Singapore’s Third Sleep Surgery Course, to be held in Singapore, on 29th, 30th and 31st Oct 2010.

Hononary Speaker: Prof Tucker Woodson, USA
Course Director: Dr Kenny Peter Pang, Singapore

Invited Speakers:
Prof Abdullah Sani, Malaysia
Prof Siow Jin Keat, Singapore
Prof Damayanti Soetjipto, Indonesia
Prof Bambung Hermani, Indonesia
Prof Teti, Indonesia
Dr Francois Malan, Australia
Dr Kuljit Singh, Malaysia
Dr David Tay, Singapore
Dr Paul Mok, Singapore
Dr Rusdian, Indonesia
Dr Chiba S. Japan
Dr Michael Sarte, Philippines
Dr Gil Vicente, Philippines
Dr Wish Banhiran, Thailand
Dr Victor Abdullah, Hong Kong
Ms Lalaine Gedal, Singapore
Please attend as the course promises to be fruitful and beneficial.

VIEW PROGRAMME

COURSE WEBSITE

SLEEP SURGERY COURSE FEES – SGD 950
(EARLY SIGN UP BEFORE 31st July 2010 – SGD 850)
(Trainee rates available)

Sign up on www.TheSnoringDoctor.com

OR

REPLY this email address; I would reserve a space for you.
(You may call me direct on my mobile if you need, +65 9616 0055)

Thank you
Take care
Warmest Regards,

Dr Kenny Peter Pang
ENT Consultant/Sleep Surgeon
Director, Pacific Sleep Centre
President, ASEAN Sleep Surgical Society
President, International Sleep Academy
Fellow, American Academy Sleep Medicine
Board Director, International Sleep Surgery Society
hp +65 9616 0055
tel +65 6510 1977
fax +65 6510 1979
drkennypang.sleepsurgery@gmail.com

Nationwide Webcast: Voice Update ,May 2,10-6 PM


Nationwide Webcast of talk and Live surgery on Voice update from Ambani Hospital,Mumbai
Log on to www.ciplacme.com

Dead and alive:by Dr. Archana Jhawar

Dead and alive

by Dr. Archana Jhawar
Yesterday when I went to KEM medical college, saw hospital’s “hands on training lab-Clinical skills and research laboratory” to train doctors of newer techniques of surgery…I felt good. I was elated whole day to see such a lab and innumerable dead bodies to work on…
Suddenly night time I felt numb, a thought just clicked in my mind…Why I am so happy??? Seeing the dead-bodies? Am I that heartless? What if I would have known few of them? Could I feel same way then?? What if I met them when they were alive and they were known to me? Could I feel same way then??

I may not like the answer but my true answer will be a big “No”.

I am happy because they will be helpful to me even after their death, quite a human nature, not my fault. So I gave explanation to myself- I will be doing good to others if I learn to do advanced surgeries and I am not responsible for their death at least.
But my heart felt uneasy and I had a disturbed sleep…

Otophyma: a rare and frequently misdiagnosed entity

Volume 31, Issue 3, Pages 199-201 (May 2010)
Otophyma: a rare and frequently misdiagnosed entity

Manish Gupta, MS ENT, Monica Gupta, MD Med, Tarun Narang, MD Skin
Received 25 November 2008 published online 24 April 2009.
American Journal of Otolaryngolody

Abstract
Otophyma is the term used for sebaceous gland hypertrophy and hyperplasia of the ear. It is usually the end stage of rosacea—a common, chronic, cutaneous disorder of unknown etiology. We hereby present a rare case of otophyma with its clinical features, its etiology, diagnosis, and review of medical and surgical therapy. This patient remained undiagnosed and mismanaged for many years before she was finally diagnosed with this rare condition and successfully managed by surgical technique. To our knowledge, this is the second case of otophyma presented in the otolaryngological literature.

Changing trends of peritonsillar abscess

Volume 31, Issue 3, Pages 162-167 (May 2010)

Changing trends of peritonsillar abscess

Tal Marom, MDa, Udi Cinamon, MDa, David Itskoviz, MDa, Yehudah Roth, MDab
Received 31 October 2008 published online 24 April 2009.
American Journal of Otolaryngology

Abstract
Objective
This retrospective, cohort study aims to assess the changing characteristics of peritonsillar abscess (PTA).

Method
Data were obtained from PTA patient records admitted to a secondary hospital over a 10-year period.

