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      • Plight of DNB students
      • International Workshop on Cochlear Implantation 22...
      • American Association of Otolaryngologists from Ind...
      • 2nd Punjab State AOIHNS Conference April 18,2010
      • Steel scalpel versus electrocautery blade
      • Delegates from Sri Lanka at SAARC Congress,Delhi 2...
      • Idiopathic soft palate paralysis
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      • Images:Kentcon Thrissur 2009
      • AOI Archives 2000: Malnad Branch
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      • Image of ENT in India: Dr Abha Bhatnagar
      • Images: AOICON 2010 Mumbai -Fashion Show
      • Whats your opinion on format of Otolayngology trai...
      • Dr RUSTOM A. F. COOPER,1903-1975
      • Image of ENT in India:Dr NN Mathur
      • Improve the image of ENT in india:Dr Anoop agarwal...
      • Images: 1st French-Indian ENT Meeting, held on Tue...
      • AOICON 2011,The Faculty
      • Drooling:eMedicine article by Prof NN Mathur
      • Flower of Day
      • AOI oration in memory of Prof. Y.N. Mehra
      • PROF. C. R. SUNDARARAJAN NATIONAL PLASTIC SURGERY ...
      • Absract:Intratympanic gentamicin treatment of pati...
      • AOICON 2010,Mumbai Images
      • Flower of Day
      • Department of Otolayngology,PGI Chandigarh
      • Uttaranchal AOI State Conference, April 24-25,Ris...
      • Archives:AOl— JALANDHAR BRANCH.1995
      • Flower of Day
      • Rhinoplasty workshop Bangkok 2nd Announcement
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      • 1st French - Indian ENT Meeting / Program
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      • Poll:Is ENT still considered a lower clinical Bran...
      • Spare a thought for House Sparrow
      • A Sword Swallower
      • AOICON 2011,Chennai
      • AOI Archives:1995 Gujrat State Branch
      • Surgery of sinus tympani cholesteatoma: Endoscopic...
      • Flower of the Day
      • Hairy polyp of the oronasopharynx
      • Pic of the Day
      • 2ND ADELAIDE ENDOSCOPIC SKULL BASE COURSE ,15th – ...
      • Adelaide Endoscopic Management of Vascular Injurie...
      • Job Vacancy in Trichy
      • Conference Report: Excellence in Rhinoplasty:Organ...
      • Flower of the Day
      • IX BASIC COURSE ON ENDOSCOPIC SINUS SURGERY,Octobe...
      • OTOCON KMC Mangalore, June 5-6,2010
      • LIVE SINUS & EAR SURGERY WORKSHOP AT INDORE on 13t...
      • Paradoxical Vocal Fold Movement (PVFM)
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      • Imaging in Paedriatic Airway
      • CME on Voice therapy and Sialology,Malappuram, Ker...
      • HIV manifestations in otolaryngology
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      • Imprints On Ice - An ENT Surgeon in Antartica
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      • 1st French Indian ENT Meeting / Registration form
      • SECONDARY RHINOPLASTY
      • what is the line of investigations, diagnosis and ...
      • Flower of the Day
      • Dairy of an Otolaryngologist : Dr Sanjiv Kakkar
      • The influence of handheld mobile phones on human p...
      • Tympanometric experiments on retracted ear drums -...
      • Flower of the Day
      • Bilateral Vocal cord Palsy
      • Instant Anatomy: Larynx
      • Vocal cord paralysis :infants and children
      • Wish you a Happy Holi
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Abstracts

  • Fat myringoplasty outcome analysis with otoendoscopy: who is the suitable patient?
  • Cogan's syndrome: An autoimmune inner ear disease
  • Complications in endonasal sinus surgery
  • Symptoms in chronic rhinosinusitis with and without nasal polyps.
  • Topical therapies in the management of chronic rhinosinusitis: an evidence-based review with recommendations

Group Discussions from FB Groups

  • Need for more Middle Ear Surgery Courses
  • Extensive Choleastetoma
  • Perilymph fistula after scooba diving?

