International Workshop on Cochlear Implantation 22nd Temporal Bone Dissection Course 2nd Basic Surgical skill workshop 2, 3, 4 April 2010,MAMC, Delhi
J Otolaryngol Head Neck Surg. 2009 Aug;38(4):427-33.
Steel scalpel versus electrocautery blade: comparison of cosmetic and patient satisfaction outcomes of different incision methods.
Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta.
OBJECTIVE: To determine which method of skin incision has superior cosmetic and patient satisfaction outcomes. METHODS: Consenting patients undergoing bilateral neck dissection who met the inclusion criteria were prospectively enrolled. Each side of the neck was randomly assigned into one of the following two groups: scalpel incision and electrocautery incision. Cosmetic and patient satisfaction outcomes were collected prospectively with patients and outcome assessors blinded to group assignment. Validated self-report questionnaires and objective scar measures were used. RESULTS: Nineteen patients met the criteria for inclusion. Analysis revealed no significant differences between groups in terms of cosmetic or satisfaction outcomes. Use of the steel scalpel was found to result in significantly greater incision-related blood loss compared with use of the electrocautery blade. CONCLUSION: Steel scalpel or electrocautery may be used to incise the skin of patients undergoing bilateral neck dissection with no difference in cosmetic or patient satisfaction outcome. The steel scalpel yields greater incision-related blood loss compared with the electrocautery blade.
PMID: 19755082 [PubMed - indexed for MEDLINE]
The Malnad Branch of A O I conducted a Deafn~s Relief Sur-gery Camp with the help of Rotary Club, Shimoga Central.They conducted screening camps at 5 Taluk places and se-surgeons viz :- Dr. N. D. Purushottam, (Bangalore), Dr.Nalinesh, (Bangalore), Dr. Shankar Medikeri (Bangalore),Dr. H. Vijayendra(Bangalore) conducted the surgery at Dis-trict Mc. Gann Hospital Shimoga on 1st & 2nd July 2000.Stapedectomy, Myringoplasty and Cholesteatoma Surgery was carried out in the patients. The sessions were attended by 20 ENT surgeons' in and around Shimoga.
Main beneficiaries were the poor and destitude patients. On the evening of 01-07-2000, a CME was arranged on which Dr. N. D. Purushottam spoke on Micro-Laryngeal Surgery, Dr.Vijayendra on Facial Nerve Surgery, Dr. S. Medikeri on Endoscopic Sinus Surgery.
- Teaching Basics only
- Teaching Exhaustive syllabus
- Does not matter much
I think that the poll question is a bit ambiguous. Its not clear whether it has been asked about the current format or what an ideal format should be?
Dr. Rohit Sharma
Dept., of ENT
March 28, 2010 9:56 AM
WHO IS BOTHERED TO ATTEND ENT POSTING .SO WHERE LIES THE THE USE OF ASKING SUCH A QUESTION.
March 29, 2010 10:43 AM
I have been following the current discussion on the topic of " image of ent in india" over the past couple of days. The response generated by the discussion has inspired me to put up another topic for discussion which is "Plight of DNB Otolaryngology final year students in India". This is dear to my heart as I am a final year DNB postgraduate in Otolaryngology who was due to take up my final exams in June 2010, but with the current change of regulations ( without prior notice) the exams for Otolaryngology has been postponed to December 2010.
I am from a middle economic background striving to complete my degree so that I can immediately start my practice with the hope of a better future. This unexpected delay by 6 months will cost me and my family dearly. I wonder whether the plight of the other final year DNB postgraduates in Otolaryngology is as same as mine. Sometimes I wonder if I have chosen the wrong speciality, since the respect of Otolaryngology in India is not on par with other specialities. I heard the cancellation of the exams in June was done only for the Otolaryngology and Family Medicine, It is very depressing.
I chose Otolaryngology and Head & Neck Surgery with the foresight that it is an evolving field with potential for technical advancements and super specialization. I have also heard that a residency in Otolaryngology abroad is very difficult to get and it is one of the most sought after field, I don't understand why it is not the same here in India.
