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

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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

New Approach in the Management of Adult Epiglottic Abscess—A Case Report

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International Journal of Otolaryngology and Head & Neck Surgery 2015年第4期4卷 290-295页

作者： ramesh babu kalyanasundaram Ganesh Kumar Balasubramanian Ramanathan Thirunavukkarasu Prabhakharan Saroja Durairaju Department of ENT and Head & Neck surgery Thanjavur Medical College Thanjavur India

Background: Epiglottic abscess in an otherwise healthy adult is seen as a rare sequelae of acute epiglottitis. It is a life threatening condition which requires emergency management, which if not done early, may result in fatality. Respiratory infections, exposure to environmental chemical or trauma which may lead to inflammation and infection of the structures around the throat which may lead on to epiglottitis, and an epiglottis abscess very rarely. In our case, patient was immediately managed by doing an emergency tracheostomy followed by incision and drainage in the OPD (outpatient department). This emphasizes on need for emergency airway management by doing a tracheostomy there by facilitating incision and drainage in a case of epiglottic abscess as a daycare procedure. Aim: The primary aim of this clinical record is to emphasize the need for immediate airway management in epiglottic abscess there by facilitating incision and drainage as an OPD (out-patient department) Procedure. Case Presentation: A 45-year-old man presented to the OPD (outpatient department) with complaints of dysphagia, odynophagia, muffled voice, noisy breathing for the previous 7 hours. On clinical examination pt was in stridor & respiratory distress. Since the pt was in stridor, it was immediately shifted to the OT (operation theatre), and an emergency tracheostomy was done and the airway was secured, following which a video laryngoscopic examination was done in the OPD, which revealed oedematous enlarged epiglottis with pus pointing obscuring the laryngeal inlet. Abscess was incised and drained, and pus was sent for culture & sensitivity. Pt was treated with I. V (intravenous) antibiotics as per culture reports and subsequent video laryngoscopic examination revealed near normal epiglottis with an adequate laryngeal inlet. Conclusion: Patients with epiglottic abscess are at increased risk of airway compromise, hence in such patients airway should be immediately secured by doing an emergen

关键词： Epiglottic Abscess Epiglottitis Tracheostomy Incision and Drainage

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

A Loculated Pyocele of Maxillary Sinus—A Rare Case Report

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International Journal of Otolaryngology and Head & Neck Surgery 2014年第5期3卷 259-262页

作者： Ramanathan Thirunavukkarasu Ganesh Kumar Balasubramaniam ramesh babu kalyanasundaram Paramaguru Rajesh Shanmugam Department of ENT Thanjavur Medical College & Hospital Thanjavur India

Pyocele of maxillary sinus occurs unusually, when its mucocele content gets secondarily infected. Most of the pyocele occupies the frontal and anterior ethmoid sinus involving the frontal-ethmoidal complex expanding into the orbit leading to ocular disorders. Maxillary sinus presentation is rare, and our patient had a well defined loculated pyocele in her right maxillary sinus that we suspected with radiological images and was confirmed by needle aspiration under endoscopic guidance to the pyocele sac. Here we would like to describe more in detail about the nature of the mucopyocele in paranasal sinuses, its presentation and various surgical modalities of treating the pyocele.

关键词： Loculated Pyocele Maxillary Sinus Mucocele Endoscopic Marsupialization

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