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Milan Modi, Sham ME, Suresh Menon, Veerendra Kumar, Archana S and Dhanush CV*

DOI : 10.32474/SJO.2021.06.000229

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Purpose: Current advances in equipment technology have offered us with tremendous advantage in performing various surgeries. Among these is the Colorado electro micro-dissection needle. Although use of electro surgery dates back to 1909 when it was first used to fulgratetumors, to 1926 when “Cushing” first introduced it in neurosurgery. Its use to open skin has been rejected or reserved in past for fear of delayed wound healing or infection. Currently there is enough literature and evidence to support favorable use of electro-cautery as a complete or partial substitution to cold steel, in terms of operative blood loss, post-operative pain and surgical scar.Materials and Method: This study clinically evaluated the safety and efficacy of Colorado micro dissection needle over cold steel in skin incis..... ReadMore

Osama Bakheet and Salwa Samir Anter*

DOI : 10.32474/SJO.2021.06.000228

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Flexible endoscopy was used in examination cervix lesion the first was studied by Nishiyama et al was reported the used of endoscopy for diagnosing cervical neoplasms. The second study of K Uchita et al. study feature findings of high-grade cervical intraepithelial neoplasia or more on magnifying endoscopy with narrow band imaging Trichomoniasis is a common, worldwide, urogenital infection with Trichomoniasis vaginalis. It is a frequent cause of symptomatic vaginitis and a less common cause of nongonococcal urethritis in this study correlation were done by laboratory diagnosis of trichomoniasis with endoscopy finding...... ReadMore

Abdullahi Musa Kirfi*, Mohammed Bello Fufore, Oladeji Raheem Quadri, Musa Emmanuel, Aliyu Mohammed Kodiya and Onyekwere George Benjamin Nwaorgu

DOI : 10.32474/SJO.2021.06.000227

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Background: Prisoners are prone to many diseases and their complications. In most countries, prisoners are neglected, so also their ear health. This study aimed to determine the pattern and prevalence of wax impaction among inmates of a prison in Kaduna Nigeria.Participants and Methods: This was a cross-sectional study of prison inmates at the Kaduna convict prison and a control population. All consented inmates aged 18 – 55years in the Kaduna convict prison were enrolled. Equal number of controls matched for age and gender were enrolled from the communities in Kaduna North Local Government. Data was collected using a structured questionnaire. Participants had thorough physical examination of the ear as well as otoscopy to assess the external auditory canal for presence of impacted wax. Statistical Product and Service Solutions (SPSS)..... ReadMore

Mohammad Taghi Sheykhi*

DOI : 10.32474/SJO.2021.06.000226

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Population as a global variable has sociologically witnessed a great change since 1950, during which population quantitatively changed status; increased and aged...... ReadMore

Paula Saidi* and Nerea Ortega Castro

DOI : 10.32474/SJO.2021.05.000225

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Difficulty in speech discrimination is a major complaint among post lingually deafened adults, which are cochlear implant (CI) users. Consequently, it is important to study the factors that offer positive post-operative outcomes in order to get the most out of this technology. Thus, many clinicians tend to orient the implanted toward the auditory training program with the aim of teaching them to make perceptual distinctions about sounds that are presented systematically. Therefore, a systematic review was performed to examine the influence of aural rehabilitation on post lingually deafened cochlear implant users’ speech recognition with an eye towards reaching its full potential. A total of 20 articles was used in this review, chosen from PubMed, Science Direct, semantic scholar, international journal of audiology, and journal of speech..... ReadMore

Garima Rawat*, Hema Malini Aiyer and Anshuman Kumar

DOI : 10.32474/SJO.2021.05.000224

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Primary mucosal malignant melanoma of oral cavity is a rare malignancy arising from the melanocytes. Mucosal melanomas of the head and neck comprise just over 1% of all melanomas and of these about 50% arise in the oral cavity. Oral mucosal melanomas are therefore rare, representing about 0.5% of oral malignancies and less than 0.01% of all oral biopsies. It tends to metastasize and locally invade tissues more than other malignant tumours of the oral cavity. It occurs commonly in the maxillary gingiva more frequently on the palate and lesser often in the mandibular gingiva. Here, we present a case of a mucosal malignant melanoma involving the maxillary bone along with the immunohistochemical profile of the neoplasm...... ReadMore

