Journal of Otolaryngology and Head & Neck Surgery
type: channel
description: The Annual Journal of Otolaryngology, Head & Neck Surgery is an open-access, peer-reviewed periodical dedicated to bridging the gap between clinical experience and global medical literature. It focuses on the understanding and management of various pathologies and diseases affecting the ear, nose, throat, head, and neck. The journal explores recent advancements and research in diseases, health, and medical science through robust, evidence-based clinical research studies. Positioned as a vital resource for postgraduate students, consultants, and healthcare professionals, the journal serves as a repository of clinical insights with an international perspective. Its readership includes otolaryngologists, head and neck surgeons, ENT nurses, as well as scholars and academicians across fields like medicine, trauma, and surgery. The journal aims to foster the analysis of clinical data from centers worldwide, utilizing standardized protocols to develop a globally accepted consensus on managing disorders within the field of otorhinolaryngology. As part of its evolving scope, sections such as "Case Reports," and "Original Research" have recently been introduced to further enhance its relevance and contribution to the field.
publisher: Krishers Publishing House
language: en
publication name: Journal of Otolaryngology and Head & Neck Surgery
issn: 3107-4367
items: Papillary Thyroid Carcinoma Presenting as Benign Thyroid Nodule Preoperatively in a Child: A Case Report
items: A Large Inflammatory Myofibroblastic Tumor Of The Cervical Region Mimicking Malignancy; A Case Report
items: Osteoma of Temporal Bone: Case Series
items: Xanthogranulomatous Inflammation of the Maxilla Mimicking a Dentigerous Cyst: A Rare Case Report
items: Recent Updates and Future Directions in Nasopharyngeal Carcinoma: A Literature Review
items: Incidence of Unilateral Sensorineural Hearing Loss in a Tertiary Hospital in Northeastern India: A Retrospective Study
items: Nasa Shareera: Review of Anatomy of Nose in Ayurveda
items: Demographic profile of Head and Neck Malignancy in Northeast India: A Retrospective study.
items: Free Fibula osteocutaneous repair – A novel approach to mandibular defects
items: A Rare case of Unusually Big Adenomatoid Odontogenic tumor.
items: Angiomyolipoma of the Parotid Gland: A Rare Presentation
items: Complex Retained Ballistic Foreign Bodies of the Nasopharynx and Ethmoid Sinus: A Two-Case Series and Review
items: Cervical Osteophyte-Induced Dysphagia: A Case Report
items: TITLE- EPISTAXIS: PATTERNS OF PRESENTATION AND MANAGEMENT – A RETROSPECTIVE STUDY FROM A TERTIARY INSTITUTION
items: Plexiform Neurofibroma- a rare tumor of submandibular salivary gland
items: An anterior neck lipoma mimicking thyroid swelling: a case report.
items: APPROACH TO A CASE OF OTOGENIC CEREBELLAR ABSCESS
items: Angina Bullosa Haemorrhagica- A rare mucosal condition of oral cavity
items: Atypical BPPV an often confusing entity: Review of literature
items: Submental flap in small but reconstructive mandated oral cavity lesions
items: Identifying Inverted Papilloma: An Important consideration in Nasal Polyposis
items: Evaluating the Diagnostic Accuracy of Tympanometry and High-Resolution Compute Tomography (HRCT) in Otosclerosis: A Retrospective Comparative Study
items: The Wandering Obstruction: A Case of Migratory Foreign Body in the Pediatric Airway
items: Etiological distribution of vertigo in Otorhinolaryngology Outpatient Department in a tertiary care center: An observational study in North Eastern Indian population

Papillary Thyroid Carcinoma Presenting as Benign Thyroid Nodule Preoperatively in a Child: A Case Report
type: item
description: We report a case of papillary thyroid carcinoma in a 6-year-old male child who presented with a solitary midline thyroid nodule initially diagnosed as adenomatous goitre on fine needle aspiration cytology. Our case highlights the need for careful preoperative workup, management and follow-up of such cases in the paediatric age group.
subject: Articles
  topic: section
subject: Solitary thyroid nodule, papillary thyroid carcinoma and paediatric age group
  topic: keywords
creator: Kedozeto Punyu
creator: Avibo S Jakhalu
creator: Lozinu Peseyie
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-023

