Cochlear Implantation in Incomplete Partition type III

Incomplete Partition type III (IP-III) or most widely known as X linked deafness is an inner ear anomaly associated with congenital mixed hearing loss, fixation of stapes footplate and perilymph gusher during stapes or cochlear implant surgery . Phippard addressed this anomaly as pseudo-Mondini stage II and described as partial hypoplasia of the cochlea, stapes fixation, dilated […]

Diphtheria

Diphtheria is a life threatening acute bacterial infectious condition caused by Corynebacterium diphtheriae. The usual site of infection is the tonsils and oropharynx, but the disease can occur in nasal cavities, larynx or the skin also. History The disease was first described in the 5th century BC by Hippocrates and the bacterium was discovered by Edwin Klebs in […]

Can kissing a baby on the ear make them go deaf?

The answer is a Big Yes – you read it right! Kissing on the ear can make the baby or adult permanent deaf! This condition is known as “Cochlear ear kiss injury.” “Cochlear ear kiss injury” / “Kiss of Deaf” or “Reiter’s Ear Kiss Syndrome (REKS)” came into attention, when Dr. Levi Reiter, professor and head of […]

Treatment of allergic rhinitis in pregnancy

Allergic rhinitis (AR) affects 20-30% of women in the child bearing age group with an annually increasing prevalence.  The classical clinical symptoms include sneezing, itching, nasal blockage and nasal discharge. In patients who had allergic rhinitis before, the symptoms may worsen, improve or remain the same during pregnancy.  

Empty nose syndrome

Empty nose syndrome (ENS) is a controversial clinical entity with no consensual definition. It is thought to be a postsurgical, iatrogenic (physician caused) phenomenon secondary to loss of nasal turbinate tissue. The condition was first described by Kerin & Moore in 1994. The exact incidence of this condition is unknown. Houser et al in their study […]

Challenging diagnostic nasal imaging

5 year old male child presented with history of recurrent sore throat, fever, mouth breathing for the past 3 years. Parent also gives history of sleep disordered breathing including witnessed apneic episodes. History of nocturnal enuresis also present. On examination Adenoid facies present. Mouth breathing present. Oral cavity: Crowded tooth Oropharynx: Grade III tonsils Anterior rhinoscopy: […]

Seeing is believing

41 year old male patient from Darjeeling, presented with complaints of painless, non-progressive swelling over the right side of neck for past 8 years with paroxysmal paraesthesia over right ear for past 8 months. No history of voice change, difficulty in swallowing, nasal regurgitation of foods. No history of ptosis, drooping of shoulders. No history of […]

Dusk before the dawn

46 year old, otherwise healthy woman presented to the Emergency Department with a 3 days history of sore throat, difficulty in swallowing and restricted neck movements. No other significant medical history. On examination: Vitals are normal and stable. Patient not on any respiratory distress. Oral cavity – Normal Oropharynx – Hyperemic Neck – tender and […]