Cover photograph,Arch Otolaryngol Head Neck Surg. 2010;136(9):853


Hot air balloon carnival
Arch Otolaryngol Head Neck Surg. 2010;136(9):853. doi:10.1001/archoto.2010.153

Photographer: Rakesh Datta, MS, Pune, Maharashtra, India. Umaid Bhawan Palace, the royal palace of Jodhpur, provides a beautiful backdrop for a hot air balloon carnival. Located on the edge of the Thar Desert in the north Indian state of Rajasthan, Jodhpur was a citadel of the Marwar kingdom from the 15th to 20th centuries. The Umaid Palace is a recent addition to the royal architecture, built from 1929 to 1943 as a drought relief measure that provided work for citizens of neighboring poor villages.

Dr Rakesh Datta, MS is currently Faculty Member, Otorhinolaryngology,Armed Forces,Delhi

'RHINOPLASTY REDEFINED 2010' 9th and 10th of October 2010,Bangalore

We, from the Dept. Of ENT, Bangalore Medical College and Research Institute, invite you to 'RHINOPLASTY REDEFINED 2010' Workshop being conducted on 9th and 10th of October 2010 at Dr. Basavarajendra Auditorium, BMC&RI Campus. Dr. Jung Dong Hak from South Korea and Dr.A.Mahadevaiah from Bangalore are the guests of faculty. Only limited delgates of 225 are to be registered, so register early.

Visit the website
www.bmcri-ent.in for details and registration form download and to veiw the e-brochure.
With regards,
Organizing team
Dr.H.S.Satish Ph: 09980404660 (Organizing Chairman)

Spasmodic dysphonia

Spasmodic dysphonia (SD) is a chronic voice disorder of unknown origin that is characterized by excessive or inappropriate contraction of laryngeal muscles during speech. Spasmodic dysphonia (SD) manifests as excessive glottic closure (adductor dysphonia) or prolonged lateralization of the vocal folds (abductor dysphonia). Strained or strangled phonation and irregular voice stoppages (the form originally described and most commonly observed clinically) characterize adductor dysphonia. Abductor spasmodic dysphonia (SD) presents with a breathy or absent voice or brief vocal loss.
The following treatment options are currently available:
Botulinum toxin muscle injection
Type II laryngoplasty
Voice therapy
Recurrent laryngeal nerve denervation and reinnervation
TA and lateral cricoarytenoid myectomy
Oral medical therapy

VIDEO

Lip Reconstruction

The lips have important functional and aesthetic roles in daily living.1 They are the focal point of the lower face, with several aesthetic units intricately controlled by a complex series of muscles. Several key factors make reconstruction of the lip especially challenging. The lack of any substantial fibrous framework increases the risk of anatomic distortion through wound contraction and, hence, leads to poor functional and aesthetic outcomes. The quality (ie, color, texture, elasticity) of the skin and mucosa of the lips are difficult to match with distant flaps. Hence, local tissues provide the best results. However, with larger oncologic resections and more extensive traumas, an appropriate donor site might be difficult find. This is further complicated by the lack of any satisfactory prosthesis in aid of reconstruction.
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Custom-made Gold Implant for Management of Lagophthalmos

Gold weight implantation is the most commonly used static procedure and method for surgical correction of paralytic lagophthalmos.Other mechanical techniques for reanimating lid closure are palpebral springs, encircling the upper and lower eyelids with silicone or fascia lata, and temporalis muscle transfer. Although other materials are also used, gold weights are frequently preferred because of gold’s high specific gravity, inertness to the body and malleability. Especially platinum weights should be used in patients with suspected gold allergy.

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CME,Sitaram Bhartiya Hospital,September26,2010

Otology

Otology is a branch of biomedicine which studies normal and pathological anatomy and physiology of the ear (hearing and vestibular sensory systems and related structures and functions) as well as its diseases, diagnosis and treatment.

