Jasdeep Monga - Academia.edu (original) (raw)

Papers by Jasdeep Monga

Research paper thumbnail of KEYWORDSPartial Ossicular Reconstruction Prosthesis (PORP), Chronic Otitis Media (COM), Acute Suppurative Otitis Media (ASOM), Sensory Neural Hearing Loss (SNHL), Pure Tone Audiometry (PTA), Air Bone Gap (ABG)

Research paper thumbnail of KEYWORDSEpistaxis, Endoscopic Cauterization, Nasal Packing

Research paper thumbnail of Case Series: Remodelled Autossicle Versus Teflon Porp

Journal of Evidence Based Medicine and Healthcare, 2018

BACKGROUND A widely accepted technique used for eroded incudostapedial joint or partially eroded ... more BACKGROUND A widely accepted technique used for eroded incudostapedial joint or partially eroded incus is tympanoplasty with remodelled incus or malleus. An alternate method used for grafting is using PORP with cymba conchal cartilage interface. This manuscript is a study which compares outcomes of remodelled autoincus with Teflon PORP with cartilage interface. The aim of the study is to compare the restoration of hearing, postoperatively, in patients who underwent tympanoplasty for eardrum perforation with IS joint erosion with chronic otitis media (COM) using remodelled autossicle with Teflon PORP. MATERIALS AND METHODS In our study of 90 patients, patients presented with chronic otitis media and eardrum perforation and were followed for at least 6 month post operatively. In 45 patients, temporalis fascia grafts with remodelled incus and the rest (45 patients) had PORP (Teflon) with conchal cartilage interface.

Research paper thumbnail of Resolving Perplexity: Comparison of Endoscopic Dacryocystorhinostomy With and Without Stent

Indian Journal of Otolaryngology and Head & Neck Surgery, 2017

Endoscopic dacryocystorhinostomy (DCR) is an effective surgical procedure to treat nasolacrimal d... more Endoscopic dacryocystorhinostomy (DCR) is an effective surgical procedure to treat nasolacrimal duct obstruction. This study was conducted with an aim of comparing the success rate between use of stent and without use of stent in endoscopic DCR. A prospective randomized study was conducted. Total 50 cases with signs of nasolacrimal duct blockage were included. The cases were randomly divided in two groups with 25 cases in each group. Group A cases underwent endoscopic DCR with stent and group B without stent. The follow up was till 12th week. Both subjective and objective outcomes were noted. By 12th week, only 8% cases had no relief of symptoms in group A while 92% cases of group A and all cases of group B had complete relief of symptoms. In objective outcome, by the 12th week, in group A 92% cases had full patency while in group B 100% cases had full patency. Overall complications in postoperative period were seen in 28% patients in group A and 12% patients in group B. In this study the surgical results of endoscopic DCR with or without stent came almost equal with no statistical difference in the success rate between stent group and non-stent group. Now that Endoscopic DCR without stent is equally effective and reduces cost, we recommend that the endoscopic DCR without stent should be preferred.

Research paper thumbnail of The Effectiveness of Nasal Endoscopic Cauterization as First Line Management for Epistaxis- a Prospective Study

Journal of Evidence Based Medicine and Healthcare, 2017

BACKGROUND Epistaxis is the most common emergency in otorhinolaryngology. The usual treatment in ... more BACKGROUND Epistaxis is the most common emergency in otorhinolaryngology. The usual treatment in most cases of anterior epistaxis and almost all cases of posterior epistaxis is nasal packing followed by either cauterization, embolization or ligation. This study has been undertaken to evaluate the use of nasal endoscopic cauterization as the first line treatment both in anterior as well as posterior epistaxis. MATERIALS AND METHODS The study consisted of total 36 patients, who presented with epistaxis. All patients were first managed with nasal endoscopy and endoscopic electrocautery. Only the patients in which bleeding point could not be located by initial endoscopy were managed by insertion of nasal packing. The discomforts and minor complications in patients undergoing successful endoscopic cauterization and in the patients who were taken for nasal packing were observed along with average stay of patient in the hospital. RESULTS Out of total 36 patients, 28 patients (78%) could be successfully managed directly by endoscopic cauterization without undergoing nasal packing and the obvious discomfort associated with it. The average length of hospital stay in the patients without nasal pack was 1.39 days while for patients who were managed by nasal packing the average length of hospital stay was around 3 days. The patients who underwent nasal packing, 5 (62%) had minor complications. While in patients with endoscopic treatment as first line management, no such complications were observed. CONCLUSION Along with a good success rate, endoscopic cauterization is very effective in reducing the nasal packing related complications and the duration of stay of patient in the hospital, thus reducing the cost of treatment as well. This makes endoscopic cauterization a better first line management for both anterior as well as posterior epistaxis.

