1.STOP the nasal decongestant spray use immediately
2.High dose prednisone starting at 60mg tapered slowly over ~3 weeks
3.Start steroid nasal spray use
4.Start hypertonic saline flushes to the nose
Read More..
Readers comments are welcome
Wednesday, February 10, 2010
National Laryngotracheal Surgery Workshop,Nair Hospital, Mumbai ,26-28 March 2010
The Department of Oncosurgery, Prince Aly Khan Hospital and Department of ENT, Nair Hospital, Mumbai are jointly hosting the Nationsal Workshop on LaryngoTracheal Surgery (including Lasers) at Mumbai. Internationally renowned LaryngoTracheal Surgeon Prof. Monnier, Switzerland is the International Faculty and Prof. Sultan Pradhan is the National faculty. There will be interactive live surgical demonstration in addition to Cadaveric Dissection demonstration.
Venue- Dept. of ENT, T.N.Medical College and B.Y.L. Nair Ch. Hospital, Mumbai
Dates 26th,27th and 28th March 2010
Registration: Consultants-Rs.2000/-
Residents-Rs. 1000/-
There will be a special focus on "Decision-making" in these cases with interaction between delegates and faculty.
Delegates can also bring their patients for Prof. Monnier's opinion and management by him, if he feels so.The range will incluse all cases of airway obstruction including subglottic stenosis, tracheal stensis, VC palsy etc.
For the first time we have also involved Paediatric Surgeons in the workshop as, many of thhe patients seen by us are in the paediatric age group, hence we will be happy if you could spread the word to your Paediatric Surgery colleagus too.
For details and any assistance please contact:
Dr. Bachi T. Hathiram, Prof and Head of Dept of ENT-09323699192
Dr. Sanjay Chhabria, Asst. Professor ENT-09819744720
Dr. Vicky S. Khattar, Asst Professor ENT-09324655600
Venue- Dept. of ENT, T.N.Medical College and B.Y.L. Nair Ch. Hospital, Mumbai
Dates 26th,27th and 28th March 2010
Registration: Consultants-Rs.2000/-
Residents-Rs. 1000/-
There will be a special focus on "Decision-making" in these cases with interaction between delegates and faculty.
Delegates can also bring their patients for Prof. Monnier's opinion and management by him, if he feels so.The range will incluse all cases of airway obstruction including subglottic stenosis, tracheal stensis, VC palsy etc.
For the first time we have also involved Paediatric Surgeons in the workshop as, many of thhe patients seen by us are in the paediatric age group, hence we will be happy if you could spread the word to your Paediatric Surgery colleagus too.
For details and any assistance please contact:
Dr. Bachi T. Hathiram, Prof and Head of Dept of ENT-09323699192
Dr. Sanjay Chhabria, Asst. Professor ENT-09819744720
Dr. Vicky S. Khattar, Asst Professor ENT-09324655600
AOI Archives:1989 MALABAR Branch
AOI Malabar Branch was formed on 18th June 1989 at Calicut.It incuded ENT Surgeons from six North Districts of Indian State of Kerala.
The Office bearers elected that year were:
President : Dr K G Vijayrahavana
President Elect : Dr A K Gangadharan
Secretary: Dr G.Vijaykumar
Associate Secretary:Dr P.Murleedharan Nampoothiri
Treasurer : Dr V Kriahna Das
READERS ARE REQUESTED TO SEND US AOI BRANCH NEWS TO update@entindia.net
Malabar (Malayalam: മലബാര്) is a region of southern India, lying between the Western Ghats and the Arabian Sea. The name is thought to be derived from the Malayalam word Mala (Hill) and Puram (region) derived or westernised into bar.
The Office bearers elected that year were:
President : Dr K G Vijayrahavana
President Elect : Dr A K Gangadharan
Secretary: Dr G.Vijaykumar
Associate Secretary:Dr P.Murleedharan Nampoothiri
Treasurer : Dr V Kriahna Das
READERS ARE REQUESTED TO SEND US AOI BRANCH NEWS TO update@entindia.net
Malabar (Malayalam: മലബാര്) is a region of southern India, lying between the Western Ghats and the Arabian Sea. The name is thought to be derived from the Malayalam word Mala (Hill) and Puram (region) derived or westernised into bar.
