Tropical Journal of Ophthalmology and Otolaryngology 2020-07-08T04:24:22+00:00 Dr D Sharad Gedam Open Journal Systems <div id="journalDescription-3" class="journalDescription"> <p><em><strong>ISSN (Online): 2456-6454, ISSN (Print): 2581-4907, </strong></em><strong><em><span style="text-decoration: underline;">Now Monthly since July 2018</span>, Indexed with Index Copernicus</em></strong></p> <p>Tropical Journal of Ophthalmology and Otolaryngology is commencing its publication from July- December 2016. It was a half yearly, peer reviewed open access medical Journal till December 2017. It will publish Monthly from July 2019 onword.</p> <p>It full fill all criteria updated in Sepember 2015 for promotion by MCI {Medical Council of India}.&nbsp;It s Indexed with&nbsp;Index Copernicus. <a title="ICV Value" href="" target="_blank" rel="noopener"><strong>Link</strong></a><br><br>This is an open access journal which means that all content is freely available without any charges to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.<br><br>We welcome articles from all medical specialties. We accept, in English Review articles, Research/Original articles, Case Reports, Case series, Research letters &amp; Letters to Editor.<br><br>Our motto to is&nbsp; to provide an international platform to the large volume of research work which in going on all around the world. Our mission is to update medical fraternity with the latest knowledge. We are committed and promise to take this journal to greaterer heights. We request all&nbsp; readers to submit articles for the upcoming issue.<br><br>We are already indexed with Index Copernicus, Google Scholar, Cross ref, Research Boble, etc. We are making efforts to get indexed with other International and National databases shortly.</p> </div> Study of clinical and microbiological profile of infective corneal ulcers at a tertiary care hospital in western Maharashtra 2020-07-05T09:41:14+00:00 Dr. Rajesh Gotekar Hanumant Mandlik Dr. Rasika Konduskar Ajit Joshi <p>Introduction: Infective corneal ulcer is an important cause of visual impairment in developing countries. The present study was conducted to know demographic, clinical, and microbiological patterns of infective corneal ulcers in a tertiary hospital in western Maharashtra.</p> <p>Materials and Methods: This is a retrospective analytical study involving 68 eyes of 68 cases of infective corneal ulcer visited in the last two years. From medical records of all cases, details of history, clinical findings, and investigations were noted and data were analyzed.</p> <p>Results: Male to female ratio of study cases was 1.61:1 with age groups ranging between 18 to 90 years (mean 50.81 years). The main occupations of study cases were farming (28 i.e. 41.17%) and construction work (12 i.e.17.64%). Thirty-two (47.05%) cases had to present BCVA of &lt;6/60. Corneal ulcers of size &lt; 5 mm were seen in 37 (54.41%) cases and 19 cases (27.84%) had hypopyon. Central and paracentral ulcers were seen in 57 cases (83.82%). On Gram stain and 10% KOH mount, fungal etiology (26.92%) was seen more frequently than bacterial etiology (20.51%) and 4(5.88%) showed mixed organisms. In 37(54.41%) cases where no organisms were detected, 6 cases had clinical features of viral corneal ulcer.</p> <p>Conclusion: Infective corneal ulcers mainly affected working males involved in farming. Gram stain and KOH mount analysis showed fungal etiology more frequently than bacterial. Detailed history, clinical examination, and lab investigations of scrapings in cases of infective corneal ulcers are essential to know the clinical and microbiological pattern.</p> 2020-06-30T00:00:00+00:00 Copyright (c) 2020 Author (s). Published by Siddharth Health Research and Social Welfare Society Competitive study of conventional septoplasty versus endoscopic septoplasty 2020-07-05T09:42:19+00:00 Sujata Maini Mritunjay Shrigharishi Anusha Shukla <p>Objective: Traditional surgeries of the nasal septum improve the nasal airway but recent developments of endoscopic techniques have brought focus over several aspects of possible advantages over traditional techniques. These are due to better visualization and illumination, better accessibility and evaluation of exact pathology, the lesser need for unnecessary manipulation, resection and overexposure of the septal framework, and improving the scope for revision surgery if required later.</p> <p>Materials and methods:A hundred cases of the deviated nasal septum (DNS) refractory to conservative medical treatment were divided into two groups and underwent corrective surgery for nasal septal deformity using both endoscopic and conventional techniques. These patients were divided into two groups who underwent septal surgery with two different techniques and the results were compared. All patients were followed up in the outpatient and were assessed for subjective improvement.Time taken for the study was four months.</p> <p>Results:A hundred patients with deviated nasal septum were recruited into a study where the patients were divided into two groups, 50 cases in each group. Group I underwent conventional septoplasty while group II underwent an endoscopic septoplasty. The most prevalent complaint in the patients was nasal obstruction (88%), headache (60%), nasal discharge (54%) and sneezing (44%). The postoperative follow-up of the frequency of symptoms after surgery showed relive of nasal obstruction in 70% of cases of group I and in 92% of group II. However, the headache was relieved in 73% of cases of conventional septoplasty and 90% of cases of endoscopic septoplasty.</p> <p>Conclusion: The clinical results of endoscopic septoplasty were found better as compared to conventional techniques with lesser complications and lesser periods of hospitalization.The use of endoscopic techniques offers lesser complications and lesser periods of hospitalization.</p> 2020-06-30T00:00:00+00:00 Copyright (c) 2020 Author (s). Published by Siddharth Health Research and Social Welfare Society Swelling of the maxilla - A clinical enigma 2020-07-08T04:24:22+00:00 Roopak Visakan Raja Manikandan Gunasekaran <p>Swelling in the maxillary region, especially unilateral, is a surgical enigma. The condition is very rare but misleading as a variety of conditions can mimic it. A young female came to our outpatient department with swelling in the left nasolabial - maxillary region for the past 9 months. The swelling was firm with eggshell crackling sensation, tender, not resonant with normal skin. Clinical examination revealed mild elevation of the left nasal cavity floor with facial asymmetry. Intraorally, the swelling in the alveolus obliterated the gingivobuccal sulcus. CT showed evidence of a cystic lesion arising from the apices of the upper right medial incisor to the upper left first premolar. Oral and maxillofacial surgery opinion was sought, who claimed that there was an Ellis fracture of the upper left lateral incisor and also that the swelling was hard, extending up to the upper left second premolar. Orthopantomogram was ordered which revealed periapical radiolucency extending from right upper medial incisor to the second upper left premolar. This gave the impression of periapical pathology. Routine blood investigations were done and anesthetic fitness was obtained. The patient was taken up for cyst excision under general anesthesia. The cyst was enucleated completely and sent for histopathological examination. The pathology report came back as a dentigerous cyst. Thus a swelling in the maxillary region remains a diagnostic dilemma. Early diagnosis and appropriate radiological investigations are vital. Despite being uncommon in routine practice, it is vital for otolaryngologists to have adequate awareness, knowledge, and skills to deal with such conditions.</p> 2020-06-30T00:00:00+00:00 Copyright (c) 2020 Author (s). Published by Siddharth Health Research and Social Welfare Society