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Vikram Bhat | Rajiv Gandhi University of Health Sciences - Academia.edu

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Alkis</a><p class="suggested-user-card__user-info__subheader ds2-5-body-xs">Ankara University</p></div></div></ul></div><style type="text/css">.suggested-academics--header h3{font-size:16px;font-weight:500;line-height:20px}</style><div class="ri-section"><div class="ri-section-header"><span>Interests</span></div><div class="ri-tags-container"><a data-click-track="profile-user-info-expand-research-interests" data-has-card-for-ri-list="35247631" href="https://www.academia.edu/Documents/in/Otolaryngology_-_Head_and_Neck_Surgery"><div id="js-react-on-rails-context" style="display:none" data-rails-context="{&quot;inMailer&quot;:false,&quot;i18nLocale&quot;:&quot;en&quot;,&quot;i18nDefaultLocale&quot;:&quot;en&quot;,&quot;href&quot;:&quot;https://rguhs.academia.edu/VikramBhat&quot;,&quot;location&quot;:&quot;/VikramBhat&quot;,&quot;scheme&quot;:&quot;https&quot;,&quot;host&quot;:&quot;rguhs.academia.edu&quot;,&quot;port&quot;:null,&quot;pathname&quot;:&quot;/VikramBhat&quot;,&quot;search&quot;:null,&quot;httpAcceptLanguage&quot;:null,&quot;serverSide&quot;:false}"></div> <div class="js-react-on-rails-component" style="display:none" data-component-name="Pill" data-props="{&quot;color&quot;:&quot;gray&quot;,&quot;children&quot;:[&quot;Otolaryngology - Head and Neck Surgery&quot;]}" data-trace="false" data-dom-id="Pill-react-component-a68e8167-a960-465a-870d-5f3dcccc432e"></div> <div id="Pill-react-component-a68e8167-a960-465a-870d-5f3dcccc432e"></div> </a></div></div></div></div><div class="right-panel-container"><div class="user-content-wrapper"><div class="uploads-container" id="social-redesign-work-container"><div class="upload-header"><h2 class="ds2-5-heading-sans-serif-xs">Uploads</h2></div><div class="documents-container backbone-social-profile-documents" style="width: 100%;"><div class="u-taCenter"></div><div class="profile--tab_content_container js-tab-pane tab-pane active" id="all"><div class="profile--tab_heading_container js-section-heading" data-section="Papers" id="Papers"><h3 class="profile--tab_heading_container">Papers by Vikram Bhat</h3></div><div class="js-work-strip profile--work_container" data-work-id="80372177"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/80372177/Adenoid_Morphology_and_Other_Prognostic_Factors_for_Otitis_Media_with_Effusion_in_School_Children"><img alt="Research paper thumbnail of Adenoid Morphology and Other Prognostic Factors for Otitis Media with Effusion in School Children" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Adenoid Morphology and Other Prognostic Factors for Otitis Media with Effusion in School Children</div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">This study aimed to compare the children having enlarged adenoids with and without otitis media w...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">This study aimed to compare the children having enlarged adenoids with and without otitis media with effusion (OME) concerning clinical features like mouth breathing, snoring, recurrent episodes of cold, hearing impairment and specific morphology of adenoid. Further, the flora of adenoid tissue and middle ear fluid were also compared. One hundred and twenty children having clinical features suggestive of enlarged adenoids with [Group A (n = 60)] or without [Group B (n = 60)] OME were included in this cross-sectional study. All patients underwent clinical examination, diagnostic nasal endoscopy, radiography of the nasopharynx, blood absolute eosinophil count and immittance. Core adenoid tissue was subjected to microbiological culture after adenoidectomy. OME fluid was subjected to microbial analysis after myringotomy. In group A patients, snoring was present in 90% (p = 0.011), adenoid facies in 76.6% (p &amp;lt; 0.001) and tubal tonsil enlargement in 86.7% (p &amp;lt; 0.001). The parts rela...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80372177"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80372177"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80372177; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80372177]").text(description); $(".js-view-count[data-work-id=80372177]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80372177; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80372177']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=80372177]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80372177,"title":"Adenoid Morphology and Other Prognostic Factors for Otitis Media with Effusion in School Children","translated_title":"","metadata":{"abstract":"This study aimed to compare the children having enlarged adenoids with and without otitis media with effusion (OME) concerning clinical features like mouth breathing, snoring, recurrent episodes of cold, hearing impairment and specific morphology of adenoid. Further, the flora of adenoid tissue and middle ear fluid were also compared. One hundred and twenty children having clinical features suggestive of enlarged adenoids with [Group A (n = 60)] or without [Group B (n = 60)] OME were included in this cross-sectional study. All patients underwent clinical examination, diagnostic nasal endoscopy, radiography of the nasopharynx, blood absolute eosinophil count and immittance. Core adenoid tissue was subjected to microbiological culture after adenoidectomy. OME fluid was subjected to microbial analysis after myringotomy. In group A patients, snoring was present in 90% (p = 0.011), adenoid facies in 76.6% (p \u0026lt; 0.001) and tubal tonsil enlargement in 86.7% (p \u0026lt; 0.001). The parts rela...","publisher":"Indian Journal of Otolaryngology and Head \u0026 Neck Surgery","publication_date":{"day":null,"month":null,"year":2021,"errors":{}}},"translated_abstract":"This study aimed to compare the children having enlarged adenoids with and without otitis media with effusion (OME) concerning clinical features like mouth breathing, snoring, recurrent episodes of cold, hearing impairment and specific morphology of adenoid. Further, the flora of adenoid tissue and middle ear fluid were also compared. One hundred and twenty children having clinical features suggestive of enlarged adenoids with [Group A (n = 60)] or without [Group B (n = 60)] OME were included in this cross-sectional study. All patients underwent clinical examination, diagnostic nasal endoscopy, radiography of the nasopharynx, blood absolute eosinophil count and immittance. Core adenoid tissue was subjected to microbiological culture after adenoidectomy. OME fluid was subjected to microbial analysis after myringotomy. In group A patients, snoring was present in 90% (p = 0.011), adenoid facies in 76.6% (p \u0026lt; 0.001) and tubal tonsil enlargement in 86.7% (p \u0026lt; 0.001). The parts rela...","internal_url":"https://www.academia.edu/80372177/Adenoid_Morphology_and_Other_Prognostic_Factors_for_Otitis_Media_with_Effusion_in_School_Children","translated_internal_url":"","created_at":"2022-05-31T07:24:32.070-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Adenoid_Morphology_and_Other_Prognostic_Factors_for_Otitis_Media_with_Effusion_in_School_Children","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"This study aimed to compare the children having enlarged adenoids with and without otitis media with effusion (OME) concerning clinical features like mouth breathing, snoring, recurrent episodes of cold, hearing impairment and specific morphology of adenoid. Further, the flora of adenoid tissue and middle ear fluid were also compared. One hundred and twenty children having clinical features suggestive of enlarged adenoids with [Group A (n = 60)] or without [Group B (n = 60)] OME were included in this cross-sectional study. All patients underwent clinical examination, diagnostic nasal endoscopy, radiography of the nasopharynx, blood absolute eosinophil count and immittance. Core adenoid tissue was subjected to microbiological culture after adenoidectomy. OME fluid was subjected to microbial analysis after myringotomy. In group A patients, snoring was present in 90% (p = 0.011), adenoid facies in 76.6% (p \u0026lt; 0.001) and tubal tonsil enlargement in 86.7% (p \u0026lt; 0.001). The parts rela...","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[],"research_interests":[],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-80372177-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="80372176"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/80372176/A_prospective_clinical_study_of_the_flora_and_early_secondary_effects_after_tracheostomy"><img alt="Research paper thumbnail of A prospective clinical study of the flora and early secondary effects after tracheostomy" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">A prospective clinical study of the flora and early secondary effects after tracheostomy</div><div class="wp-workCard_item"><span>Journal of Laryngology and Voice</span><span>, 2019</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Introduction: Tracheostomy patients develop copious secretions from the stoma along with cough af...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Introduction: Tracheostomy patients develop copious secretions from the stoma along with cough after the procedure. However, the morphology of this secretion and the pattern of the flora over a period of time are not studied. Objective: The main objectives are to study the early after-effects of tracheostomy and to study the flora of the tracheal secretion and its impact on the host. Materials and Methods: This was a cross-sectional study that was undertaken in a tertiary referral public hospital. Sixty patients were categorized into two groups of 30 each, intubated (Group A) and nonintubated (Group B), before tracheostomy. The consistency, quantity, and culture sensitivity of the tracheal secretion and its impact on the lungs were noted on day 2, 30, and 90 after the procedure. Results: The most common after-effect was copious tracheal secretion that was obvious immediately after tracheostomy which, gradually reduced to scanty. The most common organism was Pseudomonas and Klebsiella in intubated and nonintubated patients on day 2 and day 30, respectively. Conclusion: Tracheal secretion was copious and colonized in most of the patients in both the groups in the immediate post tracheostomy period which became scanty and free of colonies by the 3rd month. The organisms had no negative impact on the lower respiratory tract.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80372176"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80372176"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80372176; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80372176]").text(description); $(".js-view-count[data-work-id=80372176]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80372176; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80372176']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=80372176]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80372176,"title":"A prospective clinical study of the flora and early secondary effects after tracheostomy","translated_title":"","metadata":{"abstract":"Introduction: Tracheostomy patients develop copious secretions from the stoma along with cough after the procedure. However, the morphology of this secretion and the pattern of the flora over a period of time are not studied. Objective: The main objectives are to study the early after-effects of tracheostomy and to study the flora of the tracheal secretion and its impact on the host. Materials and Methods: This was a cross-sectional study that was undertaken in a tertiary referral public hospital. Sixty patients were categorized into two groups of 30 each, intubated (Group A) and nonintubated (Group B), before tracheostomy. The consistency, quantity, and culture sensitivity of the tracheal secretion and its impact on the lungs were noted on day 2, 30, and 90 after the procedure. Results: The most common after-effect was copious tracheal secretion that was obvious immediately after tracheostomy which, gradually reduced to scanty. The most common organism was Pseudomonas and Klebsiella in intubated and nonintubated patients on day 2 and day 30, respectively. Conclusion: Tracheal secretion was copious and colonized in most of the patients in both the groups in the immediate post tracheostomy period which became scanty and free of colonies by the 3rd month. The organisms had no negative impact on the lower respiratory tract.","publisher":"Medknow","publication_date":{"day":null,"month":null,"year":2019,"errors":{}},"publication_name":"Journal of Laryngology and Voice"},"translated_abstract":"Introduction: Tracheostomy patients develop copious secretions from the stoma along with cough after the procedure. However, the morphology of this secretion and the pattern of the flora over a period of time are not studied. Objective: The main objectives are to study the early after-effects of tracheostomy and to study the flora of the tracheal secretion and its impact on the host. Materials and Methods: This was a cross-sectional study that was undertaken in a tertiary referral public hospital. Sixty patients were categorized into two groups of 30 each, intubated (Group A) and nonintubated (Group B), before tracheostomy. The consistency, quantity, and culture sensitivity of the tracheal secretion and its impact on the lungs were noted on day 2, 30, and 90 after the procedure. Results: The most common after-effect was copious tracheal secretion that was obvious immediately after tracheostomy which, gradually reduced to scanty. The most common organism was Pseudomonas and Klebsiella in intubated and nonintubated patients on day 2 and day 30, respectively. Conclusion: Tracheal secretion was copious and colonized in most of the patients in both the groups in the immediate post tracheostomy period which became scanty and free of colonies by the 3rd month. The organisms had no negative impact on the lower respiratory tract.","internal_url":"https://www.academia.edu/80372176/A_prospective_clinical_study_of_the_flora_and_early_secondary_effects_after_tracheostomy","translated_internal_url":"","created_at":"2022-05-31T07:24:31.946-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"A_prospective_clinical_study_of_the_flora_and_early_secondary_effects_after_tracheostomy","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"Introduction: Tracheostomy patients develop copious secretions from the stoma along with cough after the procedure. However, the morphology of this secretion and the pattern of the flora over a period of time are not studied. Objective: The main objectives are to study the early after-effects of tracheostomy and to study the flora of the tracheal secretion and its impact on the host. Materials and Methods: This was a cross-sectional study that was undertaken in a tertiary referral public hospital. Sixty patients were categorized into two groups of 30 each, intubated (Group A) and nonintubated (Group B), before tracheostomy. The consistency, quantity, and culture sensitivity of the tracheal secretion and its impact on the lungs were noted on day 2, 30, and 90 after the procedure. Results: The most common after-effect was copious tracheal secretion that was obvious immediately after tracheostomy which, gradually reduced to scanty. The most common organism was Pseudomonas and Klebsiella in intubated and nonintubated patients on day 2 and day 30, respectively. Conclusion: Tracheal secretion was copious and colonized in most of the patients in both the groups in the immediate post tracheostomy period which became scanty and free of colonies by the 3rd month. The organisms had no negative impact on the lower respiratory tract.","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[],"research_interests":[{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-80372176-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="80372175"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/80372175/Unusual_presentation_of_chronic_myeloid_leukemia_in_chronic_phase_as_multiple_soft_tissue_chloromas"><img alt="Research paper thumbnail of Unusual presentation of chronic myeloid leukemia in chronic phase as multiple soft tissue chloromas" class="work-thumbnail" src="https://attachments.academia-assets.com/86775893/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/80372175/Unusual_presentation_of_chronic_myeloid_leukemia_in_chronic_phase_as_multiple_soft_tissue_chloromas">Unusual presentation of chronic myeloid leukemia in chronic phase as multiple soft tissue chloromas</a></div><div class="wp-workCard_item"><span>Journal of Cytology</span><span>, 2020</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Regional anesthesia has become the primary anesthetic technique in management of trauma cases and...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Regional anesthesia has become the primary anesthetic technique in management of trauma cases and is reported to have several advantages over general anesthesia. However, it is contraindicated in the presence of conditions associated with coagulopathy e.g. disseminated intravascular coagulation (DIC). While sepsis and trauma are more common causes of DIC, physicians must also be aware of rare causes like haematological malignancy.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="7e660ba25e6abd51b786fc56339bda22" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:86775893,&quot;asset_id&quot;:80372175,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/86775893/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80372175"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80372175"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80372175; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80372175]").text(description); $(".js-view-count[data-work-id=80372175]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80372175; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80372175']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "7e660ba25e6abd51b786fc56339bda22" } } $('.js-work-strip[data-work-id=80372175]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80372175,"title":"Unusual presentation of chronic myeloid leukemia in chronic phase as multiple soft tissue chloromas","translated_title":"","metadata":{"publisher":"Medknow","grobid_abstract":"Regional anesthesia has become the primary anesthetic technique in management of trauma cases and is reported to have several advantages over general anesthesia. However, it is contraindicated in the presence of conditions associated with coagulopathy e.g. disseminated intravascular coagulation (DIC). While sepsis and trauma are more common causes of DIC, physicians must also be aware of rare causes like haematological malignancy.","publication_date":{"day":null,"month":null,"year":2020,"errors":{}},"publication_name":"Journal of Cytology","grobid_abstract_attachment_id":86775893},"translated_abstract":null,"internal_url":"https://www.academia.edu/80372175/Unusual_presentation_of_chronic_myeloid_leukemia_in_chronic_phase_as_multiple_soft_tissue_chloromas","translated_internal_url":"","created_at":"2022-05-31T07:24:31.834-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":86775893,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/86775893/thumbnails/1.jpg","file_name":"16Pages289-290.pdf","download_url":"https://www.academia.edu/attachments/86775893/download_file","bulk_download_file_name":"Unusual_presentation_of_chronic_myeloid.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/86775893/16Pages289-290-libre.pdf?1654008312=\u0026response-content-disposition=attachment%3B+filename%3DUnusual_presentation_of_chronic_myeloid.pdf\u0026Expires=1743215040\u0026Signature=XPRrdYHBaPYZXMe8Vd9-~Nod1bhsvK~CqO98P07ioLKER1-MQZPWfkgKQSPTp5QTQE-9rJ~OvkHdOlWorJJFa823KA8aOnjIQh~1OkhitEz5EgdcPRlE0mX8SXrAdmdJ5nZZPLY5u3yCr0yUQzKjmkzv6G9OUp-RxIK6lkmZXZQ8K2~8MBl4ffN8n5P5ZpWS6QPB7XnFQey4xxzMg1LpFFf08iA7JbDyLi2779aKO~4gHGVv~OZbQKIf2Oz-fZ75vJfkjjhYjl93HbPaXcao-5b7CPXYp5VjK0NQnCHpOJd5gWQ1l9co-OArXwodMP9Bj6IZrMxjbb4Eabb6KeqWJw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Unusual_presentation_of_chronic_myeloid_leukemia_in_chronic_phase_as_multiple_soft_tissue_chloromas","translated_slug":"","page_count":2,"language":"en","content_type":"Work","summary":"Regional anesthesia has become the primary anesthetic technique in management of trauma cases and is reported to have several advantages over general anesthesia. However, it is contraindicated in the presence of conditions associated with coagulopathy e.g. disseminated intravascular coagulation (DIC). 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The study group comprised 187 ears, out of which 62 had complications while 125 did not. The two groups were compared with respect to nine prognostic variables: age distribution, sex, patient&amp;#39;s domicile, literacy status, duration of ear discharge at presentation, ear pathology, predisposing disease focus in the nose or throat, ear swab microbiology, and hearing loss.Results:Patients in the complicated chronic suppurative otitis media group had a higher male predominance and were younger. Rural and illiterate patients had a higher risk of developing complications. Cholesteatoma and granulation tissue were potential risk factors in t...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="aa4e9b48b2169f4207afe7a21ca9c8a9" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:86775942,&quot;asset_id&quot;:80372173,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/86775942/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80372173"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80372173"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80372173; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80372173]").text(description); $(".js-view-count[data-work-id=80372173]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80372173; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80372173']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "aa4e9b48b2169f4207afe7a21ca9c8a9" } } $('.js-work-strip[data-work-id=80372173]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80372173,"title":"Clinico-epidemiological study of complicated and uncomplicated chronic suppurative otitis media","translated_title":"","metadata":{"abstract":"Introduction:This study aimed to compare the clinical and epidemiological profiles of cases of complicated and uncomplicated chronic suppurative otitis media, based on their prognostic factors.Materials and methods:This was a prospective, cross-sectional study conducted in a tertiary care medical college hospital over a period of two and a half years. The study group comprised 187 ears, out of which 62 had complications while 125 did not. The two groups were compared with respect to nine prognostic variables: age distribution, sex, patient\u0026#39;s domicile, literacy status, duration of ear discharge at presentation, ear pathology, predisposing disease focus in the nose or throat, ear swab microbiology, and hearing loss.Results:Patients in the complicated chronic suppurative otitis media group had a higher male predominance and were younger. Rural and illiterate patients had a higher risk of developing complications. Cholesteatoma and granulation tissue were potential risk factors in t...","publisher":"Cambridge University Press (CUP)","ai_title_tag":"Comparative Study of Ear Infection Complications","publication_date":{"day":null,"month":null,"year":2007,"errors":{}},"publication_name":"The Journal of Laryngology \u0026 Otology"},"translated_abstract":"Introduction:This study aimed to compare the clinical and epidemiological profiles of cases of complicated and uncomplicated chronic suppurative otitis media, based on their prognostic factors.Materials and methods:This was a prospective, cross-sectional study conducted in a tertiary care medical college hospital over a period of two and a half years. The study group comprised 187 ears, out of which 62 had complications while 125 did not. The two groups were compared with respect to nine prognostic variables: age distribution, sex, patient\u0026#39;s domicile, literacy status, duration of ear discharge at presentation, ear pathology, predisposing disease focus in the nose or throat, ear swab microbiology, and hearing loss.Results:Patients in the complicated chronic suppurative otitis media group had a higher male predominance and were younger. Rural and illiterate patients had a higher risk of developing complications. Cholesteatoma and granulation tissue were potential risk factors in t...","internal_url":"https://www.academia.edu/80372173/Clinico_epidemiological_study_of_complicated_and_uncomplicated_chronic_suppurative_otitis_media","translated_internal_url":"","created_at":"2022-05-31T07:24:31.633-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":86775942,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/86775942/thumbnails/1.jpg","file_name":"S002221510700027820220531-1-18szbp9.pdf","download_url":"https://www.academia.edu/attachments/86775942/download_file","bulk_download_file_name":"Clinico_epidemiological_study_of_complic.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/86775942/S002221510700027820220531-1-18szbp9-libre.pdf?1654008310=\u0026response-content-disposition=attachment%3B+filename%3DClinico_epidemiological_study_of_complic.pdf\u0026Expires=1743215040\u0026Signature=diZ-bOVkkrw0qA8hGnr3PlG85Ew5vwrsI0DCjJ4RaNX1a2A-g8YQ9naL3KAqMJIqBG66p3MfapUorYjSTNkFBc0ORLPdjXTmD6X-B97Kjp8AqIPRRbvA-zeS2zbWvwzjbuQNzFc5zqqiWH6933LwLIWjereiojATN74pFBGM~gJNp3TaKpn3UZwdDLUYfoVZ~EIzQJQOwoSusfm~VpnGa5ezCzhV0WgeCkRt9Dg8Ctx3vk2YvL9FtyUz6TYm2VHjH-DpOCwaXS5NJNcXePzTVb0k2rhA8lRAbRFDkWF2xEuKNqbfxnT2tzbfGAUfzeiy46FmldgvQMi6l59rj3FS9w__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Clinico_epidemiological_study_of_complicated_and_uncomplicated_chronic_suppurative_otitis_media","translated_slug":"","page_count":5,"language":"en","content_type":"Work","summary":"Introduction:This study aimed to compare the clinical and epidemiological profiles of cases of complicated and uncomplicated chronic suppurative otitis media, based on their prognostic factors.Materials and methods:This was a prospective, cross-sectional study conducted in a tertiary care medical college hospital over a period of two and a half years. The study group comprised 187 ears, out of which 62 had complications while 125 did not. The two groups were compared with respect to nine prognostic variables: age distribution, sex, patient\u0026#39;s domicile, literacy status, duration of ear discharge at presentation, ear pathology, predisposing disease focus in the nose or throat, ear swab microbiology, and hearing loss.Results:Patients in the complicated chronic suppurative otitis media group had a higher male predominance and were younger. Rural and illiterate patients had a higher risk of developing complications. Cholesteatoma and granulation tissue were potential risk factors in t...","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":86775942,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/86775942/thumbnails/1.jpg","file_name":"S002221510700027820220531-1-18szbp9.pdf","download_url":"https://www.academia.edu/attachments/86775942/download_file","bulk_download_file_name":"Clinico_epidemiological_study_of_complic.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/86775942/S002221510700027820220531-1-18szbp9-libre.pdf?1654008310=\u0026response-content-disposition=attachment%3B+filename%3DClinico_epidemiological_study_of_complic.pdf\u0026Expires=1743215040\u0026Signature=diZ-bOVkkrw0qA8hGnr3PlG85Ew5vwrsI0DCjJ4RaNX1a2A-g8YQ9naL3KAqMJIqBG66p3MfapUorYjSTNkFBc0ORLPdjXTmD6X-B97Kjp8AqIPRRbvA-zeS2zbWvwzjbuQNzFc5zqqiWH6933LwLIWjereiojATN74pFBGM~gJNp3TaKpn3UZwdDLUYfoVZ~EIzQJQOwoSusfm~VpnGa5ezCzhV0WgeCkRt9Dg8Ctx3vk2YvL9FtyUz6TYm2VHjH-DpOCwaXS5NJNcXePzTVb0k2rhA8lRAbRFDkWF2xEuKNqbfxnT2tzbfGAUfzeiy46FmldgvQMi6l59rj3FS9w__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":1085,"name":"Epidemiology","url":"https://www.academia.edu/Documents/in/Epidemiology"},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent"},{"id":22772,"name":"Urban Health","url":"https://www.academia.edu/Documents/in/Urban_Health"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":56691,"name":"Rural Health","url":"https://www.academia.edu/Documents/in/Rural_Health"},{"id":63890,"name":"Complication","url":"https://www.academia.edu/Documents/in/Complication"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child"},{"id":143165,"name":"ENT","url":"https://www.academia.edu/Documents/in/ENT"},{"id":161176,"name":"The","url":"https://www.academia.edu/Documents/in/The"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":1036777,"name":"Epidemiologic Studies","url":"https://www.academia.edu/Documents/in/Epidemiologic_Studies"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-80372173-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="80372104"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/80372104/Clinicopathological_review_of_tubercular_laryngitis_in_32_cases_of_pulmonary_Kochs"><img alt="Research paper thumbnail of Clinicopathological review of tubercular laryngitis in 32 cases of pulmonary Kochs" class="work-thumbnail" src="https://attachments.academia-assets.com/86775848/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/80372104/Clinicopathological_review_of_tubercular_laryngitis_in_32_cases_of_pulmonary_Kochs">Clinicopathological review of tubercular laryngitis in 32 cases of pulmonary Kochs</a></div><div class="wp-workCard_item"><span>American Journal of Otolaryngology</span><span>, 2009</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The aim is to study the current clinical features of tubercular laryngitis in adult patients with...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The aim is to study the current clinical features of tubercular laryngitis in adult patients with pulmonary involvement in the absence of other nontubercular comorbidities. Materials and methods: Medical records of histopathology confirmed cases with pulmonary Kochs in a tertiary medical center of a developing country from 1993 to 2007. Results: Thirty-two biopsy-proven cases of laryngeal tuberculosis with pulmonary involvement were found. Patients&#39; ages ranged from 16 to 65 years. The male-to-female ratio was 4.3:1. Hoarseness of voice was the commonest symptom. Most of them were associated with advanced fibrocavitary tuberculosis of the lungs. In the larynx, multiple, granulomatous, bilateral lesions were the commonest. Most of these lesions could be reversed with appropriate antituberculous treatment. Conclusion: Laryngeal tuberculosis with classic presentation continues to exist in developing countries. It can be the very first indication that the patient has tuberculosis. Hence, the otolaryngologist needs to remain vigilant to consider it in the differential diagnosis of chronic laryngeal disease.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="9a37eec724d9c6743bc942c33eedde71" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:86775848,&quot;asset_id&quot;:80372104,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/86775848/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80372104"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80372104"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80372104; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80372104]").text(description); $(".js-view-count[data-work-id=80372104]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80372104; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80372104']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "9a37eec724d9c6743bc942c33eedde71" } } $('.js-work-strip[data-work-id=80372104]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80372104,"title":"Clinicopathological review of tubercular laryngitis in 32 cases of pulmonary Kochs","translated_title":"","metadata":{"publisher":"Elsevier BV","ai_title_tag":"Laryngeal Tuberculosis in Pulmonary Kochs Cases","grobid_abstract":"The aim is to study the current clinical features of tubercular laryngitis in adult patients with pulmonary involvement in the absence of other nontubercular comorbidities. Materials and methods: Medical records of histopathology confirmed cases with pulmonary Kochs in a tertiary medical center of a developing country from 1993 to 2007. Results: Thirty-two biopsy-proven cases of laryngeal tuberculosis with pulmonary involvement were found. Patients' ages ranged from 16 to 65 years. The male-to-female ratio was 4.3:1. Hoarseness of voice was the commonest symptom. Most of them were associated with advanced fibrocavitary tuberculosis of the lungs. In the larynx, multiple, granulomatous, bilateral lesions were the commonest. Most of these lesions could be reversed with appropriate antituberculous treatment. Conclusion: Laryngeal tuberculosis with classic presentation continues to exist in developing countries. It can be the very first indication that the patient has tuberculosis. Hence, the otolaryngologist needs to remain vigilant to consider it in the differential diagnosis of chronic laryngeal disease.","publication_date":{"day":null,"month":null,"year":2009,"errors":{}},"publication_name":"American Journal of Otolaryngology","grobid_abstract_attachment_id":86775848},"translated_abstract":null,"internal_url":"https://www.academia.edu/80372104/Clinicopathological_review_of_tubercular_laryngitis_in_32_cases_of_pulmonary_Kochs","translated_internal_url":"","created_at":"2022-05-31T07:23:18.212-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":86775848,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/86775848/thumbnails/1.jpg","file_name":"j.amjoto.2008.07.00520220531-1-1ymvdua.pdf","download_url":"https://www.academia.edu/attachments/86775848/download_file","bulk_download_file_name":"Clinicopathological_review_of_tubercular.