Best practices for Safe Nasal Irrigation

Nasal irrigation, (also termed as nasal rinsing, washout, douching or lavage) is a personal hygiene practice in which a person’s nasal cavity is washed with saline water to flush out debris and mucus from the nose and nasal sinuses. Nasal douching can be performed safely by people of all ages to support daily nasal hygiene. […]

NICE guidelines for Cochlear implantation in children and adults

According to the definition by American Academy of Family Physicians, Clinical practice guidelines are statements that include recommendations intended to optimize patient care. The National Institute for Health and Care Excellence (NICE) is a non-departmental public body in England, that provides national guidance and advice to improve health and social care. On 7th March 2019, […]

Its all in the genes!

A 42 year old female was seen at an outside facility for progressive bilateral hearing loss and was referred to the otology clinic. On further enquiry, she gave history of chronic head ache, mild balance difficulties and past history of tonic-clonic seizures, treated with anti-epileptics for a year. Physical examination revealed an alert and oriented […]

World Hearing Day

Globally it is estimated that over 5% of the world’s population i.e around 466 million people – have disabling hearing loss (432 million adults and 34 million children). Unaddressed hearing loss is the leading cause of morbidity and poses an annual cost of $750 billion globally. It is estimated that by 2050 over 900 million […]

TNM Staging of Oropharyngeal Cancer – Updates in AJCC 8th Edition

The recently released 8th edition of the American Joint Committee on Cancer (AJCC) Staging Manual, Head and Neck Section, introduces significant modifications from the prior 7th edition. In the head and neck domain, the most significant update creates a separate staging algorithm for high-risk human papilloma virus (HPV)-associated cancer of the oropharynx, distinguishing it from oropharyngeal cancer […]

Indications and Contraindications for total laryngectomy

Total laryngectomy is a surgical procedure mostly done for malignancies involving the larynx. In this surgery, the entire larynx (voice box) is removed by resecting the trachea and bringing out the lower stump as a respiratory opening in the anterior part of the neck (permanent tracheostomy) and thereby closing off the air passages to the […]

WHO launches “hearWHO” app for mobile devices to help detect hearing loss

To mark the World Hearing Day, the World Health Organization (WHO) has launched “hearWHO“, a free application for smart mobile devices which allows people to check their hearing regularly and intervene early in case of hearing loss. Over 5% of the world’s population i.e around 466 million people – have disabling hearing loss (432 million […]

I feel breathless!

42 year old male patient presented with a non healing ulcer on right lateral border of tongue for 3 months. A biopsy from the lesion proven to be well differentiated squamous cell carcinoma. After metastatic workup, he underwent wide excision of the lesion with ipsilateral neck dissection. On post op follow up, patient presented with complaints […]

Recurrent Meningitis with Hearing loss

A 12 year old male child was referred from pediatric department following resolution of third episode of meningitis, with complaints of left side hearing loss since childhood. Parents noticed the hearing loss on left side when the child was in fourth standard. No newborn hearing screening was done for the child at birth. Investigations Blood / […]

I can’t hear you!

A 45-year-old locomotive driver consulted his family physician because of ringing sensation in both his ears for the past 5 years.  Away from work, he had difficulty understanding conversations in crowded rooms, and he said he often argued with his wife about the volume of the television set. He also complaints of depression that began soon […]