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   Table of Contents - Current issue
January-June 2020
Volume 10 | Issue 1
Page Nos. 1-19

Online since Wednesday, November 4, 2020

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Voice outcome after coblation-assisted microlaryngeal surgery -Our experiences at a tertiary care teaching hospital p. 1
Santosh Kumar Swain, Loknath Sahoo, Swaha Panda
Background: Benign vocal fold lesions are a common laryngeal pathology found in routine clinical practice. Microlaryngeal surgery is useful for excision of the pathology. Coblation-assisted microlaryngeal surgery for benign lesions of the vocal folds is a new technique for the treatment of vocal fold lesions. The objective of this study was to assess the voice outcome following coblation-assisted microlaryngeal surgery for benign vocal fold lesions. It also assessed the vocal fold function after coblation excision of the benign fold lesions by using video stroboscopic analysis. Materials and Methods: This was an analytical retrospective study where 54 patients of benign vocal fold lesions participated. All the 54 patients were selected for coblation-assisted microlaryngeal surgery. Perceptual analysis of voice was done by using GRBAS scoring. The voice analysis was done with the help of PRAAT software (Version 5.3.51) and fundamental frequency, jitter, shimmer, and harmonics to the noise ratio were analyzed. Stroboscopy was done in all cases for evaluating the vocal fold function by using glottic closure and pattern of mucosal wave. All the parameters were analyzed preoperatively and at 3 weeks, 6 weeks, and 3 months postoperatively. Results: The perceptual analysis of voice showed a significant improvement of the GRBAS score after coblation-assisted microlaryngeal surgery (P < 0.001). The acoustic analysis revealed that all parameters improved after surgery (P < 0.001). Stroboscopy findings also SHOWED improved vocal fold functions. Conclusion: Coblation-assisted microlaryngeal surgery is a safe and effective treatment modality for benign vocal fold lesion with excellent voice outcome.
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Foreign body removal using cryoprobe in a child p. 7
Sneha Yadav, Rajeev Chugh, Manu Chopra
Foreign body (FB) inhalation is a frequently encountered event in children. The diagnosis is reached by the presence of a clinical history of aspiration and the presence of respiratory symptoms. Management involves confirmation by flexible bronchoscopy, which may be both diagnostic and therapeutic. However, in certain situations including those with large FB, FB embedded in granulation tissue, or FB with very smooth margins, rigid bronchoscopy may be a better substitute. An alternative to rigid bronchoscopy may be the use of cryoprobe. Herein, we describe a child with tracheobronchial FB causing hyperinflated right middle and lower lobes with mild atelectasis. The FB was successfully extracted using a cryoprobe, obviating the need for rigid bronchoscopy.
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Case report: Rare cases of primary retropharyngeal synovial sarcoma and rhabdomyosarcoma p. 10
Suresh Singh Naruka, Sandeep S Sindhu, Venus Rawat, Seema Singhal, VA Nasyrov
Synovial sarcoma is the third most common histologic type soft tissue sarcoma of extremities. However, primary retropharyngeal synovial sarcoma is extremely rare. Rhabdomyosarcoma occurs frequently in children and adolescents. In contrast, it is rare in adults and is not well characterized clinically and pathologically. We present case report of two cases of retropharyngeal sarcomas, one synovial sarcoma in a young male and another rhabdomyosarcoma in a young female patient. Diagnosis is based on history, clinical assessment and CT imaging findings. Management comprises of surgical excision followed by chemotherapy. Though rare, these retropharyngeal tumours should always be kept in mind which could otherwise be missed easily even by a skilful surgeon. With early diagnosis and management of retropharyngeal tumours, the prognosis can be improved substantially.
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Laryngeal verruca vulgaris: An unusual presentation p. 15
MV Anoopa, AM Anithakumari, Ria Emmanuel
Laryngeal verruca vulgaris (LVV) is a rare benign condition. To date, only limited cases of the same have been reported in the literature. This article reveals an unusual presentation of LVV-simulating laryngeal malignancy.
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Modified Kleinsasser laryngoscope for use with high flow nasal cannula p. 18
Rakesh Srivastava
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