Refine your search
Collections
Co-Authors
Journals
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Sancheti, Vandana
- Retrospective Study of Clinical Profile of Patients with Chronic Suppurative Otitis Media at a Tertiary Health Centre
Abstract Views :261 |
PDF Views:84
Authors
Shreeya Kulkarni
1,
Kiran S. Burse
1,
Devashri Patil
1,
Chaitanya Bharadwaj
1,
Vandana Sancheti
1,
K. Manu Bharath
1
Affiliations
1 ENT Department, Dr. Vasantrao Pawar Medical College and Hospital, IN
1 ENT Department, Dr. Vasantrao Pawar Medical College and Hospital, IN
Source
MVP Journal of Medical Sciences, Vol 1, No 1 (2014), Pagination: 7–12Abstract
Introduction: Chronic Suppurative Otitis Media (CSOM) is frequently associated with symptoms of inflammation like discharge from the ear or pain. In many cases, patients suffer from hearing loss causing communication problems and social withdrawal. Tubotympanic type of chronic suppurative otitis media is characterized by a perforation of pars tensa, while marginal & attic perforations are pathognomonic of attico–antral variety. The latter category is usually associated with the presence of cholesteatoma. In cases of cholesteatoma, complications like facial nerve paralysis, meningitis, cerebellar abscess, sigmoid sinus thrombosis may develop and potentially threaten the patient’s life. The aim of this study was to retrospectively perform analysis of patients suffering from Chronic Suppurative Otitis Media, visiting our Tertiary Health Centre, Nashik. Materials and Methods: This was a retrospective study, conducted in a tertiary care medical college hospital over a period of 5 years. The study group comprised 528 patients in and around Nashik District and were subjected to Tympanoplasty or Mastoid surgery. Results: Complete data records from 528 patients were available for statistical analysis. Maximum numbers of patients were in age group 21–40. High prevalence of CSOM was found in females. 408 patients had CSOM of Safe type. 97 patients had CSOM of unsafe type, whereas 23 patients had unsafe CSOM with complications. 381 patients underwent Type 1 Tympanoplasty, while 31 patients underwent Modified Radical Mastoid Surgery. 61 patients were operated for MRM with Tympanoplasty and 28 patients were operated for MRM with Myringostapediopexy. 27 patients were operated for revision tympanoplasty. Different methods of tympanoplasty were performed. Simple underlay was done in 123 patients. Maximum patients about 245 were operated by cartilage support method of tympanoplasty. Anterior tucking was done in 40 patients. Myringostapediopexy was done in 28 patients. Ossiculoplasty with tragal or conchal cartilage was done in 61 patients. Graft was not placed in 31 patients. Temporalis fascia was used in maximum patients. In 90.9% of patients temporalis fascia was used. Fascia Lata was used in 3.2% of patients. Conclusion: Retrospective study of patients with CSOM shows: females were affected more than males. Majority of patients were in age group of 21 to 40 years. The reason could be that this age group is socially active and health conscious. 77.3% of patients had safe CSOM while 22.7% of patients had unsafe CSOM. 2.27% of patients had extra–cranial complication, and 2.08% of patients had intracranial complications. 5.1% of patients underwent revision tympanoplasty surgery. Temporal is fascia as a graft material was used for tympanoplasty in maximum patients, and cartilage support method of tympanoplasty was used in majority of patients. Maximum patients were operated in year 2012. This was due to conduction of camps in peripheral areas around Nashik City which shows that CSOM is more common in patients of lower socioeconomic group, overcrowding, sub–standard hygiene and under resourced health care.Keywords
Chronic Suppurative Otitis Media, Cartilage Tympanoplasty, Modified Radical Mastoidectomy Surgery- Correlation of the Puretone Audiometry Findings with Intraoperative Findings in Patients with Chronic Suppurative Otitis Media
Abstract Views :404 |
PDF Views:100
Authors
Devashri Uday Patil
1,
Kiran S. Burse
2,
Shreeya Vinay Kulkarni
1,
Vandana Sancheti
3,
Chaitanya Bharadwaj