Human Papillomavirus and Head and Neck Cancer

An association with HPV should be suspected in all oropharyngeal squamous cell carcinoma cases, particularly those originating from the base of the tongue and tonsils; in immunosuppressed HNSCC patients; and in cases with no or little-to-moderate exposure to tobacco and alcohol. HPV-positive HNSCCs and HPV-negative HNSCCs are distinct entities; they have different risk profiles and molecular profiles, and they respond differently to treatment. Therefore, their prevention and treatment may benefit from separate approaches. Antismoking campaigns and smoking-cessation programs have been successful in the prevention of HPV-unrelated HNSCC.[1] The incidence of HPV-positive HNSCC may be reduced through enhanced public knowledge of the potential routes of HPV transmission, and by the prophylactic HPV vaccines currently widely available in the US for cervical cancer prevention (and which are now recommended for males to prevent genital warts).

INTERNATIONAL SIALENDOSCOPY WORKSHOP (ISWS 2010),November 14,Hyderabad

Dear colleagues,

It gives me immense pleasure to announce the INTERNATIONAL SIALENDOSCOPY WORKSHOP (ISWS
2010) to be held on November 14th 2010. The one day workshop will have lectures, video presentations
and live demonstrations to introduce the beginners to sialendoscopy: a new procedure, which aims to
visualize the lumen of the salivary ducts and their pathologies. It is a promising new method for the
diagnosis and treatment of most of the inflammatory conditions of the major salivary glands and can
therefore prevent salivary gland excisions.

It gives me immense pleasure to bring amongst us Dr Francis Marchal, the director of the ESTS a pioneer
in the field of sialendoscopy. Looking forward to seeing you at the workshop.

Please find attach herewith the brochure for the same

With warm regards,

Dr D. S. DEENADAYAL

COURSE DIRECTOR- ISWS 2010

DEPT OF OTOLARYNGOLOGY AND HEAD AND NECK SUREGRY,

YASHODA HOSPITAL, BEHIND HARI HARA KALA BHAVAN,

SECUNDERABAD 500003,

ANDHRA PRADESH , INDIA

CONTACT NUMBER :- Dr ASHOK PILLAI :- +91 98482 50725

Dr D.VIDYASAGAR :- +91 99490 51151

Email ID:- isws2010@yahoo.com

Temporal Bone Dissection,October 1-2,Hyderabad ,HERF



CLICK IMAGE

Live Surgery ,October 3,Hyderabad,HERF


CLICK IMAGE

34th NWZAOI Conference,September 24-26,Ludhiana


7 th AOI JOINT MP & CG State Conf ,13-14 November 2010,Raipur


7 th AOI JOINT MP & CG state Pre conf live surgical workshop & conf. is being organized on 13-14 th November {Sat- Sun ] by AOI Raipur branch & Deptt of ENT , Pt. JNM Medical college Raipur {CG}.

The guest faculty will be Dr V ANAND & DR RENUKA BRADOO.

--
Thanx & Regards
sincerely yours
DR RAKESH GUPTA,MS[ENT]
EYE & ENT HOSPITAL
RC TOWERS, FIRST FLOOR
OPP NEW BUS STAND
RAIPUR[CG]
PH 0771-2430288, 2426559,094242-23860
E MAIL-
eye2ent@gmail.com
eye2ent@rediffmail.com

ITOS 2010,Palakkad,Kerala,November 6-7, 2010

Dear colleagues,
It is with great pleasure that we invite you to THANGAM, Hospital of PMRC for a live oto-surgical demonstration and hands-on temporal bone dissection workshop, to be organized by THANGAM Hospital of PMRC under the auspices of the ENT club Palakkad.
The training that is imparted will enable you to understand the current principles of ear/mastoid surgery.
The two day programme at Thangam hospital will be a non-profit programme purely for highlighting the latest advances in otological surgery. Your whole-hearted participation for mutual benefit is solicited.
Yours truly

