MyMedR

Fulltext Annular bony spur

Raman R

Indian J Otolaryngol Head Neck Surg, 2000 Jul;52(3):318.

PMID: 23119711 DOI: 10.1007/BF03006219

A micro anatomical feature in the ear useful in surgery is described.

Fulltext Post stapedotomy hyperacousis-A mechanical explanation

Raman R

Indian J Otolaryngol Head Neck Surg, 2000 Apr;52(2):188.

PMID: 23119671 DOI: 10.1007/BF03000350

Mechanical explanation for the hyperacousis that sometimes occurs after stapedectomy or stapedotomy is presented.

Fulltext Non apnoeic snoring-theoretical considerations

Raman R, Gopalkrishnan G

Indian J Otolaryngol Head Neck Surg, 1999 Dec;52(1):80-2.

PMID: 23119631 DOI: 10.1007/BF02996443

A brief review of snoring with regard to the aetiology, patho-physiology, investigations and treatment is presented. Questions and unresolved issues are highlighted, hoping to point out directions towards future studies.

Fulltext Post stapedotomy hyperacousis - a mechanical explanation

Raman R

Indian J Otolaryngol Head Neck Surg, 1999 Apr;51(2):64-5.

PMID: 23119520 DOI: 10.1007/BF02997994

A mechanical explanation for the hyperacousis that sometimes occurs after stapedectomy or stapedotomy is offered.

Fulltext An alternate approach to the mastoid antrum

Raman R

Indian J Otolaryngol Head Neck Surg, 1998 Apr;50(2):193.

PMID: 23119414 DOI: 10.1007/BF02991691

An alternate approach to the mastoid antrum for acellular mastoid is presented.

Fulltext Suction elevator for ear surgery

Raman R, Omar R

Indian J Otolaryngol Head Neck Surg, 2011 Jul;63(3):302.

PMID: 22754818 DOI: 10.1007/s12070-011-0155-4

An instrument has been designed to combine a suction and an elevator for use in ear surgery.

Fulltext Keratinosis: a new entity in the tropics?

Raman R

Indian J Otolaryngol Head Neck Surg, 2014 Jan;66(1):106.

PMID: 24605312 DOI: 10.1007/s12070-012-0509-6

Inverted Follicular Keratosis: A Rare Presentation in External Ear Canal

Rashid KNA, Zainon IH, Othman NAN

Indian J Otolaryngol Head Neck Surg, 2024 Feb;76(1):1244-1246.

PMID: 38440449 DOI: 10.1007/s12070-023-04241-y

Inverted follicular keratosis is a benign skin lesion that typically presents as an asymptomatic, solitary nodule that may mimic malignant lesions, especially squamous cell carcinoma, both clinically and pathologically. It is developed from the hair follicle infundibulum and can be considered a variant of seborrheic dermatitis. We present a case of a 26-year-old gentleman with a soft tissue mass at the external auditory canal which was later confirmed as inverted follicular keratosis and was treated by endoscopic transcanal excision of the mass with temporalis fascia graft reconstruction. He is currently under surveillance follow-up with no symptoms and signs of recurrence.

Fulltext A Rare Case of Basal Cell Adenocarcinoma of Parotid Gland with Intracranial Extension

Razali MN, Mat Baki M, Kew TY, Mohamad Yunus MR

Indian J Otolaryngol Head Neck Surg, 2019 Oct;71(Suppl 1):93-95.

PMID: 31741939 DOI: 10.1007/s12070-017-1116-3

Basal cell adenocarcinoma (BCAC) is a rare tumour entity. Despite its tendency to be infiltrative and destructive tumour with propensity to recur, it rarely metastasizes and long-term outcome following surgery is favourable. This paper presents a 42-year-old male with residual BCAC of parotid gland that had extended into infratemporal fossa and intracranial. The important aspect of this case is the rarity occurrence of BCAC of parotid with intracranial extension and its surgical approaches to achieve tumour clearance.

