Perilymph oozer... Discussion

Amit Keshri...
what to do when one face with perilymph oozer intraop in case of stapedotomy small fenestrae, u see a oozer, which stop with coservative management... to put a piston or not ? what is group experience

Amit Keshri.... faced with a similar case i first elevated the head end of patient ,the oozer dint stop,then gave i.v. mannitol, it decreased markedly, then i was able to put piston with fat around the fenestra leak stopped,hearing improved intraop,post op was uneventful,she was kept on acetazolamide, but 1 week later patient complained of fluctuated hearing but no vertigo,post op PTA showed conductive loss (moderate), i wonder what went wrong....piston displacement ? granuloma? or perilymph component of snhl in PTA and no vertigo

Rakesh Srivastava .....When you have got postop.audiometry(days? is it 7th day). if 7th day then wait..Give steroids for 1 week(pred 1mg/kg)

Suri Prabhu.... Amit Keshri - the procedure must be completed
And apparently in such a situation the surgeon ( due to stress/panic) might put in a piston which is a little too short
The usual cause for immediate post-op conductive loss (in all stapedectomies) is the "short" piston
It must difficult to get exact measurement of piston once the gusher starts - so the measurement must be done before the footplate is violated
I have never had the experience of dealing with a "gusher"

Ravi Meher... also it is good option to place a vein graft...

Ravi Meher.... Dr Suri Prabhu, and i am also lucky, not have experienced gusher till date...

Amit Keshri ......‎Rakesh Srivastava sir i got audiometry done on 7th post op day sir,pt will come for follow up next week, Ravi Meher sir i also dint saw any before i encountered one, it was difficult to put a graft as it floated when i kept fascia,only after placing piston it was stopped,as i made small fenestrae, Suri Prabhu sir i was really scared as i was worried about snhl,piston size i put was was adequate but this kind of mistake may happen when one is panic like i accept i was, but reading theory helped me n patient in this rare situation.

Rakesh Srivastava ....One of my professor used to put vein graft in all cases. But I think vein graft is right choice in this circumstances.Amit Keshri.

Suri Prabhu...... ‎Rakesh Srivastava - the surgeon has no choice - when he is faced with a gusher -

and if i may be allowed to comment (only because i have watched actual 'gushers' - and edited videos of 'gushers') -

let me say this -

1. when the gusher starts - the experience is like the man who has gone to the beach on a sunday to enjoy the sea and the warm breeze - and then - SUDDENLY - without warning - he has to deal with a 18 foot TSUNAMI -

2. AT THIS POINT - panic is the usual response - and the surgeon tries everything to stem the flow - AND NOTHING WORKS - the surgeon tries to put in gel foam, vein graft, and fat to stem the flow - BUT NOTHING WORKS -

3. next the operation table is sloped towards the feet - EVEN THAT DOES NOT WORK -

4. after an interval - which might vary between 20 minutes and two hours - the flow reduces - and might magically stop -

5. this is the point where the surgeon might want to complete the procedure in the normal way -

AKA - Patience and Savoir-faire - might be good for both patient and the doctor -

15th Asian Research Symposium in Rhinology-2012 singapore

15th Asian Research Symposium in Rhinology-2012 singapore

By Popular Demand, the =ateline for abstract submission is extended to 30 March 2012…HURRY!! Don't =iss the last chance……

With this announcement we bid delegates to the =5th Asian Research Symposium in Rhinology a warm welcome to Singapore. First held =n Japan in 1996, this 15th symposium builds on our tradition of scientific =xchange in the subspecialty of Rhinology amongst the Asian countries.

The theme of this year’s symposium, =E2��Controversies, Consensus and Education” projects the maturing subspecialty of Rhinology =here on-going controversies after exhaustive debate lead to consensus. It also reminds =s of the importance of continued education, not only for new ENT doctors to =cquire knowledge but also for established surgeons to keep abreast with the =apid development in this field. We thus aim to provide a platform for debate =nd consensus, sharing of latest research work, both of the bench and in =urgery, as well as instructional courses for training.

