Indian Journal of Otolaryngology and Head & Neck Surgery

Publisher: Springer Verlag

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Other titles SpringerLink
ISSN 0973-7707
OCLC 288980540
Material type Document, Periodical
Document type Journal / Magazine / Newspaper, Computer File

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Springer Verlag

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Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Tracheostomy is the life saving procedure in patients presenting with upper airway obstruction. The procedure is also performed in patients on chronic ventilatory support. It is generally considered a safe procedure with a low complication rate. Vascular injuries are the most serious and life threatening complications. Injury to a high lying innominate artery is the most frequent vascular injury in such cases. Injury to other vessels e.g. carotid arteries is less frequent. We are presenting one such rare type of vascular injury with a fistulous communication between trachea and carotid artery leading to massive hemoptysis.
    Indian Journal of Otolaryngology and Head & Neck Surgery 12/2014; DOI:10.1007/12070-014-0813-4
  • Indian Journal of Otolaryngology and Head & Neck Surgery 01/2013; . Volume 65, 4(4):363-66.
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    ABSTRACT: Superficial siderosis is an uncommon condition occurring in central nervous system (CNS) due to deposition of hemosiderin in the subpial meningeal layer causing progressive neurological dysfunction. The classical clinical manifestation is a triad of chronic ataxia, bipyramidal signs and progressive bilateral symmetrical sensorineural hearing loss (SNHL). It has rarely been reported in Indian literature. We report an unusual case of superficial siderosis in a 60-year-old farmer who presented with the above triad along with involvement of olfactory nerve. We present this case to highlight the fact that progressive SNHL can be an important sign for the early awareness of this rare disorder. The literature on superficial siderosis is reviewed and the pathogenesis is discussed.
    Indian Journal of Otolaryngology and Head & Neck Surgery 10/2011; 63(4):380-3. DOI:10.1007/s12070-011-0152-7
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    ABSTRACT: Only static medialisation of the paralysed vocal cord is most commonly performed today for vocal cord palsy which does not offer very good voice post-operatively. Colledge and Balance's (1927) operation of anastomosis of the phrenic nerve to the recurrent laryngeal nerve for laryngeal palsy or Tuckers (1976) nerve muscle pedicle technique has not offered significant reanimation of the paralysed muscles of the vocal cord. Moreover, it is virtually impossible to offer dynamism to the paralysed muscles; but dynamism can conveniently be transmitted to the paralysed vocal cord by appropriate muscle transplantation as has been done in palatopharyngoplasty for rhinolalia aperta (Ghosh 1983, 1986). Isshiki's laryngoplasty operations (1977) also offer only static correction. In view of the above short comings, the present statico-dynamic operation was conceptualised. A new technique of medialisation of the paralysed vocal cord statico-dynamically for improvement of voice is described here. In one operation, such as this, both arytenoid adduction and vocal cord adduction are expected to be achieved. A rectangular island of lamina of the thyroid cartilage, attached to the inner perichondrium, on the paralysed side, is created by drilling an endless canal on the lateral aspect of the thyroid lamina to the level of the inner perichondrium. The mobile cartilage island along with the vocal cord and the arytenoid is fixed in a medialised position. Dynamism is quintessential for normal vocal cord function. For this, superiorly and inferiorly based superior and inferior bellies of the omohyoideus are passed over the island of cartilage crossing each other, forming the 'crossed musculoplasty'. By their contractions further adduction of the island along with its attached vocal cord is brought about, thus further improving the quality of voice.
    Indian Journal of Otolaryngology and Head & Neck Surgery 10/2011; 63(4):353-8. DOI:10.1007/s12070-011-0270-2
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    ABSTRACT: Neck swelling is a common clinical presentation in ENT practice and it carries significant morbidity and even mortality if not managed properly. Thyroid swelling being the most common type we conducted a prospective study to assess the role of FNAC in diagnosing the nature of thyroid swelling and comparing its result with histopathology finding. It was observed that FNAC is a very reliable test having high sensitivity and specificity in thyroid swelling.
