Ankit Choudhary

Institute of Post Graduate Medical Education and Research

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Kaustuv Das Biswas

Medical College and Hospital, Kolkata

Subhradev Biswas

Institute of Post Graduate Medical Education and Research

Sayan Hazra

Institute of Post Graduate Medical Education and Research

Bijan Basak

Mission Hospital Durgapur

Swapan Kumar Ghosh

Ramakrishna Mission Vivekananda Educational and Research Institute

J. A. J. Deans

International Ocean Discovery Program

Arunabha Sengupta

Saroj Gupta Cancer Centre & Research Institute

Brendan Moriarty

Leighton Hospital

Soutrik Kumar

Institute of Post Graduate Medical Education and Research

Mridul Janweja

Institute of Post Graduate Medical Education and Research

Cooperative Institutions

Institute of Post Graduate Medical Education and Research

Medical College and Hospital, Kolkata

Bose Institute

Burdwan Medical College & Hospital

R. G. Kar Medical College and Hospital

Leighton Hospital

University College London

Bangur Institute of Neurosciences

Ramakrishna Mission Vidyamandira

University of Calcutta

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Paediatric Laser DCR for Nasolacrimal Duct Obstruction

Investigative Ophthalmology & Visual Science (2004)

Ankit Choudhary J. A. J. Deans Brendan Moriarty

Nasolacrimal Duct Obstruction

Nasolacrimal duct

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Role of CT Nose Paranasal Sinuses and Nasal Endoscopy for Decision Making in a Case of Deviated Nasal Septum

Bengal Journal of Otolaryngology and Head Neck Surgery (2019)

Sayan Hazra Ankit Choudhary Swapan Kumar Ghosh Subhradev Biswas Kaustuv Das Biswas

Introduction Deviated nasal septum (DNS) can be asymptomatic in an individual or may cause nasal obstruction. The condition is generally diagnosed clinically and based on clinical diagnosis it is managed Surgically by large without much heed to diagnostic procedure. Thus, often underlying other causes of Obstruction is missed. Thus, it becomes essential to evaluate every patient presenting with history of Nasal obstruction and clinically Deviated septum, with aid of Nasal Endoscopy and CT scan Nose Paranasal Sinuses (PNS) to rule out/diagnose other coexisting conditions. Methods and Methodology 100 patients who presented with nasal obstruction and clinically diagnosed to have Deviated Nasal Septum were then subjected to Nasal Endoscopy and CT scan Nose and PNS and findings were noted for analysis. Results and Analysis Of these 100 patients, 48 patients were found to have coexisting pathological conditions/anatomical variants. Various anatomical and pathological Conditions were found to coexist together. Inferior turbinate hypertrophy in 34% is the most common pathological condition found to be associated with DNS followed by of sinusitis in 25% patients apart from polyp, concha bullosa and paradoxical middle turbinate. Discussion Studies done so far shows there is a definite link of deviated nasal septum to various anatomical and pathological conditions of the nose. CT Scan Nose PNS and Nasal Endoscopy plays a vital role in diagnosing such anomalies. Conclusion Most of the patients, presenting with nasal obstruction and having Deviated Nasal Septum, undergo management without proper analysis and returns with recurrence of symptoms which could be analyzed properly if Nasal endoscopy and CT scan is employed during diagnosis of the condition, reducing risk of treatment failure.

Deviated nasal septum

Concha bullosa

10.47210/bjohns.2019.v27i3.14

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Ossiculoplasty using Autologous Reshaped Incus and Teflon PORP: A Comparative Study

Bengal Journal of Otolaryngology and Head Neck Surgery (2019)

Ankit Choudhary Sayan Hazra Arindam Das Aryabrata Dubey Mridul Janweja

Introduction Autologous reshaped Incus and Teflon partial ossicular replacement prosthesis (PORP) are commonly used for ossicular chain reconstruction. The present study attempts to assess the post-operative outcome with these two prostheses. Materials and Methods A Randomized prospective study was conducted in Tertiary referral care hospital to determine which material, among autologous reshaped Incus and Teflon partial ossicular replacement prosthesis (PORP) gives better postoperative hearing result in Ossiculoplasty. Patients presenting at outpatients’ department with the clinical diagnosis of chronic otitis media with perforation or retraction. The study population consisted of a total of 50 patients. Ossiculoplasty with reshaped Incus or PORP was performed after Canal Wall Up mastoidectomy. Hearing results were measured by Air-Bone gap in PTA after 6 months of surgery. Results Selecting the criteria <20 dB ABG as success when Stapes superstructure is present, Incus has 64.29% success rate, whereas PORP has 31.81% success. Extrusion rate of different prosthesis shows PORP has 18.18% extrusion whereas autologous Incus has lower (7.14%) extrusion rate. Conclusion Among these two ossiculoplasty materials, autologous Incus gives better postoperative hearing gain and lower extrusion rate.

