International Journal of Advanced and Integrated Medical Sciences

1.ORIGINAL ARTICLE

A comparative study of sublingual and vaginal low-dose misoprostol for induction of labor

Sana Amrin, Shobha Mukherjee, Jyoti Singh, Shivika Gupta
[Year:2018] [Month:July-September] [Volume:3 ] [Number:3] [Pages No:33-36] [No. of Hits: 303]
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ABSTRACT

Introduction: Labor induction is a common obstetric procedure done to initiate uterine contractions for the purpose of vaginal delivery. Misoprostol (prostaglandins E1) is a popularly used cervical ripening and inducing agent.

Materials and Methods: We conducted a study on induction of labor with misoprostol on antenatal patients with medical or obstetric indication who presented in the Department of Obstetrics and Gynaecology, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India.

Aim and Objectives: The aim was to compare the safety and efficacy of sublingual versus vaginal misoprostol. Maternal and neonatal outcomes were analyzed. Result: There was no significant difference in the demographic characteristics between the two groups. The main indication for induction in both groups was pregnancy-induced hypertension. Incidence of cesarean section was not significantly different in the two groups. Conclusion: There was no significant difference in maternal complications between the two groups. Sublingual misoprostol is as effective and safe as vaginal misoprostol for induction of labor at term.

KEY WORDS: Induction of labor, misoprostol, sublingual, vaginal

How to cite this article: Amrin S, Mukherjee S, Singh J, Gupta S. A comparative study of sublingual and vaginal low-dose misoprostol for induction of labor. Int J Adv Integ Med Sci 2018;3(3):33-36.

Source of Support: Nil,

Conflicts of Interest: None.

Received: 12-08-2018

Accepted: 23-08-2018

2.ORIGINAL ARTICLE

Comparative evaluation of nasal endoscopy and computed tomography scan in cases of chronic rhinosinusitis

Alankrita Vashisth, Abhinav Srivastava, Chander Mohan
[Year:2018] [Month:July-September] [Volume:3 ] [Number:3] [Pages No:37-40] [No. of Hits: 304]
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ABSTRACT

Introduction: Diagnosing chronic rhinosinusitis (CRS) is a challenge for otorhinolaryngologist. The American Academy of Otorhinolaryngology-Head and Neck Surgery (HNS) has suggested that the computed tomography (CT) scan and the nasal endoscopy (NE) can make an accurate diagnosis of CRS and verify the severity of disease.

Aims and Objectives: This study has been undertaken to evaluate the NE and CT scan in cases of clinically diagnosed CRS patients and to find out the superiority of one over the other.

Materials and Methods: This study was carried out in the Department of ENT and HNS, Rohilkhand Medical College and Hospital, Bareilly, on 124 clinically diagnosed patients of CRS during a period of 1 year.

Results and Conclusion: Our study showed high specificity of endoscopy in comparison to CT scan, though CT scan results are more sensitive. Endoscopy can confirm the diagnosis of CRS, but CT scan should be performed in all cases of CRS who are to undergo endoscopy to look for hidden areas of paranasal sinus. The CT scan and the NE can help in making the treatment planning and the management.

KEY WORDS: Chronic rhinosinusitis, computed tomography scan, nasal endoscopy, osteomeatal complex

How to cite this article: Vashisth A, Srivastava A, Mohan C. Comparative evaluation of nasal endoscopy and computed tomography scan in cases of chronic rhinosinusitis. Int J Adv Integ Med Sci 2018;3(3):37-40.

Source of Support: Nil,

Conflicts of Interest: None.

Received: 03-07-2018

Accepted: 22-07-2018

3.ORIGINAL ARTICLE

An analytical study of pattern of presentation of thyroglossal duct remnants at a tertiary care hospital

Ashish K Mourya, Abhinav Srivastava, Chander Mohan
[Year:2018] [Month:July-September] [Volume:3 ] [Number:3] [Pages No:41-44] [No. of Hits: 290]
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ABSTRACT

Introduction: Among all the congenital neck masses, thyroglossal cyst is the most common with an occurrence of 7% in the population. Differential diagnosis will include those for the midline masses such as dermoid cyst, subhyoid bursitis, and lipoma and those for the lateral neck masses such as cystic hygroma, branchial cyst, and lymphadenopathy.

Materials and Methods: A total of 47 patients were selected in the study during 3-year period of study and were followed for 1 year post-operative to see the recurrence.

Results and Observation: A total of 47 patients during 3 years with 1 year observation period were studied. In this study, 44.68% presented in their first decade of life, 70.21% of patients had swelling/fistulas in midline, and subhyoid was the most common level. The most common course of the tract on surgical exploration were through the hyoid bone in 74.46% and the most common symptom was painless swelling in neck in 70.21% of cases.

Conclusion: The cases of thyroglossal cysts and fistulas can be easily diagnosed based on clinical symptoms signs. Fine-needle aspiration cytology only tells us the cystic nature of the swelling and histopathological examination is a must as some case reports have suggested features of malignancy. Sistrunk operation is the treatment option in all cases.

KEY WORDS: Congenital, hyoid, thyroglossal

How to cite this article: Mourya AK, Srivastava A, Mohan C. An analytical study of pattern of presentation of thyroglossal duct remnants at a tertiary care hospital. Int J Adv Integ Med Sci 2018;3(3):41-44.

Source of Support: Nil,

Conflicts of Interest: None declared.

Received: 04-08-2018

Accepted: 29-08-2018

4.ORIGINAL ARTICLE

Endonasal endoscopic dacryocystorhinostomy without mucosal flap preservation: Our experience

Pramod Kumar Yadav, Devendra Bahadur Singh, Amit Kumar Patel
[Year:2018] [Month:July-September] [Volume:3 ] [Number:3] [Pages No:45-47] [No. of Hits: 276]
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ABSTRACT

Objective: The objective of the study was to study the outcome of endonasal endoscopic dacryocystorhinostomy (DCR) without mucosal flap preservation in our hospital.