    Indian Journal of Otolaryngology and Head & Neck Surgery 10/2011; 63(4):370-2. DOI:10.1007/s12070-011-0280-0
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    ABSTRACT: A rare case of gastric duplication cyst of tongue is reported.
    Indian Journal of Otolaryngology and Head & Neck Surgery 10/2011; 63(4):405-6. DOI:10.1007/s12070-011-0260-4
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    ABSTRACT: Necrotizing fasciitis (NF) is rare but life threatening multimicrobial soft tissue infection characterized by progressive, usually rapid, necrotizing process of the subcutaneous tissues and fascial planes, with resulting skin gangrene and systemic toxicity. The groin, abdomen and extremities are the most frequent sites involved by this disease and it is rarely seen in the head and neck region. NF of the head and neck region has a potentially high morbidity and mortality. Delay in diagnosis leads to poor outcome. Hence early recognition and aggressive management is imperative for successful outcome. Here we present a case of acute onset of cervical necrotizing fasciitis in a young male.
    Indian Journal of Otolaryngology and Head & Neck Surgery 10/2011; 63(4):390-2. DOI:10.1007/s12070-011-0225-7
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    ABSTRACT: To compare the efficacy of gatifloxacin, azithromycin with amoxicillin as positive control for the treatment of Acute rhinosinusitis (ARS). To monitor adverse drug reaction profile of amoxicillin, azithromycin and gatifloxacin in patient of ARS. An open randomized trial of comparative efficacy and safety of amoxicillin, azithromycin and gatifloxacin in patients with ARS. Patients were randomized into three groups as under: group 1: patients on oral amoxicillin 500 mg TDS for 10 days; group 2: patients on oral azithromycin 500 mg OD for 5 days; group 3: patients on oral gatifloxacin 400 mg OD for 10 days. Patients were evaluated for signs and symptoms at day 1, day 7 (for group 2), on day 12 (for group 1, 3) as primary end points and 28 days after post therapy as secondary end point. All the three antimicrobial drugs i.e., amoxicillin, azithromycin and gatifloxacin were effective in reducing symptoms of acute sinusitis on visual analogue scale scoring. Azithromycin showed significant improvement radiographically on day 7 (P < 0.01) and on day 35 (P < 0.01). Gatifloxacin elicited very highly significant improvement radiographically on day 40 (P < 0.001) and significant improvement on day 12 (P < 0.01) when compared with amoxicillin. Azithromycin, the ketolide was associated with lesser adverse effects as compared to amoxicillin. All the three antimicrobial drugs i.e., amoxicillin, azithromycin and gatifloxacin were effective in reducing symptoms of acute sinusitis on visual analogue scale scoring. Gatifloxacin was found to be most effective drug both in terms of improvement in signs and symptoms on visual analogue scale and radiographic scoring and was associated with least adverse events in comparison to rest of two drugs under study.
    Indian Journal of Otolaryngology and Head & Neck Surgery 10/2011; 63(4):364-9. DOI:10.1007/s12070-011-0279-6
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    ABSTRACT: Schwannoma arising from the vagus is an uncommon (2-5%) benign nerve tumour. This tumour most often presents as a slow growing asymptomatic solitary neck mass which rarely undergoes malignant transformation. Definitive pre-operative diagnosis may be difficult and investigations such as FNAC have low specificity. The carotid artery and internal jugular vein may be displaced antero-laterally. Diagnosis is based on clinical suspicion and confirmation is obtained by means of surgical pathology. Surgical excision is the treatment of choice for this tumour, with recurrence being rare. We describe three cases of schwannoma involving the vagus who presented differently to our unit during past 5 years.
