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Post-tonsillectomy outcomes in children with mucopolysaccharidosis and obstructive sleep apnea

To describe the incidence of respiratory complications, postoperative hemorrhage, length of stay, and cost of care in children with mucopolysaccharidosis (MPS) undergoing adenotonsillectomy (AT).

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Evaluation of the effectiveness of superficial parotidectomy and partial superficial parotidectomy for benign parotid tumours: a meta-analysis

To quantify the results of superficial parotidectomy (SP) and partial SP (PSP) for benign parotid tumours using a systematic evaluation method.

Early-onset juvenile nasopharyngeal angiofibroma (JNA): a systematic review

Juvenile Nasopharyngeal Angiofibroma (JNA) is a fibrovascular tumor of the nasopharynx that classically presents in adolescent males. The reported mean age of onset is between 13 and 22 years old [1–6]. Signif...

Experience in the management of sigmoid sinus thrombophlebitis secondary to middle ear cholesteatoma

To discuss the management of sigmoid sinus thrombophlebitis secondary to middle ear cholesteatoma.

Quantifying surgical completeness in patients with aspirin exacerbated respiratory disease

Aspirin exacerbated respiratory disease (AERD) in patients who have had sinus surgery remains a management challenge. Aspirin desensitization and biologics are additional treatment options. It remains unclear ...

Stable long-term outcomes after cochlear implantation in subjects with TMPRSS3 associated hearing loss: a retrospective multicentre study

The spiral ganglion hypothesis suggests that pathogenic variants in genes preferentially expressed in the spiral ganglion nerves (SGN), may lead to poor cochlear implant (CI) performance. It was long thought t...

Epidemiological, clinical and oncological outcomes of laryngeal verrucous carcinomas: a systematic review

To investigate epidemiological, clinical and oncological outcomes of patients with laryngeal verrucous carcinomas (LVC).

Role of topical antibiotic ointment in the lateral graft following underlay myringoplasty: a prospective randomised study

The objective of this study was to compare the graft outcome and postoperative infection of with and without the use of antibiotic ointment following myringoplasty for the treatment of chronic perforations.

The effects of doxorubicin loaded aptamer S3-linked DNA tetrahedrons on nasopharyngeal carcinoma

Our research group in the early stage identified CD109 as the target of aptamer S3 in nasopharyngeal carcinoma (NPC). This study was to use S3 to connect DNA tetrahedron (DT) and load doxorubicin (Dox) onto DT...

Redox homeostasis dysregulation in noise-induced hearing loss: oxidative stress and antioxidant treatment

Noise exposure is an important cause of acquired hearing loss. Studies have found that noise exposure causes dysregulated redox homeostasis in cochlear tissue, which has been recognized as a signature feature ...

Cross-cultural adaptation of the CRS-PRO questionnaire into French

Chronic rhinosinusitis (CRS), encompasses many different clinical patterns with variable response to treatment. Precise criteria specifying disease severity and control are lacking in the current literature. O...

Reply to: Letter to the Editor of Journal of Otolaryngology regarding “Risk of diabetes in patients with sleep apnea: comparison of surgery versus CPAP in a long-term follow-up study”

A recent Letter published, in the Journal of Otolaryngology—Head & Neck Surgery in response to our original article “Risk of diabetes in patients with sleep apnea: comparison of surgery versus Continous Positive ...

The original article was published in Journal of Otolaryngology - Head & Neck Surgery 2023 52 :61

The Original research article to this article has been published in Journal of Otolaryngology - Head & Neck Surgery 2023 52 :16

Platelet-to-lymphocyte ratio might predict the response to dupilumab treatment for patients with nasal polyposis

Dupilumab is a monoclonal antibody against interleukin 4 receptor alpha and has proven to be clinically effective in treating patients with chronic rhinosinusitis with nasal polyps (CRSwNP). However, a certain...

Effect of silver sulfadiazine on mature mixed bacterial biofilms on voice prostheses

Biofilm formation on voice prostheses disrupts the function and limits the lifespan of voice prostheses. There is still no effective clinical strategy for inhibiting or removing these biofilms. Silver sulfadia...

How standardised are antibiotic regimens in otologic surgery?

Within otologic surgery, a paucity of well-controlled studies assessing the use of systemic antibiotic to reduce surgical site infections exists. Moreover, discrepancies in wound classification of procedures c...

Endoscopic surgery versus intensity-modulated radiotherapy in locally advanced recurrent nasopharyngeal carcinoma: a multicenter, case-matched comparison

The management of locally advanced recurrent nasopharyngeal carcinoma (rNPC) is challenging. The objective of our study was to compare salvage endoscopic nasopharyngectomy (ENPG) with intensity-modulated radio...

The firstly visited department affects the acceptance of CPAP in patients with obstructive sleep apnea: a cohort study

Continuous positive airway pressure (CPAP) therapy is the first-line treatment for obstructive sleep apnea (OSA). However, the low acceptance rate of CPAP remains a challenging clinical issue. This study aimed...

Correction: The timing of drain removal in parotidectomies: outcomes of removal at 4 h post-operatively and a Canadian survey of practice patterns

The original article was published in Journal of Otolaryngology - Head & Neck Surgery 2023 52 :60

Wedge resection combined with 3D-printed polycaprolactone mesh for caudal septal deviation

Biocompatibility and stability of three-dimensional printed polycaprolactone mesh grafts for nasal surgery are proven in both animal and human models. However, their safety and durability as batten grafts for ...

Association between oropharyngeal ph-monitoring, pepsin saliva concentration and degree of apnea–hypopnea index of obstructive sleep apnea

To investigate the association between obstructive sleep apnea (OSA) and laryngopharyngeal reflux (LPR) through oropharyngeal pH-monitoring and pepsin saliva measurements.

A novel intraoperative continuous monitoring method combining dorsal cochlear nucleus action potentials monitoring with auditory nerve test system

Highly accurate real-time cochlear nerve monitoring to preserve cochlear nerve function is essential for simultaneous cochlear implantation and ipsilateral vestibular schwannoma resection. In the present study...

Variability and accuracy of multiple saliva pepsin measurements in laryngopharyngeal reflux patients

To study the variability and diagnostic value of multiple salivary pepsin measurements in the detection of laryngopharyngeal reflux (LPR).

Functional outcome following intracapsular resection of head and neck peripheral nerve sheath tumors: a retrospective cohort

Intracapsular resection of head and neck peripheral nerve sheath tumors (PNST) has emerged as a nerve-preserving technique compared to en bloc resection. The aim of this study was to evaluate and compare the func...

The argument against the use of dupilumab in patients with limited polyp burden in chronic rhinosinusitis with nasal polyposis (CRSwNP)

Dupilumab and other biologics have revolutionized the management of recalcitrant polyps in patients with chronic rhinosinusitis with nasal polyposis (CRSwNP). Despite strong evidence for the efficacy of dupilu...

Reconsidering routine admission for children under age 3 undergoing partial tonsillectomy: a prospective study

Partial Tonsillectomy (PT) is an alternative method to treat sleep disordered breathing (SDB) and/or obstructive sleep apnea (OSA). The current guidelines do not differentiate it from traditional tonsillectomy...

The accuracy of an Online Sequential Extreme Learning Machine in detecting voice pathology using the Malaysian Voice Pathology Database

A multidimensional voice quality assessment is recommended for all patients with dysphonia, which requires a patient visit to the otolaryngology clinic. The aim of this study was to determine the accuracy of a...

Letter to the Editor of Journal of Otolaryngology regarding “Risk of diabetes in patients with sleep apnea: comparison of surgery versus CPAP in a long-term follow-up study”

Obstructive sleep apnea (OSA) is associated with multiple chronic comorbidities with treatments including continuous positive airway pressure (CPAP), upper airway surgery (UAS), and hypoglossal nerve stimulati...

The original article was published in Journal of Otolaryngology - Head & Neck Surgery 2023 52 :16

The Letter to the Editor to this article has been published in Journal of Otolaryngology - Head & Neck Surgery 2023 52 :76

The timing of drain removal in parotidectomies: outcomes of removal at 4 h post-operatively and a Canadian survey of practice patterns

The post-operative management of parotidectomies is highly provider dependent. No guidelines are currently available for timing of parotid drain removal. This study aimed to assess: (1) outcomes and complicati...

The Correction to this article has been published in Journal of Otolaryngology - Head & Neck Surgery 2023 52 :70

Influence of age on voice quality after transoral CO 2 laser microsurgery

To study the post-operative evolution of voice quality of patients treated by transoral CO 2 laser microsurgery (TLM) according to the age.

Cuproptosis-related gene subtypes predict prognosis in patients with head and neck squamous cell carcinoma

Head and neck squamous cell carcinoma (HNSCC) is the sixth most common cancer worldwide. A novel form of copper-dependent and reactive oxygen species (ROS)-dependent cell death, cuproptosis, has been described...

Authorship diversity in otolaryngology: a 9-year analysis of articles published in Journal of Otolaryngology—Head and Neck Surgery

The “real life” efficacy of dupilumab is independent of initial polyp size and concomitant steroids in crswnp.

Dupilumab significantly improves symptom control in chronic rhinosinusitis with nasal polyps (CRSwNP). Patients with large polyps at the initiation of treatment (total polyp score (TPS) ≥ 5) have been the focu...

Unintended consequences of technology in competency-based education: a qualitative study of lessons learned in an OtoHNS program

Formative feedback and entrustment ratings on assessments of entrustable professional activities (EPAs) are intended to support learner self-regulation and inform entrustment decisions in competency-based medi...

Vestibular rehabilitation potential of commercially available virtual reality video games

Peripheral vestibular disorders affect 2.8–6.5% of people. Standard treatment is vestibular rehabilitation therapy, and virtual reality (VR) could improve outcomes. The objective of this study was to identify ...

Sialendoscopy approach in treating juvenile recurrent parotitis: a systematic review

Juvenile recurrent parotitis (JRP) is characterized by recurrent episodes of painful parotid swelling in children. The purpose of this systematic review was to determine the diagnostic and therapeutic effectiv...

Comparison of dislocation rates of Teflon and Titanium stapes prostheses: a retrospective survival analysis on 855 patients

Stapes prosthesis dislocation is the first cause of revision stapes surgery. To our knowledge, there is no data about stability of the incus attachment of manual crimped prosthesis of different materials. This...

