Publications by authors named "Brajendra Baser"

9 Publications

  • Page 1 of 1

Non-surgical Rhinoplasty and Use of Hyaluronic Acid Based Dermal Filler-User Experience in Few Subjects.

Indian J Otolaryngol Head Neck Surg 2021 Mar 3;73(1):52-58. Epub 2020 Sep 3.

Sri Aurobindo Institute of Medical Sciences (SAIMS), Indore, India.

This study was intended to assess the utility of hyaluronic acid dermal fillers in patients who do not wish surgery in addition to the patients with minor post-surgery asymmetries. This was a prospective study which included post-surgery patients for minor nasal asymmetries, patients unwilling for surgery and those waiting for revision surgery. It is of great use in candidates who do not wish surgery but had the desire for different nasal appearance especially for important life events like marriage etc. This study included 20 patients with follow up period of 18 months. The results were compared on Nasal Imperfection Scale and Rhinoplasty Outcome Evaluation along with pre and post injection photographs. Nasal Imperfection Scale difference of 5 and Rhinoplasty Outcome Evaluation Scale differential of 50 is considered to be significant, which was observed in all individual cases. The growing need of medical rhinoplasty by the patient as well as surgeons has led to the introduction of fillers. Hyaluronic acid fillers are safe, easy and effective dermal fillers for patients undergoing all the expected indications of medical rhinoplasty. There is also growing number of candidates who wish for a 'nose job' for desired changes without coming under surgeon's scalpel. Our clinical experience with 20 patients has been described with satisfactory results.
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http://dx.doi.org/10.1007/s12070-020-02100-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7881997PMC
March 2021

A Study to Determine Various Factors Influencing Auditory Outcomes in Paediatric Cochlear Implantation.

Indian J Otolaryngol Head Neck Surg 2020 Dec 15;72(4):453-456. Epub 2020 Jun 15.

Department of ENT and HNS, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh India.

To evaluate various factors that affects the auditory outcomes in pediatric patients with bilateral profound sensorineural hearing loss who underwent unilateral cochlear implantation. 50 prelingually deaf pediatric patients aged between 1 and 6 years with bilateral profound sensorineural hearing loss who underwent unilateral cochlear implantation between January 2016 and June 2018 at our tertiary centre were included in this study. Auditory performance was measured using revised categories of auditory performance score at 1 year post cochlear implantation. A Statistical analysis of several factors was performed to reveal any significant relation with outcomes of cochlear implantation. The results of the study showed that patients with younger age at implantation, patient who used hearing aid prior to surgery and patients with normal cochlear morphology had better auditory outcomes post cochlear implantation than their counter group and are the factors which have positive effect on the cochlear implantation outcomes, whereas factors which did not showed any significant relation with the auditory outcomes of cochlear implantation are gender, consanguinity and birth hypoxia. Age at implantation, use of hearing aid prior to surgery and cochlear morphology are the factors with direct impact on the outcomes of cochlear implant.
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http://dx.doi.org/10.1007/s12070-020-01900-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7544777PMC
December 2020

Ultrasonic Wave Bone Cutting Technique (Piezotome) in Cochlear Implant Surgery by Veria Technique.

Indian J Otolaryngol Head Neck Surg 2020 Mar 28;72(1):66-69. Epub 2019 Sep 28.

ENT Department, Sri Aurobindo Medical College and PG Institute, MR-10, Indore, MP 452001 India.

To study use of ultrasonic wave bone cutting technique (piezotome) in cochlear implant surgery by veria technique. The Piezoelectric device is a bone cutting tool that transmits ultrasonic high frequency vibrations through a metallic tip to selectively cut bone while sparing the surrounding soft tissues. We have used the piezo tools instead of the perforator in over 50 cases of Cochlear Implant by the non mastoidectomy Veria technique [which uses a specially designed hand piece perforator with a guide (Kiratzidisa et al. in ORL J Otorhinolaryngol Relat Spec 64:413-416, 2002)]. These tools are helpful in: straightening the posterior bony canal wall, making the well for Implant bed, making space for excess electrodes and removing bone tissue close to dura without risk of injury to dura. Though use of Piezo tools in various otologic surgeries has been described but we feel the piezo tools will be an important tool in a CI surgeon's armament.
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http://dx.doi.org/10.1007/s12070-019-01741-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040105PMC
March 2020

The Role of Extracorporeal Septoplasty in Severely Deviated Nasal Septum.