    Indian Journal of Otolaryngology and Head & Neck Surgery 10/2011; 63(4):310-2. DOI:10.1007/s12070-011-0220-z
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    ABSTRACT: Invasive aspergillosis usually affects immune-compromised patients and is common in diabetics. Proptosis, visual loss and ophthalmoplegia due to intra-orbital extension are common presentations. Three out of five patients in our series were immune-compromised. All the patients had visual loss and three patients presented with unilateral blindness. Three patients were treated by surgical debridement followed by Amphotericin B therapy. Two patients who had intra-cranial extension of the disease died during the treatment. Only one patient had improvement in vision following the treatment. High index of suspicion in immune-compromised patients, early diagnosis and prompt aggressive treatment is required to achieve clinical cure.
    Indian Journal of Otolaryngology and Head & Neck Surgery 10/2011; 63(4):325-9. DOI:10.1007/s12070-011-0240-8
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    ABSTRACT: This study was designed to assess the efficacy of functional endoscopic sinus surgery (FESS) in chronic rhinosinusitis (CRS) patients with minimal radiological findings, and based on one centre, prospective randomized controlled study, conducted in the Department of Otorhinolaryngology, Lady Hardinge Medical College, New Delhi. All the CRS out-patients (>18 years) refractory to 3 weeks of medical therapy were radiologically evaluated with computerised tomographic scan (CT) of nose and paranasal sinuses. These patients were grouped based on CT scoring (Lund Mackay staging system): group A (CT score 0-6) and group B (CT score 7-24); with 35 patients in each group. All the patients underwent FESS using Messerklinger technique. Symptom scoring of all the patients was done using visual analog scale preoperatively and postoperatively at 1-, 3-, 6- and 12-month follow-up. CRS patients with minimal evidence of disease on CT showed statistically significant improvement in symptom scores after FESS. There was no significant difference noted in the overall symptom score improvement as well as for improvement in specific symptoms in both the groups. Further, there was no correlation between the pre-operative symptoms and CT scores. A good subjective outcome in terms of symptom improvement can be obtained with FESS in patients with CRS with minimal evidence of disease on CT.
    Indian Journal of Otolaryngology and Head & Neck Surgery 10/2011; 63(4):359-63. DOI:10.1007/s12070-011-0278-7
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    ABSTRACT: Antioxidants are widely used in chemoprevention of malignancy. Numerous studies in medical literature have reported the evaluation of this treatment protocol by indirect methodology-epidemiology, invitro studies, pharmacology and animal models etc. However, there is a paucity of literature on the measurement of antioxidant enzymes as a parameter for assessing the outcome of antioxidant therapy. This study explores the efficacy and outcome of antioxidant enzyme assay in relation to antioxidant therapy in tobacco abusers, hitherto unreported in medical literature. A prospective cohort study with control in 50 patients carried out at a tertiary care teaching Institution (Institute of Medical Sciences, Banaras Hindu University, Varanasi, India). Out of these patients, 10 patients acted as control, rest 40 patients-all tobacco users in some form, were divided into three groups on the basis of histopathological grading of dysplasia-no dysplasia, mild or moderate dysplasia. The levels of Lipid peroxidase (LPO), Superoxide dismutase (SOD) and Catalase (CAT) in mucosa and serum were assayed in each group, and re-evaluated at the end of 3 months after intervention with antioxidant treatment. To detect any alteration in degree of dysplasia a repeat biopsy was also done at the end of 3 months. The results were statistically analysed using paired t test. A statistically significant decrease in level of LPO and SOD, and an increase in CAT levels were recorded both in mucosa and serum. However, no change in dysplasia and no new case of dysplasia were observed. Further, antioxidant treatment was continued for a year and the final out come of the lesion was assessed by "Carter's criteria". A final success rate of 74.19% was recorded in terms of partial or complete regression of the lesion. This study confirms the therapeutic efficacy of antioxidants in oral leukoplakia, and cites the importance of LPO, SOD and CAT in evaluating the efficacy of antioxidant treatment. However, the study failed to elucidate any relationship between enzyme measurement and the final outcome of the lesion.
    Indian Journal of Otolaryngology and Head & Neck Surgery 10/2011; 63(4):336-42. DOI:10.1007/s12070-011-0266-y