Materials and Methods: Design - This was a prospective study design.

Setting: All patients with chronic dacryocystitis attended the outdoor department in the Department of E.N.T. at Mahamaya Rajkiya Allopathic Medical College, Ambedkar Nagar, Uttar Pradesh, India.

Participants: Thirty-three patients with chronic dacryocystitis with nasolacrimal duct obstruction over a period of 12 months from January 2016 to December 2016 who attended the ENT outpatient department and got admitted in the indoor patient department and undergo endonasal endoscopic DCR surgery were included in our study.

Results: In 26 patients, (78.78%) sac stoma was completely patent, 6 patients (18%) presented with partial stenosis, and 1 patient (3%) presented with complete stenosis of stoma after 6-month follow-up. Complications include bleeding, post-operative cellulitis of the lower eyelid, granulation tissue around the stoma, stenosis of the stoma, and small synechia between the turbinates and lateral wall of the nasal cavity.

Conclusion: Endonasal endoscopic DCR surgery is the preferred treatment in chronic dacryocystitis with nasolacrimal duct obstruction. There are many advantages of endoscopic DCR over the external DCR. Regular follow-up is necessary in the post-operative period.

KEY WORDS: Chronic dacryocystitis, endonasal endoscopic dacryocystorhinostomy, lacrimal sac

How to cite this article: Yadav PK, Singh DB, Patel AK. Endonasal endoscopic dacryocystorhinostomy without mucosal flap preservation: Our experience. Int J Adv Integ Med Sci 2018;3(3):45-47.

Source of Support: Nil,

Conflicts of Interest: None.

Received: 03-07-2018

Accepted: 22-07-2018

5.ORIGINAL ARTICLE

Fine-needle aspiration cytology as diagnostic tool of parotid tumors and associated pitfalls in correlation with histopathology

Bhawana Pant, Sanjay Gaur, Prabhat Pant
[Year:2018] [Month:July-September] [Volume:3 ] [Number:3] [Pages No:48-52] [No. of Hits: 312]
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ABSTRACT

Introduction: Fine-needle aspiration cytology (FNAC) has been used for ages as a safe and economical tool for fast pre-operative diagnosis of parotid tumors. It has certain pitfalls which sometimes lead to misdiagnosis and consequently, it may have affect on the treatment of the tumors. Keeping in view of the diverse classification of parotid tumors’ information from cytology should be combined with radiology as well as a clinical diagnosis.

Aim: The aim of the study was to discuss some cases where there was a discrepancy between cytological diagnosis and histopathological results and also suggest measures to improve the efficacy of FNAC.

Materials and Methods: The study includes 50 cases of parotid tumors who presented to the Department of Ear, Nose, and Throat (ENT) at Government Medical College Haldwani which is a tertiary referral center during 2009-2016. Only adult patients were included and inflammatory swelling was excluded from the study. All patients evaluated contrast-enhanced computerized tomography and magnetic resonance imaging followed by FNAC. Pre-operative diagnosis was made on the findings of the above investigations and different types of parotid surgeries were done. The final diagnosis was made on the histopathological examination.

Results: The most common tumor came out to be pleomorphic adenoma (23 cases - 46%) followed by mucoepidermoid carcinoma (12 cases - 24%). In ten cases, there was no clear cut association between cytological diagnosis and final histopathological diagnosis.

Conclusion: FNAC is a highly sensitive and specific technique for the diagnosis of many salivary gland swellings. FNAC can be used preoperatively to avoid unnecessary surgery and biopsy. Details of clinical information and radiologic features may help the pathologist to arrive at the appropriate diagnosis and reduce false interpretation. Pitfalls may also occur with the improper technique of FNAC which can be overcome by proper caution.

KEY WORDS: FNAC, histopathology, parotid tumor

How to cite this article: Pant B, Gaur S, Pant P. Fineneedle aspiration cytology as diagnostic tool of parotid tumors and associated pitfalls in correlation with histopathology. Int J Adv Integ Med Sci 2018;3(3):48-52.

Source of Support: Nil,

Conflicts of Interest: None.

Received: 14-07-2018

Accepted: 23-07-2018

6.ORIGINAL ARTICLE

Infection control patterns employed by dentists in eastern part of India – A questionnaire-based survey

Sumit Mohan, Jyoti Thakur, V. K. Prajapati
[Year:2018] [Month:July-September] [Volume:3 ] [Number:3] [Pages No:53-56] [No. of Hits: 319]
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ABSTRACT

Aim: The aim of this study is to evaluate the knowledge, attitude, and practice of sterilization and infection control procedures among dental practitioners in Jharkhand.

Materials and Methods: The questionnaire comprising 75 questions was mailed to 131 dentists keeping in mind various aspects of infection control and sterilization. The survey also included the demographic information of the participants.

Results: Under the limitations of the study, the highest level of infection control was observed in relation to instruments sterilization, whereas the lowest level was associated with the disposal of hazardous wastes. There were no significant differences in the overall status of infection control with respect to age.

Conclusion: It can be concluded that some infection control practices among dentists in Jharkhand are improving. It was also observed that the dental professionals do not possess adequate knowledge of blood-borne infections.

KEY WORDS: Infection control, materials, sterilization, waste disposal

How to cite this article: Mohan S, Thakur J, Prajapati VK. Infection control patterns employed by dentists in eastern part of India - A questionnaire-based survey. Int J Adv Integ Med Sci 2018;3(3):53-56.

Source of Support: Nil,

Conflicts of Interest: None.

Received: 08-08-2018

Accepted: 17-08-2018