Dr. Ranjith.G
Organising Secretary

Dr. R.Indudharan
Organising Chairm


CLICK HERE TO VISIT CONFERENCE WEBSITE

Dr. Prahlada N.B's Channelprahladnb's Channel on youtube

http://www.youtube.com/user/prahladnb
Copy and paste above link to your Browser

Dr. Prahlada N.B is a graduate of JJM Medical College (Mysore University), Davanagere, Karnataka. He completed his Master of Surgery in ENT-Head & Neck Surgery from the most prestigious and premier Institute of India, the Post-Graduate Institute of Medical Education and Research, Chandigarh. Later, he received advanced training in Advanced Endoscopic Sinus Surgery, Ear & Skull Base Surgery and Head & Neck Cancer and Reconstructive Surgery, Micro-vascular reconstructive Surgery and Voice Surgery in various prestigious Institutes at abroad.

He started and developed one of the best departments in Al-Shifa Hospital, Perinthalmanna, a 700 bed major Super specialty Hospital in Northern Kerala. He worked here for four years and published a pioneering book on "Imaging for Endoscopic Sinus Surgery". In year 2000, he was awarded Dr. RAF Cooper National Award for his Original Surgical technique, "Karnataka Flap for Mastoid Obliteration", first and only person to get this award in the state of Karnataka.

From year 2000, he started the ENT-Head & Neck Surgery Department at Basaveshwara Medical College and Hospital, Chitradurga, Karnataka and worked till 2009 as Professor and Head. During this time, he presented and published many original research articles, developed original treatment and surgical techniques and has won more than 6 prestigious Gold Medals for these research activities.

Laryngology 2011,June 20-22,2011,London

Laryngology 2011, Cutting edge laryngology for the twenty first century.

A three day conference and instructional sessions to be held in London between 20 - 22/June/2011 aiming to deliver an up to the minute update on all the current trends in Laryngology.

The meeting is aimed at otolaryngologists, thoracic surgeons, interventional respiratory physicians and speech and language therapists. The meeting is suitable for consultants, specialists and senior trainees.

Topics covered including:
Laryngeal Transplant
Tissue engineered trachea
Airway management
Laryngeal pacing
Dysphagia
Laryngeal re-innervation

The meeting also offers one day of live surgery and practical instructional sessions including:
Laryngeal framework surgery
Airway surgery
Laryngeal injection
Office-based procedures
Trans-nasal oesophagoscopy

Course directors:

Professor Martin Birchall
Mr Guri Sandhu

International faculty:
Professor Peter Belafsky, US
Professor Paolo Macchiarini, Italy
Professor Marc Remacle, Belgium
VISIT http://www.laryngology2011.com/

Laryngeal Transplantation:Brief Report from Cleveland

In 1987, we initiated a program to explore the potential of laryngeal transplantation. The program addressed four issues critical to successful transplantation: revascularization, reinnervation, rejection, and the ethics of transplanting an organ considered by some to be nonvital. In rats, the rate of success of laryngeal transplantation was nearly 100 percent. In these studies in animals, we classified the histologic features of laryngeal rejection; determined the maximal tolerable period of ischemia; evaluated preservative solutions5; determined doses of cyclosporine,prednisone, and adjunct in vitro radiation8; and studied the use of sirolimus and tacrolimus.

In 1998, we performed a total laryngeal transplantation in a man who had sustained a severe traumatic injury to the larynx and pharynx. We describe the procedure and report the results in detail here.
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31st Raj AOICON – 2010,13th and 14th November 2010 Sikar.

Dear Friends,

On behalf of the Organising Committee, it gives us immense pleasure and honour to extend invitation for the
31st Raj AOICON – 2010 to be held under the auspices of AOI Rajasthan chapter and Organising Committee
AOI – Sikar on 13th and 14th November 2010 Sikar.