Comparative analysis of diabetes risk in patients with obstructive sleep apnea undergoing different treatment approaches

The bidirectional relationship between obstructive sleep apnea (OSA) and diabetes mellitus (DM) has been explored in several studies. O’Connor-Reina et al., published a paper entitled: “Risk of diabetes in pat...

Remission: does it already exist in chronic rhinosinusitis with nasal polyposis?

Remission, defined as absence of symptoms and objective markers of disease, is emerging as the penultimate goal in the management of several chronic diseases. The concept of remission, well-established in Rheu...

Inflammatory biomarkers of neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios in 563 severe OSA patients before and after surgery

Evidence has proved that high neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) were risk factors for cardiovascular comorbidities. The alterations of NLR and PLR following obstructiv...

Prognostic factors in transnasal endoscopic surgery for paediatric patients with ossifying fibroma of the paranasal sinuses and skull base

Ossifying fibroma of the paranasal sinuses and skull base in paediatric patients is difficult to operate and can recur easily after surgery. This study aimed to analyse factors associated with recurrence after...

Effects of early local administration of high-dose bFGF on a recurrent laryngeal nerve injury model

Research on regenerative medicine using basic fibroblast growth factor (bFGF) has recently advanced in the field of laryngology. We previously reported that local administration of bFGF 1 month after recurrent...

Racial diversity amongst Otolaryngology-Head and Neck Surgery programs in Canada

The Canadian landscape of racial diversity in academic OHNS programs is currently unknown, as to date Canadian medical organizing bodies have refrained from collecting race-based data. However, new policy guid...

The experience of device failure after cochlear implantation

The present study describes the treatment of patients at a tertiary institution who experienced device failure after Cochlear Implantation (CI), as well as identifying prodromic symptoms that could assist in t...

Advanced mandibular reconstruction with fibular free flap and alloplastic TMJ prosthesis with digital planning

Resection of the mandible and temporomandibular joint (TMJ) without formal reconstruction is a devastating condition that negatively affects all aspects of the patient’s life. We have approached the reconstruc...

Endoscopic sinus surgery outcomes in patients with chronic rhinosinusitis and immunoglobulin deficiencies

Patients with chronic rhinosinusitis (CRS) and immunoglobulin deficiencies (ID) have more recalcitrant sinonasal disease and a subset of these patients undergo surgical management for their CRS. However, there...

Could the use of a new novel bipolar radiofrequency device (Aerin) improve nasal valve collapse? A systematic review and meta-analysis

Surgical treatment for nasal obstruction caused by nasal valve collapse requires a significant recovery period and risks of complications, while nasal dilators are uncomfortable. Recently, radiofrequency treat...

Kruppel-family zinc finger proteins as emerging epigenetic biomarkers in head and neck squamous cell carcinoma

Krüppel-type zinc finger protein genes located on chromosome 19q13 are aberrantly hypermethylated with high frequency in all anatomic sub-sites of head and neck cancers as well as other epithelial tumours resu...

Salvage transoral laser microsurgery for early local recurrence of glottic squamous cell cancer

For recurrent laryngeal cancer, the feasibility of salvage transoral laser microsurgery (TLM) remains controversial. This study compared the efficacy of TLM and open partial laryngectomy (OPL) for treatment of...

Canadian women in otolaryngology: head and neck surgery part 2—challenges in family planning, fertility, and lactation

Previous literature demonstrates that female surgeons face difficulties in family planning, meeting breastfeeding goals, leadership and advancement opportunities. These issues have received limited attention i...

Gender representation in leadership & research: a 13-year review of the Annual Canadian Society of Otolaryngology Meetings

The gender disparity in surgical disciplines, specifically in speakers across North American medical and surgical specialty conferences, has been highlighted in recent literature. Improving gender diversity at...

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Dissertations - ENT

Division for ear, nose and throat diseases over the years has been a very active in research with several doctoral students who have completed their doctoral thesis.

2023-11-24 Malin Siegbahn Growing up with one ear: central auditory structure and function in unilateral ear canal atresia

2023-06-09 Magnus Starkhammar Airway hyperresponsiveness and viral recognizing toll-like receptors

2023-03-31 Marlin Johansson Children with congenital unilateral sensorineural hearing loss: etiology, newborn diagnostics, and hearing aid amplification

2022-10-14 Allison Mackey Perspectives on screening strategies for early detection of childhood hearing impairment

2022-10-07 Eric Hjalmarsson Allergic rhinitis and intralymphatic vaccination: immune response and tolerance

2022-06-14 Malin Sellberg Students' and supervisors' experiences of supervision and training in clinical learning environment

2022-06-03 David Landin Clinical use of prognostic markers in head- and neck cancer

2021-11-11 Satu Turunen-Taheri Adult patients with severe-to-profound hearing impairment : a clinical, register-based, and interview study

2021-06-04 Malin Wendt Optimizing treatment: tumor markers and sclerotherapy in head and neck lesions

2021-05-07 Sofia Hultman Dennison Complications due to acute rhinosinusitis in children

2021 Elisabet Engström Neurophysiological conditions for hearing in children using hearing aids or cochlear implants: an intervention and follow-up study

2020 Joar Sundman Uvulopalatopharyngoplasty: patient selection, long- term outcomes, and side effects

2020 Martin Eklöf Effects of age and stimulation strategies on cochlear implantation and a clinically feasible method for sound localization latency

2020 Johan Fehrm Surgical treatment of obstructive sleep apnea: randomized controlled studies in children and adults

2020 Laila Hellkvist Intralymphatic immunotherapy in allergic rhinitis: Evaluating safety, efficacy and mechanisms

2020 Karin Jonstam A personalized approach to chronic rhinosinusitis with nasal polyps, based on biomarkers, phenotypes and new surgical thinking

2010 - 2019

2019 Sandra Ekstedt Neutrophil subsets in airway inflammation and hyperreactivity

2018 Andreas Kaiser Auditory Organotypic Cultures and Progenitor Cell Implantation

2018 Alexandra Elliot Inverted Papilloma and Sinonasal Malignancies in Sweden

2018 Åsa Kågedal Immune response and tumour cell detection in lymph nodes of head and neck cancer

2018 Luca Verrecchia Development of vestibular evoked myogenic potentials and audiometry for the clinical diagnosis of superior canal dehiscence syndrome

2017 Åsa Bonnard Hormonal effect on the inner ear: two endocrine syndromes

2017 Babak Alinasab Orbital blow out fracture. To operate or not to operate – that is the question

2017 Julia Arebro Innate Mechanisms in Upper Airway Inflammation with focus on Epithelium and Neutrophils

2017 Lotta Tengroth Nasal Epithelial Cells: Innate Immunity and Inflammation

2017 Anna Borgström Pediatric obstructive sleep apnea – evaluation of questionnaire and surgical treatment

2016 Henrik Smeds Cochlear Implantation: Experimental and Clinical Studies

2016 Louise Honeth Determinants of hearing impairment in Swedish hunters, an e-epidemiological approach

2016 Yuan Xu Nicotine and endotoxin in airway hyperreactivity and inflammation

2015 Filip Asp Bilateral Cochlear Implants in Children - Clinical and Methodological Studies

2015 Victoria Hellberg Pharmacokinetics and inner ear transport of cisplatin

2014 Marit Westman "Hay fever" in children - the real story

2014 Daniel Carlberg Genetic association studies in allergic rhinitis

2014 Lena Anmyr Life circumstances of children and adolescents after cochlear implantation

2014 Tatjana Tomanovic Persistent geotropic nystagmus : a different kind of cupula pathology

2014 Camilla Rydberg Millrud Pattern-recognition receptors and neutrophils in cancer inflammation

2013 Eva Karltorp Congenital CMV infection and connexin 26 mutations in childhood deafness: intervention with early cochlear implantation

2013 Nanna Browladh Upper airway surgery in obstructive sleep apnoea : descriptive, observational and randomised controlled studies

2013 Terese Hylander Novel potential targets for treatment of airway inflammation

2012 Elin Marsk Bell's palsy : study design, prognosis and quality-of-life

2012 Karin Lundkvist Pharyngeal surgery and epidemiology in sleep apnea

2012 Per Attner Clinical Implications of Human Papilloma Virus (HPV) in oropharyngeal cancer

2012 Bengt Svensson Restoration of scarred vocal folds with stem cell implantation: analyses in a xenograft model

2011 Ylva Tiblom Ehrsson Nutritional follow-up of patients with head and neck cancer

2011 Björn Palmgren Regeneration of the auditory nerve - a cell transplantation study

2011 Cecilia Engmér Berglin Local pharmacological treatment of inner ear disorders

2011 Anna-Karin Ekman Pattern-Recognition Receptors in Airway Inflammation

2010 Alexander Ahlberg Patients with head and neck cancer - aspects on treatment, complications and rehabilitation

2010 Michael Ryott Predictive and prognostic biomarkers in oral tongue squamous cell carcinoma

2010 Anna Granath Clinical and pathogenic aspects of otitis media

2000 - 2009

2009 Petter Olsson Prevalance of upper airway symptoms and aspects on treatment of nasal polyposis

2009 Christina Forshell Hederstierna Hearing in menopausal women and in women with Turner syndrome, a model for hearing matured in an estrogen-deficient environment

2009 Rusana Simonoska Sex steroid hormone receptors: Inner ear & hearing

2008 Pia Nerfeldt Weight reduction and alcohol abuse in sleep apnea patients

2008 Anders Ehnhage Nasal and bronchial testing as well as treatment of patients with airway hyperresponsiveness and inflammation focusing on the united airway concept

2008 Susanna Kumlien Georén Endogenous and exogenous glucocorticoid effects in a model of allergic airway inflammation.

2008 Lalle Hammarstedt Tonsillar cancer : Incidence, prevalence of HPV and survival

2007 Karin Toll Pregnancy rhinitis : Pathophysiological effects of oestrogen and treatment with oral decongestants

2005 Ion Tcacencu Regenerative medicine of the airway cartilage : A morphological and immunohistochemical study with focus on cricoid cartilage defects treated with BMP-2

2005 Caroline Gahm Nitric oxide in brain contusion

2004 Gert Henriksson Clinical, immunological and olfactory aspects of sinusitis and nasal polyposis: With special reference to patients with cystic

2004 Stig Rudblad Nasal mucosal reactivity after long-time exposure to building dampness

2004 Jörgen Palm Nasal airway nitric oxide : Methodological aspects and influence of inflammation

2004 Sushma Nordemar Methods for early diagnosis of head and neck cancer

2004 Ebba Hedén Blomqvist Evaluation of medical and/or surgical treatment of anosmia/hyposmia in association with inflammatory disease of the upper airway

2003 Andreas Ekborn Cisplatin induced ototoxicity : Pharmacokinetics, prediction and prevention

2003 Georgios Papatziamos Immunological studies of adenoids in children. Relation and atopy.

2002 Anne-Charlotte Hessén Söderman Morbidity in Menieres disease; aspects on quality of life and triggering factors.

2002 Christina Larsson Stiffness changes of the tympanic membrane in otitis media.

2002 Michael Lysdahl Rhonchopathy: Long-term clinical results after palatal surgery.

2001 Esma Idrizbegovic Calcium binding protein immunoreactivity in the central auditory system correlations with the auditory periphery. The effects of noise and aging in mice.

