Skip to main content

Nitika Gupta

Followers

5

Following

6

Public Views

University of Virginia

Shiraz University Of Medical Sciences

Nima M.NEJAT (moharamnejad)

Istanbul Aydin University

Tehran University of Medical Sciences

University of Connecticut

Fernando Cesar Capovilla

Universidade de São Paulo

Sampath Chandra Prasad Rao

Manipal Academy of Higher Education

Eskisehir Osmangazi University, Turkey

The University of Auckland

University of Toronto

Interests

Uploads

Papers by Nitika Gupta

Evaluation of quality of life after septorhinoplasty using Rhinoplasty Outcome Evaluation questionnaire

The Egyptian Journal of Otolaryngology, May 16, 2023

Background To assess satisfaction level of patients undergoing septorhinoplasty pre-and post-oper... more Background To assess satisfaction level of patients undergoing septorhinoplasty pre-and post-operatively using Rhinoplasty Outcome Evaluation (ROE) questionnaire. The present prospective study, after approval by Institutional Ethics Committee, was conducted in the Department of ENT, SMGS Hospital, from March 2021 to November 2022 on 83 patients who underwent septorhinoplasty. Demographic and clinical characteristics (age, gender, education, technique of surgery) of all participants were recorded. All patients were asked to answer the Rhinoplasty Outcome Evaluation (ROE) questionnaire 1 day prior to surgery. Postoperative ROE questionnaire was asked at the 6th month in ENT OPD by the same researcher. In our study, the mean preoperative total ROE score was 32.17 ± 5.38, and the mean postoperative total ROE score was 87.11 ± 5.39, the difference being statistically significant (p = 0.0039). Higher post-operative satisfaction score (89.7 ± 5.64) was seen in patients aged more than 35 years, as compared to younger patients (78.4 ± 5.8). In our study, upon gender-wise comparison, there was more statistically significant satisfaction in male patients than female patients postoperatively (p = 0.0022). Better postoperative ROE score was seen in lower literacy group (88.9 ± 6.73) than higher literacy group (83.3 ± 5.63). However, both open and closed techniques showed statistically insignificant difference in postoperative ROE score (p = 0.388). Based on the Rhinoplasty Outcome Evaluation (ROE) questionnaire, our study showed that septorhinoplasty significantly improved quality of life in majority of our study subjects in terms of both aesthetic as well as functional parameters.

Anterior inferior cerebellar artery loop and tinnitus—is there any association between them?

The Egyptian Journal of Otolaryngology

Background Where there is no identifiable cause of otologic symptoms like hearing loss and tinnit... more Background Where there is no identifiable cause of otologic symptoms like hearing loss and tinnitus, it is believed that etiology could possibly involve a vascular loop in AICA compressing the vestibulo-cochlear nerve within the internal auditory canal. In this study, we aim to evaluate whether there is any association of AICA vascular loops with unexplained tinnitus. Methods The present prospective study was conducted in the Department of ENT, SMGS Hospital, GMC Jammu, from October 2020 to March 2022 on 131 subjects with unexplained tinnitus. All subjects were subjected to contrast enhanced MRI brain (3D fast spin echo T2W1 with drive equilibrium pulse) for evaluation of AICA using Chavda classification—type 1 (lying in CP angle, but not entering IAC), type 2 (entering IAC but extending < 50% of length of IAC), and type 3 (extending > 50% of length of IAC). Results Out of 131 unexplained tinnitus cases, 76 patients (58%) had AICA loop on MRI. Out of 16 patients with right sid...

Tracheoesophageal groove: a reliable landmark

International Journal of Otorhinolaryngology and Head and Neck Surgery, 2019

Background: Galen first described the recurrent laryngeal nerve (RLN) as a nerve that descended f... more Background: Galen first described the recurrent laryngeal nerve (RLN) as a nerve that descended from the brain to the heart, then reversed the course and ascended to the larynx and caused the vocal cords to move. Tracheoesophageal groove is useful for identifying the RLN. In the present study we studied the course of RLN in tracheoesophageal groove and its anatomical position, in patients undergoing thyroid surgery.Methods: The study was conducted in the Department of ENT and Head and Neck Surgery, SMGS Hospital, for a period of two years, on the patients who underwent thyroid surgeries. Tracheoesophageal groove was considered first landmark to identify RLN position and only after meticulous dissection in the groove, the nerve could be identified. The nerve was carefully dissected and its position evaluated in relation with trachea and esophagus. Results: Trajectory of the nerves studied in the patients was mostly in the tracheoesophageal groove (TEG), seen in 113 (69.75%) nerves. ...