I would be much obliged if you can either post this email or start this topic for discussion so that opinions can be exchanged.
Dr. S. Kamalakannan
DNB ENT Final year student
March 30, 2010 1:20 AM
sir, in my opinion, UG student should have an idea about all d topics in ENT & HEAD AND NECK SURGERY along with some topics in detail.
but he should know what all the topics ENT is covering.
it should not be so easy coz at present the normal thinking in undergraduate mind is that he can finish ENT in 1 month period, nothing 2 read in ENT.
March 30, 2010 5:03 PM
As one of the pivotal founder member of the Association of otolaryngologists
of India he was a devoted member and served as secretary for ten years and as a Treasurer. In 1958 he became president of the Association and laterwas honoured as an Honorary member of the Bombay branch of the AOI. The Association continues to honour him today through the annual Dr. R.A.F. Cooper award which is given to young
E.N.T. surgeons for original work done in the field.
There are two things:
1. Sensitizing the students to the different diseases which can be treated by ENT
2. Including everything into curriculum to be taught by ENT Professor
Now I do feel that the first point is important and it is the duty of all ENT Professors to sensitize students to the dimensions of ENT. The best way that it can be done is to make them come to ENT operation room during their posting. But this has limitations as the number of students are too many and they can at the most come to theatre 2-3 times in their entire posting and see for the maximum 2-3 types of surgery being done on that particular day. We can also use our recordings to be shown to them. But still it is important for them to come to theatre, as I feel that has the maximum 'impressionable factor'. The method of sensitizing them to ENT to the point that they start liking ENT is for them to be taught by real good 'teachers' in the clinics who can demonstrate to them all dimensions of the specialty and the disease patterns. I am of the opinion that ENT teachers in India need to improve their academic image. We are too poilitical. This is my personal opinion and this is not against any individual as I am as much part of this.
Regarding point number 2, I feel it is not necessary that only ENT has to teach the topics suggested by Dr Agarwal. The curriculum should include all the topics suggested but need not be addressed by ENT only during lectures. Also I firmly believe that there should be no repetition in Curriculum- theory lectures/ seminars. Things once taught properly should not be taught again by another individual or department as it has no use and only generates conflicts in the mind of students. Moreover now the curriculum is so vast that there is hardly any time to repeat.
Dr Neeraj N Mathur
Deptt of ENT and Head Neck Surgery
Vardhman Mahavir Medical College and Safdarjung Hospital
New Delhi 110029
I would like 2 say that in our country,the image of ENT is not good. It is considered as lowest clinical branch even among medicos ,while as u know in western countries it is one of the top most branch. i think the reason behind this is our undergraduate teaching. students dont wat all d things comes in ENT. they think ENT means mastoid/septo/tonsils and max 2 max fess. Our teachers r not teaching us real ENT for example-
4.mandible and maxillary fracture
6.various vascular tumours
9.cleft palate and lip
10.various types of flaps and graft in head and neck area
11.epulis,dentigerous cyst etc
13.branhial cyst and fistula and other neck swellings
14.postcricoid carcinoma and other oesophagus diseases
15.all cranial nerves
16.basic knowledge of skull base
17.temporal bone anatomy
18. many more
these r d topics we used 2 read in detail in general surgery and medicine. while they should b taught in detail in ENT. so that student sud know d field of ENT. then only they will consider ENT as a gud subject. the general thinking among UG students is that ENT is the subject of 1 month,so no need 2 study for whole ear. even postgraduate of other branches also having this idea about ENT. they dont know wat all d things ENT surgeons r doing in other countries and in south india.
my humble request to all ENT teachers is ,plz plz plz teach all d things in ENT proff at undergraduate level itself, so that image of this tough subject will improve.
sir kindly tell my request to max professors in various medical colleges, they should start it from 2morrow.
Dr Anoop agarwal
The French Delegation was felicitated by Delhi AOI President Dr Anil Monga & Secretary Dr Alok Agarwal.
Prof. Gerard O'Donoghue, Professor of Otolaryngology, Nottingham University, UK.
