Objective: To study the feasibility and scope of telemedicine in otolaryngology in the COVID 19 p... more Objective: To study the feasibility and scope of telemedicine in otolaryngology in the COVID 19 pandemic and global lockdown. Methods: A retrospective study was performed in the otolaryngology department during COVID 19 pandemic at AIIMS Bathinda. Telemedicine consultation was set up to replace face to face consultation. Both audio and video consultation facility option was provided to patients. The patient satisfaction survey was done to assess the satisfaction level of telemedicine during COVID 19 pandemic in otolaryngology patients. The patient had to register for audio or video consultation, after which the patient would receive a call from the concerned department on the next day on the allotted time. The time slot for each patient was 15 minutes. Consultations were performed by the senior otolaryngologist. The informed consent was taken from the patient. The study was approved by institutional ethical committee. The total of 95 patients enrolled for teleconsultation in the otolaryngology department during the period from April 2020 to August 2020. The most common age group range was 21-40 years. The male to female ratio was 1.2:1. Out of 95 patients, 58 patients had registered for audio teleconsultation and 37 patients for video teleconsultation. The most common subspeciality patients were throat and head and neck. The overall satisfaction rate was 89%. Telemedicine is useful for follow up patient and we can rely on telemedicine in these patients. It helped patients to reach health care specialist while reducing the exposure to both.
Indian Journal of Otolaryngology and Head & Neck Surgery, 2020
While the world is fighting against the newly emerged highly contagious coronavirus strain, new e... more While the world is fighting against the newly emerged highly contagious coronavirus strain, new evolving ideas regarding symptoms and investigations are reverberating among health care professionals to combat the public health emergency. The study aims to review various presenting symptoms of COVID-19 especially the unusual one and analyzing the importance of olfactory and taste disturbances. 20 studies published recently in the last 1 year were analyzed and discussed for insights into the unusual presentation of symptoms in COVID-19 patients. All the findings and statements in this review regarding the pandemic are based on published information as listed in the references. Most research articles initially focused on fever and respiratory symptoms. Later gastrointestinal symptoms were also taken into consideration. Only 5 studies from the literature have mentioned any smell and taste disturbances after SARS-CoV-2 infection to date. So changing trends can be seen in publications and recognizing these symptoms has important to timely combat this disease. The majority of corona virus-infected patients suffer from mild to moderate severity of the disease. Much hyped up symptoms of the respiratory tract may not be shown by a greater number of patients. So the need of the hour especially in developing and densely populated nations is to recognize unusual symptoms of COVID-19 especially its influence over smell and taste sensation to prevent any delay or misdiagnosis.
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2020
Background: Coronavirus is emerging as a major threat to the global economy and psychology. The s... more Background: Coronavirus is emerging as a major threat to the global economy and psychology. The survey aims to know the concerns and preparedness of healthcare workers in the region of Punjab.Methods: An online anonymous survey of 22 item questionnaire was conducted over 124 frontline medical professionals in the region. Linear snowball sampling was done. Results: The major bulk of the study population were doctors and psychological unpreparedness and fear of increased exposure and contracting infection to the family came out to be the main concerns. While lack of enough skilled staff, essential protective equipment, and adequate support from authorities came out to be major loopholes in management strategies of the novel coronavirus.Conclusions: The authorities should provide enough encouragement and assistance mentally as well as in the form of diagnostic, protective, and remedial pieces of equipment. On the other hand, the up-gradation of preparedness plans cannot be ignored eit...
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2020
A cricopharyngeal foreign body is a common emergency to any otolaryngologist in their clinical pr... more A cricopharyngeal foreign body is a common emergency to any otolaryngologist in their clinical practice. Coins, button batteries, pencil tips, screws, tooth brush, safety pin are usually found in children but are rarely seen in adults in the cricopharynx. We present an unusual case of ayurvedic tablet as a foreign body in a 40-year-old female who swallowed an Ayurvedic tablet. She complained of absolute dysphagia to both solids and liquids. Such tablets are usually radiolucent and are not visualised on routine radiographs. Unexpectedly, on the X-ray lateral view of the neck, cricopharynx area showed a circular radio opaque shadow radio opaque shadow. Foreign body was removed by hypopharyngoscopy and patient was discharged with no complaints. Ayurvedic tablet as radio opaque shadow is a rare presentation and only one similar case has been reported so far.
