Nikesh Gosrani

Institute of Medical Sciences

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Amitkumar Rathi

Cooper Hospital

Shailesh Khode

Khoo Teck Puat Hospital

Karan Suhas Vayangankar

Institute of Medical Sciences

Jeevan N. Vedi

Indira Gandhi Government Medical College & Hospital

Ram Rajmani Singh

Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College

Jain S.K.T.

Khitij Dhaval Shah

Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College

S. V. Golhar

Government Medical College

Khode

Mahsa University

Pramod Ramachandra Shiralkar

Cooperative Institutions

Government Medical College

Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College

Tirol Kliniken

Cooper Hospital

Indira Gandhi Government Medical College & Hospital

Gandhi Medical College & Hospital

Indira Gandhi Medical College

Government Medical College

Khoo Teck Puat Hospital

Grant Medical College and Sir Jamshedjee Jeejeebhoy Group of Hospitals

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Study of Facial Nerve Palsy in Maharashtra Population

Indian Journal of Public Health Research & Development (2023)

Pramod Ramachandra Shiralkar Karan Suhas Vayangankar Nikesh Gosrani

Background: Facial nerve palsy is uncommon mainly lower motor Neuron palsy but had significant involvement of Oto-laryngeal and Opthalmic complications too. Surgical innervations are the most viable way to overcome complications of Facial Nerve palsy.Method: 30 adults patients (17 left side, 13 right side) had facial palsy associated with ORL disorders were studied with CT scan, routine blood examination, to know any other pathogenesis. Examination was done to rule out tympanic membrane perforation, Herpes Zoster.Results: 13 (43.3%) Otalgia, 6 (20%) impaired hearing, 5 (16.6%) Ear discharge, 3 (10%) Dysphagia, 1 (3.33%) Jaw pain, 1 (3.33%) Nasal bleeding, 1 (3.33%) throat pain. The diagnosis involved 9 (30%) CSOM, 8 (26.6%) otitis media, 4 (13.3%) AOM, 4 (13.3%) otitis exterma, 1 (3.33%) Ramsay Hunt syndrome, 1 (3.33%) Herpes Zoster, 1 (3.33%) chronic Rhino- sinusitis uveitis / anterior, 1 (3.33%) acute tonsillitis, 1 (3.33%) sensorineural hearing loss.Conclusion: These associated complications need surgical corrections and onset of proper antibiotic treatment to have better prognosis because, it is LMN (lower Motor Neuron) palsy.

Perforation

Lower motor neuron

Acute Tonsillitis

10.37506/ijphrd.v14i3.19384

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BUTTON BATTERY - AN UNWITNESSED CAUSE OF BATTERED NOSE

Journal of Evolution of Medical and Dental Sciences (2013)

Shailesh Khode Nikesh Gosrani Amitkumar Rathi Jain S.K.T.

The presence of foreign body in the nose is not uncommon condition.Various unusual foreign bodies in the nose have been reported in the literature in which button battery is one of them.It is capable of extensive tissue damage by chemical or thermal burns.We describe a case of an unwitnessed button battery in the nose of 3 years old female child resulted in septal perforation.

10.14260/jemds/1618

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: Nasal Foreign Body; Button Battery; Septal Perforation.

Shailesh Khode Nikesh Gosrani Amitkumar Rathi S Jain

Perforation

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Tongue Entrapment in a Plastic Bottleneck

Bengal Journal of Otolaryngology and Head Neck Surgery (2018)

Ram Rajmani Singh Nikesh Gosrani Tejal Patel Khitij Dhaval Shah

Introduction Oral foreign bodies and perioral injuries are common occurrence among paediatric population. These may range from benign occurrences to those that may threaten the airway. One such injury is tongue entrapment into objects like plastic bottle neck. Tongue entrapment in bottle neck is rare with very few cases reported in literature. Case Report A case of a 9-year old mentally retarded male child with tongue haemangioma who got his tongue tightly entrapped inside a plastic bottle neck is presented. Since such cases are very rare, treatment often requires creative and novel approach to ensure safe removal of constricting object without causing any injury to surrounding structures. When conventional methods using Mayo’s scissors failed to cut open the bottle neck, we used Gigli saw wire in a safe manner to cut it open. It took a few minutes to relieve the entrapment of tongue without traumatising the surrounding structure. Discussion This case highlights the result of careless and often dangerous play and misadventures of children and the challenge of management. It calls for vigilance and close supervision of children by caregivers at home and at school. Early presentation, immediate intervention and treatment can prevent grave consequences.

Plastic bottle

10.47210/bjohns.2018.v26i3.214

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Study of Hearing loss in Diabetes Mellitus in Maharashtra Population

Indian Journal of Public Health Research & Development (2023)

Pramod Ramachandra Shiralkar Karan Suhas Vayangankar Nikesh Gosrani

Background: High blood glucose levels are found to derange the vessels found in the stria vascularis and adjacentnerves thus it results into diminished ability to hear Early diagnosis and treatment can prevent the severity orpermanent hearing loss.Method: 40 adult patients aged between 30 to 50 years were studied by pure tone audiometry. By audiometry thedegree, type and configuration of hearing was assessed. Ear examination was done by otoscopy followed by puretone audiometry.Results: 20 (50%) patients had moderate, 12 (30%) had moderate severe, 8 (20%) severe hearing loss. The associatedclinical manifestations were 13 (32.5%) parasthesia, 10 (25%) skin disease, 8 (20%) visual problems, 9 (22.5%) lackof sleep.Conclusion: This pragmatic study with different degree of hearing loss will be helpful to ENT surgeon to assessthe severity and treat efficiently to prevent the complications of hearing loss.

Pure tone audiometry

10.37506/ijphrd.v14i3.19399

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Congenital vallecular cyst with polydactyly - A rare cause of stridor and failure to thrive.

PubMed (2014)

Khode Nikesh Gosrani S. V. Golhar Jeevan N. Vedi

Congenital vallecular cyst is an uncommon, benign but potentially dangerous condition causing respiratory distress and stridor. It is associated with sudden upper airway obstruction resulting in death due to its anatomical location in neonates and infants. We reported a rare case of 2 months old male infant presented with respiratory obstruction with failure to thrive with polydactyly (rarest finding) and managed timely with appropriate surgical marsupialization.

Failure to Thrive

Marsupialization

Airway obstruction

Polydactyly

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