A Large Inflammatory Myofibroblastic Tumor Of The Cervical Region Mimicking Malignancy; A Case Report
type: item
description: Inflammatory myofibroblastic tumor is a rare soft tissue tumor characterized by proliferation of myofibroblast-differentiated spindle cell along with infiltration of various chronic inflammatory cells. WHO classified it as a low grade soft tissue tumor. though it is a benign disease it has locally destructive behavior, and propensity for recurrence and rarely metastasis. ALK gene rearrangement is the most common type of genetic abnormality noted. CT and MRI helps in extent of the disease where as histopathological examination is the gold standard for diagnosis, and surgery is the treatment of choice. Here we are presenting a case of 33 year female presented to us with a left sided neck swelling for 2 years, following histopathological examination and IHC staining diagnosed as a case of low grade myofibroblastic sarcoma underwent near total resection of the tumor and post operative histopathological diagnosis is made as inflammatory myofibroblastic tumor and she is in regular follow up without any recurrence till date. So though it is a rare disease we should always keep it in our differential diagnosis of cervical mass lesion and should be differentiated from other malignant and inflammatory condition for its better management.
subject: Articles
  topic: section
subject: inflammatory myofibroblastic tumor
  topic: keywords
subject: cervical region
  topic: keywords
creator: Ratan Medhi
creator: Paramesh Patra
creator: Nisha Barala
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-020

Osteoma of Temporal Bone: Case Series
type: item
description: Osteomas are rare mesenchymal tumours which can be canalicular or extracanalicular.In our case series we are presenting both the type of osteomas of temporal bone to highlight the difference in presentation and management. EAC is the most common site of osteoma and squamous part of temporal bone involvement is rarely encountered. Clinical presentation of osteomas may range from painless bony mass in extracanalicular involvement to one causing tinnitus and ear discharge if present in the external auditory canal.The differential diagnosis include paget’s disease, osteosarcoma, keratosis obturans. A high resolution computed tomography of the temporal bone is the investigation of choice.The diagnosis can only be confirmed by histopathology whereby we see mature lamellar and woven bone with harvesian canal.
subject: Articles
  topic: section
subject: Osteomas,Temporal Bone , Extra Canalicular,
  topic: keywords
creator: Bhaswati Mahanta
creator: Neizekhotuo Brian Shunyu
creator: Hanifa Akhtar
creator: Jijitha Lakshmanan
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-019

Xanthogranulomatous Inflammation of the Maxilla Mimicking a Dentigerous Cyst: A Rare Case Report
type: item
description: Title Xanthogranulomatous Inflammation of the Maxilla Masquerading as a Dentigerous Cyst: A Rare Clinicopathological Entity Presenting Author Dr. Nongthombam Bidyananda Singh, Dr. Manu CB, Dr. Anuradha Deka, Dr. Nayana Sarma, Dr. S. Chakraborty Aim To describe an uncommon presentation of xanthogranulomatous inflammation involving the maxilla, radiologically simulating an odontogenic cyst, and to highlight the diagnostic challenges. Methodology A 33-year-old male presented with a 6-month history of insidious, progressive, painless left cheek swelling without history of trauma, infection, or difficulty in chewing food. FNAC revealed cystic macrophages and lipoproteinaceous debris, suggestive of a nonspecific cystic lesion. NCCT demonstrated a 3.7 × 3.6 × 3.7 cm well-defined hypodense lesion arising from the upper alveolar ridge of the left hemimaxilla with expansion and remodelling of maxillary walls, provisionally favouring a dentigerous cyst. The lesion was excised via a sublabial approach and submitted for histopathology and immunohistochemistry. Results Histopathological examination showed fibrocollagenous stroma with dense xanthomatous infiltrates, multinucleated giant cells, and sheets of CD68-positive histiocytes. Calretinin negativity excluded granular cell tumour. Findings were diagnostic of xanthogranulomatous inflammation, a rare non-neoplastic inflammatory process seldom reported in the maxillofacial skeleton. Conclusions Xanthogranulomatous inflammation of the maxilla is an exceptional entity that can closely mimic odontogenic cysts on imaging. Definitive diagnosis requires histopathology with immunohistochemical correlation. Complete surgical excision offers excellent prognosis and prevents recurrence.
subject: Articles
  topic: section
creator: Dr. Nongthombam Bidyananda Singh
creator: Manu CB
creator: Dr. Nayana Sarma
creator: Dr. Anuradha Deka
creator: Dr. Suvamoy Chakraborty
creator: Biswajit Dey
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-021

