ObjectiveTo identify the effect of dyslipidemia on auditory function detected by Pure Tone Audiometry. To check if dyslipidemia worsens the hearing level in diabetics.DesignThis was a comparative study where 120 subjects between the age group of 20 and 50 years underwent pure tone audiometry, lipid profile and blood sugars. Group 1 consisted of 30 subjects with type 2 diabetes and dyslipidemia; Group 2 had 30 subjects with isolated diabetes; Group 3 had 30 with isolated dyslipidemia and Group 4 included 30 normal subjects as control.ResultsSignificant hearing loss was seen only in the group with isolated diabetes (63%). The most common type of hearing loss was high frequency sensorineural hearing loss. When comparison was made between the combinations of different lipid profiles, no association was found to the level of hearing.ConclusionsDiabetics are more prone to high frequency hearing loss. Altered lipid profile has no role in causing hearing loss.
Introduction Haemostasis is a critical component of ear surgeries, which can be achieved by topical methods including simple manual pressure with gauze or cotton balls soaked with adrenaline, administration of haemostatic agents or vasoconstrictive materials. Objective To compare efficacy of haemocoagulase and adrenaline in attaining middle ear haemostasis in type - 1 tympanoplasty with or without cortical mastoidectomy. To study the effect of haemocoagulase in middle ear. Materials and method This is a prospective comparative study conducted in a tertiary care hospital from January 2013 to June 2014. Patients undergoing type 1 tympanoplasty with or without cortical mastoidectomy were divided into two groups. In group A (50 cases), cotton balls soaked in 2 ml Haemocoagulase was used and in group B (50 cases) cotton balls soaked in 2 ml Adrenaline (1:1000 dilution) was used for middle ear haemostasis. The efficacy of haemocoagulase and adrenaline was compared. Results The mean number of cotton balls used in haemocoagulase group in cases with congested middle ear mucosa was more than those used in the adrenaline group. Duration of surgery was more in haemocoagulase group (65 min) with congested mucosa, compared to adrenaline group (50 min). The mean blood pressure was significantly higher in adrenaline group compared to haemocoagulase group. Postoperative hearing improvement in both groups showed no significant difference with p value 0.694. Conclusions Adrenaline is a better middle ear haemostatic than haemocoagulase. However, haemocoagulase can safely be used in patients with hypertension.
Septal deviation is the leading cause of chronic nasal obstruction. The procedure of choice for treating these patients is septoplasty. We aimed at assessing the disease-specific qualityof-life outcomes of septoplasty by means of a questionnaire.Ours was a retrospective study where 100 patients who underwent septoplasty between 2014 and 2015 in the Department of Otorhinolaryngology were analyzed. A modification of the nasal obstruction symptom evaluation (NOSE) scale was used to compare the pre-and postoperative symptoms.We found that nasal obstruction was seen in all patients. A significant improvement was seen in all symptoms of the modified NOSE scale. An improvement in the general condition of the patients was seen postsurgery.The modification in the NOSE scale addresses a wider range of symptomology and is a good tool for subjective assessment of septoplasty.
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