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Gupta DP, Gupta S, Shreevidya SR. Endoscopic Modified Denker's Approach for the Treatment of Juvenile Nasopharyngeal Angiofibroma. Indian J Otolaryngol Head Neck Surg 2022; 74:921-928. [PMID: 36452834 PMCID: PMC9702475 DOI: 10.1007/s12070-020-01984-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Accepted: 07/16/2020] [Indexed: 10/23/2022] Open
Abstract
Juvenile nasopharyngeal angiofibroma is a benign vascular lesion with propensity of bony erosion leading to skull base involvement and intracranial extension. It involves multiple compartments which are difficult to access surgically. With surgical expertise endoscopic resection of angiofibroma has become the preferred choice of surgical management. This article presents our experience with endoscopic approach for angiofibroma and establishes the modified Denker's procedure as a effective approach for removal of tumor. A prospective case study was done on 25 cases of juvenile nasopharyngeal angiofibroma treated surgically by endonasal endoscopic modified Denker's approach in the department of ENT at BJ Medical College, Ahmedabad over a period of 4 years from January 2015 to January 2019. This technique was used up to Fisch stage 3b with extension up to infratemporal fossa. Using this technique no major recurrence or major morbidity was observed and did not produce any late serious complications. The endoscopic technique allows the surgeon to achieve an extensive exposure of the sinuses and control of the sphenopalatine and internal maxillary arteries without the risk of palatal dysfunction, oronasal fistula, or facial scarring. In addition, the modified Denkers approach can be an effective and less mutilating technique in managing recurrences.
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Affiliation(s)
- Devang P. Gupta
- Department of E.N.T, BJ Medical College, Civil Hospital, Ahmedabad, Gujarat India
| | - Shalu Gupta
- Department of E.N.T, BJ Medical College, Civil Hospital, Ahmedabad, Gujarat India
| | - S. R. Shreevidya
- Department of E.N.T, BJ Medical College, Civil Hospital, Ahmedabad, Gujarat India
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Gupta DP, Gupta S, Shah CK, Sreevidya SR. Clinical Study of Surge of Mucormycosis in COVID-19 Pandemic: A Tertiary Care Center Study. Indian J Otolaryngol Head Neck Surg 2021; 74:3455-3462. [PMID: 34367936 PMCID: PMC8335711 DOI: 10.1007/s12070-021-02784-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2021] [Accepted: 07/25/2021] [Indexed: 12/15/2022] Open
Abstract
The aim of this study is to evaluate the prevalence, pathogenesis and management of mucormycosis in post covid 19 patients in our tertiary care covid dedicated hospital. A prospective cross sectional study was done in 70 patients who were admitted in the covid department of BJ Medical College, Civil hospital Ahmedabad and presented with mucormycosis during admission or after discharge over a period of 10 months from March 2020 to December 2020. Middle aged to elderly population were found to be most commonly affected with mucormycosis. It was found that majority of the affected population was uncontrolled diabeteic and had a delayed presentation to hospital due to ongoing covid pandemic crisis. Covid infection had major effect on the hormonal balance of the body as evident from the uncontrolled blood glucose levels of affected patients. In patients with mucormycosis, early detection, surgical debridement, suitable antifungal therapy, and control of risk factors like diabetes mellitus are the main parameters of successful management of this lethal infection. Early diagnosis and treatment of mucormycosis can be life saving as it is a rapidly progressing disease and have been proven fatal.
