scholarly journals Use of topical nasal steroid spray in the treatment of non-specific chronic pharyngitis- our experience

Author(s):  
Naveed Gul ◽  
Monica Manhas ◽  
Parmod Kalsotra ◽  
Faizah Deva ◽  
Mehak Taban Mir

Background: The present study was done to find the effectiveness of nasal steroid spray in the treatment of non-specific chronic pharyngitis.Methods: The present prospective study was carried out in department of Otorhinolaryngology and Head and Neck surgery, Government Medical College Jammu from July 2017 to March 2020. Patients were selected randomly from the ENT OPD, a detailed history was taken, thorough clinical examination was done to confirm the diagnosis and exclude all other existing illnesses and associated problems. Fluticasone nasal spray was used to see the relief of symptoms. Persistent relief was central to be considered proof of effectiveness of the treatment.Results: 40 patients were taken up for the present study, out of which only 32 patients showed relief in symptoms. 25 patients showed relief of symptoms with only 1-2 sprays. 8 patients did not report any relief of symptoms even after continues use of steroid nasal spray for 3-4 weeks. No significant side effect was noticed in any patient.Conclusions: In the present study, it is concluded that use of steroid (fluticasone) nasal spray in well selected cases of non-specific chronic pharyngitis is very effective, safe and cheap.

1999 ◽  
Vol 113 (3) ◽  
pp. 244-245 ◽  
Author(s):  
Akhtar Hussain ◽  
Michael S. W. Lee

AbstractThe authors present a technique using electrocautery diathermy to make surgical tattoos. This method has been used in over 300 patients who underwent head and neck surgery at Aberdeen Royal Infirmary and Albany Medical College, New York, over a period of five years. A wide variety of operative procedures such as total laryngectomies and neck dissections were performed. The electrocautery surgical tattoos have a major advantage of persisting until the end of the operative procedure by which time other types of tattoos have faded. The technique is widely available, inexpensive, and has to date been complication free.


1995 ◽  
Vol 170 (5) ◽  
pp. 451-452 ◽  
Author(s):  
Luiz R. Medina dos Santos ◽  
Carlos A.F. Freitas ◽  
Flavio C. Hojaij ◽  
Vergilius J.F. Araújo Filho ◽  
Claudio R. Cernea ◽  
...  

2018 ◽  
Vol 5 (2) ◽  
pp. 23-25 ◽  
Author(s):  
Manita Pyakurel ◽  
Rishi Bhatta ◽  
Rais Pokharel

Objective: The main objective of the study was to identify various geriatric  otolaryngological problems in mid western part of Nepal.Materials and methods: A cross-sectional descriptive hospital based study was done from 1st January 2014 to 1st September 2014 among the all patients 60 years or above visiting the outpatient department of ENT/Emergency department of Nepalgunj Medical College. Data collection was done via interviewing with semi structured Performa with questionnaire. Data was entered in SPSS 17th version and exercised the analysis.Results: Among the total 866 geriatric population, female were 450 while 416 were male. Age ranged from 60 to 96 with average age of 70.3 years. Maximum numbers of elderly were of 60-70 years. Farming was the most common occupation in past. Sixty one percent (289) were smokers or tobacco chewer and 23% (106) consumed alcohol regularly. Majority of elderly had Hypertension as main co morbid condition. Decreased hearing was major complaint (82.6%) which was present for on an average 10.5years. Second leading ear problem was tinnitus (47.7%). Regarding nasal problems, bleeding nose was commonest (21.5%) followed by equal proportion of decreased smelling and nasal blockage (16%, 16.2%). Snoring was the frequent throat problem (58.4%) with average duration of approximately 6 years, followed by day time somnolence (16.6%).Conclusion: Among the ENT problems, hearing problem was the most common problem of these elderly. Nasal bleeding was common nasal problem presented among approximately one fourth of elderly. Among the throat problem snoring was the most prevailing with more than fifty percent occurrence. Occasional aesthetical complaint is very common. Head and neck malignancy was least common in these aged populationsNepalese Journal of ENT Head and Neck Surgery, Vol. 5, No. 2, 2014, Page: 23-25