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/86775848/j.amjoto.2008.07.00520220531-1-1ymvdua-libre.pdf?1654008317=\u0026response-content-disposition=attachment%3B+filename%3DClinicopathological_review_of_tubercular.pdf\u0026Expires=1743215040\u0026Signature=S7gFociP22ze6ZRTuQG-k~lcFvZiH2u9AHKsJw~1r9tlMdCfxEMVQ2V~J2W80IoRgPBlsx~mGlEcK8bMlwi4IMPtCl7zajV~O~~kB5awNixVW-Mtgn3YZAHG9fmlW2PNJZ2oTw5FgdJ7SXocETKxJIeyyo~6rDYdvHUpCjLodiMPvE89pJQ72TZnfq4ZEt9hDgbkc5c55wyycj50VH1k3uwJ1Dw6RzO51rdlC-cLa1oBwqPqIrqiI2t~YX2ynYgnuJoQRxx3Me190NLukVacRkCuC7ECc2vyB~WcH9qDGXHN~0yVcS0XvZHWyEbuQsAg6JMusf2nP3-wNMU~udA~8A__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Clinicopathological_review_of_tubercular_laryngitis_in_32_cases_of_pulmonary_Kochs","translated_slug":"","page_count":4,"language":"en","content_type":"Work","summary":"The aim is to study the current clinical features of tubercular laryngitis in adult patients with pulmonary involvement in the absence of other nontubercular comorbidities. Materials and methods: Medical records of histopathology confirmed cases with pulmonary Kochs in a tertiary medical center of a developing country from 1993 to 2007. Results: Thirty-two biopsy-proven cases of laryngeal tuberculosis with pulmonary involvement were found. Patients' ages ranged from 16 to 65 years. The male-to-female ratio was 4.3:1. Hoarseness of voice was the commonest symptom. Most of them were associated with advanced fibrocavitary tuberculosis of the lungs. In the larynx, multiple, granulomatous, bilateral lesions were the commonest. Most of these lesions could be reversed with appropriate antituberculous treatment. Conclusion: Laryngeal tuberculosis with classic presentation continues to exist in developing countries. It can be the very first indication that the patient has tuberculosis. Hence, the otolaryngologist needs to remain vigilant to consider it in the differential diagnosis of chronic laryngeal disease.","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":86775848,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/86775848/thumbnails/1.jpg","file_name":"j.amjoto.2008.07.00520220531-1-1ymvdua.pdf","download_url":"https://www.academia.edu/attachments/86775848/download_file","bulk_download_file_name":"Clinicopathological_review_of_tubercular.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/86775848/j.amjoto.2008.07.00520220531-1-1ymvdua-libre.pdf?1654008317=\u0026response-content-disposition=attachment%3B+filename%3DClinicopathological_review_of_tubercular.pdf\u0026Expires=1743215040\u0026Signature=S7gFociP22ze6ZRTuQG-k~lcFvZiH2u9AHKsJw~1r9tlMdCfxEMVQ2V~J2W80IoRgPBlsx~mGlEcK8bMlwi4IMPtCl7zajV~O~~kB5awNixVW-Mtgn3YZAHG9fmlW2PNJZ2oTw5FgdJ7SXocETKxJIeyyo~6rDYdvHUpCjLodiMPvE89pJQ72TZnfq4ZEt9hDgbkc5c55wyycj50VH1k3uwJ1Dw6RzO51rdlC-cLa1oBwqPqIrqiI2t~YX2ynYgnuJoQRxx3Me190NLukVacRkCuC7ECc2vyB~WcH9qDGXHN~0yVcS0XvZHWyEbuQsAg6JMusf2nP3-wNMU~udA~8A__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":9815,"name":"Developing Countries","url":"https://www.academia.edu/Documents/in/Developing_Countries"},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent"},{"id":37826,"name":"Biopsy","url":"https://www.academia.edu/Documents/in/Biopsy"},{"id":133057,"name":"Young Adult","url":"https://www.academia.edu/Documents/in/Young_Adult"},{"id":151448,"name":"American","url":"https://www.academia.edu/Documents/in/American"},{"id":162159,"name":"Differential Diagnosis","url":"https://www.academia.edu/Documents/in/Differential_Diagnosis"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":413192,"name":"Sex Factors","url":"https://www.academia.edu/Documents/in/Sex_Factors"},{"id":469105,"name":"Retrospective Studies","url":"https://www.academia.edu/Documents/in/Retrospective_Studies"},{"id":546419,"name":"Age Factors","url":"https://www.academia.edu/Documents/in/Age_Factors"},{"id":897823,"name":"Elsevier","url":"https://www.academia.edu/Documents/in/Elsevier"},{"id":911627,"name":"Pulmonary Tuberculosis","url":"https://www.academia.edu/Documents/in/Pulmonary_Tuberculosis"},{"id":3270781,"name":"Hoarseness","url":"https://www.academia.edu/Documents/in/Hoarseness"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-80372104-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935562"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/53935562/Effect_of_Epidermal_Growth_Factor_with_Silastic_Scaffold_on_Tympanic_Membrane_Perforations_of_Chronic_Otitis_Media"><img alt="Research paper thumbnail of Effect of Epidermal Growth Factor with Silastic Scaffold on Tympanic Membrane Perforations of Chronic Otitis Media" class="work-thumbnail" src="https://attachments.academia-assets.com/70541516/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/53935562/Effect_of_Epidermal_Growth_Factor_with_Silastic_Scaffold_on_Tympanic_Membrane_Perforations_of_Chronic_Otitis_Media">Effect of Epidermal Growth Factor with Silastic Scaffold on Tympanic Membrane Perforations of Chronic Otitis Media</a></div><div class="wp-workCard_item"><span>Annals of Otology and Neurotology</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Aims The burden of chronic otitis media continues to be high, especially in developing countries....</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Aims The burden of chronic otitis media continues to be high, especially in developing countries. The demand for corrective procedure of surgical myringoplasty, which is considered the gold standard for tympanic membrane perforations, is also growing. Hence, there is a need to innovate simpler alternative office procedures that could save effort, time, waiting period, and expenditure. Materials and Methods This prospective study of 84 patients with mucosal chronic otitis media was undertaken in a tertiary referral hospital. All patients underwent eustachian tube function test, diagnostic nasal endoscopy, and pure tone audiometry. The size of the perforation was assessed endoscopically. All perforations were freshened first with silver nitrate solution. Silastic pieces were placed medial and lateral to the perforation with epidermal growth factor gel in between. Patients were followed up for 3 months. Results The perforations were classified into three groups (healed, partially heale...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="4860113a6259a75c57908a6c6cb9cf5e" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:70541516,&quot;asset_id&quot;:53935562,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/70541516/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935562"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935562"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935562; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935562]").text(description); $(".js-view-count[data-work-id=53935562]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935562; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935562']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "4860113a6259a75c57908a6c6cb9cf5e" } } $('.js-work-strip[data-work-id=53935562]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935562,"title":"Effect of Epidermal Growth Factor with Silastic Scaffold on Tympanic Membrane Perforations of Chronic Otitis Media","translated_title":"","metadata":{"abstract":"Aims The burden of chronic otitis media continues to be high, especially in developing countries. The demand for corrective procedure of surgical myringoplasty, which is considered the gold standard for tympanic membrane perforations, is also growing. Hence, there is a need to innovate simpler alternative office procedures that could save effort, time, waiting period, and expenditure. Materials and Methods This prospective study of 84 patients with mucosal chronic otitis media was undertaken in a tertiary referral hospital. All patients underwent eustachian tube function test, diagnostic nasal endoscopy, and pure tone audiometry. The size of the perforation was assessed endoscopically. All perforations were freshened first with silver nitrate solution. Silastic pieces were placed medial and lateral to the perforation with epidermal growth factor gel in between. Patients were followed up for 3 months. Results The perforations were classified into three groups (healed, partially heale...","publisher":"Georg Thieme Verlag KG","publication_name":"Annals of Otology and Neurotology"},"translated_abstract":"Aims The burden of chronic otitis media continues to be high, especially in developing countries. The demand for corrective procedure of surgical myringoplasty, which is considered the gold standard for tympanic membrane perforations, is also growing. Hence, there is a need to innovate simpler alternative office procedures that could save effort, time, waiting period, and expenditure. Materials and Methods This prospective study of 84 patients with mucosal chronic otitis media was undertaken in a tertiary referral hospital. All patients underwent eustachian tube function test, diagnostic nasal endoscopy, and pure tone audiometry. The size of the perforation was assessed endoscopically. All perforations were freshened first with silver nitrate solution. Silastic pieces were placed medial and lateral to the perforation with epidermal growth factor gel in between. Patients were followed up for 3 months. Results The perforations were classified into three groups (healed, partially heale...","internal_url":"https://www.academia.edu/53935562/Effect_of_Epidermal_Growth_Factor_with_Silastic_Scaffold_on_Tympanic_Membrane_Perforations_of_Chronic_Otitis_Media","translated_internal_url":"","created_at":"2021-09-29T05:17:44.783-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":70541516,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541516/thumbnails/1.jpg","file_name":"s-0041-1735386.pdf","download_url":"https://www.academia.edu/attachments/70541516/download_file","bulk_download_file_name":"Effect_of_Epidermal_Growth_Factor_with_S.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541516/s-0041-1735386-libre.pdf?1632930518=\u0026response-content-disposition=attachment%3B+filename%3DEffect_of_Epidermal_Growth_Factor_with_S.pdf\u0026Expires=1743215040\u0026Signature=Om-~p7gPqhW-jVOTZ-LSxMAvTEnN1OALniFY5yTorcvjduY9aLAJp5nK0w2Tw62cDgPGtzDq3lKkIULavbVO4FBGJFYLX8ku5bHA5RM1YsG-DfM7Qxo5b-4-4m2ZXKZZTl54Td8ssF6XsAsVm29sHS-6xu3XtegRsPiqwZXfldYwfCkRRzUzEHzri1mXqd6C~40lhmBxN7boD0GRhFz2VZovKks6HX5aIUaNxu4aMfnyOFVhBTedibxKK3Btn1dVDNwL6a~2oBpsyeZ1KzLv8AwTx0ug7W0v9CYw0n420F-59ed8BtOSaz9COC5j-qDf5glsOi9-eCeY5-UmYiT1Ng__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Effect_of_Epidermal_Growth_Factor_with_Silastic_Scaffold_on_Tympanic_Membrane_Perforations_of_Chronic_Otitis_Media","translated_slug":"","page_count":6,"language":"en","content_type":"Work","summary":"Aims The burden of chronic otitis media continues to be high, especially in developing countries. The demand for corrective procedure of surgical myringoplasty, which is considered the gold standard for tympanic membrane perforations, is also growing. Hence, there is a need to innovate simpler alternative office procedures that could save effort, time, waiting period, and expenditure. Materials and Methods This prospective study of 84 patients with mucosal chronic otitis media was undertaken in a tertiary referral hospital. All patients underwent eustachian tube function test, diagnostic nasal endoscopy, and pure tone audiometry. The size of the perforation was assessed endoscopically. All perforations were freshened first with silver nitrate solution. Silastic pieces were placed medial and lateral to the perforation with epidermal growth factor gel in between. Patients were followed up for 3 months. Results The perforations were classified into three groups (healed, partially heale...","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":70541516,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541516/thumbnails/1.jpg","file_name":"s-0041-1735386.pdf","download_url":"https://www.academia.edu/attachments/70541516/download_file","bulk_download_file_name":"Effect_of_Epidermal_Growth_Factor_with_S.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541516/s-0041-1735386-libre.pdf?1632930518=\u0026response-content-disposition=attachment%3B+filename%3DEffect_of_Epidermal_Growth_Factor_with_S.pdf\u0026Expires=1743215040\u0026Signature=Om-~p7gPqhW-jVOTZ-LSxMAvTEnN1OALniFY5yTorcvjduY9aLAJp5nK0w2Tw62cDgPGtzDq3lKkIULavbVO4FBGJFYLX8ku5bHA5RM1YsG-DfM7Qxo5b-4-4m2ZXKZZTl54Td8ssF6XsAsVm29sHS-6xu3XtegRsPiqwZXfldYwfCkRRzUzEHzri1mXqd6C~40lhmBxN7boD0GRhFz2VZovKks6HX5aIUaNxu4aMfnyOFVhBTedibxKK3Btn1dVDNwL6a~2oBpsyeZ1KzLv8AwTx0ug7W0v9CYw0n420F-59ed8BtOSaz9COC5j-qDf5glsOi9-eCeY5-UmYiT1Ng__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[],"urls":[{"id":11687904,"url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0041-1735386.pdf"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935562-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935561"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/53935561/Persistent_adenoids_and_their_secondary_effects"><img alt="Research paper thumbnail of Persistent adenoids and their secondary effects" class="work-thumbnail" src="https://attachments.academia-assets.com/70541514/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/53935561/Persistent_adenoids_and_their_secondary_effects">Persistent adenoids and their secondary effects</a></div><div class="wp-workCard_item"><span>International Journal of Otorhinolaryngology and Head and Neck Surgery</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background: Regression of adenoids is assumed to be a physiological phenomenon at puberty. Howeve...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background: Regression of adenoids is assumed to be a physiological phenomenon at puberty. However, it has been found that it can persist well beyond adolescence into early adulthood, cascading a series of after effects in the upper respiratory tract that can cause considerable morbidity leading to public health problems. This study aimed to explore the clinicopathological features of persistent adenoids and their secondary effects on the upper respiratory tract.Methods: This was a prospective controlled study of 100 eligible patients in the age group of 15-60 years presenting with enlarged adenoids confirmed by nasal endoscopy. Equal number of controls without enlarged adenoids was also taken. Both the groups were evaluated for secondary effects like chronic rhinosinusitis, otitis media with effusion, chronic otitis media and Eustachian tube dysfunction. The relationship between adenoid enlargement in adults and secondary effects was analysed statistically.  Results: Seventy-seven ...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="48fb9ce966d2b31be9be19f9ca4bbcfb" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:70541514,&quot;asset_id&quot;:53935561,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/70541514/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935561"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935561"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935561; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935561]").text(description); $(".js-view-count[data-work-id=53935561]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935561; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935561']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "48fb9ce966d2b31be9be19f9ca4bbcfb" } } $('.js-work-strip[data-work-id=53935561]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935561,"title":"Persistent adenoids and their secondary effects","translated_title":"","metadata":{"abstract":"Background: Regression of adenoids is assumed to be a physiological phenomenon at puberty. However, it has been found that it can persist well beyond adolescence into early adulthood, cascading a series of after effects in the upper respiratory tract that can cause considerable morbidity leading to public health problems. This study aimed to explore the clinicopathological features of persistent adenoids and their secondary effects on the upper respiratory tract.Methods: This was a prospective controlled study of 100 eligible patients in the age group of 15-60 years presenting with enlarged adenoids confirmed by nasal endoscopy. Equal number of controls without enlarged adenoids was also taken. Both the groups were evaluated for secondary effects like chronic rhinosinusitis, otitis media with effusion, chronic otitis media and Eustachian tube dysfunction. The relationship between adenoid enlargement in adults and secondary effects was analysed statistically.  Results: Seventy-seven ...","publisher":"Medip Academy","publication_name":"International Journal of Otorhinolaryngology and Head and Neck Surgery"},"translated_abstract":"Background: Regression of adenoids is assumed to be a physiological phenomenon at puberty. However, it has been found that it can persist well beyond adolescence into early adulthood, cascading a series of after effects in the upper respiratory tract that can cause considerable morbidity leading to public health problems. This study aimed to explore the clinicopathological features of persistent adenoids and their secondary effects on the upper respiratory tract.Methods: This was a prospective controlled study of 100 eligible patients in the age group of 15-60 years presenting with enlarged adenoids confirmed by nasal endoscopy. Equal number of controls without enlarged adenoids was also taken. Both the groups were evaluated for secondary effects like chronic rhinosinusitis, otitis media with effusion, chronic otitis media and Eustachian tube dysfunction. The relationship between adenoid enlargement in adults and secondary effects was analysed statistically.  Results: Seventy-seven ...","internal_url":"https://www.academia.edu/53935561/Persistent_adenoids_and_their_secondary_effects","translated_internal_url":"","created_at":"2021-09-29T05:17:44.672-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":70541514,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541514/thumbnails/1.jpg","file_name":"1287.pdf","download_url":"https://www.academia.edu/attachments/70541514/download_file","bulk_download_file_name":"Persistent_adenoids_and_their_secondary.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541514/1287-libre.pdf?1632930517=\u0026response-content-disposition=attachment%3B+filename%3DPersistent_adenoids_and_their_secondary.pdf\u0026Expires=1743215040\u0026Signature=Uy9CosHkKYubXAEKQ8~NxeO72mu5ET3Bwp5gCs3ywT40sJzAskyYdXYqs-5e--5OWcpmdw9uQohttzzGsOBvaT3h-kek~TSgM8oKoQfkPCzQAL7NgW41I7-qHmj2v9Od5qL03QrnuDGCGl8XiBGCSSniCcpd0qY8jQ9BNRQKGwNK~9qhcK72VSrqrgCu0LciHEA6OY-jTfB38kEw0I5HxM446WEgHRIWf8NKygrfwCApJb9MnQjUkqkCNL0TzEVhIVM~KkEmBJbs-lbneY965tokE81tyFi1zzMx5xQMVPvBhxVEFliIq~vp0k9CgkOdqr3Pv2E~J8uMWpPeltjf1g__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Persistent_adenoids_and_their_secondary_effects","translated_slug":"","page_count":5,"language":"en","content_type":"Work","summary":"Background: Regression of adenoids is assumed to be a physiological phenomenon at puberty. However, it has been found that it can persist well beyond adolescence into early adulthood, cascading a series of after effects in the upper respiratory tract that can cause considerable morbidity leading to public health problems. This study aimed to explore the clinicopathological features of persistent adenoids and their secondary effects on the upper respiratory tract.Methods: This was a prospective controlled study of 100 eligible patients in the age group of 15-60 years presenting with enlarged adenoids confirmed by nasal endoscopy. Equal number of controls without enlarged adenoids was also taken. Both the groups were evaluated for secondary effects like chronic rhinosinusitis, otitis media with effusion, chronic otitis media and Eustachian tube dysfunction. The relationship between adenoid enlargement in adults and secondary effects was analysed statistically.  Results: Seventy-seven ...","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":70541514,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541514/thumbnails/1.jpg","file_name":"1287.pdf","download_url":"https://www.academia.edu/attachments/70541514/download_file","bulk_download_file_name":"Persistent_adenoids_and_their_secondary.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541514/1287-libre.pdf?1632930517=\u0026response-content-disposition=attachment%3B+filename%3DPersistent_adenoids_and_their_secondary.pdf\u0026Expires=1743215040\u0026Signature=Uy9CosHkKYubXAEKQ8~NxeO72mu5ET3Bwp5gCs3ywT40sJzAskyYdXYqs-5e--5OWcpmdw9uQohttzzGsOBvaT3h-kek~TSgM8oKoQfkPCzQAL7NgW41I7-qHmj2v9Od5qL03QrnuDGCGl8XiBGCSSniCcpd0qY8jQ9BNRQKGwNK~9qhcK72VSrqrgCu0LciHEA6OY-jTfB38kEw0I5HxM446WEgHRIWf8NKygrfwCApJb9MnQjUkqkCNL0TzEVhIVM~KkEmBJbs-lbneY965tokE81tyFi1zzMx5xQMVPvBhxVEFliIq~vp0k9CgkOdqr3Pv2E~J8uMWpPeltjf1g__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[],"urls":[{"id":11687903,"url":"https://www.ijorl.com/index.php/ijorl/article/viewFile/2271/1287"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935561-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935560"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/53935560/Steroid_Nasal_Spray_versus_Curettage_Adenoidectomy_in_School_Children_A_Randomized_Controlled_Trial"><img alt="Research paper thumbnail of Steroid Nasal Spray versus Curettage Adenoidectomy in School Children – A Randomized Controlled Trial" class="work-thumbnail" src="https://attachments.academia-assets.com/70541650/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/53935560/Steroid_Nasal_Spray_versus_Curettage_Adenoidectomy_in_School_Children_A_Randomized_Controlled_Trial">Steroid Nasal Spray versus Curettage Adenoidectomy in School Children – A Randomized Controlled Trial</a></div><div class="wp-workCard_item"><span>Journal of Otolaryngology-ENT Research</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background: Management of chronic adenoiditis is planned according to the degree of airway obstru...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background: Management of chronic adenoiditis is planned according to the degree of airway obstruction, age of the patient and related morbidity. Considering the individual risk analysis of patients in terms of anesthetic, post-operative complications and recurrence, non-surgical treatment could be considered in patients who are unfit for surgery. Methods: Randomized control trial was conducted to compare the effects of topical nasal steroid spray with curettage adenoidectomy in chronic adenoiditis. Post intervention, patients were followed up for 6 months. Results: Out of 103 patients, 51 were subjected to adenoidectomy and 52 to medical treatment. At the end of 6 months, 49 (Negative rank score) patients of surgical group and 48 (Negative rank score) patients of medical group showed statistically significant improvement (p&lt;.001) in symptoms and regression of adenoid size. There was no statistically significant difference between groups with respect to recurrent cold, running nose, epistaxis and ear symptoms (p&gt;.05). Conclusion: Topical nasal steroid spray can be used as an alternative treatment in chronic adenoiditis when surgery is contraindicated. It can also be considered when surgery needs to be postponed at the request of the patient.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="88b3b97372adb2558590e07eaa5e6561" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:70541650,&quot;asset_id&quot;:53935560,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/70541650/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935560"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935560"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935560; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935560]").text(description); $(".js-view-count[data-work-id=53935560]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935560; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935560']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "88b3b97372adb2558590e07eaa5e6561" } } $('.js-work-strip[data-work-id=53935560]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935560,"title":"Steroid Nasal Spray versus Curettage Adenoidectomy in School Children – A Randomized Controlled Trial","translated_title":"","metadata":{"publisher":"MedCrave Group, LLC","grobid_abstract":"Background: Management of chronic adenoiditis is planned according to the degree of airway obstruction, age of the patient and related morbidity. Considering the individual risk analysis of patients in terms of anesthetic, post-operative complications and recurrence, non-surgical treatment could be considered in patients who are unfit for surgery. Methods: Randomized control trial was conducted to compare the effects of topical nasal steroid spray with curettage adenoidectomy in chronic adenoiditis. Post intervention, patients were followed up for 6 months. Results: Out of 103 patients, 51 were subjected to adenoidectomy and 52 to medical treatment. At the end of 6 months, 49 (Negative rank score) patients of surgical group and 48 (Negative rank score) patients of medical group showed statistically significant improvement (p\u003c.001) in symptoms and regression of adenoid size. There was no statistically significant difference between groups with respect to recurrent cold, running nose, epistaxis and ear symptoms (p\u003e.05). Conclusion: Topical nasal steroid spray can be used as an alternative treatment in chronic adenoiditis when surgery is contraindicated. 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Considering the individual risk analysis of patients in terms of anesthetic, post-operative complications and recurrence, non-surgical treatment could be considered in patients who are unfit for surgery. Methods: Randomized control trial was conducted to compare the effects of topical nasal steroid spray with curettage adenoidectomy in chronic adenoiditis. Post intervention, patients were followed up for 6 months. Results: Out of 103 patients, 51 were subjected to adenoidectomy and 52 to medical treatment. At the end of 6 months, 49 (Negative rank score) patients of surgical group and 48 (Negative rank score) patients of medical group showed statistically significant improvement (p\u003c.001) in symptoms and regression of adenoid size. There was no statistically significant difference between groups with respect to recurrent cold, running nose, epistaxis and ear symptoms (p\u003e.05). 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It can also be considered when surgery needs to be postponed at the request of the patient.","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":70541650,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541650/thumbnails/1.jpg","file_name":"JOENTR-08-00259.pdf","download_url":"https://www.academia.edu/attachments/70541650/download_file","bulk_download_file_name":"Steroid_Nasal_Spray_versus_Curettage_Ade.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541650/JOENTR-08-00259-libre.pdf?1632930512=\u0026response-content-disposition=attachment%3B+filename%3DSteroid_Nasal_Spray_versus_Curettage_Ade.pdf\u0026Expires=1743215040\u0026Signature=Q1OfuTgwGWGjGuGQUmGfP2FUwF641staeWEZo2-ZwY8H2PNoE29CMW4zEX-yl7BmXjNeLbljttvLY1jrU2FeiZeNnryC1FLduPMwXGR~Hmu2V1eRTbkBfICRF-sNhQboaGNpudVGPyTib2jmwQj41v5cYlQdL-Epdir4wiT~-8JNhySNsQW8-Z3BlGTWmk5A5sATeb2MiGKA3Wxsl0LfysOOU2fsvgBWKapKpUZe7I9DmLsHwTnXf3NC9TPQPEfEisIZ8Y8F3HrHLnOFBxXsf9xWNSsK-U-HbytMA4FfONnGeN5gWHgQsVREeBr6mkTszb67wajVGDv1uMRlDdf3ow__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[],"urls":[{"id":11687902,"url":"http://medcraveonline.com/JOENTR/JOENTR-08-00259.php"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935560-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935558"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/53935558/Effect_of_Silver_Nitrate_and_Epidermal_Growth_Factor_on_Nonhealing_Tympanic_Membrane_Perforations_A_Randomized_Controlled_Study"><img alt="Research paper thumbnail of Effect of Silver Nitrate and Epidermal Growth Factor on Nonhealing Tympanic Membrane Perforations: A Randomized Controlled Study" class="work-thumbnail" src="https://attachments.academia-assets.com/70541512/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/53935558/Effect_of_Silver_Nitrate_and_Epidermal_Growth_Factor_on_Nonhealing_Tympanic_Membrane_Perforations_A_Randomized_Controlled_Study">Effect of Silver Nitrate and Epidermal Growth Factor on Nonhealing Tympanic Membrane Perforations: A Randomized Controlled Study</a></div><div class="wp-workCard_item"><span>Annals of Otology and Neurotology</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Introduction Most tympanic membrane perforations in chronic otitis media require surgical myringo...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Introduction Most tympanic membrane perforations in chronic otitis media require surgical myringoplasty for closure. This study aimed to find out a simple nonsurgical outpatient procedure to close these perforations that could reduce the hospital stay, medical cost, and morbidity in these patients. Materials and Methods The study was conducted in a tertiary referral hospital in a single-blind randomized controlled trial design with two groups, each with a sample size of 40 ears. Only small-size central nonhealing traumatic and chronic otitis media perforations were recruited. Pure tone audiometry and otomicroscopy were performed in all eligible patients who consented to take part in the study. Group 1 was treated with silver nitrate chemical cautery alone. Group 2 received epidermal growth factor gel application in addition to chemical cautery. Both the groups were followed up for a minimum period of 3 months. The same investigations were performed during follow-up. Results and Obse...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="cfe6739d384a35a344cd56853ec8f1d4" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:70541512,&quot;asset_id&quot;:53935558,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/70541512/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935558"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935558"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935558; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935558]").text(description); $(".js-view-count[data-work-id=53935558]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935558; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935558']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "cfe6739d384a35a344cd56853ec8f1d4" } } $('.js-work-strip[data-work-id=53935558]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935558,"title":"Effect of Silver Nitrate and Epidermal Growth Factor on Nonhealing Tympanic Membrane Perforations: A Randomized Controlled Study","translated_title":"","metadata":{"abstract":"Introduction Most tympanic membrane perforations in chronic otitis media require surgical myringoplasty for closure. This study aimed to find out a simple nonsurgical outpatient procedure to close these perforations that could reduce the hospital stay, medical cost, and morbidity in these patients. Materials and Methods The study was conducted in a tertiary referral hospital in a single-blind randomized controlled trial design with two groups, each with a sample size of 40 ears. Only small-size central nonhealing traumatic and chronic otitis media perforations were recruited. Pure tone audiometry and otomicroscopy were performed in all eligible patients who consented to take part in the study. Group 1 was treated with silver nitrate chemical cautery alone. Group 2 received epidermal growth factor gel application in addition to chemical cautery. Both the groups were followed up for a minimum period of 3 months. The same investigations were performed during follow-up. Results and Obse...","publisher":"Georg Thieme Verlag KG","ai_title_tag":"Silver Nitrate and EGF for Nonhealing Tympanic Membrane Perforations","publication_name":"Annals of Otology and Neurotology"},"translated_abstract":"Introduction Most tympanic membrane perforations in chronic otitis media require surgical myringoplasty for closure. This study aimed to find out a simple nonsurgical outpatient procedure to close these perforations that could reduce the hospital stay, medical cost, and morbidity in these patients. Materials and Methods The study was conducted in a tertiary referral hospital in a single-blind randomized controlled trial design with two groups, each with a sample size of 40 ears. Only small-size central nonhealing traumatic and chronic otitis media perforations were recruited. Pure tone audiometry and otomicroscopy were performed in all eligible patients who consented to take part in the study. Group 1 was treated with silver nitrate chemical cautery alone. Group 2 received epidermal growth factor gel application in addition to chemical cautery. Both the groups were followed up for a minimum period of 3 months. The same investigations were performed during follow-up. Results and Obse...","internal_url":"https://www.academia.edu/53935558/Effect_of_Silver_Nitrate_and_Epidermal_Growth_Factor_on_Nonhealing_Tympanic_Membrane_Perforations_A_Randomized_Controlled_Study","translated_internal_url":"","created_at":"2021-09-29T05:17:44.372-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":70541512,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541512/thumbnails/1.jpg","file_name":"s-0037-1612644.pdf","download_url":"https://www.academia.edu/attachments/70541512/download_file","bulk_download_file_name":"Effect_of_Silver_Nitrate_and_Epidermal_G.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541512/s-0037-1612644-libre.pdf?1632930518=\u0026response-content-disposition=attachment%3B+filename%3DEffect_of_Silver_Nitrate_and_Epidermal_G.pdf\u0026Expires=1743215040\u0026Signature=F5vpoGdnklXVhMUzgYKNHCxDPohe5-Zab0QfbB0MUlhq~KK~pyguzoHne3Mz~lAgAVJt5F0bJUoI~AhMMJCCJEXH33x6CoU0jMvH3hJ4W2sDbpmIGdkMU31tFT2pcSUw~mlpuobljqFB-5P-QnXR701-ZGwkazy6veV7nfPiGvAgI08cncrDIkK8aEAhb5varqPdls1qZQCtDldAsWN-yaqfAWUOO-ELYK2b7cLHurMj09juCmGH92I3am-uZzuPOuEBtrM~0LFC4qttRZIg3S7SsJMGapRi9Xp4-LYJolrBK1Jx1yBdtDW3GaI2bKL4GCmMPQPMCVVp4nbNI8Yeag__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Effect_of_Silver_Nitrate_and_Epidermal_Growth_Factor_on_Nonhealing_Tympanic_Membrane_Perforations_A_Randomized_Controlled_Study","translated_slug":"","page_count":5,"language":"en","content_type":"Work","summary":"Introduction Most tympanic membrane perforations in chronic otitis media require surgical myringoplasty for closure. This study aimed to find out a simple nonsurgical outpatient procedure to close these perforations that could reduce the hospital stay, medical cost, and morbidity in these patients. Materials and Methods The study was conducted in a tertiary referral hospital in a single-blind randomized controlled trial design with two groups, each with a sample size of 40 ears. Only small-size central nonhealing traumatic and chronic otitis media perforations were recruited. Pure tone audiometry and otomicroscopy were performed in all eligible patients who consented to take part in the study. Group 1 was treated with silver nitrate chemical cautery alone. Group 2 received epidermal growth factor gel application in addition to chemical cautery. Both the groups were followed up for a minimum period of 3 months. The same investigations were performed during follow-up. Results and Obse...","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":70541512,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541512/thumbnails/1.jpg","file_name":"s-0037-1612644.pdf","download_url":"https://www.academia.edu/attachments/70541512/download_file","bulk_download_file_name":"Effect_of_Silver_Nitrate_and_Epidermal_G.