DOCSLIB.ORG

Comparative Study on Surgical Outcome for Benign Vocal Cord Lesions by Conventional Method Versus Coblation

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Comparative Study on Surgical Outcome for Benign Vocal Cord Lesions by Conventional Method Versus Coblation A Dissertation on COMPARATIVE STUDY ON SURGICAL OUTCOME FOR BENIGN VOCAL CORD LESIONS BY CONVENTIONAL METHOD VERSUS COBLATION Submitted to THE TAMILNADU DR. M.G.R. MEDICAL UNIVERSITY In partial fulfillment, of the requirements for the award of the degree of M.S. BRANCH IV (OTORHINOLARYNGOLOGY) DEPARTMENT OF OTORHINOLARYNGOLOGY GOVERNMENT KILPAUK MEDICAL COLLEGE CHENNAI-10, TAMILNADU MAY 2020 DECLARATION I, Dr. SHAIKH MOHIDEEN A , solemnly declare that the dissertation, titled “COMPARATIVE STUDY ON SURGICAL OUTCOME FOR BENIGN VOCAL CORD LESIONS BY CONVENTIONAL METHOD VERSUS COBLATION” is a bonafide work done by me during the period of May 2018 to April 2019 at Government Kilpauk Medical College and Hospital, Chennai under the expert supervision of PROF. Dr.S.MUTHUCHITRA M.S(ENT)DLO., Professor, Department Of Otorhinolaryngology, Government Kilpauk Medical College and Hospital, Chennai. This dissertation is submitted to The Tamil Nadu Dr. M.G.R. Medical University in partial fulfilment of the rules and regulations for the M.S. degree examinations in Otorhinolaryngology to be held in May 2020. Dr. SHAIKH MOHIDEEN A Date: Place: Chennai-10 BONAFIDE CERTIFICATE This is to certify that the Dissertation titled “COMPARATIVE STUDY ON SURGICAL OUTCOME FOR BENIGN VOCAL CORD LESIONS BY CONVENTIONAL METHOD VERSUS COBLATION” presented by Dr.SHAIKH MOHIDEEN A, postgraduate student(2017 - 2020)in the Department of Otorhinolaryngology, Government Kilpauk Medical College and Hospital, Chennai for partial fulfilment of regulations of the Tamil Nadu Dr. M.G.R. Medical University for the award of degree of M.S. (Otorhinolaryngology) Branch IV, under direct guidance and supervision during the academic period 2017-2020. PROF. Dr.P.VASANTHAMANI PROF. DR. S MUTHUCHITRA, MD DGO MNAMS DCPSY MBA M.S. (ENT). DLO The Dean Professor and Head Kilpauk Medical College, Department of ENT Chennai-10. Govt Kilpauk Medical College, Chennai-10 CERTIFICATE This is to certify that the Dissertation - “COMPARATIVE STUDY ON SURGICAL OUTCOME FOR BENIGN VOCAL CORD LESIONS BY CONVENTIONAL METHOD VERSUS COBLATION” presented by Dr.SHAIKH MOHIDEEN A , is an original work done in the Department of Otorhinolaryngology, Government Kilpauk Medical College and Hospital, Chennai in partial fulfilment of regulations of the Tamil Nadu Dr. M.G.R. Medical University for the award of degree of M.S. (Otorhinolaryngology) Branch IV, under my supervision during the academic period 2017-2020. PROF. DR. S MUTHUCHITRA, M.S. (ENT). DLO PROFESSOR AND HEAD DEPARTMENT OF ENT GOVT KILPAUK MEDICAL COLLEGE, CHENNAI-10 Place : Date : CERTIFICATE – II This is to certify that this dissertation work titled “COMPARATIVE STUDY ON SURGICAL OUTCOME FOR BENIGN VOCAL CORD LESIONS BY CONVENTIONAL METHOD VERSUS COBLATION” of the candidate Dr. SHAIKH MOHIDEEN.A with registration number 221714152 for the award of M.S. Degree in the branch of Otorhinolaryngology. I personally verified the urkund.com website for the purpose of plagiarism check. I found that the uploaded thesis file contains from the introduction to conclusion pages and result shows 8% percentage of plagiarism in the dissertation. PROF. DR. S MUTHUCHITRA, M.S. (ENT). DLO PROFESSOR AND HEAD DEPARTMENT OF ENT GOVT KILPAUK MEDICAL COLLEGE, CHENNAI-10 ACKNOWLEDGEMENT I wish to express my sincere thanks to PROF. Dr. P.VASANTHAMANI MD DGO MNAMS DCPSY MBA, The DEAN, Government Kilpauk Medical College and Hospital for having permitted me to utilize the facilities of the hospital for conducting this study. My heartfelt gratitude to Prof. DR.S MUTHUCHITRA, M.S(ENT)., D.L.O., Professor, Department of Otorhinolaryngology, Government Kilpauk