Publications by authors named "Pradhan Pradeep"

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.
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Article Synopsis
  • Anterior and high septal deviation can greatly impact both the function and appearance of the nose, often requiring advanced surgical techniques beyond traditional septoplasty.
  • This study involved 60 patients who underwent septorhinoplasty using an L-strut cartilage graft, showing significant improvements in both functional and aesthetic outcomes after 12 months.
  • The L-strut graft proved to be effective, with no major complications reported, suggesting it’s a reliable option for patients with severe septal deviations.
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Introduction: Head and neck malignancies are associated with poor prognosis and poor quality-of-life if detected late. Narrow-Band-Imaging(NBI) is one of the important tools, which helps in detecting these lesions earlier. By using narrow-wavelength(400-550 nm) it enhances the mucosal and submucosal vascularity against the pale mucosal background which helps us detecting benign, pre-malignant and malignant lesions.

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CO Laser and Coblation are widely used in Head and neck Surgeries. This study compares the tissue changes produced by these two techniques. 50 Patients who underwent complete excision of benign and malignant pathologies in the Oral Cavity, Oropharynx, and Larynx with Coblation and CO Laser were included in the study.

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Background: Metastasis to parapharyngeal space in papillary carcinoma of the thyroid is rare and often missed in routine clinical and radiological investigations. Although contrast CT /MRI can be done to locate the parapharyngeal lesion, the diagnosis of metastasis mostly deepened upon aspiration cytology, which is a challenge in difficult anatomical locations. Here, we have emphasized the management dilemma of parapharyngeal metastasis in papillary carcinoma of the thyroid.

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Anterior and caudal deviation of the septum can severely affect a patient's functional and cosmetic outcomes, especially seen in crooked noses. Hence, extracorporeal septoplasty is often performed where an L-shaped septal replacement graft replaces the septum to restore the functionality and aesthetics of the nose. Although an L-shaped graft can be reconstructed with the help of a caliper, the exact length and angulation between the two cartilages cannot be accurately assessed intraoperatively and preoperatively and the graft needs repeated modification.

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Lip plays an essential role in facial esthetic, food intake, and speech. Lip defect due to trauma or surgical excision needs proper reconstruction to preserve their function. Carcinoma lip is one of the common malignant lesions in the head and neck, which needs wide local excision with proper margin with neck clearance.

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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.

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Background: Although the utility of laser fiber in microscopic stapes surgery has been documented in the past, their role can be highly emphasized in endoscopic stapes surgery, especially in difficult anatomical situations.

Methods: This is a retrospective analysis of cases where a total of 46 patients (22 in conventional stapedotomy and 24 in CO laser-assisted stapedotomy) were included in the study. The clinical parameters were assessed both in the preoperative and postoperative periods in the respective groups and later compared 12 weeks after stapedotomy.

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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.

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Objective: To estimate the prevalence of hearing loss and identify the high-risk factors among neonates with hearing loss.

Methods: Retrospective study done on 1054 infants in a tertiary care centre in Eastern India from 2020 to 2021 and approved by the Institutional Ethics Committee. A two-step protocol is used for screening.

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Background: In crooked noses, the standard septoplasty is a challenge because of the complex deviation of the septum, where straightening of the cartilage in situ is impossible. Hence, it is required to remove the partial/total septum and later is replaced back after being straightened; the procedure is called partial/total extracorporeal septoplasty. In the present study, we shared our experience of partial extracorporeal septoplasty in patients with crooked noses.

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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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Carotid body tumors are slow growing neck masses that arise from the neural crest cells at the carotid bifurcation. Majority are asymptomatic and are diagnosed incidentally. Surgical excision is accepted as the treatment of choice to reduce complications.

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Background: It is always challenging to remove a long-standing smooth spherical foreign body through standard optical forceps. These foreign bodies do not negotiate with the traditional optical forceps and the chance of dislodgement during the surgery is high. Instead, a Dormia basket can be effectively used to remove these foreign bodies.

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Unlabelled: : With the advancement in endoscopic endonasal surgeries, there has been a change in the surgical approach from the traditional open surgeries to the more conservative endoscopic endonasal approach for the management of sinonasal inverted papilloma. In the present study, we have shared our experience of endoscopic excision inverted papilloma involving the paranasal sinuses in a tertiary care hospital. : It is a retrospective case series of 28 patients who underwent endoscopic excision of inverted papilloma of paranasal sinus in a tertiary care hospital from April 2017 to October 2020.

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Spontaneous or post-traumatic CSF (cerebrospinal-fluid) rhinorrhea occurs when there is a skull-base defect. In our study, we tried endoscopic approach, exclusively as surgical modality. To study feasibility of trans-nasal endoscopic approach for repair of skull-base defects and success rates at each anatomical subsite, with complications.

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To evaluate the outcomes in patients of vascular tinnitus managed at our institute. The clinical data of all patients diagnosed with pulsatile tinnitus from January 2014 to April 2022 and managed at AIIMS, Bhubaneswar, was retrospectively reviewed. The diagnosis, treatment and outcomes were analyzed.

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To compare efficacy of temporalis fascia myringoplasty using platelet-rich plasma(PRP) {MP-PRP} and conventional emporalis fascia myringoplasty (MP-C) in treatment of moderate to large central tympanic-membrane(TM) perforation. Randomized-Control-Trial. We randomly assigned eighty-patients with COMmucosal-type with medium to large central TM-perforation and conductive hearing loss planned for primary myringoplasty to receive either MP-PRP orMP-C.

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Article Synopsis
  • * Radiological imaging is crucial for assessing the extent of the disease and planning surgery, especially since many patients benefit from long-term medical treatment, while surgery is needed for airway obstruction or significant nasal deformities.
  • * Managing sinonasal rhinoscleroma poses challenges in preserving the bone and cartilage structure, particularly in cases that require revision, and patients need regular follow-ups due to a high risk of recurrence; a recent case highlights successful surgical management of this condition.
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Patients diagnosed with Lingual thyroid (LT) may have second thyroid anomaly (STA).Given rarity of dual ectopics/anomalies, standardized management recommendations are lacking. We aimed to describe our experience in management of LT with STA and suggest a management algorithm.

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Article Synopsis
  • The study aimed to assess the prevalence of skip metastases in patients with Oral-squamous-cell-carcinoma (OSCC) who underwent neck dissection alongside surgery for the primary tumor.
  • Out of 100 biopsied OSCC cases, 36% showed cervical lymph node metastases, primarily at levels I, II, and III, but only 4 cases presented with skip metastases to levels IIb, III, and V.
  • The findings suggest that extensive neck dissections may be unnecessary for certain patients, potentially reducing complications and morbidities linked to surgical procedures.
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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
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