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Papers by Saai Ram Thejas
Asian Journal of Case Reports in Surgery, Nov 3, 2021
Asian Journal of Research in Dermatological Science, Oct 26, 2021
Journal of Laryngology and Voice, 2021
Introduction: Laryngopharyngeal reflux (LPR) is highly prevalent in the general population and it... more Introduction: Laryngopharyngeal reflux (LPR) is highly prevalent in the general population and its impact on health systems is growing dramatically by the day. The term reflux means back flow. The contents of the stomach flowing back into the esophagus, pharynx, and larynx because of a transient relaxation of the lower esophageal sphincter cause of a spectrum of symptoms diagnosed with LPR and gastroesophageal reflux disease. Aims and Objectives: To study in detail the symptoms caused in LPR and to ascertain if and how they hamper the routine of an individual by using the reflux symptom index (RSI). Materials and Methods: The RSI is a self-administered nine-item outcomes instrument for LPR. Ninety-one patients with clinically diagnosed LPR were taken up for this study and were issued the RSI (translated into the local language for better results) before and after treatment. Data were assessed at the end of 3 months and 6 months. Observations and Results: The tabulated data showed si...
Saudi Journal of Otorhinolaryngology Head and Neck Surgery, 2021
Background: Tonsillectomy as a surgical procedure has been practiced by ENT surgeons for a very l... more Background: Tonsillectomy as a surgical procedure has been practiced by ENT surgeons for a very long time. A common indication for Tonsillectomy is Chronic Tonsillitis, among others. The surgery is largely safe irrespective of the method used. Haemorrhage can be a life-threatening complication post Tonsillectomy if it is not identified and treated immediately. Various techniques are used to achieve haemostasis and prevent haemorrhage including surgical tie, cautery, local application of adrenaline or hydrogen peroxide among others. Aims and Objectives: To understand the vasoconstrictive and haemostatic properties of Hydrogen Peroxide in Tonsillectomy. Materials and Methods: One hundred and thirty-three (133) patients undergoing Tonsillectomy for Chronic Tonsillitis were part of the study. Dissection and Snare technique was performed. 23 patients needed the use of cautery/knot for haemostasis and were then excluded from the study. To avoid bias, dissection of the right tonsil was taken as Group 1 and left tonsil as Group 2. Normal Saline soaked cotton ball was used to give local pressure in the tonsillar fossa in Group 1 and 3% Hydrogen Peroxide soaked cotton ball was used in Group 2. Blood loss and time taken to dissect were taken as parameters of study. Observations and Results: In Group 1, it took 14.29 minutes on an average from first incision to completion. In Group 2, it took 12.15 minutes on an average from first incision to completion. The time in Group 2 was 14.97% lesser than Group 1. The average blood loss in Group 1 was 56.47 ml and in Group 2 the same value stood at 47.41 ml. The blood loss in Group 2 was 16.04% lesser than in Group 1. There were no complications encountered. Conclusion: 3% Hydrogen Peroxide is a potent agent for antimicrobial activity and haemostasis when introduced in the tonsillar fossa post tonsillectomy. When used in moderation, it is very effective in preventing blood loss. Also, there are no serious complications associated with the use of Hydrogen Peroxide as a haemostatic agent.
Annals of Indian Academy of Otorhinolaryngology Head and Neck Surgery, 2019
Introduction: Nasal septal deviation is a common diagnosis made by an otorhinolaryngologist, and ... more Introduction: Nasal septal deviation is a common diagnosis made by an otorhinolaryngologist, and septoplasty or submucous resection is among the most common daycare procedures practiced in the clinic. Aims and Objectives: The aim of this study was to assess clinically if at all, there is any change in the symptoms of a person post an isolated septal surgery without dealing with the external contour and cosmetic appeal. Materials and Methods: One hundred patients with complaints of nasal obstruction, trouble breathing through the nose, and headache were selected for the study. The initial preoperative assessment was done based on a symptomatic score (Nasal Obstruction Symptom Evaluation Scale [NOSE]). The presence of a septal deviation (cartilaginous or bony) was confirmed with a computed tomography of the paranasal sinuses and a diagnostic nasal endoscopy. Surgery was then performed to correct the pathology based on the location of the deviation. The postoperative assessment was done after 12 weeks based on the NOSE Scale. The results were analyzed and documented. Observations and Results: It was found that the symptomatic picture was better post surgery. Conclusion: The conclusion obtained from the study was that septoplasty and submucous resection as isolated surgical procedures are still relevant in today's world for symptomatic betterment and a healthier lifestyle.
