopsis
  • Papillary thyroid carcinoma (PTC) is the most common type of thyroid cancer, making up 88% of cases, and there has been ongoing debate about the best surgical approaches for it over the last two decades.
  • The study evaluated the implementation of the 2015 American Thyroid Association (ATA) guidelines, focusing on patients with PTC nodules ≤ 4 cm who underwent hemithyroidectomy, analyzing their risk levels and surgical outcomes.
  • Out of 37 patients, the majority were classified as low-risk, with a high success rate observed during a 4.94-year follow-up period, suggesting that thyroid-preserving surgery combined with real-time risk assessment is effective for managing low and intermediate risk PTC.
View Article and Find Full Text PDF

Background: Self-reported measures are the questionnaire-based instrument that are routinely used in the clinical scenario to assess psychological health. Technically, the self-reported measure should be administrated by the patients themselves but due to the complexity of tools and illiteracy among patients, clinicians often tend to interview the patients.

Objective: Present article aims to compare the accuracy of a self-reported measure in the assessment of the psychological health of a patient when the instrument is self-administrated by the patient and when administrated by the clinician or researcher.

View Article and Find Full Text PDF

Pragmatic language skills are one of the most complex language skills. Children with hearing loss face difficulty in social participation and effective communication during mainstreaming. Without mastery of these skills, children may encounter significant challenges with abstract conversational communication and literacy.

View Article and Find Full Text PDF