2001 Annika Elmqvist Stenberg Ear and hearing problems in Turner syndrome.

2000 Urban Knutsson Individual glucocorticoid sensitivity in the human.

2000 Erik Berninger Quinine as a model for the study of cochlear hearing loss in humans

2000 Karin Lindberg Nasopharynx and mucosa associated lymphatic tissue. Studies on mucosal immunity, nasopharyngeal colonization with non-encapsulated non-typable Haemophilus influenzae and local administration of immunoglobulin in the upper respiratory tract

2000 Hans Grudemo Rhinostereometry and laser doppler flowmetry. Simultaneous measurements of inflammation and steroid effects in normal and allergic human nasal mucosa

2000 Marie Forseni Flodin Inflammation mediators and immunocompetent cells in the middle ear with particular regards to otitis media and tympanosclerosis

1990 - 1999

1999 Karin Forsgren Mucosal regeneration following sinus surgery

1999 Anders Westermark On inferior alveolar nerve function after sagittal split osteotomy of the mandible.

1999 Anders Högmo Squamous cell carcinoma and preneoplastic lesions of the oral cavity. Biological factors and prognosis .

1998 Wanje Jäger Physiological aspects of cochlear excitation and neurotransmitter release abstract.

1998 Mats Lidegran Effects of drugs and irradiation on the laryngeal mucosa of the rat, with special reference to mast cells and neuropeptides.

1997 Karin Ågren Immune response in human tonsil tissue.

1997 Danielle Friberg Nerve lesions in pharynx - an aetiology of obstructive sleep apnoea.

1997 Tomas Norlander Effects of the inflammatory response and formation of polyps in the nasal and sinus mucosa

1997 Wiveka Westergren Ventilator-associated sinusitis.

1997 Jonas Karling Speech and velopharyngeal function in patients with hypernasality.

1994 Anders Samuelsson Non-capulated Haemophilus influenzae. Aspects of epidemiology and pathgenicity with special reference to recurrent respiratory tract infections.

1994 Joachim Forsgren Nasopharyngeal host-parasite interactions with special reference to non-encapsulated Haemophilus influnezae.

1994 Xi Zheng Studies on etiological factors in nasopharyngeal carcinoma.

1994 Magnus von Unge Mechanical properties of the tympanic membrane. An experimental study.

1994 Claes Hemlin Secretory otitis media. Bacteriology and immunology of the nasopharynx.

1994 Hans Hallén Nasal mucosa reactivity in healthy subjects, in patients with non-allergic nasal hyperreactivity and in patients with nasal polyps.

1994 Peter Graf Overuse of oxy- and xylometazoline nasal sprays. Chanfes in nasal mucosal swelling and histamine sensitivity in healthy subjects and in patients with rhinitis medicamentosa.

1993 Lars Lundblad Round window membrane permeability. An experimental study.

1993 Håkan Larsson Obstructive Sleep Apnea Syndrom. Aspects on evaluation, etiology and treatment.

1992 Karl Magnus Westrin The course of experimental sinusitis. Histological, microbiological and biochemical aspects.

1991 Göran Laurell Ototoxicity of the anticancer drug cisplatin. Clinical and experimental aspects.

1991 Per-Olle Haraldsson Rhonchopathy a treatable traffic hazard.

1991 Pär Stjärne Sensory and motor reflex control of nasal mucosal blood flow and secretion: Clinical implication s in non-allergic nasal hyperreactivity.

1990 Kjell K. Karlsson On quinine and hearing.

1980 - 1989

1989 Magnus Holst Elective cricothyroidotomy. Clinical and experimental studies on respiratory mechanics, complications and postoperative voice function.

1989 Mats Holmström Effects of formaldehyde and wood dust on the upper airways.

1989 Eva Munck-Wikland Cancer in esophagus. A clinical and experimental investigation of prognostic and diagnostic methods.

1988 Mats E. Nilsson The upper esophageal sphincter. A simultaneous cineradiographic and manometric study of healthy subjects and of patients with Zenker's diverticulum.

1988 Pontus Stierna Experimental and clinical studies of maxillary sinusitis. Energy metabolism, bacteriology and histology with special reference to acute pneumococcal sinusitis in rabbits.

1988 Olof Berg Etiological Diagnosis in sinusitis.

1988 Lars Fredelius Degeneration pattern in the guinea pig organ of corti after pure tone acoustic overstimulation.

1987 Sven Olof Wikström Microchemical and morphological characterization of inner ear development.

1986 Kajsa Tunér Studies on beta-lactamase producing anaerobic bacteria in recurrent tonsillitis and peritonsillitis.

1986 Gunnar Marklund Tonsillar Angina and Host Response During Infectious Mononucleosis

1985 Louise Widemar Membrane shrapnelli and its mast cells. A structural and biochemical study in the rat with special references to experimentally induced otitis media with effusion.

1985 Malou Hultcrantz Structure and function of the adult inner ear in the mouse following prenatal irradiation.

1984 Jan Kumlien Blood flow measurements in sinus and nasal mucosa. Methodological studies with special references to induced sinusitis in rabbits.

1984 Bo Wilhelmsson Effects of wood dust on the nasal mucosa. A clinical and experimental study.

1984 Lars Lundblad Protective reflexes and vascular effects in the nasal mucosa elicited by activation of capsaixin-sensitive substance P-immunoreactive trigeminal neurons.

1983 Anders Freijd The otitis-prone child. A clinical, immunological and bacteriological study.

1983 Aron Sobin Vestibular sensory cell pathology in a strain of the waltzing guinea pig. A morphological study on hereditary labyrinthine pathology.

1983 Stefan Engquist Granulocyte function in maxillary sinusitis.

1982 Britt Carlsson (Nordlander) On granulocyte protease and protease inhibitors i n otitis media.

1982 Hans Nordemar Differentiation of the inner ear structures in vivo and in vitro. An experimental study.

1981 Richard Kuylenstierna Cryosurgery if the mandible. An experimental study in rabbits.

1970 - 1979

1978 Britta Rynnel-Dagöö Adenoid tissue. Effect of adenoidextomy and in vitro immunological studies on adenoid lymphocytes.

1978 Matti Anniko Atoxyl induced pathological changes of the inner ear. A model system for the study if ototoxicity.

1977 Jan-Erik Juto Rhinostereometry

1977 Christer Carenfelt Maxillary sinusitis.

1977 Dan Bagger-Sjöbäck The basilar papilla of the lizard.

1974 Magnus Lind A symmetry detector method for gammaencephalography.

1974 Lennarat Mendel Vestibular recruitment.

1974 Anders Änggård Autonomic nervous control of blood circulation and secretion in the nasal mucosa.

ENT Emergencies

• First Online: 09 April 2021

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• Francesco Piscioneri 32  

Part of the book series: Hot Topics in Acute Care Surgery and Trauma ((HTACST))

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Ear, nose, and throat (ENT) conditions form a significant part of emergency surgical presentations. This overview will focus on the assessment and management of common conditions using a stepwise approach.

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Piscioneri, F. (2021). ENT Emergencies. In: Piscioneri, F., Kluger, Y., Ansaloni, L. (eds) Emergency Surgery for Low Resource Regions. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-68099-2_24

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Affiliations.

• 1 Department of Psychiatry, Command Hospital (EC) Kolkata, West Bengal, India.
• 2 Department of Psychiatry, The University of Western Australia, Perth, Australia.
• 3 Department of Psychiatry, Military Hospital, Pathankot, Punjab, India.
• 4 Department of Psychiatry, D. Y. Patil Medical College, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India.
• 5 Department of Psychiatry, Armed Forces Medical College, Pune, Maharashtra, India.
• 6 Department of Psychiatry, Command Hospital, Panchkula, Haryana, India.
• PMID: 37274575
• PMCID: PMC10236658
• DOI: 10.4103/ipj.ipj_62_22

It is said that well begun is half done. Choosing a thesis topic and submitting a research protocol is an essential step in the life cycle of a postgraduate resident. National Medical Commission of India mandates that all postgraduate trainees must submit at least one original research work (dissertation), one oral paper, one poster, and one publication to be eligible for final year examination. It is the duty of the faculty to ensure that trainees take active interest and submit their theses on time. However, their journey is often marred by multiple challenges and hurdles. The literature was searched from year 2000 onwards till 2011 using Pubmed, ResearchGate, MEDLINE, and the Education Resources Information Centre databases with terms related to residency training, selecting thesis topic, challenges or hurdles, and conversion of thesis into journal article. Existing literature on the subject matter is sparse. Current article advocates promotion of ethical and original research during postgraduation and proposes a checklist for residents before submission of their proposals.

Keywords: Challenges; postgraduate training; protocol; publication; thesis; topic.

Copyright: © 2022 Industrial Psychiatry Journal.