Evaluating the role of otoendoscope in cholesteatoma surgery

International Journal of Otorhinolaryngology and Head and Neck Surgery, 2019

The primary aim of cholesteatoma surgery is to eradicate the disease and for complete eradication... more The primary aim of cholesteatoma surgery is to eradicate the disease and for complete eradication, full exposure ABSTRACT Background: Endoscope assisted ear surgery (EAES) reduces the chances of residual cholesteatomas as compared to the conventional microscopic technique, primarily because of the direct visualization of sites where residual cholesteatoma is common, which is often missed out during the traditional microscopic surgical procedure. The aim of the study was to evaluate the hidden areas of middle ear using endoscopes during the conventional microscopic cholesteatoma surgery. Methods: The present prospective study was carried out in the

Montelukast As An Adjunct To Treatment of Chronic Rhinosinusitis With Polyposis: A Prospective Randomized Controlled Trial

In a prospective, randomized controlled trial, forty consecutive adult patients with bilateral na... more In a prospective, randomized controlled trial, forty consecutive adult patients with bilateral nasal polyps were randomized into two groups. Twenty subjects in Group A were treated with oral prednisolone for 14 days and budenoside nasal spray for 8 weeks while the twenty subjects in Group B received a similar treatment with additional oral montelukast for 8 weeks. Subjects completed a modified nasal ICSD symptom score at the start of treatment and at 8 and 12 weeks after beginning the treatment. Symptom scores improved in both the groups after treatment. Subjects in Group B reported a statistically significant improvement in sense of smell (p = 0.0002), sneezing (p = 0.008) and overall score (p = 0.0006) at 8 weeks than controls. Four weeks after the completion of treatment, a statistically significant improvement was seen in the sense of smell (p = 0.0006), headache (p = 0.03) and overall score (p = 0.003) in patients in Group B when compared to Group A. Montelukast therapy may hav...

Combination Therapy in Laryngopharyngeal Reflux

International Journal of Innovative Research in Medical Science, 2020

AIMS & OBJECTIVES- to evaluate response of combination of b.i.d(twice daily) PPI(Proton pump inhi... more AIMS & OBJECTIVES- to evaluate response of combination of b.i.d(twice daily) PPI(Proton pump inhibitors) plus nocturnal H2RAs (H-2 Receptor antagonists) in laryngopharyngeal reflux disease. MATERIAL & METHODS- The present study was conducted on 100 patients between age group of 25-70 years attending ENT OPD of SMGS Hospital, GMC Jammu during a time period of November 2017 to September 2019.Inclusion criteria for our study were patients with symptoms of GERD (both esophageal and extraesophageal). Exclusion criteria were patients other associated gastrointestinal complaints, patients suffering from URTI and patients having symptoms less than a month.Patients were prescribed acid suppression therapy consisting of twice daily dose of PPI (Omeprazole 20 mg) plus bed time H2RA (Rantidine 150 mg) for four months and reviewed after every 15 days. RESULTS- Out of 100 patients, 71% patients showed improvement symptomatically at the end of four months and laryngeal findings resolved in 55% o...

Allergen sensitizations in patients with allergic rhinitis in Jammu region

MedPulse International Journal of ENT, 2019

Diagnostic evaluation of patients with obstructive sleep apnoea: Our experience

MedPulse International Journal of ENT, 2019

The facial nerve at second genu

MedPulse International Journal of ENT, 2019

Auditory alterations following chemoradiotherapy: A comparative study between cisplatin and paclitaxel

Indian Journal of Otology, 2015

Aim: To study the auditory effects of chemoradiotherapy with cisplatin and paclitaxel. Materials ... more Aim: To study the auditory effects of chemoradiotherapy with cisplatin and paclitaxel. Materials and Methods: Eighty patients with head and neck cancer undergoing chemoradiotherapy with cisplatin or paclitaxel were enrolled for the present study and monitored for any auditory alterations. Results: Forty-eight patients underwent chemotherapy with cisplatinum while 32 patients with paclitaxel. Hearing loss was observed along with tinnitus, vertigo, and nausea and vomiting. Conclusion: Taxanes-based chemoradiotherapy cause less auditory alterations than cisplatin-based chemoradiotherapy.