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Patient Information

  • Symptoms of Nasal Polyps : Mayo Clinic
  • Dr D.Sethi, Singapore

Quotes

My Blog List

  • Indian Trees
    3 months ago

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Dr Shashidhar

All India Rhinology Society

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LED Rechargeable Head Light

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Economy product : Recvd the headlight yesterday.. Its great in all ways.. Not sleek.. but a good beam of light, useful for OT & OPD both. & at this cost its a steal..Dr Rahul Aggarwal (Bhopal ) Recommended by Dr Rajiv Bhatia (Delhi ).You may click on image for details and online order

Smarphone as OPD Cameras

Smarphone as OPD Cameras
Contact 093 12 064110 (Manoj Bhatia) Delhi,INDIA

Videos

  • Fungas Cerebri

A website with all that an ENT PG & UG student needs……

  • Nayyar ENT

Skull Base Osteomyelitis

DrKumaresh Krishnamoorthy:
In the last 3 years I would have treated 5 patients with Skull Base Osteomyelitis, wondering how many have seen such cases?

Santosh Kumar Kacker: We're all diabetics?
We see one patient a year associated with malignant ext otitis

Comment from Facebook Group ...Learning ENT

Larynx Model

Minor salivary gland adenoma

Minor salivary gland adenoma
Courtesy: Dr Jalil Mujawar (Solapur)

Extensive hemangioma tongue

Extensive hemangioma tongue
Ravi Meher: embolisation or ligation of the feeding vessel before surgery is required.... Kapil Sikka: It has to be lingual!! Don't expect much of abnormal feeders in this case... Ligate the lingual and take it out!!

Bells Palsy at 6 month of Pregnancy

Start steroid with informed consent .. be it even for a week.. Long term Benefits outweighs the minimal risk of teratogenecity.. its good for fetal pulmonary development.. i have seen sle patient inpregnancy taking high dose steroids almost the entire period with out any complications.. just go ahead with good faith.....Shashidhar Tatavarty

Cadaver Dissection

The best part of being an ENT is that almost every procedure can be learnt by Cadaver Dissection. Cultivate (?bribe) some mortuary fellows, medical officers etc and dissect on fresh cadavers. If possible keep a separate portable suction etc in your vehicle along with the instruments and dissect, dissect, dissect. Then observe as many people as you can (videos, live, mini fellowships, observerships etc.) and again come back and dissect some more (applying what you've seen). And never stop dissecting. Some of the most pioneering approaches in ENT were (and indeed still are) first conceived, honed and practiced on cadavers..... Dr Yogesh Jain

Regarding Cortical mastoidectomy


Venkat Karthikeyan Chokkalingam

Regarding Cortical mastoidectomy
Surgery needs to be tailor-made for an individual patient with combination of approaches rather
than all or none cortical mastoidectomy.
Combination of approaches includes the following
1. Transcanal approach- inspecting the intactness of the ossicular chain, removal of disease from the middle ear
2. Cortical mastoidectomy should be done to address mucosal disease /granulation disease /cholesterol granuloma of the mastoid air cell system and mucosal disease from the superior part of attic, medial/superior to head of malleus and body, short process of incus in the posterior epitympanum

*I presume the figure of 98% of finding a normal mastoid comes if we start doing cortical mastoidectomy for all perforations and not when we do it for indications a. persistent , recurrent chronic otitis media with perforation, not responding to medical treatment , abnormal mucosal disease (polypoidal, edematous mucosa ) around intact ossicles, granulation disease with attic/aditus/antral block without any cholesteatoma
3. Optimal removal of the posterior canal wall and the inferior part of the lateral attic wall which is just enough to visualize and remove the mucosal disease around the ossicles and inferior part of attic to open up the air pathways (idea is to preserve the integrity of the canal wall/lateral attic wall as much as possible without disrupting the Ossicular chain).
For me it is equally important to preserve the natural integrity of superior canal wall/lateral attic wall in a tubotympanic disease with intact ossicular Chain as compared to preserving the integrity of mastoid air cell system

Dr Suri Prabu
then the surgeon must work within the narrow corridors of the following rules -

1. normal anatomy must be sought to be preserved at all times - and, if, after the the excision of pathology, there is alteration of normal anatomy - then attempt must be made to restore 'physiologic' anatomy (because the ear has a very important function - in the sense that it subserves the sense of hearing)

2. foreign particulate matter must be avoided at all costs - in the healing (surgically treated) middle ear- and the air bubble of the 'new' middle ear must be free of adhesions and fibrosis -

it should be a pliable balloon - which drives the malleus when lateral (sound) energy is applied on it

3. Gelfoam (especially the cheap forms) contribute to foreign body reactions in the middle ear - and even if the result of tympanoplasty is 100% (as evidenced by 'intact tympanic membrane) - the patient might have 'bad' hearing


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