Publication types

Oto-Rhino-Laryngology (ENT)

Research Topics

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• Dermatology
• Preventive and Social Medicine

ENT Thesis Topics for MS/DNB

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Below is the list of 100 free thesis topics for MD/DNB ENT. You can select any good ENT thesis topics for MD/DNB from here. For more thesis topics you can avail the service of premium thesis topics. The premium thesis topics include list of 2000+ ENT thesis topics as well as recent topics which has been published in various national and international ENT journals. 

• Clinical Outcome In Patients With Sinonasal Disease After Microdebrider Assisted Endoscopic Sinus Surgery A One Year Observational Study.
• Morphological And Morphometrical Features Of Human Middle Ear Ossicles- A Cadaveric Temporal Bone Study .
• Morphometric Evaluation Of Various Topography Of Thyroid Gland For Surgical Cruciality: An Observational Study
• Audiological Evaluation Of Early Nose Induced Hearing Loss In Traffic Police Personnel In A Second-Tier City- A Community-Based One Year Cross Sectional Study
• Clinical Outcome After Tympanoplasty With Use Of Autologus Platelet Rich Plasma In Case Of Tympanic Membrane Perforation: A One Year Observational Study.
• Assessment of hearing starts in patients with rheumatoid arthritis- A one year observational study
• The intratemporal course variation of facial nerve in wet temporal bones- An observational study
• Effetiveness of fentanyl nasal pack in post op pain assessment following fuctional endoscopic sinus surgery
• Radiological and morphological co-relation of mastoid air cell system in relation to its morphology
• Association of concha bullosa and chronic rhinosinusitis patients- A computerized tomography assisted one year cross sectional study
• Use of narrow band imaging in endoscopic evaluation of neoangiogenesis in laryngeal lesions
• ‘’Assessment of changes in intranasal moisture as an effect of deviated nasal septum using intranasal schirmer test’’- A one year hospital based observational study .
• Comparison of effect of preoperative intrasal desmopressin and intravenous desmopressin on intraoperative bleeding during FESS for chronic rhinosinusitis: 1 year randomized control study.
• Efficacy of anterior tucking versus conventional method in type 1 tympanoplasty- 1 year randomized control study
• Bacterial flora of respiratory tract following tracheostomy in intensive care unit patients: A one year prospective study.
• Analysis of nasal framework and its aesthetics in relation to CT scan: A one year observational study
• ‘’Study of relationship of inferior turbinate and uncinate process angulations with the lateral wall of nasal cavity in patients with septal spur’’- A one year hospital based observational study.
• Hearing improvement after adenoidectomy vs adenoidectomy with grommet insertion in cases of otitis media with effusion- A randomized control study .
• Study of Bacteriology in Cholesteatoma Cases
• Study of Preoperative and Postoperative Bacterial Culture in Sinonasal Polyposis Patients Undergoing Endoscopic Sinus Surgery
• Femoral Cortical Bone Homograft Ossiculo Plasty
• A Study of Deafness in Term Infants with Birth Asphyxia by Otoacoustic Emissions and Brain Stem Evoked Response Audiometry Tests
• Clinical Profile of Aerodigestive Foreign Bodies
• Comprehensive Analysis of Posterior Canal Wall Reconstruction Techniques on Patients Undergoing Canal Wall Down Mastoidectomy for Chronic Suppurative Otitis Media
• Aetiopathological Evaluation of Epistaxis and Management
• A Study of Fungal Diseases of Nose and Paranasal Sinuses
• A Study of Non Neoplastic Lesions of Larynx Causing Voice Disorders
• Cartilage Tympanoplasty in Atelectatic Ears
• A Study of Neck Secondaries in Pharyngeal and Laryngeal Malignancies
• Ossicular Pathology in Chronic Suppurative Otitis Media
• A study of Otomycosis
• Comparison of results of outcome of canal wall up mastoidectomy and canal wall down mastoidectomy for chronic suppurative otitis
• Endoscopic findings and radiological appearance in chronic rhinosinusitisa comparative study
• Clinicopathological evaluation of cervical nodal metastasis in pharyngeal and laryngeal tumours
• A comprehensive study on closed Rhinoplasty
• Endoscopic Assisted Adenoidectomy – A Comparative Study of Endoscopic Assisted Curettage Adenoidectomy with Conventional Curettage Adenoidectomy
• The Impact of Management of Chronic Rhinosinusitis in the Clinical Course of Bronchial Asthma
• Hearing Benefit in Middle Ear Reconstructive Surgery : A Comparative Study of the Current Methods
• A Study of Twenty Interesting Cases
• A study of surgical outcomes in chronic suppurative otitis media tubo tympanic [mucosal] disease treated with myringoplasty / cortical mastoidectomy with type 1 tympanoplasty
• A study of role of contact points in nose – as a causal factor in refractory headaches and the outcome of surgical treatment
• A comparative study between modified underlay myringoplasty with graft over the handle of malleus and classical underlay technique with graft under the handle of malleus
• Pre auricular sinus – a study of clinical presentation and comparison of simple sinectomy with supra auricular approach technique.
• Comparison between sublabial mucosal flaps and two flap technique of septal perforation repair.
• The role of functional endoscopic sinus surgery (FESS) in patients of asthma with sinonasal diseases with and without ‘jal niti’ (saline irrigation), a comparative study.
• Auditory screening of neonates and and infants by TEOAEs and evaluation of hard of hearing
• neonates and infants for cochlear implantation – A prospective study.
• Endoscopic management of Orbital Lesions- A study of 30 cases.
• Foreign bodies in aerodigestive tract- A study of 50 cases.
• Extracranial complications of unsafe chronic suppurative Otitis media- A study of 30 cases.
• Vocal Cord Paresis and Paralysis: Evaluation and Management.
• To Evaluate the Potential Role of Sentinel Node Biopsy in Oral And Oropharyngeal Squamous Cell Carcinoma.
• Study of Prevalance of Fungal infection in cases of Chronic Rhinosinusitis in Indian Population.
• A study of Vestibular Evoked Myogenic Potential (VEMP) in Adults with Normal Hearing.
• An evaluation of thyroid swelling and its surgical management
• Clinicoradiological study of chronic paranasal sinus diseases and their management by conservative approach and endoscopic surgery.
• Co-relation of HRCT Mastoid with Clinical Presentation and Operative findings in Ear
• A comparative study of temporalis fascia Tympanoplasty with palisade cartilage tympanoplasty.
• Study of Otorhinolaryngological manifestations in HIV infection.
• Clinicopathological study of lesions of Nose & Paranasal sinusis.
• Evaluation and Management of Dysphonia – Aprospective study.
• Microbiological evaluation of chronic suppurative otitis media.
• Study of Internal Nasal Valve & assessment of result of its surgical treatment .
• Clinical profile of deep neck space abscess and its management.
• Comparative Study of effect of Hyperthrophied Nasal Turbinate Cautery by Cryosurgery and Chemical Cauterization.
• Study of unsafe CSOM in Paediatric Population.
• Study of Sensorineural Hearing Loss in Chronic Otitis Media.
• Comparative Study of Nasal resistance patterns in Patients with Allergic Rhinitis Before and After Medication Using Rhinomanometer.
• To study the incidence of human papilloma virus related squamous cell carcinoma of oral cavity & oropharynx and outcomes after treatment in a population of smokers and non smokers.
• Comparison of efficacy of narrow band imaging endoscopy and contact endoscopy in early diagnosis and surgical management of squamous malignancies of upper aerodigestive tract.
• A comparative study to evaluate the swallowing dysfunction in patients of locally advanced squamous cell carcinoma oral cavity pre and post treatment.
• A study of biofilms in chronic otitis media-active squamosal disease.
• A study of correlation between tympanic membrane perforation size and hearing loss in patients with inactive mucosal chronic otitis media.
• Acoustical analysis and videostroboscopic evaluation of voice disorders.
• Evaluation of otorhinolaryngological manifestations in children with hematooncological disorders. Efficacy of autograft and synthetic prosthesis in middle ear ossicular reconstruction.
• Functional outcomes of cochlear implantation in pre-lingual deaf children.
• Fluticasone with or without verapamil for chronic rhinosinusitis with nasal polyposis.
• Endoscopic management of retraction pockets and limited attic cholesteatoma.
• Anatomical and radiological analysis of intercarotid artery distance in endoscopic resection of pituitary tumors.
• Analysis of clinical features and surgical outcome in subglottic stenosis
• Expression of epithelial mesenchymal transition associated proteins snail and slug in oral cancer with and without neck metastasis
• Olfactory outcomes after functional endoscopic sinus surgery for chronic rhinosinusitis with polyps
• A study of linguistic outcomes of unilateral cochlear implantation in pre-lingually deaf children.
• Diagnostic efficacy of oto acoustic emission & auditory brainstem response based protocol for neonatal hearing.
• To evaluate speech and swallowing post-operatively in partial glossectomy patients and their role in effective rehabilitation.
• Clinico pathological evaluation of cytokeratin-18 in oral squamous cell carcinoma.
• Correlation of osteitis with disease severity and treatment outcome in patients of chronic rhinosinusitis.
• To evaluate the success of intraoral approach for removal of submandibular hilar stones.
• Surgical outcome in tracheal stenosis.
• A comparative study of endoscopic stapedotomy and microscopic stapedotomy.
• Comparative evaluation of preoperative hrct temporal bone with intraoperative endoscopic assessment of round window niche accessibility in cochlear implant surgery.
• Comparison of transeptal suturing technique with polyvinylalcohol spong nasal packing for hemostasis after septoplasty.
• Effect of gestational diabetes mellitus on hearing.
• Radiological evaluation of lacrimal apparatus injury after functional enoscopic sinus surgery.
• Isolated pruritus of external auditory canal: a clinical study.
• Effect of mastoid drilling on hearing sensitivity and otoacoustic emissions in normal ear of patients undergoing mastoid surgery.
• A study of correlation between glycosylated haemoglobin and sensorineural hearing loss in type II diabetic patients
• Mycological study in chronic suppurative otitis media-cholesteatoma disease.
• Usefulness of image analysis using imageJ of the interarytenoid area to detect cases of Laryngopharyngeal Reflux.
• Clinical profile, aeroallergen sensitivity and assessment of pulmonary function in pediatric chronic rhinosinusitis.
• Outcome of endoscopic resection of benign sinonasal tumors.

Disclaimer!