2
Affiliations
1 MS ENT, Dr. Vasantrao Pawar Medical College Hospital, Nashik, IN
2 ENT Department, Dr. Vasantrao Pawar Medical College Hospital, Nashik, IN
3 ENT Department, DLO, Dr. Vasantrao Pawar Medical College Hospital, Nashik, IN
1 MS ENT, Dr. Vasantrao Pawar Medical College Hospital, Nashik, IN
2 ENT Department, Dr. Vasantrao Pawar Medical College Hospital, Nashik, IN
3 ENT Department, DLO, Dr. Vasantrao Pawar Medical College Hospital, Nashik, IN
Source
MVP Journal of Medical Sciences, Vol 2, No 1 (2015), Pagination: 4-14Abstract
Chronic suppurative otitis media is one of the common otological conditions in India for which patients seek advice from an otorhinolaryngologist. Chronic suppurative otitis media is recurrent and progressive disease which is characterized with tympanic membrane perforation and suppurative discharge. Pure tone audiometry is the most common test used to evaluate auditory sensitivity. Since hearing loss is a common complication of chronic suppurative otitis media, we designed this study to evaluate preoperative pure tone audiometry findings in patients with chronic suppurative otitis media and its correlation with the intra-operative findings. Aims and Objectives: 1] To assess the intra-operative findings in patients with chronic suppurative otitis media. 2] To evaluate the correlation between the preoperative pure tone audiometry findings and intra-operative findings in patients with chronic suppurative otitis media. 3] To assess the type of hearing loss and degree of hearing loss in patients with chronic suppurative otitis media. Materials and Methods: This is an Observational study carried over a period of 3 years from August 2011 to August 2013. Total number of patients included in this study was 100. Result: Out of 100 patients studied 69 % of patients had Tubo-Tympanic type of CSOM, 31 % of patients had Attico-antral type of CSOM. In patients of Safe CSOM; Central perforation was seen in maximum cases 46.4 %, anterior central perforations was seen in 8.7 % cases, posterior central perforations seen in 20.2 % cases, and subtotal perforations seen in 24.63 % cases. In patients of Unsafe CSOM posterosuperior cholesteatoma was seen in maximum cases 67.74 %, and attic cholesteatoma was seen in 32.2 % cases. In safe CSOM patients all ossicles were intact and mobile whereas in unsafe CSOM patients only 4 patients had intact ossicular chain, while maximum patients had ossicular defect. Conclusion: Hearing loss depends on size of perforation. Hearing loss increases as the size of perforation increases. Average air conduction threshold and air bone gap did not differ significantly between various groups of ossicular defect. This shows us that neither air conduction nor air bone gap are reliable parameters on basis of which we can predict ossicular status preoperatively.Keywords
Chronic Suppurative Otitis Media, Hearing Loss, Puretone Audiometry, Air Bone Gap.- Prospective Study of Audiological Analysis of Ossiculoplasty in Cases of Chronic Suppurative Otitis Media
Abstract Views :309 |
PDF Views:112
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
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: 45-52Abstract
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.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.
- Guidelines of the Committee on Hearing and Equilibrium.Committee on Hearing and Equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss, Otolaryngol Head Neck Surg 1995; 106:865−67.
- 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 :320 |
PDF Views:115
Authors
Affiliations
1 Department of ENT, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon - 422003, Nashik, Maharashtra, IN
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: 1-7Abstract
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.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.
- Alam J, Zaidi SH, Mohammad I, Hasan S, Siddiqui I, Ahmed R. Is cholesteatoma on the decline, Pak. J. Otolaryngol. 1999; 15:2−3.
- Datta PG, Das Chowdhury RK, Newton VE. Epidemiological survey of chronic suppurative otitis media in Banglades, Spec Q. KARACHI. 1995; 12:31−38.