Medical College and Hospital for her constant motivation, valuable suggestions, and expert supervision during the course of this study. I thank Prof. Dr. BHARATHI MOHAN MS (ENT) DLO, Prof. Dr. T. INDRA MS (ENT) for their guidance and support. I wish to thank my Assistant Professors, DR.P.THAMIZHARASAN MS,DLO, DR.K.SANJAYKUMAR.,MS. DR.S.VIGNESH MS., DR.G.UDAYACHANDRIKA MS for their valuable tips and support. I am grateful to all the other post-graduates who most willingly helped me during this study period. I also thank the staff nurses, theatre personnel, OPD staff, Department of Otorhinolaryngology, Government Kilpauk Hospital for their cooperation and assistance in the conduct of this study. I wish to extend my gratitude to my statistician for his expert assistance. Last but not the least, I am indebted and grateful to all the Patients and Normal volunteers who constitute the backbone of this study, who most willingly and selflessly subjected themselves to this study for the sake of the benefit of their community and without whom this study would not have been possible INDEX PAGE S.NO. CONTENTS NO. 1 ABSTRACT 1 2 INTRODUCTION 3 3 REVIEW OF LITERATURE 56 3 AIMS & OBJECTIVE 64 4 MATERIALS AND METHODS 65 5 RESULTS 69 6 DISCUSSION 80 7 CONCLUSION 85 8 BIBLIOGRAPHY 86 9 APPENDIX I PROFORMA 10 APPENDIX II VOICE HANDICAP INDEX 11 APPENDIX III MASTER CHART 12 APPENDIX IV CONSENT 13 APPENDIX V PLAGIARISM 14 APPENDIX VI ETHICAL COMMITTEE APPROVAL ABSTRACT AIM: To compare the efficacy of Conventional microlaryngeal excision with Coablation for benign vocal cord lesion METHODS AND MATERIALS: A sample of 40 patients with a clinical diagnosis of benign vocal cord lesions(polyp,nodule and cyst),were enrolled in our study.Each patient preoperatively underwent videolaryngoscopic examination and the disease severity was assessed with Voice handicap index and GRBAS score,after procuring the consent from them. Conservative treatment was tried and treatment failure patients were randomly divided into two groups viz. Conventional and Coblation method of microlaryngeal surgery. All the operated patients were reassessed at first week,first month and third month with Videolaryngoscopy, VHI and GRBAS score and the reults were analysed. RESULTS: In our study of 40 patients with benign vocal cord lesions, the overall post operative recovery was good in both the group. Surgical ease was better in the coblation group. But both the VHI score and GRBAS score was better in conventional group with significant p value(0.005) CONCLUSION: 1 Coblation being a newer technique can be employed for surgical treatment for microlaryngeal surgery considering its advantages and less time consumption . Yet conventional microlaryngeal surgery with cold steel still gives better result comparatively KEYWORDS: Benign vocal cord lesions, Microlaryngeal surgery, Coblation method, Voice handicap index, GRBAS 2 Introduction INTRODUCTION Embryology Fig 1 Embryology of larynx The larynx is developed from the midline ventral respiratory diverticulum of the foregut known as the laryngotracheal groove. The groove appears posterior to the hypobranchial eminence. This portion of foregut posterior to diverticulum becomes oesophagus. 3 The groove deepens and its edges fuse to form a septum. The laryngotracheal tube formed fuse caudally and extend cranially. The upper end remains separate to communicate with the pharynx. The lower portion elongates and divides, and divides dichotomously to two lobes and forms the bronchi. The portion above the division becomes trachea and uppermost portion becomes the larynx. The epiglottis develops from the posterior part of hypobranchial eminences. The thyroid cartilage develops from the fourth arch cartilage. Other cartilages and trachea are from fifth and sixth arch cartilage. The fourth arch nerve is superior laryngeal nerve and the sixth arch nerve is recurrent laryngeal nerve.1,2 The larynx is an extraordinary