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  1. Article: Evolving Essential and Desirable Requisites for Clinical Fellowship in Cochlear Implant Surgery.

    Malhotra, Vibhor / Vadlamani, Swathi / Gaur, Sumit Kumar / Dutt, Sunil Narayan

    Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

    2023  Volume 75, Issue Suppl 1, Page(s) 518–522

    Abstract: Studies from developed countries show the prevalence of permanent childhood hearing loss to be 1 to 2 per thousand children. The estimated number of Ear, Nose, and Throat (ENT) specialists and otologists in India were 7000 and 2000. There is a great need ...

    Abstract Studies from developed countries show the prevalence of permanent childhood hearing loss to be 1 to 2 per thousand children. The estimated number of Ear, Nose, and Throat (ENT) specialists and otologists in India were 7000 and 2000. There is a great need for trained CI surgeons to care for that burden. Currently, only a handful of centres in the country provide CI training. This study aims to put together essential and desirable requisites for a clinical fellowship in CI surgery for ENT surgeons. A questionnaire was prepared and validated by 25 senior CI surgeons in India. Then the sixteen-question questionnaire was prepared and administered to 100 practising CI Surgeons (Group A) and 100 probable CI Fellowship Candidates (Group B). Group B involved surgeons currently pursuing their ENT post-graduation or have completed their postgraduate training and are inclined towards otology and CI surgery in the future. The responses ranged from 1 (Strongly Disagree) to 5 (Strongly Agree) on a Likert Scale. The responses from both groups were analyzed, and statistical analysis was performed using SPSS(Statistical Package for the Social Sciences) software. The results were analysed and tabulated from both groups. The weighted mean response and mean opinion to all the questions were calculated for both groups. Based on the response, "Essential" and "Desirable" criteria are given.
    Language English
    Publishing date 2023-03-02
    Publishing country India
    Document type Journal Article
    ZDB-ID 1471137-0
    ISSN 0973-7707 ; 2231-3796 ; 0019-5421
    ISSN (online) 0973-7707
    ISSN 2231-3796 ; 0019-5421
    DOI 10.1007/s12070-023-03620-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Evolving a Radiological Protocol for Cochlear Duct Length Measurement: Three Audit Cycles.

    Dutt, Sunil Narayan / Gaur, Sumit Kumar / Vadlamani, Swathi / Nandikur, Shrivalli

    Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

    2021  Volume 74, Issue Suppl 3, Page(s) 3998–4006

    Abstract: To develop an accurate protocol for measuring the Cochlear Duct Length (CDL) by using Multi Detector Computerized Tomography (MDCT) imaging of the temporal bones and thereby make the appropriate choice of electrode for cochlear implantation. 79 MED-EL® ... ...

    Abstract To develop an accurate protocol for measuring the Cochlear Duct Length (CDL) by using Multi Detector Computerized Tomography (MDCT) imaging of the temporal bones and thereby make the appropriate choice of electrode for cochlear implantation. 79 MED-EL® Cochlear implantees were divided into three cohorts in chronological order of their implantation. CDL was calculated from MDCT images and correlated with the CDL calculated using the existing Jolly's formula. Results of the CDL measured by unfurling the cochlea correlated well with the existing formula. In addition to CDL measurement, measuring diameter of each turn, especially the apical turn, helped in choosing the appropriate electrode for complete cochlear coverage. Having dedicated radiographers and neuro-radiologists can avoid inter-observer variations in CDL measurements. Measuring the CDL and the diameter of each turn helps in choosing an appropriate electrode thus minimizing intra-operative difficulties and achieving complete safe insertion.
    Language English
    Publishing date 2021-08-05
    Publishing country India
    Document type Journal Article
    ZDB-ID 1471137-0
    ISSN 0973-7707 ; 2231-3796 ; 0019-5421
    ISSN (online) 0973-7707
    ISSN 2231-3796 ; 0019-5421
    DOI 10.1007/s12070-021-02774-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The common cavity vs incomplete partition type I conundrum: Decision making and management with the cochlear implant form electrode.