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541512/s-0037-1612644-libre.pdf?1632930518=\u0026response-content-disposition=attachment%3B+filename%3DEffect_of_Silver_Nitrate_and_Epidermal_G.pdf\u0026Expires=1743215040\u0026Signature=F5vpoGdnklXVhMUzgYKNHCxDPohe5-Zab0QfbB0MUlhq~KK~pyguzoHne3Mz~lAgAVJt5F0bJUoI~AhMMJCCJEXH33x6CoU0jMvH3hJ4W2sDbpmIGdkMU31tFT2pcSUw~mlpuobljqFB-5P-QnXR701-ZGwkazy6veV7nfPiGvAgI08cncrDIkK8aEAhb5varqPdls1qZQCtDldAsWN-yaqfAWUOO-ELYK2b7cLHurMj09juCmGH92I3am-uZzuPOuEBtrM~0LFC4qttRZIg3S7SsJMGapRi9Xp4-LYJolrBK1Jx1yBdtDW3GaI2bKL4GCmMPQPMCVVp4nbNI8Yeag__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"},{"id":70541513,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541513/thumbnails/1.jpg","file_name":"s-0037-1612644.pdf","download_url":"https://www.academia.edu/attachments/70541513/download_file","bulk_download_file_name":"Effect_of_Silver_Nitrate_and_Epidermal_G.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541513/s-0037-1612644-libre.pdf?1632930518=\u0026response-content-disposition=attachment%3B+filename%3DEffect_of_Silver_Nitrate_and_Epidermal_G.pdf\u0026Expires=1743215040\u0026Signature=Yj3IamxfQmyDrS4p0bzi6dkgxSP4vGym9ZRZby3~Nm30C9DAoX2lQcPQYhRJhmXxbkmra95s9zvomMn-E5VxwuT54kKxMq7lxL08IDvW59c9N2rUCEEi~ZHWTHyY9E30zQqVcHS92MsrxqZf~jHChnY4ahgnMoA7CITJvTWUoaOT1lV9M7RlyiNSa5O9QqfVc7u02PVX2wGZIzCfpnUc2mu0cCtEFPZdqddxXj2l2CiePX8p0yWeAeZruh-wRedWviE0yOp35Y1D40H5E~Uq6GHrlUAa4oPP6NL14ZOc~8~ItlKckPnILk9iuSdchZul2mV-zizLh6c0IwwxqF7t1g__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[],"urls":[{"id":11687901,"url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0037-1612644.pdf"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935558-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935557"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/53935557/Predisposing_Sinonasal_Disease_Foci_Do_They_Really_Affect_Mucosal_Chronic_Otitis_Media"><img alt="Research paper thumbnail of Predisposing Sinonasal Disease Foci: Do They Really Affect Mucosal Chronic Otitis Media?" class="work-thumbnail" src="https://attachments.academia-assets.com/70541510/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/53935557/Predisposing_Sinonasal_Disease_Foci_Do_They_Really_Affect_Mucosal_Chronic_Otitis_Media">Predisposing Sinonasal Disease Foci: Do They Really Affect Mucosal Chronic Otitis Media?</a></div><div class="wp-workCard_item"><span>Annals of Otology and Neurotology</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background This study aimed to find the relationship between sinonasal predisposing foci in chron...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background This study aimed to find the relationship between sinonasal predisposing foci in chronic otitis media mucosal disease (COMMD) and risk from these predisposing disease foci, and to identify the correlation of bacterial flora of the ear and nose in chronic otitis media. Materials and Methods This was a prospective case–control study with 100 cases and 100 controls. All patients underwent a detailed clinical ear-nose-throat (ENT) examination and diagnostic nasal endoscopy to look for sinonasal and pharyngeal pathology. In all patients, ear and nasal swabs were taken at the first visit. The relationship between these factors and COMMD was studied by appropriate statistical tests. Observations and Results Extremely significant association between tubal tonsil hypertrophy and COMMD, very significant association between adenoid hypertrophy and COMMD, and just significant association between deviated nasal septum, inferior turbinate hypertrophy, concha bullosa, and COMMD were fou...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="6f2de9da8fd9cc0ebea514a4aa0437b8" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:70541510,&quot;asset_id&quot;:53935557,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/70541510/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935557"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935557"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935557; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935557]").text(description); $(".js-view-count[data-work-id=53935557]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935557; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935557']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "6f2de9da8fd9cc0ebea514a4aa0437b8" } } $('.js-work-strip[data-work-id=53935557]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935557,"title":"Predisposing Sinonasal Disease Foci: Do They Really Affect Mucosal Chronic Otitis Media?","translated_title":"","metadata":{"abstract":"Background This study aimed to find the relationship between sinonasal predisposing foci in chronic otitis media mucosal disease (COMMD) and risk from these predisposing disease foci, and to identify the correlation of bacterial flora of the ear and nose in chronic otitis media. 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Observations and Results Extremely significant association between tubal tonsil hypertrophy and COMMD, very significant association between adenoid hypertrophy and COMMD, and just significant association between deviated nasal septum, inferior turbinate hypertrophy, concha bullosa, and COMMD were fou...","publisher":"Georg Thieme Verlag KG","publication_name":"Annals of Otology and Neurotology"},"translated_abstract":"Background This study aimed to find the relationship between sinonasal predisposing foci in chronic otitis media mucosal disease (COMMD) and risk from these predisposing disease foci, and to identify the correlation of bacterial flora of the ear and nose in chronic otitis media. Materials and Methods This was a prospective case–control study with 100 cases and 100 controls. All patients underwent a detailed clinical ear-nose-throat (ENT) examination and diagnostic nasal endoscopy to look for sinonasal and pharyngeal pathology. In all patients, ear and nasal swabs were taken at the first visit. The relationship between these factors and COMMD was studied by appropriate statistical tests. Observations and Results Extremely significant association between tubal tonsil hypertrophy and COMMD, very significant association between adenoid hypertrophy and COMMD, and just significant association between deviated nasal septum, inferior turbinate hypertrophy, concha bullosa, and COMMD were fou...","internal_url":"https://www.academia.edu/53935557/Predisposing_Sinonasal_Disease_Foci_Do_They_Really_Affect_Mucosal_Chronic_Otitis_Media","translated_internal_url":"","created_at":"2021-09-29T05:17:44.273-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":70541510,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541510/thumbnails/1.jpg","file_name":"s-0038-1636944.pdf","download_url":"https://www.academia.edu/attachments/70541510/download_file","bulk_download_file_name":"Predisposing_Sinonasal_Disease_Foci_Do_T.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541510/s-0038-1636944-libre.pdf?1632930518=\u0026response-content-disposition=attachment%3B+filename%3DPredisposing_Sinonasal_Disease_Foci_Do_T.pdf\u0026Expires=1743215040\u0026Signature=ZXCTDPkzqhJ4400kOWDyhClicJJdYwWJsNLwUxQRNsdw5FTggq5cU2ZwWMEysLWk~uQ0O6DMajwcylixPAepILwfljgId8I31hwlzbtccTdyIyGtjTpEVYrQZadD1Y7vgIxfuMy8Z5QHAo1swXvBgk9-V-jsFXnxlBoLM7uxNvak6aB7teVHWFAl7iE-QXPO~6E2r30FEXqsNGzzjmS3pWvbpScrjh12pEcv6LR6SyUa8Ywjp175qfxaJGe439peqtHHwZhhZgRUmLuzQubgXp17Pmy53TEb4o9KSOEabGCSpYv9tjhJMhjYjaeuJrk-oICWyvPVqARG1UXAv~pMMQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Predisposing_Sinonasal_Disease_Foci_Do_They_Really_Affect_Mucosal_Chronic_Otitis_Media","translated_slug":"","page_count":5,"language":"en","content_type":"Work","summary":"Background This study aimed to find the relationship between sinonasal predisposing foci in chronic otitis media mucosal disease (COMMD) and risk from these predisposing disease foci, and to identify the correlation of bacterial flora of the ear and nose in chronic otitis media. Materials and Methods This was a prospective case–control study with 100 cases and 100 controls. All patients underwent a detailed clinical ear-nose-throat (ENT) examination and diagnostic nasal endoscopy to look for sinonasal and pharyngeal pathology. In all patients, ear and nasal swabs were taken at the first visit. The relationship between these factors and COMMD was studied by appropriate statistical tests. Observations and Results Extremely significant association between tubal tonsil hypertrophy and COMMD, very significant association between adenoid hypertrophy and COMMD, and just significant association between deviated nasal septum, inferior turbinate hypertrophy, concha bullosa, and COMMD were fou...","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":70541510,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541510/thumbnails/1.jpg","file_name":"s-0038-1636944.pdf","download_url":"https://www.academia.edu/attachments/70541510/download_file","bulk_download_file_name":"Predisposing_Sinonasal_Disease_Foci_Do_T.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541510/s-0038-1636944-libre.pdf?1632930518=\u0026response-content-disposition=attachment%3B+filename%3DPredisposing_Sinonasal_Disease_Foci_Do_T.pdf\u0026Expires=1743215040\u0026Signature=ZXCTDPkzqhJ4400kOWDyhClicJJdYwWJsNLwUxQRNsdw5FTggq5cU2ZwWMEysLWk~uQ0O6DMajwcylixPAepILwfljgId8I31hwlzbtccTdyIyGtjTpEVYrQZadD1Y7vgIxfuMy8Z5QHAo1swXvBgk9-V-jsFXnxlBoLM7uxNvak6aB7teVHWFAl7iE-QXPO~6E2r30FEXqsNGzzjmS3pWvbpScrjh12pEcv6LR6SyUa8Ywjp175qfxaJGe439peqtHHwZhhZgRUmLuzQubgXp17Pmy53TEb4o9KSOEabGCSpYv9tjhJMhjYjaeuJrk-oICWyvPVqARG1UXAv~pMMQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[],"urls":[{"id":11687900,"url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0038-1636944.pdf"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935557-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935556"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/53935556/Evaluation_of_Eustachian_Tube_Function_in_Mucosal_Chronic_Otitis_Media_A_Cost_Effective_Method_for_Developing_Countries"><img alt="Research paper thumbnail of Evaluation of Eustachian Tube Function in Mucosal Chronic Otitis Media: A Cost-Effective Method for Developing Countries" class="work-thumbnail" src="https://attachments.academia-assets.com/70541515/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/53935556/Evaluation_of_Eustachian_Tube_Function_in_Mucosal_Chronic_Otitis_Media_A_Cost_Effective_Method_for_Developing_Countries">Evaluation of Eustachian Tube Function in Mucosal Chronic Otitis Media: A Cost-Effective Method for Developing Countries</a></div><div class="wp-workCard_item"><span>Annals of Otology and Neurotology</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background In the developing nations, the sinonasal region is routinely screened in chronic otiti...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background In the developing nations, the sinonasal region is routinely screened in chronic otitis media, but Eustachian tube is not as it is not cost-effective. Hence, we innovated an inexpensive device named Eustachian barotubometer. Materials and Methods A prospective case–control study was performed on ­mucosal type of chronic otitis media and traumatic tympanic perforation (100 cases each). Eustachian tube function was assessed by the Eustachian barotubometer (forced and physiological opening) and nasopharyngoscopy. Results Eustachian tube dysfunction was found to be five times higher in cases than controls. Both forced opening function and physiological opening function were ­poorer in cases than controls. However, the difference was statistically significant only in physiological opening function (p = 0.003). Among the cases with dysfunctional tubes, 86.7% were hypofunctional, whereas 13.3% were totally blocked. Conclusion Eustachian tube function was affected in 15% of cases...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="b1123c7744e4a49a4be2a1f92d030fa0" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:70541515,&quot;asset_id&quot;:53935556,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/70541515/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935556"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935556"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935556; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935556]").text(description); $(".js-view-count[data-work-id=53935556]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935556; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935556']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "b1123c7744e4a49a4be2a1f92d030fa0" } } $('.js-work-strip[data-work-id=53935556]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935556,"title":"Evaluation of Eustachian Tube Function in Mucosal Chronic Otitis Media: A Cost-Effective Method for Developing Countries","translated_title":"","metadata":{"abstract":"Background In the developing nations, the sinonasal region is routinely screened in chronic otitis media, but Eustachian tube is not as it is not cost-effective. Hence, we innovated an inexpensive device named Eustachian barotubometer. Materials and Methods A prospective case–control study was performed on ­mucosal type of chronic otitis media and traumatic tympanic perforation (100 cases each). Eustachian tube function was assessed by the Eustachian barotubometer (forced and physiological opening) and nasopharyngoscopy. Results Eustachian tube dysfunction was found to be five times higher in cases than controls. Both forced opening function and physiological opening function were ­poorer in cases than controls. However, the difference was statistically significant only in physiological opening function (p = 0.003). Among the cases with dysfunctional tubes, 86.7% were hypofunctional, whereas 13.3% were totally blocked. Conclusion Eustachian tube function was affected in 15% of cases...","publisher":"Georg Thieme Verlag KG","ai_title_tag":"Cost-Effective Eustachian Tube Evaluation","publication_name":"Annals of Otology and Neurotology"},"translated_abstract":"Background In the developing nations, the sinonasal region is routinely screened in chronic otitis media, but Eustachian tube is not as it is not cost-effective. Hence, we innovated an inexpensive device named Eustachian barotubometer. Materials and Methods A prospective case–control study was performed on ­mucosal type of chronic otitis media and traumatic tympanic perforation (100 cases each). Eustachian tube function was assessed by the Eustachian barotubometer (forced and physiological opening) and nasopharyngoscopy. Results Eustachian tube dysfunction was found to be five times higher in cases than controls. Both forced opening function and physiological opening function were ­poorer in cases than controls. However, the difference was statistically significant only in physiological opening function (p = 0.003). Among the cases with dysfunctional tubes, 86.7% were hypofunctional, whereas 13.3% were totally blocked. Conclusion Eustachian tube function was affected in 15% of cases...","internal_url":"https://www.academia.edu/53935556/Evaluation_of_Eustachian_Tube_Function_in_Mucosal_Chronic_Otitis_Media_A_Cost_Effective_Method_for_Developing_Countries","translated_internal_url":"","created_at":"2021-09-29T05:17:44.128-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":70541515,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541515/thumbnails/1.jpg","file_name":"s-0038-1675662.pdf","download_url":"https://www.academia.edu/attachments/70541515/download_file","bulk_download_file_name":"Evaluation_of_Eustachian_Tube_Function_i.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541515/s-0038-1675662-libre.pdf?1632930518=\u0026response-content-disposition=attachment%3B+filename%3DEvaluation_of_Eustachian_Tube_Function_i.pdf\u0026Expires=1743215040\u0026Signature=C2QoXTLJB38FwlRCyYa2TpE9Npi3JdywtanC9fJiere9qtD-tSW~6lgxz~V5ZF29L~EG5m4O1OURB~ogFi-Im9BkNI0y-VARx8rMiq1MDwMPft56y-V459eKNRkWHsOSN5T1Ap5yP6qmu9nBthaWkCB4QLlhB517ovbOFz-R~GTaNjtnhz3pLAV~FrNHzPO0mhV~gqUNfzZsI-QIDcTOssrMsH-gsHYWRKrPnm-l3PBQLg-z8aFkS1E~KfnlqtOODT7ewN1dXfFMDnh7O979BXoMY4H9ROzvFVgcPNq8U0XDgOjixjyI0J51S5qj~9C3i9-8TJ4pc3TnvqmKwmt0~Q__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Evaluation_of_Eustachian_Tube_Function_in_Mucosal_Chronic_Otitis_Media_A_Cost_Effective_Method_for_Developing_Countries","translated_slug":"","page_count":4,"language":"en","content_type":"Work","summary":"Background In the developing nations, the sinonasal region is routinely screened in chronic otitis media, but Eustachian tube is not as it is not cost-effective. Hence, we innovated an inexpensive device named Eustachian barotubometer. Materials and Methods A prospective case–control study was performed on ­mucosal type of chronic otitis media and traumatic tympanic perforation (100 cases each). Eustachian tube function was assessed by the Eustachian barotubometer (forced and physiological opening) and nasopharyngoscopy. Results Eustachian tube dysfunction was found to be five times higher in cases than controls. Both forced opening function and physiological opening function were ­poorer in cases than controls. However, the difference was statistically significant only in physiological opening function (p = 0.003). Among the cases with dysfunctional tubes, 86.7% were hypofunctional, whereas 13.3% were totally blocked. 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However, they can r...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Pleomorphic adenomas are benign tumors that are uncommon in the nasal cavity. However, they can rarely arise from septum, erode hard palate and thus masquerade a bone tumor. We report one such rare case of septal pleomorphic adenoma with hard palatal extension and ossification. A combined endoscopic intranasal and transpalatal surgical approach was performed and tumor was excised completely. A high index of clinical suspicion and biopsy can diagnose such swellings.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="8e046511b70affec9058681cebc52075" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:70541520,&quot;asset_id&quot;:53935555,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/70541520/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935555"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935555"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935555; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935555]").text(description); $(".js-view-count[data-work-id=53935555]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935555; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935555']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "8e046511b70affec9058681cebc52075" } } $('.js-work-strip[data-work-id=53935555]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935555,"title":"Ossifying pleomorphic adenoma presenting as a nasopalatine mass","translated_title":"","metadata":{"publisher":"Medip Academy","grobid_abstract":"Pleomorphic adenomas are benign tumors that are uncommon in the nasal cavity. However, they can rarely arise from septum, erode hard palate and thus masquerade a bone tumor. We report one such rare case of septal pleomorphic adenoma with hard palatal extension and ossification. A combined endoscopic intranasal and transpalatal surgical approach was performed and tumor was excised completely. 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A cross-sectional study of the tests of Rinne, Weber, and absolute bone conduction was done on 317 adult patients from the otolaryngology outpatient clinic selected at random. All possible patterns in the combination of three tests were explored, and their interpretations worked out. The findings were compared with those of pure-tone audiometry to check their sensitivity, specificity, and validity. Fifty-eight patterns were obtained, which were classified into 10 types (5 tables) according to the type of hearing loss. The type of hearing loss was determined in all cases, and the better ear was identified in many cases. The overall sensitivity was 76.86%, the specificity was 85.48%, and the validity was 78.54%. The tuning fork tests of Rinne, Weber, and absolute bone conduction, when combined and interpreted, can be reliable initial diagnostic tools. They can be used to decide whether referral to a specialist or further audiometric testing is required. The patterns presented here depict the vast number of logical possibilities wherein the authenticity of these tests can be checked and the source of errors identified.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935554"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935554"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935554; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935554]").text(description); $(".js-view-count[data-work-id=53935554]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935554; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935554']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=53935554]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935554,"title":"Combined Tuning Fork Tests in Hearing Loss: Explorative Clinical Study of the Patterns","translated_title":"","metadata":{"abstract":"To combine the tuning fork tests of Rinne, Weber, and absolute bone conduction, explore their clinical patterns, and study their combined specificity, sensitivity, and validity in assessing the hearing status of an individual. A cross-sectional study of the tests of Rinne, Weber, and absolute bone conduction was done on 317 adult patients from the otolaryngology outpatient clinic selected at random. All possible patterns in the combination of three tests were explored, and their interpretations worked out. The findings were compared with those of pure-tone audiometry to check their sensitivity, specificity, and validity. Fifty-eight patterns were obtained, which were classified into 10 types (5 tables) according to the type of hearing loss. The type of hearing loss was determined in all cases, and the better ear was identified in many cases. The overall sensitivity was 76.86%, the specificity was 85.48%, and the validity was 78.54%. The tuning fork tests of Rinne, Weber, and absolute bone conduction, when combined and interpreted, can be reliable initial diagnostic tools. They can be used to decide whether referral to a specialist or further audiometric testing is required. The patterns presented here depict the vast number of logical possibilities wherein the authenticity of these tests can be checked and the source of errors identified.","publication_date":{"day":null,"month":null,"year":2004,"errors":{}},"publication_name":"J Otolaryngol"},"translated_abstract":"To combine the tuning fork tests of Rinne, Weber, and absolute bone conduction, explore their clinical patterns, and study their combined specificity, sensitivity, and validity in assessing the hearing status of an individual. A cross-sectional study of the tests of Rinne, Weber, and absolute bone conduction was done on 317 adult patients from the otolaryngology outpatient clinic selected at random. All possible patterns in the combination of three tests were explored, and their interpretations worked out. The findings were compared with those of pure-tone audiometry to check their sensitivity, specificity, and validity. Fifty-eight patterns were obtained, which were classified into 10 types (5 tables) according to the type of hearing loss. The type of hearing loss was determined in all cases, and the better ear was identified in many cases. The overall sensitivity was 76.86%, the specificity was 85.48%, and the validity was 78.54%. The tuning fork tests of Rinne, Weber, and absolute bone conduction, when combined and interpreted, can be reliable initial diagnostic tools. They can be used to decide whether referral to a specialist or further audiometric testing is required. The patterns presented here depict the vast number of logical possibilities wherein the authenticity of these tests can be checked and the source of errors identified.","internal_url":"https://www.academia.edu/53935554/Combined_Tuning_Fork_Tests_in_Hearing_Loss_Explorative_Clinical_Study_of_the_Patterns","translated_internal_url":"","created_at":"2021-09-29T05:17:43.971-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Combined_Tuning_Fork_Tests_in_Hearing_Loss_Explorative_Clinical_Study_of_the_Patterns","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"To combine the tuning fork tests of Rinne, Weber, and absolute bone conduction, explore their clinical patterns, and study their combined specificity, sensitivity, and validity in assessing the hearing status of an individual. A cross-sectional study of the tests of Rinne, Weber, and absolute bone conduction was done on 317 adult patients from the otolaryngology outpatient clinic selected at random. All possible patterns in the combination of three tests were explored, and their interpretations worked out. The findings were compared with those of pure-tone audiometry to check their sensitivity, specificity, and validity. Fifty-eight patterns were obtained, which were classified into 10 types (5 tables) according to the type of hearing loss. The type of hearing loss was determined in all cases, and the better ear was identified in many cases. The overall sensitivity was 76.86%, the specificity was 85.48%, and the validity was 78.54%. The tuning fork tests of Rinne, Weber, and absolute bone conduction, when combined and interpreted, can be reliable initial diagnostic tools. They can be used to decide whether referral to a specialist or further audiometric testing is required. The patterns presented here depict the vast number of logical possibilities wherein the authenticity of these tests can be checked and the source of errors identified.","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[],"research_interests":[{"id":62112,"name":"Prospective studies","url":"https://www.academia.edu/Documents/in/Prospective_studies"},{"id":991233,"name":"Bone Conduction","url":"https://www.academia.edu/Documents/in/Bone_Conduction"},{"id":1034181,"name":"Cross Sectional Studies","url":"https://www.academia.edu/Documents/in/Cross_Sectional_Studies"},{"id":1318932,"name":"Predictive value of tests","url":"https://www.academia.edu/Documents/in/Predictive_value_of_tests"},{"id":2463800,"name":"Severity of Illness Index","url":"https://www.academia.edu/Documents/in/Severity_of_Illness_Index"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935554-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935553"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/53935553/Bilateral_atticoantral_chronic_suppurative_otitis_media_presenting_as_bilateral_cutaneous_mastoid_fistulas"><img alt="Research paper thumbnail of Bilateral atticoantral chronic suppurative otitis media presenting as bilateral cutaneous mastoid fistulas" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Bilateral atticoantral chronic suppurative otitis media presenting as bilateral cutaneous mastoid fistulas</div><div class="wp-workCard_item"><span>Ear Nose Throat Journal</span><span>, Oct 1, 2009</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is a...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is an unusual complication. Bilateral manifestation along with primary acquired cholesteatoma and atelectasis of the pars tensa as an end-stage complication in the natural course of atticoantral CSOM is rare. This kind of complication has a very morbid effect on the ear, and it poses a therapeutic challenge in terms of eradicating disease and restoring function. In this article, we describe the unusual course of an atticoantral CSOM that (1) began as a primary acquired cholesteatoma simultaneously in both ears, (2) proceeded to automastoidectomy and a severe mixed hearing loss bilaterally, and (3) ended with the development of bilateral cutaneous mastoid fistulas that served to arrest the further progression of the disease process on its own. This case serves as a good demonstration of how a ventilating mastoid fistula can change the natural course of atticoantral CSOM and abort the occurrence of deadly complications.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935553"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935553"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935553; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935553]").text(description); $(".js-view-count[data-work-id=53935553]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935553; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935553']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=53935553]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935553,"title":"Bilateral atticoantral chronic suppurative otitis media presenting as bilateral cutaneous mastoid fistulas","translated_title":"","metadata":{"abstract":"Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is an unusual complication. Bilateral manifestation along with primary acquired cholesteatoma and atelectasis of the pars tensa as an end-stage complication in the natural course of atticoantral CSOM is rare. This kind of complication has a very morbid effect on the ear, and it poses a therapeutic challenge in terms of eradicating disease and restoring function. In this article, we describe the unusual course of an atticoantral CSOM that (1) began as a primary acquired cholesteatoma simultaneously in both ears, (2) proceeded to automastoidectomy and a severe mixed hearing loss bilaterally, and (3) ended with the development of bilateral cutaneous mastoid fistulas that served to arrest the further progression of the disease process on its own. This case serves as a good demonstration of how a ventilating mastoid fistula can change the natural course of atticoantral CSOM and abort the occurrence of deadly complications.","publication_date":{"day":1,"month":10,"year":2009,"errors":{}},"publication_name":"Ear Nose Throat Journal"},"translated_abstract":"Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is an unusual complication. Bilateral manifestation along with primary acquired cholesteatoma and atelectasis of the pars tensa as an end-stage complication in the natural course of atticoantral CSOM is rare. This kind of complication has a very morbid effect on the ear, and it poses a therapeutic challenge in terms of eradicating disease and restoring function. In this article, we describe the unusual course of an atticoantral CSOM that (1) began as a primary acquired cholesteatoma simultaneously in both ears, (2) proceeded to automastoidectomy and a severe mixed hearing loss bilaterally, and (3) ended with the development of bilateral cutaneous mastoid fistulas that served to arrest the further progression of the disease process on its own. This case serves as a good demonstration of how a ventilating mastoid fistula can change the natural course of atticoantral CSOM and abort the occurrence of deadly complications.","internal_url":"https://www.academia.edu/53935553/Bilateral_atticoantral_chronic_suppurative_otitis_media_presenting_as_bilateral_cutaneous_mastoid_fistulas","translated_internal_url":"","created_at":"2021-09-29T05:17:43.873-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Bilateral_atticoantral_chronic_suppurative_otitis_media_presenting_as_bilateral_cutaneous_mastoid_fistulas","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is an unusual complication. Bilateral manifestation along with primary acquired cholesteatoma and atelectasis of the pars tensa as an end-stage complication in the natural course of atticoantral CSOM is rare. This kind of complication has a very morbid effect on the ear, and it poses a therapeutic challenge in terms of eradicating disease and restoring function. In this article, we describe the unusual course of an atticoantral CSOM that (1) began as a primary acquired cholesteatoma simultaneously in both ears, (2) proceeded to automastoidectomy and a severe mixed hearing loss bilaterally, and (3) ended with the development of bilateral cutaneous mastoid fistulas that served to arrest the further progression of the disease process on its own. This case serves as a good demonstration of how a ventilating mastoid fistula can change the natural course of atticoantral CSOM and abort the occurrence of deadly complications.","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[],"research_interests":[{"id":21141,"name":"Fistula","url":"https://www.academia.edu/Documents/in/Fistula"},{"id":143164,"name":"Ear Nose and Throat","url":"https://www.academia.edu/Documents/in/Ear_Nose_and_Throat"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":1492684,"name":"Ear Diseases","url":"https://www.academia.edu/Documents/in/Ear_Diseases"},{"id":2222587,"name":"Mastoiditis","url":"https://www.academia.edu/Documents/in/Mastoiditis"},{"id":3322486,"name":"Mastoid","url":"https://www.academia.edu/Documents/in/Mastoid"}],"urls":[{"id":11687897,"url":"http://www.ncbi.nlm.nih.gov/pubmed/19826984"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935553-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935552"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/53935552/Bilateral_atticoantral_chronic_suppurative_otitis_media_presenting_as_bilateral_cutaneous_mastoid_fistulas"><img alt="Research paper thumbnail of Bilateral atticoantral chronic suppurative otitis media presenting as bilateral cutaneous mastoid fistulas" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Bilateral atticoantral chronic suppurative otitis media presenting as bilateral cutaneous mastoid fistulas</div><div class="wp-workCard_item"><span>Ear, nose, &amp; throat journal</span><span>, 2009</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is a...