[Year:2013] [Month:July-December] [Volume:3] [Number:2] [Pages:1] [Pages No:0 - 0]
DOI: 10.5005/ijopl-3-2-iv | Open Access | How to cite |
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]
DOI: 10.5005/jp-journals-10023-1058 | Open Access | How to cite |
Abstract
The need for upper gastrointestinal (GI) endoscopy in the evaluation of hoarseness. Prospective study, conducted during the period from June 2012 to February 2013. Tertiary referral center. 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. 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. 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.
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]
DOI: 10.5005/jp-journals-10023-1059 | Open Access | How to cite |
Abstract
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.
Resurgence of Diphtheria: Are We ready to treat?
[Year:2013] [Month:July-December] [Volume:3] [Number:2] [Pages:4] [Pages No:42 - 45]
DOI: 10.5005/jp-journals-10023-1060 | Open Access | How to cite |
Abstract
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. 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. 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. 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. 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.
Management of Laryngotracheal Stenosis by Laryngoplasty
[Year:2013] [Month:July-December] [Volume:3] [Number:2] [Pages:5] [Pages No:46 - 50]
DOI: 10.5005/jp-journals-10023-1061 | Open Access | How to cite |
Abstract
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.
Caseating Granulomatous Inflammation: Think beyond Tuberculosis
[Year:2013] [Month:July-December] [Volume:3] [Number:2] [Pages:4] [Pages No:51 - 54]
DOI: 10.5005/jp-journals-10023-1062 | Open Access | How to cite |
Abstract
Chaganti PD, Prabhakar YVS, Seetaram KA, Babu K. Caseating Granulomatous Inflammation: Think beyond Tuberculosis. Int J Phonosurg Laryngol 2013;3(2):51-54.
Plexiform Neurofibroma of the Larynx: A Challenging Management Dilemma
[Year:2013] [Month:July-December] [Volume:3] [Number:2] [Pages:3] [Pages No:55 - 57]
DOI: 10.5005/jp-journals-10023-1063 | Open Access | How to cite |
Abstract
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. To document our experience with endolaryngeal neurofibromas and to discuss the treatment options available for this rare condition. 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. Following surgery, both patients had uneventful recovery and no subsequent breathing or swallowing difficulties. 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. Nerurkar NK, Kapre G. Plexiform Neurofibroma of the Larynx: A Challenging Management Dilemma. Int J Phonosurg Laryngol 2013;3(2):55-57.
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]
DOI: 10.5005/jp-journals-10023-1064 | Open Access | How to cite |
Abstract
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.
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]
DOI: 10.5005/jp-journals-10023-1065 | Open Access | How to cite |
Abstract
Koganti D. Urbach-Wiethe Disease: A Rare Cause of Hoarseness of Voice. Int J Phonosurg Laryngol 2013;3(2):61-64.
Killian Jamieson Pouch: A Rarer Cervical Diverticulum
[Year:2013] [Month:July-December] [Volume:3] [Number:2] [Pages:4] [Pages No:65 - 68]
DOI: 10.5005/jp-journals-10023-1066 | Open Access | How to cite |
Abstract
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.
[Year:2013] [Month:July-December] [Volume:3] [Number:2] [Pages:4] [Pages No:69 - 72]
DOI: 10.5005/jp-journals-10023-1067 | Open Access | How to cite |
Abstract
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.