Asil Ergin*, Mehmet Ziya Özüer and Levent Olgun

DOI : 10.32474/SJO.2021.05.000223

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Introduction: In this study which was achieved at Izmir Bozyaka Teaching and Research Hospital, identifying the sensitivity and reliability of round window electrocochleographic records on children during cochlear implantation and investigating the applicability of the method on particularly problematic patient groups was aimed. Material and Methods: In this study, the golf-club electrode was placed on the round window niche during cochlear implantation of 30 patients after posterior tympanotomy. Then click stimulus was given by TDH 39 headphones over the speculum which was placed in the external ear canal and the responses that obtained from the stimuli were recorded with Medelec Snergy Amplifier device. The round window ECoG records which were obtained from these 30 patients were compared with the preoperative ABR results. Round window ..... ReadMore

Periklis Giannakis, Anatoli Pataridou* and Melpomeni Fetta

DOI : 10.32474/SJO.2021.05.000222

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Primary Laryngeal Lymphoma is rare both as a hematological and as a laryngeal malignancy. Unlike squamous cell carcinomas, lymphomas require chemo-radiotherapy as 1st-line treatment. A 67-year-old lady presented with voice hoarseness, dyspnea and dysphagia for solids. An otherwise unremarkable physical showed “hot-potato like” voice. Labs were normal, while laryngoscopy and CT revealed an epiglottic mass, which was resected. Biopsy results showed DLBCL. The patient then underwent chemotherapy with complete success. Voice hoarseness has a vast differential diagnosis depending on its character and complementary symptoms. Less than a 100 cases of Primary Laryngeal Lymphoma have been reported in the literature, proving the rarity of this clinical entity...... ReadMore

Abhishek M*, Bandiahanapalya Narasappa Yogesh, Borlingegowda Viswanatha, Harshavardhan Annigeri and Sahana Raju

DOI : 10.32474/SJO.2021.05.000221

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Background: Loss of smell and taste are considered potential discriminatory symptoms indicating triaging for coronavirus disease 2019 (COVID-19) and early case identification. However, the estimated prevalence essential to guide public health policy varies in published literature.Methods: The prospective study evaluated 100 individuals with a COVID-19 infection, as confirmed by Real-Time PCR laboratory testing. Olfactory and gustatory testing were carried out by an examiner utilizing stringent safety standards and wearing full personal protective equipment.Results: Among the 100 patients included in this study, 54% were male and 46% were female with a mean age of 38.82±12.21 years (18-72). Among the 100 patients included in this study, 13 patients had isolated taste dysfunction, 16 patients had isolated olfactory dysfuncti..... ReadMore

Harshavardhan Annigeri, Bandiahanapalya Narasappa Yogesh*, Borlingegowda Viswanatha, Anudeep C kode and Monisha R

DOI : 10.32474/SJO.2021.05.000220

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Introduction: Coronavirus disease 2019 (COVID-19) an infectious disease was first identified in December 2019 in Wuhan, China, caused by severe acute respiratory syndrome corona virus 2 (SARS-CoV-2). It was considered by the World Health Organization (WHO) as a pandemic. Oropharyngeal manifestations like mucositis, glossitis, pharyngitis, tonsillar enlargement associated with COVID19 show inconsistency in their presentations. Hence the study aims at the early identification and better management of the oropharyngeal manifestations. Aims and Objectives: This study is to detect, analyze and to determine the prevalence of the different oropharyngeal manifestations reported in COVID19 positive patients. Materials: Patients who are diagnosed with COVID 19 using RT-PCR method, were assessed for symptoms and signs of orophary..... ReadMore

Architha Menon P*, Rehna Mohamed, Vidhya Chemmanchery, Soumya Vedavyasa and Borlingegowda Viswanatha