Research paper thumbnail of Efficacy of Ichthammol Glycerin Pack and Steroid Antibiotic Pack as Initial Treatment of Acute Otitis Externa: A Comparative Study

journal of medical science and clinical research, 2017

Introduction: Otitis externa, characterized by general oedema and erythema of the external audito... more Introduction: Otitis externa, characterized by general oedema and erythema of the external auditory canal, can be treated by various modalities including aural toilet, topical antibiotic agents, with or without corticosteroids. This prospective randomized study has been undertaken to compare the efficacy of ichthammol glycerin pack with steroid antibiotic pack as the initial treatment for acute otitis externa. Materials and Methods: A prospective randomized study was carried out on 60 patients diagnosed with acute otitis externa. The patients were randomly divided into two groups. In group A, Ichthammol glycerin pack was kept and in group B, steroid antibiotic pack was inserted. In all the patients the tragal tenderness, VAS score and edema score at the time of presentation were compared with these scores at two days follow up. Results: It was observed that there was statistically significant decrease in the mean pain score and the edema of the external auditory canal (p< 0.001) in both group A as well as group B. Even the tragal tenderness significantly improved within 48 hrs. in both groups (p<0.001). But there was no statistically significant difference in the efficacy of both the groups compared to each other. Conclusion: In this study, both ichthammol glycerin as well as antibiotic steroid combination proved to be effective as the initial treatment of acute otitis externa. Still we would like to recommend ichthammol glycerin pack as initial treatment as it is more cost effective with no risk of antibiotic resistance and is safe in cases of immunocompromised patients.

Research paper thumbnail of Rare Tumour Mimicking the Common: A Case Report

Journal of Evidence Based Medicine and Healthcare, 2018

BACKGROUND Ameloblastoma is the most common benign odontogenic tumour of the jaws, involving mand... more BACKGROUND Ameloblastoma is the most common benign odontogenic tumour of the jaws, involving mandible and maxilla. It is a rare tumour & constitutes about 1% of all tumours of the jaw and about 9-11% of odontogenic tumours. Being rare, very large size ameloblastomas are even rarer. We present the case of a 55-year-old man, who reported with a mass in the oral cavity since last 10-12 years which was insidious in onset and gradually increased to the present size. It was an exophytic growth measuring about 12×8×6 cm arising from the floor of the mouth, vestibule and lower lip clinically involving the lower alveolus. En bloc resection of the mass was done with adequate margins and final histopathological report suggested ameloblastoma of lower alveolus. There was no recurrence reported till 1 year of follow-up.

Research paper thumbnail of KEYWORDSPartial Ossicular Reconstruction Prosthesis (PORP), Chronic Otitis Media (COM), Acute Suppurative Otitis Media (ASOM), Sensory Neural Hearing Loss (SNHL), Pure Tone Audiometry (PTA), Air Bone Gap (ABG)

Research paper thumbnail of KEYWORDSEpistaxis, Endoscopic Cauterization, Nasal Packing

Research paper thumbnail of Case Series: Remodelled Autossicle Versus Teflon Porp

Journal of Evidence Based Medicine and Healthcare, 2018

BACKGROUND A widely accepted technique used for eroded incudostapedial joint or partially eroded ... more BACKGROUND A widely accepted technique used for eroded incudostapedial joint or partially eroded incus is tympanoplasty with remodelled incus or malleus. An alternate method used for grafting is using PORP with cymba conchal cartilage interface. This manuscript is a study which compares outcomes of remodelled autoincus with Teflon PORP with cartilage interface. The aim of the study is to compare the restoration of hearing, postoperatively, in patients who underwent tympanoplasty for eardrum perforation with IS joint erosion with chronic otitis media (COM) using remodelled autossicle with Teflon PORP. MATERIALS AND METHODS In our study of 90 patients, patients presented with chronic otitis media and eardrum perforation and were followed for at least 6 month post operatively. In 45 patients, temporalis fascia grafts with remodelled incus and the rest (45 patients) had PORP (Teflon) with conchal cartilage interface.

Research paper thumbnail of Resolving Perplexity: Comparison of Endoscopic Dacryocystorhinostomy With and Without Stent

Indian Journal of Otolaryngology and Head & Neck Surgery, 2017

Endoscopic dacryocystorhinostomy (DCR) is an effective surgical procedure to treat nasolacrimal d... more Endoscopic dacryocystorhinostomy (DCR) is an effective surgical procedure to treat nasolacrimal duct obstruction. This study was conducted with an aim of comparing the success rate between use of stent and without use of stent in endoscopic DCR. A prospective randomized study was conducted. Total 50 cases with signs of nasolacrimal duct blockage were included. The cases were randomly divided in two groups with 25 cases in each group. Group A cases underwent endoscopic DCR with stent and group B without stent. The follow up was till 12th week. Both subjective and objective outcomes were noted. By 12th week, only 8% cases had no relief of symptoms in group A while 92% cases of group A and all cases of group B had complete relief of symptoms. In objective outcome, by the 12th week, in group A 92% cases had full patency while in group B 100% cases had full patency. Overall complications in postoperative period were seen in 28% patients in group A and 12% patients in group B. In this study the surgical results of endoscopic DCR with or without stent came almost equal with no statistical difference in the success rate between stent group and non-stent group. Now that Endoscopic DCR without stent is equally effective and reduces cost, we recommend that the endoscopic DCR without stent should be preferred.