Recent Updates and Future Directions in Nasopharyngeal Carcinoma: A Literature Review
type: item
description: Nasopharyngeal carcinoma (NPC) is an epithelial malignancy with distinct epidemiology, high association with Epstein Barr virus (EBV), and very high sensitivity to radiotherapy and chemotherapy. Advances in radiology, radiotherapy, systemic chemotherapy, surgical salvage techniques for early recurrent cases, incorporation of immunotherapy have all significantly improved disease control and survival outcomes, making accurate staging increasingly important. In view of increasing good prognosis, the 9th version of the AJCC/UICC staging system introduces modifications to better align with modern treatment approaches and prognostic stratification. This review summarises highlights the recent updates in NPC staging and throw light on the advances in the management of locoregionally advanced, recurrent, and metastatic disease, with particular emphasis on immunotherapy. Emerging evidence supports plasma EBV-DNA as a useful biomarker in patients receiving anti–PD-1 therapy for prognosis and early detection of disease progression, although it is not yet incorporated into staging systems. New therapies such as antibody–drug conjugates and bispecific antibodies show promise but require further validation.
subject: Articles
  topic: section
subject: Nasopharyngeal carcinoma
  topic: keywords
subject: EBV DNA Titre
  topic: keywords
subject: Updates AJCC
  topic: keywords
subject: Immunotherapy
  topic: keywords
subject: recurrent NPC
  topic: keywords
creator: Ruuzeno Kuotsu
creator: Neizekhotuo Brian Shunyu
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-018

Incidence of Unilateral Sensorineural Hearing Loss in a Tertiary Hospital in Northeastern India: A Retrospective Study
type: item
description: Background: Unilateral Sensorineural Hearing Loss (USNHL) poses a significant yet under-recognized health burden, impairing spatial sound localization and speech discrimination. While commonly overshadowed by bilateral hearing loss, its psychosocial and functional impacts warrant dedicated investigation. Objective: To determine the incidence and severity of USNHL among patients. Methods: A retrospective analysis of pure tone audiometry (PTA) data was conducted over 18 months (January 2024–June 2025) at AIIMS Guwahati. A total of 4000 patients were assessed for hearing complaints, and 269 were identified with USNHL. Results: Unilateral Sensorineural Hearing Loss accounted for 6.7% of all hearing loss cases reviewed. A male predominance (63.1%) was observed. The most affected age group was 41–50 years (21.5%), and the majority (36.4%) presented with profound hearing loss. Mild hearing loss was also noted (31.5%), that is indicates functional limitations even in early stages. Conclusion: Unilateral Sensorineural Hearing Loss is often overlooked with considerable functional implications. Early identification through PTA and community awareness is essential. The study highlights the need for early identification and auditory rehabilitation tailored to unilateral hearing loss patients.
subject: Articles
  topic: section
subject: unilateral hearing loss
  topic: keywords
subject: incidence and severity
  topic: keywords
creator: Sheena K Gupta
creator: Neizekhotuo Brian Shunyu
creator: Hanifa Akhtar
creator: Jijitha Lakshmanan
creator: Nisha Kumari
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-017

Nasa Shareera: Review of Anatomy of Nose in Ayurveda
type: item
description: Shalakya Tantra is the branch of Ayurveda which deals with the diseases of Otolaryngology along with Ophthalmology and Oro-dentistry. Ayurvedic equivalent of modern anatomy is Rachana Shareera, anatomy of nose in Ayurveda is termed as Nasa Shareera. Historical review, embryology, anatomical parts, characteristics of ideal nose, as well as the concept of Nose as the Gateway to the structures of head and neck region, as per Ayurveda have been dealt with.
subject: Articles
  topic: section
creator: Jyotirmoy Sarmah
creator: Dipti Rekha Sarma
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-024