Cancer “fertilizers”
Here are some dietary substances that create a fertile soil for cancers:
Refined sugars (drive up proinflammatory insulin and insulin-like growth factor, or IGF)
Insufficient omega-3s/excess omega-6s (favor inflammation)
Growth hormones in meat and non-organic dairy products (stimulate IGF)
Okay, what diet does this sound like? Lots of sugar, bad fats, and meat – the typical Western diet.
Refined sugars (drive up proinflammatory insulin and insulin-like growth factor, or IGF)
Insufficient omega-3s/excess omega-6s (favor inflammation)
Growth hormones in meat and non-organic dairy products (stimulate IGF)
Okay, what diet does this sound like? Lots of sugar, bad fats, and meat – the typical Western diet.
Cancer inhibitors
So, what should we eat? In addition to avoiding saturated fat, sugar, meat and non-organic stuff, a good cancer-fighting diet would include some/all of the following:
Catechins (in green tea) – inhibit angiogenesis
Phytoestrogens (in soy products) – block overstimulation of tumors by estrogen; prevent angiogenesis
Curcumin (in turmeric) – inhibits inflammation, inhibits angiogenesis, promotes apoptosis in tumor cells
Ellagic acid (in berries) – inhibits angiogenesis, blocks transformation of environmental carcinogens into toxic substances
Anthocyanidins (in blueberries, cranberries, cinnamon, dark chocolate) – promote apoptosis in tumor cells
Terpenes (in mint, thyme, marjoram, oregano, basil, rosemary) – inhibit tumor cell invasion, promote apoptosis in tumor cells, inhibit angiogenesis
Gingerol (in ginger) – inhibits inflammation and angiogenesis
Sulforaphane, indole-3-carbinol (in cruciform veggies) – prevent precancerous cells from becoming malignant; promote apoptosis of tumor cells, inhibit angiogenesis
Sulfur compounds (in garlic and onions) – reduce carcinogenic effects of nitrosamines (created in overgrilled meat and present in tobacco); promote apoptosis in tumor cells; help regulate blood sugar levels.
Lycopene (in carrots, yams, other bright colored veggies and fruits) – stimulates NK cells to become more aggressive; inhibits tumor cell growth
Long-chain omega-3 fatty acids (in fatty fish) – reduce cancer cell growth, prevent metastasis
Vitamin D (sun, cod liver oil, milk (tiny amount), vitamins) – dramatically reduces risk of several cancers
Polyphenols (red wine, chocolate) – block NF-kappa B (important in all three stages of cancer development: initiation, promotion, progression), limit angiogenesis
Catechins (in green tea) – inhibit angiogenesis
Phytoestrogens (in soy products) – block overstimulation of tumors by estrogen; prevent angiogenesis
Curcumin (in turmeric) – inhibits inflammation, inhibits angiogenesis, promotes apoptosis in tumor cells
Ellagic acid (in berries) – inhibits angiogenesis, blocks transformation of environmental carcinogens into toxic substances
Anthocyanidins (in blueberries, cranberries, cinnamon, dark chocolate) – promote apoptosis in tumor cells
Terpenes (in mint, thyme, marjoram, oregano, basil, rosemary) – inhibit tumor cell invasion, promote apoptosis in tumor cells, inhibit angiogenesis
Gingerol (in ginger) – inhibits inflammation and angiogenesis
Sulforaphane, indole-3-carbinol (in cruciform veggies) – prevent precancerous cells from becoming malignant; promote apoptosis of tumor cells, inhibit angiogenesis
Sulfur compounds (in garlic and onions) – reduce carcinogenic effects of nitrosamines (created in overgrilled meat and present in tobacco); promote apoptosis in tumor cells; help regulate blood sugar levels.
Lycopene (in carrots, yams, other bright colored veggies and fruits) – stimulates NK cells to become more aggressive; inhibits tumor cell growth
Long-chain omega-3 fatty acids (in fatty fish) – reduce cancer cell growth, prevent metastasis
Vitamin D (sun, cod liver oil, milk (tiny amount), vitamins) – dramatically reduces risk of several cancers
Polyphenols (red wine, chocolate) – block NF-kappa B (important in all three stages of cancer development: initiation, promotion, progression), limit angiogenesis
Tuesday, February 9, 2010
Abstract:Fine needle aspiration cytology in childhood TB lymphadenitis
J. Balaji1, 2 , S. Shanmuga Sundaram1, S. Nataraja Rathinam1, P. Amutha Rajeswari1 and M. L. Vasantha Kumari1
(1) Institute of Child Health and Research Centre, Government Rajaji Hospital and Madurai Medical College, Madurai, Tamil Nadu, India
(2) ADE / TNEB, Mullai Nagar, Periyampatty Post, Dharmapuri Dt Tamil Nadu., 635205, India
Received: 26 November 2008 Accepted: 28 May 2009 Published online: 20 November 2009
Abstract
Objective To evaluate the efficacy of Fine Needle Aspiration Cytology (FNAC) to diagnose Tuberculous (TB) lymphadenitis with compare to excision biopsy and to correlate TB lymphadenitis with clinical, cytological, radiological and mantoux test features.
