DISEASES OF EAR, NOSE AND THROAT & HEAD AND NECK SURGERY

Background: Allergic diseases in India have been on an uprising trend. 3.5% of the population in INDIA is suffering from Allergic Rhinitis. This study aims to compare the effectiveness of two commonly used intranasal steroids-Fluticasone Furoate (FF) and Fluticasone Propionate (FP) using the nasal mucociliary clearance time (NMCT). Methods: We conducted a prospective study on 70 patients. 35 each on FF and FP. Pretreatment and Post treatment Nasal was assessed by Saccharin Test. Patients were then put on either FF or FP for a period of one month. Results: Average improvement of NMCT post treatment with steroids sprays is 2-3 minutes.(Average Pretreatment time is 17.92 and Average Post treatment time 15.55 minutes). Conclusion: Both drugs are equally efficacious and well tolerated by the patients. Compliance of Fluticasone Furoate was better because of its once daily dosage. Disadvantages of FP are its twice daily dosage and after taste.

2015

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International Journal of Otorhinolaryngology and Head and Neck Surgery, 2020

Abstract COVID-19 disease was first identified in December 2019 in Wuhan, the capital of China's Hubei province. Amid the ongoing COVID-19 pandemic, India has witnessed a massive surge of coronavirus cases. This study reviews the measures to take by the clinicians involved in rhinology surgery in light of the recent COVID-19 pandemic. The current finding about COVID-19 infection and its relation with SARS-CoV 2 virus is evaluated and possible safety measure guidelines to be taken while doing rhinology procedures is reviewed. The risk of coronavirus 2019 can be largely reduced by wearing PPE kit with Powered Air Purifying Respirator, double gloves, eye protection, face shield, gown, shoe covers, limiting attendance to operation theatre, negative pressure room, using Negative-Pressure Otolaryngology Viral Isolation Drape ( NOVID ) system to cover the patient and proper removal of patient drape after operation. Additionally, low oscillation speeds of microdebrider with continuous suction is associated with low risk of aerosol transmission into the environment. Rhinology and endonasal surgical procedures are high risk procedure and should adhere to general guidelines set for high-risk procedures. If the proposed protocols are strictly maintained then the risk of getting infected by coronavirus is markedly reduced. In this current scenario is it mandatory to attain the emergent surgical cases with all possible precautions as mentioned and defer the rest of the cases till the pandemic gets over.

Persistent adenoid is a common condition that affects many children and adults. This can cause breathing difficulties, snoring, and other respiratory problems. The condition can also affect the development of the facial structure and cause abnormal growth of the jaw and teeth. The study aimed to investigate the clinical and pathological characteristics of persistent adenoid and its secondary effects. A total of 64 patients with adenoid hypertrophy were included in the study, and they were evaluated through various clinical and pathological examinations. Nasal obstruction was present in almost all cases. Ethmoid nasal polyps were seen in 51.6% of participants. The results showed that persistent adenoid can lead to various secondary effects on the respiratory system, including Eustachian tube defect and otitis media in 20.3% of cases. The study highlights the importance of early diagnosis and timely treatment of persistent adenoid to prevent its secondary effects.

Objective. Allergic rhinitis (AR) is one of the most common diseases affecting adults. It is the most common chronic disease in children in the United States today and the fifth most common chronic disease in the United States overall. AR is estimated to affect nearly 1 in every 6 Americans and generates $2 to $5 billion in direct health expenditures annually. It can impair quality of life and, through loss of work and school attendance, is responsible for as much as $2 to $4 billion in lost productivity annually. Not surprisingly, myriad diagnostic tests and treatments are used in managing this disorder, yet there is considerable variation in their use. This clinical practice guideline was undertaken to optimize the care of patients with AR by addressing quality improvement opportunities through an evaluation of the available evidence and an assessment of the harm-benefit balance of various diagnostic and management options.

Journal of Pharmaceutical and Pharmacological Sciences

Objective: To study the prevalence of ear, nose and throat diseases and their possible surgical intervention in local population of Pakistan. Methodology: 1,382 patients from the department of ear, nose and throat surgery from January-December 2016 were selected in this retrospective study. The age, gender, presenting complains with history, diagnosis and operative procedures were noted. These patients were divided into three groups according to the involvement of Otorhinolaryngological anatomical region. Analysis of the data was performed using SPSS version 16 and results are expressed in numbers or percentages. Results: The age ranges of patients were one year to 85 years with maximum age group of 10-19 years. There were 58.82% males and 41.46% were females. Patients with head/ neck diseases were 42.15%, with nasal distress were 29.01%, with ear problems 16.71% and with oral disorders were 12.22%, therefore, the most commonly adopted methods were removal of tumor/ polyps, tonsillectomy and mastoidectomy. Conclusion: Ear diseases were the most found in the current study and oral cavity lesions being the least common. The peak age was 10-19 years. There is a need of man power and implantation of new techniques.

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2017

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