versatile organ capable of many rapid and subtle adjustments and capable of sound production over a wide range of pitch and loudness. The structural framework of the larynx is consisting of nine cartilages, their connecting membranes and ligaments. CARTILAGES OF LARYNX (FIG 2,3) Thyroid cartilage This consists of two pentagonal plates that meet anteriorly in the midline at an angle of 90 degree and 120 degree in female and male. It is of funnel shaped in men and cylindrical in female. Thyroid cartilage is covered by outer thick perichondrium and inner thin perichondirum. Attachment of the anterior commisure of vocal cord lacks perichondrium. 4 Cricoid cartilage This is a signet ring shaped cartilage, with a thin anterior arch and a broader posterior lamina about 20 to 30 mm high. The cricothyroid membrane connects the thyroid with cricoid. In the anterior part this membrane is thickened and it is called the cricothyroid ligament. The inferior part is firmly attached to the trachea and superiorly, the lamina has facets for articulation with the arytenoids cartilage. This forms a crucial joint in the production of voice. Epiglottic cartilage It is a leaf like hyaline cartilage whose anterior surface projects above the thyroid cartilage and faces the base of tongue and lingual tonsils. The inferior portion is narrower than the upper part. Thyroepiglottic ligament connects it to thyroid cartilage and hyoepiglotttic ligament connects it to the hyoid superiorly.Along the inferior aspect of the laryngeal surface of the petiole the epiglottic tubercle partially overhangs the anterior commisure. Arytenoid cartilages These are paired pyramidal cartilage which rests upon the cricoid lamina with two processes (vocal and muscular) an apex and a base. The concave base articulates with the cricoid cartilage in a synovial joint. 5 Fig 2 Cartilages, membranes and ligaments of larynx Fig 3 Cartilages, membranes and ligaments of larynx posterior view
Load more

Recommended publications
  • A Descriptive Study of Benign Vocal Cord Lesions with Speech Prameters Operated with Microlaryngoscopy by Dr
    Global Journal of Medical Research: J Dentistry & Otolaryngology Volume 20 Issue 3 Version 1.0 Year 2020 Type: Double Blind Peer Reviewed International Research Journal Publisher: Global Journals Inc. (USA) Online ISSN: 2249-4618 & Print ISSN: 0975-5888 A Descriptive Study of Benign Vocal Cord Lesions with Speech Prameters Operated with Microlaryngoscopy By Dr. Tushar Govind Borade, Dr. Meena Vishwanath Kale & Dr. Ninad Subhash Gaikwad Abstract- Background: Humanity has appreciated the importance and power of the human voice. Voice disorders like benign, malignant lesions of vocal cord affect the voice quality and also can have a devastating effect on daily functioning and quality of life. These lesions can be diagnosed and treated with microlaryngoscopy. Micro-laryngoscopy is a procedure for visualization of a magnified view of the voicebox (larynx) with the help of a laryngoscope assisted with an operating microscope for precise laryngeal surgery. Speech parameters helps in voice quality assessment for vocal cord lesions. Method: We have studied 30 cases of benign vocal cord lesion by simple random sampling for two years which got operated with microlaryngoscopic conventional surgery. Their pre and post-operative assessment is done with respect to speech parameters like Maximum Phonation Time, Voice Handicap Index and GRBAS Score. Clinical history and rigid Hopkins 700 also helped in diagnosing of benign vocal cord lesions. Result: After conventional microlaryngeal surgery helps in improvement in MPT, VHI score, GRBAS Score post-operatively that of 3 months follow up. The effectiveness was seen more along with voice rest, corticosteroids and most important speech therapy. Keywords: benign vocal cord lesion, grbas score, maximum phonation time, speech therapy, microlaryngoscopy, voicebox, voice handicap index.