Methods This was a prospective correlational study. FNAC was done by a pediatrician for 135 children with persisting lymphadenitis after two weeks of antibiotic therapy in the period of January 2005 to June 2006 and compared with excision biopsy in a tertiary care hospital.
Results Forty Six cases (34.07%) were TB lymphadenitis diagnosed by FNAC. Excision biopsy and cytological correlation was done in 100 cases. Sensitivity, specificity and diagnostic accuracy for TB lymphadenitis were found to be 98%, 100% and 99% respectively. Positive and negative predictive values were 100 and 98 respectively. Large (>2cm) (86.9%), multiple (52.1%), matted (47.8%), posterior cervical and submandibular group nodes with history of contact (P=0.0016), positive mantoux test (P=0.0001) and Grade III and IV Protein Energy Malnutrition (PEM) (P=0.0041) were significantly seen in TB lymphadenitis. Ziehl Neelson staining for Acid Fast Bacilli (AFB) was positive in 32.5% cases of TB Lymphadenitis.
Conclusion Pediatrician himself can do FNAC which is an excellent first line method to diagnose TB lymphadenitis and it has equal accuracy to excision biopsy.
(1) Institute of Child Health and Research Centre, Government Rajaji Hospital and Madurai Medical College, Madurai, Tamil Nadu, India
(2) ADE / TNEB, Mullai Nagar, Periyampatty Post, Dharmapuri Dt Tamil Nadu., 635205, India
Received: 26 November 2008 Accepted: 28 May 2009 Published online: 20 November 2009
Abstract
Objective To evaluate the efficacy of Fine Needle Aspiration Cytology (FNAC) to diagnose Tuberculous (TB) lymphadenitis with compare to excision biopsy and to correlate TB lymphadenitis with clinical, cytological, radiological and mantoux test features.
Methods This was a prospective correlational study. FNAC was done by a pediatrician for 135 children with persisting lymphadenitis after two weeks of antibiotic therapy in the period of January 2005 to June 2006 and compared with excision biopsy in a tertiary care hospital.
Results Forty Six cases (34.07%) were TB lymphadenitis diagnosed by FNAC. Excision biopsy and cytological correlation was done in 100 cases. Sensitivity, specificity and diagnostic accuracy for TB lymphadenitis were found to be 98%, 100% and 99% respectively. Positive and negative predictive values were 100 and 98 respectively. Large (>2cm) (86.9%), multiple (52.1%), matted (47.8%), posterior cervical and submandibular group nodes with history of contact (P=0.0016), positive mantoux test (P=0.0001) and Grade III and IV Protein Energy Malnutrition (PEM) (P=0.0041) were significantly seen in TB lymphadenitis. Ziehl Neelson staining for Acid Fast Bacilli (AFB) was positive in 32.5% cases of TB Lymphadenitis.
Conclusion Pediatrician himself can do FNAC which is an excellent first line method to diagnose TB lymphadenitis and it has equal accuracy to excision biopsy.
Monday, February 8, 2010
Head & Neck Cadever Dissection Course For PG students-AFMC, Pune, 25 to 27 March 10
Head & Neck Cadever Dissection Course For PG students-AFMC, Pune
Contact Brig PS Sukthankar
E mail pinni_ss@yahoo.co.in
AFMC Pune
The history of an institution portends the future & directs its destiny. The Armed Forces Medical College was formed at Pune on 01 May 1948 by the amalgamation of Army Medical Training Centre, the Army School of Hygiene, the Central Military Pathology Laboratory, the School of Blood Transfusion and Army School of Radiology. The college was initially housed in Eve’s Estate and later shifted to Connaught Barracks, the present location.Read more http://is.gd/7UpYF
Department of Otorhinolaryngology in the Armed Forces Medical College was established in the year 1965 for training Medical Officers of the Armed Forces in the specialty of ENT. The department over the years has shown tremendous growth to emerge as one of the pioneering centres of Otorhinolaryngology in the country.Dr PS Sukhtankar is presently the Head of Department.