Please find attach herewith the 1st Announcement Brochure for the same.
Kindly get yourself registered as early as possible.
We look forward to your participation at SIKAR.
With warm regards,
--
Dr. Hari Singh Khedar
Organising Secretary - RAJAOICON 2010,
6-A, Indra Colony, Devipura Road,
Opp. Ambedkar Statue, Sikar (Raj.)
Mobile:- 09414280366

Head Neck Oncology,Karamsaad,19-20, February 2011


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Dear Colleagues,

It gives me a great pleasure inviting you to the 4th Annual Conference of G-SHNO (Gujarat Society of Head and Neck Oncology) to be held on 19th and 20th Feb. 2011 at Anand, Gujarat.

As many may be aware, Anand is considered to be the milk city of India, the home of Amul – “The Taste of India”. Also nearby is the birth place of our nation’s Iron Man Mr. Sardar Vallabh Bhai Patel - Karmasad. Karamsad holds the 1st private medical college of Gujarat. Attached are Shree Krishna Hospital, a 500 bedded multispecialty hospital and M.S.Patel Cancer Centre with state of art services.

Anand is also easy and convenient to approach both from Ahmedabad and Baroda…

· The main highlights of this event will be

· High level of scientific feast with reputed national and international faculties.

· More interactive sessions with enough opportunities to interact with the faculties.

· Sessions will include invited and guest lectures, panel discussions, debates, poster presentations and surgical video presentation.

· The conference will be preceded by a pre-conference CME on “Introduction to Head and Neck” for the upcoming head and neck surgeons and residents interested to peruse carrier in head and neck oncology.

· Interesting video presentations with interactive session.

· Special attraction for the spouses and children’s.

Anand is cool and pleasant in February. The Resort is a perfect place to refresh oneself once again before scorching summer starts. We look forward for your active articipation in the milk city of India, Anand.

Dr.Siddharth Shah, M.S
Head & Neck Oncosurgeon
H.M.Patel Centre for Medical Care and Education

Karamsad, Anand.

Contact +919726579818

drsashah23@yahoo.co.in

IFHNOS World Tour Bangalore,October 13-16,2010


The International Federation of Head and Neck Oncologic Societies is offering a global continuing medical education program featuring the most respected leaders in the field of head & neck surgery and oncology. This global CME under the dynamic leadership of President Dr. Jatin P. Shah (Chairman, Head & Neck Service, Memorial Sloan Kettering Cancer Centre, New York) has taken upon itself the herculean task of disseminating to every corner of our planet, the most fundamental and accepted concepts that should dictate the optimal care of patients with Head and Neck cancer. Six outstanding leaders in the field from various nations will undertake a historic International tour for the purpose. We in Bangalore have the pleasure and privilege of hosting the event for India and for our neighboring South Asian countries viz. Nepal, Bangladesh, Bangkok, Pakistan and Sri Lanka.


The IFHNOS theme entails a complete overview of current trends and advancements in the field of Head and Neck Oncology. The conference is multidisciplinary and is targeted at Head and Neck Oncologists, Surgical oncologists, Radiation Oncologists, Medical Oncologists, Otolaryngologists, General Surgeons, and others with a special interest in the field of Head & Neck surgery.
Leaders in the specialty of head and neck oncology have organized this program for each region. The program will provide state-of-the-art knowledge and explore the frontiers of head and neck cancer diagnosis and treatment. Ample opportunity for interactive sessions between the local faculty, attendees and the travelling faculty will be provided.
The IFHNOS touring faculty includes:
Dr. Jatin P Shah, Memorial Sloan Kettering Cancer Center, New York, USA
Dr Randal Weber, M.D Anderson cancer Centre, Texas, USA
Dr Ralph Gilbert, University of Toronto, Canada
Dr Vincent Gregoire, Catholic University, Belgium
Dr Merrill Keis, M.D Anderson Cancer Centre, Texas, USA
Dr Rene Leemans, VU University Medical Center, Amsterdam
Dr Jesus Medina, University of Oklahoma, USA
Dr Jan Vermorken, University of Antwerp, Amsterdam
On the eve of this global scientific meet we encourage maximum participation from all clinicians & institutions to derive utmost benefit from the scientific feast and uplift the standards of care for head neck oncology.
We have made special arrangements for this upcoming event which includes early bird discounts on all registrations and accommodations as well as special offers on travel. All details pertaining to the registration, accommodation and travel are available at the website www.ifhnosbangalore.com .
Please register at the earliest to avail the early bird offers. We look forward to welcoming you in Bangalore.
If you have any additional queries please feel free to contact the organizers.

