<p class="abstract">Corona virus disease 2019 (COVID-19) is highly contagious disease occurred by the severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) which spreads human to human through respiratory secretions. It was declared as public health emergency all over the world. There is lack of data in relation to the otologic or mastoid surgery during COVID-19 pandemic. Aerosolization of the novel corona virus SARS-CoV-2 is associated with middle ear and mastoid surgery. So, the safety precautions are important parts in this present pandemic time for preventing transmission of the infections to the surgeon and team members of the surgery. Preoperative screening for COVID-19 is must for safety of the surgeon and team members. The mastoid surgery on the positive, suspected or unknown status for COVID-19 patients need protection with adequate Personal protection equipment (PPE) such as disposable cap, N95 respirator and sealed eye protection or Powered air-purifying respirator (PAPR), disposable gown and gloves. In the mastoid surgery, there is scarcity of the medical literature related to the transmission of the novel corona virus SARS-CoV-2and its prevention during present COVID-19 pandemic. So, the aim of this review article is to increase awareness among the otolaryngologists for preventing the viral exposure during the mastoid surgery.</p>
Schwannoma is a benign neoplasm which arises from the Schwann cells of the peripheral nerve sheath. It is a common neoplasm in the head and neck region; however, intraoral location is extremely rare. It occurs infrequently in the oral cavity of children. Here we report a case lingual schwannoma in a seven-year-old boy who presented with a small, smooth, firm, non-tender mass at the right border of the tongue. Histopathological and immunohistochemical examination confirmed the diagnosis of lingual schwannoma. These tumours are usually benign in nature and have excellent prognosis with low potential for malignant transformation. Surgical excision of the tumour is the primary treatment of choice in cases of lingual schwannoma. The transoral route is considered as the most commonly used approach for tongue schwannoma.
<p class="abstract"><strong>Background:</strong> Otitis media with effusion (OME) is one of the commonest diseases causing hearing impairment in children. Hearing loss in early childhood may lead to risk of speech and language problems and psychosocial abnormalities. Aim of this study is to evaluate the role of topical intranasal steroids (Mometasone furoate) in pediatric hearing loss due to otitis media with adenoid hypertrophy.</p><p class="abstract"><strong>Methods:</strong> A prospective study carried out at a tertiary care teaching hospital of eastern India where 104 children participated with diagnosis of otitis media with effusion and hearing loss between 2017 to 2019. These participants were divided into study group and control group. The age group of the children was between 5 to 10 years. Detail otoscopic examination, pure tone audiometry, tympanometry and nasopharyngeal endoscopy were done for assessing the hearing loss, fluid in the middle ear and adenoid hypertrophy. </p><p class="abstract"><strong>Results:</strong> There is improvement of hearing in the study group as compared to control group. A significant improvement in hearing was seen in the study group (p=0.0001). In the study group, 37 (77.08%) out of the 48 children OME resolved over a period of 12 weeks after treatment in comparison to 18 (37.50%) in the control group (p=0.0004).</p><p class="abstract"><strong>Conclusions:</strong> Intranasal topical steroids can be a treatment option alternative to surgery in OME. As it is short term follow up in this study, long term follow up is required. Intranasal mometasone furoate treatment can be considered as a good treatment option for OME.</p>
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