Indian J Otolaryngol Head Neck Surg 2019 Jun 28;71(2):271-277. Epub 2017 Nov 28.

Department of Otorhinolaryngology, Head and Neck Surgery, Sri Aurobindo Medical College and Post Graduate Institute, NH3 Manorama Ganj, Indore, MP 452 001 India.

Extracorporeal septoplasty is a valuable tool in the armamentarium of the nasal surgeon for the reconstruction of the severely deviated septum. Extracorporeal septoplasty offers the surgeon the opportunity to correct the septum under direct visualization, shape the nasal vault and address the nasal dorsum with the ultimate goal of providing both form and function for the patient with a complex septal deviation. The study was conducted with the aim to measure the outcomes of extracorporeal septoplasty in severely deviated nasal septum, relief of symptoms (nasal obstruction), surgical complications, if any, revision, if any with objective to evaluate the functional outcome and aesthetic aspects of extracorporeal septoplasty. This was a prospective observational study of 35 patients with severe deviated nasal septum with or without external deformity of nose attending the ENT OPD between Jan 2015 and Jan 2016 at Sri Aurobindo Medical College and Post Graduate Institute, Indore (M.P.). In this study, 17 patients (48.57%) shows excellent improvement on VAS scale, out of which 13 patients shows excellent improvement and 4 patients shows good improvement on photographic assessment. 11 patients (31.43%) show good improvement on VAS as well as photographic assessment and 7 patients (20%) show moderate improvement on VAS scale and fair improvement on photographic assessment. Extracorporeal septal reconstruction is an important surgical option for the correction of the markedly deviated nasal septum. Fixation of the straightened and replanted septum at the nasal spine and dorsal septum border with the upper lateral cartilages is essential. Spreader grafts for stabilization of the internal nasal valve and dorsal onlay grafts to prevent dorsal irregularity are strongly encouraged.
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http://dx.doi.org/10.1007/s12070-017-1237-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6582003PMC
June 2019

Papillary carcinoma of thyroid with an unusual presentation.

Indian J Otolaryngol Head Neck Surg 2015 Mar 18;67(Suppl 1):145-8. Epub 2014 Jul 18.

Department of ENT, SAIMS Medical College, Indore, Madhya Pradesh India.

Papillary thyroid carcinoma is well known for its low malignant potential and good prognosis. The outcome can be fatal in patients with low compliance and delayed treatment. Recent advances in ultrasonographic screening and US guided fine needle aspiration biopsy has facilitated early diagnosis of papillary thyroid carcinomas. This epithelial thyroid tumour accounts for more than 80 % of all thyroid tumours. An occult primary carcinoma of thyroid presenting as lymphangioma has been reported rarely. We present a case of a 40-year-old female patient with huge cystic midline swelling on the right side of the neck mimicking lymphangioma on USG. MRI neck showed a cystic mass causing displacement of the trachea and arising from Rt lobe of thyroid gland. Hemithyroidectomy was carried out and histopathology revealed papillary carcinoma. In patients with neck swellings presenting as huge cystic mass the differential diagnosis of Intra cystic variant of papillary carcinoma thyroid and metastatic thyroid papillary carcinoma must always be considered prior to planning surgery.
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http://dx.doi.org/10.1007/s12070-014-0746-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4298624PMC
March 2015

Giant odontogenic fibroma of maxilla.

