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Being rich in growth factors platelet rich fibrin (PRF) has been used for decades for its healing properties in cosmetic surgeries but its use in transcanal myringoplasty is a novel approach that remains unexplored. In todays era of minimally invasive surgery not only does it provide as a great alternative to conventional myringoplasty but also outshines it. It reduces post operative pain, hospital stay and unlike the conventional technique that uses termporalis fascia as a graft material, PRF myringoplasty if required can be reperformed on the same patient multiple times with minimal risk. This procedure comes as a boon for patients with recurrent graft defects because after multiple revision surgeries, temporalis fascia can be deficient and other graft materials like cartilage/perichondrium or fascia lata etc. have to be harvested surgically for myringoplasty. In PRF myringoplasty there is no upper limit in the number of times the PRF membrane can be made and also it does not entail any surgical incision for graft harvest. A prospective study involving 41 patients was conducted at Netaji Subhash Chandra Bose Medical College, Jabalpur where in the tympanic membrane perforations were repaired using PRF membrane with a successful outcome in 85.4% of the patients included in this study.

The eyeball and the orbit are neighbours of the ENT region. This close proximity, makes the involvement of the orbit and there of ophthalmological manifestations fairly common in the practise of Otorhinolaryngology. This was a prospective study. All the patients presenting with ophthalmological manifestations due to various ear, nose, throat and head–neck pathologies were constituted in this study. This study was carried out on 50 patients of all age groups with ophthalmological complications along with ENT diseases who came to the department of ENT and head–neck surgery and department of Ophthalmology of N.S.C.B. Government Medical College, Jabalpur from August 2018 to August 2019. The diseases of ENT with orbital extension must be considered whenever a patient presents with signs and symptoms of orbital disease such as proptosis, orbital mass, restriction of eye movements, neurological dysfunction of eye, chemosis, vision disturbances or epiphora. A firmer knowledge of orbital anatomy with respect to sinonasal region is required for any surgeon dealing with this important area, for a safer and more secure management in this complex region. Surgery remains the main stay of treatment for sinonasal diseases with orbital complications. Rapid diagnosis and treatment are of utmost importance in preserving vision and life in these patients.

Cervical metastasis is the most critical prognostic factors in head and neck carcinoma. Accurate detection and measurement of metastases is important for precise staging of patients with head and neck cancers because it determines treatment strategy. Materials and Methods: This cross-sectional study was carried out on 110 patients, presenting with neck secondaries with head and neck malignancy (primary and occult) in the Department of ENT, N.S.C.B.MCH, Jabalpur from March 2016 to August 2017. Results: Head and neck carcinoma with neck secondaries is more common in males (M: F=6:1). Oral carcinoma was commonest followed by carcinoma larynx & majority with unilateral (left>right) neck node metastasis, Level II being the commonest. Most common Histopathology of primary was SCC and FNAC of neck node was metastatic deposits of SCC. Majority presented at stage IV. Conclusions: It is concluded that patients usually present to a tertiary care centre at advanced stages, with locally as well as extensive metastatic spread. This can be attributed to lack of awareness and unavailability of proper medical facilities in rural population. There should be health education in community about carcinogenic substances, to reduce the burden of carcinomas & proper medical facilities in low socioeconomic strata. Pathological investigations are gold standard diagnostic modalities for head & neck carcinoma and neck node metastases, not only for confirmation but also for proper further management. Keywords: Clinicopathological study, Head and Neck carcinoma, Neck secondaries, Socioeconomic condition, Stage of cancer.