There are many methods of sample size determination. It is one of the first hurdle when someone starts writing a thesis. I have tried to give simplest way of determination of sample size. You need to show the method to your PG teacher before you include this method in your thesis. First confirm from your PG teacher and then only proceed.

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Management of ENT emergencies during the coronavirus disease 2019 pandemic

J stansfield.

Department of Otorhinolaryngology – Head and Neck Surgery, Fairfield General Hospital, Northern Care Alliance NHS Group, Bury, UK

Coronavirus disease 2019 imposed dramatic changes on ENT service delivery. Pre-pandemic, such changes would have been considered potentially unsafe. This study outlines the impact of lockdown on the incidence and management of ENT emergencies at a large UK centre.

After modification of pre-pandemic guidelines, ENT emergency referrals data during the UK lockdown were prospectively captured. A comparative analysis was performed with retrospective data from a corresponding period in 2019.

An overall reduction ( p < 0.001) in emergency referrals ( n = 119) and admissions ( n = 18) occurred during the lockdown period compared to the 2019 period (432 referrals and 290 admissions). Specifically, there were reduced admission rates for epistaxis ( p < 0.0001) and tonsillar infection ( p < 0.005) in the lockdown period. During lockdown, 90 per cent of patients requiring non-dissolvable nasal packing were managed as out-patients.

Conclusions

Coronavirus disease 2019 compelled modifications to pre-pandemic ENT guidelines. The enforced changes to emergency care appear to be safe and successfully adopted. Arguably, the measures have both economic and patient-related implications post-coronavirus disease 2019 and during future similar pandemics and lockdowns.

Introduction

In December 2019, the first reports of an outbreak of atypical pneumonia were announced in Wuhan, China. 1 The World Health Organization subsequently declared the coronavirus disease 2019 (Covid-19) outbreak a pandemic, on 11th March 2020. 2 In order to slow transmission of Covid-19, the UK government implemented an unprecedented nationwide lockdown. The pandemic enforced immense changes and restrictions to all aspects of society, and placed significant pressures on the National Health Service (NHS).

In response to the pandemic, hospitals were forced to implement drastic measures to cope with potential demands imposed by Covid-19 cases. Surgical specialties including ENT endured compelling service delivery changes and staffing re-organisation, such as redeployment of the surgical workforce, operative prioritisation, rescheduling of elective surgical procedures and changes to peri-operative management strategies, with a considerable impact on surgical training and education.

ENT surgeons faced increased occupational risk during the Covid-19 pandemic. 3 The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) virus predominantly resides in the upper airway, with high viral loads detected in the nasopharynx and oropharynx. 4 Sadly, some of the first Covid-19-related healthcare fatalities were within the ENT community. 5 The exposure of ENT specialists to such unprecedented occupational risk has been acknowledged by their professional body, ENT UK. Recommendations were released to stop all non-essential ENT examinations and procedures during the pandemic, to reduce patient and clinician exposure to Covid-19. 6

Acute ENT surgical emergencies are, however, inevitable. ENT surgeons are faced with the challenge of providing efficient and timely acute surgical care, optimising patient care resources, and protecting healthcare providers and the wider community during these interactions. As such, the pandemic has mandated adaptations in clinical management strategies and changed the way we deliver high-quality emergency ENT care.

The Covid-19 crisis is considered likely to pose a significant global threat to public safety well into 2021. The current impact of the pandemic has forced all branches of medicine to re-think service delivery models, and ENT practice certainly has been no exception. 7 Various specialties have published reports detailing the changing environment and challenges faced by surgical teams during lockdown. 8 , 9 However, there are no published UK studies reporting the impact of lockdown on the incidence of acute ENT pathologies and the effects of adaptations to traditional clinical management approaches during the Covid-19 pandemic.

This study aimed to outline the enforced changes to pre-Covid-19 guidelines for ENT emergencies and evaluate the impact of the modified guidelines on patient care at a large ENT department in the UK operating from multiple sites. This study focused on two common ENT emergencies: epistaxis and tonsillar infection, with particular attention given to peritonsillar abscess.

Materials and methods

Ethical approval.

The institutional research and development board was approved by the Clinical Audit Department, Fairfield General Hospital, Northern Care Alliance NHS Group (project numbers: 2020 161 and 2020 168).

Study setting

This study was based at a large ENT department within one of the largest NHS hospital trusts in the UK, covering a population catchment area of approximately one million. Besides interdepartmental referrals, the ENT department receives acute referrals from primary care providers and four emergency medicine (accident and emergency (A&E)) departments within the trust.

Study design and data collection

In response to the Covid-19 pandemic, existing local clinical guidelines for the management of ENT emergencies were modified to reflect infrastructure limitations. A comparative audit of practice was conducted. Clinical data on all ENT emergencies treated during a three-month period of the UK Covid-19 lockdown (17 March – 17 June 2020) were prospectively recorded through an institutional database. Using electronic medical records, in-patient ward records and an out-patient emergency clinic book, data were captured for all ENT emergency patients treated during the corresponding three-month period in 2019 (17 March – 17 June 2019), retrospectively. Patients were identified using Symphony clinical system codes for A&E attendances. Patient demographics, diagnosis, length of stay, pertinent laboratory and radiology results, acute management, follow-up progress, outcome, and re-presentation rate were captured.

Data on two of the common ENT emergencies (epistaxis and tonsillar infection) were subjected to further scrutiny. Treatment for epistaxis was categorised into conservative, dissolvable versus non-dissolvable nasal pack insertion, and surgical intervention. Treatment for acute tonsillar infection was categorised as conservative (inclusive of immediate intravenous antibiotics received in A&E, with a subsequent oral course and no drainage performed) and invasive (requiring drainage of the peritonsillar abscess or deep neck space infection).

ENT emergency guidelines in response to pandemic

The loss of ENT wards to other specialties because of the high demands for acute coronavirus-related in-patient beds and the unprecedented demands on the critical care services meant that ENT emergency service delivery had to function with extremely limited bed capacity. This led to the decision to redesign ENT emergency service delivery based on an out-patient setting and increased community-based care. In addition to practical changes to the acute guidelines, the education of healthcare staff (hospital, general practice and community workers), patients and carers played a major role.

All acute ENT guidelines were modified following multidisciplinary consultation, and a new acute ENT referral pathway ( Figure 1 ) was established. ENT UK recommendations were used for added support. Upon ENT department approval, the modified guidelines were distributed electronically to all hospital departments, including A&E.

Summary of acute ENT patient pathways. A&E = accident and emergency

Specifically, ENT middle-grade doctors (registrars and specialty doctors) filtered all referrals, with the redeployment of core surgical trainees to other specialties. A modified antibiotic policy (Appendix 1) was adopted, in consultation with the microbiology and pharmacy department, to reduce the need for admitting patients requiring aggressive antimicrobial treatments and to allow flexible out-patient management. Based on ENT UK guidance regarding risk stratification, a modified approach was established for common emergencies such as epistaxis and tonsillar infection (Appendix 1). For epistaxis, during initial ENT assessment, patients were offered a face-to-face follow-up appointment or telephone consultation to advise on the subsequent removal of their nasal pack.

ENT emergency clinic

Enhanced ENT emergency clinics were established within the normal ENT out-patient department for use 7 days a week, from 8 am to 6 pm. Two procedure rooms were set up, with ward-level nursing support, medicinal drugs and equipment, to facilitate clinical assessments of patients, administration of parenteral medications and performance of aerosol-generating procedures. Experienced ENT doctors (middle-grade level and consultants) undertook all assessments and treatments. ENT emergency referrals were diverted to this new acute ambulatory ENT out-patient clinic when appropriate, with the completion of safety triage procedures supported by the A&E departments in the trust.

Data analysis

Data were stored electronically using Excel® spreadsheet software. Comparisons were made between the two datasets (2019 vs 2020). Statistical analysis was performed using the unpaired t -test (Prism software, 2018; GraphPad, San Diego, California, USA). P -values of less than 0.05 were considered statistically significant.

During the lockdown study period, 119 patients were referred from A&E; only 18 patients (15.1 per cent) were admitted for in-patient treatment. In the corresponding 2019 study period, 432 patients were referred from A&E and 290 patients (67.1 per cent) were admitted ( Table 1 ). Generally, there was a reduction in patients referred and admitted during the 2020 study period for all ENT emergencies. Unsurprisingly, epistaxis and tonsillar infections were the most common reasons for acute referrals to the ENT department.

Total referrals to ENT during 2019 and 2020 study periods *

Data indicate numbers of cases.

There was a 28 per cent reduction in acute epistaxis referrals during the three-month lockdown study period ( Table 2 ). Regarding the modified treatment measures, there was significant resultant drop in the number of patients admitted for in-patient care (7.7 per cent) in 2020 compared to the 2019 study period (93 per cent) ( p  < 0.0001) ( Figure 2 ).

Epistaxis referrals and management in 2019 and 2020 study periods *

Total number of epistaxis admissions in 2019 and 2020 study periods.

During the 2020 study period, 90 per cent of patients requiring non-dissolvable nasal packing were managed on an out-patient basis with non-dissolvable nasal packing in situ. Interestingly, the rates of nasal packing with non-dissolvable packs during the two study periods remained relatively similar (79 per cent in 2019 vs 71 per cent in 2020). Approximately, 33 per cent of patients removed their own pack at home, with no face-to-face ENT follow up required, and 61 per cent underwent de-packing in an emergency clinic appointment. One patient who was initially packed re-presented to A&E because of pack discomfort and therefore the pack was removed early.

Seven patients (13.5 per cent) re-presented with a re-bleed within 10 days of initial treatment, but only one patient required re-packing and was admitted for social reasons ( Table 3 ).

Re-presentations of epistaxis within 10-day follow up *

Peritonsillar abscess

There was a 67 per cent reduction in referrals for a suspected peritonsillar abscess (quinsy) in 2020 ( Table 4 ). Similar to the epistaxis patients, most patients (93.3 per cent) with a peritonsillar abscess were managed as out-patients during the 2020 study period, in contrast to the 2019 study period (20 per cent) ( p  < 0.005) ( Figure 3 ).

Peritonsillar abscess referrals and management in 2019 and 2020 study periods *

Total number of peritonsillar abscess admissions in 2019 and 2020 study periods.

