Rajesh Vishwakarma

B.J.Medical College, Civil Hospital, Ahmedabad.Gujarat University · Ear-Nose-Throat & Head-Neck Surgery

Aim is to compare coblation versus conventional adenoidectomy, to evaluate whether this approach is adequate, safer and could be a coblation a good alternative of conventional adenoidectomy? It is a prospective randomized controlled study done at Civil Hospital Ahmedabad from January 2016 to January 2017 with 70 patients. The study includes childre...

Aim is to share our experience of CSF gusher and its management during cochlear implant surgery in patients with enlarged vestibular aqueduct. All cases underwent classic cochlear implant surgeries via Veria technique. It is a retrospective study done at Civil Hospital Ahmedabad from January 2013 to March 2018 with 415 patients. The study includes...

p class="abstract"> Background: Cerebrospinal fluid (CSF) rhinorrhoea is characterized by a defect in the barriers which separate the subarachnoid space from sinonasal tract resulting in the leakage of watery fluid from the nose. Management of CSF rhinorrhoea is by both conservative and/or surgical approach. Transnasal endoscopic method has become...

Cochlear implants have been done using various surgical approaches. The classical posterior tympanotomy approach has been practiced by majority of surgeons worldwide. An alternative approach is the transcanal Veria approach. This is non mastoidectomy approach where the electrode is threaded via a transcanal tunnel into the cochleostomy site. Majori...

Imaging Guided Decision making in Cochlear Implant Surgery

Introduction As the cochlear implant (CI) surgeries are on rise, there is a compelling need to understand its long-term complications and revision surgery protocols. Our experience in the management of CI devices failure is shared in this paper. Aim To review the experience in patients who underwent CI device manipulation/explanation in terms of f...

Objective: The objective of the study was to evaluate early auditory and verbal outcomes following cochlear implant (CI) in patients with radiological findings suggestive of demyelinating lesions in the brain. Methods: The study was conducted in the Department of ENT, Civil Hospital, Ahmedabad, Gujarat. We studied and evaluated early auditory and v...

Aim The aim of this study is to evaluate the role of laryngopharyngeal reflux (LPR) in patients with laryngeal complaints and study the correlation between reflux symptom index (RSI) and reflux finding score (RFS). Materials and methods This is a study of 104 patients, who presented in the ear, nose, and throat outpatient department at the Civil H...

STUDY OF MAIS (MEANINGFUL AUDITORY INTEGRATION SCALE) SCORE POST UNILATERAL COCHLEAR IMPLANTATION IN PRELINGUAL DEAF PATIENTS Neha Lala, Rajesh Vishwakarma, Chandrakanth Vishwakarma, Pradeep Kumar. Abstract Objective: To evaluate speech perception skills in everyday situations following Unilateral Cochlear Implantation in prelingual deaf patients...

Introduction: Congenital inner ear malformations occur as a result of the arrest or aberrance of inner ear development due to the heredity, gene mutation or other factors. Ever since the availability of cochlear implants, pre-operative evaluation by imaging of temporal bone has gained much attention. Precise selection of the candidate for cochlear...

Nasal Endoscopy In ENT : Should it be included as a part of routine examination in ENT OPD? Ruta K. Sayani1*, Rajesh Vishwakarma2 1Assistant Professor in ENT, Dr. M.K.Shah Medical college, Ahmedabad, 2Head of ENT Department, BJMC, Civil Hospital, Ahmedabad ABSTRACT AIMS AND OBJECTIVES: To evaluate the role of nasal endoscopy in routine OPD base...

Introduction: Universal newborn hearing screening (UNHS) is mandatory in all developed country and is setting the trend in developing country too. Due to a large population, lack of education, less professionals, and limited access to such facilities in India few places targeted hearing screening (THS) is coming up. However, the comparison between...

Introduction: Teachers are professional voice users, and thus, they have more chances of having voice disorders. Risk factors due to occupation have been comprehensively examined; however, very little research has been done on the need of therapy and efficacy of voice therapy in teachers. Objectives: To assess the efficacy of voice therapy in teach...

