Lpr management duration

Thanks

Current medical management of BPPV.

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1) How to manage allergic rhinitis during pregnancy and lactation?
2) Risk of prolong antihistamines and steroidal nasal sprays?

Nil

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Allergic rhinitis

How long after Covid infection can a patient be taken up for Mucormycosis surgery safely? CT thorax picture continues to reflect active lung infection status for a considerable time.

Role of Nasal Irrigation as prophylaxis

Cost of the 3 D printed implant for bilateral maxilla . Its functional aspect in elderly versus young

If we have removed one side zygoma ? How ll be the reconstruction sir!!!

2 Qs for panelists...
1. Panelists observations regarding higher rates of occurrence of mucormycosis in patients who remain admitted in ICU than in patients of non ICU, at home & qmake shift hospitals, despite being immune compromised.
2. Secondly during this covid period, we learnt that our doctors and scientists are much more efficient, still why we compare our observations with international data. Although in foreign countries too Indian scientsts are putting their best
Thanks

I slightly disagree. Exenteration is a bit drastic for this case.
Also one should be careful about mixed Aspergillus and Mucor infections. I would like to give Liposomal Amphotericin.
In my personal series I have done retrobulbar clearance of necrotic tissue with good results. Vision wont improve obviously but its worthwhile to leave the orbit

No Not Questions

Sir role of post-op amphotericin nasal douching??

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Okay

To declare Mucor free.
1.how many times the KOH mount or HPE should come Negative.
2.Is the MRI shows no new lesions?
3.How long we need to continue I.V Ampho B after declared negative?

What is the percentage of patients who have developed recurrence of the disease after completing amphotericin n posaconazole treatment after a good clearance surgically?? If expected when?

In this patient (No 2) the lower lid was affected but often the eyelid itself is spared - the orbital clearance need not be like for malignancy . I have been quite happy with leaving the lid on

How many of us could se combined aspergillus and mucor co existing In aprrox what percentage

Can posoconazole be used as mainstay and sole treatment….

My experience starts from floor of maxilla Denkers must However if roof shows involvement one has to get agressive Expert panels view How often do you call for cavity cleaning

I have a theory about this being similar to skull base osteomyelitis - like in Malignant Otitis Externa , response is titrated with ESR / CRP . Sometimes it may just be impossible to say if the osteomyelitis was bacterial / fungal, so best to treat both even if an overkill

which antibiotics best as prophylaxis

Any role of Itraconazole

Before this sudden spike of Mucormycosis , I have seen similar picture with Necrotizing Gingivostomatitis where it was an Anerobic infection which would respond to appropriate cover. But in this setting we have seen Mucor which shows up later if not sooner.

how many days on amphoterin sir

We had a patient with only involvement of anterior part of left sphenoid only after covid should we explore it?

Ok

Hi, Good Evening

Hi Good Evening

No question.

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Mucormycosis

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Is there a need of post surgical MRI and ideal time for doing ?

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indications for orbital exenteration in mucormycosis

which form of amphotericin B is ideal and doses in mucormycosis.
medical management protocol in mucormycosis

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Does it affect our auditory system that leads to hearing problem in anyway

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How I loose weight in 1week

Handling Murcomycosis patients.

Handling Murcomycosis patients.

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Chest infection

Tonsilopharyngit

Pharyngitis topic

Ent problem

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Treating Thyroid Tumors

Treating Thyroid Tumors

Handling murcomycosis patients

Treatment of Thyroid Tumors

Treatment of facial paralysis

Treatment on facial paralysis

Hi

Handling Murcomycosis patients.

Handling Murcomycosis patients.

Handling Murcomycosis patients.

Handling Murcomycosis patients.

Treatment on facial paralysis

Treating Thyroid tumors

Handling Murcomycosis patients.

Treatment on facial paralysis.

High doses of Amoxicillin

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Prsp updated

High doses Amoxicillin details

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Recurrent aom updated

New updates

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Handling Murcomycosis patients.

Treatment on facial paralysis.

Treating Thyroid tumors

Handling Murcomycosis patients.

Handling Murcomycosis patients.

Treatment on facial paralysis.

will it be live

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Treatment on facial paralysis

Treatment on facial paralysis

When to treat Laryngomalacia

Thanks

Upto what level surgical clearance should be done in case of early disease

Facial paralysis

About Thyroid tumors

Handling murcomycosis patients

No question

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No Qurstion

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hi

What is the basic set up required for doing a mucor case in private clinic

Hai sir

Kindly update mucormycosis

No question

No question

No question

Kalyani

No

Xtdtd

Q

About GAB seveiar cause s

Hai sir about latest diseases

Wt about GAB seveiar cause s

Hai sir

In GAB CEFTUM 500mg preparable or not

Nil

Hi

No question

No

Outcome mainly depends on availability of Ampho B, whether u do good surgery or u don't! What does panel feel?