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is an unusual complication. Bilateral manifestation along with primary acquired cholesteatoma and atelectasis of the pars tensa as an end-stage complication in the natural course of atticoantral CSOM is rare. This kind of complication has a very morbid effect on the ear, and it poses a therapeutic challenge in terms of eradicating disease and restoring function. In this article, we describe the unusual course of an atticoantral CSOM that (1) began as a primary acquired cholesteatoma simultaneously in both ears, (2) proceeded to automastoidectomy and a severe mixed hearing loss bilaterally, and (3) ended with the development of bilateral cutaneous mastoid fistulas that served to arrest the further progression of the disease process on its own. This case serves as a good demonstration of how a ventilating mastoid fistula can change the natural course of atticoantral CSOM and abort the occurren...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935552"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935552"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935552; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935552]").text(description); $(".js-view-count[data-work-id=53935552]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935552; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935552']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=53935552]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935552,"title":"Bilateral atticoantral chronic suppurative otitis media presenting as bilateral cutaneous mastoid fistulas","translated_title":"","metadata":{"abstract":"Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is an unusual complication. Bilateral manifestation along with primary acquired cholesteatoma and atelectasis of the pars tensa as an end-stage complication in the natural course of atticoantral CSOM is rare. This kind of complication has a very morbid effect on the ear, and it poses a therapeutic challenge in terms of eradicating disease and restoring function. In this article, we describe the unusual course of an atticoantral CSOM that (1) began as a primary acquired cholesteatoma simultaneously in both ears, (2) proceeded to automastoidectomy and a severe mixed hearing loss bilaterally, and (3) ended with the development of bilateral cutaneous mastoid fistulas that served to arrest the further progression of the disease process on its own. This case serves as a good demonstration of how a ventilating mastoid fistula can change the natural course of atticoantral CSOM and abort the occurren...","publication_date":{"day":null,"month":null,"year":2009,"errors":{}},"publication_name":"Ear, nose, \u0026 throat journal"},"translated_abstract":"Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is an unusual complication. Bilateral manifestation along with primary acquired cholesteatoma and atelectasis of the pars tensa as an end-stage complication in the natural course of atticoantral CSOM is rare. This kind of complication has a very morbid effect on the ear, and it poses a therapeutic challenge in terms of eradicating disease and restoring function. In this article, we describe the unusual course of an atticoantral CSOM that (1) began as a primary acquired cholesteatoma simultaneously in both ears, (2) proceeded to automastoidectomy and a severe mixed hearing loss bilaterally, and (3) ended with the development of bilateral cutaneous mastoid fistulas that served to arrest the further progression of the disease process on its own. This case serves as a good demonstration of how a ventilating mastoid fistula can change the natural course of atticoantral CSOM and abort the occurren...","internal_url":"https://www.academia.edu/53935552/Bilateral_atticoantral_chronic_suppurative_otitis_media_presenting_as_bilateral_cutaneous_mastoid_fistulas","translated_internal_url":"","created_at":"2021-09-29T05:17:43.795-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Bilateral_atticoantral_chronic_suppurative_otitis_media_presenting_as_bilateral_cutaneous_mastoid_fistulas","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is an unusual complication. Bilateral manifestation along with primary acquired cholesteatoma and atelectasis of the pars tensa as an end-stage complication in the natural course of atticoantral CSOM is rare. This kind of complication has a very morbid effect on the ear, and it poses a therapeutic challenge in terms of eradicating disease and restoring function. In this article, we describe the unusual course of an atticoantral CSOM that (1) began as a primary acquired cholesteatoma simultaneously in both ears, (2) proceeded to automastoidectomy and a severe mixed hearing loss bilaterally, and (3) ended with the development of bilateral cutaneous mastoid fistulas that served to arrest the further progression of the disease process on its own. This case serves as a good demonstration of how a ventilating mastoid fistula can change the natural course of atticoantral CSOM and abort the occurren...","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[],"research_interests":[{"id":21141,"name":"Fistula","url":"https://www.academia.edu/Documents/in/Fistula"},{"id":143164,"name":"Ear Nose and Throat","url":"https://www.academia.edu/Documents/in/Ear_Nose_and_Throat"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":1492684,"name":"Ear Diseases","url":"https://www.academia.edu/Documents/in/Ear_Diseases"},{"id":2222587,"name":"Mastoiditis","url":"https://www.academia.edu/Documents/in/Mastoiditis"},{"id":3322486,"name":"Mastoid","url":"https://www.academia.edu/Documents/in/Mastoid"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935552-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935551"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/53935551/Cerebrospinal_fluid_otorrhea_presenting_in_complicated_chronic_suppurative_otitis_media"><img alt="Research paper thumbnail of Cerebrospinal fluid otorrhea presenting in complicated chronic suppurative otitis media" class="work-thumbnail" src="https://attachments.academia-assets.com/70541655/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/53935551/Cerebrospinal_fluid_otorrhea_presenting_in_complicated_chronic_suppurative_otitis_media">Cerebrospinal fluid otorrhea presenting in complicated chronic suppurative otitis media</a></div><div class="wp-workCard_item"><span>Ear, nose, &amp; throat journal</span><span>, 2007</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Since the introduction of antibiotics, the simultaneous occurrence of multiple intra- and extracr...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Since the introduction of antibiotics, the simultaneous occurrence of multiple intra- and extracranial complications in chronic suppurative otitis media (CSOM) has been uncommon. Such a combination is associated with high mortality and morbidity, especially in the pediatric age group. Cerebrospinal fluid (CSF) otorrhea presenting in CSOM is unusual and rare. To the best of our knowledge, only 19 cases of CSF otorrhea in complicated CSOM have been previously reported in the literature. Identifying the site of leak might require a high index of suspicion. Management of such a case could be challenging in terms of leak closure, disease clearance, and restoration of function. We report a new case of CSF leak in CSOM, and we describe our line of management. Even though CSOM is an uncommon indication for radical mastoidectomy today, such surgery might be necessary for these cases.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="0504a4e4ca0efcc93484e75dd326bd1b" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:70541655,&quot;asset_id&quot;:53935551,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/70541655/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935551"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935551"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935551; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935551]").text(description); $(".js-view-count[data-work-id=53935551]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935551; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935551']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "0504a4e4ca0efcc93484e75dd326bd1b" } } $('.js-work-strip[data-work-id=53935551]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935551,"title":"Cerebrospinal fluid otorrhea presenting in complicated chronic suppurative otitis media","translated_title":"","metadata":{"abstract":"Since the introduction of antibiotics, the simultaneous occurrence of multiple intra- and extracranial complications in chronic suppurative otitis media (CSOM) has been uncommon. Such a combination is associated with high mortality and morbidity, especially in the pediatric age group. Cerebrospinal fluid (CSF) otorrhea presenting in CSOM is unusual and rare. To the best of our knowledge, only 19 cases of CSF otorrhea in complicated CSOM have been previously reported in the literature. Identifying the site of leak might require a high index of suspicion. Management of such a case could be challenging in terms of leak closure, disease clearance, and restoration of function. We report a new case of CSF leak in CSOM, and we describe our line of management. Even though CSOM is an uncommon indication for radical mastoidectomy today, such surgery might be necessary for these cases.","ai_title_tag":"CSF Otorrhea in Complicated Chronic Otitis Media","publication_date":{"day":null,"month":null,"year":2007,"errors":{}},"publication_name":"Ear, nose, \u0026 throat journal"},"translated_abstract":"Since the introduction of antibiotics, the simultaneous occurrence of multiple intra- and extracranial complications in chronic suppurative otitis media (CSOM) has been uncommon. Such a combination is associated with high mortality and morbidity, especially in the pediatric age group. Cerebrospinal fluid (CSF) otorrhea presenting in CSOM is unusual and rare. To the best of our knowledge, only 19 cases of CSF otorrhea in complicated CSOM have been previously reported in the literature. Identifying the site of leak might require a high index of suspicion. Management of such a case could be challenging in terms of leak closure, disease clearance, and restoration of function. We report a new case of CSF leak in CSOM, and we describe our line of management. Even though CSOM is an uncommon indication for radical mastoidectomy today, such surgery might be necessary for these cases.","internal_url":"https://www.academia.edu/53935551/Cerebrospinal_fluid_otorrhea_presenting_in_complicated_chronic_suppurative_otitis_media","translated_internal_url":"","created_at":"2021-09-29T05:17:43.729-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":70541655,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541655/thumbnails/1.jpg","file_name":"014556130708600414.pdf","download_url":"https://www.academia.edu/attachments/70541655/download_file","bulk_download_file_name":"Cerebrospinal_fluid_otorrhea_presenting.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541655/014556130708600414-libre.pdf?1632930509=\u0026response-content-disposition=attachment%3B+filename%3DCerebrospinal_fluid_otorrhea_presenting.pdf\u0026Expires=1743215040\u0026Signature=N0NImOb3SbowhHZXM7Zq-6rNzVIIbT-ydvEWZnT3MurQVGQ9dBgIdqEaeOUMGauuwSkEaDQQTYDltvziD-DljlBUZjIWH1JaxZPRGRll2Xi3g-jeaOYlVoMh-q1vE9SVFkXtTH6NOVOYYPDT8DhpAntvT9CMbn7Xo-bBAY4NBQVS7bILnb8k0QnhxAnH7gZWJelLsegkrBkV5lify9WuBf5SehBufZ9Ex9PpUXJOTykRoY3LS7lVb4IqnWJjFIea-IoLF9Z~dfAyuy-BFbZAW-Ga5-YgalzR4ZhWO7UGnTHASFM~2Yxc-VwTMChyn6QEGs7PAfuxy9X8MfM-lQqu1Q__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Cerebrospinal_fluid_otorrhea_presenting_in_complicated_chronic_suppurative_otitis_media","translated_slug":"","page_count":3,"language":"en","content_type":"Work","summary":"Since the introduction of antibiotics, the simultaneous occurrence of multiple intra- and extracranial complications in chronic suppurative otitis media (CSOM) has been uncommon. Such a combination is associated with high mortality and morbidity, especially in the pediatric age group. Cerebrospinal fluid (CSF) otorrhea presenting in CSOM is unusual and rare. To the best of our knowledge, only 19 cases of CSF otorrhea in complicated CSOM have been previously reported in the literature. Identifying the site of leak might require a high index of suspicion. Management of such a case could be challenging in terms of leak closure, disease clearance, and restoration of function. We report a new case of CSF leak in CSOM, and we describe our line of management. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935551-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935550"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/53935550/Sino_orbital_chloroma_presenting_as_unilateral_proptosis_in_a_boy"><img alt="Research paper thumbnail of Sino-orbital chloroma presenting as unilateral proptosis in a boy" class="work-thumbnail" src="https://attachments.academia-assets.com/70541652/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/53935550/Sino_orbital_chloroma_presenting_as_unilateral_proptosis_in_a_boy">Sino-orbital chloroma presenting as unilateral proptosis in a boy</a></div><div class="wp-workCard_item"><span>International Journal of Pediatric Otorhinolaryngology</span><span>, 2005</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="164f5b5acbf717578d50d7cef198e45d" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:70541652,&quot;asset_id&quot;:53935550,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/70541652/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935550"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935550"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935550; 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dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "164f5b5acbf717578d50d7cef198e45d" } } $('.js-work-strip[data-work-id=53935550]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935550,"title":"Sino-orbital chloroma presenting as unilateral proptosis in a boy","translated_title":"","metadata":{"publisher":"Elsevier BV","ai_abstract":"This case study presents an unusual instance of an extramedullary myeloid cell tumor, known as chloroma, manifesting as unilateral proptosis in a 9-year-old boy. Initial investigations led to inconclusive results, and the condition was misdiagnosed as a possible rhabdomyosarcoma. A definitive diagnosis was achieved through immunohistochemical analysis after surgical intervention to excise the mass. Following excision, the patient underwent a successful course of chemotherapy and radiotherapy, illustrating the importance of accurate diagnosis and treatment in rare presentations of chloroma.","publication_date":{"day":null,"month":null,"year":2005,"errors":{}},"publication_name":"International Journal of Pediatric Otorhinolaryngology"},"translated_abstract":null,"internal_url":"https://www.academia.edu/53935550/Sino_orbital_chloroma_presenting_as_unilateral_proptosis_in_a_boy","translated_internal_url":"","created_at":"2021-09-29T05:17:43.660-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":70541652,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541652/thumbnails/1.jpg","file_name":"j.ijporl.2005.03.04420210929-29380-1h27r6r.pdf","download_url":"https://www.academia.edu/attachments/70541652/download_file","bulk_download_file_name":"Sino_orbital_chloroma_presenting_as_unil.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541652/j.ijporl.2005.03.04420210929-29380-1h27r6r-libre.pdf?1632930507=\u0026response-content-disposition=attachment%3B+filename%3DSino_orbital_chloroma_presenting_as_unil.pdf\u0026Expires=1743215040\u0026Signature=MZf~vpx3MBDesqWKqkkN1VSE6~zIb8jgDrtbLm-rnYyzs90z1~tGNPezLzPURmrqZAGZ11NUPxxfi5zpOWlkNXXoYyiHB4Og5sp-jBGZrvVRN5bhjex3wQHVy3m2bwQEju0PhXDjlYlW0y55pUspTeSCxg~HrWpF5xuZVqxuOwfwlwsKnjfl5HvNjKdO9-RbIYmoCgaDv4BbbHZuyS-TeKokK52-QbmhU4dNUCSDhY8q6WzbbyfMwtgIbUecwvNQkf7UD2JP5q3mgYM62oEHeNTXVrcwxACOeXdfStd28Vh8~tKcWH84rbZzP39yTIDmRvva0JHjj5liQKL4LTw0UQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Sino_orbital_chloroma_presenting_as_unilateral_proptosis_in_a_boy","translated_slug":"","page_count":4,"language":"en","content_type":"Work","summary":null,"owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":70541652,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541652/thumbnails/1.jpg","file_name":"j.ijporl.2005.03.04420210929-29380-1h27r6r.pdf","download_url":"https://www.academia.edu/attachments/70541652/download_file","bulk_download_file_name":"Sino_orbital_chloroma_presenting_as_unil.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541652/j.ijporl.2005.03.04420210929-29380-1h27r6r-libre.pdf?1632930507=\u0026response-content-disposition=attachment%3B+filename%3DSino_orbital_chloroma_presenting_as_unil.pdf\u0026Expires=1743215040\u0026Signature=MZf~vpx3MBDesqWKqkkN1VSE6~zIb8jgDrtbLm-rnYyzs90z1~tGNPezLzPURmrqZAGZ11NUPxxfi5zpOWlkNXXoYyiHB4Og5sp-jBGZrvVRN5bhjex3wQHVy3m2bwQEju0PhXDjlYlW0y55pUspTeSCxg~HrWpF5xuZVqxuOwfwlwsKnjfl5HvNjKdO9-RbIYmoCgaDv4BbbHZuyS-TeKokK52-QbmhU4dNUCSDhY8q6WzbbyfMwtgIbUecwvNQkf7UD2JP5q3mgYM62oEHeNTXVrcwxACOeXdfStd28Vh8~tKcWH84rbZzP39yTIDmRvva0JHjj5liQKL4LTw0UQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":55175,"name":"Peroxidase","url":"https://www.academia.edu/Documents/in/Peroxidase"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":3789883,"name":"Paediatrics and reproductive medicine","url":"https://www.academia.edu/Documents/in/Paediatrics_and_reproductive_medicine"},{"id":3870542,"name":"Ethmoid Sinus","url":"https://www.academia.edu/Documents/in/Ethmoid_Sinus"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935550-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935549"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/53935549/Diphtheria_Re_emergence_Problems_Faced_by_Developing_Countries"><img alt="Research paper thumbnail of Diphtheria Re-emergence: Problems Faced by Developing Countries" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Diphtheria Re-emergence: Problems Faced by Developing Countries</div><div class="wp-workCard_item"><span>Indian Journal of Otolaryngology and Head &amp; Neck Surgery</span><span>, 2013</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">In the pre-vaccination era, diphtheria was a leading cause of childhood mortality. With the intro...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">In the pre-vaccination era, diphtheria was a leading cause of childhood mortality. With the introduction of routine childhood immunization, paediatric care and improved hygiene status the disease has been almost completely eradicated in many developed countries. On the contrary developing countries, still account for 80-90% of the global burden. Retrospective analysis of 52 cases of diphtheria over a period of 12 years at a tertiary referral hospital was carried out. They were analyzed for mortality and morbidity trends, immunization status, microbiological confirmation rates and antidiphtheritic serum (ADS) administration. Incidence in those over 5 years was 59.61%. Only 11.54% cases were either partially or fully immunized. The case fatality rate was 36.53%. Culture was performed only in 17 cases whereas ADS was administered in only 16 cases. In conclusion, the occurrence of diphtheria even in those immunized highlights the flaws in the present immunization program. Poor immunization coverage, lack of ADS, antibiotic resistance are the main reasons for re-emergence of diphtheria.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935549"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935549"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935549; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935549]").text(description); $(".js-view-count[data-work-id=53935549]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935549; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935549']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=53935549]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935549,"title":"Diphtheria Re-emergence: Problems Faced by Developing Countries","translated_title":"","metadata":{"abstract":"In the pre-vaccination era, diphtheria was a leading cause of childhood mortality. With the introduction of routine childhood immunization, paediatric care and improved hygiene status the disease has been almost completely eradicated in many developed countries. On the contrary developing countries, still account for 80-90% of the global burden. Retrospective analysis of 52 cases of diphtheria over a period of 12 years at a tertiary referral hospital was carried out. They were analyzed for mortality and morbidity trends, immunization status, microbiological confirmation rates and antidiphtheritic serum (ADS) administration. Incidence in those over 5 years was 59.61%. Only 11.54% cases were either partially or fully immunized. The case fatality rate was 36.53%. Culture was performed only in 17 cases whereas ADS was administered in only 16 cases. In conclusion, the occurrence of diphtheria even in those immunized highlights the flaws in the present immunization program. Poor immunization coverage, lack of ADS, antibiotic resistance are the main reasons for re-emergence of diphtheria.","publisher":"Springer Nature","publication_date":{"day":null,"month":null,"year":2013,"errors":{}},"publication_name":"Indian Journal of Otolaryngology and Head \u0026 Neck Surgery"},"translated_abstract":"In the pre-vaccination era, diphtheria was a leading cause of childhood mortality. With the introduction of routine childhood immunization, paediatric care and improved hygiene status the disease has been almost completely eradicated in many developed countries. On the contrary developing countries, still account for 80-90% of the global burden. Retrospective analysis of 52 cases of diphtheria over a period of 12 years at a tertiary referral hospital was carried out. They were analyzed for mortality and morbidity trends, immunization status, microbiological confirmation rates and antidiphtheritic serum (ADS) administration. Incidence in those over 5 years was 59.61%. Only 11.54% cases were either partially or fully immunized. The case fatality rate was 36.53%. Culture was performed only in 17 cases whereas ADS was administered in only 16 cases. In conclusion, the occurrence of diphtheria even in those immunized highlights the flaws in the present immunization program. Poor immunization coverage, lack of ADS, antibiotic resistance are the main reasons for re-emergence of diphtheria.","internal_url":"https://www.academia.edu/53935549/Diphtheria_Re_emergence_Problems_Faced_by_Developing_Countries","translated_internal_url":"","created_at":"2021-09-29T05:17:43.591-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Diphtheria_Re_emergence_Problems_Faced_by_Developing_Countries","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"In the pre-vaccination era, diphtheria was a leading cause of childhood mortality. With the introduction of routine childhood immunization, paediatric care and improved hygiene status the disease has been almost completely eradicated in many developed countries. On the contrary developing countries, still account for 80-90% of the global burden. Retrospective analysis of 52 cases of diphtheria over a period of 12 years at a tertiary referral hospital was carried out. They were analyzed for mortality and morbidity trends, immunization status, microbiological confirmation rates and antidiphtheritic serum (ADS) administration. Incidence in those over 5 years was 59.61%. Only 11.54% cases were either partially or fully immunized. The case fatality rate was 36.53%. Culture was performed only in 17 cases whereas ADS was administered in only 16 cases. In conclusion, the occurrence of diphtheria even in those immunized highlights the flaws in the present immunization program. Poor immunization coverage, lack of ADS, antibiotic resistance are the main reasons for re-emergence of diphtheria.","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[],"research_interests":[{"id":131233,"name":"Indian","url":"https://www.academia.edu/Documents/in/Indian"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935549-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935548"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/53935548/Sublabial_approach_to_sinonasal_juvenile_ossifying_fibroma"><img alt="Research paper thumbnail of Sublabial approach to sinonasal juvenile ossifying fibroma" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Sublabial approach to sinonasal juvenile ossifying fibroma</div><div class="wp-workCard_item"><span>International Journal of Pediatric Otorhinolaryngology</span><span>, 2002</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Juvenile ossifying fibroma is a rare, unusual fibro-osseous benign tumor of the craniofacial regi...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Juvenile ossifying fibroma is a rare, unusual fibro-osseous benign tumor of the craniofacial region. It is a progressively growing tumor and has to be removed completely to prevent recurrence. A radical surgery is not advisable in a pediatric patient. Here we describe the sublabial approach for excision of this tumor that allows the complete removal of the tumor without compromising with the aesthetic looks of the patient.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935548"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935548"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935548; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935548]").text(description); $(".js-view-count[data-work-id=53935548]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935548; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935548']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=53935548]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935548,"title":"Sublabial approach to sinonasal juvenile ossifying fibroma","translated_title":"","metadata":{"abstract":"Juvenile ossifying fibroma is a rare, unusual fibro-osseous benign tumor of the craniofacial region. It is a progressively growing tumor and has to be removed completely to prevent recurrence. A radical surgery is not advisable in a pediatric patient. Here we describe the sublabial approach for excision of this tumor that allows the complete removal of the tumor without compromising with the aesthetic looks of the patient.","publisher":"Elsevier BV","publication_date":{"day":null,"month":null,"year":2002,"errors":{}},"publication_name":"International Journal of Pediatric Otorhinolaryngology"},"translated_abstract":"Juvenile ossifying fibroma is a rare, unusual fibro-osseous benign tumor of the craniofacial region. It is a progressively growing tumor and has to be removed completely to prevent recurrence. A radical surgery is not advisable in a pediatric patient. Here we describe the sublabial approach for excision of this tumor that allows the complete removal of the tumor without compromising with the aesthetic looks of the patient.","internal_url":"https://www.academia.edu/53935548/Sublabial_approach_to_sinonasal_juvenile_ossifying_fibroma","translated_internal_url":"","created_at":"2021-09-29T05:17:43.525-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Sublabial_approach_to_sinonasal_juvenile_ossifying_fibroma","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"Juvenile ossifying fibroma is a rare, unusual fibro-osseous benign tumor of the craniofacial region. It is a progressively growing tumor and has to be removed completely to prevent recurrence. A radical surgery is not advisable in a pediatric patient. Here we describe the sublabial approach for excision of this tumor that allows the complete removal of the tumor without compromising with the aesthetic looks of the patient.","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[],"research_interests":[{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child"},{"id":135431,"name":"Paranasal Sinuses","url":"https://www.academia.edu/Documents/in/Paranasal_Sinuses"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":959921,"name":"X ray Computed Tomography","url":"https://www.academia.edu/Documents/in/X_ray_Computed_Tomography"},{"id":3789883,"name":"Paediatrics and reproductive medicine","url":"https://www.academia.edu/Documents/in/Paediatrics_and_reproductive_medicine"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935548-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935547"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/53935547/Combined_Tuning_Fork_Tests_in_Hearing_Loss_Explorative_Clinical_Study_of_the_Patterns"><img alt="Research paper thumbnail of Combined Tuning Fork Tests in Hearing Loss: Explorative Clinical Study of the Patterns" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Combined Tuning Fork Tests in Hearing Loss: Explorative Clinical Study of the Patterns</div><div class="wp-workCard_item"><span>The Journal of Otolaryngology</span><span>, 2004</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">To combine the tuning fork tests of Rinne, Weber, and absolute bone conduction, explore their cli...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">To combine the tuning fork tests of Rinne, Weber, and absolute bone conduction, explore their clinical patterns, and study their combined specificity, sensitivity, and validity in assessing the hearing status of an individual. A cross-sectional study of the tests of Rinne, Weber, and absolute bone conduction was done on 317 adult patients from the otolaryngology outpatient clinic selected at random. All possible patterns in the combination of three tests were explored, and their interpretations worked out. The findings were compared with those of pure-tone audiometry to check their sensitivity, specificity, and validity. Fifty-eight patterns were obtained, which were classified into 10 types (5 tables) according to the type of hearing loss. The type of hearing loss was determined in all cases, and the better ear was identified in many cases. The overall sensitivity was 76.86%, the specificity was 85.48%, and the validity was 78.54%. The tuning fork tests of Rinne, Weber, and absolute bone conduction, when combined and interpreted, can be reliable initial diagnostic tools. They can be used to decide whether referral to a specialist or further audiometric testing is required. The patterns presented here depict the vast number of logical possibilities wherein the authenticity of these tests can be checked and the source of errors identified.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935547"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935547"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935547; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935547]").text(description); $(".js-view-count[data-work-id=53935547]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935547; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935547']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=53935547]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935547,"title":"Combined Tuning Fork Tests in Hearing Loss: Explorative Clinical Study of the Patterns","translated_title":"","metadata":{"abstract":"To combine the tuning fork tests of Rinne, Weber, and absolute bone conduction, explore their clinical patterns, and study their combined specificity, sensitivity, and validity in assessing the hearing status of an individual. A cross-sectional study of the tests of Rinne, Weber, and absolute bone conduction was done on 317 adult patients from the otolaryngology outpatient clinic selected at random. All possible patterns in the combination of three tests were explored, and their interpretations worked out. The findings were compared with those of pure-tone audiometry to check their sensitivity, specificity, and validity. Fifty-eight patterns were obtained, which were classified into 10 types (5 tables) according to the type of hearing loss. The type of hearing loss was determined in all cases, and the better ear was identified in many cases. The overall sensitivity was 76.86%, the specificity was 85.48%, and the validity was 78.54%. The tuning fork tests of Rinne, Weber, and absolute bone conduction, when combined and interpreted, can be reliable initial diagnostic tools. They can be used to decide whether referral to a specialist or further audiometric testing is required. The patterns presented here depict the vast number of logical possibilities wherein the authenticity of these tests can be checked and the source of errors identified.","publisher":"Decker, Inc.","publication_date":{"day":null,"month":null,"year":2004,"errors":{}},"publication_name":"The Journal of Otolaryngology"},"translated_abstract":"To combine the tuning fork tests of Rinne, Weber, and absolute bone conduction, explore their clinical patterns, and study their combined specificity, sensitivity, and validity in assessing the hearing status of an individual. A cross-sectional study of the tests of Rinne, Weber, and absolute bone conduction was done on 317 adult patients from the otolaryngology outpatient clinic selected at random. All possible patterns in the combination of three tests were explored, and their interpretations worked out. The findings were compared with those of pure-tone audiometry to check their sensitivity, specificity, and validity. Fifty-eight patterns were obtained, which were classified into 10 types (5 tables) according to the type of hearing loss. The type of hearing loss was determined in all cases, and the better ear was identified in many cases. The overall sensitivity was 76.86%, the specificity was 85.48%, and the validity was 78.54%. The tuning fork tests of Rinne, Weber, and absolute bone conduction, when combined and interpreted, can be reliable initial diagnostic tools. They can be used to decide whether referral to a specialist or further audiometric testing is required. The patterns presented here depict the vast number of logical possibilities wherein the authenticity of these tests can be checked and the source of errors identified.","internal_url":"https://www.academia.edu/53935547/Combined_Tuning_Fork_Tests_in_Hearing_Loss_Explorative_Clinical_Study_of_the_Patterns","translated_internal_url":"","created_at":"2021-09-29T05:17:43.457-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Combined_Tuning_Fork_Tests_in_Hearing_Loss_Explorative_Clinical_Study_of_the_Patterns","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"To combine the tuning fork tests of Rinne, Weber, and absolute bone conduction, explore their clinical patterns, and study their combined specificity, sensitivity, and validity in assessing the hearing status of an individual. A cross-sectional study of the tests of Rinne, Weber, and absolute bone conduction was done on 317 adult patients from the otolaryngology outpatient clinic selected at random. All possible patterns in the combination of three tests were explored, and their interpretations worked out. The findings were compared with those of pure-tone audiometry to check their sensitivity, specificity, and validity. Fifty-eight patterns were obtained, which were classified into 10 types (5 tables) according to the type of hearing loss. The type of hearing loss was determined in all cases, and the better ear was identified in many cases. The overall sensitivity was 76.86%, the specificity was 85.48%, and the validity was 78.54%. The tuning fork tests of Rinne, Weber, and absolute bone conduction, when combined and interpreted, can be reliable initial diagnostic tools. They can be used to decide whether referral to a specialist or further audiometric testing is required. The patterns presented here depict the vast number of logical possibilities wherein the authenticity of these tests can be checked and the source of errors identified.","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[],"research_interests":[{"id":62112,"name":"Prospective studies","url":"https://www.academia.edu/Documents/in/Prospective_studies"},{"id":991233,"name":"Bone Conduction","url":"https://www.academia.edu/Documents/in/Bone_Conduction"},{"id":1034181,"name":"Cross Sectional Studies","url":"https://www.academia.edu/Documents/in/Cross_Sectional_Studies"},{"id":1318932,"name":"Predictive value of tests","url":"https://www.academia.edu/Documents/in/Predictive_value_of_tests"},{"id":2463800,"name":"Severity of Illness Index","url":"https://www.academia.edu/Documents/in/Severity_of_Illness_Index"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935547-figures'); } }); </script> </div><div class="profile--tab_content_container js-tab-pane tab-pane" data-section-id="12026319" id="papers"><div class="js-work-strip profile--work_container" data-work-id="80372177"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/80372177/Adenoid_Morphology_and_Other_Prognostic_Factors_for_Otitis_Media_with_Effusion_in_School_Children"><img alt="Research paper thumbnail of Adenoid Morphology and Other Prognostic Factors for Otitis Media with Effusion in School Children" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Adenoid Morphology and Other Prognostic Factors for Otitis Media with Effusion in School Children</div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">This study aimed to compare the children having enlarged adenoids with and without otitis media w...