Naresh Bhatia

Publications (8)1.95 Total impact

• Article: Aerodigestive foreign bodies

  Anupam Mishra, G. K. Shukla, Naresh Bhatia
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  ABSTRACT: Accidents with foreign bodies (FBs) are most common within the first two years of life. The airway FBs present a diagnostic dilemma as both the history and the investigations can be misleading. The persistent hypoxia presents a threat to life as does extraction. Moreover, the chemical pneumonitis induced by vegetative FB makes the situation even more worse. The FB of digestive tract are comparatively benign unless long standing. It is neither necessary for the airway FB to present with respiratory symptoms and signs nor for the FB of digestive tract to complain of dysphagia/throat pain. Oesophagoscopy may have to be done if an esophageal FB is causing only recurrent respiratory infections without dysphagia. The situation in dealing with FB varies from site to site in the aerodigestive tract. This article stresses the various dubious factors including the history, examination and investigation which can lead to misdiagnosis and also those problems which are encountered during planned extraction as well as post-operatively.
  The Indian Journal of Pediatrics 04/2012; 67(6):429-433. · 0.52 Impact Factor
• Article: Rhinoentomophthoromycosis: rarity revisited.

  Naresh Bhatia, Charu Singh, Rahul Kawatra, Seraj Alam, Ruchir Dhawan
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  ABSTRACT: We describe a case of rhinoentomophthoromycosis, also known as rhinophycomycosis, in an Indian man hailing from the tropical northern region of the country. The patient presented with subcutaneous swelling in the midline of the forehead, dorsum of the nose, adjoining cheek area (more on the right side), philtrum, and upper lip. Biopsy taken from the right nostril area revealed nasofacial phycomycosis. The patient was treated successfully with itraconazole, 200 mg twice daily, and potassium iodide, 5 drops in fruit juice three times daily.
  Ear, nose, & throat journal 06/2010; 89(6):268-71. · 0.66 Impact Factor
• Article: Bilateral sudden sensorineural deafness with vertigo as the sole presenting symptoms of diabetes mellitus - a case report.

  Vilas Misra, C G Agarwal, Naresh Bhatia, G K Shukla
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  ABSTRACT: This Paper reports a late uncontrolled diabetic presenting to an otolaryngologist with sudden severe sensorineural hearing loss of immediate origin with vertigo and tinnitus as the symptoms. Appropriate investigative and treatment measure resulted in deterioration of hearing in the right ear and mild improvement of hearing in the left ear, with no recovery of imbalance.
  Indian Journal of Otolaryngology and Head & Neck Surgery 06/2010; 62(2):191-4. · 0.03 Impact Factor
• Source

  Available from: medind.nic.in

  Article: Fibromyxoma maxilla.

  Anupam Mishra, Naresh Bhatia, G K Shukla
  Indian Journal of Otolaryngology and Head & Neck Surgery 10/2004; 56(4):293-5. · 0.03 Impact Factor
• Article: Hearing profile in hypothyroidism.

  Vikas Malik, G K Shukla, Naresh Bhatia
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  ABSTRACT: The present study was carried on forty-five patients of confirmed hypothyroidism. Complete clinical examination and laboratory investigations were done regarding audiological and vestibular system. It was found that hypothyroidism affects the ear at multiple sites producing various types of hearing impairment viz. conductive, sensorineural and mixed. Vestibular system was found to be affected only minimally. The patients were then given levothyroxine and follow-up was done when they were euthyroid, which revealed statistically significant improvement in hearing threshold in 30% ears, in which conductive impairment was more common to be improved. The middle ear compliance and pressure, on impedance audiometry, also improved significantly in 50% and 87.50% ears respectively. Statistically significant change was also observed in acoustic reflex threshold. Improvement was also noted in wave I, V and interpeak (I-V) latencies, on Brain stem Evoked Response Audiometry (statistically not significant). The results of auditory investigations suggest a causal relationship between hypothyroidism and hearing loss. The site of.
  Indian Journal of Otolaryngology and Head & Neck Surgery 10/2002; 54(4):285-90. · 0.03 Impact Factor
• Article: Unusual solitary osteochondroma of the mandibular ramus.

  Mishra Anupam, G K Shukla, S C Mishra, Naresh Bhatia, A N Srivastava, Nimisha Mishra
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  ABSTRACT: Mandibular osteochondromas, although rare, predominantly involve the condyloid and coronoid processes. An extremely rare case arising from the inner aspect of the gonion is reported here. Only one such case has been reported in the literature so far. Despite being very slow growing and having a benign course, histopathological examination showed reactive changes that may be confused with sarcomatous transformation. We advocate surgical excision using a combined external and internal approach followed by regular post-operative review. The relevant literature has been reviewed but various surgical approaches as advocated in the past have not been found suitable.
  The Journal of Laryngology & Otology 02/2002; 116(1):65-6. · 0.60 Impact Factor
• Article: The problems of denture impaction

  Anupam Mishra, G. K. Shukla, S. C. Mishra, Naresh Bhatia, S. P. Agarwal
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  ABSTRACT: The retrospective study of 50 cases revealed the commonest site of denture impaction to be just below the cricopharynx and usually successful procedure for extraction was per endoscopy. Two cases necessitated transcervical oesophagotomy, another two required transthoracic oesophagotomy while eight dentures passed out per via naturalis. Denture impaction was commonest among the males and rural counterparts. The accidental denture swallowing appears to be the reflection on poor training of dentists and the crude method of denture manufacture. The prevalence of impaction amongst the smokers is perhaps due to nicotine induced poor mucosal sensations.
  Indian Journal of Otolaryngology and Head & Neck Surgery 04/1996; 48(3):241-244. · 0.03 Impact Factor
• Article: Radiological diagnosis of the nasopharyngeal angiofibromas

  S. G. Mishra, G. K. Shukla, Naresh Bhatia, M. C. Pant
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  ABSTRACT: Nasopharyngeal angiofibromas are notorious for silently extending to the regions adjoining their original sites. Their exact localization is essential for the total excision. Conventional X-rays have limited value in demonstrating extensions to base of skull, pterygopalatine fossa and paranasal sinuses. GAT Scanning when used along with contrast, provides clear delineation of every minute tumour extension, along with exact evidence of bone destruction. Angiography on the other hand is additionally useful in determining the vascular feeders, and differentiating from other regional tumefactions. Angiography may further clarify the vascularity and maturity of the tumours. The tumour blush in arterial phase suggests exact localisation of the lesion. Poor filling veins in venous phase indicate larger sinusoidal spaces. Mature or more fibrous tumours have better venous filling during this phase. These three modalities, therefore, appear to be complementary aids to the diagnosis and localisation of tumours and hence essential for planning the surgical procedure for total excision of these nasopharyngeal angiofibromas.
  Indian Journal of Otolaryngology and Head & Neck Surgery 05/1989; 41(2):61-63. · 0.03 Impact Factor