It had been seen that Mucor cases had thrombosis in the vessels supplying in that area. Do you think the thrombosis was caused by the covid and secondary mucor infection set in. Or the thrombosis was caused by the mucor?

Sir , is their any usefulness in ozone dialysis or oxygen ( chamber) therapy as adjuvant treatment modalities in mucormycosis patient ?

Sir ,the survival rate of non covid maxillectomy Vs covid (mucormycosis )maxillectomy , is there any statistical difference ??

we have had a few cases presenting with facial paralysis....what special emphasis or difference in managing these patients

facial nerve LMN involvement may be because of involvement of chorda tympani involvement at pterygopalatine fossa

Lateral anthology can be used to avoid compartment syndrome
Dr janakiram report

Optic Neuritis/Orbital apex syndrome/ Cavernous sinus involvement- Exenteration--when sirs

How many insist on coablation use
In infratemporal fossa how many have tried canfields technique to clear maxillary sinus and denkers and installation of amphotersin b in orbit
Amply is now availed a preparation of amphoterecin

Sublabial --intra oral approaches--equal to Modified Denkers

Amphotericin ointment in the post op sites

Surgery as per involvement, zone wise to prevent Natural barriers or do you open all sinuses & open lamina to look for involvement & for Endoscopic follow up post op. ?

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Is LMN facial palsy without any skull base involvement possible and what may be the reason

Will the panel consider revision debridement mandatory for every Mucor patient? If yes, after what interval is a revision surgery preferable?

Any problem in switching between DAmB and LAmB as an when is the later is available

If no MRI Available but clinically features of Mucor, will you go with surgery based on CT & clinical findings or wait for MRI

Role of Beta D Glucan and Glactomann assay as a fungal marker in cases doubt when negative KOH and negative frozen section?
EPOS guidelines mentions it has a high negative predictive value..

What is the opinion of the panel?

Mam is it possible any artificial lung or any supporting device like pacemaker??

both can be complimenting each other

Why there is male predominance in d CAM cases ?!

put all case aspirinfor two months along with blood sugar control

Those patients who have had fess or sinusitis for long before covid
Cat scan and mri shows mild thickening of mucosa no black escar on endoscopy is nose will you operate again for suspected mucormycosis

Why is there more affliction to palate/maxilla?

What is the role of steam inhalation in CAM

Is there any difference in home treated patient without ventilation or etc vs those from hospital

In the first wave of COVID steroids were given why the incidence of mucormycosis is higher in Second wave people are developing mucormycosis without using steroids and diabetes how do you explain

Delta variant is definitely the cause and immune suppression with associated indiscriminate use of steroids in pts with no respiratory symptoms is a leading cause.

Doses, administration of AmphotericinB in Mucormycosis

In cerebral involvement of mucormycosis what is the role of surgery and how it is done.

Thank you sir for wonderful lecture

Good evening to all the Panel members
Based on experience of Panel members
1. What percentage of patient could not be taken up for surgical debridement and the reasons? And what was the mortality in this group of patients?
2. What percent of patient had multiorgan invol by mucourmycosis? What evalution protocol is followed to rule out other organ involvement? What was the outcome in this group?

How many debridements on an average in Mucor case are needed as per your experience

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Sir greetings from Kathmandu!
It has been said that besides prolonged use of steroid and uncontrolled blood sugar Indian varient of Corona has been attributed high number of mucormycosis in the second wave in our subcontinent. Kindly provide your expert opinion.

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Whether Vaccination is related to increase in mucor cases

How can Covid impact ABRs?

Any indication of local Amphoteracin B

Not now

How many days after we can do Diagnostic Nasal Endoscopy in covid infected person?

Gsk

?

No questions

Role of ophthalmologist in mucor

When to go for debridement in suspected case of rhino-orbito-cerebral mucormycosis

No question

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?

??

Amphoterecine b proper dose in post covid mucor

Kk

What is reason for recurrent of AOM

No question ar present.

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Causes of earache

Heaviness and pain in middle ear ? Diagnosis

Na

Register

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Post covid mucormycosis

Pls suggest black fungus indication

Post covid ENT practice

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NA

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No

No question

Please

F

Ok

Ok

NOTHING

J

7

Hh

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Let us know the update on virus mutation in pandemic

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Is there any transmission risk from person to person while operating?

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Is blackfungus common in only postcovid condition or in general.

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