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">This study aimed to compare the children having enlarged adenoids with and without otitis media with effusion (OME) concerning clinical features like mouth breathing, snoring, recurrent episodes of cold, hearing impairment and specific morphology of adenoid. Further, the flora of adenoid tissue and middle ear fluid were also compared. One hundred and twenty children having clinical features suggestive of enlarged adenoids with [Group A (n = 60)] or without [Group B (n = 60)] OME were included in this cross-sectional study. All patients underwent clinical examination, diagnostic nasal endoscopy, radiography of the nasopharynx, blood absolute eosinophil count and immittance. Core adenoid tissue was subjected to microbiological culture after adenoidectomy. OME fluid was subjected to microbial analysis after myringotomy. In group A patients, snoring was present in 90% (p = 0.011), adenoid facies in 76.6% (p &amp;lt; 0.001) and tubal tonsil enlargement in 86.7% (p &amp;lt; 0.001). The parts rela...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80372177"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80372177"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80372177; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80372177]").text(description); $(".js-view-count[data-work-id=80372177]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80372177; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80372177']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=80372177]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80372177,"title":"Adenoid Morphology and Other Prognostic Factors for Otitis Media with Effusion in School Children","translated_title":"","metadata":{"abstract":"This study aimed to compare the children having enlarged adenoids with and without otitis media with effusion (OME) concerning clinical features like mouth breathing, snoring, recurrent episodes of cold, hearing impairment and specific morphology of adenoid. Further, the flora of adenoid tissue and middle ear fluid were also compared. One hundred and twenty children having clinical features suggestive of enlarged adenoids with [Group A (n = 60)] or without [Group B (n = 60)] OME were included in this cross-sectional study. All patients underwent clinical examination, diagnostic nasal endoscopy, radiography of the nasopharynx, blood absolute eosinophil count and immittance. Core adenoid tissue was subjected to microbiological culture after adenoidectomy. OME fluid was subjected to microbial analysis after myringotomy. In group A patients, snoring was present in 90% (p = 0.011), adenoid facies in 76.6% (p \u0026lt; 0.001) and tubal tonsil enlargement in 86.7% (p \u0026lt; 0.001). The parts rela...","publisher":"Indian Journal of Otolaryngology and Head \u0026 Neck Surgery","publication_date":{"day":null,"month":null,"year":2021,"errors":{}}},"translated_abstract":"This study aimed to compare the children having enlarged adenoids with and without otitis media with effusion (OME) concerning clinical features like mouth breathing, snoring, recurrent episodes of cold, hearing impairment and specific morphology of adenoid. Further, the flora of adenoid tissue and middle ear fluid were also compared. One hundred and twenty children having clinical features suggestive of enlarged adenoids with [Group A (n = 60)] or without [Group B (n = 60)] OME were included in this cross-sectional study. All patients underwent clinical examination, diagnostic nasal endoscopy, radiography of the nasopharynx, blood absolute eosinophil count and immittance. Core adenoid tissue was subjected to microbiological culture after adenoidectomy. OME fluid was subjected to microbial analysis after myringotomy. In group A patients, snoring was present in 90% (p = 0.011), adenoid facies in 76.6% (p \u0026lt; 0.001) and tubal tonsil enlargement in 86.7% (p \u0026lt; 0.001). The parts rela...","internal_url":"https://www.academia.edu/80372177/Adenoid_Morphology_and_Other_Prognostic_Factors_for_Otitis_Media_with_Effusion_in_School_Children","translated_internal_url":"","created_at":"2022-05-31T07:24:32.070-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Adenoid_Morphology_and_Other_Prognostic_Factors_for_Otitis_Media_with_Effusion_in_School_Children","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"This study aimed to compare the children having enlarged adenoids with and without otitis media with effusion (OME) concerning clinical features like mouth breathing, snoring, recurrent episodes of cold, hearing impairment and specific morphology of adenoid. Further, the flora of adenoid tissue and middle ear fluid were also compared. One hundred and twenty children having clinical features suggestive of enlarged adenoids with [Group A (n = 60)] or without [Group B (n = 60)] OME were included in this cross-sectional study. All patients underwent clinical examination, diagnostic nasal endoscopy, radiography of the nasopharynx, blood absolute eosinophil count and immittance. Core adenoid tissue was subjected to microbiological culture after adenoidectomy. OME fluid was subjected to microbial analysis after myringotomy. In group A patients, snoring was present in 90% (p = 0.011), adenoid facies in 76.6% (p \u0026lt; 0.001) and tubal tonsil enlargement in 86.7% (p \u0026lt; 0.001). The parts rela...","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[],"research_interests":[],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-80372177-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="80372176"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/80372176/A_prospective_clinical_study_of_the_flora_and_early_secondary_effects_after_tracheostomy"><img alt="Research paper thumbnail of A prospective clinical study of the flora and early secondary effects after tracheostomy" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">A prospective clinical study of the flora and early secondary effects after tracheostomy</div><div class="wp-workCard_item"><span>Journal of Laryngology and Voice</span><span>, 2019</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Introduction: Tracheostomy patients develop copious secretions from the stoma along with cough af...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Introduction: Tracheostomy patients develop copious secretions from the stoma along with cough after the procedure. However, the morphology of this secretion and the pattern of the flora over a period of time are not studied. Objective: The main objectives are to study the early after-effects of tracheostomy and to study the flora of the tracheal secretion and its impact on the host. Materials and Methods: This was a cross-sectional study that was undertaken in a tertiary referral public hospital. Sixty patients were categorized into two groups of 30 each, intubated (Group A) and nonintubated (Group B), before tracheostomy. The consistency, quantity, and culture sensitivity of the tracheal secretion and its impact on the lungs were noted on day 2, 30, and 90 after the procedure. Results: The most common after-effect was copious tracheal secretion that was obvious immediately after tracheostomy which, gradually reduced to scanty. The most common organism was Pseudomonas and Klebsiella in intubated and nonintubated patients on day 2 and day 30, respectively. Conclusion: Tracheal secretion was copious and colonized in most of the patients in both the groups in the immediate post tracheostomy period which became scanty and free of colonies by the 3rd month. The organisms had no negative impact on the lower respiratory tract.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80372176"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80372176"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80372176; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80372176]").text(description); $(".js-view-count[data-work-id=80372176]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80372176; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80372176']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=80372176]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80372176,"title":"A prospective clinical study of the flora and early secondary effects after tracheostomy","translated_title":"","metadata":{"abstract":"Introduction: Tracheostomy patients develop copious secretions from the stoma along with cough after the procedure. However, the morphology of this secretion and the pattern of the flora over a period of time are not studied. Objective: The main objectives are to study the early after-effects of tracheostomy and to study the flora of the tracheal secretion and its impact on the host. Materials and Methods: This was a cross-sectional study that was undertaken in a tertiary referral public hospital. Sixty patients were categorized into two groups of 30 each, intubated (Group A) and nonintubated (Group B), before tracheostomy. The consistency, quantity, and culture sensitivity of the tracheal secretion and its impact on the lungs were noted on day 2, 30, and 90 after the procedure. Results: The most common after-effect was copious tracheal secretion that was obvious immediately after tracheostomy which, gradually reduced to scanty. The most common organism was Pseudomonas and Klebsiella in intubated and nonintubated patients on day 2 and day 30, respectively. Conclusion: Tracheal secretion was copious and colonized in most of the patients in both the groups in the immediate post tracheostomy period which became scanty and free of colonies by the 3rd month. The organisms had no negative impact on the lower respiratory tract.","publisher":"Medknow","publication_date":{"day":null,"month":null,"year":2019,"errors":{}},"publication_name":"Journal of Laryngology and Voice"},"translated_abstract":"Introduction: Tracheostomy patients develop copious secretions from the stoma along with cough after the procedure. However, the morphology of this secretion and the pattern of the flora over a period of time are not studied. Objective: The main objectives are to study the early after-effects of tracheostomy and to study the flora of the tracheal secretion and its impact on the host. Materials and Methods: This was a cross-sectional study that was undertaken in a tertiary referral public hospital. Sixty patients were categorized into two groups of 30 each, intubated (Group A) and nonintubated (Group B), before tracheostomy. The consistency, quantity, and culture sensitivity of the tracheal secretion and its impact on the lungs were noted on day 2, 30, and 90 after the procedure. Results: The most common after-effect was copious tracheal secretion that was obvious immediately after tracheostomy which, gradually reduced to scanty. The most common organism was Pseudomonas and Klebsiella in intubated and nonintubated patients on day 2 and day 30, respectively. Conclusion: Tracheal secretion was copious and colonized in most of the patients in both the groups in the immediate post tracheostomy period which became scanty and free of colonies by the 3rd month. The organisms had no negative impact on the lower respiratory tract.","internal_url":"https://www.academia.edu/80372176/A_prospective_clinical_study_of_the_flora_and_early_secondary_effects_after_tracheostomy","translated_internal_url":"","created_at":"2022-05-31T07:24:31.946-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"A_prospective_clinical_study_of_the_flora_and_early_secondary_effects_after_tracheostomy","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"Introduction: Tracheostomy patients develop copious secretions from the stoma along with cough after the procedure. However, the morphology of this secretion and the pattern of the flora over a period of time are not studied. Objective: The main objectives are to study the early after-effects of tracheostomy and to study the flora of the tracheal secretion and its impact on the host. Materials and Methods: This was a cross-sectional study that was undertaken in a tertiary referral public hospital. Sixty patients were categorized into two groups of 30 each, intubated (Group A) and nonintubated (Group B), before tracheostomy. The consistency, quantity, and culture sensitivity of the tracheal secretion and its impact on the lungs were noted on day 2, 30, and 90 after the procedure. Results: The most common after-effect was copious tracheal secretion that was obvious immediately after tracheostomy which, gradually reduced to scanty. The most common organism was Pseudomonas and Klebsiella in intubated and nonintubated patients on day 2 and day 30, respectively. Conclusion: Tracheal secretion was copious and colonized in most of the patients in both the groups in the immediate post tracheostomy period which became scanty and free of colonies by the 3rd month. The organisms had no negative impact on the lower respiratory tract.","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[],"research_interests":[{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-80372176-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="80372175"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/80372175/Unusual_presentation_of_chronic_myeloid_leukemia_in_chronic_phase_as_multiple_soft_tissue_chloromas"><img alt="Research paper thumbnail of Unusual presentation of chronic myeloid leukemia in chronic phase as multiple soft tissue chloromas" class="work-thumbnail" src="https://attachments.academia-assets.com/86775893/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/80372175/Unusual_presentation_of_chronic_myeloid_leukemia_in_chronic_phase_as_multiple_soft_tissue_chloromas">Unusual presentation of chronic myeloid leukemia in chronic phase as multiple soft tissue chloromas</a></div><div class="wp-workCard_item"><span>Journal of Cytology</span><span>, 2020</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Regional anesthesia has become the primary anesthetic technique in management of trauma cases and...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Regional anesthesia has become the primary anesthetic technique in management of trauma cases and is reported to have several advantages over general anesthesia. However, it is contraindicated in the presence of conditions associated with coagulopathy e.g. disseminated intravascular coagulation (DIC). While sepsis and trauma are more common causes of DIC, physicians must also be aware of rare causes like haematological malignancy.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="7e660ba25e6abd51b786fc56339bda22" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:86775893,&quot;asset_id&quot;:80372175,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/86775893/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80372175"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80372175"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80372175; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80372175]").text(description); $(".js-view-count[data-work-id=80372175]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80372175; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80372175']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "7e660ba25e6abd51b786fc56339bda22" } } $('.js-work-strip[data-work-id=80372175]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80372175,"title":"Unusual presentation of chronic myeloid leukemia in chronic phase as multiple soft tissue chloromas","translated_title":"","metadata":{"publisher":"Medknow","grobid_abstract":"Regional anesthesia has become the primary anesthetic technique in management of trauma cases and is reported to have several advantages over general anesthesia. However, it is contraindicated in the presence of conditions associated with coagulopathy e.g. disseminated intravascular coagulation (DIC). 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However, it is contraindicated in the presence of conditions associated with coagulopathy e.g. disseminated intravascular coagulation (DIC). While sepsis and trauma are more common causes of DIC, physicians must also be aware of rare causes like haematological malignancy.","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":86775893,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/86775893/thumbnails/1.jpg","file_name":"16Pages289-290.pdf","download_url":"https://www.academia.edu/attachments/86775893/download_file","bulk_download_file_name":"Unusual_presentation_of_chronic_myeloid.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/86775893/16Pages289-290-libre.pdf?1654008312=\u0026response-content-disposition=attachment%3B+filename%3DUnusual_presentation_of_chronic_myeloid.pdf\u0026Expires=1743215040\u0026Signature=XPRrdYHBaPYZXMe8Vd9-~Nod1bhsvK~CqO98P07ioLKER1-MQZPWfkgKQSPTp5QTQE-9rJ~OvkHdOlWorJJFa823KA8aOnjIQh~1OkhitEz5EgdcPRlE0mX8SXrAdmdJ5nZZPLY5u3yCr0yUQzKjmkzv6G9OUp-RxIK6lkmZXZQ8K2~8MBl4ffN8n5P5ZpWS6QPB7XnFQey4xxzMg1LpFFf08iA7JbDyLi2779aKO~4gHGVv~OZbQKIf2Oz-fZ75vJfkjjhYjl93HbPaXcao-5b7CPXYp5VjK0NQnCHpOJd5gWQ1l9co-OArXwodMP9Bj6IZrMxjbb4Eabb6KeqWJw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":47884,"name":"Biological Sciences","url":"https://www.academia.edu/Documents/in/Biological_Sciences"},{"id":97422,"name":"Cytology","url":"https://www.academia.edu/Documents/in/Cytology"},{"id":3763225,"name":"Medical and Health Sciences","url":"https://www.academia.edu/Documents/in/Medical_and_Health_Sciences"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-80372175-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="80372173"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/80372173/Clinico_epidemiological_study_of_complicated_and_uncomplicated_chronic_suppurative_otitis_media"><img alt="Research paper thumbnail of Clinico-epidemiological study of complicated and uncomplicated chronic suppurative otitis media" class="work-thumbnail" src="https://attachments.academia-assets.com/86775942/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/80372173/Clinico_epidemiological_study_of_complicated_and_uncomplicated_chronic_suppurative_otitis_media">Clinico-epidemiological study of complicated and uncomplicated chronic suppurative otitis media</a></div><div class="wp-workCard_item"><span>The Journal of Laryngology &amp; Otology</span><span>, 2007</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Introduction:This study aimed to compare the clinical and epidemiological profiles of cases of co...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Introduction:This study aimed to compare the clinical and epidemiological profiles of cases of complicated and uncomplicated chronic suppurative otitis media, based on their prognostic factors.Materials and methods:This was a prospective, cross-sectional study conducted in a tertiary care medical college hospital over a period of two and a half years. The study group comprised 187 ears, out of which 62 had complications while 125 did not. The two groups were compared with respect to nine prognostic variables: age distribution, sex, patient&amp;#39;s domicile, literacy status, duration of ear discharge at presentation, ear pathology, predisposing disease focus in the nose or throat, ear swab microbiology, and hearing loss.Results:Patients in the complicated chronic suppurative otitis media group had a higher male predominance and were younger. Rural and illiterate patients had a higher risk of developing complications. Cholesteatoma and granulation tissue were potential risk factors in t...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="aa4e9b48b2169f4207afe7a21ca9c8a9" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:86775942,&quot;asset_id&quot;:80372173,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/86775942/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80372173"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80372173"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80372173; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80372173]").text(description); $(".js-view-count[data-work-id=80372173]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80372173; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80372173']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "aa4e9b48b2169f4207afe7a21ca9c8a9" } } $('.js-work-strip[data-work-id=80372173]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80372173,"title":"Clinico-epidemiological study of complicated and uncomplicated chronic suppurative otitis media","translated_title":"","metadata":{"abstract":"Introduction:This study aimed to compare the clinical and epidemiological profiles of cases of complicated and uncomplicated chronic suppurative otitis media, based on their prognostic factors.Materials and methods:This was a prospective, cross-sectional study conducted in a tertiary care medical college hospital over a period of two and a half years. The study group comprised 187 ears, out of which 62 had complications while 125 did not. The two groups were compared with respect to nine prognostic variables: age distribution, sex, patient\u0026#39;s domicile, literacy status, duration of ear discharge at presentation, ear pathology, predisposing disease focus in the nose or throat, ear swab microbiology, and hearing loss.Results:Patients in the complicated chronic suppurative otitis media group had a higher male predominance and were younger. Rural and illiterate patients had a higher risk of developing complications. Cholesteatoma and granulation tissue were potential risk factors in t...","publisher":"Cambridge University Press (CUP)","ai_title_tag":"Comparative Study of Ear Infection Complications","publication_date":{"day":null,"month":null,"year":2007,"errors":{}},"publication_name":"The Journal of Laryngology \u0026 Otology"},"translated_abstract":"Introduction:This study aimed to compare the clinical and epidemiological profiles of cases of complicated and uncomplicated chronic suppurative otitis media, based on their prognostic factors.Materials and methods:This was a prospective, cross-sectional study conducted in a tertiary care medical college hospital over a period of two and a half years. The study group comprised 187 ears, out of which 62 had complications while 125 did not. The two groups were compared with respect to nine prognostic variables: age distribution, sex, patient\u0026#39;s domicile, literacy status, duration of ear discharge at presentation, ear pathology, predisposing disease focus in the nose or throat, ear swab microbiology, and hearing loss.Results:Patients in the complicated chronic suppurative otitis media group had a higher male predominance and were younger. Rural and illiterate patients had a higher risk of developing complications. Cholesteatoma and granulation tissue were potential risk factors in t...","internal_url":"https://www.academia.edu/80372173/Clinico_epidemiological_study_of_complicated_and_uncomplicated_chronic_suppurative_otitis_media","translated_internal_url":"","created_at":"2022-05-31T07:24:31.633-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":86775942,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/86775942/thumbnails/1.jpg","file_name":"S002221510700027820220531-1-18szbp9.pdf","download_url":"https://www.academia.edu/attachments/86775942/download_file","bulk_download_file_name":"Clinico_epidemiological_study_of_complic.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/86775942/S002221510700027820220531-1-18szbp9-libre.pdf?1654008310=\u0026response-content-disposition=attachment%3B+filename%3DClinico_epidemiological_study_of_complic.pdf\u0026Expires=1743215040\u0026Signature=diZ-bOVkkrw0qA8hGnr3PlG85Ew5vwrsI0DCjJ4RaNX1a2A-g8YQ9naL3KAqMJIqBG66p3MfapUorYjSTNkFBc0ORLPdjXTmD6X-B97Kjp8AqIPRRbvA-zeS2zbWvwzjbuQNzFc5zqqiWH6933LwLIWjereiojATN74pFBGM~gJNp3TaKpn3UZwdDLUYfoVZ~EIzQJQOwoSusfm~VpnGa5ezCzhV0WgeCkRt9Dg8Ctx3vk2YvL9FtyUz6TYm2VHjH-DpOCwaXS5NJNcXePzTVb0k2rhA8lRAbRFDkWF2xEuKNqbfxnT2tzbfGAUfzeiy46FmldgvQMi6l59rj3FS9w__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Clinico_epidemiological_study_of_complicated_and_uncomplicated_chronic_suppurative_otitis_media","translated_slug":"","page_count":5,"language":"en","content_type":"Work","summary":"Introduction:This study aimed to compare the clinical and epidemiological profiles of cases of complicated and uncomplicated chronic suppurative otitis media, based on their prognostic factors.Materials and methods:This was a prospective, cross-sectional study conducted in a tertiary care medical college hospital over a period of two and a half years. 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Cholesteatoma and granulation tissue were potential risk factors in t...","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":86775942,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/86775942/thumbnails/1.jpg","file_name":"S002221510700027820220531-1-18szbp9.pdf","download_url":"https://www.academia.edu/attachments/86775942/download_file","bulk_download_file_name":"Clinico_epidemiological_study_of_complic.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/86775942/S002221510700027820220531-1-18szbp9-libre.pdf?1654008310=\u0026response-content-disposition=attachment%3B+filename%3DClinico_epidemiological_study_of_complic.pdf\u0026Expires=1743215040\u0026Signature=diZ-bOVkkrw0qA8hGnr3PlG85Ew5vwrsI0DCjJ4RaNX1a2A-g8YQ9naL3KAqMJIqBG66p3MfapUorYjSTNkFBc0ORLPdjXTmD6X-B97Kjp8AqIPRRbvA-zeS2zbWvwzjbuQNzFc5zqqiWH6933LwLIWjereiojATN74pFBGM~gJNp3TaKpn3UZwdDLUYfoVZ~EIzQJQOwoSusfm~VpnGa5ezCzhV0WgeCkRt9Dg8Ctx3vk2YvL9FtyUz6TYm2VHjH-DpOCwaXS5NJNcXePzTVb0k2rhA8lRAbRFDkWF2xEuKNqbfxnT2tzbfGAUfzeiy46FmldgvQMi6l59rj3FS9w__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":1085,"name":"Epidemiology","url":"https://www.academia.edu/Documents/in/Epidemiology"},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent"},{"id":22772,"name":"Urban Health","url":"https://www.academia.edu/Documents/in/Urban_Health"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":56691,"name":"Rural Health","url":"https://www.academia.edu/Documents/in/Rural_Health"},{"id":63890,"name":"Complication","url":"https://www.academia.edu/Documents/in/Complication"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child"},{"id":143165,"name":"ENT","url":"https://www.academia.edu/Documents/in/ENT"},{"id":161176,"name":"The","url":"https://www.academia.edu/Documents/in/The"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":1036777,"name":"Epidemiologic Studies","url":"https://www.academia.edu/Documents/in/Epidemiologic_Studies"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-80372173-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="80372104"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/80372104/Clinicopathological_review_of_tubercular_laryngitis_in_32_cases_of_pulmonary_Kochs"><img alt="Research paper thumbnail of Clinicopathological review of tubercular laryngitis in 32 cases of pulmonary Kochs" class="work-thumbnail" src="https://attachments.academia-assets.com/86775848/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/80372104/Clinicopathological_review_of_tubercular_laryngitis_in_32_cases_of_pulmonary_Kochs">Clinicopathological review of tubercular laryngitis in 32 cases of pulmonary Kochs</a></div><div class="wp-workCard_item"><span>American Journal of Otolaryngology</span><span>, 2009</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The aim is to study the current clinical features of tubercular laryngitis in adult patients with...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The aim is to study the current clinical features of tubercular laryngitis in adult patients with pulmonary involvement in the absence of other nontubercular comorbidities. Materials and methods: Medical records of histopathology confirmed cases with pulmonary Kochs in a tertiary medical center of a developing country from 1993 to 2007. Results: Thirty-two biopsy-proven cases of laryngeal tuberculosis with pulmonary involvement were found. Patients&#39; ages ranged from 16 to 65 years. The male-to-female ratio was 4.3:1. Hoarseness of voice was the commonest symptom. Most of them were associated with advanced fibrocavitary tuberculosis of the lungs. In the larynx, multiple, granulomatous, bilateral lesions were the commonest. Most of these lesions could be reversed with appropriate antituberculous treatment. Conclusion: Laryngeal tuberculosis with classic presentation continues to exist in developing countries. It can be the very first indication that the patient has tuberculosis. Hence, the otolaryngologist needs to remain vigilant to consider it in the differential diagnosis of chronic laryngeal disease.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="9a37eec724d9c6743bc942c33eedde71" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:86775848,&quot;asset_id&quot;:80372104,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/86775848/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80372104"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80372104"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80372104; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80372104]").text(description); $(".js-view-count[data-work-id=80372104]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80372104; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80372104']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "9a37eec724d9c6743bc942c33eedde71" } } $('.js-work-strip[data-work-id=80372104]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80372104,"title":"Clinicopathological review of tubercular laryngitis in 32 cases of pulmonary Kochs","translated_title":"","metadata":{"publisher":"Elsevier BV","ai_title_tag":"Laryngeal Tuberculosis in Pulmonary Kochs Cases","grobid_abstract":"The aim is to study the current clinical features of tubercular laryngitis in adult patients with pulmonary involvement in the absence of other nontubercular comorbidities. Materials and methods: Medical records of histopathology confirmed cases with pulmonary Kochs in a tertiary medical center of a developing country from 1993 to 2007. Results: Thirty-two biopsy-proven cases of laryngeal tuberculosis with pulmonary involvement were found. Patients' ages ranged from 16 to 65 years. The male-to-female ratio was 4.3:1. Hoarseness of voice was the commonest symptom. Most of them were associated with advanced fibrocavitary tuberculosis of the lungs. In the larynx, multiple, granulomatous, bilateral lesions were the commonest. Most of these lesions could be reversed with appropriate antituberculous treatment. Conclusion: Laryngeal tuberculosis with classic presentation continues to exist in developing countries. It can be the very first indication that the patient has tuberculosis. Hence, the otolaryngologist needs to remain vigilant to consider it in the differential diagnosis of chronic laryngeal disease.","publication_date":{"day":null,"month":null,"year":2009,"errors":{}},"publication_name":"American Journal of Otolaryngology","grobid_abstract_attachment_id":86775848},"translated_abstract":null,"internal_url":"https://www.academia.edu/80372104/Clinicopathological_review_of_tubercular_laryngitis_in_32_cases_of_pulmonary_Kochs","translated_internal_url":"","created_at":"2022-05-31T07:23:18.212-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":86775848,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/86775848/thumbnails/1.jpg","file_name":"j.amjoto.2008.07.00520220531-1-1ymvdua.pdf","download_url":"https://www.academia.edu/attachments/86775848/download_file","bulk_download_file_name":"Clinicopathological_review_of_tubercular.