Results
A total of 427 patients, aged 31.6 ± 15.2 years (range, 3–91), were treated for PTA, reflecting an incidence of 0.9/10 000/y. Forty-seven (11%) patients had more than one episode. There was no sex, seasonal, or side predominance. Thirteen (3%) patients developed complications. One hundred four (24.4%) patients were 40 years or older, had a longer hospital stay, and were prone to complications. One hundred two (23.8%) patients did not have an anteceding pharyngotonsillitis. Smoking was more common among patients with PTA as compared with the general population and was associated with more complications. A total of 283 (66.2%) patients developed PTA in spite of prior antibiotic therapy; 51.1% of smokers that received prior antibiotics had a higher incidence of Streptococcus viridans isolates.
Conclusion
Peritonsillar abscess may have changed its characteristics: affecting more older patients having a worse and longer course and PTA evolvement without anteceding tonsillitis or in spite of a prior adequate antibiotic therapy. Smoking may be a predisposing factor

A new method for osteotomies in oncologic nasal surgery: Piezosurgery

A new method for osteotomies in oncologic nasal surgery: Piezosurgery

Angelo Salami, Massimo Dellepiane, MD, Barbara Crippa, MD, Renzo Mora, MD
Received 29 May 2008 published online 31 March 2009.
American Journal of Otolaryngolgy

Abstract
Objective

Piezosurgery is a recently developed system for cutting bone without necrosis and nonmineralized tissues damage. The aim of this work has been to test Piezosurgery as a new bony scalpel in nasal surgery.

Methods

In this nonrandomized study, we have performed Piezosurgery in the excision of malignant nasal tumors through a paralateronasal approach. We have used Piezosurgery on 10 patients affected by nasal adenocarcinoma. The piezoelectric device uses low-frequency ultrasonic waves (24.7–29.5 kHz); the applied power can be modulated between 2.8 and 16 W and is programmed in accordance to the density of the bone. The equipment consists of 2 hand pieces, 2 inserts, and 2 peristaltic pumps; the microvibrations that are created in the piezoelectric hand piece cause the inserts to vibrate linearly between 60 and 210 μm.

Results

In all the patients, Piezosurgery provided excellent control without bleeding and harming effects on the adjacent structures. No patients experienced adverse effects.

Conclusion

Piezosurgery is a new and revolutionary osteotomy technique using the microvibrations of scalpels at ultrasonic frequency, so that soft tissue will not be damaged even upon accidental contact with the cutting tip. The safety of Piezosurgery as regards soft tissues was confirmed. No adverse effects were detected during unintentional contact with the tumor, nerve, vessel, and mucoperiosteum; this renders the piezoelectric device ideal for this application.

International Noise Awareness Day, 28th April 2010

Dear all:
In regard with International Noise Awareness Day, 28th April 2010:
from now on avoid noise pollution, turn down the volume, dont honk,
and close your ears for 60 seconds on that day from 2.15 - 2.16 pm,
.. wherever you are..

For more information, look at
http://www.chchearing.org/noise-center-home/international-noise-awareness-day

Please forward and distribute!!
With many thanks for your kind cooperation and attention,
best wishes to you all, Bulan


--
Dr Bulantrisna Djelantik
COO / Past President
The Society for Sound Hearing
Res/Off: Jl Segara Ayu 3 Sanur
Denpasar Bali 80228 Indonesia

Too loud noise damages sensitive nerve endings in inner ear (delicate cells called cillia) and cause sensorineural loss, it can be reduced or prevented altogether.

Thanks for promoting noise awareness.

Just posted more about noise and ear on my blog http://entcare.wordpress.com/2010/04/28/noise-and-ear/

Intraoperative imaging for otorhinolaryngology-head and neck surgery

Otolaryngol Clin North Am. 2009 Oct;42(5):765-79, viii.
Intraoperative imaging for otorhinolaryngology-head and neck surgery.
Isaacs S, Fakhri S, Luong A, Citardi MJ.

