Pediatric tympanoplasty: Our experiences in a tertiary care teaching hospital of Eastern India

Swain, SantoshKumar; Nahak, Bulu; Mohanty, Jatindranath

doi:10.4103/mjdrdypu.mjdrdypu_111_19

Cited by 3 publications

(2 citation statements)

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“…CC is often found in the anterosuperior part of the middle ear in western countries. 16 It is commonly seen at a posterosuperior location in Japan. 17 This difference may be partly because the majority of cholesteatoma is found in the posterosuperior portion of the middle ear cavity in Japanese patients.…”

Section: Etiopathogenesismentioning

confidence: 99%

Congenital cholesteatoma: a review

Swain

2022

Int J Adv Med

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Congenital cholesteatoma (CC) is a whitish mass lesion found in the middle ear cleft behind the intact tympanic membrane in early life. It is a relatively uncommon disease and shows its growth and extension over a period of time. CC is evidenced with no prior history of tympanic membrane perforation, otorrhea, previous otologic procedures, normal pars tensa, and pars flaccida. The etiopathogenesis of CC is still controversial; however, the epithelial cell rest theory is the most commonly accepted one. The most common sites of CC are the anterior-superior and posterior-superior quadrants of the tympanic cavity. The most common clinical presentation of CC is conductive hearing loss. Early detection and intervention are needed to avoid the complications of CC. The treatment of choice in CC is still surgical. The frequency of recurrence seems to be lower in patients with CC than in acquired cholesteatoma. Rapid progression of the CC may occur in older children and the recurrence has been associated with advanced progression of the cholesteatoma. There are very few reports for CC available in the medical literature This objective of this review article is to discuss the prevalence, etiopathology, clinical manifestations, diagnosis, and treatment.

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Section: Etiopathogenesismentioning

confidence: 99%

Congenital cholesteatoma: a review

Swain

2022

Int J Adv Med

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“…Middle ear cleft mucosa such as the mucosal lining of the mastoid air cells and middle ear is considered as part of the upper respiratory airway in terms of the lining epithelium [31,32]. The middle ear cleft connects the nasopharynx by eustachian tube to the mastoid air cells and antrum by aditus [33,34]. Drilling of the mastoid bone can cause clouding of the irrigation and bone dusts, easily contacting facial skin and also inhaled by the surgeon and assisting staff [34].…”

Section: Pediatric Otologic Diseasesmentioning

confidence: 99%

Managing pediatric otorhinolaryngology patients in coronavirus disease-19 pandemic – A real challenge to the clinicians

Swain¹,

Behera²

2020

Indian J Child Health

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evere acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is the causative agent for the outbreak of the coronavirus disease (COVID-19), started in Wuhan, China, since late December 2019 [1]. SARS-CoV-2 was earlier known as the 2019 novel coronavirus (2019-nCoV), an enveloped singlestranded RNA virus [1]. The otolaryngologists have an important role as health-care providers for examining the patients with otorhinolaryngological manifestations. There are concerns for a greater number of the asymptomatic pediatric patients infected with COVID-19 [2]. The pediatric patients often present with diseases related to the upper airway such as sinonasal infections, tonsillitis, pharyngitis, nasal foreign body, airway foreign body, otitis media, and adenoid infections. There are disproportionately a high number of clinicians, infected with COVID-19 during their patient care specifically the pediatric age group [3]. This infection spreads mainly through the respiratory airway by droplets, secretions, and direct contact [4]. Examination and procedure in otolaryngology patients involve upper aerodigestive areas which are high risk for viral transmission, making the pediatric otolaryngologist the most vulnerable healthcare professionals. At present, the risk of the viral transmission from the asymptomatic pediatric patients with COVID-19 to the health care workers is often difficult to assess on the basis of the clinical evaluation. The asymptomatic pediatric patients present high chance of the viral shedding during the clinical examination or any surgical procedure on the nose, paranasal sinuses, oral cavity, and laryngopharyngeal region and transmit these infections to the clinicians and assisting team members [5]. The COVID-19 pandemic requires careful assessment of the pediatric patients specifically before any otorhinolaryngological intervention such as laryngotracheobronchial airway, sinonasal tract, oral cavity, and otological procedures. METHODS OF THE LITERATURE SEARCH Research articles regarding managing pediatric otorhinolaryngology patients in COVID-19 pandemic were searched through multiple approaches. First, we conducted an online search of the PubMed, Scopus, Google Scholar, and Medline databases with the word pediatric otorhinolaryngology patients, COVID-19 pandemic, flexible nasopharyngolaryngoscopy in pediatric patients, pediatric tracheostomy, pediatric endoscopic sinus surgery, pediatric mastoid surgery, and hearing screening of the pediatric patients in current COVID-19 pandemic. A search strategy using Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines was developed. Randomized

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