For the scientific programme, there will be something =o do and learn for every one, from the young (or new) ENT trainee doctor to the established internationally renowned senior surgeons.

For the social programme, opportunities are abound =or visits to the vibrant sights and happenings in a new exciting Singapore. =olfers will also have the opportunity to tee off with a beautiful city view.

So join us for an exciting and rewarding time of =earning, networking and experiencing many of Singapore’s new tourist =cons.

Yours sincerely

Clinical A/Professor Siow Jin Keat
Chairman, Organising Committee

Prednisolone in Bell's palsy related to treatment start and age.

Prednisolone in Bell's palsy related to treatment start and age.
Axelsson S, Berg T, Jonsson L, Engström M, Kanerva M, Pitkäranta A, Stjernquist-Desatnik A.
Department of Otorhinolaryngology-Head and Neck Surgery, Lund University Hospital, Lund, Sweden.
To evaluate if treatment start and age are related to the outcome in Bell's palsy patients treated with prednisolone.
Prospective, randomized, double-blind, placebo-controlled, multicenter trial.
Sixteen otorhinolaryngologic centers in Sweden and 1 in Finland.
Data were collected from the Scandinavian Bell's palsy study. A total of 829 patients were treated within 72 hours of onset of palsy. Follow-up was 12 months.
Patients were randomly assigned to treatment with placebo plus placebo (n = 206), prednisolone plus placebo (n = 210), valacyclovir plus placebo (n = 207), or prednisolone plus valacyclovir (n = 206).
Facial function was assessed with the Sunnybrook grading system, and complete recovery was defined as Sunnybrook = 100. Time from onset of palsy to treatment start was registered.
Patients treated with prednisolone within 24 hours and 25 to 48 hours had significantly higher complete recovery rates, 66% (103/156) and 76% (128/168), than patients given no prednisolone, 51% (77/152) and 58% (102/177) (p = 0.008 and p = 0.0003, respectively). For patients treated within 49 to 72 hours of palsy onset, there were no significant differences. Patients aged 40 years or older had significantly higher complete recovery rates if treated with prednisolone, whereas patients aged younger than 40 years did not differ with respect to prednisolone treatment. However, synkinesis was significantly less in patients younger than 40 years given prednisolone (p = 0.002).
Treatment with prednisolone within 48 hours of onset of palsy resulted in significantly higher complete recovery rates and less synkinesis compared with no prednisolone

“All India Neurotology Update - 2012” , 3 - 4 March 2012,Chennai

Course Director : Prof. Mohan Kameswaran

Academic Director : Prof. R.S. Anand Kumar

Organizing Secretary : Dr. Sathiya Murali (+91-98401 40648)

Registration fees:

Registration is limited and will be done on first come, first served basis.
For Consultants - ` 1,500/-
For Postgraduates - ` 750/-

No Spot Registration

Guest Faculty

Prof. Milind V. Kirtane
Consultant ENT Surgeon,
P. D. Hinduja National Hospital &
Medical Research Centre, Mumbai,
Breach Candy & Saifee Hospitals,
Mumbai, Hon. Surgeon at King
Edward Memorial Hospital &
Professor Emeritus at Seth G.S.
Medical College, Mumbai

Dr. Anirban Biswas
Consultant ENT Surgeon
& Neurotologist,
Belle Vue Clinic, Kolkata

Dr. M.P. Manoj
Managing Director and
Consultant ENT Surgeon,
Head of the Cochlear Implant Unit
and Head & Neck Surgery,
MESIARC, Calicut

Prof. M.C. Vasudevan
Consultant Neurosurgeon,
VHS, Taramani, Chennai,
Fortis Malar Hospital, Chennai

