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Burse, Kiran

Nasal Packing using Merocel Pack and Merocel Pack with Tube to Study its Effects on Middle Ear Pressure and Hearing Threshold

Abstract Views :299 | PDF Views:167

Authors

Prajakta Jivba Keluskar ¹, Kiran Burse ²

Affiliations
1 P.G. Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Adgaon, Nashik − 422003, Maharashtra, IN
2 Professor and Head, Department of Otorhinolaryngology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, IN

Source

MVP Journal of Medical Sciences, Vol 6, No 2 (2019), Pagination: 189-194

Abstract

Background: Nasal packs are frequently used after nasal surgery for hemostasis and internal stabilization of bony and cartilaginous structures. Nasal packing causes lymphatic stasis in nasopharynx and around the opening of Eustachian Tube, which ultimately results in middle ear dysfunction. Objectives: The aim of this study is to compare the effect on Middle Ear Pressure and Hearing Threshold of Anterior Nasal Packing using Merocel Pack and Merocel Pack with Sialistic Tube. Methods: This is a non–randomised comparative interventional study which was carried out in the Department of Otorhinolaryngology – Head & Neck surgery, Dr. Vasantrao Pawar Medical College for the period of two years from February 2017 to October 2018. 66 patients were selected. Results: 66 patients were studied. Out of 66 patients two groups were compared one with Merocel Pack with Tube and Merocel Pack without Tube. Statistically significant difference observed between pre and post operative middle ear pressure of patients of Merocel Pack with and without Tube. Out of 33 post operative patients of Merocel Pack without tube had mean middle ear pressure –61.12 ± 23.56daPa and –58.4 ± 29.23daPa for Right and Left Ear respectively. Whereas out of 33 post operative patients of Merocel Pack with Tube had –49.72 ± 27.2daPa and –43.48 ± 26.26daPa for Right and Left ear. Statistically significant difference observed between them for post operative patients of Merocel Pack with or without Tube for both Right and Left ear. Conclusion: There is post operatively increase in middle ear pressure transiently for few days with nasal pack in situ which returns to normal after pack removal. In this comparative study, middle ear pressure was found to be more negative in patients using Merocel Pack without tube as there was complete blockage of the nostrils of the patients. However, in Merocel Pack with Tube patients patient was able to breathe by nose through ventilating tube so middle ear pressure did not increase as that of without Tube patients. Also, patient felt symptomatically better with the Tube packing because of no mouth breathing post operatively.

Keywords

Eustachian Tube Dysfunction, Merocel Nasal Pack, Middle Ear Pressure, Sialistic Tube.

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References

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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

Source

MVP Journal of Medical Sciences, Vol 7, No 2 (2020), Pagination: 141-150

Abstract

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, Tympanoplasty

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References

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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.

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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.

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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.

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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

Source

MVP Journal of Medical Sciences, Vol 8, No 1 (2021), Pagination: 153-156

Abstract

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, Polyostotic

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References

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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

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Author Details

Burse, Kiran

Nasal Packing using Merocel Pack and Merocel Pack with Tube to Study its Effects on Middle Ear Pressure and Hearing Threshold

Authors

Source

Abstract

Keywords

Full Text

References

A Comparative Study Between the use of Temporalis Fascia and Fascia Lata as Graft During Tympanoplasty Performed in A Tertiary Care Centre

Authors

Source

Abstract

Keywords

Full Text

References

Craniofacial Fibrous Dysplasia: A Rare Disease

Authors

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Abstract

Keywords

Full Text

References