Introduction: The ossicles of the middle ear are affected by the erosive effect of pathology in c... more Introduction: The ossicles of the middle ear are affected by the erosive effect of pathology in chronic otitis media. Ossicular reparation can be done via autologous incus or with alloplastic materials. Glass ionomer cement (GIC) is simple to use and saves considerable operative time and expenses especially in developing countries where costly ossicular prosthesis are not affordable for the majority of the patients. Materials and Methods: Twenty-five chronic otitis media patients who underwent surgery were included in this study. The reconstruction material used in this study was glass ionomer cement. All patients had erosion of the long process of incus and a normal stapes. Results: Pure tone average in pre-operative and post-operative period of study patients were 50.09 & 29.92 dB respectively (P=0.01) and the air-bone gap was 24.85 dB preoperatively and 14.05 dB postoperatively. The closure of the air-bone gap was statistically significant (P= 0.01). Conclusion: The study showed ...
A cricopharyngeal foreign body is a common emergency to any otolaryngologist in their clinical pr... more A cricopharyngeal foreign body is a common emergency to any otolaryngologist in their clinical practice. Coins, button batteries, pencil tips, screws, tooth brush, safety pin are usually found in children but are rarely seen in adults in the cricopharynx. We present an unusual case of ayurvedic tablet as a foreign body in a 40-year-old female who swallowed an Ayurvedic tablet. She complained of absolute dysphagia to both solids and liquids. Such tablets are usually radiolucent and are not visualised on routine radiographs. Unexpectedly, on the X-ray lateral view of the neck, cricopharynx area showed a circular radio opaque shadow radio opaque shadow. Foreign body was removed by hypopharyngoscopy and patient was discharged with no complaints. Ayurvedic tablet as radio opaque shadow is a rare presentation and only one similar case has been reported so far.
Objective: To study the feasibility and scope of telemedicine in otolaryngology in the COVID 19 p... more Objective: To study the feasibility and scope of telemedicine in otolaryngology in the COVID 19 pandemic and global lockdown. Methods: A retrospective study was performed in the otolaryngology department during COVID 19 pandemic at AIIMS Bathinda. Telemedicine consultation was set up to replace face to face consultation. Both audio and video consultation facility option was provided to patients. The patient satisfaction survey was done to assess the satisfaction level of telemedicine during COVID 19 pandemic in otolaryngology patients. The patient had to register for audio or video consultation, after which the patient would receive a call from the concerned department on the next day on the allotted time. The time slot for each patient was 15 minutes. Consultations were performed by the senior otolaryngologist. The informed consent was taken from the patient. The study was approved by institutional ethical committee. The total of 95 patients enrolled for teleconsultation in the otolaryngology department during the period from April 2020 to August 2020. The most common age group range was 21-40 years. The male to female ratio was 1.2:1. Out of 95 patients, 58 patients had registered for audio teleconsultation and 37 patients for video teleconsultation. The most common subspeciality patients were throat and head and neck. The overall satisfaction rate was 89%. Telemedicine is useful for follow up patient and we can rely on telemedicine in these patients. It helped patients to reach health care specialist while reducing the exposure to both.
Indian Journal of Otolaryngology and Head & Neck Surgery, 2020
While the world is fighting against the newly emerged highly contagious coronavirus strain, new e... more While the world is fighting against the newly emerged highly contagious coronavirus strain, new evolving ideas regarding symptoms and investigations are reverberating among health care professionals to combat the public health emergency. The study aims to review various presenting symptoms of COVID-19 especially the unusual one and analyzing the importance of olfactory and taste disturbances. 20 studies published recently in the last 1 year were analyzed and discussed for insights into the unusual presentation of symptoms in COVID-19 patients. All the findings and statements in this review regarding the pandemic are based on published information as listed in the references. Most research articles initially focused on fever and respiratory symptoms. Later gastrointestinal symptoms were also taken into consideration. Only 5 studies from the literature have mentioned any smell and taste disturbances after SARS-CoV-2 infection to date. So changing trends can be seen in publications and recognizing these symptoms has important to timely combat this disease. The majority of corona virus-infected patients suffer from mild to moderate severity of the disease. Much hyped up symptoms of the respiratory tract may not be shown by a greater number of patients. So the need of the hour especially in developing and densely populated nations is to recognize unusual symptoms of COVID-19 especially its influence over smell and taste sensation to prevent any delay or misdiagnosis.
