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Assessment of Hearing Status by Pure Tone Audiogram—An Institutional Study

International Journal of Otolaryngology and Head & Neck Surgery 2015年第5期4卷 375-380页

作者： Ganesh Kumar Balasubramanian Ramanathan Thirunavukkarasu Ramesh Babu Kalyanasundaram gitanjali narendran Thanjavur Medical College Thanjavur India

Aim: To assess the hearing status of the study subjects in terms of degree and type of hearing loss, and establish the burden of this disability in the society. Materials and methods: This is a prospective study conducted in patients who attend our OPD. After an otorhinolaryngeal examination, all the patients were subjected to pure tone audiometry using MAICA-MA52 audiometer. Results: Our study comprises 1012 males (64%) and 563 females (36%). Out of this, about 15% have conductive deafness and 42% have sensorineural hearing loss. About 29% suffer from mild hearing loss, 26% moderate and 11% severe hearing loss. The alarming information is that about 5% have total hearing loss of Sudden Sensorineural type (SSNHL). Conclusion: Pure tone audiometry is cost effective and easy to perform. Early diagnosis and timely intervention will reduce the morbidity of deafness in our country. Hence it is necessary to identify and treat sudden sensorineural hearing loss and noise induced hearing loss at an early stage.

关键词： Pure Tone Audiogram Conductive Deafness Sudden Sensorineural Hearing Loss Ototoxicity Presbyacusis Noise Induced Hearing Loss

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Surgical Audit of Sino-Nasal Diseases in a Tertiary Care Centre—A Prospective Study

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International Journal of Otolaryngology and Head & Neck Surgery 2015年第5期4卷 369-374页

作者： Ganesh Kumar Balasubramanian Ramanathan Thirunavukkarasu Ramesh Babu Kalyanasundaram gitanjali narendran Thanjavur Medical College Thanjavur India

Aims of the study: 1) To study the distribution of various Sino-nasal diseases in our region;2) To emphasize the significance of Functional Endoscopic Sinus Surgery. Material and methods: This surgical study was carried out in the Department of Otorhinolaryngology and Head and Neck Surgery, Thanjavur Medical College, Thanjavur. The study period was from 21st March 2014 to 20th March 2015 (267 cases). After a preliminary examination, all patients were subjected to Diagnostic Nasal Endoscopy followed by radiological examination. Based on the symptoms and the findings, patients were treated by surgery (mainly FESS), pharmacotherapy, and chemo-radiotherapy. Results: In our study, the majority of cases were deviated nasal septum with sinusitis about 62% (165 cases). The other cases were antrochoanal polyp 8% (21 cases), ethmoidal polyposis 9% (23 cases) and others 21% (51 cases). The age group vulnerable for these diseases is 20 - 40 years. Males are affected more commonly than females. Conclusion: Majority of the cases were treated by Functional Endoscopic Sinus Surgery. So we have to improve the surgical skills in this field to achieve a good outcome.

关键词： Pure Tone Audiogram Conductive Deafness Sudden Sensorineural Hearing Loss Ototoxicity Presbyacusis Noise Induced Hearing Loss

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An Unusual Presentation of Fungal Mass in Concha Bullosa

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International Journal of Otolaryngology and Head & Neck Surgery 2014年第5期3卷 263-266页

作者： Ganesh Kumar Balasubramaniam Ramanathan Thirunavukarasu Ramesh Babu Kalyanasundaram gitanjali narendran Department of ENT Thanjavur Medical College Thanjavur India

Fungal infection usually involves the paranasal sinuses. This is a rare case of fungal mass in concha bullosa. A 19-year-old immunocompetent female patient presented with nasal obstruction. Anterior rhinoscopy revealed enlarged middle turbinate on left side. CT showed heterogenous opacity and enlargement of left middle turbinate. Intraoperatively, middle turbinate was found to be filled with cheesy material which was culture positive for Aspergillus fumigatus.

关键词： Concha Bullosa Fungal Ball Fungal Sinusitis Nasal Obstruction Aspergillus

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Prevalence of Otorhinolaryngeal Malignancies in Thanjavur Delta Region—A Prospective Study

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International Journal of Otolaryngology and Head & Neck Surgery 2016年第2期5卷 39-43页

作者： Ganesh Kumar Balasubramaniam Ramesh Babu Kalyanasundaram Ramanathan Thirunavukkarasu gitanjali narendran Jagadeesh Natarajan Department of ENT and Head and Neck Surgery Thanjavur Medical College Thanjavur India

Malignancy of otorhinolaryngeal region is the 6th common malignancy worldwide and nowadays the incidence is increasing in developing countries like India. This malignancy contributes to 23% of male and 6% of female population of India [1]. Malignancies included in this study are those of oralcavity, oropharynx, nasopharynx, hypopharynx, larynx, thyroid, nose, paranasal sinuses and salivary gland tumors. This study was conducted in the Department of Otorhinolaryngology and Head and Neck Surgery, Thanjavur Medical College, Thanjavur, Tamilnadu India, over a period of 2 years from August 2013 to February 2015. Histopathologically confirmed cases alone were taken for this study. In our study the laryngeal and hypopharyngeal malignancies outnumber the other regions. Males are more commonly affected and the age group of around 40 - 50 years is more commonly involved. Smoking and alcohol intake plays a major etiological factor. Cancer awareness programmes and health education regarding risk factors can help to reduce the incidence of malignancies in our Thanjavur delta region.

关键词： Head and Neck Cancers Larynx Hypopharynx HPV Squamous Cell Carcinoma Smoking and Alcohol Tracheostomy Radiotherapy

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