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Burse, K. S.

Choanal Atresia - A Rare Case Report

Abstract Views :171 | PDF Views:69

Authors

Chaitanya Bharadwaj ¹, K. S. Burse ¹, Shreeya V. Kulkarni ¹, Sumeet Kaur Ghai ¹, Sharyu Shelke ¹

Affiliations
1 Department of ENT, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik, Maharashtra - 422003, IN

Source

MVP Journal of Medical Sciences, Vol 5, No 1 (2018), Pagination: 114-117

Abstract

Choanal atresia is a rare congenital condition wherein there is unilateral or bilateral obstruction of posterior nasal passage. We report a case of bilateral choanal atresia in a two days old female presenting with chief complaints of respiratory distress since birth. Transnasal endoscopic surgery was used to obtain a patent airway.

Keywords

Bilateral Choanal Atresia, Endoscopic Diagnosis, Stenotic Choanae, Transnasal Endoscopic Canalization.

Full Text

References

Flake CG, Ferguson CF. Congenital choanal atresia in infants and children. Ann Otol Rhinol Laryngol. 1964; 73:458–73. https://doi.org/10.1177/000348946407300216 PMid:14196687

Tewfik TL, Hagr A. Choanal atresia. The e-Medicine Clinical Knowledge Base. Institutional ed; 2007 Feb 23.

Ballenger’s otorhinolaryngology head and neck surgery. 16th ed; 2004.

Sataloff’s comprehensive textbook of otolaryngology, head and neck surgery.

Scott Brown’s Otorhinolaryngology, Head and Neck Surgery. 7th ed. CRC Press; 2008.

Barbero P, Valdez R, Rodríguez H, et al. Choanal atresia associated with maternal hyperthyroidism treated with methimazole: A case-control study. Am J Med Genet A. 2008 Sep 15; 146A(18):2390–5. [Medline]. https://doi.org/10.1002/ajmg.a.32497 PMid:18698631

Lee LJ, Canfield MA, Hashmi SS, Moffitt KB, Marengo L, Agopian AJ, et al. Association between thyroxine levels at birth and choanal atresia or stenosis among infants in Texas, 2004-2007. Birth Defects Res A Clin Mol Teratol. 2012 Nov. 94(11):951–4. [Medline]. https://doi.org/10.1002/ bdra.23091 PMid:23125093

Kancherla V, Romitti PA, Sun L, et al. Descriptive and risk factor analysis for choanal atresia: The national birth defects prevention study, 1997-2007. Eur J Med Genet. 2014 Apr; 57(5):220–9. [Medline]. https://doi.org/10.1016/j.ejmg.2014.02.010%20PMid:24576610 PMCid:PMC4520237

Assanasen P, Metheetrairut C. Choanal atresia. J Med Assoc Thai. 2009 May; 92(5):699–706. [Medline]. PMid:19459535

Hassan M, AboEl-Ezz T, Youssef T. Combined transoraltransnasal approach in the repair of congenital posterior choanal atresia: clinical experience. J Otolaryngol Head Neck Surg. 2011 Jun 1; 40(3):271–6. [Medline]. PMid:21518653

Prasad M, Ward RF, April MM, Bent JP, Froehlich P. Topical mitomycin as an adjunct to choanal atresia repair. Arch Otolaryngol Head Neck Surg. 2002 Apr; 128(4):398–400. [Medline]. https:// doi.org/10.1001/archotol.128.4.398 PMid:11926914

Prospective Study of Audiological Analysis of Ossiculoplasty in Cases of Chronic Suppurative Otitis Media

Abstract Views :306 | PDF Views:110

Authors

Rushika Patel ¹, Sumeet Kaur Ghai ¹, Shreeya V. Kulkarni ¹, Chaitanya Bharadwaj ¹, Vandana Sancheti ¹, K. S. Burse ¹

Affiliations
1 Department of ENT, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN

Source

MVP Journal of Medical Sciences, Vol 6, No 1 (2019), Pagination: 45-52

Abstract

Background: Ossiculoplasty is defined as reconstruction of the ossicular chain using various graft materials and techniques. Aim: Audiological analysis with Pure Tone Audiometry (PTA) of results of ossiculoplasty in cases of safe and unsafe csom and its correlation with preoperative middle ear status using Kartush’s Middle Ear Risk Index (MERI). Methodology: Non randomized prospective study conducted over 2 years in 34 patients with CHL; ossiculoplasty conducted with cartilage, remodeled autologous incus or malleus, malleostapediopexy and PORP; preoperative and 3 months postoperative PTA done. Kartush’s MERI to correlate preoperative middle ear status with postoperative hearing results done. Out of 34 patients operated: 10-cartilage ossiculoplasty, 6-autologous incus, 2-autologous malleus, 4-PORP and 12-malleostapediopexy. Results and Conclusion: Hearing improvement was seen in all types of osssiculoplasties using various materials and techniques. However, there was no significant statistical difference between the various types in relation to the postoperative hearing improvement. Kartush’s MERI was found to be an indicator of postoperative hearing improvement. It was found that as the value of the index increases, the postoperative hearing improvement decreases.

Keywords

Chronic Suppurative Otitis Media (CSOM), Middle Ear Risk Index (MERI), Ossiculoplasty, Pure Tone Audiometry.

Full Text

References

Gajjar Y, Aiyer R, Gajjar YK, Umarwada S. Use of a Remodeled Autologous Incus as an Ossicular Prosthesis, World Articles in Ear, Nose and Throat. 2010; (3-1).

Chavan SS, Jain PV, Vedi JN, kumar Rai D, Kadri H. Ossiculoplasty: A prospective study of 80 cases, Iranian Journal of Otorhinolaryngology. 2014 Jul; 26(76):143−50.

Mahanty S, Maiti AB, Naskar S, Das SK, Mandal S, Karmakar M. A comparative study of outcome of ossiculoplasty using cartilage graft, bone and different alloplasts in chronic otitis media, Indian J. Otol. 2015; 21:144−48. https://doi.org/10.4103/0971-7749.155314.

Kartush JM. Ossicular chain reconstruction. Capitulum to malleus, Otolaryngologic Clinics of North America. 1994; 27(4):689−715.

Mokhtarinejad F, Motasaddi M, Barzegar F, Poorqasemiyan M. Ossiculoplasty with Sculpted Incus: Hearing Results and Risk Factors, Journal of Hearing Sciences and Otolaryngology. 2015; 1(2):29−35.

Kumar S, Yadav K, Ojha T, Sharma A, Singhal A, Gakhar S. To Evaluate and Compare the Result of Ossiculoplasty Using Different Types of Graft Materials and Prosthesis in Cases of Ossicular Discontinuity in Chronic Suppurative Otitis Media Cases, Indian Journal of Otolaryngology and Head and Neck Surgery. 2017; 1−7. https://doi.org/10.1007/s12070-017-1184-4. PMid: 29456937, PMCid: PMC5807288.

Vartiainen E, Nuutinen J. Long-term hearing results of one-stage tympanoplasty for chronic otitis media, Eur. Arch. Otorhinolaryngol. 1992; 249(6):329−31. https://doi.org/10.1007/BF00179383. PMid:1418943.

O’Reilly RC, Cass SP, Hirsch BE, Kamerer DB, Bernat RA, Poznanovic SP. Ossiculoplasty using incus interposition: Hearing results and analysis of the middle ear risk index, Otol. Neurotol. 2005 Sep; 26(5):853−58. https://doi.org/10.1097/01.mao.0000185054.92265.b7.

e Corso E, Marchese MR, Sergi B, Rigante M, Paludetti G. Role of ossiculoplasty in canal wall down tympanoplasty for middle-ear cholesteatoma: Hearing results, The Journal of Laryngology and Otology. 2007 Apr; 121(4):324−28. https://doi.org/10.1017/S0022215106004300. PMid: 17125581.