Contact Brig PS Sukthankar
E mail pinni_ss@yahoo.co.in
AFMC Pune
The history of an institution portends the future & directs its destiny. The Armed Forces Medical College was formed at Pune on 01 May 1948 by the amalgamation of Army Medical Training Centre, the Army School of Hygiene, the Central Military Pathology Laboratory, the School of Blood Transfusion and Army School of Radiology. The college was initially housed in Eve’s Estate and later shifted to Connaught Barracks, the present location.Read more http://is.gd/7UpYF
Department of Otorhinolaryngology in the Armed Forces Medical College was established in the year 1965 for training Medical Officers of the Armed Forces in the specialty of ENT. The department over the years has shown tremendous growth to emerge as one of the pioneering centres of Otorhinolaryngology in the country.Dr PS Sukhtankar is presently the Head of Department.
ISOCON Conferences
The ISOCON 2010 will be held in Nagpur in November 2010
The ISOCON 2011 will be held in Kochi in November 2011
Watch this blog for details
1st Airway Course & Hands on Laser Training on 23rd, 24th & 25th April 2010,Pune
Deenanath Mangeshkar Hospital, Pune has organized its 1st Airway Course & Hands on Laser Training on 23rd, 24th & 25th April 2010. This would be 1st airway course with hands on training in the country.
The course includes Lectures, Live Surgical Demonstration by National & International Faculty, Case Discussion, Multipoint Video Conferencing, as well as hands-on cadaveric dissection, hands on laser course and hands on training on Simulators.
Kindly be part of it and help us to make it a grant success . Looking forward for active participation from your colleagues and students.
Thanking you,
Dr. Sachin Gandhi - Course Director
Consultant ENT Surgeon & Director Department of Laryngology
Hospital :
Deenanath Mangeshkar Hospital & Research Centre
Erandwane, Pune 411004 , India
Contact details :
Telephone: +91 (0)20 66023511 / 9595123008
Mobile - +91 9822040961
Email:- voiceclinic@gmail.com voicelaser@dmhospital.org
Website - www.voicelaser.com
Dr Namita Narahari
Deenanath mangeshkar Hospital
Erandwane
Pune
9373072737
CLICK HERE FOR PRO GRAMME AND REGISTRATION
The course includes Lectures, Live Surgical Demonstration by National & International Faculty, Case Discussion, Multipoint Video Conferencing, as well as hands-on cadaveric dissection, hands on laser course and hands on training on Simulators.
Kindly be part of it and help us to make it a grant success . Looking forward for active participation from your colleagues and students.
Thanking you,
Dr. Sachin Gandhi - Course Director
Consultant ENT Surgeon & Director Department of Laryngology
Hospital :
Deenanath Mangeshkar Hospital & Research Centre
Erandwane, Pune 411004 , India
Contact details :
Telephone: +91 (0)20 66023511 / 9595123008
Mobile - +91 9822040961
Email:- voiceclinic@gmail.com voicelaser@dmhospital.org
Website - www.voicelaser.com
Dr Namita Narahari
Deenanath mangeshkar Hospital
Erandwane
Pune
9373072737
CLICK HERE FOR PRO GRAMME AND REGISTRATION
Advance FESS Worochop,Raipur ,February 20-12-,2010
CLICK IMAGES TO VIEW BROCHURE
DR RAKESH GUPTA ,MS[ENT]
EYE &ENT HOSPITAL
OPP NEW BUS STAND
RAIPUR[CG]
PH 0771-2430288, 2426559,094242-23860
Thursday, February 4, 2010
World Cancer Day:4 February 2010
Cancer is a leading cause of death around the world. WHO estimates that 84 million people will die of cancer between 2005 and 2015 without intervention.
Each year on 4 February, WHO supports International Union Against Cancer to promote ways to ease the global burden of cancer. Preventing cancer and raising quality of life for cancer patients are recurring themes.
This year's theme, “Cancer can be prevented too”, focusses on simple measures to prevent cancer such as:
*no tobacco use
*a healthy diet and regular exercise
*limited alcohol use
protection against cancer-causing infections.
WHO LINK
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Each year on 4 February, WHO supports International Union Against Cancer to promote ways to ease the global burden of cancer. Preventing cancer and raising quality of life for cancer patients are recurring themes.