Successful Management of Retropharyngeal Lymphangioma with Stridor Using Sirolimus: A Case Report

Razali SSCM, Mohd NKN, Ibrahim FM, Hamid SSA

Indian J Otolaryngol Head Neck Surg, 2024 Feb;76(1):1298-1301.

PMID: 38440478 DOI: 10.1007/s12070-023-04273-4

Lymphatic malformations (LMs) are one of the congenital malformations of the lymphatic system in the body. The patient usually presents with head and neck swelling, airway compression, and/or airway obstruction. The diagnosis of retropharyngeal LMs can be challenging due to their rare occurrence. We report a case of a five-month-old boy diagnosed with retropharyngeal LMs. He presented with a three-day history of fever, cough, and stridor and was initially treated for acute bronchiolitis. A lateral neck radiograph revealed prevertebral widening, suggesting retropharyngeal collection. The patient's condition worsened, requiring intubation in the operating room and proceeding with aspirations and drainage. However, the symptoms recurred after a few days, necessitating re-intubation, repeated aspirations and drainage procedures. The patient was intubated, and the neck's magnetic resonance imaging (MRI) confirmed retropharyngeal LMs. An elective tracheostomy was performed and was treated with sirolimus. The patient had a successful tracheostomy decannulation and showed no recurrence during follow-up.

Fulltext Total Laryngectomy Following Severe Laryngeal Trauma: A Case of Surgical Dilemma

Retinasekharan S, Dompok TM, Mansor M

Indian J Otolaryngol Head Neck Surg, 2022 Oct;74(Suppl 2):2649-2651.

PMID: 36452743 DOI: 10.1007/s12070-021-02371-9

External laryngeal trauma is a rather rare occurrence, and comprises a varying severity of injuries. Every laryngeal injury is unique and the management can be invariably complex. For the most severe forms of external laryngeal trauma, reparative procedures and laryngeal stenting (after control of the airway) are considered standard treatment. We present a case of a complex laryngeal trauma with extensive loss of tracheal cartilage and soft tissues which was treated with total laryngectomy.

Bilateral Vestibular Atelectasis with Tullio's Phenomenon

Roy S, Kumarasamy G, Salim R

Indian J Otolaryngol Head Neck Surg, 2019 Nov;71(Suppl 2):1599-1602.

PMID: 31750223 DOI: 10.1007/s12070-019-01685-z

Vestibular dehiscence or atelectasis is a rarity known to cause vertigo. This pathology poses many challenges especially in diagnosis and treatment simply due to the scarcity of reported cases. The etiologic factors, disease pathophysiology and complications remain unclear. We report a young adult female who presented with unsteadiness for 2 years associated with headache. Tullio's phenomenon was observed which led to a finding of bilateral vestibular dehiscence involving the medial walls on high resolution computed tomography.

Fulltext Management of a Rare Lymphoepithelial Carcinoma of the Submandibular Gland in Elderly

Sairin ME, Yahya N, Kuan CY, Yunus MRM, Abdullah MK

Indian J Otolaryngol Head Neck Surg, 2019 Oct;71(Suppl 1):18-20.

PMID: 31741921 DOI: 10.1007/s12070-015-0940-6

Lymphoepithelial carcinoma (LEC) of salivary glands is a rare malignant salivary gland tumour and demonstrates genetic and regional distribution. It commonly occurs in major salivary gland especially parotid gland. We report a case of LEC of submandibular gland occurring in a 70 year-old lady.

Laryngeal Suction tube: A Novel Technique for Tracheal Ventilation in an Obstructed Airway in a Child with Respiratory Papillomatosis

Saniasiaya J, Lim SM, Kulasegarah J

Indian J Otolaryngol Head Neck Surg, 2023 Jun;75(2):1274-1276.