- A Comparative Study Between the use of Temporalis Fascia and Fascia Lata as Graft During Tympanoplasty Performed in A Tertiary Care Centre
Abstract Views :382 |
PDF Views:112
Authors
Rohan Vijay Gupta
1,
Shreeya Vinay Kulkarni
2,
Kiran Burse
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, Department of ENT, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
3 Professor and Head, 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
1 Former PG Resident, Department of ENT, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Professor, Department of ENT, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
3 Professor and Head, 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: 141-150Abstract
Background: Chronic suppurative otitis media is a common otological condition in India causing hearing loss for which patients seek advice from an otolaryngologist. The perforation seen in chronic suppurative otitis media may be the only sequel remaining when the pathological process in middle ear cleft has healed. Tympanoplasty, the procedure for repairing the perforations of the pars tensa, can be done using a variety of graft materials. In this study two different types of graft materials, fascia lata and temporalis fascia, which can be used in tympanoplasty will be studied. The study will help to know which is better in terms of graft uptake as well as improvement in hearing. This will help in a better understanding of which grafts can be used in tympanoplasty in the future. Aims and Objectives: To compare hearing gain and graft uptake rate between temporalis fascia and fascia lata in tympanoplasty and to study the postoperative morbidity/complications associated with the 2 modalities. Materials and Methodology: The study was conducted on 42 patients divided in 2 groups of 21 each. The 1st group underwent tympanoplasty type 1 by endomeatal approach using fascia lata graft and the 2nd group by a post aural approach using temporalis fascia graft. Regular follow ups and otoscopic examination was done on the patients to check the graft uptake. Pure tone audiometry was done after a minimum period of 2 months post-surgery and was compared with the preoperative audiometry to assess the hearing improvement in hearing. Results and Conclusions: This study compared both temporalis fascia and fascia lata as graft materials used in tympanoplasty. Graft uptake results and gain in hearing were better with temporalis fascia as compared to fascia lata. Temporalis fascia was also associated with lesser post-operative complications. So this study finds that tympanoplasty done by postaural technique using temporalis fascia is better in terms of graft uptake, hearing improvement and postoperative complications when compared to tympanoplasty done by fascia lata.Keywords
Endomeatal, Fascia Lata, Postaural, Temporalis Fascia, TympanoplastyReferences
- Chadha SK, Sayal A, Malhotra V, Agarwal AK. Prevalence of preventable ear disorders in over 15 000 schoolchildren in northern India. The Journal of Laryngology & Otology. 2013 Jan; 127(1): 28-32.
- Varshney S. Deafness in India. Indian journal of otology. Apr 1, 2016; 22(2): 73.
- Muqtadir F, Rahul S. A study of hearing improvement gained after tympanoplasty using various methods in cases of CSOM. Int J Otorhinolaryngol Head Neck Surg. 2018 Jan; 4(1):107–11. https://doi.org/10.18203/issn.2454-5929. ijohns20174682.
- Merchant SN, Mckenna MJ, Rosowski JJ. Current status and future challenges of tympanoplasty. Ear Arch Otorhinolaryngol. 1998; 225:221–8. PMid: 9638462. https://doi.org/10.1007/s004050050047.
- Prakash R, Juyal D, Negi V, Pal S, Adekhandi S, Sharma M, Sharma N. Microbiology of chronic suppurative otitis media in a tertiary care setup of Uttarakhand state, India. North American journal of medical Sciences. Apr 2013; 5(4): 282.
- Lieu JE, Kenna M, Anne S, Davidson L. Hearing loss in children: a review. JAMA. Dec 1 2020; 324(21): 2195-205.
- James AL. Endoscope or microscope‐guided pediatric tympanoplasty? Comparison of grafting technique and outcome. The Laryngoscope. Nov 2017; 127(11): 2659-64.
- Bedri EH, Korra B, Redleaf M, Worku A. Double-layer tympanic membrane graft in type I tympanoplasty. Annals of Otology, Rhinology & Laryngology. Sept 2019; 128(9): 795-801.
- Jaiswal RK, Chettri ST, Shah SP, Karki S, Sah BP, Paudell D. Comparison of outcomes of palisade cartilage with temporalis fascia following tympanoplasty at a tertiary care centre in Nepal. Int J Otorhinolaryngol Head Neck Surg. 2016 Oct; 2(4):224. https://doi.org/10.18203/issn.2454- 5929.ijohns20163470.
- Heermann J, Jr, Heermann H, Kopstein E. Fascia and cartilage palisade tympanoplasty: Nine years’ experience. Arch Otolaryngol. 1970; 91(3):228–41. PMid: 4905504. https://doi.org/10.1001/archotol.1970.00770040334004.
- Couloigner V, Baculard F, El Bakkouri W, Viala P, Francois M, Narcy P. Inlay butterfly cartilage tympanoplasty in children. Otol Neurotol. 2005; 26:247–51. PMid: 15793413. https://doi.org/10.1097/00129492-200503000-00020.
- Gerber MJ, Mason JC, Lambert PR. Hearing results after primary cartilage tympanoplasty. Laryngoscope. 2000; 110:1994–9. PMid: 11129007. https://doi. org/10.1097/00005537-200012000-00002.
