Articles

“Articles” section provides a single canonical page on all topics relevant to the practice of otolaryngology.

Recurrent Respiratory Papillomatosis

Recurrent Respiratory Papillomatosis (RRP) also known as juvenile-onset laryngeal papillomatosis/ laryngeal papillomatosis, is a rare airway disease characterized by the development of small, wart-like growths (papillomas) anywhere in the respiratory tract anywhere from the nasal vestibule to a terminal bronchiole. The papillomas predominantly arise at areas where a change in epithelium happens – these areas

Middle Ear Hearing Implants – An Overview

Middle ear hearing implants belongs to the group of Implantable Acoustics or Mechanical hearing devices which are used in rehabilitative management of patients with hearing loss, offering an alternative to conventional hearing aids. The first clinically available Middle ear hearing implant was designed by Drs. Suzuki and Yanagihara in Japan for patients with irreversible middle

Role of Surgery in the Treatment of Oropharyngeal Cancers

Prior to 1990, the mainstay of treatment for oropharyngeal cancers were surgeries. These large, invasive, open approaches like mandibulotomy, tongue pull through (described below), etc were associated with severe compromise in postoperative speech, swallow and airway function of the patient due to violation of pharyngeal mucosa. In addition, surgical management did not avoid the need

Subglottic Stenosis – Clinical Features and Treatment

Subglottic stenosis is a clinical condition occurring due to the narrowing of the subglottic lumen of the larynx (voice box) at the region of the cricoid cartilage. Based on the pathology, age at clinical presentation and the features, subglottic stenosis is of three types; congenital, acquired and idiopathic. Subglottic stenosis is considered to be congenital

Lymph Node Levels of Head and Neck

There are around 800 lymph nodes in the human body and of these approximately 300 are in the head and neck region. Pathological conditions including tumors, infection and inflammation etc of head and neck region can cause abnormal enlargement of these cervical lymph nodes. The most common early spread of cancers arising in the head

First bite syndrome – Clinical presentation, Diagnosis and Treatment

First bite syndrome is a clinical condition occurring as a complication of surgeries involving the infratemporal fossa, deep lobe of the parotid gland, parapharyngeal spaces and manipulation or ligature of the external carotid artery. Sometimes it can also be caused by a head and neck tumor itself arising in above locations. The condition is characterized

Thyroid Imaging Reporting and Data System (TI-RADS)

Thyroid nodules are extremely common with a reported prevalence ranging between 8.2% and 64.6% in autopsies and 19% to 68% in adults on high-resolution ultrasound. Most of the time, thyroid nodules are detected accidentally when neck imaging is done for some other reasons. Mostly these nodules are benign; and even malignant nodules, particularly those smaller

ATA Risk Stratification for Differentiated Thyroid Cancers

Thyroid cancer is the most common endocrine malignancy, and the prevalence of differentiated thyroid cancer is becoming increasing worldwide. Among the differentiated thyroid cancers (DTC) papillary thyroid cancer (PTC) and follicular thyroid cancer (FTC) are the most frequent subtypes; other rare subtypes are medullary thyroid cancer (MTC) and anaplastic thyroid cancer (ATC). Though mortality from

AJCC / TNM Staging of thyroid cancers

After the diagnosis of any cancer in the body, doctors stage cancer. Staging of thyroid cancers describes how big it is and whether it has spread to any other parts of the body. Staging also helps the doctors in deciding the treatment options, predicting the prognosis and treatment outcomes of cancer. Most of the cancers

Histopathological Variants of Papillary Carcinoma Thyroid

Papillary carcinoma thyroid (PTC) is the most common differentiated malignancy of thyroid gland. Depending on the different histopathological patterns, cell types and clinical features different variants of papillary carcinoma thyroid have been described. Knowing the variants of papillary carcinoma thyroid can help in predicting the aggressive biological course and prognosis of the disease. This, in