Background: Allergic rhinitis is an Ig E mediated inammatory response of nasal mucosa, known to have a signicant impact on quality of life. Clinical studies have found that combining an antihistamine with an intranasal corticosteroid provides few or no advantages over monotherapy with an intranasal corticosteroid. Objective-To compare clinically the effectiveness of intranasal uticasone spray and intranasal uticasone spray with oral levocetrizine in relief of symptoms in allergic rhinitis using TNSS (Total Nasal Symptom Score)- a randomized control study. Materials and methods: A Randomized control study with total number of 40 patients clinically diagnosed with allergic rhinitis coming to the ENT OPD, S.N.M.C, Bagalkot was done. Patients were randomized into two groups. In group A, intranasal uticasone spray 2 puffs OD was given and combination of intranasal uticasone spray with oral levocetrizine OD in group B for a period of 4 weeks. Results: Symptom improvement in nasal symptom scores in both groups were compared at 1st week, 2nd week and 4th week. Patients in intranasal uticasone with oral levocetrizine group had better improvement compared to the intranasal uticasone spray alone in third visit, which was statistically signicant (p=0.002). This study concludes that, although corticosteroids are the mainstay of treatment in allergic rhinitis, but when used with oral levocetrizine has better tolerabilit
BACKGROUND: Chronic suppurative otitis media (CSOM)- mucosal type is “dened as a chronic inammation of the middle ear and mastoid cavity, which presents with recurrent ear discharges or otorrhoea through a tympanic perforation.” Acetic acid demonstrates antimicrobial, antipersister and antibiolm potential. The objective of our study is to nd out the efcacy of medical treatment using acetic acid for patients of CSOM. This prospec RESULTS: tive study comprised of 100 patients suffering from CSOM who presented to the Department of ENT, HSK Hospital, Bagalkot from July 2021 to December 2022. The patients with chronic otitis media mucosal type with active discharge were enrolled in our study as per the inclusion and exclusion criteria. They underwent complete evaluation including otomicroscopy and pure tone audiometry to determine the nature of disease and its severity. Otological symptom score was calculated in all patients at the time of presentation. They were treated conservatively with topical 2% Acetic acid ear drops. Scores were assessed based on clinical ndings at day 7, day 14, day 21 and day 30 follow-up visit. Patients were segregated into those with clinical cure (<3), clinical improvement (3-5) and treatment failure (>5) as per their score. Achieving “treatment success” at the end of the study was considered as an effective parameter to measure effectiveness of topical acetic acid ear drops. 'Treatment success” i.e. either clinical cure or clinical improvement was seen in 95% patients after using acetic acid, whereas “treatment failure” was seen in 5% patients at the end of 1 month. In CONCLUSION: the present study using topical preparation of 2% acetic acid, the resolution of CSOM was shown with success rate in 95% patients. This shows that acetic acid was effective in reducing the symptoms of CSOM.
Introduction Chronic otitis media (COM) is an otological challenge in the developing countries as it is a persistent disease causing severe destruction of middle ear with irreversible sequalae. To assess Middle Ear Risk Index (MERI) score and study its prognostic effect in postoperative outcome following mastoidectomy with tympanoplasty. To evaluate MERI score with respect to graft uptake and A-B gap closure. Materials and Methods This prospective study comprised 25 patients suffering from COM who presented to the Department of ENT, HSK Hospital, Bagalkot, over a period of 1 year from November 2020 to November 2021. The patients underwent tympanoplasty with mastoidectomy. MERI 2001 was used in the current study, and risk factors were assessed based on pre- and intra-operative findings to obtain the MERI score. Patients were segregated into those with mild (1–3), moderate (4–7), and severe (8–15) MERI. They were evaluated at 1 month follow-up visit. Results and Conclusion The study reveals the degree to which MERI score can predict the extent of disease and indicate outcome of surgery. In the present study, patients with lower MERI score benefitted more favorably in terms of graft uptake and hearing improvement as compared with success rate of severe MERI score. MERI index is in fact a very reliable predictor of graft uptake and audiological alteration in patients undergoing tympanoplasty with mastoidectomy surgeries for COM.
Introduction: Pseudocyst or seroma is an uncommon asymptomatic, non-inammatory swelling of the pinna, characterized by endochondral cyst formation. Pseudocyst commonly occur as a post trauma sequela. The objective of our study is to compare and analyse the outcomes of aspiration and window technique in treating auricular seroma. Randomized control study. This study comprised of 20 patients who pr Study Design: Setting: esented with auricular seroma to the Department of ENT, HSK Hospital, Bagalkot from August 2020 to December 2022. The Methods: diagnosis of the auricular pseudocyst was made clinically. Out of 20 patients, 10 patients were taken up for wide bore needle aspiration followed by contour pressure dressing, and 10 patients underwent the window procedure. Patients were followed up for a period of 6 months. In the 10 cases primarily taken up for needle aspiration, there w Results: as a recurrence in 8 out of the 10 cases; while 2 patients showed successful outcome during the 6 months of follow-up. Of the 10 cases taken up primarily for the window procedure, no recurrences were noted as compared to aspiration group, which was statistically signicant (p=0.0003) Considering the rate of success and minimal complications encountered in our study, . Conclusion: we would advocate the use of deroong technique for achieving better outcome in the management of pinna pseudocysts.
<p class="abstract"><strong>Background:</strong> Otitis media (OM) is an infectious disease that frequently affects all age brackets, including children and adults. The morbidity and complication rates of OM have been increasing in developing countries due to poor medical environments for early treatment, resulting in reductions in quality of life. Appropriate early treatment, including the use of appropriate antibiotics, is essential, requiring information on bacteriology and antibiotic sensitivity. The objective of this was to study the bacteriology of chronic suppurative otitis media (CSOM) and provide recommendations according to susceptibility pattern to commonly used antibiotics based on the experience of ENT department in S. Nijalingappa Medical College.</p><p class="abstract"><strong>Methods:</strong> Ear swabs were subjected to culture on specific culture media for bacterial growth for CSOM outpatients in S. N. Medical College, Bagalkot. </p><p class="abstract"><strong>Results:</strong> The most effective antibiotic is amikacin followed by gentamicin and cefotaxime in both isolates namely <em>Pseudomonas</em> spp and <em>Staphylococcus aureus</em> in infected ear discharge of CSOM patients in the ENT OPD.</p><p class="abstract"><strong>Conclusions:</strong> It was observed that varieties of colonies were grown on the specific cultured medium. Appropriate antibiotics can thus be found to control infection in CSOM patients.</p>
INTRODUCTION: Second branchial cleft anomalies most commonly present as cysts followed by sinuses and fistulae. They have been classified into four different sub-types by Bailey. Type II is most common type where the branchial cleft cyst (BCC) lies anterior to the sternocleidomastoid muscle, posterior to the submandibular gland, adjacent and lateral to the carotid sheath. In this article, a case of type II second branchial cleft anomaly is presented. CASE REPORT: This article aims to portray how to evaluate a patient with second branchial cleft cyst focussing, focusing on how its diagnosed and its appropriate management. A young woman who had chief complaint of swelling of left side of the neck visited our outpatient department. She underwent complete excision of the lesion. There was no recurrence at 1year follow-up visit. DISCUSSION: Most branchial anomalies arise from the second branchial apparatus. Most second BCCs are located in the submandibular space. Patients with BCCs are usually older children or young adults. MR imaging provide the surgeon adequate preoperative information. Treatment for these lesions is complete surgical excision.
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