Demographic profile of Head and Neck Malignancy in Northeast India: A Retrospective study.
type: item
description: Introduction: head and neck cancer are the sixth most common malignancy worldwide, with 57.5% of the global burden occuring in Asia, particularly India, particularly in Northeast where genetic, environmental and lifestyle related risk factors are significant contributor Method: retrospective study done in AIIMS Guwahati for a period of one and half year. Results: total 552 patients data were collected, among which male are more common than female, Malignant diseases are more common than benign conditions with elderly people of age 45-60 years were more effected by cancers. the majority of patients were from assam78.6% followed by Nagaland 16.8%. oral cavity carcinoma25.5% being the most common malignancy followed by hypopharyngeal cancer10.1%,oropharyngeal cancers 8.9%, laryngeal cancer 7.8%, and nasopharyngeal cancers7.4%. Among benign diseases multinodular goiter, lipoma and pleomorphic adenoma are predominant. Miscellaneous tumours accounted for 18.5% of cases. discussion: this one and half year study highlights that the head and neck cancer in North east India mostly effect males in their late adulthood, with oral cavity carcinoma being the most prevalent subtype. assam and Nagaland contribute to the highest case buirden. conclusion: High number of malignancy with wide verities of disease rises concern and needs targeted awareness, early screening, region-specific cancer control policies.
subject: Articles
  topic: section
subject: Demography, head and neck cancer, Northeast
  topic: keywords
creator: Rahul RC
creator: Neizekhutuo Brian Shunyu
creator: Gautam Sharma
creator: Partha Pratim Medhi
creator: Jijitha Lakshmanan
creator: Ratan Medhi
creator: Taniyang Lailyang
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-009

Free Fibula osteocutaneous repair – A novel approach to mandibular defects
type: item
description: Head and neck cancers are managed by multimodality approach.However after oncologic resection, reconstruction should focus on restoring form and function.Herein we report a series of 04 cases who underwent resection of oral cavity tumors followed by reconstruction with free fibula osteocutaneous flap and its functional outcome
subject: Articles
  topic: section
creator: Yamuna Ranganathan
creator: Dr Siddhartha Basuroy
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-011

A Rare case of Unusually Big Adenomatoid Odontogenic tumor.
type: item
description: Of all odontogenic tumors, adenomatoid odontogenic tumors (AOT) are extremely rare, making for about 3% of cases. It is a benign, slowly developing, encapsulated, non-invasive, and non-aggressive odontogenic lesion connected to an impacted tooth. For years, these lesions could go undetected. The lesion does not return after the standard course of treatment of enucleation and curettage. Here, we report an uncommon case of an unusually large AOT in a 16-year-old female patient from northeastern India, who presented with complaints of a swelling over her left side of face for past 5 years associated with bilateral nasal blockage. Clinical examination and investigations revealed a hard swelling with some cystic regions of size 7.6 (CC) x 7.2 (AP) x 6.6 (TR) cm. The patient underwent staged removal of the tumour and the histopathological examination of the cyst wall showed features suggestive of adenomatoid odontogenic tumor. The patient remains symptom free on a follow up period of 18 months.
subject: Articles
  topic: section
creator: Sounak Patra
creator: Manu C.B.
creator: Sauradeep Das
creator: Suvamoy Chakraborty
creator: Serene Adak
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-012

Angiomyolipoma of the Parotid Gland: A Rare Presentation
type: item
description: Angiomyolipomas are non-cancerous growths consisting of smooth muscle, blood vessels, and mature fatty tissue. They typically develop in the kidney but can occasionally be found in the head and neck area. While extremely uncommon in the parotid gland, with only very few reported cases to date, we present here the case of a 17-year-old female who had a slowly enlarging mass in her parotid gland over the past four years. Upon examination, a soft, rubbery mass measuring 2 x 1 cm was discovered in front of her right ear. Histological analysis confirmed the presence of an angiomyolipoma in the parotid gland. In conclusion, when encountering rubbery masses in the parotid gland, considering angiomyolipoma in the differential diagnosis is prudent.
subject: Articles
  topic: section
subject: Angiomyolipoma of Parotid
  topic: keywords
creator: Anupam Mohanty
creator: Sauradeep Das
creator: Suvamoy Chakraborty Chakraborty
creator: Manu CB
creator: Biswajit Dey
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-013