Mahadevaiah A, Parikh B. Use of autogenic and allogenic malleus in tympanic membrane to footplate assembly-long-term results, Indian Journal of Otolaryngology and Head and Neck Surgery. 2009 Mar 1; 61(1):9−13. https://doi.org/10.1007/s12070-009-0025-5. PMid: 23120595, PMCid: PMC3450125.

Quérat C, Martin C, Prades JM, Richard C. Canal wall up tympanoplasty for cholesteatoma with intact stapes: comparison of hearing results between cartilage and PORP on stapes and impact of malleus removal and total reinforcement of the tympanic membrane by cartilage, Eur. Ann. Otorhinolaryngol Head Neck Dis. 2014; 131(4):211−16. https://doi.org/10.1016/j.anorl.2013.03.008. PMid: 24954899.

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Sharma K, Gururani P, Arora A, Singh G. Role of Autologous Versus Homologous Cartilage in Ossicular Reconstruction: A Comparative Study, Indian Journal of Otolaryngology and Head and Neck Surgery. 2017 Jun 1; 69(2):137−41. https://doi.org/10.1007/s12070-016-0965-5. PMid: 28607880, PMCid: PMC5446330.

Harvey SA, Lin SY. Double cartilage block Ossiculoplasty in chronic ear surgery, Laryngoscope. 1999; 109(6):911−14. https://doi.org/10.1097/00005537-199906000-00013. PMid: 10369281.

Yuge K, Daito K, Nakamura K, Nakamura K, Murakami M, Hattori Y, Murakami T, Mozume S. Results of malleostapediopexy, Auris Nasus Larynx. 1983 Jan 1; 9(3):145−50. https://doi.org/10.1016/S0385-8146(83)80016-9.

Felek SA, Celik H, Islam A, Elhan AH, Demirci M, Samim E. Type 2 ossiculoplasty: Prognostic determination of hearing results by middle ear risk index, American Journal of Otolaryngology. 2010 Oct 31; 31(5):325−31. https://doi.org/10.1016/j.amjoto.2009.03.006. PMid: 20015772.

A Study of Correlation between Clinical Features, Radiological and Operative Findings in Safe and Unsafe CSOM

Abstract Views :318 | PDF Views:113

Authors

Shreeya V. Kulkarni ¹, Monika B. Bhagat ¹, K. S. Burse ¹, Chaitanya Bharadwaj ¹, Vandana Sancheti ¹

Affiliations
1 Department of ENT, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon - 422003, Nashik, Maharashtra, IN

Source

MVP Journal of Medical Sciences, Vol 6, No 1 (2019), Pagination: 1-7

Abstract

Background: Chronic Suppurative Otitis Media (CSOM) is one of the most common chronic childhood infections worldwide. People are relatively less aware regarding the complications of this disease and so less effective measures are employed resulting in high rate of complications. Aims: 1. To evaluate the relation of the clinical features with intraoperative findings in CSOM, and 2. To compare the preoperative X-ray/HRCT findings with intraoperative findings in patients with safe and unsafe CSOM with or without complications. Methods and Methodology: A total number of 100 patients of CSOM were included after they satisfied the eligibility criteria. Written informed consent was taken from all the study participants. The standard procedure of examination of ear, nose, throat, oral cavity was carried out on each patient in the outpatient department of the hospital. The detailed history of the patient was as per the proforma. Dry aural toilet was done to remove adherent debris. Otoscopic examination was done and the details were noted. Results and Conclusion: CT scan and X-ray have proved to be valuable diagnostic tools in determining the accuracy with which there was an agreement (correlation) between the clinical features, intraoperative findings and radiological findings in safe and unsafe CSOM. It was determined by the kappa coefficient using SPSS statistical analysis software.