    Gaur, Sumit Kumar / Dutt, Sunil Narayan / Kumar, Apurva

    Cochlear implants international

    2019  Volume 20, Issue 3, Page(s) 158–163

    Abstract: It has been seen that 20% of children with deafness have inner ear malformations. Studies demonstrate that Cerebrospinal Fluid (CSF) leakage occurs in 40-50% of patients with inner ear malformations. Differentiating between the various malformations pre- ... ...

    Abstract It has been seen that 20% of children with deafness have inner ear malformations. Studies demonstrate that Cerebrospinal Fluid (CSF) leakage occurs in 40-50% of patients with inner ear malformations. Differentiating between the various malformations pre-operatively allows the cochlear implant surgeon to plan and prepare for various difficulties associated with the management of such cases. In case of a CSF gusher, a choice of an electrode with a stopper helps in effectively closing off the cochleostomy, thus reducing the chances of post-operative infections. Case description: SM, a 10-year-old girl with the diagnosis of bilateral progressive profound hearing loss showed cochlear malformations on high resolution computed tomography (HRCT) scans of the temporal bones. A detailed study and discussion with the neuro-radiologist helped in identifying the cochleo-vestibular malformations (CVM) on both sides, thus making the choice of the better ear for electrode insertion and the type of electrode. She was subjected to left ear cochlear implantation using a lateral canal labyrinthotomy approach and a Form electrode (Med El®) with a special conical stopper was used to effectively seal the labyrinthostomy. Conclusion: Common cavity (CC) and Incomplete Partition (IP) Type I present as diagnostic challenges. Getting to the right diagnosis is of paramount importance as it helps in deciding the correct ear, choosing the correct electrode, and preparing for the surgical situations the surgeon might encounter. The Form electrode shows promise due to its unique conical seal which helps in preventing CSF leakage, thus reducing the chances of post-operative infections in cases of deformed cochlea.
    MeSH term(s) Child ; Clinical Decision-Making ; Cochlea/abnormalities ; Cochlea/surgery ; Cochlear Implantation/methods ; Cochlear Implants ; Ear, Middle/surgery ; Female ; Hearing Loss, Bilateral/congenital ; Hearing Loss, Bilateral/physiopathology ; Hearing Loss, Bilateral/surgery ; Humans ; Tomography, X-Ray Computed ; Vestibule, Labyrinth/abnormalities ; Vestibule, Labyrinth/surgery
    Language English
    Publishing date 2019-02-27
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2079515-4
    ISSN 1754-7628 ; 1467-0100
    ISSN (online) 1754-7628
    ISSN 1467-0100
    DOI 10.1080/14670100.2019.1582852
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Cochlear Implant in a Child with a Large Arachnoid Cyst and Cysto-peritoneal Shunt.

    Mittal, Aanchal Aggarwal / Kumar, Apurva / Bansal, Abhilash / Gaur, Sumit Kumar / Dutt, Sunil Narayan

    Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

    2020  Volume 74, Issue Suppl 1, Page(s) 374–377

    Abstract: Profound hearing loss requiring cochlear implantation and arachnoid cyst requiring placement of Cysto-Peritoneal Shunt (CPS) are two commonly seen entities. However, there are very few published cases of patients requiring both of them. The present ... ...

    Abstract Profound hearing loss requiring cochlear implantation and arachnoid cyst requiring placement of Cysto-Peritoneal Shunt (CPS) are two commonly seen entities. However, there are very few published cases of patients requiring both of them. The present report describes the importance of multidisciplinary surgical planning in one such patient.
    Language English
    Publishing date 2020-09-17
    Publishing country India
    Document type Journal Article
    ZDB-ID 1471137-0
    ISSN 0973-7707 ; 2231-3796 ; 0019-5421
    ISSN (online) 0973-7707
    ISSN 2231-3796 ; 0019-5421
    DOI 10.1007/s12070-020-02145-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Intra-ductal Foreign Body (Fish Bone Fragment) as a Cause of Obstructive Sialadenitis: A Case Report.