Complex Retained Ballistic Foreign Bodies of the Nasopharynx and Ethmoid Sinus: A Two-Case Series and Review
type: item
description: Background: Retained ballistic foreign bodies in anatomically intricate regions such as the nasopharynx or paranasal sinuses are exceptionally rare and pose diagnostic and therapeutic challenges. Cases: We present two cases in 49‑year‑old males: Case 1 involved a bullet lodged in the posterior nasopharyngeal wall with multiple tooth fragments embedded in the tongue following intraoral gunshot trauma; Case 2 featured a metallic fragment retained in the left posterior ethmoid sinus after a self‑inflicted nasal gunshot wound. Management and Outcome: Both patients underwent emergency surgical intervention—open retrieval and tracheostomy for Case 1, endoscopic sinus surgery with septoplasty for Case 2—and recovered uneventfully. Conclusion: These cases underscore the critical role of high‑resolution computed tomography, multidisciplinary planning, and tailored surgical approaches in successfully managing rare upper aerodigestive ballistic injuries.
subject: Articles
  topic: section
creator: Dr. Nongthombam Bidyananda Singh
creator: Dr. Manu CB
creator: Dr. Sauradeep Das
creator: Dr. Suvamoy Chakraborty
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-014

Cervical Osteophyte-Induced Dysphagia: A Case Report
type: item
description: Anterior cervical osteophytes are a rare but important cause of dysphagia, especially in elderly patients with comorbidities such as cervical spondylosis, diabetes, and hypertension. A 65-year-old male presented with progressive dysphagia to solids and a throat discomfort. Video laryngoscopy revealed a posterior pharyngeal wall bulge, and cervical spine X-ray showed a prominent anterior osteophyte at the C5 level causing pharyngeal compression. The patient improved with conservative treatment and was informed about the possible need for surgery if symptoms progressed, emphasizing patient awareness. This case highlights the importance of considering cervical osteophytes in dysphagia evaluation and the role of imaging in diagnosis.
subject: Articles
  topic: section
creator: Dr. Nongthombam Bidyananda Singh
creator: Dr. Manu CB
creator: Dr. Suvamoy Chakraborty
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-015

TITLE- EPISTAXIS: PATTERNS OF PRESENTATION AND MANAGEMENT – A RETROSPECTIVE STUDY FROM A TERTIARY INSTITUTION
type: item
description: Epistaxis is a common ENT emergency, with varied presentations ranging from minor nasal bleeding to life-threatening haemorrhage. This study aims at evaluating the varying presentations, aetiologies, and management outcomes of epistaxis in a tertiary care centre in Northeast India. Methods: A retrospective review was conducted over one year (April 2024–April 2025) at a tertiary hospital in Northeast India. Data from 114 patients presenting with epistaxis were analysed for demographics, bleeding site, aetiology, comorbidities, and treatment methods. Results: Of 114 patients, 62.2% were male, with a mean age of 41.3 years. Anterior epistaxis accounted for 95.5% of cases. The leading causes were hypertension (35.8%) and nasal trauma (20.9%). Most cases were managed conservatively with nasal compression, topical agents, and cautery. Anterior nasal packing was needed in 35.8% of patients, while 6 patients required surgical or radiological intervention. Conclusion: Anterior epistaxis was the most frequent presentation, primarily due to hypertension and trauma. Conservative measures were effective in most cases. Surgical or interventional procedures were reserved for refractory cases, supporting a stepwise management approach.
subject: Articles
  topic: section
subject: Epistaxis
  topic: keywords
subject: Nose bleed
  topic: keywords
subject: Nose
  topic: keywords
subject: emergency
  topic: keywords
subject: hemorrhage
  topic: keywords
subject: endoscopic sphenopalatine artery ligation
  topic: keywords
creator: Dr Aswathi K V
creator: Dr Jijitha Lakshmanan
creator: Dr Neizekhotuo Brian Shunyu
creator: Dr Hanifa Akthar
creator: Dr Ruuzeno Kuotsu
creator: Dr Nisha Kumari
creator: Dr Paramesh Patra
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-010

Plexiform Neurofibroma- a rare tumor of submandibular salivary gland
type: item
description: Plexiform neurofibroma is more commonly seen in the orbit, neck , back and inguinal region. It is extremely rare in submandibular gland. This lesion rarely transforms into malignancy, but are locally infiltrative and can lead to haemorrhage. Therefore Plexiform neurofibroma should always be considered during differential diagnosis while excising a submandibular gland mass. We present here case of plexiform neurofibroma in the submandbular gland and diffused neurofibroma in the floor of mouth in a 15 yr old male not associated with Neurofiromatosis - 1.
subject: Articles
  topic: section
creator: Arupjyoti Sharma
creator: Utpal Sharma
creator: Daradi Deka
creator: Kallol Kakoti
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-022

