Hypertrophy of inferior nasal turbinate is one of the most common causes for nasal obstruction (NO). As diode laser has proven to be as effective as any other lasers, our objective was to study various primary outcomes of its use of diode laser like improvement in NO, intraoperative bleeding, postoperative pain, and rapidity of healing. The study was undertaken to compare the various outcomes by diode laser turbinate reduction (LTR) and conventional partial inferior turbinectomy (PIT). A nonrandomized controlled trial was conducted on 2 groups: One group (30 cases) underwent LTR and PIT was performed in the other group (30 cases). The improvement in NO was measured postoperatively up to 6 months. Intraoperative bleeding was measured and postoperative pain scores were assessed each day up to fifth postoperative day. Lastly, rapidity of healing was evaluated until 6 months. Subjective relief of NO was 90.8% in LTR group, whereas it was 65% in PIT group at 6-month follow-up, which was statistically significant ( P < .05). Pain scores were higher until 5 days in PIT group compared to LTR group ( P = .0001). Intraoperative bleeding mean scores (milliliters) were 8.03 in LTR group compared to 23.29 in PIT group ( P = .00001). Rapidity of healing was faster in LTR group with mean scores of 3.03 weeks in comparison to PIT group where it was 6.33 weeks ( P = .00001). Compared to the conventional technique, the outcomes were better with diode laser and caused less morbidity.
<p class="abstract"><strong>Background:</strong> Carcinoma of the temporal bone is rare, accounting for fewer than 0.2% of all the tumours of the head and neck. Despite the recent advances made in oncology, delayed diagnosis is common with temporal bone tumors which lead to significant morbidity and poor surgical outcomes. All cases of persistent otitis media or otitis externa which fails to improve with adequate treatment, temporal bone malignancy should be suspected. The aim of the study was to assess the incidence of temporal bone malignancy in patients with CSOM or external auditory mass<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> It is a prospective study conducted in department of ENT and Head and Neck surgery, Karnataka institute of medical sciences, Hubballi from July 2015- December 2016. All patients with CSOM presenting with otorrhoea and mass in the external auditory canal in our outpatient department were included in the study<span lang="EN-IN">. </span></p><p class="abstract"><strong>Results:</strong> Out of 6496 patients included in our study, 3 patients were found to have temporal bone malignancy. Histopathological examination showed squamous cell carcinoma in all 3 patients. All three patients underwent lateral temporal bone resection with post-operative radiotherapy<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> High level of suspicion is necessary for early diagnosis of temporal bone malignancy especially in patients with CSOM unresponsive to conventional treatment<span lang="EN-IN">.</span></p><p> </p>
<p class="abstract"><strong>Background:</strong> Head and neck malignancies are of common occurrence in India requiring early diagnosis for effective reconstruction by various surgical techniques. The aim of the present study was to evaluate the pattern of involvement of head and neck malignancies and to evaluate various surgical resection and reconstruction techniques used in the management of head and neck malignancies<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> This is a retrospective study carried out in the Department of ENT and Head & Neck Surgery And Surgical Oncology, Karnataka Institute Of Medical Sciences, Hubballi, from July 2015 to December 2016. All patients who underwent surgery for head and neck malignancy were included in our study<span lang="EN-IN">. </span></p><p class="abstract"><strong>Results:</strong> Retrospective analysis of our study yielded 36 cases of which 29 patients were male and 7 were female. In our study commonest age group was 6<sup>th</sup> and 7<sup>th</sup> decade constituting 55.55%. The most common site involved was oral cavity constituting about 63.88%. The most common sub-site in oral cavity malignancy was found to be anterior 2/3<sup>rd</sup>of tongue (25%), followed by lip and buccal mucosa each of which constituted 13.88%<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> In our study oral cavity was the most common site to be involved in head and neck malignancies, of which anterior 2/3rd of tongue is the most common sub-site. Majority of the patients underwent tumour resection with flap reconstruction. Locoregional flaps form an efficient alternative in cases where primary closure is not possible without compromising the aesthetic outcomes<span lang="EN-IN">.</span></p>
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