Balloon dilatation eustachian tuboplasty: A clinical study

Balloon dilatation eustachian tuboplasty: A clinical study
Thorsten Ockermann, MD 1, Ulf Reineke, MD 1, Tahwinder Upile, FRCS 2, Jörg Ebmeyer, MD 1, Holger H. Sudhoff, MD, PhD 1 *
1Department of Otolaryngology, Head and Neck Surgery, Bielefeld Academic Teaching Hospital, Bielefeld, Germany
2Department of Otorhinolaryngology, Head and Neck Surgery, Chase Farm Hospital, Enfield, Middlesex and Barnet Hospital, Barnet, Herts, United Kingdom
email: Holger H. Sudhoff (holger.sudhoff@rub.de)
*Correspondence to Holger H. Sudhoff, Department of Otolaryngology, Head and Neck Surgery, Bielefeld Academic Teaching Hospital, Affiliated with Bielefeld and Münster University, Teutoburger Str. 50, 33604 Bielefeld, Germany

The authors have no funding, financial relationships, or conflicts of interest to disclose.
KEYWORDS
Eustachian tube dysfunction • computed tomography • balloon dilatation • tubomanometry • eustachian tube score • Level of Evidence: 2b
ABSTRACT

Objectives/Hypothesis:
To assess the feasibility of balloon dilatation eustachian tuboplasty (BET) as an option for treatment of patients with eustachian tube (ET) dysfunction.

Study Design:
Ethics approved case controlled interventional study.

Methods:
Eight patients were identified with poor ET function using a ET score and were assigned to the study. The endoscopic procedure involved the dilatation of the cartilaginous and bony portion of 13 ETs with a balloon catheter. Pre- and postinterventional computed tomography was performed. All patients were reassessed 1, 2, and 8 weeks after BET.

Results:
BET was technically easy to perform. No damage to essential structures, particularly the carotid canal, was found in the human study. Patients revealed a significant improvement of the ET score comparing pre- and the 2-month post-treatment results. Improvement was found to be time dependent.

Conclusions:
This newly introduced method of BET was found to be a feasible and safe procedure to inflate the ET. It significantly helped to improve ET function in our study group. However, larger long-term studies are necessary to fully evaluate the clinical value of BET. Laryngoscope, 2010

Live Surgical Workshop Report : Dr Janakiram(Trichy)



LIVE SURGICAL WORKSHOP ON VARIOUS E.N.T PROCEDURES ON 20.6.10 AT TRICHY.
11 CASES WERE DEMONSTRATED . THIS INCLUDED STAPEDECTOMY , VARIOUS MASTOID PROCEDURES , ENDOSCOPIC SINUS SURGERY , PAROTIDECTOMY AND LATERALISATION OF VOCAL CORD.
ALL CASES WERE DEMONSTRATED BY DR JANAKIRAM .
31 DELEGATES ATTENDED THE WORKSHOP FROM VARIOUS PARTS OF TAMILNADU.

PROF GANANATHAN , PROF OF E.N.T , MADRAS MEDICAL COLLEGE PRESIDED OVER THE WORKSHOP AND PROF ANAND JOB , CMC VELLORE INAUGURATED THE TEMPORAL BONE LAB . PROF SIVAKUMARE OF VELLORE MEDICAL COLLEGE SHARED HIS EXPERIENCES DURING THE MEETING.

Pertussis: a disease affecting all ages

Am Fam Physician. 2006 Aug 1;74(3):420-6.

Gregory DS.

Lynchburg Family Medicine Residency, Virginia, USA. david.gregory@centrahealth.com

Comment in:

Abstract

Bordetella pertussis is a highly contagious bacterium known to cause pertussis (whooping cough) and is transmitted via airborne droplets. Although childhood vaccination has dramatically reduced reported pertussis cases, the incidence of the disease has increased over the past 20 years, most notably in previously immunized adolescents and adults. Pertussis should be suspected in patients of all ages with cough who meet the clinical criteria for the disease. Diagnostic tests currently approved by the U.S. Food and Drug Administration for pertussis infection have low sensitivity. Regardless of test results, physicians should treat clinically suspected pertussis with antimicrobials and report cases to their state health department. A 14-day erythromycin regimen has been the treatment of choice; however, shorter-course macrolide antibiotics (e.g., azithromycin, clarithromycin) may be as effective with fewer adverse effects and better adherence to therapy. The recently recommended tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine for adolescents and adults may decrease the incidence of pertussis in infants--the group at the greatest risk of pertussis complications.

