Vishav Yadav - Academia.edu (original) (raw)

Papers by Vishav Yadav

Research paper thumbnail of Surgical Outcomes of Type 1 Tympanoplasty in Chronic Otitis Media in Paediatric Patients: A Prospective Study

Indian Journal of Otolaryngology and Head & Neck Surgery

Research paper thumbnail of A Rare Presentation of Thyroid Mass as Tubercular Abscess: A Case Report

Indian Journal of Otolaryngology and Head & Neck Surgery

Research paper thumbnail of Post-Covid Isolated Mandibular Mucormycosis in a Patient with Chronic Kidney Disease: A Case Report

Indian Journal of Otolaryngology and Head & Neck Surgery

trauma, burns or surgical wounds [1-4]. Further, there has been an endemicity of mucormycosis cas... more trauma, burns or surgical wounds [1-4]. Further, there has been an endemicity of mucormycosis cases in patients who have recovered from the recent SARS-CoV-2 infection. There are six accepted clinical types of mucormycosis which are, namely, rhino cerebral mucormycosis, gastrointestinal mucormycosis, pulmonary and disseminated mucormycosis, associated with haematological malignancy, burn wound mucormycosis, CNS mucormycosis, and endocarditis and vascular mucormycosis [5]. Concerning otorhinolaryngology, rhino-orbital mucormycosis is the most common with a surge recently seen in COVID-19 patients. Mucormycosis isolated to the mandible is a rare entity with very few reported cases in the literature and they are generally seen to occur after dental procedures [6, 7]. Worldwide, less than 25 cases have been reported till now. Combined medical and surgical management is crucial to the management of any form of mucormycosis. Case history A 50-year-old male was referred to us due to the gradual loosening of his left lower teeth over the past 9 months which was now associated with pain in the left side of his jaw. He had a preceding history of COVID-19 infection 9 months back for which steroids were given. The patient was a known hypertensive for ten years and also had a history of chronic kidney disease for four years for which he was put Khushboo Goel

Research paper thumbnail of Effect of Chronic Suppurative Otitis Media on Gustatory Function of chorda Tympani Nerve : A Prospective Study

Indian Journal of Otolaryngology and Head & Neck Surgery

Research paper thumbnail of Ototoxicity in Patients of Advanced Head and Neck Malignancies Receiving Chemoradiation Versus Radiation Alone: Comparative Study

Indian Journal of Otolaryngology and Head & Neck Surgery

To evaluate ototoxicity in patients receiving combined cisplatin and radiotherapy in comparison t... more To evaluate ototoxicity in patients receiving combined cisplatin and radiotherapy in comparison to patients receiving radiotherapy alone. A prospective study was conducted in sixty (60) cases of advanced Head and Neck malignancy (stage III and IV). Patient were divided in two randomized groups (30 each), group I received chemoradiation and group II received radiation alone. Inclusion criteria were histopathologically confirmed head & neck malignancy, normal baseline audiograms. Exclusion criteria were defined as: previously treated cases with chemotherapy/radiotherapy, patients who didn’t complete treatment or lost to follow up. Ototoxicity was evaluated as per criterion established by the American speech-language-hearing association. Study participants were evaluated for ototoxicity at intervals defined as per study design. Sensorineural hearing loss (SNHL) was noticed in 56.6% and 36.6% of subjects in Group I & II respectively at 6 months follow up post completion of treatment. Incidence of sensorineural hearing loss increased significantly with cumulative dosages of chemoradiotherapy in group I and radiotherapy in group II. Incidence of SNHL in both study groups was found to be higher in patients older than 50 years. Incidence of ototoxicity in chemoradiated patients was found to be higher in comparison to patients receiving radiation alone. Ototoxicity occurred more with cumulative doses, with higher speech frequencies affected earlier in comparison to middle range frequencies. Lower frequencies were spared.

Research paper thumbnail of Role of cartilage graft in type 1 tympanoplasty: audiological and otologic outcomes

International Journal of Otorhinolaryngology and Head and Neck Surgery

Background: Temporalis fascia is the most commonly used graft material for the tympanic membrane ... more Background: Temporalis fascia is the most commonly used graft material for the tympanic membrane perforations. Due to high failure rate of temporalis fascia in adhesive otitis media, large perforations and advanced middle ear pathology alternate graft materials which are more rigid and resistant to infection are being used. Cartilage graft has shown to be a promising graft material in such cases. The purpose of this study was to evaluate the functional and anatomic results with cartilage graft in type 1 tympanoplasty.Methods: The present prospective study was conducted among 40 patients of chronic otitis media between 11-60 years of age requiring tympanoplasty in department of ear, nose and throat (ENT) in Government Medical College and Rajindra Hospital, Patiala. Results: The overall success rate of type 1 cartilage tympanoplasty was 85% in terms of perforation closure and post operative pure tone audiometry (PTA) at 6 weeks was 37.24 and at 12 weeks PTA was 34.27 The p value was ...