- Murugendrappa MA, Siddappa PN, Shambulingegowda A, Basavaraj GP. Comparative study of two different myringoplasty techniques in mucosal type of chronic otitis media. J Clin Diagn Res. 2016; 10(2):1–3. PMid: 27042491 PMCid: PMC4800556. https://doi.org/10.7860/ JCDR/2016/16843.7194.
- Verma S, Arora A, Narvey VP. Comparison of conventional temporalis fascia myringoplasty with fascia lata myringoplasty among patients with hearing loss. Int J Otorhinolaryngol Head Neck Surg. 2019 Jul; 5(4):926–31. https://doi.org/10.18203/issn.2454-5929.ijohns20192706.
- Harkare VV, Mishra RK, Deosthale NV, Khadakkar SP, Dhoke PR, Dhote K, Kamal N, Reddy ST. A comparative study of different tissues used for tympanic membrane grafting. Journal of Evolution of Medical and Dental Sciences. 2013 Oct; 2(41):7834–40.
- Landge SU, Jatale PV, Kirdak V, Chintale S, Shaikh K. Comparative study of temporalis fascia graft, tragal cartilage graft and fascia lata in tubotympanic type of CSOM. MedPulse International Journal of ENT. 2019 Jan; 9(1):37–40. https://doi.org/10.26611/1016919.
- Patil K, Baisakhiya N, Deshmukh PT. Evaluation of different graft material in type 1 tympanoplasty. Indian J Otol. 2014; 20:106–14. https://doi.org/10.4103/0971-7749.136844.
- Gupta P, Prajapati BJ, Gupta MY, Mehta R, Sinha V. Different types of graft materials in type I tympanoplasty. Indian J Otol. 2007; 13:9 11.
- Indorewala S. A study on dimensional stability of the free fascia grafts, 2004 Mar; 114(3):543–7. PMid: 15091232. https://doi.org/10.1097/00005537-200403000-00029.
- Role of Pterygopalatine Fossa Block on Intra-Operative Heart Rate and Blood Pressure During Endoscopic Sinus Surgery at a Tertiary Care Centre
Abstract Views :332 |
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
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: 225-231Abstract
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 FossaReferences
- Reji Mathew, Chandrakala Srinivasa; Role of Pterygopalatine Fossa Block in achieving Relatively Bloodless Field during Endoscopic Sinus Surgery; AIJCR; 10.5005/jp-journals-10013-1309.
- H Stammberger, Valerie J Lund. Scott Brown 7th edition. Anatomy of Nose and Paranasal Sinuses. Chapter 104:1322–1327.
- Moffett, A. Postural Instillation: A Method of Inducing Local Anaesthesia in the Nose. The J Laryngol Otol. 1941; 56(12): 429–436. https://doi.org/10.1017/S0022215100006782.
- Benjamin E., Wong D.K.K. & Choa D. ‘Moffett’s’ solution: A review of the evidence and scientific basis for the topical preparation of the nose clin. Otolaryngol. 2004; 29: 582– 587. https://doi.org/10.1111/j.1365-2273.2004.00894.x.
- Hampton, l. J. Complications associated with the use of “controlled hypotension” in anaesthesia. Archives of surgery. 1953; 67(4), 549. https://doi.org/10.1001/archsurg.1953.01260040558009.
- Elwany S, Yacout YM, Talaat M, El-Nahaas M, Gunied A. Surgical anatomy of the sphenoid sinus. Journal of Laryngology. 1983; 97: 227–41. https://doi.org/10.1017/ S0022215100094056
- Grunwald L. Anatomie und Entwicklunsgeschichte. In : Denker H, Kahler O (eds). Handbuch der Hals-Nasen Ohrenheilkunde. Band 1; Die Krankheiten der Luftwege und Mundho hle, Berlin: Springer J; Mu nchen: Bergmann J. F. 1925; 1–95. https://doi.org/10.1007/978-3-642-92481- 1_1
- Douglas R, Wormald PJ. Pterygopalatine fossa infiltration through the greater palatine foramen: where to bend the needle. Laryngoscope 2006; 116(7): 1255–1257. https://doi.org/10.1097/01.mlg.0000226005.43817.a2
- T. Gotlib et al., Supreme turbinate and posterior ethmoids drainage; Folia Morphol. 2018; 77(1):110–115. https://doi. org/10.5603/FM.a2017.0067
- Valdes C, Bogado M, Rammal A, Samaha M, Tewfik M. Topical cocaine vs adrenaline in endoscopic sinus surgery: a blinded randomized controlled study. Int Forum Allergy Rhinol 2014; 4: 646–650. https://doi.org/10.1002/alr.21325
- Boezaart, A.P., van der Merwe, J. & Coetzee, A. Comparison of sodium nitroprusside - and esmolol - induced controlled hypotension for functional endoscopic sinus surgery. Can J Anaesth. 1995; 42: 373. https://doi.org/10.1007/BF03015479.