Department of Otorhinolaryngology-Head and Neck Surgery, University of Texas Medical School at Houston, Texas Sinus Institute, Texas Skull Base Institute, 6431 Fannin Street, MSB 5.036, Houston, TX 77030, USA.
Abstract
The applications of endoscopic techniques have expanded beyond the treatment of inflammatory sinus disease and toward the resection of anterior and middle skull base lesions. Image-guided surgery has emerged as an important tool that compensates for the limitations of surgical endoscopy. The disadvantage of image-guided surgery, however, is its dependence on preoperative imaging data. Intraoperative imaging provides near real-time imaging that has the potential to improve surgical outcomes and reduce operative morbidity. The role of intraoperative imaging in endoscopic sinus and skull base surgery has demonstrated great promise in recent literature. It has had an impact on surgical decision-making during functional endoscopic sinus surgery and the resection of anterior skull base neoplasia. Advances in portable MRI and volumetric CT technology have enhanced the efficiency and safety of intraoperative imaging. Although further studies are required to quantify the precise utility of this new technology, it appears that intraoperative imaging will be an important tool for rhinologic surgery.

The Hear the World website


The Hear the World website was awarded with the Comprix Award for innovative healthcare communication! Check out the website yourself and explore great features such as a simulation what hearing loss sounds

CLICK HERE FOR ONLINE HEARING TEST

Sialendoscopic courses in Geneva


Cartilage Tympanoplasty

Sir
I would appreciate if you could please post this on "Otolaryngology Update" for the benefit of your members:

http://www.svfernandes.com/Triple_C_technique.ppt
It is available also in M. Tos's book on "Cartilage Tympanoplasty" 2009 Thieme Chapter 26

Regards

Sylvester Valentine Fernandes
BSc(Hons),MB,BS,MCPS,FRCSEd,FRACS,FACS,LLB
Senior Surgeon & Senior Clinical Lecturer
Newcastle University, Australia
Email: mdsfe@yahoo.com.au

Comparison between cartilage-perichondrium composite 'ring' graft and temporalis fascia in type one tympanoplasty in children.

J Laryngol Otol. 2010 Apr 20:1-8. [Epub ahead of print]
Comparison between cartilage-perichondrium composite 'ring' graft and temporalis fascia in type one tympanoplasty in children.
Albirmawy OA.

Otolaryngology Department, Tanta University Hospital, Egypt.
Abstract
Objective:This study aimed to evaluate the anatomical and audiological outcomes of primary type one tympanoplasty performed with a modified cartilage-perichondrium composite 'ring' graft, and to compare them with results for primary type one tympanoplasty performed with temporalis fascia, in children.Study design:Retrospective clinical study.Setting:Otolaryngology department, Tanta University Hospital, Egypt.Patients and methods:Records were evaluated for 82 children with dry tympanic membrane perforation (any size) and intact ossicular chain, and with no history of previous ear surgery except for tympanostomy. Patients of similar age and middle-ear pathology were selected to make the two groups as homogeneous as possible. An underlay type one tympanoplasty, using either a ring graft or temporalis fascia, was performed: 40 children were included in the ring graft group and 42 in the temporalis fascia group. All procedures were performed by the same surgeon. A successful anatomical outcome was considered to comprise full, intact healing of the graft without perforation, retraction, lateralisation or blunting, for at least one year post-operatively. Patients' post-operative pure tone average air-bone gap and speech reception threshold were compared with pre-operative levels, within and between the two groups.Results:Type one tympanoplasty using a ring graft technique resulted in a significantly greater graft acceptance rate (95 per cent) compared with the temporalis fascia technique (76.2 per cent; p < 0.01). Pure tone average air-bone gap and speech reception threshold levels improved significantly in both the ring graft and fascia groups (p < 0.001). There was no significant difference in audiometric results between the two groups (p > 0.05), although there was a trend towards better post-operative results in the ring group.Conclusion:In our paediatric patients, type one tympanoplasty with a modified cartilage-perichondrium composite ring graft yielded good anatomical and functional results. The anatomical results obtained using this graft (with its unique appearance and stability during and after surgery) were superior to those for temporalis fascia. The ring graft group had equivalent, if not better, post-operative audiometric results, compared with the temporalis fascia group. Thus, the ring graft is believed to be effective in enabling both tympanic membrane closure and rapid hearing improvement, in the paediatric population.

PMID: 20403227 [PubMed - as supplied by publisher]

LinkOut - more resources

Plunging ranula: congenital or acquired?

Otolaryngol Head Neck Surg. 2010 Jan;142(1):104-7.
Plunging ranula: congenital or acquired?
Morton RP, Ahmad Z, Jain P.