Interestingly, only 1 patient from the 2020 cohort required a drainage procedure; the remaining 14 patients were managed entirely with antibiotics. During the corresponding 2019 period, 100 per cent of admitted peritonsillar abscess patients underwent a drainage procedure in addition to intravenous antibiotics.

During ENT follow up, all patients were offered the choice of telephone or face-to-face consultations.

At 10 days’ follow up, 100 per cent of patients were better clinically and did not require any further treatment. None of the peritonsillar abscess patients progressed to more serious deep neck infections such as parapharyngeal abscess.

The Covid-19 pandemic has necessitated changes to healthcare provisions relating to emergency work. Contrary to initial expectations, rather than the anticipated increase in patient numbers, the total number of attendances to A&E has reduced during the pandemic. Public Health England reported a total number of A&E attendances in week 14 of 2020 of 57 993 patients, compared to week 14 of 2019 which saw 156 717 patients presenting to A&E. 10 , 11

This study demonstrates that during the 2020 lockdown, there has also been a reduction in the number of patients presenting with ENT emergencies to A&E within our trust.

Following multidisciplinary consultation at our trust, new clinical guidelines were produced in the early stages of the Covid-19 pandemic response that focused on providing optimal ENT care whilst minimising the risk of Covid-19 transmission. We have revealed that, by using these guidelines, in-patient admissions have been drastically reduced for patients presenting with ENT emergencies. We have demonstrated this with particular regard to epistaxis and peritonsillar abscess, with no associated complications.

Reduced epistaxis admissions

We observed a statistically significant reduction in the number of epistaxis admissions between the 2019 and 2020 study periods ( p  < 0.0001). Traditionally, all patients with a non-dissolvable nasal pack in situ would require in-patient admission; however, following updated local guidelines, 90 per cent of cases with non-dissolvable nasal packing were managed successfully on an out-patient basis.

Seven out of 52 patients discharged with epistaxis re-presented to A&E. These patients were all reviewed by ENT, and only one of the seven patients required re-packing and admission for social reasons. Despite these re-presentations, there were no adverse outcomes; all patients had been appropriately safety-netted to ensure a return if there was any further bleeding or concerns. Potentially, patients being discharged may require further information and reassurance, to reduce re-attendances.

By adopting an individual case approach in selecting appropriate individuals, we observed that patients can be consulted remotely to ensure resolution of epistaxis, and may self-remove their nasal packing when directed via virtual consultation. 12 , 13 Thirty-three per cent of patients with non-dissolvable nasal packs in situ in our study were managed with telephone follow up alone, including successfully removing their own pack. Some studies have likened patient self-managed nasal packing in recurrent epistaxis to the principle of intermittent self-catheterisation. 14 There is a paucity of data examining this within the literature, and further exploration is advised to examine the role of out-patient nasal packing and patient perceptions to inform future management strategies.

Reduced tonsillar infection admissions

We observed a statistically significant reduction ( p  < 0.005) in the number of tonsillar infection admissions between the 2019 and 2020 study periods. In light of the guidance advising reduced examination, we did not confirm the presence of peritonsillar abscess in all patients; however, the presence of trismus with peritonsillar swelling was used to define suspected peritonsillar abscess. In this study, there was a reduction in the aspiration of peritonsillar abscesses, from 100 per cent in 2019 to 7 per cent in 2020. On review of the notes, 1 out of 15 patients with suspected peritonsillar abscess underwent surgical aspiration early in the implementation of the new guidelines, and it was felt this was likely to have been inappropriate. Furthermore, during the 2020 study period, 77 per cent of suspected peritonsillar abscess cases were managed with telephone follow up alone.

We propose that it is appropriate to initially trial conservative management of suspected peritonsillar abscess, rather than proceeding directly to drainage. 15 , 16 Conservative management included a combination of immediate intravenous antibiotics and dexamethasone, received in A&E, and a subsequent oral course administered in the community as per microbiology guidance. During the study period, we saw no significant complications. This management is further supported by guidelines released from ENT UK, during the pandemic, favouring non-operative management where possible. 17 Interestingly, within the literature, there is now support for the non-surgical management of parapharyngeal abscesses in certain paediatric cases. 18 – 21

Following our new clinical guidance and ENT UK advice, direct oral cavity examination to confirm the presence of a peritonsillar abscess was not performed in all cases, because of the risk of Covid-19 transmission. We acknowledge that the number of true peritonsillar abscess cases during the study period may therefore be lower than the suspected cases.

Reasons for reduced ENT presentations

We postulate that the reduction in acute ENT presentations to A&E is multifactorial. It also highlights the possible role of social distancing on the incidence of epistaxis and peritonsillar abscess.

The scientific basis for social distancing interventions in the prevention of Covid-19 transmission has been extrapolated from epidemiological studies examining the spread of other upper respiratory tract pathogens. 22 Therefore, it follows that social distancing will also reduce the spread of pathogens within the microbial profile of peritonsillar abscess. 23 The pathogenesis of peritonsillar abscess remains controversial, and further evidence-based research is required to challenge traditional theories. 24 , 25

Modified patient expectations may also be involved in the reduced incidence of acute ENT admissions. Indeed, changing behaviours and concerns of the general population during the pandemic may have adjusted public perception of emergency services, with more patients following Public Health Guidance and seeking community-based treatment, ensuring appropriate and rational use of emergency department resources.

There have been concerns within the surgical community that possible patient reluctance to attend at emergency departments, because of a fear of catching Covid-19, would cause delays in clinical presentation and lead to patients presenting with advanced stages of disease and surgical complications. 26 Fortunately, we have not observed increasing rates of deep neck space infections resulting from delayed peritonsillar abscess treatment, nor patients presenting with haemodynamic instability following prolonged home management of significant epistaxis within the study period.

Furthermore, there has been a reduction in elective procedures during the coronavirus pandemic and, therefore, it follows that there would be a reduction in surgical complications. There has hence been a reduction in the absolute numbers of post-surgical complications and ENT admissions during this period.

Managing patients in the community

Following a change in clinical practice, we observed a considerable reduction in in-patient admissions for both ENT emergencies (epistaxis and peritonsillar abscess), with most patients previously requiring admission now being successfully managed in the community.

Interestingly, numerous other surgical specialties have taken advantage of the ambulatory care model for many years, something that so far has been underutilised in ENT. Through the use of a regular ENT emergency clinic, we have shown a significant reduction in in-patient ENT admissions.

The role of technology has been instrumental within this service change, with surgical teams increasingly utilising virtual consultations to monitor patients’ progress at home. 27 – 32 Further utilisation of technology would be important to continue to build on the progress with ambulatory care clinics that has been made during the pandemic. The role of early senior otolaryngologist involvement has also facilitated reduced in-patient admissions, and it will be important to ensure that junior colleagues continue to be supported as we move forwards.

We also consider that the modified patient outlook on home-based treatment during the pandemic will have contributed to this success, with increasing patient awareness of the associated nosocomial risks of hospital admission and adequate care-giver support in the community as more people work from home during the lockdown. This change in service delivery will have significant socioeconomic benefits within the NHS and is important to consider in the recovery of services following the pandemic. Further cost-analysis studies are required to examine the financial impact of emergency out-patient care versus in-patient admission.

Multidisciplinary response for rapid service change

Our experience demonstrates the importance of adopting a multidisciplinary approach in response to an unprecedented event such as the UK lockdown, in order to deliver timely and effective service change. We showed that, by recruiting all members of the multidisciplinary team, including emergency department physicians, microbiologists, estates teams, information and technology departments, nursing colleagues, and community teams, a successful change in clinical practice can be implemented on a rapid basis.

Study limitations

We recognise that this research is subject to some limitations. Mainly, given the nature of the data collection, the number of cases may be underestimated. Especially with regard to tonsillar infection rates, our data are limited to adults, as a result of the structure of services at our hospital. In particular, patients with tonsillitis aged under 18 years are referred and are also seen directly by the paediatrics department. As such, the true number of total cases may be underestimated, and the proportion of paediatric patients with tonsillar infections are not accurately reflected in our data.

We also could only comment on suspected tonsillar abscess based on the clinical history and description from the referral source, for the 2020 data. Following our new clinical guidance and ENT UK advice, direct oral cavity examination was not performed in all cases to confirm the presence of a peritonsillar abscess, because of the risk of Covid-19 transmission. For similar reasons, some patients were reviewed via telephone consultation. We therefore acknowledge that the number of true peritonsillar abscess cases during the study period may be lower than the number of suspected cases.

Given the retrospective nature of the 2019 data, it was difficult to include all general practitioner referrals to ENT as this was not recorded at the time, unlike A&E referrals where we utilised coding data. In particular, we did not include data from cases that were simply discussed with advice given, only those that required review in clinic or admission. This should be considered when interpreting the comparative data, as the inclusion of general practitioner referrals may have revealed a higher number of total ENT emergency cases, and therefore a greater reduction of admission or presentation to ENT rates, because of the new guidelines.

Given the rapid onset of the Covid-19 pandemic and therefore prompt implementation of new guidelines, further studies need to be performed to determine the long-term effects of the new management pathways for ENT emergency cases. Currently, we are unable to comment on potential complications or re-admission rates after 10 days. However, the group is performing ongoing data collection, and we hope to provide further information relating to the long-term sequelae of changes to our emergency management of ENT emergencies. Given the nature of our follow up, we are unable to present data relating to time taken for the resolution of symptoms, and this would require additional comparative studies. Cost–benefit analyses of the new management protocol and studies evaluating patient satisfaction should be considered, as these would provide further evidence regarding whether to continue using the new ambulatory pathway.

We observed a dramatically reduced number of epistaxis and peritonsillar abscess admissions during the Covid-19 UK lockdown.

Traditional management pathways have been successfully adapted to reduce in-patient admission rates and requirements for invasive procedures, thereby minimising the risk of Covid-19 exposure of healthcare professionals and patients, whilst ensuring high-quality patient care.

The evolving pandemic and changing clinical environment demonstrate the need for remodelling of traditional care pathways for future otolaryngology practice. Further studies are required to determine the long-term implications of such changes.