Hearing is one of the very important five senses. The most important period for language and speech development is generally regarded as the first three years of life. For the past 20 years, electrophysiological methods are most commonly used which include otoacoustic emission (OAE) and auditory brain stem response (ABR). Regardless of the screening method chosen, hearing screening, though critical, is only the first stage of a comprehensive early intervention plan. Screening alone is useless unless appropriate diagnostic testing services and high quality amplification and rehabilitation services are in place and are implemented in a timely fashion. Early screening does not substitute for further periodic childhood hearing screening. To screen the newborns which are high risk or born to high risk mother using optoacoustic emission and auditory brain stem response (ABR). Also to co-relate hearing loss with various risk factors involved in pre-natal, natal and post-natal. Methods: we conducted a prospective study with 100 high risk newborns in a tertiary care centre. First, all babies were screened using transient evoked otoacoustic emission(TEOAE). Babies not responsive in this were screening again after 14 days using TEOAE. Babies who were reffered to during this screening with TEOAE were subjected to further screening with ABR to confirm the diagnosis. Out of 100 infants, 73% infants passed first screening by TEOAE whereas 27% failed. those 27 infants which failed were screened after 14 days, of them, 3 (11.1%) infants failed the second screening and were referred. Further screening with BERA was conducted for 3 children who failed the second screening by TEOAE. Of them 1 (33.3%) infant passed the BERA whereas 2 infants failed. Test of significance observed no statistically significant association of OAE with prenatal risk factors in present study (p>0.05). whereas shows highly statistically significant association of OAE with natal (birth asphyxia, NICU admission and Apgar score at 5 minutes) and post natal (viral/bacterial infections) risk factors (p

The eyeball and the orbit are neighbours of the ENT region. This close proximity, makes the involvement of the orbit and there of ophthalmological manifestations fairly common in the practise of Otorhinolaryngology. This was a prospective study. All the patients presenting with ophthalmological manifestations due to various ear, nose, throat and head-neck pathologies were constituted in this study. This study was carried out on 50 patients of all age groups with ophthalmological complications along with ENT diseases who came to the department of ENT and head-neck surgery and department of Ophthalmology of N.S.C.B. Government Medical College, Jabalpur from August 2018 to August 2019. The diseases of ENT with orbital extension must be considered whenever a patient presents with signs and symptoms of orbital disease such as proptosis, orbital mass, restriction of eye movements, neurological dysfunction of eye, chemosis, vision disturbances or epiphora. A firmer knowledge of orbital anatomy with respect to sinonasal region is required for any surgeon dealing with this important area, for a safer and more secure management in this complex region. Surgery remains the main stay of treatment for sinonasal diseases with orbital complications. Rapid diagnosis and treatment are of utmost importance in preserving vision and life in these patients.

To study effect of orbital sling on post operative vision in cases of maxillary carcinoma undergoing total maxillectomy. All patients with the principal procedure of “total maxillectomy” for histopathologically proven cases of carcinoma maxilla in department of otorhinolaryngology and head-neck surgery, N.S.C.B. medical college, Jabalapur, Madhya Pradesh, India from July 2011 to October 2013 were included. Out of the 20 patients irrespective of whether orbital sling was created or not, maximum number of patients 8 (40 %) showed a 3 step improvement, and maximum improvement seen was up to five steps. Out of the 14 patients in which orbital sling was created maximum number of patients 7 (50 %) showed a 3 step improvement, and maximum improvement seen was up to five steps. Out of the 6 patients in whom orbital sling was not created maximum number of patients 3 (50 %) showed a 2 step improvement, and maximum improvement seen was up to three steps. Infraorbital repair with the help of sling results in better improvement of vision as compared to those in whom sling was not or could not be made with no significant difference on eye movements.

Advanced glottic cancer (T3,N+ & T4) is usually treated in the majority of centres by total laryngectomy. Carcinoma of the larynx is one of the very few subsets of all cancers which have shown a decrease in the 5 year survival rate and this phenomenon has been attributed to a Pharyngo-cutaneous fistula is the most common complication after total laryngectomy. Comparative study between double layered repair of pharyngeal mucosa against routine single layered repair in cases of “total laryngectomy with partial pharyngectomy”. All patients with the principal procedure of “total laryngectomy with partial pharyngectomy” in department of otorhinolaryngology and head-neck surgery, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India were included in this study. Out of the 20 patients who had undergone total laryngectomy irrespective of the type of mucosal repair, 5 (25 %) patients developed pharyngocutaneous fistula. Out of the 8 patients, with double layered mucosa repair, 1 (12.5 %) patient developed pharyngocutaneous fistula. Out of the 12 patients, with single layered mucosa repair, 4 (33 %) patients developed pharyngocutaneous fistula. Double layered repair of pharyngeal mucosa is associated with a lower incidence of pharyngocutaneous fistula formation and no increased incidence of dysphagia after complete radiotherapy as compared to single layered repair.