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Affiliation(s)
- Devang P Gupta
- Department of E.N.T, BJ Medical College, Civil hospital, Ahmedabad, Gujarat India
| | - Shalu Gupta
- Department of E.N.T, BJ Medical College, Civil hospital, Ahmedabad, Gujarat India
| | - Chaitry K Shah
- Department of E.N.T, BJ Medical College, Civil hospital, Ahmedabad, Gujarat India
| | - S R Sreevidya
- Department of E.N.T, BJ Medical College, Civil hospital, Ahmedabad, Gujarat India
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Baghel SS, Singhal P, Verma N, Sehra R, Yadav R, Agarwal S, Sharma MP, Gupta DP. Is thyroid excision mandatory with laryngectomy in carcinoma larynx? BMC Cancer 2020; 20:700. [PMID: 32723304 PMCID: PMC7389649 DOI: 10.1186/s12885-020-07205-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2020] [Accepted: 07/22/2020] [Indexed: 11/30/2022] Open
Abstract
Background Advanced stage operable cancers of larynx are treated with total laryngectomy including thyroid resection in most of the cases, which may expose patient to hypothyroidism and hypoparathyroidism. The requirement of thyroidectomy during Total Laryngectomy is controversial. Methods A cross sectional observational study was set out to review preoperative clinical and radiological assessment; intraoperative and histopathological findings; and follow-up data to predict thyroid gland invasion in the setting of squamous cell carcinoma of the Larynx. Results 11 (16%) out of 69 patients had thyroid gland involvement on histopathological examination with mean age 63 years. Out of these 11 cases, 8 (72%) underwent primary total laryngectomy. 90% patients with thyroid gland involvement were male. 9 cases with thyroid gland involvement were staged as T4a preoperatively. Conclusion Invasion of thyroid gland by laryngeal cancer is uncommon. Unnecessary hemithyroidectomies lead to hypothyroidism and hypoparathyroidism. The study points out the clear indications of thyroid excision in patients undergoing total laryngectomy. We can suggest that total thyroidectomy should be done with total laryngectomy in cases which have gross clinical, radiological or intraoperative thyroid gland involvement, subglottic extension and thyroid cartilage invasion. This can save the patients from the brunt of unnecessary morbid hypothyroidism and hypoparathyroidism.
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Affiliation(s)
- Surendra Singh Baghel
- Department of Neuro-otology, Sanjay Gandhi Post Graduate Institute, Lucknow, Uttar Pradesh, India
| | - Pawan Singhal
- Department of ENT, SMS Medical College, Jaipur, 302004, Rajasthan, India.
| | - Namita Verma
- Department of ENT, SMS Medical College, Jaipur, 302004, Rajasthan, India
| | - Ritu Sehra
- Department of ENT, SMS Medical College, Jaipur, 302004, Rajasthan, India
| | - Rajeev Yadav
- Department of Preventive and Social Medicine, Department of Otorhinolaryngology, SMS Medical College, Jaipur, Rajasthan, India
| | - Sunita Agarwal
- Department of ENT, SMS Medical College, Jaipur, 302004, Rajasthan, India
| | - Man Prakash Sharma
- Department of ENT, SMS Medical College, Jaipur, 302004, Rajasthan, India
| | - D P Gupta
- Department of ENT, SMS Medical College, Jaipur, 302004, Rajasthan, India
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Gupta DP, Chowdhury R, Sarkar S. Prevalence of dental caries in handicapped children of Calcutta. J Indian Soc Pedod Prev Dent 1993; 11:23-7. [PMID: 8040696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
A total of 1042, 3-14-year-old children with different types of handicapping conditions when recorded for dental caries using WHO 1987 caries recording index revealed that dental caries experience was higher in handicapped children than normal children. The prevalence of dental caries was highest in mentally retarded children followed by cerebral palsied, blind, epileptic, physically handicapped, children with Down's syndrome and deaf and dumb. Higher deft+DMFT was recorded in mandibular teeth compared to maxillary teeth.
