ABSTRACT
Background: Gastro - esophageal reflux disease is a common problem in medical practice. There is increasing evidence that GERD causes laryngeal signs and symptoms. AIM: To identify and study the laryngeal manifestations in symptomatic patients with GERD. Methods: A prospective study was conducted in about 60 patients with GERD in a tertiary care medical college hospital for a period of one year. Results: The study was statistically evaluated using chi square test and there was strong statistical significance for the laryngeal manifestations in GERD.Conclusion: The incidence of laryngeal manifestations of GERD in our study was 68%, the common symptom being hoarseness and the common sign being interarytenoid eythema.
ABSTRACT
Background: In treatment of mucosal type of Chronic, suppurative otitis media, even well experienced otologists, remain divided in terms of combining mastoidectomy with tympanoplasty. Here we evaluate the surgical outcomes of tympanoplasties with and without cortical mastoidectomy and discuss the various pre-operative factors and post-operative subjective functional benefit of the patient. Aim: To evaluate the surgical outcomes of tympanoplasties with and without mastoidectomies in terms of graft uptake and hearing improvement. Study design: Prospective study. Methods: A total of 67 patients undergoing tympanoplasties with and without mastoidectomy were included and followed up for a period of one year. Statistical Analysis: Chi square test. Results: There was no significant difference in the surgical outcomes of both the surgeries in terms of graft uptake and hearing improvement. In unilateral cases Belfast rule of thumb application enables the actual hearing benefit of the patient. Conclusion: The addition of cortical mastoidectomy to tympanoplasty did not improve the outcome of surgeries done for mucosal type of chronic suppurative otitis media.