Management of Arteriovenous Malformation in Otolaryngology Practice: A Retrospective Study & Review of Literature.

Vascular malformations in the head and neck encompass a wide range of lesions and present an interesting challenge for the surgeon with their varied presentations. Early diagnosis and timely and adequate intervention help treat patients effectively. We reported our experience in the management of four patients diagnosed with low-flow venous malformation.

Case Report: Compromised Airway Following Anesthesia and Its Correlation With the Use of ACE Inhibitors-An Unexpected Clinical Event and Review of Literature.

Angiotensin-converting enzyme inhibitors associated angioedema involving the upper aerodigestive tract is indisputably a hazardous airway condition which is clinically poorly recognized and frequently underestimated. We describe and present case of a 70-year old man on ramipril who developed massive tongue swelling post-operatively after unremarkable laryngeal mask anaesthesia which was fortuitously managed conservatively. High index of suspicion, timely recognition and knowledge of pathophysiology and the clinical course should guide airway and further supportive management in these patients.

A comparative study of sequential vs. simultaneous type I tympanoplasty in patients with bilateral chronic otitis media - Mucosal type.

Background: Patients with bilateral chronic otitis media - mucosal type have been conventionally treated with sequential tympanoplasty. Bilateral simultaneous tympanoplasty is usually not preferred because of the theoretical risk of iatrogenic sensorineural hearing loss. With the advent of modern surgical instruments and surgical techniques, the risk is expected to be lower.

Delayed Surgical Obturator-Case Series.

Maxillofacial surgery involving part or whole of maxilla involves wide open surgical wounds which need to be protected to prevent disease due to oral contamination and close the communication. The surgical obturator fabricated for the purpose, prior to surgical excision, could be underextended compared to the resected site. The reason for underextension could be attributed to the unintentional extension of the lesion at the surgical table, to prevent metastasis or to avoid recurrences.

Deep Neck Space Infection: Study of 52 Cases.

Deep neck spaces are still common in developing countries like India, even though its less prevalent in developed nations. It can lead to serious complications like jugular vein thrombosis and dissemination of infection if not diagnosed early and intervened. This is a retrospective chart review of 52 patients from 2014 to 2017 in a tertiary care hospital.

A Retrospective Analysis of Peroperative Risk Factors Associated with Posttonsillectomy Reactionary Hemorrhage in a Teaching Hospital.

 Tonsillectomy is one of the most common otolaryngology procedures performed worldwide. It is also one of the first procedures learnt by residents during their training period. Although tonsillectomy is viewed relatively as a low-risk procedure, it can be potentially harmful because of the chance of posttonsillectomy hemorrhage.

Outcomes of Surgical Repair of Skull Base Defects Following Endonasal Pituitary Surgery: A Retrospective Observational Study.

Skull base defects following endonasal surgery for pituitary macroadenoma need to be addressed during the surgery to prevent serious postoperative complications like cerebrospinal fluid (CSF) leak. The objective of this study is to assess the incidence of CSF leak following pituitary surgery and the methods of effective skull base repair. This is a retrospective observational study conducted in a tertiary care hospital after obtaining due clearance from the Institutional ethics committee.

Endoscopic cartilage versus temporalis fascia grafting for anterior quadrant tympanic perforations - A prospective study in a tertiary care hospital.

Objective: Management of anterior perforations of tympanic membrane is a surgical challenge. The objective of this study is to analyse and compare the results of composite cartilage perichondrium island (CCPI) graft and temporalis fascia graft by endoscopic technique in anterior quadrant perforations.

Methods: A prospective study was conducted in a tertiary care centre from 2012-16.

Quality of Life Measures Following Laser Assisted Uvulopalatopharyngoplasty (LAUP) in Obstructive Sleep Apnoea Syndrome (OSAS).

The objective of this study is to assess the efficacy of laser assisted uvulopalatopharyngoplasty in the treatment of Obstructive Sleep Apnoea Syndrome. This study was conducted over a period of 2 years and comprised of a total of 18 patients of both sexes, from a pool of 64 patients who presented with clinical features of OSAS. All the surgeries were done by the same surgeon and standardised criteria for diagnosis was followed.

Endoscopic medial maxillectomy breaking new frontiers.

Endoscopy has changed the perspective of rhinologist towards the nose. It has revolutionised the surgical management of sinonasal disorders. Sinus surgeries were the first to get the benefit of endoscope.

Benign tumours of nasopharynx-revisited.

Benign tumours of nasopharynx are extremely rare; seen predominantly in children and young adults. Patients usually present with seemingly innocuous symptoms and an error in judgement can be catastrophic. This is a retrospective analysis of patients diagnosed to have benign tumours of nasopharynx by histopathological examination in our tertiary care referral centre.

Sino nasal teratocarcinosarcoma-an interesting clinical entity.