DOI : 10.32474/SJO.2020.05.000219

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Introduction: Vocal cord paralysis is the total interruption of nerve impulse resulting in absence of laryngeal muscle movement. The most common type of vocal cord paralysis found is due to recurrent laryngeal nerve injury. The pathology can be either along the course of the tenth cranial nerve from cerebral cortex to neuromuscular junction or could be from mechanical fixation of cricoarytenoid joint.Objective: To study the various etiological factors contributing to vocal cord paralysis.Materials and methods: Patients with vocal cord paralysis [unilateral and bilateral] who were treated at a tertiary institute for a period of 3 years were included. The immobility of cords was assessed with the use of indirect laryngoscopy via mirror or rigid angled telescopy or flexible laryngoscopy. The patients were categorized based on laterality of p..... ReadMore

Viswanatha Borlingegowda*

DOI : 10.32474/SJO.2020.05.000218

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Chronic suppurative otitis media is a common problem in developing countries. Complications due to chronic suppurative otitis media still pose a major problem in the developing countries. In cases of chronic suppurative otitis media associated with complications, after managing the complications, mastoid exploration should be done to remove the primary source of infection. Planning of mastoid exploration play an important role in the management. Here the management of primary Otogenic septic foci, after the management of extracranial and intracranial is discussed...... ReadMore

Ngor Ndour, Souleymane Maiga*, Ahmadou Cheikhou Sall, Ndongo Pilor, Houra Ahmed and Issa Cheikh Ndiaye

DOI : 10.32474/SJO.2020.05.000217

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Introduction: The volume increase of a cervical lymph node is frequent in infancy .It is most often secondary to a benign infection of the upper aerodigestive tracts [1,2]. It is a medical and surgical emergency frequently encountered in developing countries, despite the generalization of antibiotics. Its gravity depends on the virulence of the germ and the fragility of the patient.Patients and Methods: It’s about a retrospectively study of all the medical files records of patients under 16 years old hospitalized at the ENT department of Fann Teaching Hospital for the management of infectious cervical lymphadenitis . The studied period is January 1st, 2008 to November 30th, 2017.Results: We had collected 83 medical files of patients with acute infectious cervical lymphadenitis i..... ReadMore

Satish HS, Roopa Malali*, Rinki J Pomson, Deepika TM, Athira Thampan and Borlingegowda Viswanatha

DOI : 10.32474/SJO.2020.05.000216

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Background: Olfactory dysfunction is one of the major symptoms of CRS. Olfactory dysfunction affects the quality of life. Endoscopic sinus surgery is surgical modality of treatment in the failed medial therapy. Assessment of olfaction in patients undergoing endoscopic sinus surgery is essential to know the impact on olfaction. Objective: To assess the olfaction before and after Endoscopic sinus surgery.Methods: This is a prospective study. Total 45 Patients were included in this study based on the inclusion and exclusion criteria. Diagnostic nasal endoscopy and CT scan were done preoperatively. Olfaction was assessed in all patients preoperatively, postoperatively at 1month and 3 months using olfactory testing tool. Results: There were 45 patients of both gender 57.78% were ..... ReadMore

Kartik Irappa Patil, Rukmini M Prabhu*, Bharath Kanna Karunakaran, Nikitha R, Rinki J Pomson and Borlingegowda Viswanatha

DOI : 10.32474/SJO.2020.05.000215

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Ossicular chain reconstruction is the primary method of restoring conductive hearing deficit seen in chronic middle ear disease. Many factors affect outcomes in this procedure including the middle ear environment, status of the Eustachian tube, surgical technique, type of prosthesis and status of residual ossicular remnants. Many materials have been used for Ossiculoplasty including both biologic and alloplastic materials, with varying degrees of success. This study was done to evaluate the efficacy of preserved septal cartilage as ossicular reconstruction prosthesis in patients with mucosal type of COM (chronic otitis media) with ossicular discontinuity.Objective: To evaluate the efficacy of preserved septal cartilage as ossicular reconstruction prosthesis in patients with mucosal type of COM with ossicular discontinuit..... ReadMore