Department of Otolaryngology-Head and Neck Surgery, Manukau DHB, Manukau City, New Zealand. RPMorton@middlemore.co.nz
Abstract
OBJECTIVE: To review our clinical experience with plunging ranula and examine the evidence in support of our impression that plunging ranula has a genetic basis. STUDY DESIGN: Case series with chart review. SETTING: Secondary otolaryngology service. SUBJECTS AND METHODS: Review of the medical records of a clinical series of 80 consecutive plunging ranulas in 77 patients was conducted, with recording of clinical and radiological findings, surgical treatment, and outcome. A literature review using MEDLINE and OLD MEDLINE was performed. RESULTS: The majority of plunging ranulas had no intraoral component on clinical examination, although evidence of mucus extravasation from the sublingual gland could be found both radiologically and histologically in all cases. There were four patients with bilateral plunging ranula and one instance of siblings with unilateral plunging ranula. Maoris and Polynesians comprised more than 82 percent of our cases; this was a significant overrepresentation of these ethnic groups (P < 0.0001). A very strong predominance of cases of Chinese origin was also evident in the literature. CONCLUSION: The clinical findings and the supporting data from the literature, when viewed in light of information relating to the known anatomical anomaly of a dehiscence in the mylohyoid muscle and ectopic sublingual gland lying below the plane of the mylohyoid, appear to support the case for a genetic basis for this unusual clinical entity.

CME on Endoscopic Endonasal DCR Primary & Revision & Endoscopic Approach to Orbital Tumours,Shroff Hospital,DelhiApril 25,2010



Venue – Conference Hall (1st Floor), Dr. Shroff’s Charity Eye Hospital

5027, Kedarnath Road, Daryaganj Delhi-110002

Registration Fees – Rs 750/- by DD & Cash

(Please contact Dipa – 9818555674, or Bhagwan Pandit 9871907563)

Course Coordinator Course Convenor


Dr. Nishi Gupta (9811898107)

Dr. Nidhi Dhawan (9810809144)

VIEW DETAILS>>

CME on Paediatric Otorhinolaryngology,KMC Manipal, 20th June 2010

CLICK HERE TO VIEW PROGRAMME

Organized by Department of Otolaryngology, Kasturba Medical College, Manipal University, Manipal and Association of Otolaryngologists of India - Karnataka chapter
Organizing Chairman: Dr. Dipak Ranjan Nayak

Organizing Secretary: Dr. Balakrishnan R

Coordinator: Dr. Kailesh Pujary (Mobile: 9880041711)

Registration: Rs. 150/-

Contact Email: ent.kmc@manipal.edu

Department of Otolaryngology,
Kasturba Medical College,
Manipal University,
Manipal 576104,
Karnataka, India

5th National FESS Workshop, 2nd & 3rd October, 2010 at Indraprastha APOLLO Hospitals, Delhi.


Doctor, listen to your patients-Dr Paulose

“Of all the science that a physician acquires, of all the skills mastered, listening is by far the most difficult. The seemingly simple act demands the most consummate artistry. Listening demands intense cultivation, similar to that of musical virtuosity. One learns to be attentive to the fluttering eyelid, to the inaudible sigh, to the unshed tear. To ancient Sumerians the word for ear and for wisdom was the same. Proper listening enables one to comprehend the unique narrative of another human being. Even at its scientific best, medicine is dependent on the intimate story. For doctors this is an exhilarating act of discovery; for patients it identifies a healer. Medicine is ultimately a social discipline. It begins with a unique story from a fellow human being craving help”

Flower of Day

Cummings Otolaryngology - Head and Neck Surgery, 3-Volume Set: International Edition(new edition)



The book will take atleast 20-25 days time to come in stocks, it will cost Rs. 17,750/- (MRP) approx. (US$=48.00)

Note: to check the distributors/book sellers in your area please click the following link: http://www.elsevierhealthindia.com/web/howToBuy.aspx

CME on Ossiculoplasty on 9th May,2010 ,Karamsad




Address for Corresponce
Dr Yojana Sharma ENT Department Shree Krishna Hospital,
Karamsad Anand Gujarat - 388325
or
soni.hiren@hotmail.com
Dr.Hiren Soni
Asst.Prof ENT
Karamsad

Images:FESS 2010 ,Trichy


Job Vacancy in Trichy

THIS IS TO INFORM YOU THAT WE HAVE FIVE VACANCIES FOR RESIDENT POSTS POST DIPLOMA OR POST MS ENT.. DOCTORS WHO ARE INTERESTED MAY APPLY.


