TEES - A New Horizon

Background: Transcanal endoscopic ear surgery has many advantages over conventional microscopic ear surgery and is used as adjunct to microscope or is used independently. Precise large visual field and angular vision has edge over the clumsy, expensive, peeping tubular vision of microscopes. Moreover, it is a better teaching methodology for the undergraduates and postgraduates. Our study comprised of twenty-five patients who had safe ear and underwent transcanal endoscopic ear surgery (TEES). Methods: This prospective study was carried out between October 2014 to December 2015 at Hayaat hospital, Allahabad, Uttar Pradesh, India and Hind Institute of Medical Sciences, Safedabad, Barabanki. Twenty-five patients of age group more than fifteen years were selected. All the patients selected had dry and safe type of chronic suppurative otitis media (CSOM). Results: Of the twenty five people ten were females and fifteen males in the ratio of 2:3. All the patients selected had dry ear and safe type of chronic suppurative otitis media (CSOM). All had conductive hearing loss of variable decibels but not greater than fifty-five decibels. Conclusions: Further research is needed in the field of operative TEES. We all need to discuss and more research work is needed to prove its genuinity and practicality.

Tonsillectomy - A Comparative Study of GA or LA

Background: Ethically it is our jurisdiction to decide upon the medical procedure we undertake after weighing the risk benefit ratio. Tonsillectomy is conventionally operated under general anesthesia but it has its own merits and demerits. The aim of the study was to analyse the better procedure. Methods: Hundred patients were operated in the medical college over period of two years in HIMS Barabanki and Govt medical college Kannauj. Seventy patients were operated under general anesthesia and another thirty under local anesthesia. Results: The total operation time, VAS, blood loss, complications, cost effectiveness, bed occupancy, patient turnover rate and patient satisfaction was better in surgical exercise done under local anesthesia when compared to general anesthesia. Conclusions: Tonsillectomy done under local anesthesia definitely has an edge over the general anesthesia.

Esthesioneuroblastoma - A Clinicopathological Study

Background: Esthesioneuroblastoma is a rare tumour accounting for only 3% of all intranasal tumors. Its proximity with important structures and aggressive behavior presents a diagnostic and therapeutic challenge. CT, MRI and histopathology forms the basic pillars of management. Methods: A prospective study was conducted between Feb 1998 to Feb 2004 in the Department of ENT, JNMC, AMU Aligarh. All the five patients taken up for study proved histopathologically to be cases of esthesioneuroblastoma. Results: Of the five patients, three presented with unilateral nasal obstruction (60%) and two with epistaxis (40%). Proptosis was present in one patient. Anosmia, headache and pain were other associated symptoms. Conclusions: hepatic and renal involvement occurs in patients suffering from dengue fever. Hence, multidisciplinary approach should be carried out while treating such patients.

Dentigerous Cyst – Its’ Prevalence and Presentation in a Tertiary Care Teaching Hospital

Background: Dentigerous cyst is although not uncommon but now is infrequently found in otolaryngological practice after the development of dental fraternity. Many times, they are encountered because of swelling in head neck area and facial disfigurement. NCCT and OPG play important role in its diagnosis. Removal can be both open or endoscopically. Methods: This prospective study was carried on n= 5 patients suspected of Dentigerous Cyst were included in our study on the basis of inclusion and exclusion criteria. Results: Here a series of five cases of Dentigerous cyst is presented with discussion regarding clinical and radiological features and treatment with a short review of literature. Conclusions: The Dentigerous cyst are usually encountered in ENT OPD and needs to be properly investigated. Advent of endoscopes and knowledge of anatomy of the area gives edge to the Otorhinolaryngologist over dentist in its management.

Diphtheria Resurgence – A Prospective Study in a Tertiary Care Teaching Hospital

Background: Diphtheria was one of the six killer diseases of childhood and was presumed to have been controlled if not eradicated through immunization programme. Emergence of diphtheria once again has challenged our health policies, immunization and public awareness campaign. Stringent measures need to be taken lest the disease is blown out of proportion and control measures fail. Hence, to highlight the resurgence of diphtheria, its repercussion, mitigation activities under taken by the government we have undertaken to pen down this paper. Methods: This prospective study was carried on n= 5  patients included in our study on the basis of inclusion and exclusion criteria. Results: Our approach to the diphtheritic patient should be multifaceted and thorough examination and investigation is required by team approach to counter the impact of the toxins released as it starts with Otorhinolaryngological manifestations and terminates with the cardiovascular and neurological complications.  Conclusions: Three major measures are indicated to counter the resurgence of diphtheria i.e. high immunization coverage of target groups, prompt diagnosis and management of diphtheria cases, and rapid identification of close contacts with their effective management to prevent secondary cases.