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Post-Stapedectomy Granuloma: A Rare Case Report

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International Journal of Otolaryngology and Head & Neck Surgery 2015年第4期4卷 273-276页

作者： Kartik Parelkar Smita Nagle Mohan Jagade Poonam Khairnar Madhavi Pandare raj.nala nataraj.reshma hanwate Bandu Nagrale Devkumar Rangaraja Department of ENT Grant Govt Medical College & Sir J J Group of Hospitals Mumbai India

Reparative granuloma in the oval window region is an uncommon complication of stapes surgery, which usually develops within one to eight weeks after operation and causes a sudden hearing loss and disturbance of balance. It may also cause otalgia. Because of its rarity, no single centre would be able to give conclusive evidence regarding this complication. Hence we would like to report our experience and hope to get a better understanding regarding the stapes surgery induced granulation.

关键词： Stapes Surgery Granulation Tissue Post-Stapedectomy Otalgia Otosclerosis

Triple-c Cartilage Tympanoplasty: Case Series

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International Journal of Otolaryngology and Head & Neck Surgery 2015年第1期4卷 26-31页

作者： Kartik Parelkar Smita Nagle Mohan Jagade Vandana Thorawade Poonam Khairnar Anoop Attakil Madhavi Pandare raj.nala nataraj.reshma hanwate rajesh Kar Department of ENT Grant Govt Medical College & Sir J J Group of Hospitals Mumbai India

The triple-c cartilage tympanoplasty i.e. (composite chondroperichondrial clip) technique was devised by Fernandes in 2003. Objectives: The objective of our case series was to assess the success rate and efficacy of the triple-c cartilage tympanoplasty by transcanal approach. Study Design: A retrospective analysis of patients subjected to the technique was conducted. Methods: 20 cases who met the inclusion criteria were assessed by otomicroscopy and pure tone audiometry before and 2 months after the surgery. Results: All patients had complete take-up of the graft and a hearing improvement which was statistically significant. Conclusions: Thus the triple-c technique provides an effective method of closing nonmarginal perforations of the tympanic membrane.

关键词： Triple-c Cartilage Tympanoplasty

Prolonged Middle Ear Ventilation by Cartilage-Grommet Tympanoplasty

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International Journal of Otolaryngology and Head & Neck Surgery 2015年第1期4卷 13-17页

作者： Kartik Parelkar Smita Nagle Mohan Jagade Vandana Thorawade Poonam Khairnar Anoop Attakil Madhavi Pandare raj.nala nataraj.reshma hanwate rajesh Kar Department of ENT Grant Government Medical College & Sir J J Group of Hospitals Mumbai India

In 1994, the American Otological Society reported favourable experience with composite cartilage shield tympanoplasty. The tragal cartilage with a grommet inserted in it was used for tympanoplasty in our patient with unilateral CSOM, supposedly because of severe chronic eustachian tube dysfunction. The marriage of cartilage tympanoplasty with grommet insertion was aimed to add the advantages and abolish the disadvantages of both the procedures. In 1990 Lary Hall first introduced the “long term ventilation of the middle ear” with a T-tube placed in the tragal cartilage perichondrium composite island graft. T-tube insertion in the cartilage has been described. But insertion of the Indian Sheperds grommet (ventilation tube) in the cartilage graft as described in this case and its technique are possibly the first of its kinds in literature. The report is aimed to ignite innovation of newer and better techniques of cartilage tympanoplasty.

关键词： Tragal Cartilage Grommet Tympanoplasty

Intratympanic Injections: An Unsolved Mystery

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International Journal of Otolaryngology and Head & Neck Surgery 2015年第2期4卷 124-132页

作者： Kartik Parelkar Vandana Thorawade Mohan Jagade Smita Nagle raj.nala nataraj Madhavi Pandare reshma hanwate Bandu Nagrale Kiran Kulsange Devkumar Rangaraja Arpita Singhal Department of ENT Grant Government Medical College & Sir J.J. Group of Hospitals Mumbai India

Aims: The aim of this study was to test the effectiveness of intratympanic dexamethasone injections as a treatment for severe disabling tinnitus and also observe its effect on hearing loss if any. Materials and Methods: Thirty patients with severe disabling tinnitus in the age group 20 to 60 years were selected and randomly assigned to receive intratympanic injections of a dexamethasone solution 4 mg/ml (0.5 ml) or isotonic saline (0.5 ml) solution under topical anaesthesia, once per week for 4 weeks using a zero degree endoscope. Improvement in tinnitus was assessed using a visual analog scale, considering 2-point improvement as significant and alteration in hearing if any was noted by pure tone audiometery before and after the therapy. Results: The improvement in tinnitus was not significant, with no alteration in audiometery reports. Conclusions: Intratympanic therapy is an attractive mode of treatment because of its highly targeted delivery, low concentration of the drugs required and a very good patient tolerance. Although there has been no breakthrough in intratympanic therapy for tinnitus or other otological conditions, accessibility to the inner ear through the semipermeable round window membrane holds many promises in the near future.