- Renuka Bradoo. Anatomical Principles of Endoscopic Sinus Surgery: A Step-by-Step Approach, First Edition; 2005. https://doi.org/10.5005/jp/books/10047.
- Averbukh S.S.M.D., Brevda, I.S.M.D., Lubotsky, D.N.M.D., Semenova, O.S.M.D. Annals of Surgery. March 1935; 101(3): 819–826. https://doi.org/10.1097/00000658-193503000-00001.
- Bhardwaj R, Motwani G, Verma RK, Yadav MN, Trehan S. The effect of Pterygopalatine Canal Injection with Local Anaesthetic and Adrenaline on Bleeding during Functional Endoscopic Sinus Surgery. JMSCR. May 2018; 6(5): 594– 598. https://doi.org/10.18535/jmscr/v6i5.95.
- Wormald, P.-J., Athanasiadis, T., Rees, G., & Robinson, S. An Evaluation of Effect of Pterygopalatine Fossa Injection with Local Anesthetic and Adrenalin in the Control of Nasal Bleeding during Endoscopic Sinus Surgery. Am. J. Rhinol., 2005; 19(3): 288–292. https://doi. org/10.1177/194589240501900313
- Shenoy, V. S., Prakash, N., Kamath, et al. (2017). Is Pterygopalatine Fossa Injection with Adrenaline an Effective Technique for Better Surgical Field in Fess? Indian J Otolaryngol Head Neck Surg., 69(4): 464–473. https://doi. org/10.1007/s12070-017-1225-z
- Paudel D, Chettri S, Shah S, Shah B, Manandhar S, Mishra S. The Effect of Pterygopalatine Fossa Block (PPFB) during Endoscopic Sinus Surgery (ESS) on Intraoperative Bleeding: A Randomized Control Trial. jbpkihs [Internet]. 20 Dec. 2018. 1(2): 35–1. https://doi.org/10.3126/jbpkihs.v1i2.22076.
- Gurr P, Callanan V, Baldwin D. Laser- Doppler blood flowmetry measurement of nasal mucosa blood flow after injection of the greater palatine canal. J Laryngol Otol 1996; 110: 124–8. https://doi.org/10.1017/S0022215100132943
- L. Stojcˇev Stajcˇic , B. Gacˇic , N. Popovic , Z. Stajcˇic: Anatomical study of the pterygopalatine fossa pertinent to the maxillary nerve block at the foramen rotundum. Int. J. Oral Maxillofac. Surg. 2010; 39: 493–496. https://doi.org/10.1016/j.ijom.2009.11.002
- Mitchell AO, Alburger JF, Bolger WE, Frew MI, Richardson AC. Three- dimensional imaging of the pterygopala- tine fossa. Otolaring Head Neck Surg. 2007; 136: 1014–1016. https://doi.org/10.1016/j.otohns.2007.01.021
- Stajcˇic Z, Todorovic LJ. Blocks of the foramen rotundum and the oval foramen: a reappraisal of extra oral maxillary and mandibular nerve injections. Br J Oral Maxillofac Surg 1997; 35: 328–333. https://doi.org/10.1016/S0266- 4356(97)90405-8
- Nique TA, Bennett RC. Inadvertent brainstem anaesthesia following extra oral trigeminal V2-V3 blocks. Oral Surg. 1981; 51: 468–470. https://doi.org/10.1016/0030-4220(81)90002-5
- Aravena, T. P.; Cresp, S. N.; Büchner, S. K.; Muñoz, R. C. & Cartes-Velásquez, R. Relationship between volume of pterygopalatine fossa and block anesthesia of maxillary nerve. A pilot study. Int. J. Morphol., 2011; 29(3): 857–861. https://doi.org/10.4067/S0717-95022011000300032
- Craniofacial Fibrous Dysplasia: A Rare Disease
Abstract Views :125 |
PDF Views:86
Authors
Chaitanya Bharadwaj
1,
Rushika Patel
2,
Shreeya Kulkarni
3,
Kiran Burse
4,
Vandana Sancheti
5,
Preeti Dudhe
6
Affiliations
1 Associate Professor, Department of Otorhinolaryngology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
2 Assistant Professor, Department of Otorhinolaryngology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
3 Professor, Department of Otorhinolaryngology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
4 Professor and Head, Department of Otorhinolaryngology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
5 Senior Resident, Department of Otorhinolaryngology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
6 Former PG Resident, Department of Otorhinolaryngology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