Incus

Mastoidectomy

Malleus

10.47210/bjohns.2019.v27i2.239

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Primary Laryngeal Aspergillosis in an Immunocompetent Host

Bengal Journal of Otolaryngology and Head Neck Surgery (2018)

Kaustuv Das Biswas Ankit Choudhary Swapan Kumar Ghosh Subhradev Biswas

Introduction Aspergillosis of Larynx is very rare and may present with symptoms suspicious of malignancy. Prevention of dissemination warrants early diagnosis. It is found mainly in Immunocompromised patients and is usually necrotizing, invasive with disseminated systemic infection, associated with poor prognosis. In Immunocompetent patients it is extremely rare and may present as colonization associated with excellent prognosis. Case Report A 43 year old male patient presented with hoarseness of voice for about 3 months with whitish irregular lesion that involved the anterior 1/3 of both the vocal cords. A cheesy material was found covering indurated lesion of both the vocal cords, intraoperatively. Stripping of mucosa over vocal cords was done and cheesy material collected and sent for HPE which revealed Aspergillus hyphae overlying Mild dysplastic changes. Following diagnosis the patient was followed up with oral dosages of Itraconazole. Discussion The primary Aspergillosis of larynx is extremely rare. Involvement is always secondary to immunocompromised states like AIDS, malignancy, Diabetes, etc. This was a rare case in Immunocompetent patient. Management constitute removal of the vocal cord lesions during biopsy. Amphotericin B is first-line agent for this infection, however aerosolised and liposomal amphotericin B offer effective dosing with less toxicity. Newer antifungal Itraconazole may produce more reliable results.

10.47210/bjohns.2018.v26i2.190

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Endoscopic Endonasal Trans-Sphenoidal Minimally Invasive Pituitary Surgery with Image Guided Navigation System (Igns): Learning Experience of Ent Surgeon

Indian Journal of Otolaryngology and Head & Neck Surgery (2023)

Debasish Ghosh Srikrishna Majhi Ankit Choudhary Saikat Samaddar Abhijit Guha

Transsphenoidal surgery

Invasive surgery

10.1007/s12070-023-04334-8

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A NOVEL TECHNIQUE TO SALVAGE FAILING TYMPANOPLASTY- A PROSPECTIVE INTERVENTIONAL TRIAL

Journal of Evolution of Medical and Dental Sciences (2019)

Subhradev Biswas Ankit Choudhary Sayan Hazra Kaustuv Das Biswas Bijan Basak

This article describes a procedure to salvage graft failures in cases of Tympanoplasty done using Temporalis Fascia by early intervention, Post operatively. METHODSIt was an Observational study using 30 patients with residual perforations on 3 rd -6 th post-operative week out of 131 patients who underwent Type 1 Tympanoplasty with Cortical Mastoidectomy using Temporalis fascia as graft material.Study was conducted over a period of 18 months.Patients having residual perforation underwent the procedure after proper informed consent.4 Quadrant blocks were given in External Auditory canal.The Epithelialized margin was freshened using a Micropick and medialised graft was repositioned after placing of a piece of Gelfoam in middle ear.The perforation was reinforced with a Gelfoam laterally in External Auditory Canal.Patient was then followed up with a course of Antibiotic and antihistaminic. RESULTSOut of 131 patients of cortical mastoidectomy with tympanoplasty 30 had residual perforation on follow up i.e., 77% success rate while 23% failure rate in our hand.These 23% patients, who were found to be failing, underwent this intervention.24 out of these 30 patients (80%) i.e., 18% of overall cases showed healed drum after intervention on further follow up.Thus, a good number of failing Tympanoplasty could be salvaged and overall success achieved is almost 95% as compared to 77% previously. CONCLUSIONSWith this procedure 80% of the failing Tympanoplasties could be salvaged increasing success rate from 77% to 95% thus increasing reliability of Temporalis Fascia Graft which was being replaced increasingly by cartilage graft for risk of Failures by Otologists these days.

10.14260/jemds/2019/374

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Modified laser DCR for paediatric nasolacrimal duct obstruction

Eye (2005)

Ankit Choudhary J. A. J. Deans Brendan Moriarty

Nasolacrimal Duct Obstruction

Nasolacrimal duct

10.1038/sj.eye.6701886

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A Comparative Study of Correction of Caudal Septal Deviations

Indian Journal of Otolaryngology and Head & Neck Surgery (2024)

Swapan Kr. Ghosh Ankit Choudhary

Synechia

10.1007/s12070-024-04757-x

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A Study on Septoplasty and Functional Septorhinoplasty in Children

Indian Journal of Otolaryngology and Head & Neck Surgery (2024)

S Ghosh Ankit Choudhary Kaustuv DasBiswas

10.1007/s12070-024-05053-4

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Endoscopic Dacryocystorhinostomy: Advantage over External Approach

Bengal Journal of Otolaryngology and Head Neck Surgery (2019)

Bijan Basak Kaustuv Das Biswas Subhradev Biswas Ankit Choudhary

Introduction Although external DCR was considered to be the Gold Standard treatment for NLD obstruction, endoscopic DCR appears to give comparable results, with the advantage of the absence of external facial scar and no disruption of the medial palpebral ligament or the angular facial vessels. This study aims to evaluate the outcome of endoscopic dacryocystorhinostomy (DCR) and compare with the outcome of external DCR, based on data available on literature search. Materials and Methods In this prospective, longitudinal, interventional study, 67 cases of chronic dacryocystitis were operated endoscopically from January 2017 to December 2018. All patients were documented about detailed medical and operative history, thorough medical check up including ocular and ENT examination. Level of obstruction of nasolacrimal duct (NLD) was diagnosed by lacrimal syringing and probing. Surgery was performed under local anaesthesia except in uncooperative patients where general anaesthesia was used. 0˚ & 30˚ endoscopes were used in surgery. The surgical outcomes and complications were recorded, analyzed and compared to those of external DCR from available literature. Results The overall success rate of endoscopic DCR was 94.7%, which is closely comparable to external DCR. Conclusion Endoscopic DCR is an effective and safe alternative to external DCR, with comparable results and better patient satisfaction.

Dacryocystitis

Nasolacrimal duct

Palpebral fissure

Nasolacrimal Duct Obstruction

Gold standard (test)

10.47210/bjohns.2019.v27i2.244

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Citations (2)