An anterior neck lipoma mimicking thyroid swelling: a case report.
type: item
description: ABSTRACT Introduction Lipoma arises from adipose cells which are benign, mesenchymal tumor. They can be present all over the body and around 13% are located in head and neck region, but rarely occurs in the anterior aspect of the neck. Case report 25-year-old woman presented with swelling in the anterior part of neck. The swelling clinically resembled a thyroid swelling. But on evaluation, turned out to be a lipoma. Surgical excision of the swelling was done. Conclusion Lipoma presenting in the anterior part of neck is rare. It usually mimics a thyroid swelling Evaluation with imaging and Fine needle aspiration cytology (FNAC) leads to proper diagnosis and helps in appropriate intervention.
subject: Articles
  topic: section
subject: Lipoma , Swelling, Neck
  topic: keywords
creator: Jijitha Lakshmanan
creator: Bhaswati Mahanta
creator: T Paramesha Patra
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-007

APPROACH TO A CASE OF OTOGENIC CEREBELLAR ABSCESS
type: item
description: Chronic otitis media (COM) is a common ear infection leading to multiple intracranial and extracranial complications. But with advent of antibiotics, the rate of complications has reduced. Intracranial complications are a dreaded result of such infections, and the rarity of such complications has made their treatment an exotic case report. Here we would like to discuss a case of a 20 year old male with cerebellar abscess due to Chronic Otitis Media (COM), along with postauricular abscess and post aural discharge which was treated surgically with mastoid exploration along with concurrent neurosurgical intervention followed by medical management with antibiotic and anticoagulant coverage with complete recovery of the patient. It was observed that patient had full recovery with no residual abscess. 3 month postoperative follow up of the patient revealed a healed mastoid cavity with an intact neotympanum. Even though rare and moribund, when treated properly, patient' recover completely.
subject: Articles
  topic: section
subject: CHRONIC OTITIS MEDIA
  topic: keywords
subject: OTOGENIC CEREBELLAR ABSCESS
  topic: keywords
subject: INTRACRANIAL COMPLICATIONS
  topic: keywords
subject: MASTOID EXPLORATION
  topic: keywords
subject: MULTIDISCIPLINARY APPROACH
  topic: keywords
creator: Sauradeep Das
creator: Nayana Sarma
creator: Prachurya Tamuli
creator: Suvamoy Chakraborty
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-005

Angina Bullosa Haemorrhagica- A rare mucosal condition of oral cavity
type: item
description: Introduction Angina Bullosa Haemorrhagica is a benign, rare condition of oral cavity, characterized by a sudden onset blood filled blisters in mucosa of oral cavity which rupture and heals spontaneously without scarring, considered to present in 0.05% of cases of oral ulcer. It resolve spontaneously but in 30% cases it has tendency to reoccur. case report A 48 year female presented with sudden onset, self resolving oral ulcer clinically diagnosed as Angina Bullosa Haemorrhagica following Ordioni et al. criteria for diagnosis. Conclusion Angina Bullosa Haemorrhagica is a rare, benign disease of oral cavity that rupture and heals spontaneously without scarring, often triggered by trauma or associated with systemic factors such as hypertension, diabetes or prolonged use of corticosteroid. Diagnosis is mainly clinical. Differentiation from vesicobullous, hematological disorder is essential to avoid misdiagnosis and unnecessary interventions.
subject: Articles
  topic: section
subject: Angina Bullosa Haemorrhagica
  topic: keywords
subject: bullosa
  topic: keywords
subject: oral cavity
  topic: keywords
creator: Ratan Medhi
creator: Hanifa Akhtar
creator: Neizekhutuo Brian Shunyu
creator: Neirita Hazarika
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-016

Atypical BPPV an often confusing entity: Review of literature
type: item
description: Benign Paroxysmal Positional Vertigo (BPPV) is not an uncommon disorder involving the vestibular system which is associated with recurrent attacks of vertigo and nystagmus and aggravated by positional change of head. As per the “Barany Society diagnostic criteria for BPPV” it includes vertigo or dizziness associated with change in position along with positional nystagmus, and if these features are absent we classify them as atypical BPPV. Lately, various forms of atypical BPPV have emerged, including cases with no nystagmus in typical positions, intense short lasting nystagmus in different head positions. The phenomenon of "canal switch," where otolith from one semicircular canal shifts into another, has been proposed to explain the occurrence of paradoxical nystagmus. This review aims to provide a comprehensive overview of the possible origins of eye movements in all three semicircular canals and explore the different forms of atypical BPPV, contributing to a deeper understanding of this enigmatic condition.
subject: Articles
  topic: section
subject: Typical BPPV
  topic: keywords
subject: Atypical BPPV
  topic: keywords
subject: Canal switch
  topic: keywords
subject: Cupulolithiasis
  topic: keywords
subject: Canalolithiasis
  topic: keywords
creator: Dr Hanifa Akhtar Hanifa
creator: RUUZENO AZENO
creator: Dr Jijitha Lakhsmanan Jijitha
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-008