Day - 1
08.00am - 08.30am : Registration
08.30am - 08.45am : Welcome & Introduction - Prof. Mohan Kameswaran
08.45am - 01.00pm : Live Surgery
01.00pm - 02.00pm : Lunch
02.00pm - 02.20pm : Vestibular Diagnosis-what is new? - Dr. Anirban Biswas
02.20pm - 02.40pm : Cerebellum & Balance - Dr. M.P. Manoj
02.40pm - 03.00pm : Current trends in the management of Acoustic Neuroma - Prof. M.C. Vasudevan
03.00pm - 03.20pm : Controversies in management of BPPV - Prof. Milind V Kirtane
03.20pm - 03.40pm : Meniere's & Meniere's like syndromes - Prof. Mohan Kameswaran
03.40pm - 04.00pm : Imaging for Balance disorders - Dr. M.P. Manoj
04.00pm - 04.20pm : Video-oculographic Diagnosis - Dr. Sathiya Murali
04.20pm - 04.40pm : Dizziness in children – Functional or Organic? - Dr. Anirban Biswas

Day - 2
09.00am - 12 noon : Live Surgery
12 noon - 12.20pm : Balance Problems in elderly - Prof. Milind V Kirtane
12.20pm - 12.40pm : Options in intractable Vertigo - Dr. M.P. Manoj
12.40pm - 01.00pm : Central Vestibular disorders - Prof. Mohan Kameswaran
01.00pm - 02.00pm : Lunch
02.00pm - 03.00pm : Crossfire (Drugs / VRT) Moderator: Prof. Mohan Kameswaran
03.00pm : Concluding Remarks.

ENT Update-2012, Lucknow, 7 & 8th April,2012 City- Lucknow, UP(India)

Conference Name,City and Date
ENT Update-2012, Lucknow, 7 & 8th April,2012

City- Lucknow, UP(India)
Venue- Forrd Hospital, Gomtinagar, Lucknow
Dates-7&8th April, 2012

Organizing Team- Dr Rakesh Srivastava(Org. Sec) & Dr Deepak Singh(Org.chairman)
Contact Number- 09454675674, 09335919601, 09839031127

Faculty- Dr J. Ray(Shiffield Teaching Hospital,UK), Dr K K Handa(Gurgaon), Dr K.R Meghnadh(Hyderabad), Dr Alok Agarwal(New Delhi)
Fees detail- Rs1200/(before 28th feb), After 28th Feb & Spot-Rs 2000/

Address for correspondence.- Raj ENT Centre & Voice Clinic, 387, Vishal Khand-3, Gomtinagar, Lucknow-226010
Suggested Accomodation- Travel Care, Raj Chambers, Narhi, Lucknow.(Pl contact at above phone numbers)


SLEEPCON-2012 ,April 6-8, 2012,Chandigarh


It gives me immense pleasure to inform you that the SLEEPCON-2012 is
being organized at Chandigarh under the auspices of Indian Sleep
Disorder Association (ISDA) by department of Pulmonary Medicine, GMCH,
Chandigarh during April 6-8, 2012. In this regard,  may I request your
good self to post the conference brochure through your wesite for the
information of all concerned. The conference brochure is attached
along with.

I solicit your kind patronage and cooperation to make our SLEEPCON
2012 a grand success.

With kind regards,

Yours sincerely

Organizing Secretary
SLEEPCON-2012 -cum-
Head, Department of Pulmonary Medicine,

Name of Conference :   SLEEPCON 2012

Place                      : Chandigarh

Date                        : 6-8th April, 2012 
                                 (Workshop  6th April, 2012 & Conference 7-8 April, 2012)

Organizing Secretary : Prof. A.K. Janmeja

Contact details         : Department of Pulmonary Medicine
                                  Level-5, Block-D, 
                                 Govt. Medical College & Hospital
                                 Sector 32, Chandigarh

Phone & Fax            : 0172 -2623621

Email                       :

