Nasal polyposis is one of the most common chronic upper airway diseases. Management of allergic rhinosinusitis with polyps is to control the disease process and the local immune response of the nasal mucosa. This is achieved by surgical removal of polypoid mucosa of all sinuses by functional endoscopic sinus surgery (FESS) followed by suppression of local immune response by using steroids. Budesonide nasal douching was introduced recently for postoperative management of patients with allergic rhinosinusitis. The therapeutic effectiveness and safety of this procedure are becoming accepted by many physicians. Evaluation of the efficacy of budesonide nasal irrigation in the postoperative management of chronic allergic rhinosinusitis with polyps. A total of 60 postoperative chronic allergic rhinosinusitis with polyps patients were randomly divided into two groups. Both groups received routine post-FESS medication as per the institute protocol. One group of patients received budesonide nasal douching in addition to regular care. Both groups were evaluated endoscopically at 1, 2, 6 and 10 weeks after surgery. Pre and postoperative quality of life change, the patient complaints, need for revision surgery were evaluated. Endoscopic Lund-Kennedy scoring (objective measurement) and Sino-Nasal Outcome Test-22 (subjective analysis) were used to compare the two postoperative groups. The average preoperative Sino-Nasal Outcome Test 22 score was 52.2. It was reduced to an average of 29.4 in patients who used the standard postoperative regimen and to 15.8 postoperatively in patients who had budesonide added to their douching solutions. The average endoscopy score was 2.2 for patients who did receive budesonide as compared to 2.9 for patients who did not receive budesonide nasal douching. Budesonide nasal douching can offer a safe and effective tool in managing local inflammatory response in allergic rhinosinusitis. It leads to a significantly better quality of life and has an adequate response on nasal mucosa-leading to less mucosal oedema and lower incidence of polypoidal changes postoperatively.
OBJECTIVESThe aim of the study is correlation of para nasal sinuses between operative endoscopic findings of Functional Endoscopic Sinus Surgery (FESS) and pre-operative Computed Tomography. STUDY DESIGNTime bound Cross-sectional study. METHODOLOGYA group of 50 patients attending the ENT OPD for sinus related problems at Santhiram General Hospital, Nandyal, were examined and clinically confirmed cases of chronic rhinosinusitis were selected for study. CT scan findings were discussed with consultant radiologist and intrasinus mucosal disease and anatomical variations were noted. Further patients underwent functional endoscopic sinus surgery, during which anatomical variations and intrasinus mucosal disease were noted. Both the findings were tabulated and correlated.
<p class="abstract"><strong>Background:</strong> Hearing is necessary to learn languages and speech and to develop cognitive skills. Unfortunately, many children with severe hearing loss from birth are not diagnosed until 21/2-3 years. of age. Implementing high-risk neonatal screening, detecting hearing loss before 3 months, and intervention before 6 months will result in a better speech performance of neonates.</p><p class="abstract"><strong>Methods:</strong> Detailed history taking and general and ear, nose and throat (ENT) examination were done to rule out external ear and middle ear pathology. Brainstem evoked response audiometry (BERA) was done in a dust-free, sound-proof, airconditioned room. Feed was given 10–15 min before the procedure. Syrup pedichloryl 20 mg/kg was given to sedate the baby half an hour before the procedure. Intelligent hearing system BERA instrument was used. The study included a total of 60 infants. 30 were in the high-risk group and 30 were in the normal group. There were 14 males and 16 females in each group. </p><p class="abstract"><strong>Results:</strong> 21 infants had hearing loss out of the 30 infants in the high-risk group on initial screening. On doing a repeat BERA after 3 mins on the affected infants, 3 were detected to have normal hearing, i.e., 18 out of 30 infants were affected. All the infants in the normal or no risk factor group had normal hearing.</p><p class="abstract"><strong>Conclusions:</strong> The present study emphasizes the importance of using ABR as a screening tool for the detection of hearing impairment at an early stage which would have otherwise go unnoticed for about 2-3 years. Since it is an objective test, it is useful in the early identification of hearing loss.</p><p> </p>
BACKGROUND PAS (Preauricular Sinus) is a common congenital condition of external ear. It is seen in front of external ear as a small dimple or pit. When infected, it presents as swelling with pain and discharge from sinus with foul smell. There are many terminologies used for this condition like preauricular pit, preauricular tract and helical fistula. 1 It was first described by Heusinger in 1864. 2 It is more often unilateral than bilateral. Right side is more involved and females are more affected than males. 3 PAS is an embryological malformation associated with development of pinna in 6th week of gestation. Embryologically six mesenchymal hillocks form the auricle-three hillocks from first arch and three hillocks from the 2 nd arch. These hillocks fuse to form the pinna and incomplete fusion of these hillocks give rise to preauricular sinus. 1 Another theory states that PAS develops from ectodermal folding. (4,5,6) OBJECTIVE The rationale of this study is to highlight the surgical advantage achieved with the aid of operating microscope combined with standard surgical techniques.
<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media is a disease which is a major cause of morbidity in our country. A large proportion of patients have safe (mucosal) chronic suppurative otitis media which leads to ear discharge and deafness which hampers the productivity of many individuals. Otolaryngologists play an important role in its correction and amelioration by conservative or operative procedures. One such procedure is tympanoplasty.</p><p class="abstract"><strong>Methods:</strong> Patients of either sex having symptoms and signs suggestive of chronic suppurative otitis media and fulfilling the inclusion and exclusion criteria are taken for the study My sample size is 60 and these 60 patients were divided into 2 groups. A. tympanoplasty with temporalis fascia graft. B. tympanoplasty with cartilage island graft. 30 patients were included in each group. </p><p class="abstract"><strong>Results:</strong> In the cartilage island group, the graft uptake rate was 96.7% as compared to the temporalis fascia group in which the same was 90%. There is no significant difference in Air Bne gap between 2 groups.</p><p class="abstract"><strong>Conclusions:</strong> Cartilage Island graft is as good a graft material as temporalis fascia for tympanoplasty.</p>
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