Introduction: Newborn hearing screening program is one of the services offered in Neonatal Intensive Care Units (NICU) by most of the neonatologist today. Aim of the Study: Present study aimed to investigate the ambient noise levels which allow successful transient evoked otoacoustic emission testing. Method: 25 normal hearing neonates (group 1) an...

To study the incidence of hearing loss among children and to determine and confirm the distribution of common risk factors in children with hearing loss presenting at a tertiary care hospital in India. Babies underwent hearing screening using Transient Evoked Otoacoustic Emission (TEOAE) and Automated Auditory Brainstem Response (AABR) from Novembe...

Effect of Unilateral Versus Bilateral Cochlear Implantation on Language Development Dr. Falguni Parmar, Dr. Trupal Solanki, Dr. Hemang Brahmbhatt, Dr. Manish Sharma, Rupali Mathur, Dr. Rajesh Vishwakarma, Dr. Kalpesh Patel, Dr. Dipesh Darji

Aims and Objectives: To study benefit of videonystagmography in confirmation of canalolith repo-sitioning in patients with Benign Paroxysmal Positional Vertigo after Epley's manouver. Study De-sign: Prospective study of 35 cases of BPPV. Materials and Method: 35 patients of BPPV presenting at vertigo clinic of ENT department at Civil Hospital Ahmed...

BACKGROUND: Otosclerosis is one of the most leading causes of conductive hearing loss with intact tympanic membrane in adults. Stapes prostheses have seen many changes in its shape, design and material. Both Teflon and Titanium prostheses used in this study having different method of application are reviewed in detail. OBJECTIVE: To compare the out...

Diagnosis of frontal osteoma is usually by chance, but rarely these can produce exceptional ophthalmologic and neurological complications apart from cosmetic disfigurement. Etiology of frontal osteoma may be multifactorial. Surgical management should be site and size specific. A combination of open surgery and endoscopic methods would help confirm...

ABSTRACT Facial nerve schwannomas are rare conditions which can mimic many other conditions. A series of patients with facial nerve schwannomas were treated in our department, all of whom had a delay in diagnosis resulting in a significant morbidity. This prompted us to present this rare case series of schwannomas along different segments of facial...

Foreign body impaction in the neck poses life-threatening problems when it is deep and close to vital structures. We report two cases of sharp metallic foreign body impaction in the neck – one of them in the prevertebral space and the other in the intervertebral disk space. A neck exploration and surgical removal of these foreign bodies, as is usua...

Delayed facial nerve palsy following cochlear implant surgery is less documented though it poses diagnostic and therapeutic challenges. Apart from the functional, aesthetic and emotional concerns, it can raise important medico legal issues. The objectives of this study were: to report a case of delayed facial palsy following cochlear implant surger...

Incudostapedial joint dislocation is the most frequently found ossicular chain defect. In these cases reconstitution of joint capsule is important in maintaining joint integrity. But reconstruction of dislocated incudostapedial joint is a challenging procedure as this joint is devoid of any muscular or soft tissue support. Here we describe a techni...

Post-lingual deafness is a stressful condition which is rendered even more painful by the sudden emotional isolation that the patient suffers. Cogan's syndrome is a rare autoimmune cause for post-lingual deafness characterized by non-syphilitic interstitial keratitis, bilateral audio vestibular deficiencies and systemic vasculitis. World over very...

Objective. To determine the incidence of associated habits in patients with OSMF. The relationship between the different habits and the severity of the disease. Design. Cross-sectional Survey. Setting. Tertiary Referral Centre. Participants. Adult patients with OSMF. Outcomes Measured. (1) Association of different habits with OSMF. (2) Duration of...

The minimally invasive endoscopic pituitary surgery is performed through the natural nasal pathway without any incisions unlike the conventional microscopic surgery performed via Trans-nasal Trans-sphenoidal upproach. We have tried to compare the clinical implications of these two approaches. In our study, conducted from 1995 to 2004, we started op...

272 Patients with obstruction in nasolacrimal duct were treated by endoscopic nacryocystorhinostomy (DCR). The results were compared with that of external DCR and Endoscopic DCR without stent. In our study Endoscopic DCR with stening had better results. Endoscopic DCR with stenting has several advantages over the more conventional external approach...