Overlay versus underlay myringoplasty: A comparative study

Indian Journal of Otology, 2014

Myringoplasty, an operation performed to repair or reconstruct the tympanic membrane [1] was intr... more Myringoplasty, an operation performed to repair or reconstruct the tympanic membrane [1] was introduced by Berthold [2] and was further developed by Wullstein [3] and Zollner. [4] It is also known as tympanoplasty type I, where peroperatively middle ear structures are exposed and are checked for functional integrity. [5] The otological surgeons have cultivated various effective techniques of myringoplasty over past 40 years in an attempt to achieve perfection by improving the result of the procedure. Damage to the tympanic membrane is commonly the result of chronic ear disease; however, damage can also result from various forms of trauma, direct physical injury,

Auditory alterations following radiotherapy in patients with head and neck malignancy: A prospective study

Indian Journal of Otology, 2015

The head and neck (H and N) malignancies constitute 5% of all the cancers worldwide. In India, th... more The head and neck (H and N) malignancies constitute 5% of all the cancers worldwide. In India, the most common H and N cancers are those of oral cavity and pharynx. Incidence of H and N squamous cell carcinoma increases with age and usually presents in patients older than 50 years while nasopharyngeal carcinoma and salivary gland tumors are exceptions and may occur in the younger age group. [1] Majority of the patients present as locally advanced disease while the presence of distant metastasis at diagnosis is rare. The standard loco-regional therapy of H and N carcinoma remains surgery, followed by postoperative radiotherapy (RT). RT, as single-modality, is also a common treatment for H and N cancers. [2] Various therapeutic modalities are being tried to improve the long-term prognosis, out of which different fractionation schedule and use of chemotherapy are worth mentioning. [3]

External versus endonasal endoscopic DCR: A comparative study

MedPulse International Journal of ENT, 2019

Evaluation of quality of life after septorhinoplasty using Rhinoplasty Outcome Evaluation questionnaire

The Egyptian Journal of Otolaryngology, May 16, 2023

Background To assess satisfaction level of patients undergoing septorhinoplasty pre-and post-oper... more Background To assess satisfaction level of patients undergoing septorhinoplasty pre-and post-operatively using Rhinoplasty Outcome Evaluation (ROE) questionnaire. The present prospective study, after approval by Institutional Ethics Committee, was conducted in the Department of ENT, SMGS Hospital, from March 2021 to November 2022 on 83 patients who underwent septorhinoplasty. Demographic and clinical characteristics (age, gender, education, technique of surgery) of all participants were recorded. All patients were asked to answer the Rhinoplasty Outcome Evaluation (ROE) questionnaire 1 day prior to surgery. Postoperative ROE questionnaire was asked at the 6th month in ENT OPD by the same researcher. In our study, the mean preoperative total ROE score was 32.17 ± 5.38, and the mean postoperative total ROE score was 87.11 ± 5.39, the difference being statistically significant (p = 0.0039). Higher post-operative satisfaction score (89.7 ± 5.64) was seen in patients aged more than 35 years, as compared to younger patients (78.4 ± 5.8). In our study, upon gender-wise comparison, there was more statistically significant satisfaction in male patients than female patients postoperatively (p = 0.0022). Better postoperative ROE score was seen in lower literacy group (88.9 ± 6.73) than higher literacy group (83.3 ± 5.63). However, both open and closed techniques showed statistically insignificant difference in postoperative ROE score (p = 0.388). Based on the Rhinoplasty Outcome Evaluation (ROE) questionnaire, our study showed that septorhinoplasty significantly improved quality of life in majority of our study subjects in terms of both aesthetic as well as functional parameters.