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2020
Background: Coronavirus is emerging as a major threat to the global economy and psychology. The s... more Background: Coronavirus is emerging as a major threat to the global economy and psychology. The survey aims to know the concerns and preparedness of healthcare workers in the region of Punjab.Methods: An online anonymous survey of 22 item questionnaire was conducted over 124 frontline medical professionals in the region. Linear snowball sampling was done. Results: The major bulk of the study population were doctors and psychological unpreparedness and fear of increased exposure and contracting infection to the family came out to be the main concerns. While lack of enough skilled staff, essential protective equipment, and adequate support from authorities came out to be major loopholes in management strategies of the novel coronavirus.Conclusions: The authorities should provide enough encouragement and assistance mentally as well as in the form of diagnostic, protective, and remedial pieces of equipment. On the other hand, the up-gradation of preparedness plans cannot be ignored eit...
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2020
A cricopharyngeal foreign body is a common emergency to any otolaryngologist in their clinical pr... more A cricopharyngeal foreign body is a common emergency to any otolaryngologist in their clinical practice. Coins, button batteries, pencil tips, screws, tooth brush, safety pin are usually found in children but are rarely seen in adults in the cricopharynx. We present an unusual case of ayurvedic tablet as a foreign body in a 40-year-old female who swallowed an Ayurvedic tablet. She complained of absolute dysphagia to both solids and liquids. Such tablets are usually radiolucent and are not visualised on routine radiographs. Unexpectedly, on the X-ray lateral view of the neck, cricopharynx area showed a circular radio opaque shadow radio opaque shadow. Foreign body was removed by hypopharyngoscopy and patient was discharged with no complaints. Ayurvedic tablet as radio opaque shadow is a rare presentation and only one similar case has been reported so far.
Introduction: The ossicles of the middle ear are affected by the erosive effect of pathology in c... more Introduction: The ossicles of the middle ear are affected by the erosive effect of pathology in chronic otitis media. Ossicular reparation can be done via autologous incus or with alloplastic materials. Glass ionomer cement (GIC) is simple to use and saves considerable operative time and expenses especially in developing countries where costly ossicular prosthesis are not affordable for the majority of the patients. Materials and Methods: Twenty-five chronic otitis media patients who underwent surgery were included in this study. The reconstruction material used in this study was glass ionomer cement. All patients had erosion of the long process of incus and a normal stapes. Results: Pure tone average in pre-operative and post-operative period of study patients were 50.09 & 29.92 dB respectively (P=0.01) and the air-bone gap was 24.85 dB preoperatively and 14.05 dB postoperatively. The closure of the air-bone gap was statistically significant (P= 0.01). Conclusion: The study showed ...
A cricopharyngeal foreign body is a common emergency to any otolaryngologist in their clinical pr... more A cricopharyngeal foreign body is a common emergency to any otolaryngologist in their clinical practice. Coins, button batteries, pencil tips, screws, tooth brush, safety pin are usually found in children but are rarely seen in adults in the cricopharynx. We present an unusual case of ayurvedic tablet as a foreign body in a 40-year-old female who swallowed an Ayurvedic tablet. She complained of absolute dysphagia to both solids and liquids. Such tablets are usually radiolucent and are not visualised on routine radiographs. Unexpectedly, on the X-ray lateral view of the neck, cricopharynx area showed a circular radio opaque shadow radio opaque shadow. Foreign body was removed by hypopharyngoscopy and patient was discharged with no complaints. Ayurvedic tablet as radio opaque shadow is a rare presentation and only one similar case has been reported so far.
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