Management of paediatric cholesteatoma

What is the recent trends in the management of paediatric cholesteatoma?Kindly Share.Can anybody throw light on Canal wall window(CWW) procedure?
· · · October 10 at 8:49pm
    • Ravi Meher here in our institution we are doing CWD procedures for pediatric cholesteatoma. it because we are treating patient from far flung places who are poor can can not come to hospital for repeated follow up.
      October 14 at 8:59am · · 3 people
    • Imran Khan canal wall up shd be done only in those cases where future follow up is gud with limited disease
      October 14 at 9:50am ·
    • Vikas Agrawal size of mastoid,if small,always CWD,for me, even if big cavity, would do canal wall down,and obliterate cavity with palva's flap.
      October 14 at 11:39am · · 2 people
    • Kapil Sikka I did a thesis comparing paediatric and adult histology.... Soon to be published:-) recent literature even in UK and Europe is disfavouring Intact canal wall for paediatric
      October 16 at 9:54am via mobile ·
    • Anthony Francis Intact brige mastoidectomy
      October 16 at 1:14pm ·
    • Sudipta Chandra If your Institution is having all the equipments needed for IBM then it is a good option. 2mm Oto-Endoscope 0 & 30 degree and necessary working instruments are needed along with a Zeiss microscope...
      October 16 at 3:16pm ·
    • Kallakuri Suryanarayana CWD mostly in set up where patient compliance is poor. In most public hospitals we use this principle of safety in AAD ,more so in aggressive childhood cholesteatoma.
      October 16 at 5:19pm ·
    • Ravinder Verma CWD in children
      October 16 at 6:59pm ·
    • Suri Prabhu but - the CWD must be 'inside-out' - in children, and also adults
      October 19 at 9:48pm · · 2 people
    • Saurabh Varshney CWW should be mastoidectomy with post tympanotomy anf follow using otoendoscopp by post aural
      Friday at 10:29pm ·
    • Rahul Agrawal Agree with Dr Suri Prabhu -- start inside out -- disease will dictate the final result ... eg.small attic or atticoantral chol. done insideout will end up as CWU only...
      Saturday at 11:15am ·
    • Rahul Agrawal same as in adults
      Saturday at 11:15am ·




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You are invited to witness this unique surgical feat which will give a new dimension to the field of cochlear implantation.

Best Regards
Chief Cochlear Implant Surgeon
Primus Super Speciality Hospital
Chandragupt marg, Chanakya puri
New Delhi - 110020
+91- 9868242525


+91 - 9871117455

Delhi AOI Clincal Meeting

DATE : 21.10.11

TIME: 2:30 PM

VENUE : Lady Hardinge Medical College,Delhi

Comparison between Gelfoam packing and no packing after endoscopic sinus surgery in the same patients

Eur Arch Otorhinolaryngol. 2011 Sep 28. [Epub ahead of print]
Comparison between Gelfoam packing and no packing after endoscopic sinus surgery in the same patients.
Wee JH, Lee CH, Rhee CS, Kim JW.
Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam, Kyunggi-do, 463-707, Korea.
After functional endoscopic sinus surgery (FESS), nasal packing may be necessary and a packing material which has benefits in both cost and efficacy would be required. This study aimed to determine the efficacy of Gelfoam packing on hemostasis and wound healing after FESS. Patients who underwent bilateral FESS due to chronic bilateral rhinosinusitis were enrolled. Randomly, one side was selected for Gelfoam packing and the other side for no packing. Subjective symptoms and objective findings such as synechia, granulation, pus discharge, edema, stenosis, and crust were evaluated. A total of 21 patients (17 men and 4 women; mean age 39.7 years ranging from 12 to 75 years) were included. There were no statistical significant differences between two groups regarding both subjective symptoms and objective findings during 4 months after surgery. Three patients had postoperative bleeding in the no packing side. Gelfoam packing may be recommendable in terms of efficacy and cost-benefit after FESS.

PMID: 21952793 [PubMed - as supplied by publisher]


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Rhinoplasty & FESS and Cadaveric Dissection on 14th and 15th OCTOBER 2011,AIIMS,Delhi


International faculty
Dr. Ullas Raghvan
Rhinoplasty and facial plastic surgeon
Doncaster Royal Infirmary,
Facial Cosmetic Surgery Clinic; UK

Dr Kapil Sikka
Co-Organizing Secretary
Mobile- 09810423088

Surat otology workshop 2012:Live Ear Surgery Workshop on the 27th & 28th of January, 2012

Dear Friends,

Shruti ENT Hospital & Cochlear Implant center on the eve of completion ocf 50 succesful cochlear implant surgeries in the period of 3 years announces its first Live Ear Surgery Workshop on the 27th & 28th of January, 2012, to be held at the hotel Gateway – Taj, on the banks of river Tapti.