Research paper thumbnail of Spectrum of CT Findings in Clinically Suspected Cases of Mucormycosis – a Study at Tertiary Health-Care Center (Rajindra Hospital Patiala) During Second Wave of Covid Pandemic

Asian Journal of Pharmaceutical and Clinical Research

Objective: Rhinocereberal mucormycosis is an acute, fulminant, and often lethal opportunistic inf... more Objective: Rhinocereberal mucormycosis is an acute, fulminant, and often lethal opportunistic infection typically affecting diabetic or immunocompromised patients. Early diagnosis is vital in these infections because delay in initiation of the treatment can be life-threatening. Computed tomography (CT) with axial and coronal sections is a highly accurate and non-invasive modality to accurately image sinonasal mycosis. The aim of the study was to describe the imaging findings in suspected cases of mucormycosis on CT. Methods: This study was conducted in Radiodiagnosis Department of Rajindra Hospital, Patiala. The data of 22 patients who were referred for CT with a clinical suspicion of mucormycosis were collected and all these patients were followed up to know about the prognosis of the disease. Results: In our study, there were 54.60% females and 45.40% males. Maximum number of patients (45.45%) belonged to 40–49 year age group. Diabetes mellitus was found to be the most commonly (9...

Research paper thumbnail of A rare case report of sinonasal undifferentiated carcinoma of paranasal sinuses

International Journal of Otorhinolaryngology and Head and Neck Surgery, 2020

Sino nasal malignancies account for only 0.2-0.8% of all malignancies and undifferentiated carcin... more Sino nasal malignancies account for only 0.2-0.8% of all malignancies and undifferentiated carcinoma is rare malignant tumour of sinonasal tract, with extremely poor prognosis. We report a case of sinonasal undifferentiated carcinoma which we managed by surgery followed by post-operative radiotherapy with concomitant platinum-based chemotherapy. Although the overall survival is about 20% at 5 years and there are frequent recurrences combined modality treatment is the best management option available at present.

Research paper thumbnail of Smartphone Applications for Otolaryngology: Head and Neck Surgery—A Recent Update

Indian Journal of Otolaryngology and Head & Neck Surgery, 2020

Rise in the number of smartphone users have led to an increased development of smartphone applica... more Rise in the number of smartphone users have led to an increased development of smartphone applications. Advent of technology and increased awareness has led to an increased use of healthcare apps by both the physicians and patients. This study aims to provide an up to date review on applications related to Otolaryngology, head and neck surgery (Oto-HNS). The smartphone applications were reviewed in May 2020 in Google play store and apple app store using relevant search words. We included apps relevant for physicians, students as well as patients. Apps providing alternative therapies and home remedies were excluded. A total of 619 apps were included with 352 apps from play store and 267 apps from apple store. Number of apps have remarkably increased in the last 2 years till May 2020, 63 apps were developed and last year 141 Oto-HNS apps were developed. Maximum number of apps were available in hearing aid category with 144 (23.2%) mobile hearing aids and 138 (22.2%) hearing aid control apps. 445 apps were available free of cost. Use of smartphone apps have increased dramatically in the last few years. However, their authenticity is still uncertain. Actual involvement of Otolaryngologist in app development is still rare. We recommend formation of scientific committees to regulate the apps development, to access apps quality and effectiveness before incorporated in clinical practice, medical education and patients use.