    [Show full text]
  • Redalyc.Primary Laryngeal Aspergillosis in The
    Brazilian Journal of Otorhinolaryngology ISSN: 1808-8694 [email protected] Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico- Facial Brasil Dutta, Mainak; Jotdar, Arijit; Kundu, Sohag; Ghosh, Bhaskar; Mukhopadhyay, Subrata Primary laryngeal aspergillosis in the immunocompetent state: a clinical update Brazilian Journal of Otorhinolaryngology, vol. 83, núm. 2, marzo-abril, 2017, pp. 228-234 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial São Paulo, Brasil Available in: http://www.redalyc.org/articulo.oa?id=392450410018 How to cite Complete issue Scientific Information System More information about this article Network of Scientific Journals from Latin America, the Caribbean, Spain and Portugal Journal's homepage in redalyc.org Non-profit academic project, developed under the open access initiative Documento descargado de http://bjorl.elsevier.es el 07/04/2017. Copia para uso personal, se prohíbe la transmisión de este documento por cualquier medio o formato. Braz J Otorhinolaryngol. 2017; 83(2) :228---234 Brazilian Journal of OTORHINOLARYNGOLOGY www.bjorl.org CASE REPORT Primary laryngeal aspergillosis in the immunocompetent state: a clinical update ଝ Aspergilose laríngea primária no estado imunocompetente: atualiza¸cão clínica Mainak Dutta ∗, Arijit Jotdar, Sohag Kundu, Bhaskar Ghosh, Subrata Mukhopadhyay Medical College and Hospital, Department of Otorhinolaryngology and Head-Neck Surgery, Kolkata, West Bengal, India Received 9 February 2015; accepted 4 June 2015 Available online 17 October 2015 Introduction which subsided with medication. There was no history of dif- ficulty in deglutition, respiratory distress, and voice abuse. Laryngeal aspergillosis is known to occur in immunocompro- There was no recent-onset loss of weight and appetite, with mised states, particularly in diabetes mellitus, tuberculosis, no cough or evening rise in temperature.
    [Show full text]
  • Star Health Magazine Focussing on Diseases Related To
    The Health Insurance Specialist Health Pers o n a l & Carin g Insurance Printed Matter Single protection, wider coverage for entire family Holistic ENT Care Your family is your heart beat. It's your lifeline. It's where you draw your strength from. And it's where your happiness is. To ensure your happiness stays for life, Star Insurance presents a unique Family Health Optima - A Single Sum Insured Plan that covers your entire family. It saves you from taking new ation additional health protection plans. And from increasing your premium too! The best is, it comes loaded with a world of benefits. Come check it out. er of solicit t «Single Sum insured for entire family «Pre & Post hospitalization cover Highlights of «In-patient hospitalization cover «Nursing expenses «Surgeon’s & Consultant’s fees a Family Health Optima « « d Anasthetist’s & Specialist fees Cost of medicines and drugs n a « n Automatic Restoration of Sum Insured once the limit of coverage is exhausted k a l a Eligibility - Any person aged between 5 months and 65 years residing in India Insurance is the subject mat Health Insurance gets The Health Insurance Specialist even more better. SMS “STAR” to 56677 | www.starhealth.in | Toll Free: 1800 425 2255 Health Pers o n a l & Ca rin g Insurance REGD & CORPORATE OFFICE: 1, New Tank Street, Valluvar Kottam High Road, Nungambakkam, Chennai 600 034 01 Message from CMD About Your Company Foreword 02 India's First Standalone Health Insurance 03 0Allergy in ENT Company has begun its operations in May 2006. 06 Voice Disorders Message