Dr Ashok M Shenoy: profshenoy@dataone.in
Dr Vishal Rao : drvishalrao@yahoo.com
Dr P.L.Chavan : drplchavan@yahoo.com

five different kinds of thyroiditis

In medical terms, the suffix -itis means inflammation; thyroiditis is inflammation of the thyroid gland which may be associated with an underactive thyroid gland or hypothyroidism. There are five different kinds of thyroiditis. Although each different type of thyroiditis may cause different symptoms, many times they can be quite similar.

In the case of thyroiditis, hypothyroidism is caused by destruction of the thyroid gland by an inflammatory process। When thyroid cells are attacked by the inflammation, these cells die. Without thyroid cells, the thyroid is no longer able to produce enough thyroid hormone to maintain the body's normal metabolism. Hypothyroidism, or an underactive thyroid gland, results.

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KENTCON - 2010 Kollam,September 18-19,2010

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KENTCON - 2010
Kollam

9th Annual Conference of Association of

Otolaryngologists of India

KERALA STATE Branch

On

Saturday - Sunday, 18th & 19th September 2010

email: kentcon2010kollam@gmail.com

Hosted by AOI Kollam Chapter

The Role of Superantigens in Chronic Rhinosinusitis with Nasal Polyps

Mingming Wanga, Peng Shib, Bei Chenc, Hongping Zhangd, Jingfen Jiand, Xuemei Chend, Zhe Wangd, Daliang Zhangd
ORL 2008;70:97-103 (DOI: 10.1159/000114532)
Recent reports suggest that staphylococcal exotoxins, acting as superantigens, activate T cells with subsequent massive proliferation, thereby contributing to the etiology of chronic rhinosinusitis with nasal polyps (CRSwNP). The objectives of this study are (1) to demonstrate directly the presence of staphylococcal exotoxins in nasal mucosa and sinonasal polyp tissue, and (2) provide indirect evidence of the effect of superantigens on the T cells expressing the target of superantigen, i.e., the β variable chain receptor (TCRBV) in polyp tissue and peripheral blood of patients with CRSwNP. Sinonasal polyp tissue and peripheral blood specimens were obtained from 37 patients with chronic rhinosinusitis (22 patients with bilateral nasal polyps, 15 without nasal polyps) and 12 normal subjects for comparative negative controls. Tissue specimens were assayed by enzyme-linked immunosorbent assay (ELISA) for the most common staphylococcal exotoxins (A–D) and toxic shock syndrome toxin type 1. Fresh tissue and blood samples were analyzed by flow cytometry to determine the expression of TCRBV. In the CRSwNP subjects 12 of 22 samples (54.54%) demonstrated reactivity for at least 1 staphylococcal exotoxin, while 2 of the 12 were positive for 2 toxins. There were no positive results in the CRS without nasal polyps or control groups. There was a clear trend of increased TCRBV expression in the ELISA-positive group both for tissue and blood specimens. Staphylococcal superantigens were present in the nasal cavity of patients with CRSwNP with a high percentage of TCRBV, which suggests the possibility of superantigens as etiological agents of CRSwNP.

Tongue is the strongest muscle in the body-Myth

As for the myth that the tongue is the strongest muscle in the body, this doesn't seem to be true by any definition of "strength." The masseter, or jaw muscle, is the strongest due its mechanical advantage, in which the muscles attach to the jaw to form a lever. The quadriceps and gluteus maximus have the highest concentration of striated muscle fibers, a pure measure of strength. The heart is the strongest muscle if you measure strength as continuous activity without fatigue.

