Pathological Sequelae of Chronic Vestibular Migraine and Cerebrovascular Insufficiency Leading to Cognitive Decline and Dementia.

Chronic vestibular migraine (CVM) and cerebrovascular insufficiency are recognized contributors to cognitive impairment. Vestibular dysfunction affects spatial orientation and balance, while compromised cerebral perfusion impacts neuronal health. This study explores the combined pathological effects of these conditions and their role in cognitive decline and dementia.

Microscopic Coblator Assisted Excision of Adenocystic Carcinoma of Soft Palate: A Novel Modality.

Adenoid cystic carcinoma (ACC) is a rare malignancy arising from the exocrine glands. It most commonly involves the minor salivary glands. In the oral cavity, palate is the commonest site.

Tinnitus Retraining Therapy: In Person Versus Mobile Application Based - Two Case Scenarios.

This study compares the outcomes of traditional face-to-face tinnitus retraining therapy (TRT) with mobile-based TRT in India. TRT, comprising directive counseling and sound therapy, aims to help patients habituate to tinnitus. Traditional TRT involves extensive in-person sessions, whereas mobile-based TRT employs interactive applications for weekly video counseling.

Utilizing Narrow Band Imaging for Early Detection of Recurrence in Follow-Up Patients with Head and Neck Squamous Cell Carcinoma Treated with Curative Intent Using Radiotherapy/Chemo-Radiotherapy: Enhancing Detection and Patient Outcomes.

Head and Neck squamous cell carcinoma (HNSCC) is one of the most common cancer in developing countries. Most of the patients present with advanced disease and requires rigorous treatment. Routine follow up of the patient is required to detect any recurrence which will substantially affect overall survival of the patient.

Comparison of Lateral Semicircular Canal Dysfunction in Chronic Otitis Media Patients using Air Caloric Test and Video Head Impulse Test.

In developing nations like India, chronic otitis media (COM) is a common middle ear ailment that has serious ramifications for both hearing and quality of life. Long-term inflammation of middle ear cavity and tympanic membrane are the hallmarks of COM, which can result in consequences like facial paralysis, labyrinthitis, hearing loss, and potentially fatal cerebral abscesses. The effect of COM on vestibular function is still unknown.

Unveiling Lipid Metabolic Shifts in Different Stages of Oral Submucous Fibrosis: A New Horizon in Predicting Malignant Transformation.

Background: Oral Submucous Fibrosis (OSMF) is a chronic, progressive condition linked to areca nut consumption, with a high potential for malignant transformation into oral squamous cell carcinoma (OSCC). Changes in lipid metabolism have been implicated in cancer biology, yet the relationship between lipid profiles and OSMF progression remains underexplored. This study investigates the alterations in serum lipid parameters across different clinical stages of OSMF and their association with malignant transformation.

A Bicenter Retrospective Study Of Human Otoacariasis in Kerala.

Otoacariasis is the infestation of ticks or mites in the human ear canal. It poses a significant threat to public health due to its potential complications. : This study aimed to investigate the incidence, clinical presentation, and treatment outcomes of otoacariasis in rural southern India.

Atypical Head and Neck Cysticercosis: Diagnostic Pitfalls and Clinical Insights from a Case Series and Literature Review.

Head and neck swellings encompass a broad range of differential diagnoses, often necessitating comprehensive clinical and diagnostic evaluations to reach an accurate diagnosis. Cysticercosis, a parasitic infection caused by the larval form of Taenia solium, typically affects neural and extraneural regions. Although neural manifestations are well-documented, extraneural cysticercosis in the head and neck is rare and can mimic neoplastic and inflammatory conditions, posing diagnostic challenges.

The Impact of Vitamin-D Supplementation on Individuals with Allergic Rhinitis.

Introduction: Allergic rhinitis is a common disease affecting 10 percent people. Sleep, quality of life, and productivity at work are all significantly impacted by severe allergic rhinitis. An increase in allergic diseases has been associated with a lack of vitamin D.

Binary Classification of Laryngeal Images Utilising ResNet-50 CNN Architecture.