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/86775848/j.amjoto.2008.07.00520220531-1-1ymvdua-libre.pdf?1654008317=\u0026response-content-disposition=attachment%3B+filename%3DClinicopathological_review_of_tubercular.pdf\u0026Expires=1743215040\u0026Signature=S7gFociP22ze6ZRTuQG-k~lcFvZiH2u9AHKsJw~1r9tlMdCfxEMVQ2V~J2W80IoRgPBlsx~mGlEcK8bMlwi4IMPtCl7zajV~O~~kB5awNixVW-Mtgn3YZAHG9fmlW2PNJZ2oTw5FgdJ7SXocETKxJIeyyo~6rDYdvHUpCjLodiMPvE89pJQ72TZnfq4ZEt9hDgbkc5c55wyycj50VH1k3uwJ1Dw6RzO51rdlC-cLa1oBwqPqIrqiI2t~YX2ynYgnuJoQRxx3Me190NLukVacRkCuC7ECc2vyB~WcH9qDGXHN~0yVcS0XvZHWyEbuQsAg6JMusf2nP3-wNMU~udA~8A__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Clinicopathological_review_of_tubercular_laryngitis_in_32_cases_of_pulmonary_Kochs","translated_slug":"","page_count":4,"language":"en","content_type":"Work","summary":"The aim is to study the current clinical features of tubercular laryngitis in adult patients with pulmonary involvement in the absence of other nontubercular comorbidities. Materials and methods: Medical records of histopathology confirmed cases with pulmonary Kochs in a tertiary medical center of a developing country from 1993 to 2007. Results: Thirty-two biopsy-proven cases of laryngeal tuberculosis with pulmonary involvement were found. Patients' ages ranged from 16 to 65 years. The male-to-female ratio was 4.3:1. Hoarseness of voice was the commonest symptom. Most of them were associated with advanced fibrocavitary tuberculosis of the lungs. In the larynx, multiple, granulomatous, bilateral lesions were the commonest. Most of these lesions could be reversed with appropriate antituberculous treatment. Conclusion: Laryngeal tuberculosis with classic presentation continues to exist in developing countries. It can be the very first indication that the patient has tuberculosis. Hence, the otolaryngologist needs to remain vigilant to consider it in the differential diagnosis of chronic laryngeal disease.","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":86775848,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/86775848/thumbnails/1.jpg","file_name":"j.amjoto.2008.07.00520220531-1-1ymvdua.pdf","download_url":"https://www.academia.edu/attachments/86775848/download_file","bulk_download_file_name":"Clinicopathological_review_of_tubercular.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/86775848/j.amjoto.2008.07.00520220531-1-1ymvdua-libre.pdf?1654008317=\u0026response-content-disposition=attachment%3B+filename%3DClinicopathological_review_of_tubercular.pdf\u0026Expires=1743215040\u0026Signature=S7gFociP22ze6ZRTuQG-k~lcFvZiH2u9AHKsJw~1r9tlMdCfxEMVQ2V~J2W80IoRgPBlsx~mGlEcK8bMlwi4IMPtCl7zajV~O~~kB5awNixVW-Mtgn3YZAHG9fmlW2PNJZ2oTw5FgdJ7SXocETKxJIeyyo~6rDYdvHUpCjLodiMPvE89pJQ72TZnfq4ZEt9hDgbkc5c55wyycj50VH1k3uwJ1Dw6RzO51rdlC-cLa1oBwqPqIrqiI2t~YX2ynYgnuJoQRxx3Me190NLukVacRkCuC7ECc2vyB~WcH9qDGXHN~0yVcS0XvZHWyEbuQsAg6JMusf2nP3-wNMU~udA~8A__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":9815,"name":"Developing Countries","url":"https://www.academia.edu/Documents/in/Developing_Countries"},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent"},{"id":37826,"name":"Biopsy","url":"https://www.academia.edu/Documents/in/Biopsy"},{"id":133057,"name":"Young Adult","url":"https://www.academia.edu/Documents/in/Young_Adult"},{"id":151448,"name":"American","url":"https://www.academia.edu/Documents/in/American"},{"id":162159,"name":"Differential Diagnosis","url":"https://www.academia.edu/Documents/in/Differential_Diagnosis"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":413192,"name":"Sex Factors","url":"https://www.academia.edu/Documents/in/Sex_Factors"},{"id":469105,"name":"Retrospective Studies","url":"https://www.academia.edu/Documents/in/Retrospective_Studies"},{"id":546419,"name":"Age Factors","url":"https://www.academia.edu/Documents/in/Age_Factors"},{"id":897823,"name":"Elsevier","url":"https://www.academia.edu/Documents/in/Elsevier"},{"id":911627,"name":"Pulmonary Tuberculosis","url":"https://www.academia.edu/Documents/in/Pulmonary_Tuberculosis"},{"id":3270781,"name":"Hoarseness","url":"https://www.academia.edu/Documents/in/Hoarseness"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-80372104-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935562"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/53935562/Effect_of_Epidermal_Growth_Factor_with_Silastic_Scaffold_on_Tympanic_Membrane_Perforations_of_Chronic_Otitis_Media"><img alt="Research paper thumbnail of Effect of Epidermal Growth Factor with Silastic Scaffold on Tympanic Membrane Perforations of Chronic Otitis Media" class="work-thumbnail" src="https://attachments.academia-assets.com/70541516/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/53935562/Effect_of_Epidermal_Growth_Factor_with_Silastic_Scaffold_on_Tympanic_Membrane_Perforations_of_Chronic_Otitis_Media">Effect of Epidermal Growth Factor with Silastic Scaffold on Tympanic Membrane Perforations of Chronic Otitis Media</a></div><div class="wp-workCard_item"><span>Annals of Otology and Neurotology</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Aims The burden of chronic otitis media continues to be high, especially in developing countries....</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Aims The burden of chronic otitis media continues to be high, especially in developing countries. The demand for corrective procedure of surgical myringoplasty, which is considered the gold standard for tympanic membrane perforations, is also growing. Hence, there is a need to innovate simpler alternative office procedures that could save effort, time, waiting period, and expenditure. Materials and Methods This prospective study of 84 patients with mucosal chronic otitis media was undertaken in a tertiary referral hospital. All patients underwent eustachian tube function test, diagnostic nasal endoscopy, and pure tone audiometry. The size of the perforation was assessed endoscopically. All perforations were freshened first with silver nitrate solution. Silastic pieces were placed medial and lateral to the perforation with epidermal growth factor gel in between. Patients were followed up for 3 months. Results The perforations were classified into three groups (healed, partially heale...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="4860113a6259a75c57908a6c6cb9cf5e" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:70541516,&quot;asset_id&quot;:53935562,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/70541516/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935562"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935562"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935562; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935562]").text(description); $(".js-view-count[data-work-id=53935562]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935562; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935562']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "4860113a6259a75c57908a6c6cb9cf5e" } } $('.js-work-strip[data-work-id=53935562]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935562,"title":"Effect of Epidermal Growth Factor with Silastic Scaffold on Tympanic Membrane Perforations of Chronic Otitis Media","translated_title":"","metadata":{"abstract":"Aims The burden of chronic otitis media continues to be high, especially in developing countries. The demand for corrective procedure of surgical myringoplasty, which is considered the gold standard for tympanic membrane perforations, is also growing. Hence, there is a need to innovate simpler alternative office procedures that could save effort, time, waiting period, and expenditure. Materials and Methods This prospective study of 84 patients with mucosal chronic otitis media was undertaken in a tertiary referral hospital. All patients underwent eustachian tube function test, diagnostic nasal endoscopy, and pure tone audiometry. The size of the perforation was assessed endoscopically. All perforations were freshened first with silver nitrate solution. Silastic pieces were placed medial and lateral to the perforation with epidermal growth factor gel in between. Patients were followed up for 3 months. Results The perforations were classified into three groups (healed, partially heale...","publisher":"Georg Thieme Verlag KG","publication_name":"Annals of Otology and Neurotology"},"translated_abstract":"Aims The burden of chronic otitis media continues to be high, especially in developing countries. The demand for corrective procedure of surgical myringoplasty, which is considered the gold standard for tympanic membrane perforations, is also growing. Hence, there is a need to innovate simpler alternative office procedures that could save effort, time, waiting period, and expenditure. Materials and Methods This prospective study of 84 patients with mucosal chronic otitis media was undertaken in a tertiary referral hospital. All patients underwent eustachian tube function test, diagnostic nasal endoscopy, and pure tone audiometry. The size of the perforation was assessed endoscopically. All perforations were freshened first with silver nitrate solution. Silastic pieces were placed medial and lateral to the perforation with epidermal growth factor gel in between. Patients were followed up for 3 months. Results The perforations were classified into three groups (healed, partially heale...","internal_url":"https://www.academia.edu/53935562/Effect_of_Epidermal_Growth_Factor_with_Silastic_Scaffold_on_Tympanic_Membrane_Perforations_of_Chronic_Otitis_Media","translated_internal_url":"","created_at":"2021-09-29T05:17:44.783-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":70541516,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541516/thumbnails/1.jpg","file_name":"s-0041-1735386.pdf","download_url":"https://www.academia.edu/attachments/70541516/download_file","bulk_download_file_name":"Effect_of_Epidermal_Growth_Factor_with_S.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541516/s-0041-1735386-libre.pdf?1632930518=\u0026response-content-disposition=attachment%3B+filename%3DEffect_of_Epidermal_Growth_Factor_with_S.pdf\u0026Expires=1743215040\u0026Signature=Om-~p7gPqhW-jVOTZ-LSxMAvTEnN1OALniFY5yTorcvjduY9aLAJp5nK0w2Tw62cDgPGtzDq3lKkIULavbVO4FBGJFYLX8ku5bHA5RM1YsG-DfM7Qxo5b-4-4m2ZXKZZTl54Td8ssF6XsAsVm29sHS-6xu3XtegRsPiqwZXfldYwfCkRRzUzEHzri1mXqd6C~40lhmBxN7boD0GRhFz2VZovKks6HX5aIUaNxu4aMfnyOFVhBTedibxKK3Btn1dVDNwL6a~2oBpsyeZ1KzLv8AwTx0ug7W0v9CYw0n420F-59ed8BtOSaz9COC5j-qDf5glsOi9-eCeY5-UmYiT1Ng__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Effect_of_Epidermal_Growth_Factor_with_Silastic_Scaffold_on_Tympanic_Membrane_Perforations_of_Chronic_Otitis_Media","translated_slug":"","page_count":6,"language":"en","content_type":"Work","summary":"Aims The burden of chronic otitis media continues to be high, especially in developing countries. The demand for corrective procedure of surgical myringoplasty, which is considered the gold standard for tympanic membrane perforations, is also growing. Hence, there is a need to innovate simpler alternative office procedures that could save effort, time, waiting period, and expenditure. Materials and Methods This prospective study of 84 patients with mucosal chronic otitis media was undertaken in a tertiary referral hospital. All patients underwent eustachian tube function test, diagnostic nasal endoscopy, and pure tone audiometry. The size of the perforation was assessed endoscopically. All perforations were freshened first with silver nitrate solution. Silastic pieces were placed medial and lateral to the perforation with epidermal growth factor gel in between. Patients were followed up for 3 months. Results The perforations were classified into three groups (healed, partially heale...","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":70541516,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541516/thumbnails/1.jpg","file_name":"s-0041-1735386.pdf","download_url":"https://www.academia.edu/attachments/70541516/download_file","bulk_download_file_name":"Effect_of_Epidermal_Growth_Factor_with_S.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541516/s-0041-1735386-libre.pdf?1632930518=\u0026response-content-disposition=attachment%3B+filename%3DEffect_of_Epidermal_Growth_Factor_with_S.pdf\u0026Expires=1743215040\u0026Signature=Om-~p7gPqhW-jVOTZ-LSxMAvTEnN1OALniFY5yTorcvjduY9aLAJp5nK0w2Tw62cDgPGtzDq3lKkIULavbVO4FBGJFYLX8ku5bHA5RM1YsG-DfM7Qxo5b-4-4m2ZXKZZTl54Td8ssF6XsAsVm29sHS-6xu3XtegRsPiqwZXfldYwfCkRRzUzEHzri1mXqd6C~40lhmBxN7boD0GRhFz2VZovKks6HX5aIUaNxu4aMfnyOFVhBTedibxKK3Btn1dVDNwL6a~2oBpsyeZ1KzLv8AwTx0ug7W0v9CYw0n420F-59ed8BtOSaz9COC5j-qDf5glsOi9-eCeY5-UmYiT1Ng__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[],"urls":[{"id":11687904,"url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0041-1735386.pdf"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935562-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935561"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/53935561/Persistent_adenoids_and_their_secondary_effects"><img alt="Research paper thumbnail of Persistent adenoids and their secondary effects" class="work-thumbnail" src="https://attachments.academia-assets.com/70541514/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/53935561/Persistent_adenoids_and_their_secondary_effects">Persistent adenoids and their secondary effects</a></div><div class="wp-workCard_item"><span>International Journal of Otorhinolaryngology and Head and Neck Surgery</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background: Regression of adenoids is assumed to be a physiological phenomenon at puberty. Howeve...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background: Regression of adenoids is assumed to be a physiological phenomenon at puberty. However, it has been found that it can persist well beyond adolescence into early adulthood, cascading a series of after effects in the upper respiratory tract that can cause considerable morbidity leading to public health problems. This study aimed to explore the clinicopathological features of persistent adenoids and their secondary effects on the upper respiratory tract.Methods: This was a prospective controlled study of 100 eligible patients in the age group of 15-60 years presenting with enlarged adenoids confirmed by nasal endoscopy. Equal number of controls without enlarged adenoids was also taken. Both the groups were evaluated for secondary effects like chronic rhinosinusitis, otitis media with effusion, chronic otitis media and Eustachian tube dysfunction. The relationship between adenoid enlargement in adults and secondary effects was analysed statistically.  Results: Seventy-seven ...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="48fb9ce966d2b31be9be19f9ca4bbcfb" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:70541514,&quot;asset_id&quot;:53935561,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/70541514/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935561"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935561"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935561; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935561]").text(description); $(".js-view-count[data-work-id=53935561]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935561; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935561']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "48fb9ce966d2b31be9be19f9ca4bbcfb" } } $('.js-work-strip[data-work-id=53935561]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935561,"title":"Persistent adenoids and their secondary effects","translated_title":"","metadata":{"abstract":"Background: Regression of adenoids is assumed to be a physiological phenomenon at puberty. However, it has been found that it can persist well beyond adolescence into early adulthood, cascading a series of after effects in the upper respiratory tract that can cause considerable morbidity leading to public health problems. This study aimed to explore the clinicopathological features of persistent adenoids and their secondary effects on the upper respiratory tract.Methods: This was a prospective controlled study of 100 eligible patients in the age group of 15-60 years presenting with enlarged adenoids confirmed by nasal endoscopy. Equal number of controls without enlarged adenoids was also taken. Both the groups were evaluated for secondary effects like chronic rhinosinusitis, otitis media with effusion, chronic otitis media and Eustachian tube dysfunction. The relationship between adenoid enlargement in adults and secondary effects was analysed statistically.  Results: Seventy-seven ...","publisher":"Medip Academy","publication_name":"International Journal of Otorhinolaryngology and Head and Neck Surgery"},"translated_abstract":"Background: Regression of adenoids is assumed to be a physiological phenomenon at puberty. However, it has been found that it can persist well beyond adolescence into early adulthood, cascading a series of after effects in the upper respiratory tract that can cause considerable morbidity leading to public health problems. This study aimed to explore the clinicopathological features of persistent adenoids and their secondary effects on the upper respiratory tract.Methods: This was a prospective controlled study of 100 eligible patients in the age group of 15-60 years presenting with enlarged adenoids confirmed by nasal endoscopy. Equal number of controls without enlarged adenoids was also taken. Both the groups were evaluated for secondary effects like chronic rhinosinusitis, otitis media with effusion, chronic otitis media and Eustachian tube dysfunction. The relationship between adenoid enlargement in adults and secondary effects was analysed statistically.  Results: Seventy-seven ...","internal_url":"https://www.academia.edu/53935561/Persistent_adenoids_and_their_secondary_effects","translated_internal_url":"","created_at":"2021-09-29T05:17:44.672-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":70541514,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541514/thumbnails/1.jpg","file_name":"1287.pdf","download_url":"https://www.academia.edu/attachments/70541514/download_file","bulk_download_file_name":"Persistent_adenoids_and_their_secondary.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541514/1287-libre.pdf?1632930517=\u0026response-content-disposition=attachment%3B+filename%3DPersistent_adenoids_and_their_secondary.pdf\u0026Expires=1743215040\u0026Signature=Uy9CosHkKYubXAEKQ8~NxeO72mu5ET3Bwp5gCs3ywT40sJzAskyYdXYqs-5e--5OWcpmdw9uQohttzzGsOBvaT3h-kek~TSgM8oKoQfkPCzQAL7NgW41I7-qHmj2v9Od5qL03QrnuDGCGl8XiBGCSSniCcpd0qY8jQ9BNRQKGwNK~9qhcK72VSrqrgCu0LciHEA6OY-jTfB38kEw0I5HxM446WEgHRIWf8NKygrfwCApJb9MnQjUkqkCNL0TzEVhIVM~KkEmBJbs-lbneY965tokE81tyFi1zzMx5xQMVPvBhxVEFliIq~vp0k9CgkOdqr3Pv2E~J8uMWpPeltjf1g__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Persistent_adenoids_and_their_secondary_effects","translated_slug":"","page_count":5,"language":"en","content_type":"Work","summary":"Background: Regression of adenoids is assumed to be a physiological phenomenon at puberty. However, it has been found that it can persist well beyond adolescence into early adulthood, cascading a series of after effects in the upper respiratory tract that can cause considerable morbidity leading to public health problems. This study aimed to explore the clinicopathological features of persistent adenoids and their secondary effects on the upper respiratory tract.Methods: This was a prospective controlled study of 100 eligible patients in the age group of 15-60 years presenting with enlarged adenoids confirmed by nasal endoscopy. Equal number of controls without enlarged adenoids was also taken. Both the groups were evaluated for secondary effects like chronic rhinosinusitis, otitis media with effusion, chronic otitis media and Eustachian tube dysfunction. The relationship between adenoid enlargement in adults and secondary effects was analysed statistically.  Results: Seventy-seven ...","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":70541514,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541514/thumbnails/1.jpg","file_name":"1287.pdf","download_url":"https://www.academia.edu/attachments/70541514/download_file","bulk_download_file_name":"Persistent_adenoids_and_their_secondary.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541514/1287-libre.pdf?1632930517=\u0026response-content-disposition=attachment%3B+filename%3DPersistent_adenoids_and_their_secondary.pdf\u0026Expires=1743215040\u0026Signature=Uy9CosHkKYubXAEKQ8~NxeO72mu5ET3Bwp5gCs3ywT40sJzAskyYdXYqs-5e--5OWcpmdw9uQohttzzGsOBvaT3h-kek~TSgM8oKoQfkPCzQAL7NgW41I7-qHmj2v9Od5qL03QrnuDGCGl8XiBGCSSniCcpd0qY8jQ9BNRQKGwNK~9qhcK72VSrqrgCu0LciHEA6OY-jTfB38kEw0I5HxM446WEgHRIWf8NKygrfwCApJb9MnQjUkqkCNL0TzEVhIVM~KkEmBJbs-lbneY965tokE81tyFi1zzMx5xQMVPvBhxVEFliIq~vp0k9CgkOdqr3Pv2E~J8uMWpPeltjf1g__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[],"urls":[{"id":11687903,"url":"https://www.ijorl.com/index.php/ijorl/article/viewFile/2271/1287"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935561-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935560"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/53935560/Steroid_Nasal_Spray_versus_Curettage_Adenoidectomy_in_School_Children_A_Randomized_Controlled_Trial"><img alt="Research paper thumbnail of Steroid Nasal Spray versus Curettage Adenoidectomy in School Children – A Randomized Controlled Trial" class="work-thumbnail" src="https://attachments.academia-assets.com/70541650/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/53935560/Steroid_Nasal_Spray_versus_Curettage_Adenoidectomy_in_School_Children_A_Randomized_Controlled_Trial">Steroid Nasal Spray versus Curettage Adenoidectomy in School Children – A Randomized Controlled Trial</a></div><div class="wp-workCard_item"><span>Journal of Otolaryngology-ENT Research</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background: Management of chronic adenoiditis is planned according to the degree of airway obstru...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background: Management of chronic adenoiditis is planned according to the degree of airway obstruction, age of the patient and related morbidity. Considering the individual risk analysis of patients in terms of anesthetic, post-operative complications and recurrence, non-surgical treatment could be considered in patients who are unfit for surgery. Methods: Randomized control trial was conducted to compare the effects of topical nasal steroid spray with curettage adenoidectomy in chronic adenoiditis. Post intervention, patients were followed up for 6 months. Results: Out of 103 patients, 51 were subjected to adenoidectomy and 52 to medical treatment. At the end of 6 months, 49 (Negative rank score) patients of surgical group and 48 (Negative rank score) patients of medical group showed statistically significant improvement (p&lt;.001) in symptoms and regression of adenoid size. There was no statistically significant difference between groups with respect to recurrent cold, running nose, epistaxis and ear symptoms (p&gt;.05). Conclusion: Topical nasal steroid spray can be used as an alternative treatment in chronic adenoiditis when surgery is contraindicated. It can also be considered when surgery needs to be postponed at the request of the patient.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="88b3b97372adb2558590e07eaa5e6561" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:70541650,&quot;asset_id&quot;:53935560,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/70541650/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935560"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935560"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935560; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935560]").text(description); $(".js-view-count[data-work-id=53935560]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935560; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935560']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "88b3b97372adb2558590e07eaa5e6561" } } $('.js-work-strip[data-work-id=53935560]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935560,"title":"Steroid Nasal Spray versus Curettage Adenoidectomy in School Children – A Randomized Controlled Trial","translated_title":"","metadata":{"publisher":"MedCrave Group, LLC","grobid_abstract":"Background: Management of chronic adenoiditis is planned according to the degree of airway obstruction, age of the patient and related morbidity. Considering the individual risk analysis of patients in terms of anesthetic, post-operative complications and recurrence, non-surgical treatment could be considered in patients who are unfit for surgery. Methods: Randomized control trial was conducted to compare the effects of topical nasal steroid spray with curettage adenoidectomy in chronic adenoiditis. Post intervention, patients were followed up for 6 months. Results: Out of 103 patients, 51 were subjected to adenoidectomy and 52 to medical treatment. At the end of 6 months, 49 (Negative rank score) patients of surgical group and 48 (Negative rank score) patients of medical group showed statistically significant improvement (p\u003c.001) in symptoms and regression of adenoid size. There was no statistically significant difference between groups with respect to recurrent cold, running nose, epistaxis and ear symptoms (p\u003e.05). Conclusion: Topical nasal steroid spray can be used as an alternative treatment in chronic adenoiditis when surgery is contraindicated. It can also be considered when surgery needs to be postponed at the request of the patient.","publication_name":"Journal of Otolaryngology-ENT Research","grobid_abstract_attachment_id":70541650},"translated_abstract":null,"internal_url":"https://www.academia.edu/53935560/Steroid_Nasal_Spray_versus_Curettage_Adenoidectomy_in_School_Children_A_Randomized_Controlled_Trial","translated_internal_url":"","created_at":"2021-09-29T05:17:44.559-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":70541650,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541650/thumbnails/1.jpg","file_name":"JOENTR-08-00259.pdf","download_url":"https://www.academia.edu/attachments/70541650/download_file","bulk_download_file_name":"Steroid_Nasal_Spray_versus_Curettage_Ade.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541650/JOENTR-08-00259-libre.pdf?1632930512=\u0026response-content-disposition=attachment%3B+filename%3DSteroid_Nasal_Spray_versus_Curettage_Ade.pdf\u0026Expires=1743215040\u0026Signature=Q1OfuTgwGWGjGuGQUmGfP2FUwF641staeWEZo2-ZwY8H2PNoE29CMW4zEX-yl7BmXjNeLbljttvLY1jrU2FeiZeNnryC1FLduPMwXGR~Hmu2V1eRTbkBfICRF-sNhQboaGNpudVGPyTib2jmwQj41v5cYlQdL-Epdir4wiT~-8JNhySNsQW8-Z3BlGTWmk5A5sATeb2MiGKA3Wxsl0LfysOOU2fsvgBWKapKpUZe7I9DmLsHwTnXf3NC9TPQPEfEisIZ8Y8F3HrHLnOFBxXsf9xWNSsK-U-HbytMA4FfONnGeN5gWHgQsVREeBr6mkTszb67wajVGDv1uMRlDdf3ow__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Steroid_Nasal_Spray_versus_Curettage_Adenoidectomy_in_School_Children_A_Randomized_Controlled_Trial","translated_slug":"","page_count":6,"language":"en","content_type":"Work","summary":"Background: Management of chronic adenoiditis is planned according to the degree of airway obstruction, age of the patient and related morbidity. Considering the individual risk analysis of patients in terms of anesthetic, post-operative complications and recurrence, non-surgical treatment could be considered in patients who are unfit for surgery. Methods: Randomized control trial was conducted to compare the effects of topical nasal steroid spray with curettage adenoidectomy in chronic adenoiditis. Post intervention, patients were followed up for 6 months. Results: Out of 103 patients, 51 were subjected to adenoidectomy and 52 to medical treatment. At the end of 6 months, 49 (Negative rank score) patients of surgical group and 48 (Negative rank score) patients of medical group showed statistically significant improvement (p\u003c.001) in symptoms and regression of adenoid size. There was no statistically significant difference between groups with respect to recurrent cold, running nose, epistaxis and ear symptoms (p\u003e.05). Conclusion: Topical nasal steroid spray can be used as an alternative treatment in chronic adenoiditis when surgery is contraindicated. It can also be considered when surgery needs to be postponed at the request of the patient.","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":70541650,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541650/thumbnails/1.jpg","file_name":"JOENTR-08-00259.pdf","download_url":"https://www.academia.edu/attachments/70541650/download_file","bulk_download_file_name":"Steroid_Nasal_Spray_versus_Curettage_Ade.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541650/JOENTR-08-00259-libre.pdf?1632930512=\u0026response-content-disposition=attachment%3B+filename%3DSteroid_Nasal_Spray_versus_Curettage_Ade.pdf\u0026Expires=1743215040\u0026Signature=Q1OfuTgwGWGjGuGQUmGfP2FUwF641staeWEZo2-ZwY8H2PNoE29CMW4zEX-yl7BmXjNeLbljttvLY1jrU2FeiZeNnryC1FLduPMwXGR~Hmu2V1eRTbkBfICRF-sNhQboaGNpudVGPyTib2jmwQj41v5cYlQdL-Epdir4wiT~-8JNhySNsQW8-Z3BlGTWmk5A5sATeb2MiGKA3Wxsl0LfysOOU2fsvgBWKapKpUZe7I9DmLsHwTnXf3NC9TPQPEfEisIZ8Y8F3HrHLnOFBxXsf9xWNSsK-U-HbytMA4FfONnGeN5gWHgQsVREeBr6mkTszb67wajVGDv1uMRlDdf3ow__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[],"urls":[{"id":11687902,"url":"http://medcraveonline.com/JOENTR/JOENTR-08-00259.php"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935560-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935558"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/53935558/Effect_of_Silver_Nitrate_and_Epidermal_Growth_Factor_on_Nonhealing_Tympanic_Membrane_Perforations_A_Randomized_Controlled_Study"><img alt="Research paper thumbnail of Effect of Silver Nitrate and Epidermal Growth Factor on Nonhealing Tympanic Membrane Perforations: A Randomized Controlled Study" class="work-thumbnail" src="https://attachments.academia-assets.com/70541512/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/53935558/Effect_of_Silver_Nitrate_and_Epidermal_Growth_Factor_on_Nonhealing_Tympanic_Membrane_Perforations_A_Randomized_Controlled_Study">Effect of Silver Nitrate and Epidermal Growth Factor on Nonhealing Tympanic Membrane Perforations: A Randomized Controlled Study</a></div><div class="wp-workCard_item"><span>Annals of Otology and Neurotology</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Introduction Most tympanic membrane perforations in chronic otitis media require surgical myringo...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Introduction Most tympanic membrane perforations in chronic otitis media require surgical myringoplasty for closure. This study aimed to find out a simple nonsurgical outpatient procedure to close these perforations that could reduce the hospital stay, medical cost, and morbidity in these patients. Materials and Methods The study was conducted in a tertiary referral hospital in a single-blind randomized controlled trial design with two groups, each with a sample size of 40 ears. Only small-size central nonhealing traumatic and chronic otitis media perforations were recruited. Pure tone audiometry and otomicroscopy were performed in all eligible patients who consented to take part in the study. Group 1 was treated with silver nitrate chemical cautery alone. Group 2 received epidermal growth factor gel application in addition to chemical cautery. Both the groups were followed up for a minimum period of 3 months. The same investigations were performed during follow-up. Results and Obse...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="cfe6739d384a35a344cd56853ec8f1d4" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:70541512,&quot;asset_id&quot;:53935558,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/70541512/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935558"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935558"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935558; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935558]").text(description); $(".js-view-count[data-work-id=53935558]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935558; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935558']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "cfe6739d384a35a344cd56853ec8f1d4" } } $('.js-work-strip[data-work-id=53935558]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935558,"title":"Effect of Silver Nitrate and Epidermal Growth Factor on Nonhealing Tympanic Membrane Perforations: A Randomized Controlled Study","translated_title":"","metadata":{"abstract":"Introduction Most tympanic membrane perforations in chronic otitis media require surgical myringoplasty for closure. This study aimed to find out a simple nonsurgical outpatient procedure to close these perforations that could reduce the hospital stay, medical cost, and morbidity in these patients. Materials and Methods The study was conducted in a tertiary referral hospital in a single-blind randomized controlled trial design with two groups, each with a sample size of 40 ears. Only small-size central nonhealing traumatic and chronic otitis media perforations were recruited. Pure tone audiometry and otomicroscopy were performed in all eligible patients who consented to take part in the study. Group 1 was treated with silver nitrate chemical cautery alone. Group 2 received epidermal growth factor gel application in addition to chemical cautery. Both the groups were followed up for a minimum period of 3 months. The same investigations were performed during follow-up. Results and Obse...","publisher":"Georg Thieme Verlag KG","ai_title_tag":"Silver Nitrate and EGF for Nonhealing Tympanic Membrane Perforations","publication_name":"Annals of Otology and Neurotology"},"translated_abstract":"Introduction Most tympanic membrane perforations in chronic otitis media require surgical myringoplasty for closure. This study aimed to find out a simple nonsurgical outpatient procedure to close these perforations that could reduce the hospital stay, medical cost, and morbidity in these patients. Materials and Methods The study was conducted in a tertiary referral hospital in a single-blind randomized controlled trial design with two groups, each with a sample size of 40 ears. Only small-size central nonhealing traumatic and chronic otitis media perforations were recruited. Pure tone audiometry and otomicroscopy were performed in all eligible patients who consented to take part in the study. Group 1 was treated with silver nitrate chemical cautery alone. Group 2 received epidermal growth factor gel application in addition to chemical cautery. Both the groups were followed up for a minimum period of 3 months. The same investigations were performed during follow-up. Results and Obse...","internal_url":"https://www.academia.edu/53935558/Effect_of_Silver_Nitrate_and_Epidermal_Growth_Factor_on_Nonhealing_Tympanic_Membrane_Perforations_A_Randomized_Controlled_Study","translated_internal_url":"","created_at":"2021-09-29T05:17:44.372-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":70541512,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541512/thumbnails/1.jpg","file_name":"s-0037-1612644.pdf","download_url":"https://www.academia.edu/attachments/70541512/download_file","bulk_download_file_name":"Effect_of_Silver_Nitrate_and_Epidermal_G.