• • Epistaxis and peritonsillar abscess admissions were dramatically reduced during the first coronavirus disease 2019 (Covid-19) UK lockdown
• • Traditional management pathways have been successfully adapted to reduce in-patient admission rates and invasive procedure requirements
• • New management pathways minimise risk of Covid-19 exposure of healthcare professionals and patients, whilst ensuring high-quality patient care
• • The evolving pandemic and changing clinical environment demonstrate the need for remodelling of traditional care pathways for future otolaryngology practice

Acknowledgements

The authors would like to thank the Pennine Acute Care NHS Trust Microbiology and Emergency Departments for helping to create and implement the new emergency referral pathways. These are available upon request.

Appendix 1. Modified approach for common ENT emergencies

Epistaxis covid-19 summary guidance.

Advise firm pressure for 20 minutes on soft part of nose.

Avoid FNE if possible. If necessary, please use full FFP and treat as per AGP.

If patient is to be packed, only pack the side that is bleeding. Use Rapid Rhino if available.

Consider if patient can be sent home with pack in situ, with syringe and saline to moisten pack.

• – Discuss with patient risk vs benefit of discharge vs in-patient stay
• – To discharge home with pack in situ, patient must be: GCS 15/15, and able to remove pack independently
• – Consider tranexamic acid prescription where no contraindication
• – Bloods stable – Hb/INR/plt

Give patient a leaflet with safety netting and explanation of pack removal after 72 hours.

Offer telephone (if able to remove pack independently) or face-to-face appointment for pack removal.

Give department number to call if problems.

Ensure given Naseptin/Sterimar/Otrivine TTO.

Acute tonsillar infection Covid-19 summary guidance

Based on initial history and non-invasive clinical examination, suspicion of tonsillitis or peritonsillar abscess – A&E to give immediate IV dexamethasone, antibiotics, fluids and analgesia.

If peritonsillar abscess, treat as per tonsillitis with trial of conservative management in first instance. No immediate aspiration.

Consider if patient safe to discharge, with telephone follow up at 24 hours, oral antibiotics and analgesia.

On follow up if still suspecting peritonsillar abscess, invite patient for face-to-face review and aspirate in E-clinic with full PPE if required.

If patient not safe for discharge (unable to drink / evidence of deep neck space infection / social circumstances), admit as required.

Competing interests

None declared

Head Start Your Radiology Residency [Online] ↗️

• Radiology Thesis – More than 400 Research Topics (2022)!

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Introduction

A thesis or dissertation, as some people would like to call it, is an integral part of the Radiology curriculum, be it MD, DNB, or DMRD. We have tried to aggregate radiology thesis topics from various sources for reference.

Not everyone is interested in research, and writing a Radiology thesis can be daunting. But there is no escape from preparing, so it is better that you accept this bitter truth and start working on it instead of cribbing about it (like other things in life. #PhilosophyGyan!)

Start working on your thesis as early as possible and finish your thesis well before your exams, so you do not have that stress at the back of your mind. Also, your thesis may need multiple revisions, so be prepared and allocate time accordingly.

Tips for Choosing Radiology Thesis and Research Topics

Keep it simple silly (kiss).

Retrospective > Prospective

Retrospective studies are better than prospective ones, as you already have the data you need when choosing to do a retrospective study. Prospective studies are better quality, but as a resident, you may not have time (, energy and enthusiasm) to complete these.

Choose a simple topic that answers a single/few questions

Original research is challenging, especially if you do not have prior experience. I would suggest you choose a topic that answers a single or few questions. Most topics that I have listed are along those lines. Alternatively, you can choose a broad topic such as “Role of MRI in evaluation of perianal fistulas.”

You can choose a novel topic if you are genuinely interested in research AND have a good mentor who will guide you. Once you have done that, make sure that you publish your study once you are done with it.

Get it done ASAP.

In most cases, it makes sense to stick to a thesis topic that will not take much time. That does not mean you should ignore your thesis and ‘Ctrl C + Ctrl V’ from a friend from another university. Thesis writing is your first step toward research methodology so do it as sincerely as possible. Do not procrastinate in preparing the thesis. As soon as you have been allotted a guide, start researching topics and writing a review of the literature.

At the same time, do not invest a lot of time in writing/collecting data for your thesis. You should not be busy finishing your thesis a few months before the exam. Some people could not appear for the exam because they could not submit their thesis in time. So DO NOT TAKE thesis lightly.

Do NOT Copy-Paste

Reiterating once again, do not simply choose someone else’s thesis topic. Find out what are kind of cases that your Hospital caters to. It is better to do a good thesis on a common topic than a crappy one on a rare one.

Books to help you write a Radiology Thesis

Event country/university has a different format for thesis; hence these book recommendations may not work for everyone.

• Amazon Kindle Edition
• Gupta, Piyush (Author)
• English (Publication Language)
• 206 Pages - 10/12/2020 (Publication Date) - Jaypee Brothers Medical Publishers (P) Ltd. (Publisher)

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List of Radiology Research /Thesis / Dissertation Topics