In India, laryngeal cancer is a significant health concern, underlining the critical need for early detection methods. This study introduces a novel approach to classify laryngeal lesions into nine morphological categories; due to data scarcity for all the nine classes, the data is divided into cancer and non-cancer classes, including both non-cancerous and Squamous Cell Carcinoma (SCC), by analysing endoscopy images with advanced convolutional neural networks, deep learning, and image processing techniques. A dataset of 1978 endoscopy images from 960 patients at a tertiary care center in Lucknow, between May 2015 and December 2023, was utilised for this purpose.

The Chimeric Antero-Lateral Thigh Flap and Vastus Lateralis Muscle Flap for the Infratemporal Fossa Reconstruction in Oral Cancer Defects.

Objectives: To evaluate the effectiveness of the chimeric Free Anterolateral Thigh (FALT) and vastus lateralis muscle (VLM) flap for reconstructing extensive defects in advanced oral squamous cell carcinoma (OSCC), particularly those involving the infratemporal fossa (ITF) and masticator space.

Methods: A retrospective study was conducted at Sri Shankara Cancer Hospital, Bangalore, from January 2023 to June 2024. It included 22 patients with T4a and T4b OSCC who underwent curative ablative surgery, ITF clearance, and reconstruction using the chimeric FALT-VLM flap.

Audiological Profile in Patients of Chronic Stable Angina with Hearing Loss.

Cardiovascular disease can affect cochlear blood flow and hearing, yet research on hearing loss in chronic stable angina patients is limited. This study aimed to investigate the relationship between hearing loss and chronic stable angina and establish association between the type and extent of hearing loss with the severity and duration of chronic stable angina. A cross-sectional study was conducted at GSVM Medical College, Kanpur, U.

"Nosing around: Exploring the Correlation between Nose and Ear Lengths in the Indian Population for Reconstruction and Prosthetic Rehabilitation".

Aim: Facial deformity can have a significant impact on a patient's self image and the ability to function and interact socially. Exact estimation of size is challenging when trying to replace a missing part. Aim of this study was to determine if there is a correlation between vertical length of nose and ear in Indian population.

Assessment of Quality-of-Life Measurement Instruments for Chronic Otitis Media: A Systematic Review Using the COnsensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) Checklist.

Unlabelled: The purpose of our study is to assess the psychometric measurement properties of various questionnaires for quality of life in adult patients with chronic otitis media (COM) using the preferred reporting items for systematic reviews and meta-analysis protocol and the COnsensus based Standard for the selection of health Measurement Instruments (COSMIN) checklist. A thorough electronic search was performed with a date limitation of 23rd September 2021 using the following five electronic databases: OVID, Embase, Cochrane Library, PubMed, and Scopus. Only full-text articles in the English language about the development or validation of a self-administered measurement instrument to assess QOL in COM patients (≥ 18 years) that assesses one or more of the measurement properties developed by the COSMIN guidelines were included in the study.

Acid Assault: Unmasking the Toll of Laryngopharyngeal Reflux Disease on Vocal Health - A Literature Review.

Laryngopharyngeal reflux disease (LPRD) is characterized by the backflow of gastric contents into the laryngopharynx, distinct from gastroesophageal reflux disease (GERD). Prevalence among otolaryngology patients ranges from 4 to 30% and being the major cause for hoarseness of voice. Common symptoms include hoarseness, chronic coughing, globus sensation, throat clearing and endoscopic evaluation reveals signs like posterior commissure hypertrophy and vocal fold edema.

Enhancing Patient Outcomes in ENT Surgery: The Impact of Tailored Preoperative Educational Interventions on Anxiety Reduction.

Unlabelled: Preoperative anxiety significantly affects postoperative outcomes and patient satisfaction in surgical settings. Studies has highlighted the effectiveness of preoperative education in surgical setting; however, there is a gap in studies within ENT surgery. This study aims to evaluate the efficacy of tailored educational interventions in reducing preoperative anxiety and improving recovery outcomes among patients undergoing ENT surgeries.