Research paper thumbnail of Intratemporal Facial Nerve Anatomy and its Variations in 30 Cases of Cadaveric Temporal Bones

Indian Journal of Otolaryngology and Head & Neck Surgery, 2021

It is important for the ENT surgeon to be familiar with the anatomy of the facial nerve and to pr... more It is important for the ENT surgeon to be familiar with the anatomy of the facial nerve and to prevent iatrogenic injury to nerve as it shows variations in its intratemporal course. Present study was done to delineate the intratemporal course of facial nerve and observe its variations. Thirty wet cadaveric temporal bones were dissected in the temporal bone dissection laboratory in the Department of Otorhinolaryngology and Head Neck Surgery, Government Medical College, Patiala. The length of intratemporal segments of facial nerve, its relationship with important bony landmarks, and the presence of any anomaly or variations in its course were observed. The mean length of labyrinthine, tympanic and mastoid segment was found to be 4.28 ± 0.605 mm, 10.40 ± 1.416 mm and 12.34 ± 0.915 mm respectively in the dissected specimens. The first and second genu angle varied between 50°–90° and 90°–120° respectively. Facial canal dehiscence was present at the level of first genu in 10% of cases and at the level of tympanic segment in 33%. Distance between chorda tympani origin and stylomastoid foramen varied between 4 and 6 mm with mean value of 5.31 ± 0.603 mm. Chorda-facial angle was found to be in the range of 20° to 31° with mean of 25.30° ± 2.90°. The tympanomastoid segment of facial nerve has variations in length and in its relations with various middle ear structures. The facial canal, as it traverses the temporal bone, may display bony dehiscence, variations, and anomalies in its natural course, having its own clinical and surgical significance.

Research paper thumbnail of Olfactory and Gustatory Dysfunction in COVID-19 Patients: A Tertiary Care Institute Experience in India

Indian Journal of Otolaryngology and Head & Neck Surgery, 2021

COVID-19 epidemic has varied spectrum of symptoms. With this study we aim to evaluate prevalence ... more COVID-19 epidemic has varied spectrum of symptoms. With this study we aim to evaluate prevalence of Olfactory and Gustatory dysfunction in COVID-19 patients. To assess Olfactory and Gustatory dysfunction in COVID-19 Patients in Indian Population. Settings and Design: Prospective observational study. RT-PCR proven COVID-19 patients were enrolled in the study. Detailed history and olfactory function and Taste function were evaluated. Patient with symptoms of olfactory dysfunction were subjected to fill (sQOD-NS questionnaire). Re-evaluation was done weekly till the time of discharge. Analysis was done with Wilcoxon test with help of SPSS software. A total of 152 patients (Male-78, Female-74) completed the study after weekly evaluation. Olfactory and Gustatory dysfunction was seen in 28 (18.41%) and 20 (13.15%). Mean duration of symptoms was 2.4444 ± 0.352 days. Olfactory dysfunction was the first presenting symptom in 11 out of 152 patients (7.23%). Mean QD-NOS score in patients with Anosmia and Hyposmia (28 patients) was 11.4 ± 2.01 and 13.61 ± 2.82 at 1st evaluation, 20.3 ± 1.49 and 20.33 ± 1.57 at 7th day and 21 in both subgroups at 14th day follow up. Dysgeusia was noticed in 20/152 patients (13.15%). Recovery in olfactory dysfunction and Dysgeusia was complete in all patients. Olfactory and gustatory dysfunctions are significant part of clinical spectrum of COVID-19 disease In Indian Population.

Research paper thumbnail of Pediatric temporal bone langerhans cell histiocytosis: report of 2 cases with review of literature

International Journal of Molecular Biology, 2019

Introduction: Langerhans cell histiocytosis is a rare multiorgan disorder, commonly seen in the p... more Introduction: Langerhans cell histiocytosis is a rare multiorgan disorder, commonly seen in the pediatric age group. Commonest presentation of the disease involving the temporal bone is ear discharge. This entity is often underdiagnosed and the patient is treated with multiple courses of antibiotics which leads to delay in diagnosis and initiating apropriate treatment. Case report: We present case reports of 2 children who presented to us with this rare disease. The line of management followed is discussed briefly. Our aim is to increase awareness of this disease amongst otolaryngologists and pediatricians so that they can identify such cases in a timely manner. Conclusion: Langerhans cell histiocytosis can affect any age group but is commonly seen in children. It can involve any organ system but the temporal bone is involved in most cases. The differential diagnosis of this disease should be kept in mind for any patient presenting with chronic ear discharge that is not responding to the appropriate line of management.

