Medpulse International Journal of ENT

Medpulse International Journal of ENT

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  • Publisher: MedPulse Publishing Corporation
  • Country of publisher: india
  • Date added to EuroPub: 2019/Nov/09

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  • Language of fulltext: english
  • Time from submission to publication: weeks

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  • Open Access Statement: No
  • Year open access content began: 2017
  • Does the author retain unrestricted copyright? False
  • Does the author retain publishing rights? False

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This journal has '128' articles

A descriptive study on chronic migraine characteristics

A descriptive study on chronic migraine characteristics

Authors: Rahman Abdul Aman, Raja Premnath
Year: 2017, Volume: 4, Number: 1
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Abstract

Objectives: The aim of this study is to highlight the prevalence of chronic migraine and describe chronic migraine headache characteristics observed in patients attending the ENT outpatient department at Madha medical college hospital and research institute, Chennai. Study design: A prospective descriptive study of one year including 312 patients with chronic migraine attending the ENT outpatient department. Results: Among 312 patients with chronic migraine, 73.71% were women and 26.28% were men. The mean age of the female and male patients was 31.87 years and 34.17 years respectively. 66.02% of patients with chronic migraine were married and 33.97% were unmarried. Majority (74.03%) had migraine without aura and 25.96% had migraine with aura. 91% of the patients included in our study were first time attendants in our hospital outpatient department. The pain characteristics were predominantly unilateral either left or right side. Throbbing headache (70.51%) was the most common characteristic of headache. The most consistent autonomic feature observed was nausea, followed by phonophobia (88.78%) and photophobia (68.26%).The other most common associated autonomic feature was sweating followed by lacrimation. Headache was aggravated by activity in 94.23% of our patients. In this study stress, hunger and sleep disturbance were the common trigger factors. On comparison, diagnosis of migraine with and without aura, headache duration, onset of headache, headache features of photophobia and phonophobia and trigger factors like hunger, exercise, sleep disturbance and odor had statistical gender difference. (P < 0.05). Conclusion: This study adds to the descriptive data relating to the incidence, patterns, trigger factors and associated features of chronic migraine, thus consolidating the observations of previous studies on the chronic migraine headache characteristics. The findings of this study would aid in better diagnosis of chronic migraine at an early stage thereby improving patient compliance and better response to treatment

Keywords: Migraine, aura, chronic migraine, headache and vomiting.
Role of human papilloma virus in oral squamous cell carcinoma: Review of literature

Role of human papilloma virus in oral squamous cell carcinoma: Review of literature

Authors: Rajashri Mane, Satpinder Kaur, A A Mohite, B C Patil
Year: 2017, Volume: 4, Number: 1
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Abstract

Head and neck cancer is a major problem in our country constituting around one-third of all cancer cases in contrast to 4-5% in the developed world. The incidence of tobacco-related head and neck cancers in the western countries has declined due to decreased use of tobacco. Parallel to this decrease, there has been an increase in Human Papilloma virus (HPV) related oral cancers. In India also some attempts are made by the government to decrease the use of tobacco. However, the changing epidemiology seen there, is not seen here. We searched Pub Med database for literature published from 1985 to 2013 reporting any relationship between HPV and oral cancers to know why there is this difference in carcinogenic process.

Keywords: HPV infection; Head Neck Cancers; Oral Squamous Cell Carcinoma (OSCC); Oropharyngeal Squamous Cll carcinoma (OPSCC).
Etiopathogenesis of nasal obstruction: A radiological study

Etiopathogenesis of nasal obstruction: A radiological study

Authors: Mallikarjun S Tegnoor, Abdulla 2, V V V Satyanarayan, Vinayak Kurle
Year: 2017, Volume: 4, Number: 2
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Abstract