ADDRESS
ROYAL PEARL HOSPITAL
C-12 3 D CROSS STREET
THILLAINAGAR
TRICHY
TAMILNADU
INDIA

SALARY RANGING FROM 20,000 TO 1 LAKH.
Mail :honeypriya193@yahoo.com

AOI Archives: Branch News 1994

AOI-COCHIN BRANCH
In the First meeting of the Cochin Chapter of AOI for 94-95 the following office bearers were elected,
President Dr. Benjamin 'Souza, Secretary Dr. N. J. Natarajan, Vice President Dr. Idicula Mathews and Treasurer Dr. M. A.
Gopalan.
The Meeting was presided by the outgoing president Dr. Isaiah.

AOI—VIDARBHA BRANCH
1. 2nd Mid Term lecture was delivered by Prof. V. N. Chaturvedi from MGI MS Sevagram. He spoke on "elucidating profile
of E. N. T. cancers in rural Vidarbha" on 4 June 1994.
2. 44th Annual Conference endowment scholarship money of Rs. 5000/- was awarded to Dr. Ajay Deshpande for his work
on "CAT guided aspiration of brain abscess of otological origin" on 4 June 1994.

AOI—MADRAS CITY BRANCH
The AOI Madras branch has unanimously elected Dr. N. Radhakrishnan and Dr. N. Rajaran as President and Secretary
respectively for the year 1994-95. Following this, the 'INAUGURAL MEET' was held on 24th July 94 at Sun Plaza, Madras.
The highlight of the meet was a symposium on 'Headache'— a multifaculty discussion featuring leading consultants in the
field of Neurology, Gen. Medicine, Ophthalmology, ENT, dentistry and Psychiatry.
A CME programme was also held at Children's Hospital, Egmore on Paediatric Otolaryngology on 10th August 94.

SRI RAMACHANDRA VOICE UPDATE 2010, 28th & 29th August 2010, Chennai.




Click here to download full Brochure

DD/ cheque to be drawn in favour of “VOICECME” payable at Chennai

REGISTRATION
• ENT Consultant Rs. 2200/-
• SLP Consultant Rs 1500/-
• Post Graduates – ENT / SLP Rs. 1250/-
• Spot Registration Rs.3000/-
• Hands-on cadaver dissection Rs 5000/- (includes workshop registration)
• Last date for registration 31st July 2010
• Bonafide certificate from HOD to be produced by PG’s.
Kindly send your registrations to:
Dr. (Maj) John Samuel,
Organizing Secretary,
Sri Ramachandra Voice Update 2010,
Dept. of ENT, Head & Neck Surgery
SRMC & RI,
Porur,
Chennai-600116.

15th International sialendoscopy Hands-on Course Clinique Générale Beaulieu, Geneva, Switzerland, 2 – 4 July, 2010


VENUE Clinique Générale Beaulieu
20, chemin Beausoleil,
1206 Geneva, Switzerland

SECRETARIAT
Madame Ingrid Langenskiold
Clinique générale Beaulieu
info-smb@beaulieu.ch

LANGUAGE english

COURSE FEES
Participants : Euros 1300.-
Residents : Euros 900.-
Nurses : Euros 900.-

Include : Scientific sessions, Hand-On sessions, Coffee breaks, lunches and dinners.

VISIT WEBSITE FOR DETAILS

Flower of Day

Phonosurgery Workshop,29th August,2010,Bombay



CLICK HERE TO VIEW BROCHURE

ARYTENOID SUBLUXATION


HELLO SIR,
I AM DR.BAPARAO M.S.ENT CONSULTANT FROM VISAKHAPATNAM.
IAM HEREWITH SENDING VL SCOPY PICS OF MY PATIENT 22YR OLD MALE WITH CHANGE OF VOICE SINCE CHILDHOOD.
NO H/O TRAUMA/INTUBATION.
I FOUND IT TO BE ARYTENOID SUBLUXATION.
I WANT ADVISE REGARDING MANAGEMENT OF THIS PATIENT.


BYE
DR.BAPARAO
SAGARA DURGA ENT CARE,
15-13-6, KRISHNA NAGAR,
VISAKHAPATNAM-530002. A.P.
PH: 09848348245.

ENT OT named after John Shea in Guntur



dr g. venkateswara rao
pg in ent
guntur medical college
andhra pradesh
india.

5th ENT Instructional Course, SGH Department of Otolaryngology,Singapore, 29 July – 6 August 2010.


Dear All

The SGH Department of Otolaryngology is organising their 5th ENT Instructional Course Week this year.