Research paper thumbnail of Suprastructure Maxillary Swing for JNA: A Novel Approach to avoid Complication

An International Journal of Otorhinolaryngology Clinics, 2016

ABSTRACTJuvenile nasopharyngeal angiofibroma (JNA) is a highly vascular tumor in which surgical e... more ABSTRACTJuvenile nasopharyngeal angiofibroma (JNA) is a highly vascular tumor in which surgical excision is the main treatment modality. Wide exposure of the surgical field helps in complete surgical excision by subperiosteal dissection with a good vascular control. Conventional maxillary swing is a suitable approach for tumor with lateral extension. Palatal fistula is the major drawback of this approach. To avoid this complication, suprastructure maxillary swing is a suitable approach in which only the suprastructure of the maxilla needs to be swung instead of whole of the maxilla. The palatal cuts and lip split can be avoided with very little compromise in exposure.How to cite this articleSingh CA, Hota A, Gupta MP, Yadav V, Jat B. Suprastructure Maxillary Swing for JNA: A Novel Approach to avoid Complication. Int J Otorhinolaryngol Clin 2016;8(1):26-28.

Research paper thumbnail of Cardiac precautions in patient with Jervell and Lange-Nielson syndrome undergoing cochlear implantation

Indian Journal of Otology, 2015

ABSTRACT

Research paper thumbnail of Post-surgery Outcome Measurement of 30 Patients with Crooked Nasal Deformity using Rhinoplasty Outcome Evaluation Scale

An International Journal Clinical Rhinology, 2015

Objective The aim of the study was to assess the outcome of nasal deformity correction using rhin... more Objective The aim of the study was to assess the outcome of nasal deformity correction using rhinopasty outcome evaluation (ROE) scale. Materials and methods We conducted a prospective study of 30 patients with crooked nasal deformityin period 2008 to 2011 and assessed outcome with the help of ROE scale. Results Preoperative mean ROE score was 34.15 ± 15.58. All 30 patients ROE score was less than 85 in preoperative period. Postoperative mean score was 86.50 ± 7.07 with a mean gain of 52.35. 21/30 patients (70%) had postoperative score of more than 85 (excellent). Conclusion Rhinoplasty outcome evaluation scale is a useful subjective tool to assess the impact of deformity and outcome after surgery (patient's satisfaction). How to cite this article Yadav V, Kumar R, Chokkalingam VK, Deka RC, Hota A. Post-surgery Outcome Measurement of 30 Patients with Crooked Nasal Deformity using Rhinoplasty Outcome Evaluation Scale. Clin Rhinol An Int J 2015;8(1):5-7.

Research paper thumbnail of Surgical Outcomes of Type 1 Tympanoplasty in Chronic Otitis Media in Paediatric Patients: A Prospective Study

Indian Journal of Otolaryngology and Head & Neck Surgery

Research paper thumbnail of A Rare Presentation of Thyroid Mass as Tubercular Abscess: A Case Report

Indian Journal of Otolaryngology and Head & Neck Surgery

Research paper thumbnail of Post-Covid Isolated Mandibular Mucormycosis in a Patient with Chronic Kidney Disease: A Case Report

Indian Journal of Otolaryngology and Head & Neck Surgery

trauma, burns or surgical wounds [1-4]. Further, there has been an endemicity of mucormycosis cas... more trauma, burns or surgical wounds [1-4]. Further, there has been an endemicity of mucormycosis cases in patients who have recovered from the recent SARS-CoV-2 infection. There are six accepted clinical types of mucormycosis which are, namely, rhino cerebral mucormycosis, gastrointestinal mucormycosis, pulmonary and disseminated mucormycosis, associated with haematological malignancy, burn wound mucormycosis, CNS mucormycosis, and endocarditis and vascular mucormycosis [5]. Concerning otorhinolaryngology, rhino-orbital mucormycosis is the most common with a surge recently seen in COVID-19 patients. Mucormycosis isolated to the mandible is a rare entity with very few reported cases in the literature and they are generally seen to occur after dental procedures [6, 7]. Worldwide, less than 25 cases have been reported till now. Combined medical and surgical management is crucial to the management of any form of mucormycosis. Case history A 50-year-old male was referred to us due to the gradual loosening of his left lower teeth over the past 9 months which was now associated with pain in the left side of his jaw. He had a preceding history of COVID-19 infection 9 months back for which steroids were given. The patient was a known hypertensive for ten years and also had a history of chronic kidney disease for four years for which he was put Khushboo Goel

Research paper thumbnail of Effect of Chronic Suppurative Otitis Media on Gustatory Function of chorda Tympani Nerve : A Prospective Study

Indian Journal of Otolaryngology and Head & Neck Surgery

Research paper thumbnail of Ototoxicity in Patients of Advanced Head and Neck Malignancies Receiving Chemoradiation Versus Radiation Alone: Comparative Study