    [Show full text]
  • ENT Medicine and Surgery Illustrated Clinical Cases: ENT Medicine and Surgery
    SIMON LLOYD MANOHAR BANCE JAYESH DOSHI ILLUSTRATED CLINICAL CASES ENT Medicine and Surgery Illustrated Clinical Cases: ENT Medicine and Surgery ILLUSTRATED CLINICAL CASES ENT Medicine and Surgery SIMON LLOYD MBBS, BSc (Hons), MPhil, FRCS (ORL-HNS) Consultant Otologist and Skull Base Surgeon Manchester University NHS Foundation Trust; Professor of Otolaryngology, University of Manchester, UK MANOHAR BANCE MBChB, MSc, FRCSC Professor of Otology and Skull Base Surgery University of Cambridge, UK JAYESH DOSHI MBChB (Hons), MMed, PhD, FRCS (ORL-HNS) Consultant ENT Surgeon, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust; Honorary Senior Clinical Lecturer, University of Birmingham, UK CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2019 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Printed on acid-free paper International Standard Book Number-13: 978-1-4822-3041-3 (Hardback) This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines.
    [Show full text]
  • Journal 2016
    Journal of ENT masterclass ISSN 2047-959X Journal of ENT MASTERCLASS® Journal of Journal ENT MASTERCLASS ® VOL: 9 No: 1 Year Book 2016 Volume 9 Number 1 YEAR BOOK 2016 VOLUME 9 NUMBER 1 JOURNAL OF ENT MASTERCLASS® Volume 9 Issue 1 December 2016 TriVantage | APS | NIM 3.0 Contents Welcome message 3 Hesham Saleh Confidence Intracranial complications of suppurative ear disease 4 James E.F. Howard and Matthew S. Rollin The large vestibular aqueduct syndrome 9 Security Cheka. R. Spencer Management of sudden sensorineural hearing loss 13 Safety Stephen J Broomfi eld Patulous eustachian tube 19 Sam MacKeith and Ian Bottrill Principles of facial reanimation 24 Ahmed Allam and Glen J. Watson A multidisciplinary approach to the management of paediatric drooling 29 C Paul and A Addison Extra-uterine intrapartum treatment (EXIT) and upper airway obstruction of the newborn 34 Colin R Butler, Elizabeth F Maughan and Richard Hewitt The management of paediatric facial nerve palsy 41 Sachin Patil, Neeraj Bhangu, Kate Pryde and Andrea Burgess Paediatric sleep physiology and sleep disordered breathing 50 Gahleitner F, Hill CM and Evans HJ Paediatric tracheostomy 57 Morad Faoury, Andrea Burgess and Hasnaa Ismail-Koch Paediatric vocal cord paralysis 64 Virginia Fancello, Matthew Ward, Hasnaa Ismail-Koch and Kate Heathcote Transoral laser surgery for advanced laryngeal cancer 69 Isabel Vilaseca and Manuel Bernal-Sprekelsen Open partial surgery for primary and recurrent laryngeal cancer 75 Giuseppe Spriano, Giuseppe Rizzotto, Andy Bertolin, Giuseppe Mercante, Antonio Schindler, Erika Crosetti, and Giovanni Succo Management of professional voice problems 83 A.S Takhar, R. Awad, A. Aymat and N.