Background: The present study is undertaken to know more about the etiopathogenesis of nasal obstruction. Although there has been plenty of studies from west on qualitative and quantitative assessment of nasal obstruction and its effects on quality of life and sleep apnea there is large scale Indian studies evaluating nasal obstruction and this study will be an endeavor in this regard. Methodology: Paranasal sinus CT scans of 42 patients with headache, nasal and post-nasal drainage, and nasal obstruction complaints were taken and evaluated. The patients had chronic and/or recurrent acute rhinosinusitis were enrolled in this study. CT examinations were carried out in the coronal plane with 3 mm slice thickness and 3 mm intervals. Results: CT scan findings (anatomical abnormalities) showed about 20 cases(47.6%) had deviated nasal septum, 6cases(14.2%) had sinonasal polyp, 10cases (about 23.8%) had concha bullosa, 4 cases (9.5%) had maxillary sinusitis Conclusion: The commonest signs are hypertrophied middle and inferior turbinate, Edematous Mucosa, Polyps and Sinus tenderness.

Keywords: Nasal obstruction, Paranasal sinus, Sinus tenderness.
Analysis of hearing loss in preschool children  - A retrospective data based study

Analysis of hearing loss in preschool children - A retrospective data based study

Authors: Parag V Doifode, Sandeep B Dabhekar
Year: 2017, Volume: 4, Number: 2
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Abstract

Aim: To analyse the causes of hearing loss in preschool children. Objectives: 1. To assess the various causes of hearing loss in preschool children. 2. To study the socio demographic profile of preschool children with hearing loss from the data obtained. 3. To assess the risk factors associated with hearing loss in preschool children. 4. To evolve strategies depending on study findings to suggest easy ways to parents or caretakers to identify hearing impairment at the earliest. 5. To make parents and care takers aware of hearing loss in children as well as about the rehabilitative measures.

Keywords: hearing loss, preschool children.
Use of PVAC sponge in anterior nasal packing: Analysis of two hundred cases

Use of PVAC sponge in anterior nasal packing: Analysis of two hundred cases

Authors: Minutha R, Sriram Nathan
Year: 2017, Volume: 4, Number: 2
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Abstract

Background: Anterior Nasal Packs have evolved over the years. Although some centres still use the conventional Gauze or glove packs, most of the modern centres have shifted to Sponge packing. Surgical Products are constructed of a unique hydroxylated polyvinyl acetal (PVAc) sponge. Objectives: We analysed the uses of PVAc sponges over a period of three years in around two hundred cases. Their common indications, methodology and complications if any. Methods: Over a course of three years, two hundred randomly selected patients on whom anterior nasal packing was done with PVAc sponge were analysed. Results: The most common indication was post operative packing (78%) followed by various other indications such as hypertensive bleed, traumatic epistaxis, and post cauterization. Conclusions: The PVAc sponge is an ideal agent for anterior nasal packing and is tolerated well.

Keywords: Anterior nasal packing, PVAc sponge, Epistaxis.
Relation of mastoid size in graft uptake in patients with type 1 tympanoplasty alone and type 1 tympanoplasty with cortical mastoidectomy

Relation of mastoid size in graft uptake in patients with type 1 tympanoplasty alone and type 1 tympanoplasty with cortical mastoidectomy

Authors: K Mallikarjuna Swamy, Arati Ganiger
Year: 2017, Volume: 4, Number: 2
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Abstract

Background: Chronic suppurative otitis media (CSOM) is an inflammation of the middle ear cleft includes middle ear cavity proper with mastoid. One of the major cause for the failure of graft uptake is infection. Simple mastoidectomy is an effective means of repneumatizing and removing disease from the mastoid. The effect of mastoidectomy on patients without evidence of active infection remains highly debated and unproven. Objectives: This study undertaken to evaluate the outcome of graft uptake in different sizes of the mastoid bone in type I tympanoplasty with cortical mastoidectomy and type I tympanoplasty alone and to compare the results between these two. Methods: The comparative study comprises of 60 patients with CSOM safe type in quiescent stage. All cases operated during a period of 2yrs. Thirty of these cases were selected for type I tympanoplasty alone (Group A) and 30 cases were selected for type I tympanoplasty with cortical mastoidectomy (Group B). Prospective cohort study is done. Patients were reviewed after 3 weeks, for inspection of operated ear. The second and third post operative reviews were done at 3rd and 6th month respectively for clinicoaudiological assessment of the operated ear with respect to graft status, ear discharge and hearing improvement. The post-operative audiograms were recorded on 2nd and 3rd visits. Results: The take up rates of graft is high in large mastoids. Better results were obtained by performing a type I tympanoplasty with cortical mastoidectomy than with a type –I tympanoplasty alone. Further more cases with a small mastoid preoperatively were benefited by a cortical mastoidectomy. a larger mastoid gives a much better take up rate, as compared to a smaller mastoid, irrespective of whether Type I tympanoplasty was done with or without cortical mastoidectomy. Conclusion: A cortical mastoidectomy is an effective means of repneumatizing the mastoid air cell system as well as eradicating the mastoid source of infection. Our study proves that a larger mastoid gives a much better take up rate, as compared to a smaller mastoid, irrespective of whether Type I tympanoplasty was done with or without cortical mastoidectomy.