Background: Cancer of head and neck are the 6th most common cancer worldwide, with an increasing frequency in developing countries. In India head and neck cancers account for 30-40% cancer at all sites. Head and neck cancers are one of the major causes of morbidity and mortality in older age groups. The lack of awareness, unavailability of proper screening facilities in rural population and use of carcinogenic addiction are the cause for high prevalence of cancer of head and neck in developing countries.Methods: This cross-sectional study on head and neck carcinoma and its association with environmental factors was carried out in the Department of Otorhinolaryngology and Head- Neck surgery, N. S. C. B. MCH, Jabalpur from January 2016 to January 2017. Results: The prevalence is found to be significantly high in carcinoma oral cavity which is 45.5% followed by carcinoma larynx (30%). These are affecting male more than female with ratio of 6:1, in the age group of 4th to 6th decade, living in low socioeconomic strata. Majority are associated with tobacco chewing (33.3%) followed by smoking (25.5%).Conclusions: It is concluded that patients usually present to a tertiary care centre at advanced stages. This can be attributed to lack of awareness and unavailability of proper medical facilities in rural population. There should be awareness about disease, health education in community about carcinogenic substances like tobacco, smoking, alcohol etc., proper medical facilities in low socioeconomic strata to reduce the burden of carcinomas.

A mucocele is an epithelial-lined, mucus-containing sac completely filling the sinus and capable of expansion. This is in contradistinction to a blocked sinus cavity which simply contains mucus within the sinus. The frontal sinus is most commonly involved, whereas sphenoid, ethmoid, and maxillary mucoceles are rare. Frontal sinus is present just above the orbital cavity so any mass causing the expansion of floor of the frontal sinus leads to outwards (proptosis), downward and lateral displacement of orbit. If the cyst continues to expand within the orbital cavity, the mass may mimic an orbital growth or lesion pushing orbit laterally. A mucocele results from the obstruction of a sinus ostium, leading to the accumulation of secretions and the gradual, smooth expansion of the sinus. The mucocele contents often become increasingly desiccated and have an increasing protein content over time; therefore, they may show an increased density on CT scanning and variable degrees of hyperintensity on T1-weighted MRI sequences and hypointensity on T2-weighted MRI. Here we came across a patient who had right sided frontal mass causing proptosis and lateral displacement of right eye with vision limited only to perception of light. CT showed an expansile frontal mass with orbital displacement. We did external frontoethmoidectomy and a diagnosis of mucopyocele was made. The case, the experience and the outcome of external frontoethmiodectomy is being discussed. How to cite this article Shukla A, Dudeja V. Large Frontal Sinus Mucopyocele. Clin Rhinol An Int J 2013;6(3):131-135.

Oral cancers in India, unlike in the West are the most common cancers encountered, be it a primary or a tertiary referral practice. This makes the study and management of these cancers an important issue especially for the otolaryngologist. It is well known that the most common variant of oral cancers is the squamous cell carcinoma. Also the etiology is well established; with tobacco use in both smoking and smokeless forms, alcohol, betel nut and recently the Human Papilloma virus infection being implicated. Certain conditions which definitely increase the probability of getting oral cancers are known and this study aims in revisiting these aspects of pre-malignancy. The progression from a pre-cancerous lesion/condition to frank cancer is well established across many studies and many specialties. Also timely recognizing these pre-cancerous conditions and administration of proper treatment will greatly help in reducing the morbidity and mortality from subsequent much advanced and dangerous oral cancer. Keeping these facts in mind this study was planned to study the established pre-cancerous lesions which are known to progress to oral cancers.