29th AOI AP State ENT Conference,September 18-19,Nandyal


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The information of ANDHRA PRADESH ENT STATE CONFERANCE 2010 deatails are as below.
dates. 18th and 19th of september 2010
VENUE: NANDYAL, KURNOOL DISTRICT OF ANDHRA PRADESH

FACULTY INTERNATIONAL:
1.DR.TV KRISHNA REDDY FACIAL PLASTIC SURGEON WARRINGTON, U.K.
2.DR.PHILLIP ELLOY SENIOR ENT CONSULTANT BELGIUM
3.DR.LEI CHEN PROFESSOR OF ENT, BEIJING,CHINA
FACULTY NATIONAL:
1.PROF.SURESH C SARMA HOD ENT A.I.I.M.S. NEW DELHI
2.DR.ASHOK GUPTA PROF OF ENT PGIMER,CHANDIGARH
3.DR.P.P.SINGH PROF AND HOD UCMS DELHI
4.DR.MUDHOL PROF OF ENT BELGAUM KARNATAKA

HIGHLIGHTS:
ORATIONS:
1.SRI SESHANNA NAIDU MEMORIAL ORATION
2.DR.KAJA KRISHNA MURTHY ENDOWMENT ORATION
3.6TH ASIA OCEANIC CONGRESS ORATION
4.DR.G.LAKSHMI PATHI ORATION
MEDALS:
CONSULTANTS:
1.BHOOMA REDDY GOLD MEDAL
2.S.PRABHAKAR GOLD MEDAL
3.RAJAN RAJU GOLD MEDAL
4.BAYYA SRINIVAS RAO GOLD MEDAL

POST GRADUATES:
1.AOICON 2005 PG MEDAL
2.DR.D.DWARAKNATH REDDY PG MEDAL
GUEST ORATIONS
INVITED TALKS
PANEL DISCUSSIONS
CROSS FIRE SESSIONS

Nasal,Paranasal Sinuses & Anterior Skull Base Surgery Workshop,February 4-6,2011Mumbai


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Long Uvula: Dr Paulose Link


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Traditional uvulectomy

Soc Sci Med. 1994 Oct;39(8):1077-82.
Traditional uvulectomy in Niger: a public health problem?
Prual A, Gamatie Y, Djakounda M, Huguet D.

Département de Santé Publique, Faculté des Sciences de la Santé, Niamey, République du Niger.
Abstract
Although traditional uvulectomy, a procedure which consists of cutting away a part of the uvula, has been reported in several sub-Saharan African countries, in Maghreb and in Israel, epidemiological and anthropological data on this practice are rare. Severe complications may require hospitalization. The goal of this study was to assess the prevalence of this traditional procedure in Niamey, capital of Niger, the incidence of its severe complications and the beliefs and practices related to it. By the age of 5, 19.6% of the children in our survey had undergone uvulectomy. Severe complications of uvulectomy represented 7.8/1000 cases of hospitalization for children under 15 years of age. Complications were infections (including tetanus), hemorrhage and passage of the cut piece of uvula further down the respiratory tract. The children who had undergone uvulectomy belonged significantly more often to the Hausa ethnic group (66.2%) than to the majority Zarma ethnic group (18.3%) or to the other ethnic groups (15.5%). This can be explained by the fact that, in some Hausa subgroups, uvulectomy is systematically performed on the 7th day after birth, during the naming ceremony, to prevent death due to a 'swelling of the uvula'. In the other Hausa sub-groups and in the other ethnic groups, uvulectomy is solely a curative practice, both for children and adults, for vomiting, diarrhea, anorexia, the child's rejection of the breast, growth retardation and fever. Uvulectomy is performed in Niger by the barbers, whose functions are also to perform specialized surgery. These traditional surgeons claim there is no risk to this practice

Skull Base Anatomy



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Obstructive sleep apnea and hypertension

Curr Hypertens Rep. 2010 Jun;12(3):189-95.


Calhoun DA.

Vascular Biology and Hypertension Program, Sleep/Wake Disorders Center, University of Alabama at Birmingham, 430 BMR2, 1530 3rd Avenue South, Birmingham, AL 35294-2180, USA. dcalhoun@uab.edu

Abstract

Obstructive sleep apnea (OSA) and hypertension commonly coexist. Observational studies indicate that untreated OSA is associated with an increased risk of prevalent hypertension, whereas prospective studies of normotensive cohorts suggest that OSA may increase the risk of incident hypertension. Randomized evaluations of continuous positive airway pressure (CPAP) indicate an overall modest effect on blood pressure. However, these studies do indicate a wide variation in the blood pressure effects of CPAP, with some patients, on an individual basis, manifesting a large antihypertensive benefit. OSA is particularly common in patients with resistant hypertension. The reason for this high prevalence of OSA is not fully explained, but data from our laboratory suggest that it may be related to the high occurrence of hyperaldosteronism in patients with resistant hypertension. We hypothesize

Doctors quit dirty NHS for India

THE influx of thousands of Indian doctors into the National Health Service is going into reverse. Hospitals in India are now said to be cleaner and better equipped than many in Britain and doctors are quitting the NHS to work there instead.

Ameet Kishore had worked as an ear, nose and throat consultant in Glasgow Royal Infirmary for 12 years when he moved to the Apollo hospital in Delhi two years ago. Although reluctant to criticise the NHS, which had taught him so much, he said that the new Indian hospitals were cleaner and better resourced.