Prof. Thomas Roland, Professor of Otolaryngology & Chairman, Dept. of Otology, Newyork University school of medicine.
Prof. Joachim Muller, Professor of Otolaryngology, University of Wurzberg, Germany.
Prof. Lokmann Saim, Dean, Faculty of Medicine & Chairman, Dept. of Otolaryngology, National University of Malaysia, Kula Lumpur.
Prof. Manohar Bance, Chairman & Professor of Dept. of Otolaryngology & Bio-engineering, University of Halifax, Dalhousie, Canada.
Dr. John Mathews, Consultant Otolaryngologist, UK.
Dr. Peter Catalano – Rhinologist & Otologist, USA.
Prof. Andreas Leunig, Professor (APL) at the Dept. of Otorhinolaryngology, Head and Neck Surgery, Ludwig-Maximilians University of Munich.
Dr. Nikhil Bhat.
Dr. Krishna Reddy. Consultant ENT Surgeon, North Cheshire Hospitals, Member of AAC Royal College of Surgeons England.
Dr. Emad Massoud, Professor and Program Director in the Department of Otolaryngology at Dalhousie University.
Dr. Joseph Paydarfar, Assistant Professor of Surgery – Otolaryngology,Dartmouth Medical School,Dartmouth Hitchcock Medical Center,Lebanon, NH.
Dr. Regan Thomas
Dr. Ashutosh Kacker, Consultant Otolaryngologist, New York
Dr. Sivakumar Annamalai, Consultant Otolaryngologist, Toronto.
Dr. Mazen Alkhobari, Senior otolaryngologist, Professor & Chairman Sultan of Qaboos University, Muscat, Oman.
Dr. David Kennedy, Department of Otorhinolaryngology, Head and Neck Surgery, Hospital of the University of Pennsylvania.
Dr. Deepak Rajender Kumar, Consultant AudioVestibular Medicine, University Hospital, Cardiff, United Kingdom
Drooling is a normal phenomenon in children prior to the development of oral neuromuscular control at age 18-24 months. However, drooling after age 4 years is uniformly considered abnormal. Children with neurologic impairment may be slow to mature their oral neuromuscular control and may continue to improve their control until approximately age 6 years, which prompts physicians to delay any aggressive intervention until that time. READ MORE>>>
Author:Prof at SJ Hospital & asso.VMMC,Delhi
Formerly: Neeraj N Mathur, MBBS, MS, Professor, Department of Ear, Nose and Throat, Lady Hardinge Medical College and Associated Smt SK and Kalawati, Saran Children's Hospital, University of Delhi, India; Professor and Head, Department of Ear, Nose and Throat, BP Koirala Institute of Health Sciences, Nepal
Prof. Y.N. Mehra : Former Dean & Professor Emeritus retired from PGI after a distinguished career spanning for more than 30 years. He established the Department of Otolaryngology at PGI, Chandigarh in 1961
Professor Mehra was a man of unflinching integrity and utmost dedication.He was good surgeon and had a great command of surgical anatomy.
Congratulations to PGI ENT alumni for starting an Oration in the name of Prof. Y.N. Mehra
Intratympanic gentamicin treatment of patients with Ménière's disease with normal hearing.
Silverstein H, Wazen J, Van Ess MJ, Daugherty J, Alameda YA.
Ear Research Foundation, a division of the Silverstein Institute, Sarasota, FL.
