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Ending criteria regarding finishing independent, individual alarm radiological source researches.
Subtotal petrosectomy (SP) with cochlear implant (CI) is required in certain specific situations in the management of patients who are candidates for cochlear implants. To study and review the indications, surgical issues, and complications of this procedure.
Retrospective review of all patients who underwent subtotal petrosectomy with cochlear implant during the period January 2010-December 2016 at a tertiary care and referral centre.
19 patients underwent 20 subtotal petrosectomy with cochlear implant during this period. One patient had simultaneous bilateral implantation. The indications were previous mastoid cavity in 7 patients, 5 patients had chronic otitis media, inner ear malformations in 3,ossified cochlea in 3 and unfavourable anatomy in 2 patients. Fat or musculoperiosteal flaps were used to obliterate the cavity. Ninety percent of patients underwent single stage surgery and ten percent underwent two stage procedure.Complications were seen in three patients (15%).
SP helps in isolating the cavity from external environment after removal of disease, improves the exposure and access, reduces risk of infection and cerebrospinal fluid (CSF) leaks and facilitates CI. Meticulous surgical technique will reduce the complications and long term follow up is needed to detect entrapped cholesteatoma. Subtotal petrosectomy with blind sac closure of external ear canal is required in certain specific situations. It is a safe and effective surgery with acceptable rate of complications.
SP helps in isolating the cavity from external environment after removal of disease, improves the exposure and access, reduces risk of infection and cerebrospinal fluid (CSF) leaks and facilitates CI. Meticulous surgical technique will reduce the complications and long term follow up is needed to detect entrapped cholesteatoma. Subtotal petrosectomy with blind sac closure of external ear canal is required in certain specific situations. It is a safe and effective surgery with acceptable rate of complications.The present study aimed at determining auditory performance in children with congenital hearing impairment who underwent cochlear implant surgery unilaterally at or after age of 5 years. Study also aimed at studying association of factors such as chronological age (CA), implant age (IA), age at implantation (AAI), hearing age (HA), parental support, compliance to therapy, mode of therapy and parental satisfaction with auditory performance. It is a retrospective study. Files of 41 participants who fulfilled the inclusion criteria were reviewed for scores of Revised categories of auditory perception (CAP), Listening skills scale (LSS) and Speech intelligibility rating (SIR) along with other factors. Only 20 participants with complete data were included in the study. Researcher rated parental support and compliance to therapy while parental satisfaction was noted prospectively using a single yes-no type question. Participants showed improvement on CAP, LSS, SIR however they did not reach normal or near normal scores. CAP and LSS did not correlate with CA nor AAI or with IA. However CAP and LSS showed significant correlation with HA. SIR showed significant correlation with CA, AAI, IA and HA. Good auditory performance was associated with parental support and compliance to therapy but not with mode of therapy offered. 17 out of 20 parents were satisfied with outcomes of cochlear implant. Late implanted children showed improved auditory performance with implantation when they had previous hearing aid experience and parent support and compliance to therapy though they did not reach normal levels.Prosthodontic rehabilitation enables head and neck cancer patient to optimally restore function, thereby improving and enhancing the oral health related quality of life of cancer patients. The liverpool oral rehabilitation questionnaire (LORQ-v3) and oral health impact profile (OHIP) are specific tools that measure OHRQOL. Hundred patients with head and neck cancer were included in the study. Patients were asked to rate their experience of dental problems before fabrication of prosthesis and after 1 year using LORQv3 and OHIP-14. The responses were compared on Likert scale. There were extreme problems reported by head and neck cancer patients before dental rehabilitation. After 1 year of prosthetic rehabilitation, there was improvement noticed in all the domain of LORQ-v3 and OHIP-14. Complete compliance to the use of prosthetic appliances for 1 year study period was noted. For all the items of LORQ-v3 there was 10 to 38% improvement in function. OHIP-14 showed an 11 to 26% improvements in all the domains. Prosthetic rehabilitation contributed to an improvement of patients with head and neck cancer, in view of the decreased scores on the Likert scale after prosthetic treatment. The study of hundred patients with head and neck cancer showed that the oral health-related quality of life improved after prosthodontic rehabilitation.(1) Defining a protocol for management of patients with severe temporomandibular joint ankylosis. see more (2) Review the results of use of GORE-TEX as an interpositional material in gap arthroplasty. All cases which were treated with surgical intervention for severe TMJ Ankylosis with use of GORE-TEX as an interpositional material have been included. Amongst 40 patients, 11 were male and 29 were female with age group ranging from 4 to 36 years. 22 patients had bilateral ankylosis and 18 patients had unilateral ankylosis needing unilateral condylectomy. see more In all the patients GORE-TEX was used as an inter-positional material to form a pseudo joint. Postoperative mouth opening was around 3 fingers (3-3.5 cm) for period of 2 years i.e. last follow up. Migration or extrusion of implant was not seen in any of our cases. Use of GORE-TEX as an inter-positional material can prevent recurrences with good restoration of the physiological joint and occlusion.The aim of this paper is to present our experience with intraoral approach for submandibular gland excision in terms of effectiveness and safety in patients with chronic sialadenitis. This is a prospective study carried out from November, 2016 to April, 2018 analyzing 13 patients of chronic sialadenitis. The indication of intraoral approach was either failed attempt to remove the stone endoscopically, chronic sialadenitis or benign tumor. The surgical triangle was used as the landmark for hilar area and gland was dissected close to the capsule and removed via intraoral incision and preserving the sublingual gland. We were successfully able to remove the submandibular gland via intraoral approach in 10 cases. Two patients had to undergo transcervical gland excision and one patient refused for transcervical approach. Intraoral excision of submandibular gland is a safe and viable approach to be utilized in carefully selected patients. The major advantages being avoidance of transcervical scar and of injury to marginal mandibular branch of facial nerve.