The workshop is an excellent combination of live surgical demonstrations, lectures and panel discussions amongst the most eminent otologists from across the country. We have amongst us Dr Robert Vincent, from Causse clinic, France who will be demonstrating for the first time in our state – his renowned silastic banding and malleus repositioning techniques apart from laser assisited stapedotomy. We are also fortunate to have padmashri Dr Mohan Kameswaran as the course director, who not only would demonstrate surgeries but also take part in educational panel discussions.

We assure you the warmest hospitality in combination with an educational fest which would leave us all well educated, informed and entertained.

Looking forward to hosting you this January

Warm regards

Dr Vinod Sha/Dr Saumitra Shah

Organizing chairman organizing secretary

Does the open rhinoplasty incision decrease nasal projection?

Eur Arch Otorhinolaryngol. 2011 Sep 17. [Epub ahead of print]

Does the open rhinoplasty incision decrease nasal projection?


II Ear Nose Throat Head and Neck Surgery, Sisli Etfal Training and Education Hospital, Adnan Saygun Caddesi Kelaynak Sokak, Kibele Sitesi 10. Blok Daire:1, Ulus, Istanbul, 34340, Turkey,


To evaluate the effects of open rhinoplasty incisions on tip projection using digitized photographs. Thirty-one patients, who underwent open technique rhinoplasty were prospectively included in the study. The lateral aspect photographs were taken before the operations. Following midcolumellar incision septal elevation was done until septal cartilage was shown. After replacing the skin totally back and suturing midcolumellar incision, the intraoperative photographs were taken. The projection indexes were measured by Goode method from the photographs and the measurements were compared. A statistically significant decline of the nasal projection was established after open technique approach. Open rhinoplasty approach led to the decrease of the nasal tip projection. This result was thought to be the effect of ligamentous disruption.

[PubMed - as supplied by publisher]

20 Workshop On FESS,December 9-11,2011,Hyderabad


2nd Floor,Block - A,
Shanti Shikara Complex,
Raj Bhavan Road,
Somajiguda, Hyd - 500 082. +91 040 23400333
+91 040 23401212
Fax : +91 40 2341 4646
Help line : 9 000 185 185

International Course on "Middle Ear Reconstruction" & Symposium on "Middle Ear Mechanics " on December 4-6, 2011 at UCMS-GTB Hospital, New Delhi

International Guest Faculty: Dr Manohar Bance, Professor & Acting Head, Deptt of Otolaryngology, Dalhousie University, Halifax, Canada
Course Director: Dr P P Singh, Director-Professor, Deptt of ENT, UCMS-GTBH
Course Co-director: Arun Goyal, Professor, Deptt of ENT, UCMS-GTBH

Payment may be made in cash or through Demand Draft made in favour of "Otology Workshop - GTBH" payable at Delhi and mailed to:

Dr Arun Goyal
Professor, Deptt of ENT,
Room No 352, OPD Block,
UCMS & GTB Hospital, Dilshad Garden,
Delhi - 110 095

Cricothyroid approximation for voice and swallowing rehabilitation of high vagal paralysis secondary to skull base neoplasms.

Eur Arch Otorhinolaryngol. 2011 Nov;268(11):1611-6. Epub 2011 Jul 8.

Cricothyroid approximation for voice and swallowing rehabilitation of high vagal paralysis secondary to skull base neoplasms.


Department of Otolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.


This study documents the speech and swallowing outcomes of isolated ipsilateral cricothyroid approximation (aka tensioning thyroplasty; Type IV thyroplasty) for the treatment of high vagal paralysis (combined superior laryngeal nerve and recurrent laryngeal nerve paralysis). This is a pilot study of five cases with high vagal paralysis consequent to skull base neoplasms. Unilateral cricothyroid tensioning sutures were used. In all cases, vocal fold tensioning and vertical realignment of lax vocal folds were achieved. A partial, but acceptable medialization of vocal cord position was achieved. In all cases, aspiration was minimized and normal swallow function was restored by 6 weeks. The voice outcome was excellent in four cases and acceptable in one. Cricothyroid approximation restores vocal fold tension; in addition, it restores vertical vocal fold position and partially restores horizontal vocal fold position. Good voice and swallowing outcomes have been achieved. The procedure is quick, safe, and convenient when combined with a skull-base excision procedure. Further evaluation is merited.

