<p class="abstract"><strong>Background:</strong> Deviated nasal septum is a bodily disorder results in nasal obstruction. Many surgical procedures are available in correcting the disorder. The present study aimed to compare the surgical outcome of septoplasty alone and septoplasty with turbinectomy in patients with deviated nasal septum.</p><p class="abstract"><strong>Methods:</strong> This prospective study was done on 50 patients attending to the department of ENT of Dr. D. Y. Patil Medical College and Hospital, DPU with complaints of nasal obstruction due to inferior turbinate hypertrophy with deviated nasal septum. The severity of nasal obstruction was assessed by NOSE (nasal obstruction symptom evaluation) scale. Of them, 25 patients were managed with septoplasty alone and other 25 patients with septoplasty and turbinectomy. The outcome of both the procedures was assessed statistically by using NOSE scale. </p><p class="abstract"><strong>Results:</strong> Postoperative symptom improvement was seen in the both groups following surgery (p<0.05). When the NOSE scores are compared between two groups, statistically significant improvement in the symptoms (NOSE score) was seen in the group of patients treated with septoplasty and turbinectomy compared to septoplasty alone (p<0.05).</p><p class="abstract"><strong>Conclusions:</strong> This study re-iterates both septoplasty and concurrent turbinectomy are established mode of treatment in deviated nasal septum along with hypertrophy of inferior turbinates when the preoperative and postoperative symptoms are compared. However, the symptomatic outcomes and diagnostic nasal endoscopic findings are significantly better in patients who underwent septoplasty with concurrent resection of the inferior turbinate. </p>
Objectives Lingual thyroid (LT) is a rare embryological anomaly and originates from failure of the thyroid gland to descend from the foramen cecum to its normal eutopic prelaryngeal site. Lingual thyroid is the most frequent ectopic location of the thyroid gland. Its clinical incidence varies between 1:4000 and 1:10000. The purpose of this case series was to discuss a series of cases of LT gland its incidence, clinical presentation, sex ratio, age group, endocrine status, radiological features and appropriate surgical approaches. Materials and methods Six patients of LT were diagnosed who presented to our institution in a period of 6 months out of 225 thyroid cases, out of 14539 outpatient department (OPD) patients. The LT is often asymptomatic but may cause dysphagia, dysphonia with stomatolalia, upper airway obstruction and hemorrhage, often with hypothyroidism. Treatment of a LT depends on the severity of symptoms, the age of the patient, any precipitating factors, such as puberty or pregnancy. Result Relevant demographic, clinic-pathological and radiological data were recorded. Four of six were treated conservatively. One underwent complete surgical excision and one pregnant lady in first trimester kept under observation and regular follow-up. Conclusion We found female predominance than male with ratio of 5:1. Our study had high prevalence of LT of 1:2400. Thyroid scintigraphy plays the most important role in diagnosing LT, but ultrasonography contributes as well. In cases of symptomatic disease, surgery is the treatment of choice, followed by radioiodine ablation and levothyroxine suppression therapy in more refractory cases. How to cite this article Patil YS, Rajashekhar RP, Karodpati NS, Thomas J. Lingual Thyroid: A Case Series of Six Lingual Thy-roid with Incidence and Different Treatment Modalities. Int J Head Neck Surg 2015;6(3):103-108.
<p><strong>Background:</strong> Deep neck space infections are usually due to excessive growth of normal flora, mostly of polymicrobial in origin. Patients present acutely with complaints of, throat and neck pain, raised body temperature. The clinical presentation depends on the deep neck space affected.<strong></strong></p><p><strong>Methods:</strong> Current study was carried out in 25 patients who were diagnosed to have various deep neck infections</p><p><strong>Results:</strong> It was observed that the maximum number of cases were seen in the age group of 31-40 at 28%, followed by 21-30 age group at 20%, 16% each between 41-50 years and above 60 years. The male to female ratio is 1:0.78. The most common presenting complaints included fever (24 patients; 96%) and dysphagia (18 patients; 72%). 13 patients (52%) had associated systemic disease, 5 patients (20%) had history of diabetes mellitus and were on irregular treatment, 4 patients (16%) was on treatment for hypertensive. The most common infection was Ludwig’s angina seen in 13 patients (52%), followed by peritonsillar abscess 4 patients (16%). Out of 25 patients, 20 (80%) cases were treated successfully by incision and drainage. No growth was observed in 32% of the patients.</p><p><strong>Conclusions:</strong> Early diagnosis of deep neck space infection based on symptoms in susceptible patients is advisable to prevent complications and early recovery.</p>
Introduction: Chronic suppurative otitis media is one of the most common conditions encountered by Otologists in daily practice. Conventionally hearing loss in CSOM is conductive in nature, but it has been observed that some patient displayed an additional sensorineural component to their conductive hearing loss (mixed hearing loss). Material and Methods: A prospective cohort observational study on 100 Cases in two groups of 50 each who had safe CSOM and 50 unsafe CSOM conducted over a period of July 2011 to
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