Romanian Journal of Rhinology
OBJECTIVE. To compare the outcomes of Intranasal Antrostomy (INA) with Nasoantral Window-Plasty a... more OBJECTIVE. To compare the outcomes of Intranasal Antrostomy (INA) with Nasoantral Window-Plasty and endoscopic Middle Meatal Antrostomy (MMA) in patients with isolated chronic maxillary sinusitis using an elaborate and detailed set of parameters. MATERIAL AND METHODS. All patients with clinically diagnosed chronic maxillary rhinosinusitis (unilateral/bilateral) were assessed based on radiological (Lund-Mackay Scoring System) and endoscopic evidence (Lund-Kennedy Scoring System). The Visual Analogue Scale was used to understand the severity of symptoms. Strict inclusion and exclusion criteria were used. One hundred patients were included in the study and divided into two equal groups of fifty each. Group 1 of patients underwent Intranasal Antrostomy with Nasoantral Window-Plasty and Group 2 underwent endoscopic Middle Meatal Antrostomy. All the surgeries were done in the same environment, under local anaesthesia and by the same surgeon. The parameters were noted before surgery and 8 ...
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2021
Background: Allergic rhinitis (AR) is the most prevalent atopic disease in the world. It involves... more Background: Allergic rhinitis (AR) is the most prevalent atopic disease in the world. It involves clinical hypersensitivity of the nasal mucosa to foreign substances mediated through immunoglobulin E antibodies. The quantitative Score for allergic rhinitis (SFAR) ranging between 0 and 16 has been in use from 2002.Methods: 240 patients diagnosed with Persistent allergic rhinitis (PAR) were taken to be part of the study after proper consent irrespective of the severity of symptoms. Each patient filled out the SFAR form before the treatment commenced. Serum IgE levels were noted and treatment was started which included oral and topical antihistamines, oral leukotriene receptor antagonists along with intranasal steroids. The IgE values were assessed along with the SFAR values side by side to look for any association. Results: It was noted that the individuals with identified triggers of allergy and those with a positive family history of allergy had a considerable higher IgE value as c...
Acta Scientific Cancer Biology
BACKGROUND. Septoplasty is an age-old surgery performed mainly for a deviated nasal septum. Vario... more BACKGROUND. Septoplasty is an age-old surgery performed mainly for a deviated nasal septum. Various methods have been described and the surgery is left to the choice of the surgeon. Traditional septoplasty has taken a back seat in the modern era because of various complications. Newer techniques are being practiced owing to better outcomes. Hydrodissection for septal flap elevation has been both criticized and appreciated because of multiple reasons. In this study, we have used this technique in practice and evaluated its outcome. MATERIAL AND METHODS. 184 patients with Deviated Nasal Septum (DNS) were evaluated. 82 in Group 1 underwent conventional septoplasty with Freer’s elevator and 102 in Group 2 underwent septoplasty with hydrodissection using Normal Saline (NS). Time taken to perform flap elevation, status of the mucoperichondrial flap intra-operatively and scoring of adhesions 4 weeks postoperatively were the parameters of study. RESULTS. 19 out of 82 cases had tears in the ...
The nasal airways and their close association to paranasal sinuses are an integral part of the Re... more The nasal airways and their close association to paranasal sinuses are an integral part of the Respiratory Tract. Mucociliary clearance is the predominant clearance mechanism for both upper and lower airways. The two components of mucociliary clearance are cilia and the secretions above them. It is known that CRS coexists in as many as 40-75% of patients with BA. Treatment options for CRS include medical therapy, surgical intervention or both. According to recent guidelines, ESS
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2020
CSOM is defined as a chronic inflammation of the middle ear and mastoid cavity which presents wit... more CSOM is defined as a chronic inflammation of the middle ear and mastoid cavity which presents with recurrent ear discharges through a tympanic perforation. It is most likely a result of an earlier acute otitis media, negative middle ear pressure because of a non-patent eustachian tube or otitis media with effusion. It is one of the commonest conditions encountered in OPD of otorhinolaryngology in most developing countries.