[PubMed - in process]

A tribute to the Hanging Drill

Welcome to Association of Otolaryngologists of India, Rajasthan Branch

‘RAJAOICON 2011’ on 15-16 of October 2011 at Mahatma Gandhi Medical College, Sitapura, Jaipur.

Dr. Tarun Ojha
Organizing Secretary
32nd RAJAOICON 2011

Head of Department
Department of ENT and Head-Neck Surgery
Mahatma Gandhi Medical College and Hospital
Mahatma Gandhi University of Medical Sciences and Technology
Sitapura, Jaipur
91 9314140711

Swallowed Coin

A 7 yr old child accidentally swallowed a one rupee coin. It was already in the stomach when i first saw him. Now it is more than 3wks, child is asymptomatic,coin is somewhere in small intestine, paed surgeon do not want any intervention. I want to know ur experience as to how long u have seen coins staying inside and then passing out on its own.
Child is on a normal diet.
· · · Monday at 6:56pm
  • You and Ajit Man Singh like this.
    • Ajit Man Singh I have never followed up any pt once the coin or other FB has passed on into the stomach. but on a lighter side, maybe if the delay is adequate, he will pass out a two rupee coin!
      Monday at 6:59pm · · 8 people
    • Anil Jain No need to follow it up
      Monday at 7:54pm · · 1 person
    • Ravi Meher I think u can still wait and keep the patient in follow up with xray.
      Monday at 8:26pm ·
    • Bharat Khatri In case of coin ,no further follow up,untill the pt. insists.
      Monday at 8:28pm · · 1 person
    • Chandrashekhar Tengli yes once in lower GIT no need to follow it up! Pretty sure pt. Wil pass in 8 days time max..
      Monday at 9:54pm via mobile ·
    • Munish Shandilya Hi Balbir ... Beyond the Diaphragm it is beyond us ... I would leave that in the pediatric Surgeons care ... And I would expect them to follow-up and manage ...In my opinion holding onto a patient where you have nothing to offer is not ideal ... BTW you looking grand on the quad ...
      Monday at 11:48pm · · 2 people
    • Rajiv Tandon Just tell the parents to watch the pot ...
      Tuesday at 12:00am · · 1 person
    • Harpreet Singh Kochar have followed up patients who had swallowed coins and toy car wheels and adults with tooth caps and bridge.. all came out.. the narrow parts are obviously ileocaecal junction and pylorus.. need to get serial abdominal xrays daily till it clears.. usually in two days..
      Tuesday at 6:52pm ·
    • Ajit Man Singh I still say that wait till it becomes two rupees.
      Tuesday at 6:53pm · · 2 people
    • Ravinder Verma To be on a lighter mode--Our politicians digest roads/bridges/guns and so many things-Which no body cares- why bother for a coin-- It will come out of its own. Nothing to worry. The only point is it has been there for 3 weeks.
      Tuesday at 7:09pm · · 2 people
    • Dr.Amol Deshpande ohhh this coin is becoming harder to retrieve than Indian money in swiss accounts...:)
      Tuesday at 7:13pm · · 1 person
    • Sayed Said once such F.B passes the cricopharyngeal sphincter its easy to pass the rest allment. tract but followup
      Tuesday at 7:30pm ·
    • Shashidhar Tatavarty almost every single day of my residency passed on seeing children and coins, so much so that we did know the age and the denomination of coin and pedict the outcome.. please remember , if child has adhesions or polyps/ or scarred ileoceacal valve ( recurrent appendicitis) in intestine the coin gets impacted. the longest you can wait is 4 weeks (yes it is that much and blunt fb like coin does nt mean universal impaction). also if child is having constipation the stool softners are recomended. if child gets cramp, the likely hood of impaction at valve is more and he should get buscopan or similar antispasmodics.. warning signs ae feve, vomiting and tahycadia and perf/ peritonitis has to be suspected.. CT is the best modality to investigate and instead of laparatomy endoscopic retrievel should be done by peads gastro...
      Tuesday at 10:23pm ·