Lupine Publishers Group

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

DOI : 10.32474/SJO.2020.05.000219

View abstract PDF Full text

Share

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

View abstract PDF Full text

Share

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

View abstract PDF Full text

Share

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

View abstract PDF Full text

Share

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

View abstract PDF Full text

Share

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

View abstract PDF Full text

Share

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

View abstract PDF Full text

Share

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

View abstract PDF Full text

Share

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

View abstract PDF Full text

Share

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

View abstract PDF Full text

Share

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

Bahgat El Sherif *

DOI : 10.32474/SJO.2020.05.000209

View abstract PDF Full text

Share

Single sided deafness (SSD) is established when the patient has normal hearing in one ear and severe to profound hearing loss in the other one, and measured by pure tone audiometry as hearing threshold (over 0.5, 1, 2, and 4 KHz) of at least 70 dB hearing level in the affected ear and not more than 30 dB HL in the better ear. The causes of single sided deafness include many pathologies such as: temporal bone trauma, Meniere`s disease, vestibular schwannoma, cochleovestibular abnormalities, vascular ischemia, autoimmune disease, and infection. Idiopathic cause is commonly encountered. The advantages of binaural hearing include head shadow effect, binaural summation, and binaural squelch. The diminished ability to orient and understanding meaning of patient with SSD have negative impact on quality of life which may b..... ReadMore

Abdulwahid S AL Qahtani*, Rmzi M Dagriri, Ahmad M Alrasheed, Ahmad A Etwadi, Khalid A Al Qahtani, Montasir Junaid and Sadaf Qadeer Ahmed

DOI : 10.32474/SJO.2020.05.000208

View abstract PDF Full text

Share

Background: Allergic rhinitis (AR) is characterized by inflammation in the nose as the immune system respond to inhaled allergens in the air. Signs and symptoms include a runny, stuffy red and itchy nose, sneezing with watery eyes, and swelling around the eyes A deviated septum mostly is asymptomatic, but sometimes may be presented by difficulty breathing through the nose, nasal congestion, sinus infections, nosebleeds, sleep apnea, headache, and postnasal drip. Septoplasty is the main surgical intervention for patients with deviated nasal septum to relieve nasal obstruction. While Allergic rhinitis is mainly treated with anti-allergy medicine. Aim: To detect the incidence of post-septoplasty complications among patients with deviated nasal septum and Identify the correlation between the allergic rhinitis and post-opera..... ReadMore

Nayellin Reyes Chicuellar*, Anthony Noor and Thomas Kertesz

DOI : 10.32474/SJO.2020.05.000207

View abstract PDF Full text

Share

Objective: This paper reviews the outcomes of partial ossicular chain reconstruction using the Kurz Clip-Piston Dresden prosthesis (Clip) in comparison to the earlier generation Bell prosthesis (Bell).Study design: A retrospective monocentric chart review. Subjects and Methods: All patients undergoing ossicular chain reconstruction between 1 January 2014 and 31 December 2018.Results: Forty-three patients, 7 children and 35 adults were included in the study. A successful hearing result was defined as ABG <20 dB [1]. A total of 91% of cases resulted in an overall successful hearing. The overall PTA improved by 20 dB +/- 0.63 (preop: 52.6 +/- 19, postop: 32.6 +/- 14.8). The overall ABG improvement was 33.9 +/- 11.4 (preop: 13 +/- 7.6, postop: 20.7 +/- 3.8). The overall results of Clip being better (96%) than t..... ReadMore

Mouna Bellakhdher, Maha Mejbri*, Wassim Kermani and Mohamed Abdelkefi

DOI : 10.32474/SJO.2020.05.000206

View abstract PDF Full text

Share

Adenoid cystic carcinomas (ACC) of the sinonasal tract is a malignant neoplasm, characterized by slow and insidious growth. Thus, patients usually present in advanced stages. Clinical presentation is unspecific. Treatment is based on surgery followed by radiotherapy. Since the tumor spreads through perineural and hematological routes, delayed metastasis and local recurrence may occur several years after remission. In the present manuscript, we report the case of two patients who present with an ACC of the maxillary sinus diagnosed in an advanced stage. Orbital and cerebral involvement was objectified in one patient. Treatment consists in surgery. Post-operative radiotherapy was performed in one patient. He had a complete remission. Loco-regional recurrence occurred in the second patient. ACC is a particular entity among si..... ReadMore

