Sudden Sensorineural Hearing Loss (SSNHL) – Clinical presentation, Diagnosis and Treatment

Sudden hearing loss (SHL) is an emergency clinical condition characterized by a rapid-onset subjective sensation of hearing impairment in one or both ears. When not recognized and managed promptly, sudden hearing loss may result in persistent hearing loss and tinnitus and reduced patient quality of life. The National Institute for Deafness and Communication Disorders (NICDC) 

Sudden Hearing Loss: Updated Clinical Practice Guideline

Sudden hearing loss (SHL), defined as a rapid-onset subjective sensation of hearing impairment in one or both ears is an emergency in the ear-nose-throat clinical practice. If not recognized and managed promptly, sudden hearing loss may result in persistent hearing loss and tinnitus and reduced patient quality of life. The disease affects 5 to 27

Malignant Otitis Externa – Clinical presentation, Diagnosis and Treatment

Malignant otitis externa (MOE) is an aggressive and potentially life-threatening infection of the soft tissues of the external ear and its surrounding structures, which quickly spreads to involve periosteum and bone of the skull base. The most common causative organism of malignant otitis externa is Pseudomonas aeruginosa. Though this is not a neoplastic disease, it’s

Compartment Surgery in Oral Cancers

Main modality of treatment for oral cavity squamous cell carcinoma is surgery. Patients with advanced risk factors like margin positivity, perineural invasion, advanced disease, etc need postoperative radiotherapy. Significant advances in terms of oncologic treatment (lasers, robotics) and outcomes have happened in the last three decades. But irrespective of these advancements 5‐year overall survival hasn’t

FDA approves Dupixent (dupilumab) as treatment for chronic rhinosinusitis

Chronic rhinosinusitis (CRS) is a clinical condition characterized by prolonged inflammation (more than 12 weeks) of the nose and paranasal sinuses. Signs and symptoms of sinusitis include headache, swelling of face, facial pain, nasal discharge, dizziness, and breathing difficulties. Sinusitis is caused by allergies, bacterial and viral infections and presence of nasal polyps (growths on

Tracheoesophageal Prosthesis (TEP Speech)

Total laryngectomy is a surgical procedure, most commonly done in cancers of the larynx (voice box). In this procedure, the entire voice box is taken off and a permanent hole (tracheostomy/stoma) is created in the neck, through which the patient respires for his entire life. The indications, contraindications, surgical steps of laryngectomy are discussed separately

What’s the molecules telling?

A 65-year-old male presented with a nonhealing ulcer over the pinna of the right ear for 5 months. A biopsy from the lesion was done and the following is the report. Carcinoma with basaloid features and pigmentation – biopsy right pinna. Immunostaining: P63 – diffuse strong positivity. P40 – diffuse moderate positivity. BerEP4 – negative.

Its bleeding, bleeding and bleeding..

A 13-year-old male child presented to pediatric ENT unit, with chief complaints of left side nasal obstruction progressive and spontaneous nasal bleed, continuing nasal discharge since two months. intermittent episodes of headache which used to be relieved by analgesics. Past history No episodes of nasal bleeding before two months but intermittent nasal discharge. On examination

Temporal bone cancer staging systems

Staging of cancers is essential for patient counseling, treatment planning, predict treatment outcome and survival. Most commonly followed staging system for head and neck malignancies is the Tumor, Node, Metastasis (TNM staging system) by the American Joint Committee on Cancer (AJCC). Because of the relative rarity of temporal bone cancers, a universally accepted temporal bone

Laryngopharyngeal Reflux Scoring Systems

Laryngopharyngeal reflux (LPR) can be defined as chronic irritation of larynx caused by the abnormal backflow of gastric contents into the upper airway, mostly due to upper esophageal sphincter dysfunction. Studies have found that up to 50% of laryngeal complaints that present in the otolaryngeal clinics are associated with LPR. LPR is suspected in cases