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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

Essam A Abo El Magd* and Mai E Abu Elmagd

DOI : 10.32474/SJO.2020.04.000199

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History does not repeat itself. Though every single historical moment is distinct, parallels can be drawn between different historical events. Even though history does not teach us what to do, it can inspire us to act...... ReadMore

Anand R*, Sankya Shanmugam and Minu Madeswaran

DOI : 10.32474/SJO.2020.04.000198

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Perilymph fistula is caused by an abnormal communication between the perilymph space and the middle ear. It can either be congenital or acquired. In patients presenting with idiopathic bacterial meningitis, we as otolaryngologists should have a high index of suspicion towards peri lymphatic fistula. Nowadays, with screening of newborn with Computed Tomography temporal bone , inner ear malformations have been diagnosed more often without any signs of meningitis. We here present a case of congenital perilymph fistula in a pediatric patient with recurrent episodes of idiopathic meningitis. A brief review of the literature on this entity confirms the difficulty of making a definitive diagnosis in most cases...... ReadMore

Raid M Al Ani* and Debashis Acharya

DOI : 10.32474/SJO.2020.04.000197

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Background: Loss of smell and taste are common complaints in patients with the COVID-19 disease. These symptoms may present alone or with other symptoms. It is of utmost importance to know their rates of occurrence for better controlling of the infection. Objectives: To detect the prevalence of anosmia and ageusia in individuals with COVID-19 in Al-Wajbah Primary Health Center, Doha, Qatar.Materials and Methods: This retrospective cohort study was conducted at Al-Wajbah Primary Health Center, Doha, Qatar. The study covered the two-month period -May and June 2020. The proven cases of COVID-19 by real-time PCR (Polymerase Chain Reaction) were enrolled in the study. Data regarding the age, gender, symptomatology including anosmia and ageusia, history of recent travel, smoking, past history of nas..... ReadMore

Petrov SM*

DOI : 10.32474/SJO.2020.04.000196

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In the previous article [1], we briefly described the procedure for the first switch on and the first session of fitting of the Med-El cochlear implant...... ReadMore

Krishna Kumar V and Gokarneshan N*

DOI : 10.32474/SJO.2020.04.000195

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The article reviews the recent research trends in textile sutures. Attempt has been made to predict the braiding parameters that can lead to sutures with optimal mechanical performances for specific surgical intervention. The braiding parameters include yarn count and machine settings. Effects of yarn characteristics and machine parameters on a polyamide braid mechanical property have also been studied. Drug loaded PLA suture has been one most potential surgery material to help wounds healing. The loaded drug amounts and sustained drug release effect were a vital part for PLA suture. In this research drug-loaded microspheres and finishing bath were prepared to ensure more drug particles loaded on PLA suture. Moreover, sustained drug release effect and mechanical properties of PLA suture were also observed...... ReadMore

Tulachan Bishow*, Roshan Acharya and Paras Poudel

DOI : 10.32474/SJO.2020.04.000194

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Background: Lobular capillary hemangiomas (LCH) are uncommon benign vascular entity of unknown etiology. Their prime locations are skin and mucosa of oral cavity, however, the nasal cavity involvement is very rare pertaining to head and neck vascular lesions. Here, we have retrospectively analyzed the confirmed LCH cases including sites, clinical features, radiological findings, treatments, and histological results.Materials and Methods: A retrospective study carried out in Department of Ear, Nose and Throat and Head and Neck Surgeries (ENT-HNS) of Universal College of Medical Sciences, Tribhuvan University Teaching Hospital (UCMS, TUTH), Bhairahawa, Nepal. All the data of 10 cases (from June 2014 to February 2020) were collected from the OT (operation theatre) register and hospital records section. Data were analyzed for s..... ReadMore

Esmeralda Rocío Martín, Lorena Vega Zelaya, Laura López Viñas, Salvador Delis Gómez, Yvonne López Castanier and Jesús Pastor*

DOI : 10.32474/SJO.2020.04.000193

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Introduction: Superior semicircular canal dehiscence syndrome (SSCDS) is described as a disorder of the inner ear denoted by the absence of a bony covering, causing vestibular and auditory symptomatology. The vestibular evoked myogenic potentials (VEMPs) provide information regarding the vestibular function, which is useful in the diagnosis of vestibular disorders. Our aim is to assess the differential role of ocular VEMP (oVEMP) and cervical VEMP (cVEMP).Methods: oVEMPs and cVEMPs were collected from four male and five female (64.5 ± 3.6 years old) with SSCDS validated by computerized axial tomography between 2017 and 2019. The neurophysiological assessment included the calculation of latency and amplitude of both the pathological ear (PE) and the healthy ear (HE) and the asymmetry ratio (AR) of both ears. A control gro..... ReadMore

Sphoorthi Basavannaiah*

DOI : 10.32474/SJO.2020.04.000192

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Introduction: Foreign body sensation in throat is one of the commonest presentations in ENT. It can be simple & easy to treat but at times can be complex & alarming. Here, is a study exploring the uncommon causes of this symptom which is taking over the charts clinically in the routine mundane of life.Aims & Objectives: To ascertain rare causes for foreign body sensation in throat in all possible mediums and how patient’s ideologies sum up to instilled seeds of cancer in their minds. Methodology: 196 patients with rare causes for foreign body sensation in the throat over a year was clinically assessed, evaluated & treated after analyzing the source for the condition. Results: Nearly 40% of new novelty causes i.e., GERD & “EpiConTon” superseded old outlook causes with female preponderance and st..... ReadMore

Akhil K Padmanabhan*, Esha Yadav, Richa S Gautam and Prabhuji ML

DOI : 10.32474/SJO.2020.04.000191

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Irritational fibroma is a common presentation on the lateral surfaces of the tongue due to irregular and sharp surfaces of the dentition. It is a reactive lesion and is benign in nature. Irritational fibroma is well managed with conventional scalpel excision techniques. Of all the techniques mentioned for excision of the lesion, laser is found to produce the best results in terms of intraoperative bleeding, recurrence, scar formation and patient comfort. This case report presents the management of irritational fibroma in a middle aged female patient with diode laser...... ReadMore

Richa S Gautam, Akhil K Padmanabhan*, Esha Yadav and Prabhuji ML

DOI : 10.32474/SJO.2020.04.000190

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Necrotizing periodontal diseases are the most severe rapidly destructive, non-communicable, periodontal infection of complex etiology. The diagnosis is based on clinical and radiological features. Necrotizing periodontal lesions are confined to periodontal tissues, including gingiva, periodontal ligament, and alveolar bone. The pathognomonic clinical characteristics are the typical punched out appearance, interproximal craters and spontaneous bleeding. The predisposing factors include host factors, such as psychological stress, immunosuppression, a smoking habit, and poor oral hygiene. If it is left untreated, it may spread laterally and apically to involve the entire gingival complex. In this case report, we presented a 24- year old male with necrotizing gingivitis and no systemic disease with a history of intense stress. The case repor..... ReadMore

Esha Yadav, Richa S Gautam, Akhil K Padmanabhan* and Prabhuji ML

DOI : 10.32474/SJO.2020.04.000189

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The present case report describes the surgical removal of mucocele in a young female patient. A thirteen year old female patient was diagnosed clinically with mucocele of lower lip. A conventional surgical procedure was performed using scalpel and the excised lesion was sent for histological investigation. Histological investigation revealed well circumscribed cystic spaces filled with mucous clearly illustrating extravasation type mucocele. Complete regression of the lesion was seen with no recurrence in 6 months follow up. Surgical excision of the lesion with the involved minor salivary gland proved to give satisfactory results...... ReadMore