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Affiliation(s)
- D P Gupta
- Dept. of Pedodontics & Preventive Dentistry, Dr. R. Ahmed Dental College & Hospital, Calcutta, India
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Chadda S, Solanki RL, Chadda VS, Arora HL, Jain NC, Gupta DP, Purohit M. Orcein positive, non-HBs material in hepatocytes in Indian childhood cirrhosis. Indian Pediatr 1982; 19:987-90. [PMID: 7160899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Chadda S, Arora HL, Solanki RL, Chadda VS, Gupta DP, Jain NC. Demonstration of HBsAg in conventional paraffin sections by orcein staining in various liver disorders. J Assoc Physicians India 1982; 30:25-7. [PMID: 6188740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Solanki RL, Ramdeo IN, Gupta DP, Vijay G. Benign glandular inclusions in para-aortic lymphnodes. Indian J Cancer 1981; 18:43-6. [PMID: 7262905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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Solanki RL, Ramdeo IN, Gupta DP, Mahawal BS. Primary tumours of renal pelvis. Indian J Cancer 1980; 17:230-6. [PMID: 7228106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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Tandon R, Gupta DP, Sharma U. Virilising arrhenoblastoma. J Indian Med Assoc 1980; 75:58-9. [PMID: 6260863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Mittal SR, Mallik NC, Mathur RN, Gupta DP. Percutaneous needle biopsy in histological diagnosis of chronic lung diseases. J Indian Med Assoc 1978; 71:250-4. [PMID: 756888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Sikka KC, Gupta AK, Singh R, Gupta DP. Comparative nutritive value, amino acid content, chemical composition, and digestibility in vitro of vegetable- and grain-type soybeans. J Agric Food Chem 1978; 26:312-6. [PMID: 564917 DOI: 10.1021/jf60216a039] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/16/2023]
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Mittal SR, Mallik NC, Gupta DP. Percutaneous needle biopsy of lung (new dimensions). J Indian Med Assoc 1976; 67:4-9. [PMID: 1018130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Goel SP, Jhala GS, Khatri BK, Gupta DP, Goel V. Squamous cell carcinoma of the renal pelvis. Indian J Cancer 1972; 9:184-5. [PMID: 4635912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Gupta KD, Agarwal RG, Gupta DP. Some Some physico-chemical changes in the abnormal euglobulin causing increased E.S.R. in cold. J Assoc Physicians India 1971; 19:315-8. [PMID: 5558817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Joshi KR, Gupta DP, Bharadwaj TP. Cytochemical study of leukocytes in health and disease with special reference to alkaline phosphatase. Indian J Pathol Bacteriol 1970; 13:73-8. [PMID: 5509864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Gupta DP, Sen NK. The genesis of a cancer cell. J Indian Med Assoc 1968; 51:618-21. [PMID: 4891622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Gupta DP, Sharma VN, Parmar NS. A study of the pattern of hepatic changes induced by stress in rats. Indian J Med Sci 1968; 22:164-9. [PMID: 5658505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Gupta DP. Experimental squamous cell carcinoma in mice. Indian J Cancer 1967; 4:237-46. [PMID: 6079008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Arora HL, Gupta DP. Geographic pathology of thyroid diseases in Rajasthan. J Indian Med Assoc 1967; 48:424-8. [PMID: 6046597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Joshi KR, Gupta DP. Evaluation of leucocytic Alkaline Phosphatase activity as a pregnancy test. Indian J Pathol Bacteriol 1967; 10:138-43. [PMID: 6041968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Gupta AS, Wanchoo SP, Gupta DP. Heterotopic pancreas. J Indian Med Assoc 1967; 48:277-8. [PMID: 6038535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Sharma VN, Gupta DP, Barar FS, Godhwani JL. The pattern of renal changes following stress: an experimental study in rats. Indian J Med Res 1966; 54:1108-14. [PMID: 5975540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023] Open
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Gupta DP, Narayanan G. Lingual thyroid. Indian J Med Sci 1966; 20:560-562. [PMID: 5974788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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Gupta DP, Bohra BM. Neonatal pyelonephritis. J Indian Med Assoc 1966; 46:447-8. [PMID: 5930338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Gupta DP, Sharma ML. Lipoma of uterus: a case report. Indian J Pathol Bacteriol 1966; 9:80-83. [PMID: 5905095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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