Keywords: Type I tympanoplasty; Cortical mastoidectomy, pneumatisation, mastoid size
Study of hearing loss among school going children in Bastar

Study of hearing loss among school going children in Bastar

Authors: S K Shukla
Year: 2017, Volume: 4, Number: 2
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Abstract

Objective: To study hearing loss in children of school going age. Material and Methods: After screening 1000 school going children 160 were selected for present study. Detail history and clinical examination were carried out. Statistical analysis: were expressed in terms of simple proportion. Observation findings: Conductive hearing loss was present in majority of school going children (91.25%), followed by sensory neural hearing loss and mixed hearing loss. Most of affected children were male and of less than 10 years of age. Conclusion: conductive hearing loss was most common cause of hearing loss and correctable also. Hence there is urgent need to bring awareness in parents, school staff about various aspect of this handicap and proper training to paramedical staff for early detection of cases and in time management to reduce hearing handicap

Keywords: Hearing loss, conductive, sensoryneural, mixed.
Management of nasal polyps at a tertiary care hospital

Management of nasal polyps at a tertiary care hospital

Authors: Jyoti Tugave, V S Patil
Year: 2017, Volume: 4, Number: 2
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Abstract

Background: Endoscopic techniques are now well established. In combination with modern imaging technique particularly CT, these techniques provide diagnostic possibilities unimagined a few decades ago. Modern endoscopic sinus surgery is arbitrarily divided into the Masseerklinger and Wing and approaches. Methodology: Patients treated between study period were subjected to a comprehensive history and clinical evaluation and histopathological examination as per the proforma designed for this study. Results: In our study 26 patients (86.6%) underwent functional endoscopic sinus surgery, 3 patients (10%) simple polypectomy and 1 patient (3.4%) Clad well Luc surgery. Conclusion: All polypoidal masses removed from nose and paranasal sinuses should be thoroughly evaluated histopathologically

Keywords: Clad well Luc Surgery, Paranasal Sinuses, Polyps.
A study on sinugenic headache patterns at a tertiary care hospital

A study on sinugenic headache patterns at a tertiary care hospital

Authors: Santosh Kumar Belamkar, Jyoti Tugave
Year: 2017, Volume: 4, Number: 2
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Abstract

Background: Drainage and ventilation of the larger sinuses are essential to the maintenance of their normal functions. The ventilation and drainage of the maxillary and frontal sinuses pass through very narrow and complicated clefts before they reach the middle meatus. These clefts, the ethmoidal infundibulum and frontal recess respectively, are parts of the anterior ethmoid. Methodology: Patients presenting with sinugenic headache during study period of two years inclusive of all age groups and sex. The data was collected on the basis of detailed history, systemic examination, ENT examination and investigations. They were then divided into different age groups for a comparative study. Results: The mean incidence was 29.2 years with median of 25.5 and standard deviation 12.87, minimum age was 15 years and maximum was 68 years. Conclusion: The average age group of study population were 21.20 ± 12.87 years

Keywords: Sinugenic Headache, Frontal Sinuses, CRS.
Clinical profile of patients presenting with nasal polyps