The Tongue Map: Tasteless Myth Debunked

The notion that the tongue is mapped into four areas—sweet, sour, salty and bitter—is wrong. There are five basic tastes identified so far, and the entire tongue can sense all of these tastes more or less equally.

As reported in the journal Nature this month, scientists have identified a protein that detects sour taste on the tongue. This is a rather important protein, for it enables us and other mammals to recognize spoiled or unripe food. The finding has been hailed as a minor breakthrough in identifying taste mechanisms, involving years of research with genetically engineered mice.

This may sound straightforward but, remarkably, more is known about vision and hearing, far more complicated senses, than taste.
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"Endoscopic Color Atlas of EAR DISEASES"

AIRS annual conference

Dear friends,
The academic year for the current session of the All India Rhinology Society is drawing to a close and it is time for our annual conference. The annual conference at Udaipur- the 23rd RHINOCON from the 10th to the 12th September is due to start in another couple of days,and the conference promises to be a feast for all under the able chairmanship of Dr Ashok Gupta at the Geetanjali Medical College, Udaipur.
This is to remind you to be at the conference where we have the Senior and Junior Consultants award papers, the annual Quiz, the poster session award, the Residents award paper,Orations, guest lectures, Cadeveric dissection, Live surgery sessions, Panel discussions, free papers and lots of other activities. Let us all collect at Udaipur and partake the warm hospitality of
Prof. Ashok Gupta.
I am enclosing the tentative program for the coference fot your perusal. Please do not hesitate to contact me or Dr Ashok Gupta(09414156888)for any clarifications.
Hoping to see you all during the conference at Udaipur.
Download Programme
With warm regards,
Dr Achal Gulati,
Hony. Secretary,AIRS
Professor, Deptt. of ENT,
Maulana Azad Medical College,
New Delhi
(09968604232)

Wolff–Chaikoff effect

[woo͡lf′ chī′kəf]
the decreased formation and release of thyroid hormone in the presence of an excess of iodine.

The Wolff–Chaikoff effect is hypothyroidism caused by ingestion of a large amount of iodine. Whether or not daily ingestion of 1000 mcg - 12.5mg (mixed iodide/iodine) doses by otherwise healthy adults will cause this effect in a statistically significant number of patients has not yet been proven in human studies.
It is an autoregulatory phenomenon which inhibits formation of thyroid hormones inside of the thyroid follicle. This becomes evident secondary to elevated levels of circulating iodide. The Wolff-Chaikoff effect lasts several days (around 10 days), after which it is followed by an "escape phenomenon", which is described by resumption of normal organification of iodine and normal thyroid peroxidase function. "Escape phenomenon" is believed to occur because of decreased inorganic iodine concentration secondary to down-regulation of sodium-iodide symporter on the basolateral membrane of the thyroid follicular cell.
The Wolff–Chaikoff effect can be used as a treatment principle against hyperthyroidism by infusion of a large amount of iodine to shut down the hyperfunctioning thyroid gland, or an unpleasant iatrogenic effect of several iodine containing drugs, of which the most famous is amiodarone.
The Jod-Basedow phenomenon is iodine-induced hyperthyroidism.

From Wikipedia, the free encyclopedia
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Imaging and surgical approach of nasal dermoids.

Int J Pediatr Otorhinolaryngol. 2002 Feb 1;62(2):111-22.
Imaging and surgical approach of nasal dermoids.
Bloom DC, Carvalho DS, Dory C, Brewster DF, Wickersham JK, Kearns DB.

Division of Pediatric Otolaryngology, Children's Hospital and Health Center, Naval Medical Center San Diego, 34800 Bob Wilson Drive, Suite 200, San Diego, CA 92134-2200, USA. dcbloom@hotmail.com
Abstract
OBJECTIVE: Determine the most accurate and cost effective radiographic evaluation for nasal dermoids. Determine the best surgical approach for excision of nasal dermoids.

