Hoarseness of voice is one of the commonest symptoms in otolaryngological practice and it indicates diseases ranging from totally benign condition to the most malignant condition. This is a study to know the etiology, predisposing factor, and clinical profile of patients having hoarseness of voice. The study was carried out in the department of ENT, Mahatma Gandhi Institute of Medical Sciences, Sewagram. Patients coming to our OPD were selected. All the patients then underwent detailed history and routine investigations. Stroboscopic evaluation was done to reach to a diagnosis. A total of 100 patients having hoarseness of voice with male to female ratio 1.50:1 were analysed. Age group varied from 12 to 82 years. Largest group comprised of labourer (33 %) followed by house wives (30 %) and vocal paralysis was found in 33 % of the cases. Upper respiratory tract infection (24 %) and smoking (33 %) were found to be the common predisposing factors. Functional disorders were found in 14 % of the cases.

Necrotizing fasciitis (NF) of the face and neck is a very rare complication of dental infection. Otolaryngologists and dentists should be familiar with this condition because of its similarity to odontogenic deep neck space infection in the initial stages, its rapid spread, and its life-threatening potential. Trauma has been reported to be an important predisposing factor for NF of the face. In this paper, we describe the presentation and treatment of a 62-year-old man who developed NF of the face and neck following bilateral odontogenic deep neck space abscesses. The disease progressed rapidly, with necrosis of the skin, after the patient inflicted minor trauma in the form of application of heated medicinal leaves. The organism isolated in culture from pus was Acinetobacter sp. The comorbid conditions in our patient were anemia and chronic alcoholism. The patient was managed by immediate and repeated extensive debridements and split-skin grafting.

Permeatal Sandwich technique produce much better results when compared with Postaural approach in terms of graft take up, complications and hearing improvement.

Abstract:Background: Industrial noise is usually considered mainly from the point of view of environmental health and safety, rather than nuisance, as sustained exposure can cause permanent hearing damage. Objective: To assess the Noise induced hearing loss in steel factory workers. Methods: It was a cross sectional study done to evaluate the hearing status of factory workers, working nearby a rural hospital, which were then correlated with the duration of work and SPL (in dBA) of exposure at their workplace. Results: In this study, Noise Induced Hearing Loss (NIHL) was calculated in the workers by taking the average of the 4 frequencies i.e. 500Hz, 1000Hz, 2000Hz and 4000Hz in right and left ear separately. Results showed that 129 (37.83%) workers were having Mild SNHL in Right ear i.e. between 26-40 dB. 203 (59.54%) of the workers were having normal hearing i.e. hearing loss not exceeding 25 dB. Only 9 (2.63%) workers had moderate (41-60 dB) hearing loss in right ears. Whereas in case of left ears results showed that 145 (42.52%) workers were having Mild SNHL in left ear i.e. between 26-40 dB. 185 (54.25%) of the workers were having normal hearing i.e. hearing loss not exceeding 25 dB. Only 11 (3.23%) workers had moderate (41-60 dB) hearing loss. Conclusion: Duration of exposure of individuals was found in the range from 6 years to 20 years. Maximum number of workers i.e. 235 (68.92%) were exposed to a time duration of 16 to 20 years followed by 96 (28.15%) who were exposed to 11-15 years. There were 10 (2.93) workers who were having the exposure of 6 to 10 years.

Introduction:Inspite of various strategies adopted to protect the sensitive structures during organ preservation strategies, radiation damage can occur from the pharyngotympanic tube to the brain stem auditory pathway causing hearing loss. The purpose of this study is to evaluate the audiometric abnormalities and characterize them among the patients of head and neck cancers who have undergone radiotherapy (RT) and chemoradiation therapy (CT+RT).Materials and Methods:Sixty-six histopathologically proven head and neck cancer patients receiving RT and 34 patients receiving concomitant CT + RT underwent evaluation for audiometric abnormalities from 1st September 2010 to 31st August 2012.Results:Hearing losses were predominately of sensorineural type and mild. Patients who received concomitant CT+RT experienced greater sensorineural hearing loss compared with patients treated with RT alone. A paired sample t-test was conducted to compare the hearing losses before therapy and 6 and 12 months after therapy and was found to be significant (P < 0.05). It was found that hearing loss was persistent. Significant difference was found in the proportion of hearing loss after RT and RT+CT (P < 0.05) after 1 month. In addition, mixed hearing loss occurred due to damage to the middle ear contents and can be improved if intervened appropriately.