Indian Journal of Otolaryngology and Head & Neck Surgery

To evaluate ototoxicity in patients receiving combined cisplatin and radiotherapy in comparison t... more To evaluate ototoxicity in patients receiving combined cisplatin and radiotherapy in comparison to patients receiving radiotherapy alone. A prospective study was conducted in sixty (60) cases of advanced Head and Neck malignancy (stage III and IV). Patient were divided in two randomized groups (30 each), group I received chemoradiation and group II received radiation alone. Inclusion criteria were histopathologically confirmed head & neck malignancy, normal baseline audiograms. Exclusion criteria were defined as: previously treated cases with chemotherapy/radiotherapy, patients who didn’t complete treatment or lost to follow up. Ototoxicity was evaluated as per criterion established by the American speech-language-hearing association. Study participants were evaluated for ototoxicity at intervals defined as per study design. Sensorineural hearing loss (SNHL) was noticed in 56.6% and 36.6% of subjects in Group I & II respectively at 6 months follow up post completion of treatment. Incidence of sensorineural hearing loss increased significantly with cumulative dosages of chemoradiotherapy in group I and radiotherapy in group II. Incidence of SNHL in both study groups was found to be higher in patients older than 50 years. Incidence of ototoxicity in chemoradiated patients was found to be higher in comparison to patients receiving radiation alone. Ototoxicity occurred more with cumulative doses, with higher speech frequencies affected earlier in comparison to middle range frequencies. Lower frequencies were spared.

Research paper thumbnail of Role of cartilage graft in type 1 tympanoplasty: audiological and otologic outcomes

International Journal of Otorhinolaryngology and Head and Neck Surgery

Background: Temporalis fascia is the most commonly used graft material for the tympanic membrane ... more Background: Temporalis fascia is the most commonly used graft material for the tympanic membrane perforations. Due to high failure rate of temporalis fascia in adhesive otitis media, large perforations and advanced middle ear pathology alternate graft materials which are more rigid and resistant to infection are being used. Cartilage graft has shown to be a promising graft material in such cases. The purpose of this study was to evaluate the functional and anatomic results with cartilage graft in type 1 tympanoplasty.Methods: The present prospective study was conducted among 40 patients of chronic otitis media between 11-60 years of age requiring tympanoplasty in department of ear, nose and throat (ENT) in Government Medical College and Rajindra Hospital, Patiala. Results: The overall success rate of type 1 cartilage tympanoplasty was 85% in terms of perforation closure and post operative pure tone audiometry (PTA) at 6 weeks was 37.24 and at 12 weeks PTA was 34.27 The p value was ...

Research paper thumbnail of Spectrum of CT Findings in Clinically Suspected Cases of Mucormycosis – a Study at Tertiary Health-Care Center (Rajindra Hospital Patiala) During Second Wave of Covid Pandemic

Asian Journal of Pharmaceutical and Clinical Research

Objective: Rhinocereberal mucormycosis is an acute, fulminant, and often lethal opportunistic inf... more Objective: Rhinocereberal mucormycosis is an acute, fulminant, and often lethal opportunistic infection typically affecting diabetic or immunocompromised patients. Early diagnosis is vital in these infections because delay in initiation of the treatment can be life-threatening. Computed tomography (CT) with axial and coronal sections is a highly accurate and non-invasive modality to accurately image sinonasal mycosis. The aim of the study was to describe the imaging findings in suspected cases of mucormycosis on CT. Methods: This study was conducted in Radiodiagnosis Department of Rajindra Hospital, Patiala. The data of 22 patients who were referred for CT with a clinical suspicion of mucormycosis were collected and all these patients were followed up to know about the prognosis of the disease. Results: In our study, there were 54.60% females and 45.40% males. Maximum number of patients (45.45%) belonged to 40–49 year age group. Diabetes mellitus was found to be the most commonly (9...

Research paper thumbnail of A rare case report of sinonasal undifferentiated carcinoma of paranasal sinuses

International Journal of Otorhinolaryngology and Head and Neck Surgery, 2020

Sino nasal malignancies account for only 0.2-0.8% of all malignancies and undifferentiated carcin... more Sino nasal malignancies account for only 0.2-0.8% of all malignancies and undifferentiated carcinoma is rare malignant tumour of sinonasal tract, with extremely poor prognosis. We report a case of sinonasal undifferentiated carcinoma which we managed by surgery followed by post-operative radiotherapy with concomitant platinum-based chemotherapy. Although the overall survival is about 20% at 5 years and there are frequent recurrences combined modality treatment is the best management option available at present.