Ann Maxillofac Surg 2014 Jul-Dec;4(2):211-4

Department of ENT, SAMC and PG Institute, Indore, Madhya Pradesh, India.

Odontogenic fibroma is a benign ectomesenchymal tumor classified as central and peripheral on the basis of its location and as an epithelium rich or epithelium poor based on its histological features. Radiological findings consist of radiolucent areas with well-defined bony margins. The lesion is detected early because of its location and usually treated with surgical excision and curettage. We present a case of giant odontogenic fibroma of right maxilla presenting as gross facial deformity and posing a dual challenge of excising the tumor mass and reconstructing the ensuing defect.
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http://dx.doi.org/10.4103/2231-0746.147148DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4293849PMC
January 2015

Diced cartilage: an effective graft for post-traumatic and revision rhinoplasty.

Indian J Otolaryngol Head Neck Surg 2013 Aug 25;65(Suppl 2):356-9. Epub 2012 Feb 25.

Department of E.N.T, SAIMS Medical College, Indor-Ujjain State Highway, Bhanwarsala, Sanwer Road, Indore, India.

Rhinoplasty has grown and developed over so many years but the choice of the graft material in revision rhinoplasty and rhinoplasty for post-traumatic cases still remains debatable. In such patients, non-availability of adequate autogenous graft, multiple septal fractures and skin fibrosis are a challenge to the rhinologist. To deal with this problem authors have used diced cartilage pieces as a grafting material. Secondary rhinoplasty for correction of the nasal dorsum was done in 32 patients and evaluated. The study, highlights the distinct advantages of using diced cartilage wrapped in fascia for dorsal augmentation. Full length grafts were used in all patients and this was supported on a L-shaped cartilage fixed between the two upper lateral cartilage. Fascial tube was prepared from fascia lata and conchal, rib or septal cartilage was the source of diced cartilage (0.5-1 mm sized pieces). The L-shaped structural support was prepared from the remnant of septal cartilage if any or from the conchal or rib cartilage. Patients were followed for a period of 6 months-3 years. In 30 patients post-op course was uneventful with good reconstruction results. Step-deformity was encountered in one patient and in another patient the tube opened with extrusion of diced cartilage pieces. Both these patients were effectively managed. In conclusion, diced cartilage wrapped in fascial tube has distinct advantages like it is simpler procedure and graft material is adequate and autogenous. Grafts can be prepared as per the desired length, shape and size to fit the specific defect. These being highly malleable can be used without any tension on the already thickened and fibrosed skin and soft tissue. Complications like step deformity and extrusion rarely occur and can be easily managed. Over correction and graft visibility were not met with.
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http://dx.doi.org/10.1007/s12070-012-0525-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3738811PMC
August 2013

Endoscopic Approach to Fisch Stage II to III-b Juvenile Nasopharyngeal Angiofibroma.

Indian J Otolaryngol Head Neck Surg 2011 Jan 13;63(1):1-4. Epub 2011 Jan 13.

SAIMS Medical College, Indore-Ujjain State Highway, Bhanwarsala, Sanwer, Indore, India.

Juvenile nasopharyngeal angiofibroma (JNA) are locally growing highly vascular tumours treated primarily by surgical excision (open approach as wide as a mid facial degloving or endoscopic approach). All our patients underwent exclusive endoscopic tumour excision after a pre-operative embolisation. The tumours were completely resected with acceptable blood loss and no recurrences or residual masses were seen. Post-operative morbidity was minimal without external scar-marks. To conclude endoscopic excision is a very effective method to resect JNA even for extensive tumours.
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http://dx.doi.org/10.1007/s12070-010-0061-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3109955PMC
January 2011

Aesthetic rhinoplasty: Changing trends.

Indian J Otolaryngol Head Neck Surg 2003 Mar;55(1):1-3

Director ENT & Facial plastic surgery center, 109 Trade House South Tukoganj, Indore, 452001 India.

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http://dx.doi.org/10.1007/BF02968743DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3450947PMC
March 2003