Keywords

Chronic Suppurative Otitis Media, Complications, ENT.

Full Text

References

Jahn AF. Chronic otitis media: Diagnosis and treatment, Med. Clin. North Am. 1991; 75(6):1277−91. http:// www.ncbi.nlm.nih.gov/pubmed/1943320, https://doi.org/10.1016/S0025-7125(16)30388-1.

Hall IS, Colman BH. Diseases of Nose, Throat, Ear and Head and Neck; 1987.

Goycoolea M, Ruah C, Bequer N. Otitis media: The pathogenesis approach. General surgical approach based on pathogenesis. An overall approach, Otolaryngol Clin. N. Am. 1991; 24(4):957−66.

Varshney S, Nangia A, Bist SS, Singh RK, Gupta N, Bhagat S. Ossicular chain status in chronic suppurative otitis media in adults, Indian J. Otolaryngol Head Neck Surg. 2010; 62(4):421−26. DOI: https://doi.org/10.1007/s12070-010-0116-3. PMid: 22319706, PMCid: PMC3266081.

Sandeep S. How safe is safe ear? A Hospital Based Study, Int. J. Sci. Study. 2014; 2(2):3−6.

Yuasa Y, Yuasa R. Cholesteatoma with Central perforation of tympanic membrane, Otol Japan. 2005; 15(2):129−32.

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Role of Pterygopalatine Fossa Block on Intra-Operative Heart Rate and Blood Pressure During Endoscopic Sinus Surgery at a Tertiary Care Centre

Abstract Views :326 | PDF Views:88

Authors

Saloni Raisoni ¹, K. S. Burse ², S. V. Kulkarni ³, Chaitanya Bharadwaj ⁴, Vandana Sancheti ⁵, Rushika Patel ⁶

Affiliations
1 Former PG Resident, Department of ENT, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Professor and Head, Department of ENT, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
3 Professor, Department of ENT, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
4 Associate Professor, Department of ENT, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik-422003, Maharashtra, IN
5 Senior Resident, Department of ENT, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik-422003, Maharashtra, IN
6 Assistant Professor, Department of ENT, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik-422003, Maharashtra, IN

Source

MVP Journal of Medical Sciences, Vol 7, No 2 (2020), Pagination: 225-231

Abstract

Background: Functional Endoscopic Sinus Surgery (FESS) is a physiological and also well accepted surgical treatment for chronic sinus disease that is unresponsive to medical treatment. The most frequent intraoperative complication is bleeding. Various methods are being tried to reduce the bleeding during FESS. But, none of these methods consistently provide the desirable bloodless field for the surgeons. Blockage of Pterygopalatine Fossa (PPF) through the greater palatine foramen is an alternative approach to reduce blood loss during ESS, which is an easy procedure, associated with little complication. Pterygopalatine Fossa Block (PPFB) along with general anaesthesia is effective in patients undergoing FESS surgery. Aims and Objectives: To assess the effect on and the difference in heart rate and blood pressure after pterygopalatine fossa block during FESS surgery. Materials and Methodology: 25 Patients with bilateral nasal pathology undergoing FESS were selected from ENT wards after a written informed consent. The PPFB was done only on one side, while the opposite nostril acted as control, thus each case acted as their own control. Various vital parameters like – heart rate (HR), blood pressure [(BP) systolic and diastolic] were calculated every 15 mins and their average noted. Surgery on the first side was completed and then followed by surgery on the second side. Applying paired-t Test, results were obtained. Results and Conclusion: There was a significant fall in heart rate and blood pressure. There was a positive correlation between these factors. “p value” was found to be highly significant in both the parameters tested. Pterygopalatine fossa block is an effective adjunct to general anaesthesia for controlling heart rate and blood pressure during FESS surgery.

Keywords

Blood Pressure, FESS, Heart Rate, Pterygopalatine Fossa

Full Text

References

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