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5 results on '"Aswathi, Kallyadan Veetil"'

3. Carotid Body Tumors: Institutional Experience of 10 Cases and a Review of Literature.

Author

Nayak, Anindya, Parida, Pradipta Kumar, Aswathi, Kallyadan Veetil, Preetam, Chapitty, Pradhan, Pradeep, Samal, Dillip Kumar, Mohanty, Satyapriya, and Adhya, Amit Kumar

Subjects
CAROTID body, LITERATURE reviews, DOPPLER ultrasonography, SAPHENOUS vein, VOCAL cords
Abstract

Carotid body tumors are slow growing neck masses that arise from the neural crest cells at the carotid bifurcation. Majority are asymptomatic and are diagnosed incidentally. Surgical excision is accepted as the treatment of choice to reduce complications. In the present series, we report 10 cases of carotid body tumors and our institutional experience. All patients underwent radiological evaluation with an ultrasonography with Doppler, contrast enhanced computed tomography and MR angiography. 6 cases were operated by a transcervical excision. The tumor was excised in tototranscervically. One of the cases required saphenous vein graft intraoperatively due to vascular injury and also had postoperative vocal cord palsy. The rest had an uneventful recovery. Carotid body tumors although rare and seemingly indolent can cause substantial symptoms if left untreated. A prompt multi modality approach is needed for both diagnosis and treatment to avoid major complications. [ABSTRACT FROM AUTHOR]

Published
2023
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4. To evaluate the efficacy of topical anti-fungal therapy in postoperative cases of COVID Associated Mucormycosis (CAM): A single-blinded randomized control trial

Author

Zaid Shaikh, Abhijeet Mishra, Srinivas Chadaram, Chappity Preetam, Reetika Biswas, Asutosh Adhikari, Alamelu Alagappan, Pradipta K. Parida, Pradeep Pradhan, Dillip Kumar Samal, Sudipta Mahakud, Vinay Hallur, Anindya Nayak, Krishna Kinkar Das, Swagata Chakraborty, Prity Sharma, Aswathi Kallyadan Veetil, Vinusree Karakkandy, Yash Mittal, Kalyana Sundaram Chithambaram, Anurita Swarup, Swathi Chenniappan, and Anwer Shah

Subjects
Otorhinolaryngology
Abstract

To compare the efficacy of 0.1 % w/w Liposomal Amphotericin-B gel with 10 % w/w Povidone-Iodine and saline nasal douching in preventing revision surgery in patients with CAM.Multi-arm, parallel randomized control trial.The trial was conducted in the Department of ENT, All India Institute of Medical Sciences (AIIMS) Bhubaneswar.Participants: Microbiologically and histologically proven cases of mucormycosis who underwent surgical debridement were included in the study.Postoperatively, patients were randomized into three groups based on the type of topical intervention received, in the form of Lipid-based Amphotericin B gel, povidone‑iodine ointment or saline nasal douching.Requirement of revision surgery in postoperative cases of CAM.Participants were allotted to one of the three arms by block randomization.Single-blinded trial.Numbers randomized: 15 participants were randomized to each group. Recruitment: Completed recruiting. Numbers analyzed: 15 participants were analyzed in each group.Control arm's risk of revision surgery was 4.50 (95 % CI: 1.16-17.44) times than Lipid-based Amphotericin B gel arm and 1.50 (95 % CI: 0.71-3.16) times that of the Povidone- Iodine arm. The difference was statistically significant (p = 0.02) for Amphotericin but not for Povidone-Iodine.Topical Amphotericin-B gel application in the postoperative cavity can decrease the need for revision surgery and help in early recovery.CTRI/2021/10/037257. Clinical Trials Registry of India.

Published
2023

5. Reconstruction of Subtotal Defect of the Lower Lip: Combined Use of Karapandzic and Nasolabial Flap

Author

Abhijeet Kumar Mishra, Krishna Kinkar Das, Aswathi Kallyadan Veetil, and Pradeep Pradhan

Subjects
medicine.medical_specialty, Clinical Report, business.industry, Lower lip, Combined use, Oral cavity, Malignancy, medicine.disease, Surgery, stomatognathic diseases, 03 medical and health sciences, 0302 clinical medicine, Otorhinolaryngology, 030220 oncology & carcinogenesis, Lip reconstruction, medicine, Postoperative results, Nasolabial flap, 030223 otorhinolaryngology, business
Abstract

Subtotal reconstruction of the lower lip after excision of the tumor is always a challenge for surgeons. It is because of the difficulty in regaining the function of the lip, including the oral competency and restoring the aesthetic subunit. A 46-year-old patient presented with an ulceroproliferative growth involving 70% of the lower lip, including the right commissure. After the confirmation to be a malignancy, patient underwent excision of the tumour and reconstruction of the lower lip using the left Karapandzic flap and right nasolabial flap. The patient was on regular follow-up in the postoperative period to assess the surgical outcomes. The combined use of Karapandzic flap and the nasolabial flap can be reliably used for subtotal reconstruction of the lower lip in advanced oral cavity malignancy, involving one of the commissures. Later can ensure good postoperative results in terms of aesthetic and functional lip reconstruction without any significant intraoperative or postoperative complications.

Published
2020

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