Submental flap in small but reconstructive mandated oral cavity lesions
type: item
description: In this era of microvascular reconstruction, where the practise of microvascular surgery is widely practised by many surgeons, reconstruction with free flap has become mandatory in most of the head and neck oncological procedures. However, due to its difficult learning curve and time-consuming nature, free flaps are not routine surgery for many surgeons. The success of free tissue transfer surgery is not solely determined by the surgeon’s skills alone. Age and operative time can cause medical complications, if not surgical complications, and hence can lead to free flap failure. There are some lesions where local and regional flaps still hold their value as a good substitute for free flaps. The submental flap is one such flap. Though the utility and safety of the submental flap in oncological surgery has been questioned by many, with proper case selection and proper technique, the submental flap is still good and safe in oral cavity reconstruction. The purpose of this paper is to present a series of 13 patients who had undergone reconstruction with submental flaps after resection of their primary tumours in the oral cavity.
subject: Articles
  topic: section
creator: Chanmiki Sayoo
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-002

Identifying Inverted Papilloma: An Important consideration in Nasal Polyposis
type: item
description: Inverted papillomas comprises of only 0.4% to 7% among all sinonasal tumors and commonly presents as red, bulky, unilateral, vascular mass and sometimes associated with the presence of polyps. Though benign it is given special attention because of its increased incidence of recurrence, with a property to cause destruction locally and in long-standing cases its association with carcinoma. Its presentation can be very similar to chronic rhinosinusitis with nasal polyposis or an antro-choanal polyp therefore, it can be misdiagnosed if high clinical suspicion is not kept in mind. Out of the three cases in this series, one case was initially diagnosed as chronic rhinosinusitis with nasal polyposis, second case was diagnosed as antro-choanal polyp based on clinical, radiological and pre-operative biopsy reports and the third case was diagnosed as inverted papilloma with synchronous squamous cell carcinoma after the preoperative biopsy report. The need to bear in mind the possibility of inverted papilloma although rare in differential diagnosis of nasal polyposis is stressed because it necessitates a more complete surgical procedure to avoid recurrence and achieve better outcome.
subject: Articles
  topic: section
subject: Inverted papilloma
  topic: keywords
subject: polyposis
  topic: keywords
subject: antro-choanal polyp
  topic: keywords
creator: RUUZENO AZENO
creator: Dr Neizekhotuo Brian Shunyu Brian
creator: Dr Jijitha Lakhsmanan Jijitha
creator: Dr Hanifa Akhtar Hanifa
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-006

Evaluating the Diagnostic Accuracy of Tympanometry and High-Resolution Compute Tomography (HRCT) in Otosclerosis: A Retrospective Comparative Study
type: item
description: Background: Otosclerosis is a progressive disease causing stapes fixation and conductive hearing loss. While tympanometry and high-resolution computed tomography (HRCT) are commonly used for diagnosis, their accuracy varies. This study evaluates the diagnostic performance of these modalities individually and in combination, using intraoperative findings as the reference standard. Methods: A retrospective analysis of 40 patients who underwent exploratory tympanotomy for suspected otosclerosis was conducted. Preoperative tympanometry and HRCT findings were compared to intraoperative confirmation. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated. McNemar’s test assessed statistical significance. Results: Tympanometry had high sensitivity (78.13%) but low specificity (50%), whereas HRCT had lower sensitivity (43.75%) but higher specificity (62.6%). Combining both improved specificity (75%) but reduced sensitivity (37.5%). PPV remained high (85.7% for the combined test), indicating strong predictive value when both tests were positive. However, NPV was consistently low, limiting their reliability in ruling out otosclerosis. Statistical analysis showed no significant change in diagnostic accuracy when combining tests. Conclusion: Tympanometry is useful for screening, while HRCT aids in confirmation. However, neither test alone nor in combination reliably excludes otosclerosis due to low NPV. Preoperative HRCT interpretation should involve experienced radiologists, and emerging imaging techniques may enhance diagnostic accuracy.
subject: Articles
  topic: section
subject: Conductive Hearing Loss
  topic: keywords
subject: High Resolution Computed Tomography
  topic: keywords
subject: Otosclerosis
  topic: keywords
subject: Tympanometry
  topic: keywords
subject: stapes fixation
  topic: keywords
creator: Siddharth Manoj
creator: Advait Bhuran
creator: Rashmi Hansdah
creator: Vidhu Sharma
creator: Sarbesh Tiwari
creator: Kapil Soni
creator: Amit Goyal
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-001