1 Associate Professor, Department of Otorhinolaryngology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
2 Assistant Professor, Department of Otorhinolaryngology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
3 Professor, Department of Otorhinolaryngology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
4 Professor and Head, Department of Otorhinolaryngology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
5 Senior Resident, Department of Otorhinolaryngology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
6 Former PG Resident, Department of Otorhinolaryngology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
Source
MVP Journal of Medical Sciences, Vol 8, No 1 (2021), Pagination: 153-156Abstract
Introduction: Fibrous Dysplasia (FD) is a fibro-osseous lesion of the osseous structures of the body. The exact etiology is not known. Monostotic (when one bone is involved), polyostotic (when multiple bones are involved) and craniofacial are the three subtypes of craniofacial dysplasia. When the lesions are limited to contiguous bones of the craniofacial skeleton, it is termed as craniofacial dysplasia. McCune Albright syndrome is the triad of polyostotic fibrous dysplasia, Cafe aulait spots and endocrine pathology. Case Report: This case describes craniofacial dysplasia in a 30 year old female patient who had unusual presentation on the right side of the face involving maxilla, sphenoid, ethmoid and orbit. The clinical features, radiological findings and treatment have been discussed.Keywords
Craniofacial Fibrous Dysplasia, Maxilla, Monostotic, PolyostoticReferences
- Lietman SA, Levine MA. Fibrous dysplasia. Pediatr Endocrinol Rev. 2013; 2:389–96.
- Menon S, Venkatswamy S, Ramu V, Banu K, Ehtaih S, Kashyap VM, et al. Craniofacial fibrous dysplasia: Surgery and literature review. Ann Maxillofac Surg. 2013; 3:66– 71. PMid: 23662263 PMCid: PMC3645615. https://doi. org/10.4103/2231-0746.110088
- Abdelkarim A, Green R, Startzell J, Preece J. Craniofacial polyostotic fibrous dysplasia: A case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106:e49–55. PMid: 18585612. https://doi. org/10.1016/j.tripleo.2008.03.023
- Guruprasad Y, Prabhakar C. Craniofacial polyostotic fibrous dysplasia. Contemp Clin Dent. 2010; 1:177–9. PMid: 22114411 PMCid: PMC3220106. https:// doi.org/10.4103/0976-237X.72787
- Ziadi S, Trimeche M, Mokni M, Sriha B, Khochtali H, Korbi S. Eighteen cases of craniofacial fibrous dysplasia. Rev Stomatol Chir Maxillofac. 2009; 110:318–22. PMid: 19615708. https://doi.org/10.1016/j.stomax.2008.11.005
- Deshpande A, Naidu GS, Dara BG, Gupta M. Craniofacial fibrous dysplasia: A summary of findings with radiological emphasis. J Indian Acad Oral Med Radiol. 2016; 28:403–8. https://doi.org/10.4103/0972-1363.200631
- Park BY, Cheon YW, Kim YO, Pae NS, Lee WJ. Prognosis for craniofacial Fibrous Dysplasia after incomplete resection: Age and serum alkaline phosphatase. Int J Oral Maxillofac Surg. 2010; 39:221–6. PMid: 20083386. https:// doi.org/10.1016/j.ijom.2009.12.008
- Valentini V, Cassoni A, Terenzi V, Della Monaca M, Fadda MT, Rajabtork Zadeh O, et al. Our experience in the surgical management of craniofacial Fibrous Dysplasia: What has changed in the last 10 years? Acta Otorhinolaryngol Ital.2017; 37:436–43. PMid: 29165438 PMCid: PMC5720872. https://doi.org/10.14639/0392-100X-1081
- Ozdemir Kutbay N, Sarer Yurekli B, Kartal Baykan E, Sahin S, Saygili F. Characteristics and treatment resultsof 5 patients with Fibrous Dysplasia and review of the literature. Case Rep Endocrinol 2015. 2015. 670809. PMid: 26171261 PMCid: PMC4480246. https://doi. org/10.1155/2015/670809