Research paper thumbnail of Smartphone Applications for Otolaryngology: Head and Neck Surgery—A Recent Update

Indian Journal of Otolaryngology and Head & Neck Surgery, 2020

Rise in the number of smartphone users have led to an increased development of smartphone applica... more Rise in the number of smartphone users have led to an increased development of smartphone applications. Advent of technology and increased awareness has led to an increased use of healthcare apps by both the physicians and patients. This study aims to provide an up to date review on applications related to Otolaryngology, head and neck surgery (Oto-HNS). The smartphone applications were reviewed in May 2020 in Google play store and apple app store using relevant search words. We included apps relevant for physicians, students as well as patients. Apps providing alternative therapies and home remedies were excluded. A total of 619 apps were included with 352 apps from play store and 267 apps from apple store. Number of apps have remarkably increased in the last 2 years till May 2020, 63 apps were developed and last year 141 Oto-HNS apps were developed. Maximum number of apps were available in hearing aid category with 144 (23.2%) mobile hearing aids and 138 (22.2%) hearing aid control apps. 445 apps were available free of cost. Use of smartphone apps have increased dramatically in the last few years. However, their authenticity is still uncertain. Actual involvement of Otolaryngologist in app development is still rare. We recommend formation of scientific committees to regulate the apps development, to access apps quality and effectiveness before incorporated in clinical practice, medical education and patients use.

Research paper thumbnail of Intratemporal Facial Nerve Anatomy and its Variations in 30 Cases of Cadaveric Temporal Bones

Indian Journal of Otolaryngology and Head & Neck Surgery, 2021

It is important for the ENT surgeon to be familiar with the anatomy of the facial nerve and to pr... more It is important for the ENT surgeon to be familiar with the anatomy of the facial nerve and to prevent iatrogenic injury to nerve as it shows variations in its intratemporal course. Present study was done to delineate the intratemporal course of facial nerve and observe its variations. Thirty wet cadaveric temporal bones were dissected in the temporal bone dissection laboratory in the Department of Otorhinolaryngology and Head Neck Surgery, Government Medical College, Patiala. The length of intratemporal segments of facial nerve, its relationship with important bony landmarks, and the presence of any anomaly or variations in its course were observed. The mean length of labyrinthine, tympanic and mastoid segment was found to be 4.28 ± 0.605 mm, 10.40 ± 1.416 mm and 12.34 ± 0.915 mm respectively in the dissected specimens. The first and second genu angle varied between 50°–90° and 90°–120° respectively. Facial canal dehiscence was present at the level of first genu in 10% of cases and at the level of tympanic segment in 33%. Distance between chorda tympani origin and stylomastoid foramen varied between 4 and 6 mm with mean value of 5.31 ± 0.603 mm. Chorda-facial angle was found to be in the range of 20° to 31° with mean of 25.30° ± 2.90°. The tympanomastoid segment of facial nerve has variations in length and in its relations with various middle ear structures. The facial canal, as it traverses the temporal bone, may display bony dehiscence, variations, and anomalies in its natural course, having its own clinical and surgical significance.

Research paper thumbnail of Olfactory and Gustatory Dysfunction in COVID-19 Patients: A Tertiary Care Institute Experience in India

Indian Journal of Otolaryngology and Head & Neck Surgery, 2021

COVID-19 epidemic has varied spectrum of symptoms. With this study we aim to evaluate prevalence ... more COVID-19 epidemic has varied spectrum of symptoms. With this study we aim to evaluate prevalence of Olfactory and Gustatory dysfunction in COVID-19 patients. To assess Olfactory and Gustatory dysfunction in COVID-19 Patients in Indian Population. Settings and Design: Prospective observational study. RT-PCR proven COVID-19 patients were enrolled in the study. Detailed history and olfactory function and Taste function were evaluated. Patient with symptoms of olfactory dysfunction were subjected to fill (sQOD-NS questionnaire). Re-evaluation was done weekly till the time of discharge. Analysis was done with Wilcoxon test with help of SPSS software. A total of 152 patients (Male-78, Female-74) completed the study after weekly evaluation. Olfactory and Gustatory dysfunction was seen in 28 (18.41%) and 20 (13.15%). Mean duration of symptoms was 2.4444 ± 0.352 days. Olfactory dysfunction was the first presenting symptom in 11 out of 152 patients (7.23%). Mean QD-NOS score in patients with Anosmia and Hyposmia (28 patients) was 11.4 ± 2.01 and 13.61 ± 2.82 at 1st evaluation, 20.3 ± 1.49 and 20.33 ± 1.57 at 7th day and 21 in both subgroups at 14th day follow up. Dysgeusia was noticed in 20/152 patients (13.15%). Recovery in olfactory dysfunction and Dysgeusia was complete in all patients. Olfactory and gustatory dysfunctions are significant part of clinical spectrum of COVID-19 disease In Indian Population.