Research paper thumbnail of The Effectiveness of Nasal Endoscopic Cauterization as First Line Management for Epistaxis- a Prospective Study

Journal of Evidence Based Medicine and Healthcare, 2017

BACKGROUND Epistaxis is the most common emergency in otorhinolaryngology. The usual treatment in ... more BACKGROUND Epistaxis is the most common emergency in otorhinolaryngology. The usual treatment in most cases of anterior epistaxis and almost all cases of posterior epistaxis is nasal packing followed by either cauterization, embolization or ligation. This study has been undertaken to evaluate the use of nasal endoscopic cauterization as the first line treatment both in anterior as well as posterior epistaxis. MATERIALS AND METHODS The study consisted of total 36 patients, who presented with epistaxis. All patients were first managed with nasal endoscopy and endoscopic electrocautery. Only the patients in which bleeding point could not be located by initial endoscopy were managed by insertion of nasal packing. The discomforts and minor complications in patients undergoing successful endoscopic cauterization and in the patients who were taken for nasal packing were observed along with average stay of patient in the hospital. RESULTS Out of total 36 patients, 28 patients (78%) could be successfully managed directly by endoscopic cauterization without undergoing nasal packing and the obvious discomfort associated with it. The average length of hospital stay in the patients without nasal pack was 1.39 days while for patients who were managed by nasal packing the average length of hospital stay was around 3 days. The patients who underwent nasal packing, 5 (62%) had minor complications. While in patients with endoscopic treatment as first line management, no such complications were observed. CONCLUSION Along with a good success rate, endoscopic cauterization is very effective in reducing the nasal packing related complications and the duration of stay of patient in the hospital, thus reducing the cost of treatment as well. This makes endoscopic cauterization a better first line management for both anterior as well as posterior epistaxis.

Research paper thumbnail of Efficacy of Ichthammol Glycerin Pack and Steroid Antibiotic Pack as Initial Treatment of Acute Otitis Externa: A Comparative Study

journal of medical science and clinical research, 2017

Introduction: Otitis externa, characterized by general oedema and erythema of the external audito... more Introduction: Otitis externa, characterized by general oedema and erythema of the external auditory canal, can be treated by various modalities including aural toilet, topical antibiotic agents, with or without corticosteroids. This prospective randomized study has been undertaken to compare the efficacy of ichthammol glycerin pack with steroid antibiotic pack as the initial treatment for acute otitis externa. Materials and Methods: A prospective randomized study was carried out on 60 patients diagnosed with acute otitis externa. The patients were randomly divided into two groups. In group A, Ichthammol glycerin pack was kept and in group B, steroid antibiotic pack was inserted. In all the patients the tragal tenderness, VAS score and edema score at the time of presentation were compared with these scores at two days follow up. Results: It was observed that there was statistically significant decrease in the mean pain score and the edema of the external auditory canal (p< 0.001) in both group A as well as group B. Even the tragal tenderness significantly improved within 48 hrs. in both groups (p<0.001). But there was no statistically significant difference in the efficacy of both the groups compared to each other. Conclusion: In this study, both ichthammol glycerin as well as antibiotic steroid combination proved to be effective as the initial treatment of acute otitis externa. Still we would like to recommend ichthammol glycerin pack as initial treatment as it is more cost effective with no risk of antibiotic resistance and is safe in cases of immunocompromised patients.

Research paper thumbnail of Rare Tumour Mimicking the Common: A Case Report

Journal of Evidence Based Medicine and Healthcare, 2018

BACKGROUND Ameloblastoma is the most common benign odontogenic tumour of the jaws, involving mand... more BACKGROUND Ameloblastoma is the most common benign odontogenic tumour of the jaws, involving mandible and maxilla. It is a rare tumour & constitutes about 1% of all tumours of the jaw and about 9-11% of odontogenic tumours. Being rare, very large size ameloblastomas are even rarer. We present the case of a 55-year-old man, who reported with a mass in the oral cavity since last 10-12 years which was insidious in onset and gradually increased to the present size. It was an exophytic growth measuring about 12×8×6 cm arising from the floor of the mouth, vestibule and lower lip clinically involving the lower alveolus. En bloc resection of the mass was done with adequate margins and final histopathological report suggested ameloblastoma of lower alveolus. There was no recurrence reported till 1 year of follow-up.