    Vadlamani, Swathi / Moorthy, Aditya / Bachalli, Prithvi S / Gaur, Sumit Kumar / Dutt, Sunil Narayan

    Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

    2020  Volume 74, Issue Suppl 3, Page(s) 5744–5746

    Abstract: Submandibular sialadenitis is a common ailment in otorhinolaryngological and oral surgical practice. Some of the common causes of sialadenitis include sialolithiasis, inspissated mucous plugs, strictures and anatomical ductal variations. Very rarely do ... ...

    Abstract Submandibular sialadenitis is a common ailment in otorhinolaryngological and oral surgical practice. Some of the common causes of sialadenitis include sialolithiasis, inspissated mucous plugs, strictures and anatomical ductal variations. Very rarely do foreign bodies cause obstructive sialadenitis. Fish bone as a foreign body is routinely seen, with the most common locations being oropharynx, hypopharynx, oseophagus and tongue. We report an intriguing case of a 40 year old male with sialadenitis of the right submandibular gland due to an intra-ductal fish bone.
    Language English
    Publishing date 2020-07-31
    Publishing country India
    Document type Journal Article
    ZDB-ID 1471137-0
    ISSN 0973-7707 ; 2231-3796 ; 0019-5421
    ISSN (online) 0973-7707
    ISSN 2231-3796 ; 0019-5421
    DOI 10.1007/s12070-020-02012-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Bilateral Bone Anchored Hearing aids: A Case Report on Right Side Percutaneous and Left Side Transcutaneous Implant.

    Vadlamani, Swathi / Kumar, Apurva / Gaur, Sumit Kumar / Dutt, Sunil Narayan / Kameswaran, Mohan

    Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

    2019  Volume 72, Issue 1, Page(s) 148–151

    Abstract: Bilateral Bone Anchored Hearing Aids (BAHA) provide more subjective patient satisfaction and outcome than unilateral BAHA. Initially, percutaneous BAHAs were used for many decades. Transcutaneous BAHAs were started later to overcome problems associated ... ...

    Abstract Bilateral Bone Anchored Hearing Aids (BAHA) provide more subjective patient satisfaction and outcome than unilateral BAHA. Initially, percutaneous BAHAs were used for many decades. Transcutaneous BAHAs were started later to overcome problems associated with percutaneous ones. The present report gives the outcome of bilateral BAHA in a patient with percutaneous BAHA on one side and transcutaneous BAHA on the other.
    Language English
    Publishing date 2019-12-03
    Publishing country India
    Document type Journal Article
    ZDB-ID 1471137-0
    ISSN 0973-7707 ; 2231-3796 ; 0019-5421
    ISSN (online) 0973-7707
    ISSN 2231-3796 ; 0019-5421
    DOI 10.1007/s12070-019-01766-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Cochlear Implantation in a Patient with Failed Renal Transplant: A Case Report.

    Raghavendra, K S / Dutt, Sunil Narayan / Maneesh, S G / Hasan, Suhel / Gaur, Sumit Kumar / Kumar, Apurva

    Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

    2018  Volume 71, Issue Suppl 2, Page(s) 1439–1441

    Abstract: Cochlear implantation has become a standard tool of management of severe to profound hearing loss. Cochlear implantation in patients with chronic renal failure who are on hemodialysis are at greater risk of complications intraoperatively and ... ...

    Abstract Cochlear implantation has become a standard tool of management of severe to profound hearing loss. Cochlear implantation in patients with chronic renal failure who are on hemodialysis are at greater risk of complications intraoperatively and postoperatively. Very few cases of cochlear implantation have been reported in the English literature so far following renal transplantation. Herein we report a case of cochlear implantation in a 37 year old lady with post renal transplant failure who is on maintenance hemodialysis.
    Language English
    Publishing date 2018-11-13
    Publishing country India
    Document type Journal Article
    ZDB-ID 1471137-0
    ISSN 0973-7707 ; 2231-3796 ; 0019-5421
    ISSN (online) 0973-7707
    ISSN 2231-3796 ; 0019-5421
    DOI 10.1007/s12070-018-1527-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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