Laura Buratti*, Chiara Rocchi, Viviana Totaro and Mauro Silvestrini

DOI : 10.32474/SJO.2020.05.000214

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We report the case of a 44 years old woman referred to the outpatient Sleep Disorder Service of the Neurological Clinic, Marche Polytechnic University for a symptomatology characterized by difficulty in maintaining sleep and a feeling of unrefreshing sleep on waking...... ReadMore

Palvi Mahajan and Satinder Pal Singh*

DOI : 10.32474/SJO.2020.05.000213

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Background: Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).The cases of Covid 19 are increasing daily since last 8 to 9 months due to which testing has also been increased and the incidence of accidental foreign body (swab stick) in the nose and mouth has also been seen during screening and sampling.Case Report: This paper shows complication of viral swab testing during sampling of suspected irritable, anxious, and stressed Covid 19 patients as swab stick breaks at the indentation point while taking Nasopharyngeal and Oropharyngeal samples resulting in impaction in the nasal cavity or mouth.Conclusion: This paper highlights various ideas to reduce the chances of accidental foreign body in the nasal cavity and mouth during sampling of suspect..... ReadMore

Rukmini M Prabhu, Kartik Irappa Patil*, Shouab Mohammed, Shivaranjini S and Borlingegowda Viswanatha

DOI : 10.32474/SJO.2020.05.000212

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Introduction:The World Health Organization confirmed COVID 19 as a pandemic on 11th March 2020. Though the most common symptoms of COVID-19 are fever, cough, myalgia, fatigue, and difficulty breathing, ear, nose, and throat (ENT) symptoms, including loss of sense of smell and/or loss of sense of taste have been reported as symptoms caused by the virus.Aimsand Objectives:To detect and discuss the different otorhinolaryngology (ORL) manifestations reported in COVID-19 positive patients.Materialsand Methods: This observational study was done on 2000 patients with a positive COVID 19 tests admitted to a tertiary care hospital. The patients were assessed for their signs and symptoms and the findings were analysed.Results: The patients ranged in age from 18 to 70 years, including 1090 males (54.5%) and 910 females (45.5%). The most common pr..... ReadMore

Kartik Irappa Patil, Rukmini M Prabhu*, Priya Jose, Harshitha Chandrashekar and B Viswanatha

DOI : 10.32474/SJO.2020.05.000211

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Introduction: The Severe Acute Respiratory Syndrome Coronavirus 2(SARS CoV2), started in Wuhan in China at December 2019.The symptoms mainly included fatigue, fever, dry and productive cough, shortness of breath, chest compression, myalgia, diarrhea, vomiting, anorexia, headache, sore throat, dizziness, palpitations, and, chest pain. Anosmia and/or ageusia may present as a symptom alone in cases of COVID-19. Hence it is necessary to test or quarantine patientswith these complaints.Aims and objectives: To determine the prevalence of anosmia and ageusia in patients with COVID-19 presenting to our tertiary care center.Materials and Methods: All patients with confirmed real time polymerase chain reaction (RT-PCR) positive testing for the SARS -CoV-2 viral genome was assessed for symptoms and signs of olfacto..... ReadMore

Candice Que Ansorge* and Emmanuel Tadeus S Cruz

DOI : 10.32474/SJO.2020.05.000210

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Objective: To determine the correlation between clinical diagnosis (Squamous cell carcinoma or Lymphoma) and immunohistochemical results (Cytokeratin or Leukocyte Common Antigen) among patients with undifferentiated nasopharyngeal malignancy.Study Design: Analytical, cohort studySetting: Tertiary private hospital in Metro Manila Sample population and Methodology: Patients diagnosed of undifferentiated nasopharyngeal malignancy for the recent five (5) years were included in the study. Clinical diagnosis of nasopharyngeal squamous cell carcinoma or lymphoma was correlated with positive immunohistochemistry of cytokeratin (CK) and Leukocyte Common Antigen (LCA) respectively. Results and Conclusion: The results showed that there was a significant association between the clinical diagnosis and immun..... ReadMore