The Instructional Course Week is anchored by the 3 main courses - Otology & Neuro Otology, Functional Endoscopic Sinus Surgery and Head & Neck Surgery, and also introducing a new workshop on Management of Dysphagia and Swallowing Disorders.

The courses have been designed to cater to the needs of trainees as well as specialists who want to revise or improve their surgical skills through cadaveric dissections. As such, the emphasis of these courses will be on management strategies and surgical techniques.


Please refer to e-flyer or visit http://www.sghentweek.com.sg for more information and registration.

Live Telecast Today :Endonasal Endoscopic Skullbase Surgery,April 10, 8.30 AM - 6.30 PM



Website :http://ciplaecme.com/index.html

Thyroid surgery workshop in R D Gardi Medical College ,Ujjain (MP), 1st and 2nd May 2010

Dear Sir,
We are organizing a live thyroid surgery workshop in R D Gardi Medical College ,Ujjain (MP)on 1st and 2nd may 2010.Guest faculty includes Dr Madan Kapre from Nagpur and Dr Yashavant Maru from Indore.
You are cardinally invited to attend the conference.
With warm regards,

Sincerely Yours,
Dr Sudhakar Vaidya
Editor
World articles in ENT
Professor
ENT

RD Gardi Medical College
Ujjain (MP) India
Phone: 9425195577
drsvaidya@hotmail.com
DOWNLOAD BROCHURE

Flower of Day


Siris in Bloom

6th Endoscopic Endonasal Skullbase Workshop,Mumbai April 9-11,2010

Endoskullbase workshop international faculty to include Dr Paolo Cappabianca, Dr Amin Kassam and Dr Ricardo Carrau - details on website www.endoskullbase.com
An unbelievable combination - an unmissable oppurtunity.
April 9-11, Mumbai, 2010.
Regards,
Nishit Shah


Dear Colleagues,

We are extremely happy to announce the 6th Endoscopic Endonasal Skullbase Workshop hosted by Bombay Hospital & B. Y. L. Nair Ch. Hospital on April 9th – 11th, 2010 in Mumbai, India.

This year, we are honoured to have with us Dr. Paolo Cappabianca, Professor and Chairman of the Neurological Surgery Department at the Universita degli Studi di Napoli Federico II, Naples, Italy. Prof. Cappabianca has focused his clinical, teaching, and research efforts on developing and refining clinical standards for endoscopic neurosurgery, with special emphasis on transsphenoidal and skull base surgeries.

We are also privileged to have Dr. M. V. Kirtane, ENT Consultant at Hinduja Hospital and former professor at KEM Hospital, Mumbai who has pioneered endoscopic and skullbase surgery in India.

This year, along with skullbase surgery, we have special emphasis on extended trans-sphenoid skullbase procedures with the latest equipment and techniques. As always, this is combined with cadaver dissection, lectures and discussions.

We look forward to extending a warm welcome to all of you in Mumbai.

The Departments of Neurosurgery, ENT, Forensic Medicine, Anatomy and Imaging Radiology.
Dr. Nishit Shah
Dr. C. E. Deopujari
Dr. Bachi Hathiram
Dr. Suneel Shah

VISIT WEBSITE

Flower of Day

AOI Archives:Chennai & Gauhati, 2000

A.O.I. Chennai Branch conducted its Annual General Body meeting on 18-06-2000, at Hotel Breeze, Kilpauk, Chennai. The fnllc~wing office bearers have been unanimously elected for A.O.I. Chennai. President : Dr. H.Ganapathy, Secretary-cum-Treasurer : Dr. R.R Vatsanath. From Dr. R.P. Vatsanath

A.O.I. Guwahati Branch organised a workshop on Microsur- gery of the ear which was held in the E.N.T. Dept. of Gauhati Medical College, Guwahati. Dr. Probodh Karnik of Mumbai conducted the workshop. From Dr. B. K. D a s

X-Ray Nasopharynx for Adenoids-Dr. Ajay Jain

X-Ray Nasopharynx for Adenoids
I really do not understand why most ENT Doctors and most radiologist are obsessed with doing X-Ray Adenoid with mouth open. In my opinion, this X-Ray should be done with mouth closed and slight extension. I am saying so because

Closed mouth is more physiological position.
By closing the mouth, you let air enter into nasopharynx, which creates a natural air contrast.
Open mouth push the soft palate posteriorly futher compromising the airway.
So Dear ENT Friends, Please do a digital X-ray with mouth open and mouth closed and see yourself the results.

Dr. Ajay Jain, MS (PGI, Chandigarh), DNB