Indian Journal of Otolaryngology and Head & Neck Surgery
Tonsillectomy as a surgical procedure has been practiced by ENT surgeons for a very long time. A ... more Tonsillectomy as a surgical procedure has been practiced by ENT surgeons for a very long time. A common indication for Tonsillectomy is Chronic Tonsillitis, among others. The surgery is largely safe irrespective of the method used. Haemorrhage can be a life-threatening complication post Tonsillectomy if it is not identified and treated immediately. Various techniques are used to achieve haemostasis and prevent haemorrhage including surgical tie, cautery, local application of adrenaline or hydrogen peroxide among others. To understand the vasoconstrictive and haemostatic properties of Hydrogen Peroxide in Tonsillectomy bleed. One hundred and thirtythree (133) patients undergoing Tonsillectomy for Chronic Tonsillitis were part of the study. Dissection and Snare technique was performed. 23 patients needed the use of cautery/knot for haemostasis and were then excluded from the study. To avoid bias, dissection of the right tonsil was taken as Group 1 and left tonsil as Group 2. Normal Saline soaked cotton ball was used to give local pressure in the tonsillar fossa in Group 1 and 3% Hydrogen Peroxide soaked cotton ball was used in Group 2. Blood loss and time taken to dissect were taken as parameters of study. In Group 1, it took 14.29 min on an average from first incision to completion. In Group 2, it took 12.15 min on an average from first incision to completion. The time in Group 2 was 14.97% lesser than Group 1. The average blood loss in Group 1 was 56.47 ml and in Group 2 the same value stood at 47.41 ml. The blood loss in Group 2 was 16.04% lesser than in Group 1. There were no complications encountered. Powered by Editorial ManagerÒ and ProduXion Man-agerÒ from Aries Systems Corporation 3% Hydrogen Peroxide is a potent agent for antimicrobial activity and haemostasis when introduced in the tonsillar fossa post tonsillectomy. When used in moderation, it is very effective in preventing blood loss. Also, there are no serious complications associated with the use of Hydrogen Peroxide as a haemostatic agent.
Bengal Journal of Otolaryngology and Head Neck Surgery
Introduction Laryngopharyngeal Reflux (LPR) is highly prevalent in the general population and its... more Introduction Laryngopharyngeal Reflux (LPR) is highly prevalent in the general population and its impact on health systems is growing dramatically by the day. The contents of the stomach flowing back into the oesophagus, pharynx and larynx because of a transient relaxation of the lower oesophageal sphincter leads to a spectrum of symptoms diagnosed as LPR and Gastroesophageal Reflux Disease (GERD). The aim was to study in detail the symptoms of LPR and to ascertain if and how they hamper the routine of an individual by using the Reflux Symptom Index (RSI). Materials and Methods The Reflux Symptom Index (RSI) is a self-administered nine-item outcomes instrument for LPR. Ninety-one patients with clinically diagnosed LPR were taken up for this study and were issued the RSI (translated into the local language for better results) before and after treatment. Data was assessed at the end of 3 months and 6 months. Results The tabulated data showed significant improvement in the symptoma...
Journal of Evidence Based Medicine and Healthcare
BACKGROUND Chronic Otitis Media is a permanent abnormality of the pars tensa or flaccida, most li... more BACKGROUND Chronic Otitis Media is a permanent abnormality of the pars tensa or flaccida, most likely a result of earlier acute otitis media, negative middle ear pressure or otitis media with effusion. METHODS In our study, we evaluated the hearing status by means of a Pure Tone Audiometry in patients with inactive mucosal chronic otitis media undergoing myringoplasty with a temporalis fascia underlay procedure. RESULTS At the end of the study, the mean improvement in the air bone gap was found to be 7 dB (36.16%) and the mean improvement in the air conduction threshold was found to be 10 dB (25.23%). It was noted that there is a significant hearing improvement. CONCLUSIONS A diseased ear which is diagnosed early and operated early produces better results than a long-standing diseased ear. Also, a long-standing disease produces more hearing loss because of reasons like bone erosion and mucosal change.