Anterior inferior cerebellar artery loop and tinnitus—is there any association between them?

The Egyptian Journal of Otolaryngology

Background Where there is no identifiable cause of otologic symptoms like hearing loss and tinnit... more Background Where there is no identifiable cause of otologic symptoms like hearing loss and tinnitus, it is believed that etiology could possibly involve a vascular loop in AICA compressing the vestibulo-cochlear nerve within the internal auditory canal. In this study, we aim to evaluate whether there is any association of AICA vascular loops with unexplained tinnitus. Methods The present prospective study was conducted in the Department of ENT, SMGS Hospital, GMC Jammu, from October 2020 to March 2022 on 131 subjects with unexplained tinnitus. All subjects were subjected to contrast enhanced MRI brain (3D fast spin echo T2W1 with drive equilibrium pulse) for evaluation of AICA using Chavda classification—type 1 (lying in CP angle, but not entering IAC), type 2 (entering IAC but extending < 50% of length of IAC), and type 3 (extending > 50% of length of IAC). Results Out of 131 unexplained tinnitus cases, 76 patients (58%) had AICA loop on MRI. Out of 16 patients with right sid...

Tracheoesophageal groove: a reliable landmark

International Journal of Otorhinolaryngology and Head and Neck Surgery, 2019

Background: Galen first described the recurrent laryngeal nerve (RLN) as a nerve that descended f... more Background: Galen first described the recurrent laryngeal nerve (RLN) as a nerve that descended from the brain to the heart, then reversed the course and ascended to the larynx and caused the vocal cords to move. Tracheoesophageal groove is useful for identifying the RLN. In the present study we studied the course of RLN in tracheoesophageal groove and its anatomical position, in patients undergoing thyroid surgery.Methods: The study was conducted in the Department of ENT and Head and Neck Surgery, SMGS Hospital, for a period of two years, on the patients who underwent thyroid surgeries. Tracheoesophageal groove was considered first landmark to identify RLN position and only after meticulous dissection in the groove, the nerve could be identified. The nerve was carefully dissected and its position evaluated in relation with trachea and esophagus. Results: Trajectory of the nerves studied in the patients was mostly in the tracheoesophageal groove (TEG), seen in 113 (69.75%) nerves. ...

Evaluating the role of otoendoscope in cholesteatoma surgery

International Journal of Otorhinolaryngology and Head and Neck Surgery, 2019

The primary aim of cholesteatoma surgery is to eradicate the disease and for complete eradication... more The primary aim of cholesteatoma surgery is to eradicate the disease and for complete eradication, full exposure ABSTRACT Background: Endoscope assisted ear surgery (EAES) reduces the chances of residual cholesteatomas as compared to the conventional microscopic technique, primarily because of the direct visualization of sites where residual cholesteatoma is common, which is often missed out during the traditional microscopic surgical procedure. The aim of the study was to evaluate the hidden areas of middle ear using endoscopes during the conventional microscopic cholesteatoma surgery. Methods: The present prospective study was carried out in the

Montelukast As An Adjunct To Treatment of Chronic Rhinosinusitis With Polyposis: A Prospective Randomized Controlled Trial

In a prospective, randomized controlled trial, forty consecutive adult patients with bilateral na... more In a prospective, randomized controlled trial, forty consecutive adult patients with bilateral nasal polyps were randomized into two groups. Twenty subjects in Group A were treated with oral prednisolone for 14 days and budenoside nasal spray for 8 weeks while the twenty subjects in Group B received a similar treatment with additional oral montelukast for 8 weeks. Subjects completed a modified nasal ICSD symptom score at the start of treatment and at 8 and 12 weeks after beginning the treatment. Symptom scores improved in both the groups after treatment. Subjects in Group B reported a statistically significant improvement in sense of smell (p = 0.0002), sneezing (p = 0.008) and overall score (p = 0.0006) at 8 weeks than controls. Four weeks after the completion of treatment, a statistically significant improvement was seen in the sense of smell (p = 0.0006), headache (p = 0.03) and overall score (p = 0.003) in patients in Group B when compared to Group A. Montelukast therapy may hav...