Sinonasal teratocarcinoma is a rare tumour of the paranasal sinuses. It was earlier termed as teratoid carcinosarcoma or teratocarcinoma. It is a highly aggressive tumour with a 5 year survival rate of 45 %.

Relevance of Pure Tone Average (PTA) as a Predictor for Incus Erosion.

Between 40 and 90% of tympanoplasty require middle ear ossicular chain reconstruction. Ossicular discontinuity usually cannot be determined unless an operation is performed. The main objective was to determine the predictive value of pre-operative audiological factors in diagnosing incudal necrosis in patients with tubotympanic chronic suppurative otitis media.

Significance of styloidectomy in Eagle's syndrome: an analysis.

Objectives/hypothesis: Reported here is a randomized retrospective analysis of 28 cases of elongated styloid process causing nagging cervicofacial pain, both unilateral and bilateral, and the effect of styloidectomy in these cases in relieving the symptom complex of the patient, in situations where conservative management failed in alleviating the symptoms.

Study Design: Randomized retrospective analysis over a period of 25 months.

Conclusion: Elongated styloid process causing glossopharyn-geal neuralgia is beginning to be a frequently encountered clinical entity nowadays.

Management of extra sellar craniopharyngioma masquerading as hypertrophied adenoid tissue in a 6-year-old boy.

Described here is a rare case of a craniopharyngioma of the nasopharynx and the sphenoid sinus and its surgical resection via an endoscopic, transnasal, transphenoidal approach. The study design is case report. Craniopharyngiomas are histologically benign, extra-axial slow growing tumours of the sellar and the supra sellar space.

Internal jugular vein thrombosis in a case of attico antral disease - a rare presentation in this modern antibiotic era.

We report a case of Internal Jugular Vein Thrombosis with a long segment thrombus in a clinical setting of attico antral type of Chronic Suppurative Otitis Media (CSOM) in a 20 year male. He presented with hectic rise of temperature with chills & rigor of 7 days duration associated with left ear discharge & throbbing headache of 10 days duration. ENT examination revealed attico antral type of Chronic suppurative Otitis Media with sinus thrombophlebitis.

Altered clinical course of glomus tympanicum - a case report.

Glomus tumours of temporal bone are rare and usually present with symptoms of hearing loss and tinnitus. Diagnosis is often delayed due to the slow growth of the tumour. Here we present a case report of a patient diagnosed as glomus tympanicum who presented only with unilateral progressive hearing loss for the past one year and rapidly detoriating hearing loss since two months who was managed successfully.

Functional study of nasal mucosa in endoscopic sinus surgery and its correlation to electron microscopy of cilia.

The effect of functional endoscopic sinus surgery (FESS) was evaluated in 20 patients with chronic sinusitis. The physiological function of sinus mucosa and its mucociliary transport mechanism was assessed pre and post operatively in patients undergoing FESS by performing Saccharin clearance test. The effect of functional sinus surgery on nasal mucosa was evaluated using scanning electron microscopy and study of the ultrastructure of cilia in pre and post operative patients and correlation with histopathological examination.

Solitary oncocytoma of the submandibular salivary gland in an adolescent female: A case report.

We report a rare presentation of Oncocytoma of the submandibular salivary gland in an young adolescent female who presented with progressive swelling in the left submandibular region since childhood with pain for the past one month. Fine needle aspiration revealed Oncocytoma for which a conventional submandibular excision was done. There are few articles about the rare presentation of submandibular Oncocytoma and literature favors older population for this rarity.

Subselective embolisation in management of JNA.

Role of Embolisation in preoperative management of Nasopharyngeal angiofibroma is well established in present day therapeutic modalities. An improvised technique i.e.

Role of technetium(99m) scan in detecting residual thyroid disease.

Technetium(99m) ((99m)Tc) Scintigraphy is a well established tool for diagnosing Thyroid disease. The purpose of this study is to evaluate the usage of this particular method in detecting residual thyroid disease after surgery and its role as a diagnostic marker for the work up of a patient with residual disease. All were female patients seen in the ENT OPD for a period of 1 year from Feb 2004-Jan 2005, within the age group 24 yrs to 50 yrs.

Actinomycosis of faucial tonsil masquerading as oropharyngeal malignancy.

Actinomycosis is a rare inflammatory disease caused by anaerobic gram negative bacterium of actinomyces species. Lesions in the head and neck are characterized by their varied presentation and their propensity to mimic other diseases.([1]) Here we present a rare case report of actinomycosis of tonsil in an elderly man masquerading as tumour of oropharynx.

Comparative study of percutaneous dilatational tracheostomy and conventional tracheostomy in the intensive care unit.

Objective: Tracheostomy is a one of the earliest described surgical procedure dating back to 2000 B.C. Percutaneous tracheostomy is becoming increasingly popular as an alternative method for conventional tracheostomy in the intensive care unit.