PMID: 37276073 DOI: 10.1007/s12070-022-03411-8

BACKGROUND: Airway obstruction in a child requires expedite management in addition to comprehensive discussion between the Otolaryngology and Anaesthesiology team to formulate a treatment plan to ensure safe airway. Juvenile-onset recurrent respiratory papillomatosis (JORRP) is an exophytic benign laryngeal lesion which poses a great challenge when presented with respiratory distress.

OBJECTIVE: This paper presents a novel, safe and cost-effective approach to temporary tracheal ventilation of the obstructed airway in a child with juvenile-onset recurrent respiratory papillomatosis using the laryngeal suction tube connected to general anaesthetic (GA) machine.

RESULT AND CONCLUSION: Rigid laryngeal suction tube is placed through the side-port of Lindholm laryngoscope and connected to breathing circuit of GA machine. Manual bagging ventilation with 100% FiO2 achieved good oxygenation throughout the debulking of the papilloma without hindering the surgical field. Our technique utilizes the readily available equipment whilst enabling safe anaesthesia and providing good surgical field during excision of obstructive papillomatous airway lesion.

Role of Video Head Impulse Test to Assess Noise Exposure

Saniasiaya J

Indian J Otolaryngol Head Neck Surg, 2024 Feb;76(1):1461-1463.

PMID: 38440558 DOI: 10.1007/s12070-023-04244-9

Noise exposure has been reported to exert numerous detrimental effects on the human population, although most research has centred around hearing damage. Vestibular and balance loss have been demonstrated among industrial workers, although reports on this are still scarce. Vestibular loss increases the risk of falls, especially among industrial workers who are at constant risk. Nonetheless, the ideal investigation tool to investigate vestibular function remains unknown. We aim to review the available literature to elucidate the effect of noise exposure on semicircular canals using a video head impulse test (vHIT). A literature search identified only three studies involving 137 patients (mean age: 44.4). Semicircular canal deficit was found in 50.4% of the included participants, with lateral canal predominantly affected (71%). We highlight the importance of assessing the effect of noise exposure on vestibular function, especially among those prone to occupation-related vestibular loss.

Could Cultural and Background Resilience be the Main Culprit for Neglected Vestibular Dysfunction in Children?

Saniasiaya J

Indian J Otolaryngol Head Neck Surg, 2023 Dec;75(4):4114-4115.

PMID: 37974752 DOI: 10.1007/s12070-023-03873-4

Vestibular dysfunction in children and adolescents has recently gained tremendous attention, with more child-friendly investigations and rehabilitation protocols emerging.Reports have shown that children with vestibular impairment tend to develop speech and language acquisition delay, fine and gross motor delay, which in the long-termresults in an overall poor quality of life. In an extreme situation, vestibular dysfunction can lead to dissociative syndromes such as depersonalisation/derealisation symptomsthat occur following a mismatch between the vestibular signals and other sensory inputs, which may, in turn, lead to suicidal thoughts and behaviour 1. Whilst measuresto incorporate vestibular assessment as a part of routine practice in paediatric patients have been carried out in most centres, pediatric vestibular medicine appears to beunfathomed in some parts of the world, notably the South-East Asian region.

Fulltext Stridor Secondary to Acquired Subglottic Cyst: Rarity Makes it Missed

See GB, Mesran I

Indian J Otolaryngol Head Neck Surg, 2019 Oct;71(Suppl 1):45-48.

PMID: 31741928 DOI: 10.1007/s12070-016-0992-2

Subglottic cysts (SGCs) are a rare cause of airway obstruction in children. Medical advances, higher survival rates for preterm infants, and improved diagnostic equipment have increased the number of reported cases of SGCs over the last three decades, the majority occurring in infants who had been extremely premature neonates and had suffered from respiratory distress, therefore having been intubated and managed in neonatal ICUs. Symptoms of laryngeal cysts depend on the size and the location of the cyst and include a change in the tone of voice, dysphonia, hoarseness, dysphagia, stridor, and dyspnea. This condition is often misdiagnosed as laryngomalacia, asthma, croup, or other diseases, due to the fact that it manifests as recurring respiratory infections, stridor, and wheezing. Death can occur in severe cases that are not treated. When present, it may account for severe inspiratory stridor that compromise the airway. The accepted gold standard treatment is direct laryngoscopy with marsupialization of the cyst to prevent recurrence. Two cases of subglottic cyst in our centre are described here. Although all cases presented differently, but in both of our cases, which have previous history of intubation with prematurity were initially diagnosed as laryngomalacia and croup.