    [Show full text]
  • Rye Your Voice Is Your Calling Card.Indd
    Your Voice Is Your Calling Card “Suzann Rye has designed a course which will absolutely inspire and empower you. In a step-by-step approach, she helps you discover and connect with your true voice—the real you, or the Dream Character, as she calls it. Your Voice Is Your Calling Card touches on the spiritual, the emotional, and the physical aspects of performance, allowing you to create an authentic, harmonious, and whole stage persona. Learn from Suzann’s twenty years of stage experience, and let her help you fi nd your Dream Character.” Roger N. Quevillon Minister/Bachelor of Metaphysical Science (B.Msc.), University of Sedona Coauthor of Living in Clarity, from the best-selling series, Wake Up . Live ! e Life You Love www.! eTruthBWiseCJourney.com “I met Suzann Rye during a seminar on the power of the voice. I was amazed by her profound understanding of the mechanics of the vocal instrument, but perhaps even more importantly, I realized what a remarkable advocate of the holistic dimension of the voice she is. ! is book contains a wealth of practical knowledge. It is both helpful and inspiring. I invite you to let Suzann be your guide in this fascinating journey to discover your own inner voice and build it step by step to make it ‘your calling card.’” Nabil Doss Speaker, Voice Specialist, and Narrator President 2008–2009, Canadian Association of Professional Speakers, Montreal Chapter “What a fantastic book—simply packed with valuable lessons! ! ere are many self-help books, programs, and systems that exist today. But this is really something fresh, exciting, and entertaining.
    [Show full text]
  • National Board of Examinations
    NATIONAL BOARD OF EXAMINATIONS Module for Continuing Medical Education For DNB candidates NATIONAL BOARD OF EXAMINATIONS (Ministry of Health & Family Welfare) Ansari Nagar, New Delhi-110029 Contents Introduction ....................................................................................................................................... 4 Objectives ......................................................................................................................................... 4 Main content areas ........................................................................................................................... 4 Duration ............................................................................................................................................ 4 Methodology ..................................................................................................................................... 4 Category of participants ................................................................................................................... 4 Evaluation ......................................................................................................................................... 4 Tentative programme and guidelines for organization of CME ....................................................... 5 Sample cases for presentation and discussion Guidelines for the case presentation ............................................................................................... 8 Feedback form for participants
    [Show full text]
  • Research Article Prevalence of Benign Lesions of Vocal Cord In
    Scholars Journal of Applied Medical Sciences (SJAMS) ISSN 2320-6691 (Online) Sch. J. App. Med. Sci., 2015; 3(7B):2518-2521 ISSN 2347-954X (Print) ©Scholars Academic and Scientific Publisher (An International Publisher for Academic and Scientific Resources) www.saspublisher.com Research Article Prevalence of Benign Lesions of Vocal Cord in Patients with Hoarseness – A Cross Sectional Study Kiran Kumar Chinthapeta*1, M.K. Srinivasan2, K Muthu Babu3, Asim Pa4, G. Jeeva5, C. Sampath6 1Senior Resident, ENT Department, Rajiv Gandhi Institute of Medical Sciences, Ongole, A.P 2Professor of ENT, Meenakshi Medical College and Research Institute, Kanchipuram, T.N 3Assistant professor of ENT, Meenakshi Medical College and Research Institute, Kanchipuram 4-5PG Student, Meenakshi Medical College and Research Institute, Kanchipuram, Tamilnadu 6Consultant Eye Surgeon, Sampath Eye Clinic, Sri Kalahasti, Andhra Pradesh *Corresponding author Dr Kiran Kumar Chinthapeta Email: [email protected] Abstract: Hoarseness of voice due to vocal lesions has deep impact on the emotional and work-related aspects of survival. Various studies opined that true benign neoplastic lesions are uncommon and occur in a ratio of 1:6 to the non- neoplastic lesions. To this rationale we studied the prevalence of different benign lesions in vocal cords causing hoarseness in patients attending ENT OPD clinic in a tertiary care hospital. The method in this study was conducted at Meenakshi Medical College And Research Institute, during the period 2012 – 2014. Fifty patients of age between 5 years to 50 years attending the outpatient department of ENT were enrolled. Patients having hoarseness of voice and or dysphagia were included. All the patients with hoarseness of voice were evaluated for benign lesions by using Flexible video laryngoscopy and data was studied.
