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  • ISSN: 2379-948X
    Volume 4, Issue 7
    Research Article
    Mehmet Karacan*, Naci Ceviz, Haşim Olgun2, Ibrahim Caner, and Kadir S. Tekgunduz
    Background: The association of congenital cardiac malformations with orofacial clefts is known. However, the data presently available are derived from populations including some special conditions known to be associated with a high rate of congenital cardiac malformations. The aim of the study was therefore to determine the incidence of cardiac malformations among neonates with apparently isolated malformations of the orofacial clefts.
    Methods: A total of 76 newborns with oral cleft included the study. Of these patients, 6 (7.9%) had cleft lip alone, 19(25%) had an isolated cleft palate and 51(67.1%) had both cleft lip and palate. In total of 19 patients (25%) were determined as congenital cardiac malformation. The most common cardiac malformations were ventricular septal defect (8/19). In 9 of 19 patients (47.3%) with CCM, the cardiac problems were hemodynamically significant, requiring anticongestive and/or surgical treatment
    Conclusion: The frequency of cardiac malformations in patients with oral cleft is high. They should be evaluated on echocardiography to investigate congenital cardiac malformation at the earliest opportunity.
    Sujeet Kumar Sinha* and Shalini Bansal
    Introduction: vHIT test to assess the functioning of three semicircular canals.
    Objective: This study was designed to objectively assess the functioning of the three semicircular canals in individual with severe to profound sensorineural hearing loss using vHIT respectively.
    Methods: Twenty adult participants (40 ears) having severe to profound hearing loss ranging in age from 15-40 years in group I. Group-II consisted of 20 adult participants (40 ears) in the age range from 15-40 years with normal hearing sensitivity. All the participants underwent a detailed case history, pure tone audiometry, immitance and reflexometry and vHIT tests.
    Results: Mean VOR gain values for right and left horizontal canals, right anterior and left posterior canal for individual with hearing impaired is lesser than the individual with normal hearing. There were significant differences between group 1 and group 2 for VOR gain for right horizontal canal and left horizontal canal whereas significant difference was showed in right posterior canal, left anterior canal, right anterior canal and left posterior canal.
    Conclusions: Vestibular abnormality was seen for semi circular canals in individual with severe to profound hearing loss. Therefore, vestibular tests should be included along with various audiological tests in the diagnostic protocol for the assessment of individual with severe to profound sensorineural hearing loss.
    Nermin Başerer*
    Organ preservation surgery in the larynx cancer started with cordectomy technique in 1850s. Leading laryngologists have described alternative techniques to total laryngectomy (TL). But the extent of their indications, resection limits and reconstruction problems led to oncological and functional failure. Therefore, these techniques were forgotten until 1950s. Studies on the embryology, surgical anatomy of the larynx and biologic behavior of squamous cell cancer provided surgical return. In the organ preservation surgery vertical partial laryngectomy (VPL), horizontal supraglottic partial laryngectomy (SGPL) and their extended modifications were developed by the pioneer laryngologists. Adoption and application of any new technique usually take some time. However, the important problem is that when a technique becomes popular it is being used instead of other techniques. In this article, I would like to introduce our horizontal vertical laryngectomy (HVL) technique that we have been using successfully in unilateral selected T2-T3 transglottic cancer since 1977. In this 3/4 laryngectomy, SGPL and VPL are applied together. Reconstruction with restoration of glottis is performed with two stage Cevanşir's laryngostoma technique. Early decanulation (from 4-5 days) and aspiration free swallowing (from 7-10 days) are the important advantages along with its oncological safety.
    Mini Review
    T K Ray*
    Ear disease is traditionally an overlooked and neglected field in public health, particularly in low income countries. Children are more vulnerable to ear diseases (infection in particular) because of multifaceted attributing factors. Frequent upper respiratory infection, overcrowding, pond bathing in rural areas, poor ear hygiene, low coverage of immunisation, lack of parental awareness of ear problems and poor health infrastructure are some of such factors.
    Case Report
    Anamika Rathi, M L Meena, Amit Kumar, Abhijeet Singh*, and Anand Subash
    Thyroid gland hemiagenesis is a rarely reported congenital anomaly wherein developmental failure of one of the thyroid lobe with or without isthmus can be seen. Its prevalence ranges from 0.05%-0.2%. From these very few reported cases, a female preponderance has been noted. The left lobe appears to be more commonly affected than the right. Frequently these patients are hyperthyroid, but euthyroid and hypothyroid cases have also been reported. Our objective here is to report a case, review the literature and discuss the management of these cases. The idea of this study started from an accidentally detected case of left Hemithyroid agenesis when the literature review was done in PubMed using key words like “congenital absence of thyroid lobe”, “Hemithyroid agenesis”, “thyroid hemiagenesis” and “absent thyroid gland”. We report a case of congenital absence of left lobe of thyroid and isthmus in a 65 year old lady, who presented with history of dyspnea and cough with expectoration. A contrast enhanced computed tomography (CECT) scan of chest showed an incidental finding of hemiagenesis of left thyroid gland. Further evaluation with neck Ultrasonography and Doppler study reconfirmed the diagnosis. The thyroid function tests were essentially within normal limits. She was diagnosed to have Pericardial effusion and treated accordingly under cardiology department. Our management included proper counseling of the patient and family regarding the known pathological entities associated with these conditions like adenocarcinoma, chronic thyroiditis, adenoma and multinodular goiter (MNG). This case being an incidental finding with negative work up was kept under observation.
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