OBJECTIVE: Understand the safety and outcomes of intratympanic gentamicin treatment in patients with Ménière's disease with normal hearing. STUDY DESIGN: Case series with chart review. SETTING: Tertiary referral center. SUBJECTS AND METHODS: A total of 224 patients with disabling Ménière's disease treated between May 1996 and June 2007 were grouped according to the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) 1995 Committee on Hearing and Equilibrium staging guidelines: stage 1 (<25 dB pure-tone average [PTA]); stage 2 through 4 (>25 dB PTA). Patients underwent self-treatment with intratympanic gentamicin (10 mg/mL) three times daily for one to eight weeks. Outcome measures included pre- and post-treatment speech discrimination score (SDS), PTA, electronystagmography, vertigo relief, and statistical analysis utilizing the Pearson chi(2) test. RESULTS: Twenty-two (88%) of 24 patients with stage 1 Ménière's disease showed unchanged or improved SDS. All 24 patients showed a mean PTA loss of 8 dB. Seventeen (71%) patients reported complete or improved vertigo control. One hundred sixteen (59%) of 200 patients with stage 2 through 4 Ménière's disease showed unchanged or improved SDS. All 200 patients showed a mean PTA loss of 11 dB. One hundred forty-eight (74%) patients reported complete or improved vertigo control. CONCLUSIONS: Patients with stage 1 Ménière's disease appear to have similar vertigo control with better hearing preservation than patients with advanced disease when treated with low-dose intratympanic gentamicin (10 mg/mL). Copyright © 2010 American Academy of Otolaryngology–Head and Neck Surgery Foundation. Published by Mosby, Inc. All rights reserved.
PMID: 20304280 [PubMed - as supplied by publisher]
Otology update-1995 was held in Verma
Hospital, Jalandhar on 18-19th November 1995,
hosted by the Jalandhar E.N.T. Forum.
Dr. R.C. Deka (AIIMS), Dr. S.C. Mishra
(Lucknow), Dr. A. Mahadeviaha (Bangalore), Dr.
Prabodh Karnik (Mumbai) and Dr. M.L. Sharma
(Shimla) participated as faculty. Temporal Bone
dissection and Live Microsurgery of the ear were
demonstrated on CCTV and two way talk back
system. 40 delegates attended this two day
Dr. Ravinder Verma was the organizing
Thank you very much for your response. The French ENT Society would be delighted to welcome you to participate at the 1st French-Indian ENT Meeting, to be held on Tuesday, March 22, at the LALIT Hotel in New Delhi starting at 8 am, and on Friday, March 26, at the ITC RAJPUTAN SHERATON Hotel in Jaipur, starting at 8 am.
Professor Frederic Chabolle
General Secretary French National ENT Society
Programme (Click Image to View)
Regarding the registration fee for an Indian Physician :The price for the 2 Must session (one in Dehli, One in Jaipur ) is 50 USD = 2318 INR. The price included congress registration, badges, scientific congress, Break, documents diffused, and certificate of attendance.
Not meal, not transport, not accommodation….
Conference fee can be paid on spot in Indian Rupees on Spot
Readers are requested to send their websites Link to us for other Readers benefit:
1.State and City Associations of ENT
2.ENT Departments of Medical Colleges
4.ENT Deparments of Private Corporate/Non-Corporate Hospital
5.Blogs by ENT Surgeons
5.Individual ENT Websites.
If you wish we can create a Web Link for you by data made available to us.
Dr Rajesh Kalra
Is ENT still considered a lower clinical Branch amongst Medicos?
Vote at www.entindia.net
What you can do
Sprinkle grain on the verandah/terrace of your house.
If you have even a little space around your house, try to make a home/kitchen garden.
Feed platforms might help the welcome birds back.
Clean water can be kept.
Pots with straw can be hung as nesting sites.
Lead environmentally healthy lives so that birds too can survive.
Say no to pesticides in your homes. Use organic repellents.
Warm Greetings from Chennai.
It is with great pleasure that we invite you to the AOICON 2011 being held in Chennai. Theme: “The Inner Ear & Beyond”
This conference will bring together an eminent “Star Studded” Galaxy of internationally acclaimed experts in various disciplines of Otorhinolaryngology. The conference is being conducted in one of the best venues in the country.
The organizers are taking all efforts to ensure that you have a memorable time.
We welcome you to experience the tradition of hospitality deeply ingrained in every Chennaiite.
Prof. Mohan Kameswaran
Prof. Jacinth Cornelius
Dr. R. S. Anand Kumar
Dr. K. Karthikeyan
Dr. P. Vijaya Krishnan
Dr. S. Raghunandhan
Dr. S. Sudhamaheswari
Madras ENT Research Foundation (P) Ltd
No. 1, I Cross Street, Off. II Main Road, Raja Annamalai Puram,
Chennai - 600 028, Tamil Nadu, India.