Research paper thumbnail of Pediatric temporal bone langerhans cell histiocytosis: report of 2 cases with review of literature

International Journal of Molecular Biology, 2019

Introduction: Langerhans cell histiocytosis is a rare multiorgan disorder, commonly seen in the p... more Introduction: Langerhans cell histiocytosis is a rare multiorgan disorder, commonly seen in the pediatric age group. Commonest presentation of the disease involving the temporal bone is ear discharge. This entity is often underdiagnosed and the patient is treated with multiple courses of antibiotics which leads to delay in diagnosis and initiating apropriate treatment. Case report: We present case reports of 2 children who presented to us with this rare disease. The line of management followed is discussed briefly. Our aim is to increase awareness of this disease amongst otolaryngologists and pediatricians so that they can identify such cases in a timely manner. Conclusion: Langerhans cell histiocytosis can affect any age group but is commonly seen in children. It can involve any organ system but the temporal bone is involved in most cases. The differential diagnosis of this disease should be kept in mind for any patient presenting with chronic ear discharge that is not responding to the appropriate line of management.

Research paper thumbnail of Suprastructure Maxillary Swing for JNA: A Novel Approach to avoid Complication

An International Journal of Otorhinolaryngology Clinics, 2016

ABSTRACTJuvenile nasopharyngeal angiofibroma (JNA) is a highly vascular tumor in which surgical e... more ABSTRACTJuvenile nasopharyngeal angiofibroma (JNA) is a highly vascular tumor in which surgical excision is the main treatment modality. Wide exposure of the surgical field helps in complete surgical excision by subperiosteal dissection with a good vascular control. Conventional maxillary swing is a suitable approach for tumor with lateral extension. Palatal fistula is the major drawback of this approach. To avoid this complication, suprastructure maxillary swing is a suitable approach in which only the suprastructure of the maxilla needs to be swung instead of whole of the maxilla. The palatal cuts and lip split can be avoided with very little compromise in exposure.How to cite this articleSingh CA, Hota A, Gupta MP, Yadav V, Jat B. Suprastructure Maxillary Swing for JNA: A Novel Approach to avoid Complication. Int J Otorhinolaryngol Clin 2016;8(1):26-28.

Research paper thumbnail of Cardiac precautions in patient with Jervell and Lange-Nielson syndrome undergoing cochlear implantation

Indian Journal of Otology, 2015

ABSTRACT

Research paper thumbnail of Post-surgery Outcome Measurement of 30 Patients with Crooked Nasal Deformity using Rhinoplasty Outcome Evaluation Scale

An International Journal Clinical Rhinology, 2015

Objective The aim of the study was to assess the outcome of nasal deformity correction using rhin... more Objective The aim of the study was to assess the outcome of nasal deformity correction using rhinopasty outcome evaluation (ROE) scale. Materials and methods We conducted a prospective study of 30 patients with crooked nasal deformityin period 2008 to 2011 and assessed outcome with the help of ROE scale. Results Preoperative mean ROE score was 34.15 ± 15.58. All 30 patients ROE score was less than 85 in preoperative period. Postoperative mean score was 86.50 ± 7.07 with a mean gain of 52.35. 21/30 patients (70%) had postoperative score of more than 85 (excellent). Conclusion Rhinoplasty outcome evaluation scale is a useful subjective tool to assess the impact of deformity and outcome after surgery (patient's satisfaction). How to cite this article Yadav V, Kumar R, Chokkalingam VK, Deka RC, Hota A. Post-surgery Outcome Measurement of 30 Patients with Crooked Nasal Deformity using Rhinoplasty Outcome Evaluation Scale. Clin Rhinol An Int J 2015;8(1):5-7.