Combination Therapy in Laryngopharyngeal Reflux

International Journal of Innovative Research in Medical Science, 2020

AIMS & OBJECTIVES- to evaluate response of combination of b.i.d(twice daily) PPI(Proton pump inhi... more AIMS & OBJECTIVES- to evaluate response of combination of b.i.d(twice daily) PPI(Proton pump inhibitors) plus nocturnal H2RAs (H-2 Receptor antagonists) in laryngopharyngeal reflux disease. MATERIAL & METHODS- The present study was conducted on 100 patients between age group of 25-70 years attending ENT OPD of SMGS Hospital, GMC Jammu during a time period of November 2017 to September 2019.Inclusion criteria for our study were patients with symptoms of GERD (both esophageal and extraesophageal). Exclusion criteria were patients other associated gastrointestinal complaints, patients suffering from URTI and patients having symptoms less than a month.Patients were prescribed acid suppression therapy consisting of twice daily dose of PPI (Omeprazole 20 mg) plus bed time H2RA (Rantidine 150 mg) for four months and reviewed after every 15 days. RESULTS- Out of 100 patients, 71% patients showed improvement symptomatically at the end of four months and laryngeal findings resolved in 55% o...

Allergen sensitizations in patients with allergic rhinitis in Jammu region

MedPulse International Journal of ENT, 2019

Diagnostic evaluation of patients with obstructive sleep apnoea: Our experience

MedPulse International Journal of ENT, 2019

The facial nerve at second genu

MedPulse International Journal of ENT, 2019

Auditory alterations following chemoradiotherapy: A comparative study between cisplatin and paclitaxel

Indian Journal of Otology, 2015

Aim: To study the auditory effects of chemoradiotherapy with cisplatin and paclitaxel. Materials ... more Aim: To study the auditory effects of chemoradiotherapy with cisplatin and paclitaxel. Materials and Methods: Eighty patients with head and neck cancer undergoing chemoradiotherapy with cisplatin or paclitaxel were enrolled for the present study and monitored for any auditory alterations. Results: Forty-eight patients underwent chemotherapy with cisplatinum while 32 patients with paclitaxel. Hearing loss was observed along with tinnitus, vertigo, and nausea and vomiting. Conclusion: Taxanes-based chemoradiotherapy cause less auditory alterations than cisplatin-based chemoradiotherapy.

Overlay versus underlay myringoplasty: A comparative study

Indian Journal of Otology, 2014

Myringoplasty, an operation performed to repair or reconstruct the tympanic membrane [1] was intr... more Myringoplasty, an operation performed to repair or reconstruct the tympanic membrane [1] was introduced by Berthold [2] and was further developed by Wullstein [3] and Zollner. [4] It is also known as tympanoplasty type I, where peroperatively middle ear structures are exposed and are checked for functional integrity. [5] The otological surgeons have cultivated various effective techniques of myringoplasty over past 40 years in an attempt to achieve perfection by improving the result of the procedure. Damage to the tympanic membrane is commonly the result of chronic ear disease; however, damage can also result from various forms of trauma, direct physical injury,

Auditory alterations following radiotherapy in patients with head and neck malignancy: A prospective study

Indian Journal of Otology, 2015

The head and neck (H and N) malignancies constitute 5% of all the cancers worldwide. In India, th... more The head and neck (H and N) malignancies constitute 5% of all the cancers worldwide. In India, the most common H and N cancers are those of oral cavity and pharynx. Incidence of H and N squamous cell carcinoma increases with age and usually presents in patients older than 50 years while nasopharyngeal carcinoma and salivary gland tumors are exceptions and may occur in the younger age group. [1] Majority of the patients present as locally advanced disease while the presence of distant metastasis at diagnosis is rare. The standard loco-regional therapy of H and N carcinoma remains surgery, followed by postoperative radiotherapy (RT). RT, as single-modality, is also a common treatment for H and N cancers. [2] Various therapeutic modalities are being tried to improve the long-term prognosis, out of which different fractionation schedule and use of chemotherapy are worth mentioning. [3]

External versus endonasal endoscopic DCR: A comparative study

MedPulse International Journal of ENT, 2019