    [Show full text]
  • 2017 Sayı: 11 NESİBE AYDIN EDUCATION
    NESİBE AYDIN EĞİTİM KURUMLARI EĞİTİM VE GELECEK DERGİSİ Yıl: 2017 Sayı: 11 NESİBE AYDIN EDUCATION INSTITUTIONS JOURNAL OF EDUCATION AND FUTURE Year: 2017 Issue: 11 Ankara - 2017 Nesibe Aydın Eğitim Kurumları Nesibe Aydın Education Institutions Eğitim ve Gelecek Dergisi Journal of Education and Future Yıl: 2017 Sayı: 11 Year: 2017 Issue: 11 Uluslararası, disiplinlerarası ve yılda 2 International, interdisciplinary and biannually kere yayımlanan hakemli bir eğitim published, peer-reviewed journal of education. dergisidir. Derginin yayın dili İngilizce’dir. The language of the journal is English. Sahibi: Owner: Nesibe Aydın Eğitim Kurumları adına On behalf of Nesibe Aydın Education Institutions Hüsamettin AYDIN Hüsamettin AYDIN Baş Editör: Prof. Dr. Erten GÖKÇE Editor-in-Chief: Prof. Dr. Erten GÖKÇE Editör Yardımcısı: Yrd.Doç.Dr. Aliye ERDEM Editor Assistant: Assist.Prof.Dr.Dr. Aliye ERDEM Genel Yayın Koordinatörü: Saadet Roach Publication Coordinator: Saadet Roach Kapak Tasarımı: Uğurtan Dirik Cover Design: Uğurtan Dirik Dizgi: Uğurtan Dirik Typography: Uğurtan Dirik Basım Tarihi: 25.01.2017 Publication Date: 25.01.2017 Adres: Nesibe Aydın Okulları Yerleşkesi Address: Nesibe Aydın Okulları Yerleşkesi Haymana Yolu 5. km Haymana Yolu 5. km Gölbaşı, Ankara/Türkiye Gölbaşı, Ankara/Turkey Tel: +(90) 312 498 25 25 Tel: +(90) 312 498 25 25 Belgegeçer: +(90) 312 498 24 46 Fax: +(90) 312 498 24 46 E-posta: [email protected] E-mail: [email protected] Web: http://jef.nesibeaydin.k12.tr Web: http://jef.nesibeaydin.k12.tr http://dergipark.gov.tr/jef http://dergipark.gov.tr/jef Dergide yayımlanan yazıların tüm The ideas published in the journal belong to the sorumluluğu yazarlarına aittir.
    [Show full text]
  • Radiofrequency Assisted Plasma Ablation and Carbon Dioxide Laser in Benign Lesions of Larynx – a Randomized Comparative Study "
    A Dissertation on " RADIOFREQUENCY ASSISTED PLASMA ABLATION AND CARBON DIOXIDE LASER IN BENIGN LESIONS OF LARYNX – A RANDOMIZED COMPARATIVE STUDY " Dissertation Submitted to THE TAMIL NADU Dr.M.G.R. MEDICAL UNIVERSITY CHENNAI- 600032 with partial fulfillment of the regulations for the award of the degree of M.S.ENT (BRANCH – IV) COIMBATORE MEDICAL COLLEGE, COIMBATORE MAY 2018 CERTIFICATE This is to certify that this dissertation on “RADIOFREQUENCY ASSISTED PLASMA ABLATION AND CARBON DIOXIDE LASER IN BENIGN LESIONS OF LARYNX – A RANDOMIZED COMPARATIVE STUDY” is a bonafide research work done by DR. MURALIMOHAN K., under my guidance during the academic year 2015 to 2017. This has been submitted in partial fulfilment of the award of M.S. Degree in ENT (Branch IV) by THE TAMIL NADU DR. MGR MEDICAL UNIVERSITY, Chennai – 600 032. THE PROFESSOR AND GUIDE THE PROFESSOR AND HOD Department of ENT Department of ENT Coimbatore Medical College Coimbatore Medical College THE DEAN Coimbatore Medical College DECLARATION I solemnly declare that this dissertation entitled “RADIOFREQUENCY ASSISTED PLASMA ABLATION AND CARBON DIOXIDE LASER IN BENIGN LESIONS OF LARYNX – A RANDOMIZED COMPARATIVE STUDY” was done by me at Coimbatore Medical College Hospital during the academic year 2015 – 2017 under the guidance and supervision of Prof. DR. A.R.ALI SULTHAN, M.S. ENT, DLO. The dissertation is submitted to the Tamil Nadu Dr. MGR Medical University, towards partial fulfilment of the requirement for the award of M.S. Degree in ENT (Branch IV). Place: Coimbatore Date: Dr. Muralimohan K. ACKNOWLEDGEMENT First of all I would like to thank the Dean of Coimbatore Medical College, Prof.