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541512/s-0037-1612644-libre.pdf?1632930518=\u0026response-content-disposition=attachment%3B+filename%3DEffect_of_Silver_Nitrate_and_Epidermal_G.pdf\u0026Expires=1743215040\u0026Signature=F5vpoGdnklXVhMUzgYKNHCxDPohe5-Zab0QfbB0MUlhq~KK~pyguzoHne3Mz~lAgAVJt5F0bJUoI~AhMMJCCJEXH33x6CoU0jMvH3hJ4W2sDbpmIGdkMU31tFT2pcSUw~mlpuobljqFB-5P-QnXR701-ZGwkazy6veV7nfPiGvAgI08cncrDIkK8aEAhb5varqPdls1qZQCtDldAsWN-yaqfAWUOO-ELYK2b7cLHurMj09juCmGH92I3am-uZzuPOuEBtrM~0LFC4qttRZIg3S7SsJMGapRi9Xp4-LYJolrBK1Jx1yBdtDW3GaI2bKL4GCmMPQPMCVVp4nbNI8Yeag__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Effect_of_Silver_Nitrate_and_Epidermal_Growth_Factor_on_Nonhealing_Tympanic_Membrane_Perforations_A_Randomized_Controlled_Study","translated_slug":"","page_count":5,"language":"en","content_type":"Work","summary":"Introduction Most tympanic membrane perforations in chronic otitis media require surgical myringoplasty for closure. This study aimed to find out a simple nonsurgical outpatient procedure to close these perforations that could reduce the hospital stay, medical cost, and morbidity in these patients. Materials and Methods The study was conducted in a tertiary referral hospital in a single-blind randomized controlled trial design with two groups, each with a sample size of 40 ears. Only small-size central nonhealing traumatic and chronic otitis media perforations were recruited. Pure tone audiometry and otomicroscopy were performed in all eligible patients who consented to take part in the study. Group 1 was treated with silver nitrate chemical cautery alone. Group 2 received epidermal growth factor gel application in addition to chemical cautery. Both the groups were followed up for a minimum period of 3 months. The same investigations were performed during follow-up. Results and Obse...","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":70541512,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541512/thumbnails/1.jpg","file_name":"s-0037-1612644.pdf","download_url":"https://www.academia.edu/attachments/70541512/download_file","bulk_download_file_name":"Effect_of_Silver_Nitrate_and_Epidermal_G.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541512/s-0037-1612644-libre.pdf?1632930518=\u0026response-content-disposition=attachment%3B+filename%3DEffect_of_Silver_Nitrate_and_Epidermal_G.pdf\u0026Expires=1743215040\u0026Signature=F5vpoGdnklXVhMUzgYKNHCxDPohe5-Zab0QfbB0MUlhq~KK~pyguzoHne3Mz~lAgAVJt5F0bJUoI~AhMMJCCJEXH33x6CoU0jMvH3hJ4W2sDbpmIGdkMU31tFT2pcSUw~mlpuobljqFB-5P-QnXR701-ZGwkazy6veV7nfPiGvAgI08cncrDIkK8aEAhb5varqPdls1qZQCtDldAsWN-yaqfAWUOO-ELYK2b7cLHurMj09juCmGH92I3am-uZzuPOuEBtrM~0LFC4qttRZIg3S7SsJMGapRi9Xp4-LYJolrBK1Jx1yBdtDW3GaI2bKL4GCmMPQPMCVVp4nbNI8Yeag__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"},{"id":70541513,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541513/thumbnails/1.jpg","file_name":"s-0037-1612644.pdf","download_url":"https://www.academia.edu/attachments/70541513/download_file","bulk_download_file_name":"Effect_of_Silver_Nitrate_and_Epidermal_G.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541513/s-0037-1612644-libre.pdf?1632930518=\u0026response-content-disposition=attachment%3B+filename%3DEffect_of_Silver_Nitrate_and_Epidermal_G.pdf\u0026Expires=1743215040\u0026Signature=Yj3IamxfQmyDrS4p0bzi6dkgxSP4vGym9ZRZby3~Nm30C9DAoX2lQcPQYhRJhmXxbkmra95s9zvomMn-E5VxwuT54kKxMq7lxL08IDvW59c9N2rUCEEi~ZHWTHyY9E30zQqVcHS92MsrxqZf~jHChnY4ahgnMoA7CITJvTWUoaOT1lV9M7RlyiNSa5O9QqfVc7u02PVX2wGZIzCfpnUc2mu0cCtEFPZdqddxXj2l2CiePX8p0yWeAeZruh-wRedWviE0yOp35Y1D40H5E~Uq6GHrlUAa4oPP6NL14ZOc~8~ItlKckPnILk9iuSdchZul2mV-zizLh6c0IwwxqF7t1g__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[],"urls":[{"id":11687901,"url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0037-1612644.pdf"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935558-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935557"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/53935557/Predisposing_Sinonasal_Disease_Foci_Do_They_Really_Affect_Mucosal_Chronic_Otitis_Media"><img alt="Research paper thumbnail of Predisposing Sinonasal Disease Foci: Do They Really Affect Mucosal Chronic Otitis Media?" class="work-thumbnail" src="https://attachments.academia-assets.com/70541510/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/53935557/Predisposing_Sinonasal_Disease_Foci_Do_They_Really_Affect_Mucosal_Chronic_Otitis_Media">Predisposing Sinonasal Disease Foci: Do They Really Affect Mucosal Chronic Otitis Media?</a></div><div class="wp-workCard_item"><span>Annals of Otology and Neurotology</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background This study aimed to find the relationship between sinonasal predisposing foci in chron...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background This study aimed to find the relationship between sinonasal predisposing foci in chronic otitis media mucosal disease (COMMD) and risk from these predisposing disease foci, and to identify the correlation of bacterial flora of the ear and nose in chronic otitis media. Materials and Methods This was a prospective case–control study with 100 cases and 100 controls. All patients underwent a detailed clinical ear-nose-throat (ENT) examination and diagnostic nasal endoscopy to look for sinonasal and pharyngeal pathology. In all patients, ear and nasal swabs were taken at the first visit. The relationship between these factors and COMMD was studied by appropriate statistical tests. Observations and Results Extremely significant association between tubal tonsil hypertrophy and COMMD, very significant association between adenoid hypertrophy and COMMD, and just significant association between deviated nasal septum, inferior turbinate hypertrophy, concha bullosa, and COMMD were fou...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="6f2de9da8fd9cc0ebea514a4aa0437b8" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:70541510,&quot;asset_id&quot;:53935557,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/70541510/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935557"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935557"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935557; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935557]").text(description); $(".js-view-count[data-work-id=53935557]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935557; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935557']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "6f2de9da8fd9cc0ebea514a4aa0437b8" } } $('.js-work-strip[data-work-id=53935557]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935557,"title":"Predisposing Sinonasal Disease Foci: Do They Really Affect Mucosal Chronic Otitis Media?","translated_title":"","metadata":{"abstract":"Background This study aimed to find the relationship between sinonasal predisposing foci in chronic otitis media mucosal disease (COMMD) and risk from these predisposing disease foci, and to identify the correlation of bacterial flora of the ear and nose in chronic otitis media. Materials and Methods This was a prospective case–control study with 100 cases and 100 controls. All patients underwent a detailed clinical ear-nose-throat (ENT) examination and diagnostic nasal endoscopy to look for sinonasal and pharyngeal pathology. In all patients, ear and nasal swabs were taken at the first visit. The relationship between these factors and COMMD was studied by appropriate statistical tests. Observations and Results Extremely significant association between tubal tonsil hypertrophy and COMMD, very significant association between adenoid hypertrophy and COMMD, and just significant association between deviated nasal septum, inferior turbinate hypertrophy, concha bullosa, and COMMD were fou...","publisher":"Georg Thieme Verlag KG","publication_name":"Annals of Otology and Neurotology"},"translated_abstract":"Background This study aimed to find the relationship between sinonasal predisposing foci in chronic otitis media mucosal disease (COMMD) and risk from these predisposing disease foci, and to identify the correlation of bacterial flora of the ear and nose in chronic otitis media. Materials and Methods This was a prospective case–control study with 100 cases and 100 controls. All patients underwent a detailed clinical ear-nose-throat (ENT) examination and diagnostic nasal endoscopy to look for sinonasal and pharyngeal pathology. In all patients, ear and nasal swabs were taken at the first visit. The relationship between these factors and COMMD was studied by appropriate statistical tests. Observations and Results Extremely significant association between tubal tonsil hypertrophy and COMMD, very significant association between adenoid hypertrophy and COMMD, and just significant association between deviated nasal septum, inferior turbinate hypertrophy, concha bullosa, and COMMD were fou...","internal_url":"https://www.academia.edu/53935557/Predisposing_Sinonasal_Disease_Foci_Do_They_Really_Affect_Mucosal_Chronic_Otitis_Media","translated_internal_url":"","created_at":"2021-09-29T05:17:44.273-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":70541510,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541510/thumbnails/1.jpg","file_name":"s-0038-1636944.pdf","download_url":"https://www.academia.edu/attachments/70541510/download_file","bulk_download_file_name":"Predisposing_Sinonasal_Disease_Foci_Do_T.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541510/s-0038-1636944-libre.pdf?1632930518=\u0026response-content-disposition=attachment%3B+filename%3DPredisposing_Sinonasal_Disease_Foci_Do_T.pdf\u0026Expires=1743215040\u0026Signature=ZXCTDPkzqhJ4400kOWDyhClicJJdYwWJsNLwUxQRNsdw5FTggq5cU2ZwWMEysLWk~uQ0O6DMajwcylixPAepILwfljgId8I31hwlzbtccTdyIyGtjTpEVYrQZadD1Y7vgIxfuMy8Z5QHAo1swXvBgk9-V-jsFXnxlBoLM7uxNvak6aB7teVHWFAl7iE-QXPO~6E2r30FEXqsNGzzjmS3pWvbpScrjh12pEcv6LR6SyUa8Ywjp175qfxaJGe439peqtHHwZhhZgRUmLuzQubgXp17Pmy53TEb4o9KSOEabGCSpYv9tjhJMhjYjaeuJrk-oICWyvPVqARG1UXAv~pMMQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Predisposing_Sinonasal_Disease_Foci_Do_They_Really_Affect_Mucosal_Chronic_Otitis_Media","translated_slug":"","page_count":5,"language":"en","content_type":"Work","summary":"Background This study aimed to find the relationship between sinonasal predisposing foci in chronic otitis media mucosal disease (COMMD) and risk from these predisposing disease foci, and to identify the correlation of bacterial flora of the ear and nose in chronic otitis media. Materials and Methods This was a prospective case–control study with 100 cases and 100 controls. All patients underwent a detailed clinical ear-nose-throat (ENT) examination and diagnostic nasal endoscopy to look for sinonasal and pharyngeal pathology. In all patients, ear and nasal swabs were taken at the first visit. The relationship between these factors and COMMD was studied by appropriate statistical tests. Observations and Results Extremely significant association between tubal tonsil hypertrophy and COMMD, very significant association between adenoid hypertrophy and COMMD, and just significant association between deviated nasal septum, inferior turbinate hypertrophy, concha bullosa, and COMMD were fou...","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":70541510,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541510/thumbnails/1.jpg","file_name":"s-0038-1636944.pdf","download_url":"https://www.academia.edu/attachments/70541510/download_file","bulk_download_file_name":"Predisposing_Sinonasal_Disease_Foci_Do_T.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541510/s-0038-1636944-libre.pdf?1632930518=\u0026response-content-disposition=attachment%3B+filename%3DPredisposing_Sinonasal_Disease_Foci_Do_T.pdf\u0026Expires=1743215040\u0026Signature=ZXCTDPkzqhJ4400kOWDyhClicJJdYwWJsNLwUxQRNsdw5FTggq5cU2ZwWMEysLWk~uQ0O6DMajwcylixPAepILwfljgId8I31hwlzbtccTdyIyGtjTpEVYrQZadD1Y7vgIxfuMy8Z5QHAo1swXvBgk9-V-jsFXnxlBoLM7uxNvak6aB7teVHWFAl7iE-QXPO~6E2r30FEXqsNGzzjmS3pWvbpScrjh12pEcv6LR6SyUa8Ywjp175qfxaJGe439peqtHHwZhhZgRUmLuzQubgXp17Pmy53TEb4o9KSOEabGCSpYv9tjhJMhjYjaeuJrk-oICWyvPVqARG1UXAv~pMMQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[],"urls":[{"id":11687900,"url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0038-1636944.pdf"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935557-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935556"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/53935556/Evaluation_of_Eustachian_Tube_Function_in_Mucosal_Chronic_Otitis_Media_A_Cost_Effective_Method_for_Developing_Countries"><img alt="Research paper thumbnail of Evaluation of Eustachian Tube Function in Mucosal Chronic Otitis Media: A Cost-Effective Method for Developing Countries" class="work-thumbnail" src="https://attachments.academia-assets.com/70541515/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/53935556/Evaluation_of_Eustachian_Tube_Function_in_Mucosal_Chronic_Otitis_Media_A_Cost_Effective_Method_for_Developing_Countries">Evaluation of Eustachian Tube Function in Mucosal Chronic Otitis Media: A Cost-Effective Method for Developing Countries</a></div><div class="wp-workCard_item"><span>Annals of Otology and Neurotology</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background In the developing nations, the sinonasal region is routinely screened in chronic otiti...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background In the developing nations, the sinonasal region is routinely screened in chronic otitis media, but Eustachian tube is not as it is not cost-effective. Hence, we innovated an inexpensive device named Eustachian barotubometer. Materials and Methods A prospective case–control study was performed on ­mucosal type of chronic otitis media and traumatic tympanic perforation (100 cases each). Eustachian tube function was assessed by the Eustachian barotubometer (forced and physiological opening) and nasopharyngoscopy. Results Eustachian tube dysfunction was found to be five times higher in cases than controls. Both forced opening function and physiological opening function were ­poorer in cases than controls. However, the difference was statistically significant only in physiological opening function (p = 0.003). Among the cases with dysfunctional tubes, 86.7% were hypofunctional, whereas 13.3% were totally blocked. Conclusion Eustachian tube function was affected in 15% of cases...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="b1123c7744e4a49a4be2a1f92d030fa0" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:70541515,&quot;asset_id&quot;:53935556,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/70541515/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935556"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935556"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935556; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935556]").text(description); $(".js-view-count[data-work-id=53935556]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935556; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935556']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "b1123c7744e4a49a4be2a1f92d030fa0" } } $('.js-work-strip[data-work-id=53935556]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935556,"title":"Evaluation of Eustachian Tube Function in Mucosal Chronic Otitis Media: A Cost-Effective Method for Developing Countries","translated_title":"","metadata":{"abstract":"Background In the developing nations, the sinonasal region is routinely screened in chronic otitis media, but Eustachian tube is not as it is not cost-effective. Hence, we innovated an inexpensive device named Eustachian barotubometer. Materials and Methods A prospective case–control study was performed on ­mucosal type of chronic otitis media and traumatic tympanic perforation (100 cases each). Eustachian tube function was assessed by the Eustachian barotubometer (forced and physiological opening) and nasopharyngoscopy. Results Eustachian tube dysfunction was found to be five times higher in cases than controls. Both forced opening function and physiological opening function were ­poorer in cases than controls. However, the difference was statistically significant only in physiological opening function (p = 0.003). Among the cases with dysfunctional tubes, 86.7% were hypofunctional, whereas 13.3% were totally blocked. Conclusion Eustachian tube function was affected in 15% of cases...","publisher":"Georg Thieme Verlag KG","ai_title_tag":"Cost-Effective Eustachian Tube Evaluation","publication_name":"Annals of Otology and Neurotology"},"translated_abstract":"Background In the developing nations, the sinonasal region is routinely screened in chronic otitis media, but Eustachian tube is not as it is not cost-effective. Hence, we innovated an inexpensive device named Eustachian barotubometer. Materials and Methods A prospective case–control study was performed on ­mucosal type of chronic otitis media and traumatic tympanic perforation (100 cases each). Eustachian tube function was assessed by the Eustachian barotubometer (forced and physiological opening) and nasopharyngoscopy. Results Eustachian tube dysfunction was found to be five times higher in cases than controls. Both forced opening function and physiological opening function were ­poorer in cases than controls. However, the difference was statistically significant only in physiological opening function (p = 0.003). Among the cases with dysfunctional tubes, 86.7% were hypofunctional, whereas 13.3% were totally blocked. Conclusion Eustachian tube function was affected in 15% of cases...","internal_url":"https://www.academia.edu/53935556/Evaluation_of_Eustachian_Tube_Function_in_Mucosal_Chronic_Otitis_Media_A_Cost_Effective_Method_for_Developing_Countries","translated_internal_url":"","created_at":"2021-09-29T05:17:44.128-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":70541515,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541515/thumbnails/1.jpg","file_name":"s-0038-1675662.pdf","download_url":"https://www.academia.edu/attachments/70541515/download_file","bulk_download_file_name":"Evaluation_of_Eustachian_Tube_Function_i.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541515/s-0038-1675662-libre.pdf?1632930518=\u0026response-content-disposition=attachment%3B+filename%3DEvaluation_of_Eustachian_Tube_Function_i.pdf\u0026Expires=1743215040\u0026Signature=C2QoXTLJB38FwlRCyYa2TpE9Npi3JdywtanC9fJiere9qtD-tSW~6lgxz~V5ZF29L~EG5m4O1OURB~ogFi-Im9BkNI0y-VARx8rMiq1MDwMPft56y-V459eKNRkWHsOSN5T1Ap5yP6qmu9nBthaWkCB4QLlhB517ovbOFz-R~GTaNjtnhz3pLAV~FrNHzPO0mhV~gqUNfzZsI-QIDcTOssrMsH-gsHYWRKrPnm-l3PBQLg-z8aFkS1E~KfnlqtOODT7ewN1dXfFMDnh7O979BXoMY4H9ROzvFVgcPNq8U0XDgOjixjyI0J51S5qj~9C3i9-8TJ4pc3TnvqmKwmt0~Q__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Evaluation_of_Eustachian_Tube_Function_in_Mucosal_Chronic_Otitis_Media_A_Cost_Effective_Method_for_Developing_Countries","translated_slug":"","page_count":4,"language":"en","content_type":"Work","summary":"Background In the developing nations, the sinonasal region is routinely screened in chronic otitis media, but Eustachian tube is not as it is not cost-effective. Hence, we innovated an inexpensive device named Eustachian barotubometer. Materials and Methods A prospective case–control study was performed on ­mucosal type of chronic otitis media and traumatic tympanic perforation (100 cases each). Eustachian tube function was assessed by the Eustachian barotubometer (forced and physiological opening) and nasopharyngoscopy. Results Eustachian tube dysfunction was found to be five times higher in cases than controls. Both forced opening function and physiological opening function were ­poorer in cases than controls. However, the difference was statistically significant only in physiological opening function (p = 0.003). Among the cases with dysfunctional tubes, 86.7% were hypofunctional, whereas 13.3% were totally blocked. Conclusion Eustachian tube function was affected in 15% of cases...","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":70541515,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541515/thumbnails/1.jpg","file_name":"s-0038-1675662.pdf","download_url":"https://www.academia.edu/attachments/70541515/download_file","bulk_download_file_name":"Evaluation_of_Eustachian_Tube_Function_i.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541515/s-0038-1675662-libre.pdf?1632930518=\u0026response-content-disposition=attachment%3B+filename%3DEvaluation_of_Eustachian_Tube_Function_i.pdf\u0026Expires=1743215040\u0026Signature=C2QoXTLJB38FwlRCyYa2TpE9Npi3JdywtanC9fJiere9qtD-tSW~6lgxz~V5ZF29L~EG5m4O1OURB~ogFi-Im9BkNI0y-VARx8rMiq1MDwMPft56y-V459eKNRkWHsOSN5T1Ap5yP6qmu9nBthaWkCB4QLlhB517ovbOFz-R~GTaNjtnhz3pLAV~FrNHzPO0mhV~gqUNfzZsI-QIDcTOssrMsH-gsHYWRKrPnm-l3PBQLg-z8aFkS1E~KfnlqtOODT7ewN1dXfFMDnh7O979BXoMY4H9ROzvFVgcPNq8U0XDgOjixjyI0J51S5qj~9C3i9-8TJ4pc3TnvqmKwmt0~Q__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"},{"id":70541511,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541511/thumbnails/1.jpg","file_name":"s-0038-1675662.pdf","download_url":"https://www.academia.edu/attachments/70541511/download_file","bulk_download_file_name":"Evaluation_of_Eustachian_Tube_Function_i.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541511/s-0038-1675662-libre.pdf?1632930518=\u0026response-content-disposition=attachment%3B+filename%3DEvaluation_of_Eustachian_Tube_Function_i.pdf\u0026Expires=1743215040\u0026Signature=hPEsS2k2EaIjOFVVqaw5itwGlipyrFvCEj70QKOcI~iM93uetbvvzccsyqBzFX~bj01cahLyJQy1AiuxAc0aVWIOFl9Yu5bPVtX1JvTGpx6vSLqq5u5X2xKoBlJ4Ue7n0v8HutJZvPelelLuuH0ECMNUBrnRCxLCCEIDewriPM2gY13X8VPd-yG8SSB9O8gqql-m~eOUgFl1nH-Tkipu1jRL38grm04dR5IZvF9DGfLrtSjy9mIfhVuYUm43GD~HiSFgyC~1-xWQagqPuK3gCm250cT39AJfmRYjVPHVXHti3kndrOR-WgfgKqS32yfg~SsVNPvIC7KirOFCm38xtA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[],"urls":[{"id":11687899,"url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0038-1675662.pdf"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935556-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935555"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/53935555/Ossifying_pleomorphic_adenoma_presenting_as_a_nasopalatine_mass"><img alt="Research paper thumbnail of Ossifying pleomorphic adenoma presenting as a nasopalatine mass" class="work-thumbnail" src="https://attachments.academia-assets.com/70541520/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/53935555/Ossifying_pleomorphic_adenoma_presenting_as_a_nasopalatine_mass">Ossifying pleomorphic adenoma presenting as a nasopalatine mass</a></div><div class="wp-workCard_item"><span>International Journal of Otorhinolaryngology and Head and Neck Surgery</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Pleomorphic adenomas are benign tumors that are uncommon in the nasal cavity. However, they can r...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Pleomorphic adenomas are benign tumors that are uncommon in the nasal cavity. However, they can rarely arise from septum, erode hard palate and thus masquerade a bone tumor. We report one such rare case of septal pleomorphic adenoma with hard palatal extension and ossification. A combined endoscopic intranasal and transpalatal surgical approach was performed and tumor was excised completely. A high index of clinical suspicion and biopsy can diagnose such swellings.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="8e046511b70affec9058681cebc52075" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:70541520,&quot;asset_id&quot;:53935555,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/70541520/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935555"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935555"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935555; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935555]").text(description); $(".js-view-count[data-work-id=53935555]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935555; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935555']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "8e046511b70affec9058681cebc52075" } } $('.js-work-strip[data-work-id=53935555]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935555,"title":"Ossifying pleomorphic adenoma presenting as a nasopalatine mass","translated_title":"","metadata":{"publisher":"Medip Academy","grobid_abstract":"Pleomorphic adenomas are benign tumors that are uncommon in the nasal cavity. However, they can rarely arise from septum, erode hard palate and thus masquerade a bone tumor. We report one such rare case of septal pleomorphic adenoma with hard palatal extension and ossification. A combined endoscopic intranasal and transpalatal surgical approach was performed and tumor was excised completely. A high index of clinical suspicion and biopsy can diagnose such swellings.","publication_name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","grobid_abstract_attachment_id":70541520},"translated_abstract":null,"internal_url":"https://www.academia.edu/53935555/Ossifying_pleomorphic_adenoma_presenting_as_a_nasopalatine_mass","translated_internal_url":"","created_at":"2021-09-29T05:17:44.027-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":70541520,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541520/thumbnails/1.jpg","file_name":"155.pdf","download_url":"https://www.academia.edu/attachments/70541520/download_file","bulk_download_file_name":"Ossifying_pleomorphic_adenoma_presenting.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541520/155-libre.pdf?1632930517=\u0026response-content-disposition=attachment%3B+filename%3DOssifying_pleomorphic_adenoma_presenting.pdf\u0026Expires=1743215040\u0026Signature=M2dOkxZEyJEtCfAZr0LiVc2ByoY9JphYLL9HgTEcOmUbJk2ASNurSoDprMZbBs~Mez1Va4XpXHQf-Ui23~uvJUjhg8LEDxAEQg0o3SlymxRZ4uPvWeIumPULaBLMXyt8bL6A8LoT7RLEgOcnDYarft3ATUCa9BS7NEasL8yZ~pQoHabGSRSK8~8V-YpB4987vXGqiHrM5r0Du3o12wUotUntwXkp6JoJAPuAoPxVQY-08Vc-Lx-U5STrkGzhGtL9tnseScu4~dxqDQ1JXhOfk3IbECtsdvsI0jYPuS5dl7AnTRueKWRnnfiB8L8Wyd49mj2JeRWxSCmhd28F5mM9uQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Ossifying_pleomorphic_adenoma_presenting_as_a_nasopalatine_mass","translated_slug":"","page_count":3,"language":"en","content_type":"Work","summary":"Pleomorphic adenomas are benign tumors that are uncommon in the nasal cavity. However, they can rarely arise from septum, erode hard palate and thus masquerade a bone tumor. We report one such rare case of septal pleomorphic adenoma with hard palatal extension and ossification. A combined endoscopic intranasal and transpalatal surgical approach was performed and tumor was excised completely. A high index of clinical suspicion and biopsy can diagnose such swellings.","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":70541520,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541520/thumbnails/1.jpg","file_name":"155.pdf","download_url":"https://www.academia.edu/attachments/70541520/download_file","bulk_download_file_name":"Ossifying_pleomorphic_adenoma_presenting.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541520/155-libre.pdf?1632930517=\u0026response-content-disposition=attachment%3B+filename%3DOssifying_pleomorphic_adenoma_presenting.pdf\u0026Expires=1743215040\u0026Signature=M2dOkxZEyJEtCfAZr0LiVc2ByoY9JphYLL9HgTEcOmUbJk2ASNurSoDprMZbBs~Mez1Va4XpXHQf-Ui23~uvJUjhg8LEDxAEQg0o3SlymxRZ4uPvWeIumPULaBLMXyt8bL6A8LoT7RLEgOcnDYarft3ATUCa9BS7NEasL8yZ~pQoHabGSRSK8~8V-YpB4987vXGqiHrM5r0Du3o12wUotUntwXkp6JoJAPuAoPxVQY-08Vc-Lx-U5STrkGzhGtL9tnseScu4~dxqDQ1JXhOfk3IbECtsdvsI0jYPuS5dl7AnTRueKWRnnfiB8L8Wyd49mj2JeRWxSCmhd28F5mM9uQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[],"urls":[{"id":11687898,"url":"http://www.ijorl.com/index.php/ijorl/article/viewFile/248/155"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935555-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935554"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/53935554/Combined_Tuning_Fork_Tests_in_Hearing_Loss_Explorative_Clinical_Study_of_the_Patterns"><img alt="Research paper thumbnail of Combined Tuning Fork Tests in Hearing Loss: Explorative Clinical Study of the Patterns" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Combined Tuning Fork Tests in Hearing Loss: Explorative Clinical Study of the Patterns</div><div class="wp-workCard_item"><span>J Otolaryngol</span><span>, 2004</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">To combine the tuning fork tests of Rinne, Weber, and absolute bone conduction, explore their cli...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">To combine the tuning fork tests of Rinne, Weber, and absolute bone conduction, explore their clinical patterns, and study their combined specificity, sensitivity, and validity in assessing the hearing status of an individual. A cross-sectional study of the tests of Rinne, Weber, and absolute bone conduction was done on 317 adult patients from the otolaryngology outpatient clinic selected at random. All possible patterns in the combination of three tests were explored, and their interpretations worked out. The findings were compared with those of pure-tone audiometry to check their sensitivity, specificity, and validity. Fifty-eight patterns were obtained, which were classified into 10 types (5 tables) according to the type of hearing loss. The type of hearing loss was determined in all cases, and the better ear was identified in many cases. The overall sensitivity was 76.86%, the specificity was 85.48%, and the validity was 78.54%. The tuning fork tests of Rinne, Weber, and absolute bone conduction, when combined and interpreted, can be reliable initial diagnostic tools. They can be used to decide whether referral to a specialist or further audiometric testing is required. The patterns presented here depict the vast number of logical possibilities wherein the authenticity of these tests can be checked and the source of errors identified.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935554"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935554"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935554; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935554]").text(description); $(".js-view-count[data-work-id=53935554]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935554; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935554']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=53935554]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935554,"title":"Combined Tuning Fork Tests in Hearing Loss: Explorative Clinical Study of the Patterns","translated_title":"","metadata":{"abstract":"To combine the tuning fork tests of Rinne, Weber, and absolute bone conduction, explore their clinical patterns, and study their combined specificity, sensitivity, and validity in assessing the hearing status of an individual. A cross-sectional study of the tests of Rinne, Weber, and absolute bone conduction was done on 317 adult patients from the otolaryngology outpatient clinic selected at random. All possible patterns in the combination of three tests were explored, and their interpretations worked out. The findings were compared with those of pure-tone audiometry to check their sensitivity, specificity, and validity. Fifty-eight patterns were obtained, which were classified into 10 types (5 tables) according to the type of hearing loss. The type of hearing loss was determined in all cases, and the better ear was identified in many cases. The overall sensitivity was 76.86%, the specificity was 85.48%, and the validity was 78.54%. The tuning fork tests of Rinne, Weber, and absolute bone conduction, when combined and interpreted, can be reliable initial diagnostic tools. They can be used to decide whether referral to a specialist or further audiometric testing is required. The patterns presented here depict the vast number of logical possibilities wherein the authenticity of these tests can be checked and the source of errors identified.","publication_date":{"day":null,"month":null,"year":2004,"errors":{}},"publication_name":"J Otolaryngol"},"translated_abstract":"To combine the tuning fork tests of Rinne, Weber, and absolute bone conduction, explore their clinical patterns, and study their combined specificity, sensitivity, and validity in assessing the hearing status of an individual. A cross-sectional study of the tests of Rinne, Weber, and absolute bone conduction was done on 317 adult patients from the otolaryngology outpatient clinic selected at random. All possible patterns in the combination of three tests were explored, and their interpretations worked out. The findings were compared with those of pure-tone audiometry to check their sensitivity, specificity, and validity. Fifty-eight patterns were obtained, which were classified into 10 types (5 tables) according to the type of hearing loss. The type of hearing loss was determined in all cases, and the better ear was identified in many cases. The overall sensitivity was 76.86%, the specificity was 85.48%, and the validity was 78.54%. The tuning fork tests of Rinne, Weber, and absolute bone conduction, when combined and interpreted, can be reliable initial diagnostic tools. They can be used to decide whether referral to a specialist or further audiometric testing is required. The patterns presented here depict the vast number of logical possibilities wherein the authenticity of these tests can be checked and the source of errors identified.","internal_url":"https://www.academia.edu/53935554/Combined_Tuning_Fork_Tests_in_Hearing_Loss_Explorative_Clinical_Study_of_the_Patterns","translated_internal_url":"","created_at":"2021-09-29T05:17:43.971-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Combined_Tuning_Fork_Tests_in_Hearing_Loss_Explorative_Clinical_Study_of_the_Patterns","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"To combine the tuning fork tests of Rinne, Weber, and absolute bone conduction, explore their clinical patterns, and study their combined specificity, sensitivity, and validity in assessing the hearing status of an individual. A cross-sectional study of the tests of Rinne, Weber, and absolute bone conduction was done on 317 adult patients from the otolaryngology outpatient clinic selected at random. All possible patterns in the combination of three tests were explored, and their interpretations worked out. The findings were compared with those of pure-tone audiometry to check their sensitivity, specificity, and validity. Fifty-eight patterns were obtained, which were classified into 10 types (5 tables) according to the type of hearing loss. The type of hearing loss was determined in all cases, and the better ear was identified in many cases. The overall sensitivity was 76.86%, the specificity was 85.48%, and the validity was 78.54%. The tuning fork tests of Rinne, Weber, and absolute bone conduction, when combined and interpreted, can be reliable initial diagnostic tools. They can be used to decide whether referral to a specialist or further audiometric testing is required. The patterns presented here depict the vast number of logical possibilities wherein the authenticity of these tests can be checked and the source of errors identified.","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[],"research_interests":[{"id":62112,"name":"Prospective studies","url":"https://www.academia.edu/Documents/in/Prospective_studies"},{"id":991233,"name":"Bone Conduction","url":"https://www.academia.edu/Documents/in/Bone_Conduction"},{"id":1034181,"name":"Cross Sectional Studies","url":"https://www.academia.edu/Documents/in/Cross_Sectional_Studies"},{"id":1318932,"name":"Predictive value of tests","url":"https://www.academia.edu/Documents/in/Predictive_value_of_tests"},{"id":2463800,"name":"Severity of Illness Index","url":"https://www.academia.edu/Documents/in/Severity_of_Illness_Index"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935554-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935553"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/53935553/Bilateral_atticoantral_chronic_suppurative_otitis_media_presenting_as_bilateral_cutaneous_mastoid_fistulas"><img alt="Research paper thumbnail of Bilateral atticoantral chronic suppurative otitis media presenting as bilateral cutaneous mastoid fistulas" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Bilateral atticoantral chronic suppurative otitis media presenting as bilateral cutaneous mastoid fistulas</div><div class="wp-workCard_item"><span>Ear Nose Throat Journal</span><span>, Oct 1, 2009</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is a...