No abstract

No abstract

<p class="abstract"><strong>Background: </strong>Chronic otitis media (COM) is a common health problem in developing world and has a major impact on patient in the form of hearing loss. Temporalis fascia is commonest graft material used for tympanoplasty as it is readily available through same post aural incision. The study was conducted with an aim to find out the effectiveness of fishing technique and anterior tucking in terms of graft stability, graft uptake, hearing improvement and complications.</p><p class="abstract"><strong>Methods: </strong>The present study is prospective study conducted on patients with complains of otorrhea and hearing loss, of age between 15 to 60 years, during the period January 2017 to June 2018. Patients with inactive mucosal COM and pure conductive hearing loss who underwent type-I tympanoplasty were included. Patients with cholesteatoma, ossicular pathology, trauma, mixed or sensorineural hearing loss, were excluded. Paired ‘t’ test was applied to compare preoperative and postoperative mean air-bone gap.</p><p class="abstract"><strong>Results:</strong> In our study total 123 patients were analysed for the follow-up period of 6 months and it was observed that graft was well accepted in 93.5% patients while in 4.8% patients residual anterior perforation was found and in 1.7% patients the graft was completely rejected, showing an overall success rate at the end of 6 months follow-up to be 93.5%. There was a statistically significant improvement in hearing gain at the end of 6 months follow-up (p&lt;0.05).</p><p class="abstract"><strong>Conclusions: </strong>Tympanoplasty with temporalis fascia graft using fishing and anterior tucking technique gave good dimensional stability to graft, preventing lateralization / medialization of graft. The superiorly based circumferential flap allowed for 360 degree placement of graft and anterior tucking, with overall high success rate and lower rate of complications and graft rejection.</p>

<p class="abstract"><strong>Background:</strong> Tracheostomy is frequently performed surgical procedure. The present study was carried out to assess data on various indications, surgical issues if any, complications and outcomes of paediatric tracheostomy.</p><p class="abstract"><strong>Methods:</strong> This study is a retrospective analysis of 32 paediatric patients between 1 to 12 years of age, who underwent tracheostomy at SAIMS, Indore between June 2015 to June 2019. Data was analysed in terms of patient age, sex, emergency or planned procedure, any surgical challenge, complications and post-operative follow up.  </p><p class="abstract"><strong>Results:</strong> Majority of patients were of prolonged intubation due to respiratory and laryngotracheobronchitis (15.6%) each, neuromuscular disease (15.6%), seizure disorder (9.4%), metabolic disease (9.4%) and neurological infection (6.3%). Obstructive causes included head injury (9.4%), sub-glottic stenosis (6.3%), malignancy (6.3%) and craniofacial anomaly (3.1%). Common complication encountered were partial blockage of tube, peri-stomal granulation and accidental decannulation. There was no tracheostomy related mortality in this study. Out of 32 patients, 16 were successfully decannulated, 6 were lost to follow up, 6 could not be decannulated and 4 expired due to worsening of primary disease.</p><p class="abstract"><strong>Conclusions:</strong> There is a changing trend in indications of tracheostomy and overall complications have reduced due to trained team and better care facility.</p>

<p><strong>Background</strong>: Purpose of study was to evaluate clinical, radiological, pathological correlation of sinonasal masses, to correlate age and sex with etiology of sinonasal masses and to evaluate percentage of patient having malignancy.</p><p><strong>Methods:</strong> This was a hospital based prospective observational study. In this study total numbers of 69 cases of sinonasal mass were selected from those patients who were admitted in department of otorhinolaryngology and head and neck surgery SAMC and PGI Indore MP from June 2019 to August 2021.</p><p><strong>Results</strong>: Sinonasal masses are more common in 4^th to 6^th decade, males, farmers and lower socioeconomic status. Most common presented symptom with sinonasal mass was nasal obstruction. Patients shows polypoidal mass in nasal endoscopy, which was most common finding. Most of the patients radiological scan shows the opacity. 26.1% cases were neoplastic and rest non neoplastic. These rules however, may be broken in sinonasal imaging. The relative number of non-neoplastic and neoplastic lesions varies from region to region. A provisional diagnosis was made after clinical assessment and radiological investigation but final diagnosis was made after histopathological examination.</p><p><strong>Conclusions: </strong>From the above study, it is clear that radiological examination and nasal endoscopy is helpful and important adjunct to overall clinicopathological evaluation of patients but it is not free of fallacies. Hence a thorough radiological, clinicopathological evaluation with pre op endoscopic evaluation and histopathology is necessary for better management of patients presenting with sinonasal masses.</p>