The Wandering Obstruction: A Case of Migratory Foreign Body in the Pediatric Airway
type: item
description: Introduction Foreign body aspiration in children is a common yet potentially fatal event, particularly in those under three years of age. Due to their natural tendency to explore objects orally, infants and toddlers are at an increased risk of airway obstruction. This report highlights a case of a migratory foreign body in the bronchus, emphasizing the diagnostic and management challenges encountered. Case Report A 1-year-old male presented with cough and respiratory distress persisting for three days. Despite initial treatment with antibiotics and oxygen support at an outside hospital, his condition did not improve. Although no clear history of foreign body aspiration was given, further questioning revealed a prior choking episode. Clinical examination suggested left bronchial obstruction, but HRCT thorax unexpectedly showed an isodense foreign body in the right main bronchus. Intraoperatively, rigid bronchoscopy revealed a large, smooth-surfaced Sitaphal seed lodged in the left main bronchus, indicating migration. Successful removal was achieved despite the retrieval challenges, and the child recovered well postoperatively. Conclusion This case underscores the importance of maintaining a high index of suspicion for foreign body aspiration in children with unexplained respiratory distress. Migratory airway foreign bodies can lead to dynamic clinical and radiological findings, necessitating careful preoperative assessment and intraoperative preparedness. Rigid bronchoscopy remains the gold standard for both diagnosis and management.
subject: Articles
  topic: section
subject: bronchoscopy
  topic: keywords
subject: foreign body aspiration
  topic: keywords
subject: airway foreign body
  topic: keywords
creator: Nithin Prakasan Nair
creator: Joel Alex Sunny
creator: Sivaraman Ganesan
creator: Sunitha Vellathussery Chakkalakkoombil
creator: Mohan V K
creator: Tamil Selvan
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-004

Etiological distribution of vertigo in Otorhinolaryngology Outpatient Department in a tertiary care center: An observational study in North Eastern Indian population
type: item
description: Abstract: Objective: To study the various etiologies of vertigo in the patient population presenting to Otolaryngology Outpatient Department in a tertiary center in North Eastern India. Materials and Methods: Our current study included 213 participants who presented to the ENT Outpatient Department with complaints of giddiness or vertigo during the period from April 2024 to December 2024. Required clinical data was collected by verification of medical records maintained in the vertigo clinic. And etiologic distribution for vertigo was studied. Results: Of the 213 patients studied,62.79% were females and 37.21% were males. And the median age range of the population was 45-60 years. The etiologies for vertigo prevalent in the study population were: Benign Paroxysmal Positional Vertigo (BPPV) (34.74%) Vestibular Migraine (26.29%), Meniere’s Disease (18.3%), Central vertigo (5.16%), Labyrinthitis (3.38%), Vestibular Neuronitis (2.81%) and a spectrum of other rare etiologies. Few cardiovascular and functional causes of giddiness were also identified. Conclusion: BPPV involving the posterior semicircular canal is the most common etiology of vertigo in the study population. Vestibular Migraine and Meniere’s Disease respectively represented the second and third common etiologies. Few rare peripheral vestibular, neurological and cardiovascular causes were also identified. Key words: Vertigo, giddiness, Vertigo clinic, BPPV, Etiology
subject: Articles
  topic: section
creator: Jijitha Lakshmanan
creator: Hanifa Akhtar
creator: N.Brian Shunyu
creator: Ruuzeno Kuotsu
creator: Aswathi K V
creator: Nisha Kumari
rights: Copyright (c) 2026 Journal of Otolaryngology and Head & Neck Surgery https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-16
publication date: 2026-06-16
doi: 10.66243/Krishers-AJOHNS-003