Total Transcanal Endoscopic Approach for Selective Facial Nerve Decompression in Traumatic Facial Nerve Palsy

Sim L, Othman NAN, Hoe KC, Saad MSM

Indian J Otolaryngol Head Neck Surg, 2022 Dec;74(Suppl 3):3819-3823.

PMID: 36742613 DOI: 10.1007/s12070-021-02662-1

Facial nerve palsy is one of the complications of temporal bone fracture. Several approaches can be used for facial nerve decompression which include the middle cranial fossa approach, transmastoid approach and translabyrinthine approach. When the site of injury is identified at the tympanic segment and perigeniculate area, total transcanal endoscopic approach (TTEA) is an excellent surgical option. This approach is safe and less invasive avoiding external incision and mastoid drilling. Our patient showed recovery to House-Brackmann grade II facial function and reduction of the air-bone gap 6 months after the surgery.

Suspension Microesophagoscopy: A Simple Diagnostic And Therapeutic Technique For Foreign Body In Esophagus

Subramaniam D, Saniasiaya J, Kulasegarah J

Indian J Otolaryngol Head Neck Surg, 2023 Jun;75(2):1271-1273.

PMID: 37275052 DOI: 10.1007/s12070-022-03383-9

BACKGROUND: Foreign body ingestion involving the paediatric age group is a common emergency referral encountered by Otorhinolaryngologists. The cervical oesophagus has been noted as the most prevalent site of impaction. Traditionally, a rigid oesophagoscopy would be required for examination under anaesthesia and removal of the foreign body is found, but this method may miss foreign bodies that are embedded into the mucosa, and faulty technique may result in perforation of the esophagus. Method and results: We present a suspension microesophagoscopy technique using a Lindholm laryngoscope and suspension to retract and suspend the opening of the oesophagus. Conclusion: This technique not only gives the surgeon an advantage to perform a two-handed procedure but also allows for a magnified examination of the oesophageal mucosa with the help of a rigid telescope for a thorough examination.

BULLET POINT SUMMARY: The best diagnostic and therapeutic method for the management of foreign body in the oesophagus is examination under anaesthesia.Suspension microesophagoscopy can be done in the operation theatre with pre-existing instrument.This technique allows freedom for a two-handed technique.This technique gives a magnified visualisation of the mucosa revealing any embedded foreign body.

SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s12070-022-03383-9.

Case Report: Metastatic Neck Nodes of Unknown Origin with Concurrent Tuberculous Lymphadenitis. Is Fine Needle Aspiration and Cytology (FNAC) Adequate?

Subramaniam SD, Tuang GJ, Zainal Abidin ZA, Abdullah S

Indian J Otolaryngol Head Neck Surg, 2022 Dec;74(Suppl 3):5888-5892.

PMID: 36742794 DOI: 10.1007/s12070-021-02497-w

Presentation with cervical lymphadenopathy would usually have an aetiology of neoplasm, infection or reactive cause. Dual pathology of regional metastasis with simultaneous occurrence of tuberculous lymphadenopathy is rather rare. Herein the authors present a case of primary occult carcinoma and tuberculous lymphadenopathy in an unfortunate patient. The reliability of fine-needle aspiration cytology as a first-line investigation, with alternative methods in approaching cervical lymphadenopathy, was further dissected.

Displaying publications 61 - 80 of 95 in total