This year's theme, “Cancer can be prevented too”, focusses on simple measures to prevent cancer such as:
*no tobacco use
*a healthy diet and regular exercise
*limited alcohol use
protection against cancer-causing infections.
WHO LINK
Poll:Do you approve Otrivin Nasal drops TV Advertisement
Yes 5 (4%)
No 95 (93%)
Could not care less 2 (1%)
Votes so far: 102
Poll closed
Dr Saumitra Kumar said...
No I am absolutely against the advertisement.It is going to ruin many more noses and breed a lot of rhinitis medicamentosa patients.It should be immediately taken off air.
January 29, 2010 11:25 PM
Mann said...
no, I m totally against advertising these drugs.
these drugs are to b prescribed by a doctor and only then used in the recommended dosage, otherwise there can be side effects also.
February 1, 2010 1:17 PM
More Comments
No.
Dr. Narottam Puri
President - Medical Strategy & Quality
Fortis Healthcare Limited
To prevent rebound congestion, use over-the-counter decongestant nasal sprays for no more than three days in a row. Prescription nasal sprays containing steroids don't cause this rebound effect, so they can be used on a daily basis for years
James T. Li, M.D. MAYO CLINIC
No 95 (93%)
Could not care less 2 (1%)
Votes so far: 102
Poll closed
Dr Saumitra Kumar said...
No I am absolutely against the advertisement.It is going to ruin many more noses and breed a lot of rhinitis medicamentosa patients.It should be immediately taken off air.
January 29, 2010 11:25 PM
Mann said...
no, I m totally against advertising these drugs.
these drugs are to b prescribed by a doctor and only then used in the recommended dosage, otherwise there can be side effects also.
February 1, 2010 1:17 PM
More Comments
No.
Dr. Narottam Puri
President - Medical Strategy & Quality
Fortis Healthcare Limited
To prevent rebound congestion, use over-the-counter decongestant nasal sprays for no more than three days in a row. Prescription nasal sprays containing steroids don't cause this rebound effect, so they can be used on a daily basis for years
James T. Li, M.D. MAYO CLINIC
CME on Voice therapy and Sialology,Malappuram, Kerala,27th and 28th of March, 2010.
Click Image to Enlarge
Dr Shajid P
Secretary, AOI Malappuram Chapter
Rose apartments, Industrial Estate Road
Manjeri, Malappuram, Kerala
pin 676 121
phone 09847150722
mail drshajid@gmail.com
Auditory Brain Stem Implant (ABI) : Dr J M Hans
Dear Dr Rajesh Kalra,
This is to inform all, thru your Blog, that we, at the Primus super Speciality Hospital, New Delhi, (Chairperson : Mrs. Achla Dewan) have successfully performed our 1st Auditory Brain Stem Implant on a 2.5 yrs old child with B/L Cochlear Nerve aplasia. The child is from LEH, Ladhakh, J & K. This is the 1st ABI in North India & 2nd in the country for a congenitally deaf child.
With deepest regards,
Prof. Dr. J.M.Hans
Director, Dept. of ENT & Cochlear Implant Centre,
Primus Super Speciality Hospital, New Delhi
(M) +91 9718126565
&
Ms Meenakshi Wadhera,
Assoc. Meenakshi Speech & Hearing Clinic,
New Delhi.
An Auditory Brain Stem Implant (ABI) is a surgically implanted electronic device that provides a sense of sound to a person who is profoundly deaf, due to sensorineural hearing impairment (due to illness or injury damaging the cochlea or auditory nerve, and so precluding the use of a cochlear implant).
The auditory brain stem implant uses similar technology as the cochlear implant, but instead of electrical stimulation being used to stimulate the cochlea, it is instead used to stimulate the brain stem of the recipient.
DR HANS RECEIVED MANY CONGRATULATORY MESSAGE WHICH MAY BE READ BELOW
Coimbatore, Tamil Nadu: 18th Annual Conference of Indian Society of Otology,February 5-7,2010
Image via Wikipedia
BEST WISHES TO DELEGATES AND ORGANIZERS
8th Annual Conference of Indian Society of Otology
February 5 to 7 2010 at Coimbatore.
Contact:- Dr NJ Rajan,Org.Secretary, ENT Clinic,Main Bazar,Ooty-643001.
Email:-dr.njrajan@rediffmail.com, Mob:09443095756
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