Indian Journal of Otolaryngology and Head & Neck Surgery
Indian Journal of Otolaryngology and Head & Neck Surgery
Indian Journal of Otolaryngology and Head & Neck Surgery
Asian Journal of Case Reports in Surgery, Nov 3, 2021
Asian Journal of Research in Dermatological Science, Oct 26, 2021
Journal of Laryngology and Voice, 2021
Introduction: Laryngopharyngeal reflux (LPR) is highly prevalent in the general population and it... more Introduction: Laryngopharyngeal reflux (LPR) is highly prevalent in the general population and its impact on health systems is growing dramatically by the day. The term reflux means back flow. The contents of the stomach flowing back into the esophagus, pharynx, and larynx because of a transient relaxation of the lower esophageal sphincter cause of a spectrum of symptoms diagnosed with LPR and gastroesophageal reflux disease. Aims and Objectives: To study in detail the symptoms caused in LPR and to ascertain if and how they hamper the routine of an individual by using the reflux symptom index (RSI). Materials and Methods: The RSI is a self-administered nine-item outcomes instrument for LPR. Ninety-one patients with clinically diagnosed LPR were taken up for this study and were issued the RSI (translated into the local language for better results) before and after treatment. Data were assessed at the end of 3 months and 6 months. Observations and Results: The tabulated data showed si...
Saudi Journal of Otorhinolaryngology Head and Neck Surgery, 2021
Background: Tonsillectomy as a surgical procedure has been practiced by ENT surgeons for a very l... more Background: Tonsillectomy as a surgical procedure has been practiced by ENT surgeons for a very long time. A common indication for Tonsillectomy is Chronic Tonsillitis, among others. The surgery is largely safe irrespective of the method used. Haemorrhage can be a life-threatening complication post Tonsillectomy if it is not identified and treated immediately. Various techniques are used to achieve haemostasis and prevent haemorrhage including surgical tie, cautery, local application of adrenaline or hydrogen peroxide among others. Aims and Objectives: To understand the vasoconstrictive and haemostatic properties of Hydrogen Peroxide in Tonsillectomy. Materials and Methods: One hundred and thirty-three (133) patients undergoing Tonsillectomy for Chronic Tonsillitis were part of the study. Dissection and Snare technique was performed. 23 patients needed the use of cautery/knot for haemostasis and were then excluded from the study. To avoid bias, dissection of the right tonsil was taken as Group 1 and left tonsil as Group 2. Normal Saline soaked cotton ball was used to give local pressure in the tonsillar fossa in Group 1 and 3% Hydrogen Peroxide soaked cotton ball was used in Group 2. Blood loss and time taken to dissect were taken as parameters of study. Observations and Results: In Group 1, it took 14.29 minutes on an average from first incision to completion. In Group 2, it took 12.15 minutes on an average from first incision to completion. The time in Group 2 was 14.97% lesser than Group 1. The average blood loss in Group 1 was 56.47 ml and in Group 2 the same value stood at 47.41 ml. The blood loss in Group 2 was 16.04% lesser than in Group 1. There were no complications encountered. Conclusion: 3% Hydrogen Peroxide is a potent agent for antimicrobial activity and haemostasis when introduced in the tonsillar fossa post tonsillectomy. When used in moderation, it is very effective in preventing blood loss. Also, there are no serious complications associated with the use of Hydrogen Peroxide as a haemostatic agent.
Annals of Indian Academy of Otorhinolaryngology Head and Neck Surgery, 2019
Introduction: Nasal septal deviation is a common diagnosis made by an otorhinolaryngologist, and ... more Introduction: Nasal septal deviation is a common diagnosis made by an otorhinolaryngologist, and septoplasty or submucous resection is among the most common daycare procedures practiced in the clinic. Aims and Objectives: The aim of this study was to assess clinically if at all, there is any change in the symptoms of a person post an isolated septal surgery without dealing with the external contour and cosmetic appeal. Materials and Methods: One hundred patients with complaints of nasal obstruction, trouble breathing through the nose, and headache were selected for the study. The initial preoperative assessment was done based on a symptomatic score (Nasal Obstruction Symptom Evaluation Scale [NOSE]). The presence of a septal deviation (cartilaginous or bony) was confirmed with a computed tomography of the paranasal sinuses and a diagnostic nasal endoscopy. Surgery was then performed to correct the pathology based on the location of the deviation. The postoperative assessment was done after 12 weeks based on the NOSE Scale. The results were analyzed and documented. Observations and Results: It was found that the symptomatic picture was better post surgery. Conclusion: The conclusion obtained from the study was that septoplasty and submucous resection as isolated surgical procedures are still relevant in today's world for symptomatic betterment and a healthier lifestyle.