Clinical profile of patients presenting with nasal polyps

Authors: Jyoti Tugave, V S Patil
Year: 2017, Volume: 4, Number: 2
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Abstract

Background: The most common benign mass in the nose is the nasal polyp. Nasal polyps are a medically recognized condition since the time of ancient Egyptians. Interestingly, this condition affects only man and chimpanzee. In fact nasal polyps are not true neoplasms and they must be distinguished from more serious pathology by histopathological examination Methodology: Patients treated between study periods were subjected to a comprehensive history and clinical evaluation and histopathological examination as per the proforma designed for this study. Records of patients treated between study period were retrieved from medical records section of Medical College to get the required data. Results: The most common symptom was nasal obstruction found in 28 patients (93.3%), sneezing was next complaint present in 16 patients (53.33%) followed by headache in 15 patients (50%) and nasal discharge in 14 (46.6%), smell disturbances in 10 (33.3%), Rhinolalia clause in 7 patients (23.33%) of Antrochoanal polyp, post natal drip and epistaxis in 2 patients each (6.6%). Conclusion: According to the clinical findings 80% of ethmoidal polyps presented bilaterally, where asantrochoanal polyps had 100% unilateral presentation with predominance of right side (57%).

Keywords: Nasal Polyps, Antrochoanal Polyps, Rhinolalia
The usefulness of nasal endoscopy in diagnosing and managing sinugenic headache

The usefulness of nasal endoscopy in diagnosing and managing sinugenic headache

Authors: Santosh Kumar Belamkar, Jyoti Tugave
Year: 2017, Volume: 4, Number: 2
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Abstract

Background: Functional endoscopic sinus surgery by using oral endoscopy restores normally by working on the by regions which has intimate association with vital structures orbit, optic nerve, ant and post ethmoidal vessels skull base, internal carotid artery. Methodology: 50 patients attending ENT Out Patient Department at Basaveshwar Teaching & General Hospital, Gulbarga , with clinical features and investigations suggestive of CRS were randomly selected Results: n our study of 50 patients, all patients underwent medical treatment. Out of this, 48 patients underwent both medical and surgical modalities of treatment. Conclusion: Nasal endoscopy is useful for diagnosis as well as for surgical intervention and management of sinugenic headache.

Keywords: Sinugenic Headache, Nasal Endoscopy, CRS.
A retrospective study of patients with epistaxis at tertiary health care centre

A retrospective study of patients with epistaxis at tertiary health care centre

Authors: Sumant Kanjikar, Jyoti Tugave
Year: 2017, Volume: 4, Number: 2
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Abstract

Background: Epistaxis is a common symptom in otorhinolaryngology practice, with most people suffering one or more episodes in their lifetime. It occurs more frequently in the dry environment, when low humidity dries the mucosa of the anterior nasal septum. Epistaxis may occur due to various underlying causes with a significant morbidity and even mortality in rare cases. Aim and Objective: To study various factors associated with and treatment modalities available for epistaxis among the patients at tertiary health care centre Material and Methods: It’s a retrospective, observational study carried out among epistaxis cases examined between January 2014 and December 2014 in a tertiary health care centre. A total of 90 cases of epistaxis were identified by data received from the medical records department of the institution. Results: Of total 90 epistaxis cases, Males outnumbered females. Age group 21-40 years was most commonly affected. Trauma was the most common factor responsible for epistaxis. The observational type (62.22%) of non-surgical treatment modality is practiced commonly for the patients with epistaxis. Summary and Conclusions: Age is a highly significant factor responsible in determining the etiology of epistaxis. Hypertension on irregular treatment is an important underlying etiology of epistaxis. A comprehensive management of the underlying cause, is necessary to reduce the morbidity associated with epistaxis in the patients.