Phone No : 044 - 2431 1411 / 1412 / 1413 / 1414 / 1415 Fax : 044 - 2431 1416
Mobile : +91 91766 40288
Click here to visit the website
The XIX Annual Conference of Gujarat State,
Branch was held at Mt. Abu (Rajasthan) on 9-10th Dec. '95.
Dr. Janardan Rao of Apollo Hospital,Hyderabad delivered a guest lecture on "Cochlear
Workshop was organised on 9th Dec.,preceding the conference, on "Laryngectomy and
TEP reconstruction" in which Dr. Ashok Metha from Tata Memorial Hosp., Bombay participated.In C.M.E., Dr. Dipak Parekh from Tata Memorial Hosp., Bombay spoke on "Laser Surgery for Laryngeal disorders".Dr. Ranade from Ahmedabad delivered "Dr.
Balge Oration Lecture" on "Transseptal Hypophysectomy".
Following are the office bearers of the Gujarat
State Branch for the year 1996:
President: Dr. Vinod Pandya (Rajkot)
Hon. Secretary : Dr. Archana Desai (Baroda)
Hon. Treasurer: Dr. Anupam Desai.(Mumbai)
Workshop on "FESS and Rhinoplasty" was arranged at Mehsana, North Gujarat, on 30-31st
Dec., 1995 by Dr. Kaluskar from Ireland.
Surgery of sinus tympani cholesteatoma: Endoscopic necessity
Mohamed M.K. Badr-El-Dine
Department of Otorhinolaryngology, Alexandria School of Medicine, University of Alexandria, Alexandria, EGYPT. firstname.lastname@example.org
Objective: Residual cholesteatoma occurs as a consequence of growth of a fragmental remnant of the matrix inadvertently left behind at the time of primary surgery. Poor access is the major reason for residual disease, particularly in the sinus tympani (ST). The ST is a critical anatomic region considered the most hidden recess of the middle ear. The aim of our study was to highlight the importance of extension of cholesteatoma into the ST and to demonstrate the efficacy of oto-endoscopy allowing direct access to eradicate disease from this potentially dangerous site.
Materials and Methods: A total of 294 ears with acquired cholesteatoma (primary or secondary) were operated on. In this study, 212 cases were operated upon using canal wall up (CWU) technique, and 82 cases were operated upon using canal wall down (CWD) procedure. Oto-endoscopy was incorporated complementary to the microscope as a principal part of the procedure in all cases. Second-look endoscopic exploration was performed on some selected cases, depending on the operative details during the primary surgery and the postoperative findings of clinical and radiologic studies.
Results: In the primary surgery after completion of microscopic cleaning, the overall incidence of intraoperative residuals detected with the endoscope was (49 cases) 16.7%. Sinus tympani was the most common site of intraoperative residuals in both CWU and CWD groups (36.7%), followed by the facial recess (28.6%), and the undersurface of the scutum in the CWU cases (20.4%); and the anterior epitympanic recess (14.3%). Reconstruction of the hearing mechanism was performed during the primary surgery in 246 cases (83.7%) and postponed to the second stage in only 48 cases (16.3%). Out of the 212 CWU cases, 93 second-look endoscopic explorations (43.9%) were performed. Eight recurrences (8.6%) were identified: 5 cases showed one or more recurrent cholesteatoma pearls, and 3 cases showed a larger open cholesteatoma recurrence extending to the aditus and mastoid. In this series, no morbidity or complication was encountered secondary to the use of endoscopes in the mastoid or middle ear.
Conclusion: From our experience in endoscopic ear surgery we have come to the conclusion that the ability of endoscopes to peer into the recesses of middle ear and mastoid cavity proved without doubt its usefulness. The use of endoscope achieved significant higher degree of control over the disease and dramatically reduced the incidence of cholesteatoma recurrence particularly in those hidden recesses such as the sinus tympani.
