Journal of ENT and Allied Sciences

 Penetrating foreign bodies in neck may be quite challenging to locate in edematous tissue planes and these require urgent surgical exploration. Retrieval of foreign bodies depends upon the size and location of foreign body and the surrounding anatomical structures. We are reporting an unusual case in which a scissor was stabbed into the patient’s neck causing subcutaneous emphysema, hemetemesis and impaction of scissor tip in the cervical vertebra. The foreign body was removed by transverse cervical approach with the help of C-arm.
Keywords: Metallic Foreign Body; Neck Exploration; C-Arm; Scissor Tip

 Unilateral sensorineural hearing loss (USNHL) is a type of hearing impairment where thereis normal hearing in one ear and impaired hearing in theother ear. Patients with unilateral hearing loss have difficulty inhearing conversation on their impaired side, localizing sound, understanding speech in the presence of background noise, interpersonal and social relations. Usually, it is felt that patients with severe-to-profound USNHL function normally. It is now well established, however, that USNHL is a handicap that can negatively impact QOL. Limited literature is available regarding its incidence, psychological impact and treatment. Hence, it is a challenge to manage a patient with USNHL.

Keywords: Sensorineural Hearing Loss; CROS; SNHL; Unilateral.

 A prospective study of 83 cases of head injury with fracture temporal bone in soldiers over a period of 5 years was done to analyse and elucidate the otologic involvement in these cases. The aim of this paper is to study the prevalence of hearing loss in soldiers following posttraumatic temporal bone fractures and the importance of appropriate investigations and intervention in these patients.
Keywords: Head Injury; Haemotympanum; Perforation.

 Recurrent tonsillitis is one of the commonest infections seen in clinical practice. Though we have abundant literature about the bacteriology of recurrent tonsillitis, it still remains an unresolved puzzle. The infection may arise from the bacteria within the substance of the tonsil rather than bacteria identified on the surface. This was a prospective study conducted on 80 samples, 40 each in paediatric and adult population, over a period of 12 months in a tertiary care hospital. Preoperative surface swabs and postoperative core swabs were sent for culture. The swab culture from the surface of the tonsils in adult population predominantly yielded normal flora followed by Staphylococcus aureus while those from the paediatric population showed an equal yield of Normal flora and Streptococcus pyogenes. The core cultures from adult population were mostly of Staphylococcus aureus and Klebsiella pneumoniae while that of paediatric population was predominantly Streptococcus pyogenes. Staphylococcus aureus showed good sensitivity to Cephalosporins and Azithromycin. All were sensitive to Methicillin except one strain of MRSA. Streptococcus pneumoniae and Streptococcus pyogenes were sensitive to even the basic antibiotics like Ampicillin. The Gram negative bacteria showed varied sensitivity with more of resistance to first line antibiotics and showed the need of higher antibiotics like Imipenem and Amikacin. The study found differences in the surface and the core pathogens.

Keywords: Tonsillitis; Surface Swab Culture; Core Culture.

 Complete surgical excision of inverted papilloma of nasal cavity is challenging owing to high chances of recurrence following removal. However the advent of nasal endoscope has provided a new avenue for removal of these tumors. We report 17 cases of inverted papilloma which were either removed via an endoscopic route or via endoscope aided external approach. There was no recurrence in any of the cases over a 2 year followup period.
Keywords: Inverted Papilloma; Endoscope.