Romanian Journal of Rhinology
OBJECTIVE. To compare the outcomes of Intranasal Antrostomy (INA) with Nasoantral Window-Plasty a... more OBJECTIVE. To compare the outcomes of Intranasal Antrostomy (INA) with Nasoantral Window-Plasty and endoscopic Middle Meatal Antrostomy (MMA) in patients with isolated chronic maxillary sinusitis using an elaborate and detailed set of parameters. MATERIAL AND METHODS. All patients with clinically diagnosed chronic maxillary rhinosinusitis (unilateral/bilateral) were assessed based on radiological (Lund-Mackay Scoring System) and endoscopic evidence (Lund-Kennedy Scoring System). The Visual Analogue Scale was used to understand the severity of symptoms. Strict inclusion and exclusion criteria were used. One hundred patients were included in the study and divided into two equal groups of fifty each. Group 1 of patients underwent Intranasal Antrostomy with Nasoantral Window-Plasty and Group 2 underwent endoscopic Middle Meatal Antrostomy. All the surgeries were done in the same environment, under local anaesthesia and by the same surgeon. The parameters were noted before surgery and 8 ...
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2021
Background: Allergic rhinitis (AR) is the most prevalent atopic disease in the world. It involves... more Background: Allergic rhinitis (AR) is the most prevalent atopic disease in the world. It involves clinical hypersensitivity of the nasal mucosa to foreign substances mediated through immunoglobulin E antibodies. The quantitative Score for allergic rhinitis (SFAR) ranging between 0 and 16 has been in use from 2002.Methods: 240 patients diagnosed with Persistent allergic rhinitis (PAR) were taken to be part of the study after proper consent irrespective of the severity of symptoms. Each patient filled out the SFAR form before the treatment commenced. Serum IgE levels were noted and treatment was started which included oral and topical antihistamines, oral leukotriene receptor antagonists along with intranasal steroids. The IgE values were assessed along with the SFAR values side by side to look for any association. Results: It was noted that the individuals with identified triggers of allergy and those with a positive family history of allergy had a considerable higher IgE value as c...
Acta Scientific Cancer Biology
BACKGROUND. Septoplasty is an age-old surgery performed mainly for a deviated nasal septum. Vario... more BACKGROUND. Septoplasty is an age-old surgery performed mainly for a deviated nasal septum. Various methods have been described and the surgery is left to the choice of the surgeon. Traditional septoplasty has taken a back seat in the modern era because of various complications. Newer techniques are being practiced owing to better outcomes. Hydrodissection for septal flap elevation has been both criticized and appreciated because of multiple reasons. In this study, we have used this technique in practice and evaluated its outcome. MATERIAL AND METHODS. 184 patients with Deviated Nasal Septum (DNS) were evaluated. 82 in Group 1 underwent conventional septoplasty with Freer’s elevator and 102 in Group 2 underwent septoplasty with hydrodissection using Normal Saline (NS). Time taken to perform flap elevation, status of the mucoperichondrial flap intra-operatively and scoring of adhesions 4 weeks postoperatively were the parameters of study. RESULTS. 19 out of 82 cases had tears in the ...
The nasal airways and their close association to paranasal sinuses are an integral part of the Re... more The nasal airways and their close association to paranasal sinuses are an integral part of the Respiratory Tract. Mucociliary clearance is the predominant clearance mechanism for both upper and lower airways. The two components of mucociliary clearance are cilia and the secretions above them. It is known that CRS coexists in as many as 40-75% of patients with BA. Treatment options for CRS include medical therapy, surgical intervention or both. According to recent guidelines, ESS
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2020
CSOM is defined as a chronic inflammation of the middle ear and mastoid cavity which presents wit... more CSOM is defined as a chronic inflammation of the middle ear and mastoid cavity which presents with recurrent ear discharges through a tympanic perforation. It is most likely a result of an earlier acute otitis media, negative middle ear pressure because of a non-patent eustachian tube or otitis media with effusion. It is one of the commonest conditions encountered in OPD of otorhinolaryngology in most developing countries.