He contrasted the number of cochlear implant operations that he could perform: at Crosshouse hospital, Kilmarnock, the main ENT centre for the west of Scotland, he was limited to 40 a year; in Delhi he had done 70 in the past six months.

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AOICON 2011,Chennai :Residential Package


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Residential Package Registration fee includes
Hotel accommodation from 6th Jan 2011 (12 noon) to 9th Jan 2011 (12 noon) Registration for the conference
Breakfast for 3 days from 7th to 9th Jan 2011 at the hotel
All Conference lunches from 6th to 9th Jan 2011 at the venue 'Classical Night' Inaugural Welcome Dinner on 6th Jan 2011
'Musical Night' Dinner on 7th Jan 2011
Complimentary use of Swimming pool & Gymnasium
Registration fee does not include
Telephone Calls, room service, mini bar, extended stay, laundry and use of extra facilities
Fellowship Night' Banquet on 8th Jan 2011 is not included (Rs.1000 Extra)
Conference Secretariat:
Madras ENT Research Foundation (P) Ltd
No. 1, I Cross Street, Off. II Main Road, Raja Annamalai Puram,
Chennai - 600 028, Tamil Nadu, India.
Phone No : 044 - 2431 1411 / 1412 / 1413 / 1414 / 1415 Fax : 044 - 2431 1416
Mobile : +91 91766 40288
aoicon2011@yahoo.com

2nd Endoscopic Sinonasal and anterior skull base surgery workshop,19-20 July,Srinagar



Venue:
POLICE HOSPITAL, POLICE CONTROL ROOM CAMPUS,
BATAMALOO, SRINAGAR - KASHMIR
Organized by:
Department of ENT, Head & Neck Surgery,
Jammu & Kashmir Police Hospital,
Srinagar - Kashmir.
(In collaboration with Kashmir Chapter of AOI)
E-Mail: bilalent@gmail.com, bil_ent@rediffmail.com


Bilal A. Raja, ENT Specialist,
Department of ENT Head and Neck Surgery,
Police Hospital Police Control Room, Srinagar Kashmir – 190001.
Mob: +91-9419003900, +91-9906933412, Office: 01942479915
E-mail: bilalent@gmail.com, bil_ent@rediffmail.com

Conference Report:Image Guided Endoscopic Sinus Surgery Live Surgical Workshop cum Hands-on Cadaver Dissection Workshop on FESS




Department of E.N.T.
North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences (NEIGRIHMS), Shillong (Meghalaya) - 793018

First in whole Eastern India Image Guided FESS Live Surgical cum Hands-on Cadaver Dissection Workshop was organised at NEIGRIHMS, Shillong on 5th & 6th June, 2010.
Dr. Janakiram from Trichy and Dr. Ashish Bhumkar from Mumbai demonstrated live surgeries on FESS, Nasal Polyposis and Endoscopic DCR using Navigation System. Dr. B.K. Das, Dr. Gautam Khaund, Dr. Ashish Katarkar, Dr. Pawan Singhal, Dr. Shamim and Dr. AJ Ghosh enlightened the newer insights on FESS in panel discussion moderated by Dr. Janakiram.
After an evening full of cultural heritage from North-Eastern India, PGs faced heated moments in quiz and won digital cameras as prizes. Apart from North-East, we had participants from West Bengal, Bihar, Jharkhand, Orrissa, UP etc.
DR. AMIT AK GOYAL
MS, DNB, MNAMS
Assistant Professor
Department of Otorhinolaryngology and Head & Neck Surgery
North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences (NEIGRIHMS)
(An Autonomous Institute under Ministry of Health & Family Welfare, Government of India)
Mawdiangdiang, Shillong (Meghalaya) - 793 018 INDIA.
Phone Nos.: +91 364 2538025 (Hosp) Extn. 1406, +91 364 2538055 (Res)

LION-Politzer Global Microsurgical Broadcast on Middle Ear Surgery.October 05, 2010 08:00 am - 04:00 pm Central European Time


Scientific Organization:
Professor H.P. Zenner, Germany
Professor S. Plontke, Germany
Professor T. Lenarz, Germany
Dr. R. Vincent, France
Professor W. Grolman, The Netherlands


Internet access:
www.politzersociety.org
www.lion-web.org

MAMC Workshop Pic ,25 years ago

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You may try to identify some of the personalities

Dr. C. Satyanarayana

Dr. C. Satyanarayana is the first honorary editor of Indian Journal Of Otolaryngology started in June 1949. He was the Organising Secretary of the first Annual conference of AOI held at Madras in 1948. He designed the logo of our association and the president's medallion. He was the President of AOI in 1972 and the President of Indian Speech and Hearing Association in 1969. He has been the examiner and the inspector for the postgraduate exams in several universities. He has read many papers in the national and international conferences and published many articles.