关键词： Intratympanic Injection Round Window Tinnitus Dexamethasone

Thornwaldt Cyst: Case Report

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International Journal of Otolaryngology and Head & Neck Surgery 2016年第5期5卷 203-207页

作者： Kiran L. Kulsange Smita Nagle Mohan Jagade Pallavi Gupta Madhavi Pandhare Kartik Parelkar Arpita Singhal Devkumar Rangaraja reshma hanwate nataraj raj.nala Venkata Bandu Nagrale Ankur Walli Karthik Rao Sudam Gaware Grant Government Medical College and Sir JJ Groups of Hospital Mumbai India

Thornwaldt cyst is benign, mucosal congenital cyst which is located in upper nasopharynx. It developed in nasopharyngeal bursa if opening of bursa is occluded due to infection or inflammation. It is rare congenital cyst present in nasopharyngeal bursa. Its incidence is 3% in adults [1]. The usual age of presentation is 2nd and 3rd decade [1]. It is usually asymptomatic and incidental finding on MRI but it can present as nasal obstruction, post nasal drip, halitosis, occipital headache, foreign body sensation in throat [1] [2]. Here we are presenting a case report of 23 years old male presented with foreign body sensation in throat since 5 months. On oral and nasal endoscopic examination cystic mass in nasopharynx seen, bulging in oropharynx. MRI shows cystic mass arising from left side of nasopharynx popping up in oropharynx. Cyst then excised with diode laser with both endonasal and transoral approach with zero degree rigid endoscope. Histopathology confirmed the cyst as thornwaldt cyst.

关键词： Thornwaldt Cyst Diode Laser Endosnasal and Transoral Approach

Klestadt’s Cyst: Case Report

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International Journal of Otolaryngology and Head & Neck Surgery 2015年第3期4卷 215-219页

作者： Kartik Parelkar Smita Nagle Mohan Jagade reshma hanwate Madhavi Pandare Devkumar Rangaraja Kiran Kulsange Bandu Nagrale Arpita Singhal Department of ENT Grant Govt Medical College & Sir J J Group of Hospitals Mumbai India

Klestadt’s cyst, more commonly known as the nasolabial cyst, is an uncommon, non-odontogenic, and soft tissue cyst. It is classified as a fissural cyst, found outside the bone, and on the region corresponding to the nasolabial furrow and alar nose. Following its description first by Zukuerkandl in 1882, only 267 cases have been found in English literature. In spite of the low occurrence of nasolabial cysts, it is important to recognize the clinical characteristics of this lesion. The purpose of this report is to review the literature and discuss the histomorphology and etiology of this condition, and also its management by surgical excision. As per our experience, sublabial approach is the best for complete and scarless excision of this cyst.

关键词： Klestadt’s Nasolabial Cyst Non-Odontogenic

CSF Rhinorrhoea with Encephalocele through Sternberg’s Canal: Our Experience

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International Journal of Otolaryngology and Head & Neck Surgery 2015年第1期4卷 50-54页

作者： reshma hanwate Vandana Thorawade Mohan Jagade Anoop Attakil Kartik Parelkar Madhavi Pandare R. V. Natraj rajesh Kar Department of ENT Grant Government Medical College & Sir J J Hospital Mumbai India

Spontaneous cerebrospinal fluid rhinorrhoea with encephalocele restricted to the sphenoid sinus is rare clinical finding. As of today, only 17 cases encephalocele protruding through the Sternberg’s canal and extending into the lateral recess of sphenoid sinus, have been described in literature. Patients presenting with this special clinical entity usually do not have any history of trauma, tumour or iatrogenic injury. Thus the lesions are considered to originate from a congenital bony defect in the lateral wall of the sphenoid sinus, first described by Sternberg in 1888 as the lateral craniopharyngeal canal (Sternberg’s canal). In our experience each patient of spontaneous CSF rhinorrhea should have suspicion of intrasphenoid encephalocele though cribriform plate is a common site. Endoscopic tranasnasal approach is one of the best modalities for such cases.

关键词： CSF Rhinorrhoea Sternberg’s Canal Encephalocele