International Journal of Phonosurgery & Laryngology

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2013 | July-December | Volume 3 | Issue 2

EDITORIAL

Unnikrishnan Menon

Editorial

[Year:2013] [Month:July-December] [Volume:3] [Number:2] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/ijopl-3-2-iv  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

MC Anup Kumar, Lavanya Karanam

Upper Gastrointestinal Endoscopy in ENT Practice: How Worth is It?

[Year:2013] [Month:July-December] [Volume:3] [Number:2] [Pages:4] [Pages No:35 - 38]

PDF  |  DOI: 10.5005/jp-journals-10023-1058  |  Open Access |  How to cite  | 

Abstract

Objective

The need for upper gastrointestinal (GI) endoscopy in the evaluation of hoarseness.

Study design

Prospective study, conducted during the period from June 2012 to February 2013.

Setting

Tertiary referral center.

Results

A total of 125 patients were selected for the study and they were evaluated with appropriate history and clinical examination. Out of 125 patients, 41 (32.8%) patients showed laryngeal findings leading to hoarseness, 13 (10.4%) patients showed features of suspected malignancy in other adjacent regions which was confirmed later, two (1.6%) patients showed phonetic gap and 69 (55.2%) patients showed normal laryngeal inlet on indirect laryngoscopy examination. Of the 69 normal patients which were treated conservatively and since they did not show any response they were subjected to upper GI endoscopy. Out of 69 patients, 41 (60%) patients showed features of gastritis, 28 (40%) patients showed features of duodenitis.

Conclusion

It is estimated that more than 50% of patients presenting to the ENT OPD for hoarseness are because of GI problems. We strongly advise upper GI endoscopy for the symptomatic otorhinolaryngological patients with a normal laryngeal finding on indirect laryngoscopy for treating the condition accurately or near accurately. Adding to this upper GI endoscopy has the additional advantages of documentation and medicolegal aspect in the present day scenario.

How to cite this article

Santosh UP, Kumar MCA, Karanam L. Upper Gastrointestinal Endoscopy in ENT Practice: How Worth is It? Int J Phonosurg Laryngol 2013;3(2):35-38.

RESEARCH ARTICLE

Bhagyashree D Bokare, Poorva K Athavale, Vipin R Ekhar, Devendra Meghraj Mahore

Identification and Preservation of External Branch of Superior Laryngeal Nerve in Thyroidectomy

[Year:2013] [Month:July-December] [Volume:3] [Number:2] [Pages:3] [Pages No:39 - 41]

PDF  |  DOI: 10.5005/jp-journals-10023-1059  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Athavale PK, Bokare BD, Ekhar VR, Mahore DM. Identification and Preservation of External Branch of Superior Laryngeal Nerve in Thyroidectomy. Int J Phonosurg Laryngol 2013;3(2):39-41.

CASE REPORT

GSN Murthy, R Bhimeswar, M Veera Kumar, P Krishna Prasad

Resurgence of Diphtheria: Are We ready to treat?

[Year:2013] [Month:July-December] [Volume:3] [Number:2] [Pages:4] [Pages No:42 - 45]

PDF  |  DOI: 10.5005/jp-journals-10023-1060  |  Open Access |  How to cite  | 

Abstract

Objectives

To create awareness amongst the medical faculty about a forgotten fatal disease (diphtheria). To determine the age distribution, immunization status, presenting features, prognosis with respect to duration after which they took medication and effect of ADS on recovery in cases of faucial and laryngeal diphtheria. To stress on the importance of DTP immunization to control diphtheria.

Study method

In this study, 15 patients who presented to the Government general hospital between July and September 2013 with membranous tonsillitis were enrolled. In every diphtheriaproven case, we administrated antidiphtheric serum (ADS) as early as possible along with injection crystalline penicillin (CP) and oral erythromycin. Tracheostomy was done in two cases who presented with stridor. Patient variables and their correlation with recovery were studied.

Results

Out of 15 cases of membranous tonsillitis, nine tested positive for diphtheria; eight, smear positive and one, culture positive. Of these nine cases, eight were between 9 and 13 years old and one was a 50-year-old man. While tracing immunization status, it was found that three children (33%) were not immunized, four children (22%) had not taken booster doses, and in one child and the adult, immunization history was unknown. Clinical presentation of two of the unimmunized cases was late (on 8th day of fever), with stridor due to laryngeal diphtheria. The third child presented with bull neck, and developed myocarditis. These three cases proved fatal. Six cases which presented early and were managed in time recovered fully.

Conclusion

Unimmunized children as well as adults are susceptible to diphtheria. High immunization coverage is the only tool to control this infection. Booster doses are needed to control disease in adults. It was found that early diagnosis with high index of suspicion and early administration of ADS along with good supportive therapy carried good prognosis. Every otolaryngologist, pediatrician as well as general practitioner should be ready to manage the cases of diphtheria. Government should be prepared to manage and control epidemics effectively.

How to cite this article

Murthy GSN, Bhimeswar R, Kumar MV, Prasad PK. Resurgence of Diphtheria: Are We ready to treat? Int J Phonosurg Laryngol 2013;3(2):42-45.

