Dr. Abhishek Gupta

Aim: This retrospective study performed in the department of pediatric otorhinolaryngology in a tertiary care pediatric hospital aims to analyze foreign bodies in terms of type, sight, age and gender distribution, methods of removal, outcomes and complications. Methodology: A retrospective study with the study population consisting of patients aged 18 or less presenting with ENT FB lodgment in the outpatient department (OPD) or in the ENT emergency unit during the 8-year study period (2016 to 2023) was performed. The patients were grouped according to the location of FB into throat FBs (swallowed) aural FBs and nasal FBs. Result: A total of 920 patients with ENT foreign bodies were examined and managed at the pediatric otorhinolaryngology department. The most commonly encountered were Nasal (450 case 48.91%) followed by aural foreign bodies (400 cases-43.4%) and throat foreign bodies (70 cases 7.6%) Conclusion: The management of foreign bodies in the Ear, Nose and Throat in Children should be adapted to the location, nature of foreign body, and child’s age /compliance in order to ensure a safe and gentle removal.

Transcanal Endoscopic ear surgery (TEES) was a new horizon in the field of Otology. Operating both the ears simultaneously has many advantages than the conventional microscopic ipsilateral ear surgery. Reduced morbidity, blood loss, financial accruement, less surgical time and better results makes it more popular Fifty patients were operated over one year at tertiary care center. Patients having dry safe bilateral ear perforation were selected. Patients having conductive hearing loss were considered. PTA was done pre and postoperatively. 4mm and 2.7 mm zero degree endoscopes were used with compatible camera monitor Fifty patients were included in the study aged between fifteen years and sixty five years. The maximum number of patients was in the age group of fifteen to twenty five years age group. Males were more affected than females. Average hearing loss (AHL) was more in the left ear (36.4dB) than the right ear (34dB).The average hearing gain in right ear was 29.2 dB and 31.6dB in left ear. The infection occurred in seven cases and five cases resolved after instituting topical antibiotics. Bilateral ear surgery in one single sitting has many advantages over conventional single ear microscopic technique. Hence, it was getting more popular and acceptable.

Intracranial complications of otogenic origin is now a rarity. Advent of antibiotics are both blessings if used intelligently and curse if used indiscriminately especially by quacks. Antibiotic resistance and cross resistance have given adverse results. Methods: A total of twenty cases were studied in the Department of ENT at Jawaharlal Nehru Medical College, AMU, Aligarh, Uttar Pradesh Results: Maximum number of cases belonged to 10 to 20 years age group, i.e eight cases (40%) followed by six cases (30%) in the age group greater than 30 years, four cases (20%) in 20 to 30 years age group, and 2 cases (10%) below 10 years. Males were affected more than females in the ratio of 4:1. The commonest presenting symptom was otorrhea, headache, fever and hearing loss. About half of the patients had vomiting, some had vertigo, otalgia and one patient had facial weakness. Conclusions: Almost all the intracranial complications encountered were intensively and meticulously treated by medical and surgical exercise which gave excellent results with collective team approach.

Vestibular migraine (VM) is an increasingly recognized cause of episodic vertigo. However, the pathophysiology of VM is still a matter of speculation and it is not known to what extent the dysfunction is located in the central or peripheral vestibular system. Though in its earlier version International Headache Society recognized only adult onset VM in the setting of basilar migraine, but in its latest 3rd edition beta version in consensus with Barany Society (2013), VM is included in the International Headache Society classification of migraine in appendix 1. It does not figure in the main list because it is yet to be validated by scientific research.