Indian Journal of Otolaryngology and Head & Neck Surgery
Tonsillectomy as a surgical procedure has been practiced by ENT surgeons for a very long time. A ... more Tonsillectomy as a surgical procedure has been practiced by ENT surgeons for a very long time. A common indication for Tonsillectomy is Chronic Tonsillitis, among others. The surgery is largely safe irrespective of the method used. Haemorrhage can be a life-threatening complication post Tonsillectomy if it is not identified and treated immediately. Various techniques are used to achieve haemostasis and prevent haemorrhage including surgical tie, cautery, local application of adrenaline or hydrogen peroxide among others. To understand the vasoconstrictive and haemostatic properties of Hydrogen Peroxide in Tonsillectomy bleed. One hundred and thirtythree (133) patients undergoing Tonsillectomy for Chronic Tonsillitis were part of the study. Dissection and Snare technique was performed. 23 patients needed the use of cautery/knot for haemostasis and were then excluded from the study. To avoid bias, dissection of the right tonsil was taken as Group 1 and left tonsil as Group 2. Normal Saline soaked cotton ball was used to give local pressure in the tonsillar fossa in Group 1 and 3% Hydrogen Peroxide soaked cotton ball was used in Group 2. Blood loss and time taken to dissect were taken as parameters of study. In Group 1, it took 14.29 min on an average from first incision to completion. In Group 2, it took 12.15 min on an average from first incision to completion. The time in Group 2 was 14.97% lesser than Group 1. The average blood loss in Group 1 was 56.47 ml and in Group 2 the same value stood at 47.41 ml. The blood loss in Group 2 was 16.04% lesser than in Group 1. There were no complications encountered. Powered by Editorial ManagerÒ and ProduXion Man-agerÒ from Aries Systems Corporation 3% Hydrogen Peroxide is a potent agent for antimicrobial activity and haemostasis when introduced in the tonsillar fossa post tonsillectomy. When used in moderation, it is very effective in preventing blood loss. Also, there are no serious complications associated with the use of Hydrogen Peroxide as a haemostatic agent.
Bengal Journal of Otolaryngology and Head Neck Surgery
Introduction Laryngopharyngeal Reflux (LPR) is highly prevalent in the general population and its... more Introduction Laryngopharyngeal Reflux (LPR) is highly prevalent in the general population and its impact on health systems is growing dramatically by the day. The contents of the stomach flowing back into the oesophagus, pharynx and larynx because of a transient relaxation of the lower oesophageal sphincter leads to a spectrum of symptoms diagnosed as LPR and Gastroesophageal Reflux Disease (GERD). The aim was to study in detail the symptoms of LPR and to ascertain if and how they hamper the routine of an individual by using the Reflux Symptom Index (RSI). Materials and Methods The Reflux Symptom Index (RSI) is a self-administered nine-item outcomes instrument for LPR. Ninety-one patients with clinically diagnosed LPR were taken up for this study and were issued the RSI (translated into the local language for better results) before and after treatment. Data was assessed at the end of 3 months and 6 months. Results The tabulated data showed significant improvement in the symptoma...
Journal of Evidence Based Medicine and Healthcare
BACKGROUND Chronic Otitis Media is a permanent abnormality of the pars tensa or flaccida, most li... more BACKGROUND Chronic Otitis Media is a permanent abnormality of the pars tensa or flaccida, most likely a result of earlier acute otitis media, negative middle ear pressure or otitis media with effusion. METHODS In our study, we evaluated the hearing status by means of a Pure Tone Audiometry in patients with inactive mucosal chronic otitis media undergoing myringoplasty with a temporalis fascia underlay procedure. RESULTS At the end of the study, the mean improvement in the air bone gap was found to be 7 dB (36.16%) and the mean improvement in the air conduction threshold was found to be 10 dB (25.23%). It was noted that there is a significant hearing improvement. CONCLUSIONS A diseased ear which is diagnosed early and operated early produces better results than a long-standing diseased ear. Also, a long-standing disease produces more hearing loss because of reasons like bone erosion and mucosal change.
Indian Journal of Otolaryngology and Head & Neck Surgery
Indian Journal of Otolaryngology and Head & Neck Surgery
Indian Journal of Otolaryngology and Head & Neck Surgery