2021 ◽  
pp. 79-81
Author(s):  
Tinku Moni Borah ◽  
Smrity Rupa Borah Dutta

Objective: To assess the efficacy of Hydroxypropylmethylcellulose powder over steroid nasal spray in treatment of allergic rhinitis. Methods: A prospective study of 60 patients suffering from allergic rhinitis was conducted in the ENT and Head & Neck surgery Department, Silchar medical College and Hospital from April 2018 to August 2018.The study subjects were divided into two groups A and B. Group A was treated with oral antihistaminic and steroid nasal spray, while group B was treated with oral antihistaminics and HYDROXYPROPYLMETHYLCELLULOSE powder nasal spray for 4 weeks. The treatment outcomes were evaluated after 14 days and 28 days from the beginning of treatment, by assessing relief of symptom on a five point scale. Results: There was almost similar score in both the groups ranging between score 3 and 4(i.e., relief of nasal obstruction and sneezing) after 14 days of treatment (62% vs 64%). But after 28 days there was significantly better improvement score of group B study subjects over group A in score 5 (i.e., complete relief from symptoms (83.3% vs. 66.6% ).In both the groups, mild sedation at the beginning of the treatment was reported in some patients, which is a well known side effect of antihistaminics. Conclusion: The result obtained comparing both the groups indicated high efficacy of hydroxypropylmethylcellulose powder over steroid nasal spray in the treatment of allergic rhinitis.


2018 ◽  
Vol 5 (2) ◽  
pp. 8-10
Author(s):  
Kumud Chapagain ◽  
Rais Pokharel ◽  
Kumud Kumar Kafle ◽  
Bimal Kumar Sinha

Objective: To compare the efficacy of amoxicillin and ciprofloxacin used in clean contaminated ear surgery during the early post operative period.Materials and Methods: It is a longitudinal, prospective study conducted at Department of Otorhinolaryngology and Head and Neck Surgery, TUTH from 1st April 2011 to 30th December 2011.  Patient who underwent clean contaminated ear surgery were followed up on 1st, 3rd and 7th post – operative day (POD) and wounds were inspected for any signs of wound infection.Results: 103 patients who under went various clean contaminated ear surgeries were included in this study. Maximum patients were aged 14-29 years. Ciprofloxacin was prescribed to 80 (77.7%) patients and amoxicillin to 23 (20.3%) patients. Overall wound infection was present on 6.2% (5/80) patients receiving ciprofloxacin and on 4.34% (1/23) patients receiving amoxicillin. The  most common procedure performed was MRM (53%). Wound infection was present in 9% (4/44) of patients undergoing MRM under coverage of ciprofloxacin and on 9% (1/11) patients under coverage of amoxicillin.Conclusion: Though the rate of wound infection was more in patient using ciprofloxacin than amoxicillin but it was not statically significant.Nepalese Journal of ENT Head and Neck Surgery, Vol. 5, No. 2, 2014, page: 8-10


Author(s):  
Arshed Ali ◽  
Jasif Nisar ◽  
Ihsan Ali ◽  
Rauf Ahmad

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">This prospective study was conducted in our department with the objective to study the quality of life outcome after adenotonsillectomy in children with sleep disorderd breathing. Sleep-disordered breathing, can lead to substantial morbidities, affecting the central nervous system (CNS), the cardiovascular and metabolic systems, and somatic growth, ultimately leading to reduced quality of life. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This prospective study was conducted in 47 patients in the Department of Otorhinolaryngology Head and Neck Surgery, Government Medical College and associated SMHS Hospital Srinagar. The study was included the patients with SDB in pediatric age group, who visited in our OPD.OSA-18 questionnaire was used pre-operatively, at 2 and 6 months after surgery.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Our study groups comprised of total 47 patients with majority of patients with in age group of 5-7 years, males were 29 (61.70%) and females were 18 (38.30%). In our study the OSA 18 scale used pre-operatively showed majority of patients 33 (70.21%) having score &gt;80 score, with mean OSA-18 score of 84.15 showing that there was a major impact on quality of life and there was significant improvement in mean OSA-18 score in postoperative period from 30.49 to 26.85 at 2 and 6 months post- operatively and hence improvement in quality of life. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Based on the observation made in the study we concluded that there was a significant improvement in the disease specific postoperative quality of life after both adenotonsillectomy and tonsillectomy. We also concluded that polysomnography results matched with OSA 18 questionnaire scale score done preoperatively.</span></p>


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