DESIGN: Retrospective chart review.

SETTING: Division of Pediatric Otolaryngology, Children's Hospital and Health Center, San Diego, California.

PARTICIPANTS: All patients with nasal dermoids evaluated and treated from 1990 to 2000.

INTERVENTION: Preoperative radiographic evaluation and surgical excision.

OUTCOME MEASURES: Accuracy of CT and MRI correlated with surgical findings and results.

RESULTS: Ten patients were identified with the diagnosis of nasal dermoid. The age at diagnosis ranged from 0 to 24 months, with a mean of 3 months. Six children presented with masses located at the glabella, three patients presented with masses located at the nasal dorsum and one presented with a mass at the nasal tip. Six children underwent a computed tomogram with contrast of the head. Seven children underwent a MRI study of the head. Three children underwent an initial CT followed by MRI. Twenty percent of children were found to have intracranial extension. CT scan accurately diagnosed intracranial extension in one case, was indeterminate in a second case and falsely positive in a third case. MRI correctly diagnosed intracranial extension in two cases and had no false positive or false negative results. No children were found to have associated intracranial anomalies. In the early years of the review, a simple excision was made over the mass with blunt and sharp dissection for removal. (An external rhinoplasty incision is now used with better exposure and improved cosmetic results.) In cases with intracranial communication, a combined approach of external rhinoplasty and craniotomy was used.

CONCLUSIONS: MRI alone is the most cost effective and accurate means of evaluating nasal dermoids and is essential for preoperative planning. The surgical approach of choice is external rhinoplasty for both cosmetic reasons and exposure of nasal dermoids with and without intracranial extension.

PMID: 11788143 [PubMed - indexed for MEDLINE]

Hands on rhinoplasty and FESS workshop,September 25-26,Pune


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History

“Can the thyroid gland, when in a state of
enlargement, be removed with a reasonable hope
of saving the patient? Experience emphatically
answers NO…If a surgeon should be so foolhardy
as to undertake it…every stroke of his knife will be
followed by a torrent of blood, and lucky will it be
for him if his victim lives long enough to enable him
to finish his horrid butchery. No honest and
sensible surgeon would ever engage in it!”

Samuel David Gross, 1866

Recurrent contralateral abducens nerve palsy in acute unilateral sphenoiditis

Nidhi Gupta, MDa, Michelle A. Michel, MDab, David M. Poetker, MD, MAa
Received 21 February 2009 published online 04 June 2009.
American Journal of Otolaryngology

Abstract
Objective
We describe a patient who presented with recurrent, contralateral abducens nerve palsy resulting from acute sphenoiditis.

Methods
Patient medical record and imaging studies were reviewed. A literature review of complications of sphenoiditis was performed.

Results
Our patient presented with symptoms consistent with an upper respiratory tract infection, as well as severe headache, disequilibrium, and diplopia. Physical examination demonstrated left-sided sixth cranial nerve palsy. Imaging studies were consistent with right sphenoid sinus inflammatory disease. Her medical history was significant for a similar episode 9 years previously, which was managed medically. The current episode was treated acutely with antibiotics and prednisone. Upon resolution of her symptoms, she underwent an endoscopic sphenoidotomy.

Conclusions
Although cranial nerve palsies associated with isolated sphenoiditis have been reported, we describe a unique case of recurrent isolated sphenoiditis causing contralateral abducens nerve palsy. Acute management can be medical, with surgical therapy reserved for refractory cases or to prevent future episodes.


Thanks.

I really do appreciate your efforts to spread knowledge..

I am reminded of a case I had in the late 80s. A child with idiopathic
abducent nerve palsy (unilateral). It passed away in a couple of days,
and we were clueless.. in that era/area without CT ;-)
Now I am wiser!

Thanks and regds,

Thomas Antony
Yemen

Michael Douglas :Late Detection of Malignancy-Who is to blame?