Ben Ahmed Wided*

DOI : 10.32474/SJO.2020.05.000205

View abstract PDF Full text

Share

Hearing problems, more precisely hearing loss in children, is a very frequent reason for consultation these days. In early childhood, these disorders affect language and communication, and deafness is the most common sensory deficit...... ReadMore

Suganshi Garg and Borlingegowda Viswanatha*

DOI : 10.32474/SJO.2020.05.000204

View abstract PDF Full text

Share

Early detection of hearing loss and intervention is very important for the development of normal speech and language. A prospective study of brainstem evoked response audiometry to access hearing loss in high risk children below 5 years of age, to find out the incidence of hearing loss in children from high risk category and to determine the threshold of hearing by brainstem evoked response audiometry in high risk children by observing wave ‘V’ at the minimum intensity of click stimulus. 100 children having one or more high-risk factors for hearing loss (up to 5 years of age) according to the inclusion criteria had been selected for the study from the outpatient department. This study showed that BERA was found to be a useful, accurate tool to detect the type of hearing loss and the site of defect in auditory transm..... ReadMore

Ashwini Shastry, Roopa Malali, Lyra Joy, Archana P and Borlingegowda Viswanatha*

DOI : 10.32474/SJO.2020.05.000203

View abstract PDF Full text

Share

A 4-year-old child presented to the emergency department with an acute onset of dysphagia and vomiting. A plain X-ray soft tissue neck lateral view revealed a double circular opacity in the cervical oesophagus consistent with an ingestion of multiple foreign bodies. Preoperative planning and SARS-CoV2 testing is of particular importance for the pediatric population and if testing cannot be performed, patients in all age groups should be handled as though they are positive for COVID-19, and appropriate precautions should be taken. The child was taken to the theatre for rigid pharyngo-oesophagoscopy and removal of the coins. After the first coin was removed subsequent endoscopic examination revealed a second coin at the same location. This extremely rare case of two ingested coins be..... ReadMore

Rabia Arora, Satinder Pal Singh* and Arvinder Singh

DOI : 10.32474/SJO.2020.05.000202

View abstract PDF Full text

Share

A 4-year-old child presented to the emergency department with an acute onset of dysphagia and vomiting. A plain X-ray soft tissue neck lateral view revealed a double circular opacity in the cervical oesophagus consistent with an ingestion of multiple foreign bodies. Preoperative planning and SARS-CoV2 testing is of particular importance for the pediatric population and if testing cannot be performed, patients in all age groups should be handled as though they are positive for COVID-19, and appropriate precautions should be taken. The child was taken to the theatre for rigid pharyngo-oesophagoscopy and removal of the coins. After the first coin was removed subsequent endoscopic examination revealed a second coin at the same location. This extremely rare case of two ingested coins be..... ReadMore

Aditya Yeolekar*, Pooja Sancheti and Kiran J Shinde

DOI : 10.32474/SJO.2020.05.000201

View abstract PDF Full text

Share

Background: A tympanolith is a calcified body found impacted in mucosa of the middle ear. It is thought to be intrinsic deposition of calcium over a nidus of mucous plug whereas a foreign body is usually extrinsic. Case Report: A young male with bilateral ear inactive chronic mucosal type of otitis media was posted for tympanoplasty. A full cuff incision and exploration of ear showed a smooth gritty hard stone stuck in the hypotympanum later confirmed to be a tympanolith. Middle ear anatomy of hypotympanum was studied with straight and angled endoscope. A type A configuration of bony crest of Protiniculum was found to be the reason for formation of mucus plug and lith.Discussion: Tympanolith is a rare condition which is known to occur in a chronically discharging ear, due to calcium deposition on a mucus plug or biofilm formation. Tympano..... ReadMore

Sidika Deniz Yalim* and Melike Ordu

DOI : 10.32474/SJO.2020.04.000200

View abstract PDF Full text

Share

Dermoid cysts of the auricle are extremely rare. A 13-year-old female patient was admitted to our clinic with the complaint of a painful, slowly growing mass that had been present behind her right ear since birth. Ear examination revealed a soft, approximately 2x2 cm cystic mass on the posterior aspect of the right auricle. Histopathological examination of the excised mass was reported as dermoid cyst. The patient, who had no problem after the operation, was called to the controls and discharged. We present this case because dermoid cysts of the auricle are extremely rare and should be considered in the differential diagnosis of congenital masses in children...... ReadMore