A Clinical Study of Persistent Adenoid and Its Secondary Effect.

Persistent adenoid is a common condition that affects many children and adults. This can cause breathing difficulties, snoring, and other respiratory problems. The condition can also affect the development of the facial structure and cause abnormal growth of the jaw and teeth. The study aimed to investigate the clinical and pathological characteristics of persistent adenoid and its secondary effects. A total of 64 patients with adenoid hypertrophy were included in the study, and they were evaluated through various clinical and pathological examinations. Nasal obstruction was present in almost all cases. Ethmoid nasal polyps were seen in 51.6% of participants. The results showed that persistent adenoid can lead to various secondary effects on the respiratory system, including Eustachian tube defect and otitis media in 20.3% of cases. The study highlights the importance of early diagnosis and timely treatment of persistent adenoid to prevent its secondary effects.

A Prospective Study of Ultrasonographic and FNAC Correlation of Thyroid Swellings with Histopathology.

The present study was undertaken to identify the complimentary role of high resolution ultrasonography and fine needle aspiration cytology (FNAC) in diagnosis of thyroid gland swelling pathology, also determine sensitivity, specificity and accuracy of both USG and FNAC and correlate it with histopathology report. Total 75 cases of thyroid swellings were evaluated in detail by taking history, doing clinical examination, USG, FNAC and histopathology. USG findings were correlated with the FNAC report. After thyroidectomy surgery, USG and FNAC results were followed up and correlated with histopathology report. Thyroid swellings were more common in the age group of 31-40 years (34.66%) with female preponderance 70(93.33%). According to USG diagnosis, most common benign thyroid swelling was multinodular goitre (37.33). Amongst all the thyroid swellings, on FNAC, 17(18.67%) cases were diagnosed as a malignancy. 12(16%) cases were of follicular carcinoma which was the most common in this study. The sensitivity, specificity and diagnostic accuracy of USG was 86.66%, 91.66% and 90.66% respectively whereas sensitivity, specificity and diagnostic accuracy of FNAC was 93.3%, 95% and 94.66% respectively. USG and FNAC are simple methods of diagnosing thyroid gland swellings. The sensitivity, specificity and diagnostic accuracy of USG and FNAC for thyroid gland swellings was reasonably good. USG followed by FNAC increases the accuracy to diagnose various thyroid swellings so by which unnecessary thyroid gland surgery and hence complications can be avoided. However the most accurate and confirmatory diagnosis is given by histopathology.

Prevalence of Otorhinolaryngological Symptoms in Covid 19 Patients.

To determine prevelance of ENT symptoms in COVID 19 positive patients. A cross sectional study was performed at SRTR GMC AMBAJOGAI, a tertiary care hospital amongst the patients admitted in COVID 19 isolation ward with a positive RT-PCR report. Amongst the included 180 patients, 112 patients had one or more ENT related symptoms that included throat pain (47.2%), loss of smell (55.5%), loss of taste (58.8%) and hearing loss (54.44%) along with generalized COVID 19 symptoms. ENT symptoms can be considered as biomarkers for early diagnosis of Covid-19 patients ensuring faster treatment and isolation allowing better containment of the disease.

Acoustic Voice Analysis of Normal and Pathological Voices in Indian Population Using Praat Software.

Acoustic voice analysis is still a valuable technique which enables voice clinicians to compare voices to differentiate them into normal and abnormal. The present study was undertaken to standardize acoustic voice parameters in normal healthy adult individuals and gender comparison among them and also acoustic voice analysis of pathological voices and it's comparison with normal healthy voices. Voice samples of vowels /a/, /i/ and /u/ of 80 normal healthy adults (males = 40, females = 40) of control group and 40 patients with dysphonic voice of case group collected and acoustic voice parameters were extracted by using Praat software. There were statistically significant higher values of fundamental frequency (F0) in females, while jitter local (%), shimmer local (%) and harmonic to noise ratio (HNR) had no gender differences in normal healthy voices. Pathological voices of case group subjects with laryngeal pathologies had statistically significant higher values of jitter local (%), shimmer local (%) and lower values of HNR as compare to normal healthy voices of control group. Objective voice analysis by using Praat software is convenient, reliable and cost effective method. This study establishes normative acoustic voice parameters in normal healthy adults. There are no gender differences in adult healthy voices except fundamental frequency (F0), which is higher in females. Patients who are with dysphonic voices due to laryngeal pathologies had altered values of acoustic parameters compared to normophonic adults and clinicians can precisely differentiate pathological voices from normophonics.