Total Intravenous Anaesthesia

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Abstract: Total intravenous anaesthesia (TIVA) is a technique of anaesthesia which involves use ofintravenous drugs to anaesthetize the patient without the use of inhalational agents. TIVAis getting popular mode of anaesthesia in otolaryngological surgeries. This article reviewsthe entire procedure of TIVA from otolaryngologist’s perspective. TIVA is really useful toanaesthetize patients during functional endoscopic sinus surgeries […]

Trephination of frontal sinus

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Introduction: Trephination of frontal sinus is a surgical procedure where in a small opening is made in the floor of frontal sinus facilitating drainage of its contents. Trephination of frontal sinus is nothing new. It dates back to prehistoric times. Two Peruvian skulls at the Museum of Man in San Diego show evidence of frontal […]

Clinical Examination techniques in Otology

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Introduction: Clinical reasoning and bed side examination was part of clinical medicine was practised by ancientIndian, Egyptian, Babylonian and Chinese physicians. “He who studies medicine without books sails an uncharted sea, but he who studies medicine without patients does not go to sea at all.” Osler. This in a nutshell is the importance of patient […]

Grisel Syndrome

A Review

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Grisel syndrome is defined as atlanto-axial subluxation following infections of upper airway. These patients present with torticollis which is persistent. Radiology is normal in these patients. This is actually a sinister problem which should always be kept in mind before taking up a patient for adenotonsillectomy. Subclinical subluxation of atlanto-axial joint may become overt causing brain stem compression following adenotonsillectomy surgery. This actually occurs because the paraspinal muscles are relaxed (due to the use of muscle relaxants) during the procedure. The actual position of tonsillectomy (Rose position) aggravates this condition. This article attempts to explore this problem with a review of 10 year published literature on this subject.

Odontogenic cysts of upper jaw an analysis

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This article attempts to analyze all cases of odontogenic cysts involving upper jaw who presented at
Stanley Medical college during 2007 – 2012. This article analyzes the incidence of these cysts
during the above said period, age of occurence, sex prediliction if any, clinical presentations and
optimal treatment modality. Common complaints with which patients presented to our Institution
was swelling over jaw, next was loosening of dentition, paresthesia. 30 patients had presented with
cysts involving upper jaw out of which 29 were females and one was male. All these patients
underwent surgical removal of the cystic lesion.

Pleomorphic adenoma hard palate a case report and literature review

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Pleomorphic adenoma is the common salivary gland tumour encountered. Most of these tumours occur in major salivary glands; Parotid gland happens to be the commonly involved one. This case report discusses a case of intraoral salivary gland tumour (in the hard palate). This case report discusses a case of pleomorphic adenoma of hard palate with a review of corresponding world literature. Even though these tumours are painless and slow growing ones, it is important to identify these cases rather early and extirpate them totally.

Anatomy of orbit

Otolaryngologist's perspective

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A careful study of anatomy of orbit is very important to an ENT surgeon because of its proximity to the para nasal sinuses. A comprehensive knowlege of orbital and peri orbital anatomy is necessary to understand the various disorders of this region and in its surgical mangement. Current day otolaryngologists venture into other unchartered territories like orbit, lacrimal sac etc. Anatomical knowledge of this area will help otolaryngologists to avoid complications during surgical procedures involving this area. This article attempts to explore this topic from otolaryngologist’s perspective.

Complications of sinusitis

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Anatomically paranasal sinuses are in close proximity to vital structures like brain and orbit. Lesions affecting nasal sinuses can affect these areas as well. Infections involving mucosal lining of paranasal sinuses can also spread to these adjacent vital areas. This article attempts to study the orbital and intra cranial complications of sinusitis.

Intrinsic Rhinitis

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Intrinsic rhinitis is defined as a non infective and non allergic condition characterised by nasal block, rhinorrhoea and hyposmia. This is purely a medical condition. Awareness of this condition will help us to avoid unnecessary surgical procedures on patients suffering from this disorder. Surgery should be reserved only for cases that are intractable to medical management. This article discusses the complete gamut of this disorder.

Anatomy of Paranasal sinuses

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Paranasal sinuses are air filled hollow sacs seen around the skull bone. These sacs precisely surround the nasal cavity. There are four paired sinuses surrounding the nasal cavity. This article attempts to trace the history of anatomy of paranasal sinuses from early 16th century till date. The advent of nasal endoscopes have added another dimension to the anatomical study of paranasal sinuses. The entire subject of anatomy of paranasal sinuses has been rewritten after endoscopes were started to be used commonly.

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