with regards
Dr. A,K, Janmeja

Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery


3D Anatomy for Otolaryngology & Head & Neck Surgery DVD-ROM

3D Anatomy for Otolaryngology & Head & Neck
Surgery DVD-ROM

Aimed at otolaryngologist head and neck surgeons in training, practice and teaching this fantastically detailed electronic resource, created in collaboration with a team of expert clinicians and educators, provides a comprehensive and accurate 3D anatomy atlas and surgical reference. 
Ideal for learning, reviewing and teaching anatomy and procedures the DVD-ROM features highly detailed, accurate and interactive 3D anatomy models of the skull, head, neck, face, ear, nose, throat, eye, brain, cranial nerves and more.  Plus specialized, surgery orientated views of the inner ear, nasal and oral cavities - including endoscopic views of the nose and throat - and many cross section views.  Layers of anatomy can be added and removed and every model can be rotated or tipped allowing users to view and label any structure and interact with the 3D models in a unique way. 
  • The ultimate 3D anatomy atlas – built from real scan data the 3D anatomy has unsurpassed detail and accuracy.
  • Save time and effort using the intuitive 3D anatomy and other content to learn, revise teach and explain this most complex area of anatomy.
  • A fantastic source of clear and accurate images for presentations, posters, handouts and patient education – simple edit functions allow you to export content direct from the software.
Save time and money finding images - simple edit functions allow you to export and print any image from the software for use in your own presentations, patient education and student handouts, royalty free.

Many thanks,
Dan McGarry

Primal Pictures Ltd. 4th Floor Tennyson House, 159-165 Great Portland Street, London W1W 5PA United Kingdom
T: +44 (0) 20 7637 1010 F: +44 (0) 20 7636 7776 E: W:              

Current concepts in Head & Neck Surgery 2012

It is our pleasure to invite you to a Head & Neck Surgery seminar in Coimbatore, India. Please find enclosed the details.  Current concepts in Head & Neck Surgery 2012
A one day seminar on the latest surgical approach to head and neck tumors
In association with AOI (Coimbatore, Nilgiris & Tiruppur chapter)
February 19, 2012 (Sunday)
KMCH Auditorium, Avanashi Road, Coimbatore The seminar comprising of leading experts in the field of head and neck oncology focuses on the current surgical approach to head and neck tumors. The content is intensive and includes lectures and interactive sessions on key anatomical points, surgical steps, how-to-do-it videos and surgical decision making. A multi-disciplinary panel discussion would attempt to resolve some of the management dilemmas associated with both common and challenging cases. This seminar would be of high value and interest to practicing and trainee physicians in the field of otolaryngology, general surgery, plastic surgery, oral & maxillofacial surgery, radiation oncology, medical oncology and radiology.
E-Brochure at
Contact email:
Organizing secretary:


Advanced 2-yr Head & Neck Surgical Oncology Fellowship, SIU, USA
Consultant ENT - Head & Neck Surgeon
KMCH & KMCH Comprehensive Cancer Center
Coimbatore, India

Vacancy for the post of Visiting Consultant in ENT in Delhi NCR

Vacancy for the post of Visiting Consultant in ENT in Delhi NCR

Pushpanjali Crosslay Hospital Vaishali NCR Delhi is looking for a Visiting Consultant to join the Department of ENT & Head and Neck Surgery. The department is fully equipped with state of the art infrastructure and runs in a group practice model.

Desirable qualification: 1. MS (ENT) with 5- 10 years post PG experience, preferably in a large hospital setting.
                                  2. Proximity of residence to the hospital would be an added advantage
Interested persons can mail their resume with contact details to Ms Garima Prasad, Senior Manager (Operations) or contact Ms Garima Prasad at +91-9818258445

Incidence of laryngospasm and bronchospasm in pediatric adenotonsillectomy.

