R. M. Raizada

Clinical profile of hoarseness of voice.

A study comprising of 110 cases of hoarseness was carried out in the department of otolaryngology—HNS, M.G.I.M.S., Sewagram between Jan. 1998 and Sept. 1999. Age of patients ranged between 6 to 71 years. Male to female ratio was 2∶1. Labourers constituted the single largest group of patients (36.36%). Rural to urban ratio was 3∶1. Duration of hoarseness ranged from 1 day to 5 years. Acute laryngitis was the commonest cause of hoarseness.

Clinical profile and serum beta-carotene levels in oral submucous fibrosis

Clinical profile and serum beta-carotene levels in 100 cases of oral submucous fibrosis (OSMF) were studied. Prevalence of OSMF was noted to be 0.93% of new cases attending ENT OPD Age of cases varied from 12 to 78 years (mean 29.09 years) with male—female ratio of 3.3:1 and 80% literacy. Students constituted the single largest group. Burning sensation in oral cavity and inability to open mouth were the chief complaints in 95% cases. In all cases changes in colour of buccal mucosa and palpable fibrous bands in oral cavity were present followed by trismus (99%). About 52% patients were in grade-III OSMF (Journal of Indian Dental Association, 49: 187), oral habits of chewing tobacco, betal nut, etc. were present in 95% patients. Excessive use of chillies was present in 60 and 74% patients were non-vegetarian. Serum beta-carotene levels were below normal in all the three grades of OSMF, lowest being in grade III.

Study of histopathological changes in atrophic rhinitis

A punch biopsy from the inferior turbinate was taken in 71 consecutive cases of atrophic rhinitis and studied for histopahtological changes. Squamous metaplasia was seen in 85 percent of cases. Tunica propria showed granulation tissue (41 percent) and chronic inflammatory cellular infiltrate (32 percent). Mucosal glands were decreased in 42 percent of cases and absent in 28 percent. Areas of dilated vessels were observed in 35 percent and decreased vascularity in 59 percent of cases. These observations are similar to those reported by others. Total squamous metaplasia with keratinisation and hypertrophy was seen by us in one case. This has not been reported earlier.

Atrophic rhinitis — A bacteriological profile

Abstract75 cases of atrophic rhinitis were studied bacteriologically. Klebsiella species was the commonest (26.66%) isolate Klebseilla ozaenae and Pseudomonas aeruginosa each were isolate in 17.33% of cases. In 22.66% cases multiple bacteriae were isolated. Klebsiella and pseudomonas in combination were the commonest. The culture was found to be sterile in 7.52% cases.

Predisposing factors and aetiology of Hoarseness of voice.

A study comprising 110 patients with hoarseness of voice was carried out between Jan 1998 and September 1999 to find out the predisposing factors and aetiology oj the condition Septic foci in nose and throat and vocal abuse were the common predisposing factors observed in 41 8% and 40 9% cases respectively Chronic non specific laryngitis was the commonest aetiology of hoarseness of voice seen in 43 6% of cases

Osteomyelitis of frontal bone.

A case of Osteomyelitis of the frontal bone with a subperiosteal absces s, an extrudural abscess and a frontal sinus fistula is presented here for its rarity. A brief review of literature and management of the condition is also discussed.

Role of ginkgo biloba extract in acquired sensorineural hearing loss

The present study is on 52 patient of acquired SNHL who were treated with Ginkgo biloba extract (Ginkocer) or conventional treatment (Neurobion, Arlidine & Vit -A) or both. The age range was 11–75 years with male: female - 3.1. Commonest probable etiology was presbyacusis (36.5%) followed by idiopathic (28.8%). Subjective improvement in hearing was comparable in both the ttreatment groups. Objective improvement (> 10 dB ) was seen with Ginkocer therapy only in cases of idiopathic (3). ototoxicity (1) head injury (1). It was maximum in <25 yrs. age and ranged between 11–50 dB. However, statistically it was not significant for age, sex, socioeconomic status, oral habits, Hb level, serum cholesterol and albumin: globulin ratio. Patients showing no effect of drug were almost comparable in both the groups. In conventional group the remaining patients demonstrated drug efficacy of 30% while in the Ginkocer group it was upto 60%. The mean improvement in tinnitus was 52.32% with Ginkocer and 50.09% with conventional treatment. Relative improvement with Ginkocer was found better by 15.56%, 21.94% & 9.09% in presbyacusis, idiopathic: and ototoxicity group as compared to conventional group.

Pattern of ear, nose, pharynx, larynx and oesophagus(enplo) cancers in a rural based hospital.

A total of 1527 cases of total body cancer (TBC) presented at M G I M S between 1st Jan. 1992 to 30th April 1999. ENPLO cancers comprised 656 (42.9%)casees. Ca cervix was the commonest cancer amongst TBC comprising 15.3% cases. Ca oral cavity was the commoncest among ENPLO cancers comprising 24.3% cases followed by Ca oesophagus comprising 19.1% Ca oropharynx comprising 16.9%, Ca hypopharynx comprising 13.4%, Ca larynx comprising 11.3% and Ca Nose and PNS comprising 5.7% cases. ENPLI cancers constiuted the major burden of TBC in our hospital.

Nasal mucous ciliary clearance and olfaction in atrophic rhinitis

Nasal mucocilliary Clearacne (NMCC) was studied in 75 cases of atrophic rhinitis and results were compared with 35 healthy controls using Anderson’s method. Olfaction in atrophic rhinitis decreases but its extent has not been studied earlier. We have tried to quantify olfaction. This was normal in 10.6%, mild hyposmia was seen in 30%, severe in 23.33% and anosmia was present in 36%.

Rhinolith—an unusual presentation

A case of rhinolith in a 60 years old male prsenting with palatal performation is, presented alongwith a brief discussion on the pathogenesis and treatment.