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is an unusual complication. Bilateral manifestation along with primary acquired cholesteatoma and atelectasis of the pars tensa as an end-stage complication in the natural course of atticoantral CSOM is rare. This kind of complication has a very morbid effect on the ear, and it poses a therapeutic challenge in terms of eradicating disease and restoring function. In this article, we describe the unusual course of an atticoantral CSOM that (1) began as a primary acquired cholesteatoma simultaneously in both ears, (2) proceeded to automastoidectomy and a severe mixed hearing loss bilaterally, and (3) ended with the development of bilateral cutaneous mastoid fistulas that served to arrest the further progression of the disease process on its own. This case serves as a good demonstration of how a ventilating mastoid fistula can change the natural course of atticoantral CSOM and abort the occurrence of deadly complications.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935553"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935553"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935553; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935553]").text(description); $(".js-view-count[data-work-id=53935553]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935553; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935553']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=53935553]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935553,"title":"Bilateral atticoantral chronic suppurative otitis media presenting as bilateral cutaneous mastoid fistulas","translated_title":"","metadata":{"abstract":"Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is an unusual complication. Bilateral manifestation along with primary acquired cholesteatoma and atelectasis of the pars tensa as an end-stage complication in the natural course of atticoantral CSOM is rare. This kind of complication has a very morbid effect on the ear, and it poses a therapeutic challenge in terms of eradicating disease and restoring function. In this article, we describe the unusual course of an atticoantral CSOM that (1) began as a primary acquired cholesteatoma simultaneously in both ears, (2) proceeded to automastoidectomy and a severe mixed hearing loss bilaterally, and (3) ended with the development of bilateral cutaneous mastoid fistulas that served to arrest the further progression of the disease process on its own. This case serves as a good demonstration of how a ventilating mastoid fistula can change the natural course of atticoantral CSOM and abort the occurrence of deadly complications.","publication_date":{"day":1,"month":10,"year":2009,"errors":{}},"publication_name":"Ear Nose Throat Journal"},"translated_abstract":"Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is an unusual complication. Bilateral manifestation along with primary acquired cholesteatoma and atelectasis of the pars tensa as an end-stage complication in the natural course of atticoantral CSOM is rare. This kind of complication has a very morbid effect on the ear, and it poses a therapeutic challenge in terms of eradicating disease and restoring function. In this article, we describe the unusual course of an atticoantral CSOM that (1) began as a primary acquired cholesteatoma simultaneously in both ears, (2) proceeded to automastoidectomy and a severe mixed hearing loss bilaterally, and (3) ended with the development of bilateral cutaneous mastoid fistulas that served to arrest the further progression of the disease process on its own. This case serves as a good demonstration of how a ventilating mastoid fistula can change the natural course of atticoantral CSOM and abort the occurrence of deadly complications.","internal_url":"https://www.academia.edu/53935553/Bilateral_atticoantral_chronic_suppurative_otitis_media_presenting_as_bilateral_cutaneous_mastoid_fistulas","translated_internal_url":"","created_at":"2021-09-29T05:17:43.873-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Bilateral_atticoantral_chronic_suppurative_otitis_media_presenting_as_bilateral_cutaneous_mastoid_fistulas","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is an unusual complication. Bilateral manifestation along with primary acquired cholesteatoma and atelectasis of the pars tensa as an end-stage complication in the natural course of atticoantral CSOM is rare. This kind of complication has a very morbid effect on the ear, and it poses a therapeutic challenge in terms of eradicating disease and restoring function. In this article, we describe the unusual course of an atticoantral CSOM that (1) began as a primary acquired cholesteatoma simultaneously in both ears, (2) proceeded to automastoidectomy and a severe mixed hearing loss bilaterally, and (3) ended with the development of bilateral cutaneous mastoid fistulas that served to arrest the further progression of the disease process on its own. This case serves as a good demonstration of how a ventilating mastoid fistula can change the natural course of atticoantral CSOM and abort the occurrence of deadly complications.","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[],"research_interests":[{"id":21141,"name":"Fistula","url":"https://www.academia.edu/Documents/in/Fistula"},{"id":143164,"name":"Ear Nose and Throat","url":"https://www.academia.edu/Documents/in/Ear_Nose_and_Throat"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":1492684,"name":"Ear Diseases","url":"https://www.academia.edu/Documents/in/Ear_Diseases"},{"id":2222587,"name":"Mastoiditis","url":"https://www.academia.edu/Documents/in/Mastoiditis"},{"id":3322486,"name":"Mastoid","url":"https://www.academia.edu/Documents/in/Mastoid"}],"urls":[{"id":11687897,"url":"http://www.ncbi.nlm.nih.gov/pubmed/19826984"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935553-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935552"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/53935552/Bilateral_atticoantral_chronic_suppurative_otitis_media_presenting_as_bilateral_cutaneous_mastoid_fistulas"><img alt="Research paper thumbnail of Bilateral atticoantral chronic suppurative otitis media presenting as bilateral cutaneous mastoid fistulas" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Bilateral atticoantral chronic suppurative otitis media presenting as bilateral cutaneous mastoid fistulas</div><div class="wp-workCard_item"><span>Ear, nose, &amp; throat journal</span><span>, 2009</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is a...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is an unusual complication. Bilateral manifestation along with primary acquired cholesteatoma and atelectasis of the pars tensa as an end-stage complication in the natural course of atticoantral CSOM is rare. This kind of complication has a very morbid effect on the ear, and it poses a therapeutic challenge in terms of eradicating disease and restoring function. In this article, we describe the unusual course of an atticoantral CSOM that (1) began as a primary acquired cholesteatoma simultaneously in both ears, (2) proceeded to automastoidectomy and a severe mixed hearing loss bilaterally, and (3) ended with the development of bilateral cutaneous mastoid fistulas that served to arrest the further progression of the disease process on its own. This case serves as a good demonstration of how a ventilating mastoid fistula can change the natural course of atticoantral CSOM and abort the occurren...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935552"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935552"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935552; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935552]").text(description); $(".js-view-count[data-work-id=53935552]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935552; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935552']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=53935552]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935552,"title":"Bilateral atticoantral chronic suppurative otitis media presenting as bilateral cutaneous mastoid fistulas","translated_title":"","metadata":{"abstract":"Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is an unusual complication. Bilateral manifestation along with primary acquired cholesteatoma and atelectasis of the pars tensa as an end-stage complication in the natural course of atticoantral CSOM is rare. This kind of complication has a very morbid effect on the ear, and it poses a therapeutic challenge in terms of eradicating disease and restoring function. In this article, we describe the unusual course of an atticoantral CSOM that (1) began as a primary acquired cholesteatoma simultaneously in both ears, (2) proceeded to automastoidectomy and a severe mixed hearing loss bilaterally, and (3) ended with the development of bilateral cutaneous mastoid fistulas that served to arrest the further progression of the disease process on its own. This case serves as a good demonstration of how a ventilating mastoid fistula can change the natural course of atticoantral CSOM and abort the occurren...","publication_date":{"day":null,"month":null,"year":2009,"errors":{}},"publication_name":"Ear, nose, \u0026 throat journal"},"translated_abstract":"Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is an unusual complication. Bilateral manifestation along with primary acquired cholesteatoma and atelectasis of the pars tensa as an end-stage complication in the natural course of atticoantral CSOM is rare. This kind of complication has a very morbid effect on the ear, and it poses a therapeutic challenge in terms of eradicating disease and restoring function. In this article, we describe the unusual course of an atticoantral CSOM that (1) began as a primary acquired cholesteatoma simultaneously in both ears, (2) proceeded to automastoidectomy and a severe mixed hearing loss bilaterally, and (3) ended with the development of bilateral cutaneous mastoid fistulas that served to arrest the further progression of the disease process on its own. This case serves as a good demonstration of how a ventilating mastoid fistula can change the natural course of atticoantral CSOM and abort the occurren...","internal_url":"https://www.academia.edu/53935552/Bilateral_atticoantral_chronic_suppurative_otitis_media_presenting_as_bilateral_cutaneous_mastoid_fistulas","translated_internal_url":"","created_at":"2021-09-29T05:17:43.795-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Bilateral_atticoantral_chronic_suppurative_otitis_media_presenting_as_bilateral_cutaneous_mastoid_fistulas","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is an unusual complication. Bilateral manifestation along with primary acquired cholesteatoma and atelectasis of the pars tensa as an end-stage complication in the natural course of atticoantral CSOM is rare. This kind of complication has a very morbid effect on the ear, and it poses a therapeutic challenge in terms of eradicating disease and restoring function. In this article, we describe the unusual course of an atticoantral CSOM that (1) began as a primary acquired cholesteatoma simultaneously in both ears, (2) proceeded to automastoidectomy and a severe mixed hearing loss bilaterally, and (3) ended with the development of bilateral cutaneous mastoid fistulas that served to arrest the further progression of the disease process on its own. This case serves as a good demonstration of how a ventilating mastoid fistula can change the natural course of atticoantral CSOM and abort the occurren...","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[],"research_interests":[{"id":21141,"name":"Fistula","url":"https://www.academia.edu/Documents/in/Fistula"},{"id":143164,"name":"Ear Nose and Throat","url":"https://www.academia.edu/Documents/in/Ear_Nose_and_Throat"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":1492684,"name":"Ear Diseases","url":"https://www.academia.edu/Documents/in/Ear_Diseases"},{"id":2222587,"name":"Mastoiditis","url":"https://www.academia.edu/Documents/in/Mastoiditis"},{"id":3322486,"name":"Mastoid","url":"https://www.academia.edu/Documents/in/Mastoid"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935552-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935551"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/53935551/Cerebrospinal_fluid_otorrhea_presenting_in_complicated_chronic_suppurative_otitis_media"><img alt="Research paper thumbnail of Cerebrospinal fluid otorrhea presenting in complicated chronic suppurative otitis media" class="work-thumbnail" src="https://attachments.academia-assets.com/70541655/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/53935551/Cerebrospinal_fluid_otorrhea_presenting_in_complicated_chronic_suppurative_otitis_media">Cerebrospinal fluid otorrhea presenting in complicated chronic suppurative otitis media</a></div><div class="wp-workCard_item"><span>Ear, nose, &amp; throat journal</span><span>, 2007</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Since the introduction of antibiotics, the simultaneous occurrence of multiple intra- and extracr...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Since the introduction of antibiotics, the simultaneous occurrence of multiple intra- and extracranial complications in chronic suppurative otitis media (CSOM) has been uncommon. Such a combination is associated with high mortality and morbidity, especially in the pediatric age group. Cerebrospinal fluid (CSF) otorrhea presenting in CSOM is unusual and rare. To the best of our knowledge, only 19 cases of CSF otorrhea in complicated CSOM have been previously reported in the literature. Identifying the site of leak might require a high index of suspicion. Management of such a case could be challenging in terms of leak closure, disease clearance, and restoration of function. We report a new case of CSF leak in CSOM, and we describe our line of management. Even though CSOM is an uncommon indication for radical mastoidectomy today, such surgery might be necessary for these cases.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="0504a4e4ca0efcc93484e75dd326bd1b" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:70541655,&quot;asset_id&quot;:53935551,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/70541655/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935551"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935551"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935551; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935551]").text(description); $(".js-view-count[data-work-id=53935551]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935551; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935551']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "0504a4e4ca0efcc93484e75dd326bd1b" } } $('.js-work-strip[data-work-id=53935551]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935551,"title":"Cerebrospinal fluid otorrhea presenting in complicated chronic suppurative otitis media","translated_title":"","metadata":{"abstract":"Since the introduction of antibiotics, the simultaneous occurrence of multiple intra- and extracranial complications in chronic suppurative otitis media (CSOM) has been uncommon. 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Even though CSOM is an uncommon indication for radical mastoidectomy today, such surgery might be necessary for these cases.","ai_title_tag":"CSF Otorrhea in Complicated Chronic Otitis Media","publication_date":{"day":null,"month":null,"year":2007,"errors":{}},"publication_name":"Ear, nose, \u0026 throat journal"},"translated_abstract":"Since the introduction of antibiotics, the simultaneous occurrence of multiple intra- and extracranial complications in chronic suppurative otitis media (CSOM) has been uncommon. Such a combination is associated with high mortality and morbidity, especially in the pediatric age group. Cerebrospinal fluid (CSF) otorrhea presenting in CSOM is unusual and rare. To the best of our knowledge, only 19 cases of CSF otorrhea in complicated CSOM have been previously reported in the literature. Identifying the site of leak might require a high index of suspicion. Management of such a case could be challenging in terms of leak closure, disease clearance, and restoration of function. We report a new case of CSF leak in CSOM, and we describe our line of management. Even though CSOM is an uncommon indication for radical mastoidectomy today, such surgery might be necessary for these cases.","internal_url":"https://www.academia.edu/53935551/Cerebrospinal_fluid_otorrhea_presenting_in_complicated_chronic_suppurative_otitis_media","translated_internal_url":"","created_at":"2021-09-29T05:17:43.729-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":70541655,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541655/thumbnails/1.jpg","file_name":"014556130708600414.pdf","download_url":"https://www.academia.edu/attachments/70541655/download_file","bulk_download_file_name":"Cerebrospinal_fluid_otorrhea_presenting.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541655/014556130708600414-libre.pdf?1632930509=\u0026response-content-disposition=attachment%3B+filename%3DCerebrospinal_fluid_otorrhea_presenting.pdf\u0026Expires=1743215040\u0026Signature=N0NImOb3SbowhHZXM7Zq-6rNzVIIbT-ydvEWZnT3MurQVGQ9dBgIdqEaeOUMGauuwSkEaDQQTYDltvziD-DljlBUZjIWH1JaxZPRGRll2Xi3g-jeaOYlVoMh-q1vE9SVFkXtTH6NOVOYYPDT8DhpAntvT9CMbn7Xo-bBAY4NBQVS7bILnb8k0QnhxAnH7gZWJelLsegkrBkV5lify9WuBf5SehBufZ9Ex9PpUXJOTykRoY3LS7lVb4IqnWJjFIea-IoLF9Z~dfAyuy-BFbZAW-Ga5-YgalzR4ZhWO7UGnTHASFM~2Yxc-VwTMChyn6QEGs7PAfuxy9X8MfM-lQqu1Q__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Cerebrospinal_fluid_otorrhea_presenting_in_complicated_chronic_suppurative_otitis_media","translated_slug":"","page_count":3,"language":"en","content_type":"Work","summary":"Since the introduction of antibiotics, the simultaneous occurrence of multiple intra- and extracranial complications in chronic suppurative otitis media (CSOM) has been uncommon. Such a combination is associated with high mortality and morbidity, especially in the pediatric age group. Cerebrospinal fluid (CSF) otorrhea presenting in CSOM is unusual and rare. To the best of our knowledge, only 19 cases of CSF otorrhea in complicated CSOM have been previously reported in the literature. Identifying the site of leak might require a high index of suspicion. Management of such a case could be challenging in terms of leak closure, disease clearance, and restoration of function. We report a new case of CSF leak in CSOM, and we describe our line of management. Even though CSOM is an uncommon indication for radical mastoidectomy today, such surgery might be necessary for these cases.","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[{"id":70541655,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/70541655/thumbnails/1.jpg","file_name":"014556130708600414.pdf","download_url":"https://www.academia.edu/attachments/70541655/download_file","bulk_download_file_name":"Cerebrospinal_fluid_otorrhea_presenting.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/70541655/014556130708600414-libre.pdf?1632930509=\u0026response-content-disposition=attachment%3B+filename%3DCerebrospinal_fluid_otorrhea_presenting.pdf\u0026Expires=1743215040\u0026Signature=N0NImOb3SbowhHZXM7Zq-6rNzVIIbT-ydvEWZnT3MurQVGQ9dBgIdqEaeOUMGauuwSkEaDQQTYDltvziD-DljlBUZjIWH1JaxZPRGRll2Xi3g-jeaOYlVoMh-q1vE9SVFkXtTH6NOVOYYPDT8DhpAntvT9CMbn7Xo-bBAY4NBQVS7bILnb8k0QnhxAnH7gZWJelLsegkrBkV5lify9WuBf5SehBufZ9Ex9PpUXJOTykRoY3LS7lVb4IqnWJjFIea-IoLF9Z~dfAyuy-BFbZAW-Ga5-YgalzR4ZhWO7UGnTHASFM~2Yxc-VwTMChyn6QEGs7PAfuxy9X8MfM-lQqu1Q__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":60974,"name":"Hydrocephalus","url":"https://www.academia.edu/Documents/in/Hydrocephalus"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child"},{"id":97269,"name":"Chronic Disease","url":"https://www.academia.edu/Documents/in/Chronic_Disease"},{"id":137516,"name":"Follow-up studies","url":"https://www.academia.edu/Documents/in/Follow-up_studies"},{"id":143164,"name":"Ear Nose and Throat","url":"https://www.academia.edu/Documents/in/Ear_Nose_and_Throat"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":565305,"name":"Brain Abscess","url":"https://www.academia.edu/Documents/in/Brain_Abscess"},{"id":959921,"name":"X ray Computed Tomography","url":"https://www.academia.edu/Documents/in/X_ray_Computed_Tomography"},{"id":988280,"name":"Abscess","url":"https://www.academia.edu/Documents/in/Abscess"},{"id":1107128,"name":"Bacterial meningitis","url":"https://www.academia.edu/Documents/in/Bacterial_meningitis"},{"id":2222587,"name":"Mastoiditis","url":"https://www.academia.edu/Documents/in/Mastoiditis"},{"id":2886477,"name":"Cerebellar Diseases","url":"https://www.academia.edu/Documents/in/Cerebellar_Diseases"},{"id":3322486,"name":"Mastoid","url":"https://www.academia.edu/Documents/in/Mastoid"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935551-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935550"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/53935550/Sino_orbital_chloroma_presenting_as_unilateral_proptosis_in_a_boy"><img alt="Research paper thumbnail of Sino-orbital chloroma presenting as unilateral proptosis in a boy" class="work-thumbnail" src="https://attachments.academia-assets.com/70541652/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/53935550/Sino_orbital_chloroma_presenting_as_unilateral_proptosis_in_a_boy">Sino-orbital chloroma presenting as unilateral proptosis in a boy</a></div><div class="wp-workCard_item"><span>International Journal of Pediatric Otorhinolaryngology</span><span>, 2005</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="164f5b5acbf717578d50d7cef198e45d" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{&quot;attachment_id&quot;:70541652,&quot;asset_id&quot;:53935550,&quot;asset_type&quot;:&quot;Work&quot;,&quot;button_location&quot;:&quot;profile&quot;}" href="https://www.academia.edu/attachments/70541652/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935550"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935550"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935550; 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Initial investigations led to inconclusive results, and the condition was misdiagnosed as a possible rhabdomyosarcoma. A definitive diagnosis was achieved through immunohistochemical analysis after surgical intervention to excise the mass. 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With the intro...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">In the pre-vaccination era, diphtheria was a leading cause of childhood mortality. With the introduction of routine childhood immunization, paediatric care and improved hygiene status the disease has been almost completely eradicated in many developed countries. On the contrary developing countries, still account for 80-90% of the global burden. Retrospective analysis of 52 cases of diphtheria over a period of 12 years at a tertiary referral hospital was carried out. They were analyzed for mortality and morbidity trends, immunization status, microbiological confirmation rates and antidiphtheritic serum (ADS) administration. Incidence in those over 5 years was 59.61%. Only 11.54% cases were either partially or fully immunized. The case fatality rate was 36.53%. Culture was performed only in 17 cases whereas ADS was administered in only 16 cases. In conclusion, the occurrence of diphtheria even in those immunized highlights the flaws in the present immunization program. Poor immunization coverage, lack of ADS, antibiotic resistance are the main reasons for re-emergence of diphtheria.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935549"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935549"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935549; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935549]").text(description); $(".js-view-count[data-work-id=53935549]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935549; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935549']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=53935549]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935549,"title":"Diphtheria Re-emergence: Problems Faced by Developing Countries","translated_title":"","metadata":{"abstract":"In the pre-vaccination era, diphtheria was a leading cause of childhood mortality. With the introduction of routine childhood immunization, paediatric care and improved hygiene status the disease has been almost completely eradicated in many developed countries. On the contrary developing countries, still account for 80-90% of the global burden. Retrospective analysis of 52 cases of diphtheria over a period of 12 years at a tertiary referral hospital was carried out. They were analyzed for mortality and morbidity trends, immunization status, microbiological confirmation rates and antidiphtheritic serum (ADS) administration. Incidence in those over 5 years was 59.61%. Only 11.54% cases were either partially or fully immunized. The case fatality rate was 36.53%. Culture was performed only in 17 cases whereas ADS was administered in only 16 cases. In conclusion, the occurrence of diphtheria even in those immunized highlights the flaws in the present immunization program. Poor immunization coverage, lack of ADS, antibiotic resistance are the main reasons for re-emergence of diphtheria.","publisher":"Springer Nature","publication_date":{"day":null,"month":null,"year":2013,"errors":{}},"publication_name":"Indian Journal of Otolaryngology and Head \u0026 Neck Surgery"},"translated_abstract":"In the pre-vaccination era, diphtheria was a leading cause of childhood mortality. With the introduction of routine childhood immunization, paediatric care and improved hygiene status the disease has been almost completely eradicated in many developed countries. On the contrary developing countries, still account for 80-90% of the global burden. Retrospective analysis of 52 cases of diphtheria over a period of 12 years at a tertiary referral hospital was carried out. They were analyzed for mortality and morbidity trends, immunization status, microbiological confirmation rates and antidiphtheritic serum (ADS) administration. Incidence in those over 5 years was 59.61%. Only 11.54% cases were either partially or fully immunized. The case fatality rate was 36.53%. Culture was performed only in 17 cases whereas ADS was administered in only 16 cases. In conclusion, the occurrence of diphtheria even in those immunized highlights the flaws in the present immunization program. Poor immunization coverage, lack of ADS, antibiotic resistance are the main reasons for re-emergence of diphtheria.","internal_url":"https://www.academia.edu/53935549/Diphtheria_Re_emergence_Problems_Faced_by_Developing_Countries","translated_internal_url":"","created_at":"2021-09-29T05:17:43.591-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":35247631,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Diphtheria_Re_emergence_Problems_Faced_by_Developing_Countries","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"In the pre-vaccination era, diphtheria was a leading cause of childhood mortality. With the introduction of routine childhood immunization, paediatric care and improved hygiene status the disease has been almost completely eradicated in many developed countries. On the contrary developing countries, still account for 80-90% of the global burden. Retrospective analysis of 52 cases of diphtheria over a period of 12 years at a tertiary referral hospital was carried out. They were analyzed for mortality and morbidity trends, immunization status, microbiological confirmation rates and antidiphtheritic serum (ADS) administration. Incidence in those over 5 years was 59.61%. Only 11.54% cases were either partially or fully immunized. The case fatality rate was 36.53%. Culture was performed only in 17 cases whereas ADS was administered in only 16 cases. In conclusion, the occurrence of diphtheria even in those immunized highlights the flaws in the present immunization program. Poor immunization coverage, lack of ADS, antibiotic resistance are the main reasons for re-emergence of diphtheria.","owner":{"id":35247631,"first_name":"Vikram","middle_initials":null,"last_name":"Bhat","page_name":"VikramBhat","domain_name":"rguhs","created_at":"2015-09-24T10:03:29.677-07:00","display_name":"Vikram Bhat","url":"https://rguhs.academia.edu/VikramBhat"},"attachments":[],"research_interests":[{"id":131233,"name":"Indian","url":"https://www.academia.edu/Documents/in/Indian"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-53935549-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53935548"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/53935548/Sublabial_approach_to_sinonasal_juvenile_ossifying_fibroma"><img alt="Research paper thumbnail of Sublabial approach to sinonasal juvenile ossifying fibroma" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Sublabial approach to sinonasal juvenile ossifying fibroma</div><div class="wp-workCard_item"><span>International Journal of Pediatric Otorhinolaryngology</span><span>, 2002</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Juvenile ossifying fibroma is a rare, unusual fibro-osseous benign tumor of the craniofacial regi...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Juvenile ossifying fibroma is a rare, unusual fibro-osseous benign tumor of the craniofacial region. It is a progressively growing tumor and has to be removed completely to prevent recurrence. A radical surgery is not advisable in a pediatric patient. Here we describe the sublabial approach for excision of this tumor that allows the complete removal of the tumor without compromising with the aesthetic looks of the patient.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935548"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935548"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935548; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935548]").text(description); $(".js-view-count[data-work-id=53935548]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935548; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935548']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=53935548]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935548,"title":"Sublabial approach to sinonasal juvenile ossifying fibroma","translated_title":"","metadata":{"abstract":"Juvenile ossifying fibroma is a rare, unusual fibro-osseous benign tumor of the craniofacial region. 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A cross-sectional study of the tests of Rinne, Weber, and absolute bone conduction was done on 317 adult patients from the otolaryngology outpatient clinic selected at random. All possible patterns in the combination of three tests were explored, and their interpretations worked out. The findings were compared with those of pure-tone audiometry to check their sensitivity, specificity, and validity. Fifty-eight patterns were obtained, which were classified into 10 types (5 tables) according to the type of hearing loss. The type of hearing loss was determined in all cases, and the better ear was identified in many cases. The overall sensitivity was 76.86%, the specificity was 85.48%, and the validity was 78.54%. The tuning fork tests of Rinne, Weber, and absolute bone conduction, when combined and interpreted, can be reliable initial diagnostic tools. They can be used to decide whether referral to a specialist or further audiometric testing is required. The patterns presented here depict the vast number of logical possibilities wherein the authenticity of these tests can be checked and the source of errors identified.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53935547"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53935547"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53935547; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53935547]").text(description); $(".js-view-count[data-work-id=53935547]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53935547; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53935547']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=53935547]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53935547,"title":"Combined Tuning Fork Tests in Hearing Loss: Explorative Clinical Study of the Patterns","translated_title":"","metadata":{"abstract":"To combine the tuning fork tests of Rinne, Weber, and absolute bone conduction, explore their clinical patterns, and study their combined specificity, sensitivity, and validity in assessing the hearing status of an individual. 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