Audiometric Profile of Presbyacusis in North India: Georgean Experience of 7000 Cases.

Background: Presbyacusis is common in early 50s, while genetic/ environmental influences that differentially affect presbyacusis seem relevant in racial and regional perspective.

Aim: To describe audiometric profile of presbyacusis in North India and its relevance with age/ gender/ associated comorbidities.

Methods: Audiometric profile of about 7000 patients (> 50y) with SNHL were analysed in terms of curve-profile ('Flat', 'High-Frequency Gently Sloping', 'High-Frequency Steeply Sloping'), 'Mixed category', 'Interaural Asymmetry' and 'Notched Hearing Loss' along with their association with age, gender and co-morbidity status.

A Rare Case of Unilateral Congenital Asymmetric Crying Facies in a Neonate: Case Report.

Unlabelled: Asymmetric crying facies (ACF) due to Congenital hypoplasia of the depressor anguli oris muscle (CHDAOM) is a rare congenital condition that affects the development of a specific facial muscle responsible for depressing the corner of the mouth. CHDAOM has an unknown aetiology but is associated with other genetic syndromes like DiGeorge syndrome and Cayler cardiofacial syndrome. We report a distinct case of a newborn with unilateral asymmetric crying facies at our hospital, and clinical features, examination, and management of the above condition.

A Descriptive Study on Mass Lesions of External Auditory Canal.

Ear canal mass lesions are very rare and can arise due to varied pathology ranging from simple polyp to severe malignancy. Common causes for ear canal mass formation includes aural polyp, cholesteatoma, bony exostosis and tumors. Clinical symptoms and treatment options vary depending on pathology.

Primary Thyroid Tuberculosis Diagnosed with CBNAAT.

Tuberculosis is a common disease in India but even then Primary tuberculosis of Thyroid gland is an extremely rare clinical scenario. Diagnosis of this rare disease requires very high level of clinical suspicion as the clinical features have no distinct characteristics and usually mimic with bacterial thyroiditis, thyrotoxicosis, thyroid carcinoma, lymphoma etc. Historically most of patients were diagnosed through histopathology in post operative thyroidectomy specimens.

Itraconazole in Medical Management of Patients with AFRS.

Allergic fungal rhinosinusitis is a non-invasive disease most commonly found in immunocompetent host. In present study we aim to study the role of itraconazole as primary medical management in Allergic Fungal rhinosinusitis in improving treatment outcome and its role in avoidance of surgery. Total of 50 patients of clinically diagnosed AFRS equally divided into 2 groups, one group receiving 3 months of itraconazole and other receiving steroids in tapering dose.

Evaluation of an Otoscopy Simulator and Traditional Learning with Observation in Teaching Ear Diseases to Phase III Part I Medical Students.

Simulation, in medical education has provided a novel way to impart education which will help students acquire the required skills to achieve their learning objectives. The aim of our study was to evaluate the performance of students exposed to otoscopy simulator-based learning versus traditional learning with observation and also to know the students' perceptions via a questionnaire at the end of the module. This was a prospective interventional study, conducted on third-year medical students, sixty in number, divided into two groups by the lottery method.

Sinonasal and Laryngeal Presentations of Pituitary Adenoma.

Pituitary adenomas, the second most common intracranial pathology, often exhibit symptoms beyond the classic triad of headache, visual disturbances, and hormonal imbalances. Unusual presentations involve sinonasal pathology, cranial nerve involvement, and mass effects on adjacent structures like the skull base. Secretory adenomas may manifest hormonal changes and their effects.

Successful Primary Oral Isavuconazole Therapy in Acute Invasive Fungal Sinusitis with Triple Fungal Species and Multiple Comorbidities.

Reporting the first successful treatment with oral Isavuconazole as primary antifungal agent following debridement, in an immunocompromised adult male with acute invasive fungal sinusitis involving multiple simultaneous fungal species. His comorbidities were retroviral and COVID infections, uncontrolled diabetes, ketoacidosis, and renal failure. A two-year follow-up revealed no recurrence.