Catherine Zeta-Jones is devastated that her husband Michael Douglas, with whom she has two children, has been diagnosed with Stage 4 Throat Cancer. The celeb mom is enraged that the cancer wasn’t previously detected, because there is no doubt that his prognosis would’ve been better if doctors had caught it early.

Catherine and Michael said they both knew that “something was up” after the actor complained of constant throat and ear pain for months before his official diagnosis. According to Zeta-Jones, her husband “sought every option and nothing was found.”

First Auditory Brainstem Implantation carried out at Apollo Hospital, New Delhi


It gives me great pleasure to share with you another milestone achieved by the Cochlear Implant Service at Apollo Hospital, New Delhi.

Having carried out over 300 cochlear implant procedures in the last 4 years alone, we have now successfully performed our first Paediatric Auditory Brainstem Implantation (ABI). This four year old child has severe (Grade I) cochlear hypoplasia with auditory nerve hypoplasia.

Further, it is a matter of great pride and confidence for us that this ABI surgery was performed completely and successfully by our local team, independent of any overseas surgeon assistance. (Dr Ameet Kishore - ENT & Neuro-otology ; Dr Pranav Kumar - Neurosurgery and Ms Neevita Narayan, Audiologist, SpHear Clinic, who carried out the intraoperative EABR recordings). A truly Indian achievement !

Kind regards

Dr Ameet Kishore
MBBS(AFMC), FRCS(Glas), FRCS(Edin), FRCS-ORL(UK)
Sr. Consultant
Ear, Nose, Throat and Neuro-Otology
Cochlear Implant Surgeon

'Dr Pranav Kumar, MCh,
Sr. Consultant, Neurosurgery'

Indraprastha Apollo Hospitals
New Delhi



Rakesh Datta said...
Congratulations
Wat to go

September 2, 2010 7:20 AM

Ravi said...
congratulations

September 2, 2010 10:22 AM

anu said...
Congratulations to the entire team!
Regards,
Anupriya

September 2, 2010 6:23 PM

Cutting the chorda tympani: not just a matter of taste

J Laryngol Otol. 2010 Sep;124(9):999-1002. Epub 2010 Apr 7.
Cutting the chorda tympani: not just a matter of taste.
Guinand N, Just T, Stow NW, Van HC, Landis BN.
Department of Clinical Neurosciences, Division of Otorhinolaryngology Head and Neck Surgery, University of Geneva Medical School, Switzerland.
Abstract
INTRODUCTION: Chorda tympani injury as a complication of middle-ear surgery has been extensively studied with regard to its effects upon taste. However, the chorda tympani also carries parasympathetic fibres to the salivary glands of the oral cavity. To date, little has been reported about the effect of chorda tympani section upon salivary function.
SETTING: Tertiary care centre.
MATERIAL AND METHODS: We report a case series of three patients with bilateral chorda tympani lesions. Chorda tympani function was assessed using 'taste strips' and unstimulated sialometry. A careful history of oral symptoms was taken.
RESULTS: All patients showed transient or permanent bilateral ageusia of the anterior two-thirds of the tongue, and a decreased resting salivary flow rate. In addition, all patients suffered from transient or persistent, distressing xerostomia.
CONCLUSION: Taste disorders may occur after middle-ear surgery but they are mostly transient, even when the chorda tympani nerves are sectioned bilaterally. In contrast, bilateral chorda tympani lesions may lead to severe, persistent and distressing xerostomia. Based on this neglected aspect of chorda tympani function, we emphasise the importance of preserving the chorda tympani whenever possible.

Live Surgery workshop in Sialendoscopy at Mumbai on 13th Dec. 2010 Monday

I m planning to conduct a Live Surgery workshop in Sialendoscopy at Mumbai on 13th Dec. 2010 Monday at Nair Hospital, I keep posted once it is finalised.

Anyone interested pls contact me on

drmilindn@gmail.com