Hairy polyp of the oronasopharynx is an uncommon developmental malformation that is most frequently seen as a pedunculated tumor in the neonate. Derived from the ectoderm and mesoderm, this benign tumor generally has been classified as dermoid. The clinical presentation is dependent on the polyp's size and location. A full-term girl was evaluated for an oral mass that was first noted at the time of birth. Evaluation showed a 5- x 2.5-cm soft, nontender, skin-covered mass that protruded from the oral cavity. During surgery, it was noted that the stalk was attached to the superior pole of the left tonsil. The histology of the mass was consistent with a hairy polyp. Knowledge of this type of malformation facilitates early intervention and avoids significant morbidity.
This is the sunset at the North Pole with the moon at its closest point.
Sent by Dr Sanjay Manthale(Mumbai)
2nd Adelaide Endosocpic Skull Base Surgery Course
We are extremely fortunate to have the world leaders in endoscopic skull base surgery as our guests of honour at this course. Amin Kassam and Ricardo Carrau
formally from the University of Pittsburgh and now from the John Wayne Cancer Institute have built a reputation as the world leaders in this field and we are privileged to have them share their knowledge. Their expertise is complimented by a very experienced local faculty of ENT and neurosurgeons. This course provides the opportunity for ENT and Neurosurgeons to improve their endoscopic skills and to learn the endoscopic anatomy of the nasal cavity and sinuses through which the posterior cranial fossa, pituitary gland and anterior cranial fossa can be approached. Ideally the neurosurgeon and ENT surgeon would register as a team, allowing the extensive sinus surgery required as part of the approach to be rapidly performed by the ENT surgeon leaving more time for dissection of the posterior fossa, anterior fossa and infra-temporal fossa. Emphasis on this course is hands-on dissection providing the opportunity for learning how to position and management of instruments in the nose, sinuses and intra-cranial cavity and to understand the
endoscopic anatomy involved in such approaches. This will be a very intensive, but hopefully enriching three-day course.
Prof P.J. Wormald
Chairman & Head Department of Otolaryngology Head and Neck Surgery
The University of Adelaide, AUSTRALIA 5005
Ph : +61 8 8222 7158
Fax : +61 8 8222 7419
We are extremely fortunate to have the world leaders in endoscopic skull base surgery as our guests of honour at this course. Amin Kassam and Ricardo Carrau formally from the University of Pittsburgh and now from the John Wayne Cancer Institute have built a reputation as the world leaders in this field and we are privileged to have them share their knowledge. Their expertise is complimented by a very experienced local faculty of ENT and neurosurgeons. The most dramatic complication in endonasal surgery is inadvertent injury to the ICA causing massive bleeding which is often fatal. This course provides the unique opportunity for ENT and Neurosurgeons toimprove their endoscopic skills in surgically managing this challenging complication,and to become familiar with the haemostatic options available. Ideally the neurosurgeon and ENT surgeon would register as a team, allowing the team to develop the skills together in a cooperative fashion. Emphasis on this course is hands-on dissection providing the opportunity to learn how to position and manage the instruments during such a challenging surgical field, and enabling vascular control. This will be a very intensive, but hopefully enriching course.
Prof P.J. Wormald
Chairman & Head Department of Otolaryngology Head and Neck Surgery
The University of Adelaide, AUSTRALIA 5005
Ph : +61 8 8222 7158
Fax : +61 8 8222 7419
DR JANAKIRAM FROM TRICHY. I WOULD LIKE TO ANNOUCE THAT WE HAVE VACANCIES FOR 5 RESIDENT POSTS ( ONE YEAR ) AT OUR CENTRE. WE WILL PAY THEM RS 20,000 / - TO 30,000 /- PER MONTH WITH FREE ACCOMODATION.
CONTACT NUMBER : 09842461176
WORK PLACE : TRICHY , TAMILNADU
Conference Report: Excellence in Rhinoplasty:Organised by the Department of Oto-Rhino-Laryngology of the University Hospital Leuven,Belgium
Report by Dr Lionel Azan (rhinoplasty surgeon Paris )
READ CONFERENCE REPORT
The report includes various useful tips for Rhinoplasty Surgeons