CASE REPORT

GSN Murthy, M Veera Kumar, R Bhimeshwar, S Udaya Chanukya

Management of Laryngotracheal Stenosis by Laryngoplasty

[Year:2013] [Month:July-December] [Volume:3] [Number:2] [Pages:5] [Pages No:46 - 50]

PDF  |  DOI: 10.5005/jp-journals-10023-1061  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Murthy GSN, Bhimeswar R, Kumar MV, Murthy PSN, Chanukya SU. Management of Laryngotracheal Stenosis by Laryngoplasty. Int J Phonosurg Laryngol 2013;3(2):46-50.

CASE REPORT

Padmavathi Devi Chaganti, YVS Prabhakar, KA Seetaram, Kalyan Babu

Caseating Granulomatous Inflammation: Think beyond Tuberculosis

[Year:2013] [Month:July-December] [Volume:3] [Number:2] [Pages:4] [Pages No:51 - 54]

PDF  |  DOI: 10.5005/jp-journals-10023-1062  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Chaganti PD, Prabhakar YVS, Seetaram KA, Babu K. Caseating Granulomatous Inflammation: Think beyond Tuberculosis. Int J Phonosurg Laryngol 2013;3(2):51-54.

CASE REPORT

Gauri Kapre

Plexiform Neurofibroma of the Larynx: A Challenging Management Dilemma

[Year:2013] [Month:July-December] [Volume:3] [Number:2] [Pages:3] [Pages No:55 - 57]

PDF  |  DOI: 10.5005/jp-journals-10023-1063  |  Open Access |  How to cite  | 

Abstract

Introduction

Among the many causes responsible for stridor in the pediatric population, tumors of the larynx are relatively rare. Rarer still is the presence of endolaryngeal neurofibromas. Plexiform neurofibromas are associated with type I neurofibromatosis (NF1). Their typical characteristic is that they are diffuse tumors with indistinct margins, which makes complete resection a challenge and the chances of recurrences higher.

Objective

To document our experience with endolaryngeal neurofibromas and to discuss the treatment options available for this rare condition.

Methods

We present two cases of plexiform neurofibromas in pediatric patients. Both children presented with large supraglottic masses which interfered with breathing and swallowing. They also fulfilled the criteria for type I neurofibroma. Endolaryngeal approach with microdebrider and laser-assisted surgical excision was performed in both cases.

Result

Following surgery, both patients had uneventful recovery and no subsequent breathing or swallowing difficulties.

Conclusion

The dilemma in the management of endolaryngeal neurofibroma is the choice between endolaryngeal laser and aggressive external approach surgery. A short review of the limited existing literature shows that it is wiser to limit the surgery to as complete a resection as is possible endoscopically.

How to cite this article

Nerurkar NK, Kapre G. Plexiform Neurofibroma of the Larynx: A Challenging Management Dilemma. Int J Phonosurg Laryngol 2013;3(2):55-57.

CASE REPORT

TK Joseph, Reshmi M Nair

Combined Recurrent Laryngeal and Phrenic Nerve Paralysis due to Aortic Arch Aneurysm

[Year:2013] [Month:July-December] [Volume:3] [Number:2] [Pages:3] [Pages No:58 - 60]

PDF  |  DOI: 10.5005/jp-journals-10023-1064  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Joseph TK, Nair RM. Combined Recurrent Laryngeal and Phrenic Nerve Paralysis due to Aortic Arch Aneurysm. Int J Phonosurg Laryngol 2013;3(2):58-60.

CASE REPORT

Deepthi Koganti

Urbach-Wiethe Disease: A Rare Cause of Hoarseness of Voice

[Year:2013] [Month:July-December] [Volume:3] [Number:2] [Pages:4] [Pages No:61 - 64]

PDF  |  DOI: 10.5005/jp-journals-10023-1065  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Koganti D. Urbach-Wiethe Disease: A Rare Cause of Hoarseness of Voice. Int J Phonosurg Laryngol 2013;3(2):61-64.

CASE REPORT

Bhagyashree Bokare, Seema Patel, Prafulla Sakhare, Binhi Desai, Apurva Pawde

Killian Jamieson Pouch: A Rarer Cervical Diverticulum

[Year:2013] [Month:July-December] [Volume:3] [Number:2] [Pages:4] [Pages No:65 - 68]

PDF  |  DOI: 10.5005/jp-journals-10023-1066  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Sakhare P, Desai B, Bokare B, Patel S, Pawde A. Killian Jamieson Pouch: A Rarer Cervical Diverticulum. Int J Phonosurg Laryngol 2013;3(2):65-68.

CASE REPORT

Parmod Kalsotra, Rohan Gupta, Arshad Bhat, KP Singh

Bilateral Mixed Laryngocele

[Year:2013] [Month:July-December] [Volume:3] [Number:2] [Pages:4] [Pages No:69 - 72]

PDF  |  DOI: 10.5005/jp-journals-10023-1067  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Gupta R, Gupta S, Bhat A, Kalsotra P, Singh KP, Prakash O, Gupta S. Bilateral Mixed Laryngocele. Int J Phonosurg Laryngol 2013;3(2):69-72.

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