Laryngoscope. 2012 Feb;122(2):425-8. doi: 10.1002/lary.22423. Epub 2012 Jan 17.
Incidence of laryngospasm and bronchospasm in pediatric adenotonsillectomy.
Orestes MI, Lander L, Verghese S, Shah RK.
National Capitol Consortium Otolaryngology Residency Training Program, Walter Reed Army Medical Center, Washington, D.C.
To evaluate and describe airway complications in pediatric adenotonsillectomy.
Retrospective case-control study.
A chart review of patients that underwent adenotonsillectomy between 2006 and 2010 was performed. Perioperative complications, patient characteristics, and surgeon and anesthesia technique were recorded.
A total of 682 charts were reviewed. Eleven cases (1.6%) of laryngospasm were identified: one was preoperative, seven occurred in the operating room postextubation, and three occurred in the recovery area. Four patients were given succinylcholine, one was reintubated, and the other cases were managed conservatively. Mean age of patients with laryngospasm was 5.87 years (standard deviation [SD], 4.01; 1.9-15.8 years). There were 12 cases (1.8%) of bronchospasm; all were treated with nebulized albuterol. Mean age of patients with bronchospasm was 5.81 years (SD, 4.17; 1.8-14.1 years). Overall, 22 patients required antiemetics (3.3%), 19 required albuterol (2.9%), and five required racemic epinephrine (0.8%). Compared to the children without airway complications, there was no difference in age, weight, American Society of Anesthesiologists status, length of surgery, need for admission, and anesthesia technique in those that had laryngospasm. Patients with bronchospasm, compared to the patients without complications, had faster surgeries (P < .05), were more likely to have underlying asthma (P < .05), and were more likely to be admitted (P < .05). There were no unexpected admissions or other morbidities.
The rates of laryngospasm (1.6%) and bronchospasm (1.8%) are significantly lower than reported in the literature, reflecting refinements in modern anesthesia/surgical technique. Knowledge of at-risk patients can facilitate planning to potentially reduce the incidence of perioperative airway complications during adenotonsillectomy.
Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.

"4th INTERNATIONAL COURSE ON FUNCTIONAL AND AESTHETIC SURGERY OF THE NOSE - Live Surgery" which will take place in Imola (Bologna, Italy) on October

Dear Sirs,
we have the pleasure to announce that are currently organizing the "4th INTERNATIONAL COURSE ON FUNCTIONAL AND AESTHETIC SURGERY OF THE NOSE - Live Surgery" which will take place in Imola (Bologna, Italy) on October 14th -17th 2012.

We kindly ask you the courtesy to publish the Preliminary Announcement (herewith attached) on your website and to give the information of the Course to all members of your Society.

Thanking in anticipation for your precious collaboration, we remain at your complete disposal for any further information you may need.

Looking forward to hearing from you we remain,
Very Best Regards,

The Executive Secretariat
A&R Eventi sas
Tel. +39 051 47 42 38 Fax +39 051 48 39 525


"Sinuses & Beyond"25th and 26th Feb 2012 at nagpur.

This is to invite you for our forthcoming workshop "Sinuses & Beyond" -on FESS, held under the banner of AOI Vidarbha and Orange City hospital & Research Institute on 25th and 26th Feb 2012 at nagpur.
The faculties are Dr Nishit Shah, and Dr Milind Navalakhe from Mumbai and Dr Satish Jain from Jaipur.
We will be delighted to have you here amongst us for the workshop at Nagpur.
The registration charges are Rs 1500/- for consultant and Rs 1000/- for the PG's.
Workshop is accrediated by MMC for 4 Credit hours.
For further details contact Dr Nandu Kolwadkar, 09822396797,

Conference Posting Guidline

1.Please do write an invitation in brief as text
Conference Name with city and date (For headline )
Organizing Team
E mail
Contact Number
Fees detail
Address for correspondence.
Suggested Accomodation

2. Try to Post one file of whole Brochure in pdf form which should be clear to read .

ENT Surgical Update: 2012 (Revised )

Dr Sandeep Bansal, MD, MAMS, FIMSA
Assistant Professor
Department of Otolaryngology and Head Neck Surgery,
Postgraduate Institute of Medical Education and Research (PGIMER),
Sector 12,
Mobile: 91-9878001253

Temporal Bone workshop and Cadeveric Head and neck dissection course at PGIMER on 17th and 18th March 2012

We are organizing temporal Bone workshop and Cadeveric Head and neck dissection course at PGIMER on 17th and 18th March 2012 for postgraduate students

Dr Roshan K Verma
Assistant Professor
Deptt. of ENT



We would like to invite all of you for our 4th international FESS workshop with a day for Hands On Cadaveric Dissection in which storz camera and endoscopes with Xomed Debrider will be provided. There will be Live Surgeries and talk by the Top Endoscopic surgeons in the country. So it will Truly be Academic Fest. Dont Miss It!