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Kulkarni, Shreeya V.

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.

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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

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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.

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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.

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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.

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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.

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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

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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.

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A Descriptive Study of Anatomical Variations of Uncinate Process on Sinonasal Computed Tomography

Abstract Views :273 | PDF Views:94

Authors

Shreeya V. Kulkarni ¹, Gunjan Manchanda ¹

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

Source

MVP Journal of Medical Sciences, Vol 7, No 1 (2020), Pagination: 1-8

Abstract

Aim: The purpose of our study was to assess various anatomical variations of the uncinate process of the lateral nasal wall and to study the clinical association of its anatomical variations on computed tomography. Methods: A descriptive study of anatomical variations of the uncinate process with clinical association was undertaken in the Department of Ear, Nose & Throat of a Medical College and Tertiary Health care centre. The study was of 2 years duration and included 50 patients from August 2014-2016 and included 50 patients. Patients were selected according to a specified criteria and sinonasal computed tomography scans were undertaken with the help of Somatom Emotion 6 CT machine. Data was organised charted and analysed using statistical software SPSS 16. Results: The key findings in our study were that six types of anatomical variations of uncinate process and there frequency distribution was identified according to Landstiener and Friedman classification. Uncinate process types according to age and gender were charted and tests of association were applied. Conclusion: After statistical analysis we found no association between type of uncinate process and sinonasal symptoms. No association was seen between age and gender and variations of uncinate process. In our study, variation of superior attachment of uncinate process were found in 100% cases.

Keywords

Lateral Nasal Wall, Sinonasal Computed Tomography, Uncinate Process, CT-PNS

Full Text

References

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