Keywords: Epistaxis
A study of clinical profile and factors associated with Ludwig’s angina at tertiary health care centre

A study of clinical profile and factors associated with Ludwig’s angina at tertiary health care centre

Authors: Sumant Kanjikar, Jyoti Tugave
Year: 2017, Volume: 4, Number: 2
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Abstract

Ludwig’s anginais a rapidly progressive, serious, potentially life-threatening, bilateral cellulitis of the submandibular space. Many general symptoms such as pyrexia, weakness, and fatigue, develop as the result of the immune response associated with bacterial infection. Among the main etiologic factors of the angina is the tooth infection, for example, a recent tooth extraction, endodontic and periodontal condition and tooth trauma. A history of recent dental extraction or of poor oral hygiene and dental pain is significantly associated with odontogenic infection and Ludwig’s angina. Cellulitis, rather than abscess formation, is the most common early presenting finding. Among the complications after Ludwig’s angina will include cavernous sinusthrombosis and brain abscess, in addition to airway compromise, have been described.

Keywords: Ludwig’s angina
Deep neck space infections - A retrospective study

Deep neck space infections - A retrospective study

Authors: Balaji CRK, Srija S Narasa, P K Purushothaman
Year: 2017, Volume: 4, Number: 2
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Abstract

Aim: To evaluate the etiology and prevalence, distribution within sexes and various age groups, prevalence of micro-organisms, various types of investigations and to study about the mainstay of treatment of deep neck infections. Materials and Method: A retrospective study involving 118 patients with deep neck space infections were analysed in the Department of Otorhinolaryngology, SRM Medical college hospital and Research institution from June 2012 to June 2016. Result: (1) Among the 118 cases of deep neck space infections the most common was peritonsillar abscess (Quinsy) followed by Ludwig’s angina, retropharyngeal abscess, parapharyngeal abscess, submandibular abscess, parotid abscess, buccal space abscess, anterior visceral space abscess and acute nectrotizing faciitis. (2) Staphylococcus aureus was the commonest organism causing deep neck space infection. (3) Among 118 cases, 83 cases had Incision and Drainage for peritonsillar abscess, retropharyngeal abscess, parotid abscess, anterior visceral space abscess, acute necrotizing fasciitis and few cases of parappharyngeal abscess. Remaining 33 cases were treated by culture sensitive antibiotics. (4)Among 118 cases, 2 cases had airway compromise and underwent tracheostomy. Conclusion: Surgical drainage and broad spectrum antibiotics remain the mainstay of treating deep neck space infections.

Keywords: deep neck space infection.
A study of hearing improvement after myringoplasty in chronic suppurative otitis media patients in a tertiary care hospital

A study of hearing improvement after myringoplasty in chronic suppurative otitis media patients in a tertiary care hospital

Authors: Mohana Karthikeyan S
Year: 2017, Volume: 4, Number: 3
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Abstract

Background: Myringoplasty is a routine surgical procedure done in medical college hospitals. In this study we evaluate the hearing improvement in patients who had undergone Myringoplasty in a period of one year. Methods: In this prospective study 50 patients who were diagnosed as Chronic Suppurative Otitis Media (CSOM) with central perforation underwent Myringoplasty. Myringoplasty was performed using underlay technique by transcanal approach with an endoscope. Temporalis fascia graft was used for all patients. The data of all patients regarding pre operative perforation size, pure tone audiogram results, post operative graft uptake and post operative pure tone audiogram results were analysed. Results: Out of 50 patients, 42 (84%) had successful graft uptake. These 42 patients were subjected to pure tone audiometry post operatively. The results of pure tone audiometry in these 42 patients were analysed pre operartively and post operatively. Out of these 42 patients, 11 (26.19%) patients had 0-25dB Air Bone Gap (A-B Gap), 18 (42, 85%) had 26-40 dB Air Bone Gap and 13 (30.95%) had 40-50 dB Air Bone Gap preoperatively. Post operatively out of these 42 patients, 27 (64.28%) patients had 0-25dB Air Bone Gap (A-B Gap), 13 (30.95%) had 26-40 dB Air Bone Gap and 2 (4.76%) had 40-50 dB Air Bone Gap. Conclusion: Myringoplasty is an effective surgery to improve the hearing in CSOM with tubotympanic disease. The hearing improved significantly after surgery in these patients.

Keywords: Myringoplasty, temporalis fascia, pure tone audiogram.

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