    [Show full text]
  • Practical Ent for General Practitioners
    PRACTICAL ENT FOR GENERAL PRACTITIONERS by Hisham S Khalil, MS, FRCS (ORL-HNS), MD, FHEA Consultant ENT Surgeon, Derriford Hospital, Plymouth Director of Clinical Studies and Inter-professional Learning, Plymouth University Peninsula School of Medicine Aristotle Poulios, MSc, MRCS, DO-HNS, FEB ORL-HNS Rhinology Fellow Derriford Hospital Plymouth Honorary University Fellow Plymouth University Peninsula School of Medicine Katarzyna Konieczny ENT Research Fellow Derriford Hospital Plymouth ISBN 978-0-9572477-2-7 1 © Copyright Khalil, 2014 Table of Contents INTRODUCTION ........................................................................................................................... 4 Clinical Skills .................................................................................................................................. 5 SECTION I THE EAR .................................................................................................................... 8 PERTINENT ANATOMY OF THE EAR .................................................................................. 8 PHYSIOLOGY OF HEARING ................................................................................................. 11 The External Auditory Canal and Auricle ............................................................................. 11 The Middle Ear Transformer Mechanism ............................................................................. 11 The Inner Ear ........................................................................................................................
    [Show full text]
  • Clinical Study of Benign Lesions of Larynx
    March, 2017/ Vol 5/Issue 03 ISSN- 2321-127X Original Research Article Clinical study of benign lesions of larynx Muniraju. M 1, Vidya. H 2 1Dr. Muniraju. M, Associate Professor, 2Dr. Vidya. H, Junior Resident, both authors are affiliated with Department of ENT, Dr. B. R. Ambedkar Medical College and Hospital, Bangalore, Karnataka, India. Address for Correspondence: Dr. Muniraju. M, No.16/A (old no. 10), 1 st cross, H.G.H Layout, Ganganagar, Bangalore, Email: [email protected] ……………………………………………………………………………………………………………………………….. Abstract Aim of Study: To analyze over a period of 2 years, the demographics such as age, sex, distribution, occupation, the site of involvement, symptomatology and prognosis of the most frequent benign lesions of larynx. Materials and Methods: 50 patients presenting with hoarseness of voice and diagnosed with benign lesion of larynx in ENT OPD of Dr. B. R. Ambedkar Medical College and Hospital were included in the study after taking their consent and the study was carried out for a period of 2 years between October 2013 to September 2015. Results: In this study, it was noted that males were predominantly involved, maximum incidence between 31-40 years. Business men among males and housewives among females were commonly involved. Bilateral vocal cord nodule was the most common benign lesion of larynx, others included vocal cord polyp (both unilateral and bilateral) and Reinke’s edema. Most important predisposing factor was being vocal abuse in all the cases. Treatment given included speech therapy, medical management and MLS according to the diagnosis and patients were followed up for six months. 41.18% of patients with bilateral vocal cord nodule, 50% of patients with bilateral vocal cord polyp, 50% of patients with right vocal cord nodule, 75% of patients with left vocal cord polyp, 42.86% of patients with right vocal cord polyp and 100% of patient’s with Reinke’s edema were normal at follow up.
    [Show full text]