• State of the art of MRI in the diagnosis of hepatic focal lesions
• Multimodality imaging evaluation of sacroiliitis in newly diagnosed patients of spondyloarthropathy
• Multidetector computed tomography in oesophageal varices
• Role of positron emission tomography with computed tomography in the diagnosis of cancer Thyroid
• Evaluation of focal breast lesions using ultrasound elastography
• Role of MRI diffusion tensor imaging in the assessment of traumatic spinal cord injuries
• Sonographic imaging in male infertility
• Comparison of color Doppler and digital subtraction angiography in occlusive arterial disease in patients with lower limb ischemia
• The role of CT urography in Haematuria
• Role of functional magnetic resonance imaging in making brain tumor surgery safer
• Prediction of pre-eclampsia and fetal growth restriction by uterine artery Doppler
• Role of grayscale and color Doppler ultrasonography in the evaluation of neonatal cholestasis
• Validity of MRI in the diagnosis of congenital anorectal anomalies
• Role of sonography in assessment of clubfoot
• Role of diffusion MRI in preoperative evaluation of brain neoplasms
• Imaging of upper airways for pre-anaesthetic evaluation purposes and for laryngeal afflictions.
• A study of multivessel (arterial and venous) Doppler velocimetry in intrauterine growth restriction
• Multiparametric 3tesla MRI of suspected prostatic malignancy.
• Role of Sonography in Characterization of Thyroid Nodules for differentiating benign from
• Role of advances magnetic resonance imaging sequences in multiple sclerosis
• Role of multidetector computed tomography in evaluation of jaw lesions
• Role of Ultrasound and MR Imaging in the Evaluation of Musculotendinous Pathologies of Shoulder Joint
• Role of perfusion computed tomography in the evaluation of cerebral blood flow, blood volume and vascular permeability of cerebral neoplasms
• MRI flow quantification in the assessment of the commonest csf flow abnormalities
• Role of diffusion-weighted MRI in evaluation of prostate lesions and its histopathological correlation
• CT enterography in evaluation of small bowel disorders
• Comparison of perfusion magnetic resonance imaging (PMRI), magnetic resonance spectroscopy (MRS) in and positron emission tomography-computed tomography (PET/CT) in post radiotherapy treated gliomas to detect recurrence
• Role of multidetector computed tomography in evaluation of paediatric retroperitoneal masses
• Role of Multidetector computed tomography in neck lesions
• Estimation of standard liver volume in Indian population
• Role of MRI in evaluation of spinal trauma
• Role of modified sonohysterography in female factor infertility: a pilot study.
• The role of pet-CT in the evaluation of hepatic tumors
• Role of 3D magnetic resonance imaging tractography in assessment of white matter tracts compromise in supratentorial tumors
• Role of dual phase multidetector computed tomography in gallbladder lesions
• Role of multidetector computed tomography in assessing anatomical variants of nasal cavity and paranasal sinuses in patients of chronic rhinosinusitis.
• magnetic resonance spectroscopy in multiple sclerosis
• Evaluation of thyroid nodules by ultrasound elastography using acoustic radiation force impulse (ARFI) imaging
• Role of Magnetic Resonance Imaging in Intractable Epilepsy
• Evaluation of suspected and known coronary artery disease by 128 slice multidetector CT.
• Role of regional diffusion tensor imaging in the evaluation of intracranial gliomas and its histopathological correlation
• Role of chest sonography in diagnosing pneumothorax
• Role of CT virtual cystoscopy in diagnosis of urinary bladder neoplasia
• Role of MRI in assessment of valvular heart diseases
• High resolution computed tomography of temporal bone in unsafe chronic suppurative otitis media
• Multidetector CT urography in the evaluation of hematuria
• Contrast-induced nephropathy in diagnostic imaging investigations with intravenous iodinated contrast media
• Comparison of dynamic susceptibility contrast-enhanced perfusion magnetic resonance imaging and single photon emission computed tomography in patients with little’s disease
• Role of Multidetector Computed Tomography in Bowel Lesions.
• Role of diagnostic imaging modalities in evaluation of post liver transplantation recipient complications.
• Role of multislice CT scan and barium swallow in the estimation of oesophageal tumour length
• Malignant Lesions-A Prospective Study.
• Value of ultrasonography in assessment of acute abdominal diseases in pediatric age group
• Role of three dimensional multidetector CT hysterosalpingography in female factor infertility
• Comparative evaluation of multi-detector computed tomography (MDCT) virtual tracheo-bronchoscopy and fiberoptic tracheo-bronchoscopy in airway diseases
• Role of Multidetector CT in the evaluation of small bowel obstruction
• Sonographic evaluation in adhesive capsulitis of shoulder
• Utility of MR Urography Versus Conventional Techniques in Obstructive Uropathy
• MRI of the postoperative knee
• Role of 64 slice-multi detector computed tomography in diagnosis of bowel and mesenteric injury in blunt abdominal trauma.
• Sonoelastography and triphasic computed tomography in the evaluation of focal liver lesions
• Evaluation of Role of Transperineal Ultrasound and Magnetic Resonance Imaging in Urinary Stress incontinence in Women
• Multidetector computed tomographic features of abdominal hernias
• Evaluation of lesions of major salivary glands using ultrasound elastography
• Transvaginal ultrasound and magnetic resonance imaging in female urinary incontinence
• MDCT colonography and double-contrast barium enema in evaluation of colonic lesions
• Role of MRI in diagnosis and staging of urinary bladder carcinoma
• Spectrum of imaging findings in children with febrile neutropenia.
• Spectrum of radiographic appearances in children with chest tuberculosis.
• Role of computerized tomography in evaluation of mediastinal masses in pediatric
• Diagnosing renal artery stenosis: Comparison of multimodality imaging in diabetic patients
• Role of multidetector CT virtual hysteroscopy in the detection of the uterine & tubal causes of female infertility
• Role of multislice computed tomography in evaluation of crohn’s disease
• CT quantification of parenchymal and airway parameters on 64 slice MDCT in patients of chronic obstructive pulmonary disease
• Comparative evaluation of MDCT  and 3t MRI in radiographically detected jaw lesions.
• Evaluation of diagnostic accuracy of ultrasonography, colour Doppler sonography and low dose computed tomography in acute appendicitis
• Ultrasonography , magnetic resonance cholangio-pancreatography (MRCP) in assessment of pediatric biliary lesions
• Multidetector computed tomography in hepatobiliary lesions.
• Evaluation of peripheral nerve lesions with high resolution ultrasonography and colour Doppler
• Multidetector computed tomography in pancreatic lesions
• Multidetector Computed Tomography in Paediatric abdominal masses.
• Evaluation of focal liver lesions by colour Doppler and MDCT perfusion imaging
• Sonographic evaluation of clubfoot correction during Ponseti treatment
• Role of multidetector CT in characterization of renal masses
• Study to assess the role of Doppler ultrasound in evaluation of arteriovenous (av) hemodialysis fistula and the complications of hemodialysis vasular access
• Comparative study of multiphasic contrast-enhanced CT and contrast-enhanced MRI in the evaluation of hepatic mass lesions
• Sonographic spectrum of rheumatoid arthritis
• Diagnosis & staging of liver fibrosis by ultrasound elastography in patients with chronic liver diseases
• Role of multidetector computed tomography in assessment of jaw lesions.
• Role of high-resolution ultrasonography in the differentiation of benign and malignant thyroid lesions
• Radiological evaluation of aortic aneurysms in patients selected for endovascular repair
• Role of conventional MRI, and diffusion tensor imaging tractography in evaluation of congenital brain malformations
• To evaluate the status of coronary arteries in patients with non-valvular atrial fibrillation using 256 multirow detector CT scan
• A comparative study of ultrasonography and CT – arthrography in diagnosis of chronic ligamentous and meniscal injuries of knee
• Multi detector computed tomography evaluation in chronic obstructive pulmonary disease and correlation with severity of disease
• Diffusion weighted and dynamic contrast enhanced magnetic resonance imaging in chemoradiotherapeutic response evaluation in cervical cancer.
• High resolution sonography in the evaluation of non-traumatic painful wrist
• The role of trans-vaginal ultrasound versus magnetic resonance imaging in diagnosis & evaluation of cancer cervix
• Role of multidetector row computed tomography in assessment of maxillofacial trauma
• Imaging of vascular complication after liver transplantation.
• Role of magnetic resonance perfusion weighted imaging & spectroscopy for grading of glioma by correlating perfusion parameter of the lesion with the final histopathological grade
• Magnetic resonance evaluation of abdominal tuberculosis.
• Diagnostic usefulness of low dose spiral HRCT in diffuse lung diseases
• Role of dynamic contrast enhanced and diffusion weighted magnetic resonance imaging in evaluation of endometrial lesions
• Contrast enhanced digital mammography anddigital breast tomosynthesis in early diagnosis of breast lesion
• Evaluation of Portal Hypertension with Colour Doppler flow imaging and magnetic resonance imaging
• Evaluation of musculoskeletal lesions by magnetic resonance imaging
• Role of diffusion magnetic resonance imaging in assessment of neoplastic and inflammatory brain lesions
• Radiological spectrum of chest diseases in HIV infected children High resolution ultrasonography in neck masses in children
• with surgical findings
• Sonographic evaluation of peripheral nerves in type 2 diabetes mellitus.
• Role of perfusion computed tomography in the evaluation of neck masses and correlation
• Role of ultrasonography in the diagnosis of knee joint lesions
• Role of ultrasonography in evaluation of various causes of pelvic pain in first trimester of pregnancy.
• Role of Magnetic Resonance Angiography in the Evaluation of Diseases of Aorta and its Branches
• MDCT fistulography in evaluation of fistula in Ano
• Role of multislice CT in diagnosis of small intestine tumors
• Role of high resolution CT in differentiation between benign and malignant pulmonary nodules in children
• A study of multidetector computed tomography urography in urinary tract abnormalities
• Role of high resolution sonography in assessment of ulnar nerve in patients with leprosy.
• Pre-operative radiological evaluation of locally aggressive and malignant musculoskeletal tumours by computed tomography and magnetic resonance imaging.
• The role of ultrasound & MRI in acute pelvic inflammatory disease
• Ultrasonography compared to computed tomographic arthrography in the evaluation of shoulder pain
• Role of Multidetector Computed Tomography in patients with blunt abdominal trauma.
• The Role of Extended field-of-view Sonography and compound imaging in Evaluation of Breast Lesions
• Evaluation of focal pancreatic lesions by Multidetector CT and perfusion CT
• Evaluation of breast masses on sono-mammography and colour Doppler imaging
• Role of CT virtual laryngoscopy in evaluation of laryngeal masses
• Triple phase multi detector computed tomography in hepatic masses
• Role of transvaginal ultrasound in diagnosis and treatment of female infertility
• Role of ultrasound and color Doppler imaging in assessment of acute abdomen due to female genetal causes
• High resolution ultrasonography and color Doppler ultrasonography in scrotal lesion
• Evaluation of diagnostic accuracy of ultrasonography with colour Doppler vs low dose computed tomography in salivary gland disease
• Role of multidetector CT in diagnosis of salivary gland lesions
• Comparison of diagnostic efficacy of ultrasonography and magnetic resonance cholangiopancreatography in obstructive jaundice: A prospective study
• Evaluation of varicose veins-comparative assessment of low dose CT venogram with sonography: pilot study
• Role of mammotome in breast lesions
• The role of interventional imaging procedures in the treatment of selected gynecological disorders
• Role of transcranial ultrasound in diagnosis of neonatal brain insults
• Role of multidetector CT virtual laryngoscopy in evaluation of laryngeal mass lesions
• Evaluation of adnexal masses on sonomorphology and color Doppler imaginig
• Role of radiological imaging in diagnosis of endometrial carcinoma
• Comprehensive imaging of renal masses by magnetic resonance imaging
• The role of 3D & 4D ultrasonography in abnormalities of fetal abdomen
• Diffusion weighted magnetic resonance imaging in diagnosis and characterization of brain tumors in correlation with conventional MRI
• Role of diffusion weighted MRI imaging in evaluation of cancer prostate
• Role of multidetector CT in diagnosis of urinary bladder cancer
• Role of multidetector computed tomography in the evaluation of paediatric retroperitoneal masses.
• Comparative evaluation of gastric lesions by double contrast barium upper G.I. and multi detector computed tomography
• Evaluation of hepatic fibrosis in chronic liver disease using ultrasound elastography
• Role of MRI in assessment of hydrocephalus in pediatric patients
• The role of sonoelastography in characterization of breast lesions
• The influence of volumetric tumor doubling time on survival of patients with intracranial tumours
• Role of perfusion computed tomography in characterization of colonic lesions
• Role of proton MRI spectroscopy in the evaluation of temporal lobe epilepsy
• Role of Doppler ultrasound and multidetector CT angiography in evaluation of peripheral arterial diseases.
• Role of multidetector computed tomography in paranasal sinus pathologies
• Role of virtual endoscopy using MDCT in detection & evaluation of gastric pathologies
• High resolution 3 Tesla MRI in the evaluation of ankle and hindfoot pain.
• Transperineal ultrasonography in infants with anorectal malformation
• CT portography using MDCT versus color Doppler in detection of varices in cirrhotic patients
• Role of CT urography in the evaluation of a dilated ureter
• Characterization of pulmonary nodules by dynamic contrast-enhanced multidetector CT
• Comprehensive imaging of acute ischemic stroke on multidetector CT
• The role of fetal MRI in the diagnosis of intrauterine neurological congenital anomalies
• Role of Multidetector computed tomography in pediatric chest masses
• Multimodality imaging in the evaluation of palpable & non-palpable breast lesion.
• Sonographic Assessment Of Fetal Nasal Bone Length At 11-28 Gestational Weeks And Its Correlation With Fetal Outcome.
• Role Of Sonoelastography And Contrast-Enhanced Computed Tomography In Evaluation Of Lymph Node Metastasis In Head And Neck Cancers
• Role Of Renal Doppler And Shear Wave Elastography In Diabetic Nephropathy
• Evaluation Of Relationship Between Various Grades Of Fatty Liver And Shear Wave Elastography Values
• Evaluation and characterization of pelvic masses of gynecological origin by USG, color Doppler and MRI in females of reproductive age group
• Radiological evaluation of small bowel diseases using computed tomographic enterography
• Role of coronary CT angiography in patients of coronary artery disease
• Role of multimodality imaging in the evaluation of pediatric neck masses
• Role of CT in the evaluation of craniocerebral trauma
• Role of magnetic resonance imaging (MRI) in the evaluation of spinal dysraphism
• Comparative evaluation of triple phase CT and dynamic contrast-enhanced MRI in patients with liver cirrhosis
• Evaluation of the relationship between carotid intima-media thickness and coronary artery disease in patients evaluated by coronary angiography for suspected CAD
• Assessment of hepatic fat content in fatty liver disease by unenhanced computed tomography
• Correlation of vertebral marrow fat on spectroscopy and diffusion-weighted MRI imaging with bone mineral density in postmenopausal women.
• Comparative evaluation of CT coronary angiography with conventional catheter coronary angiography
• Ultrasound evaluation of kidney length & descending colon diameter in normal and intrauterine growth-restricted fetuses
• A prospective study of hepatic vein waveform and splenoportal index in liver cirrhosis: correlation with child Pugh’s classification and presence of esophageal varices.
• CT angiography to evaluate coronary artery by-pass graft patency in symptomatic patient’s functional assessment of myocardium by cardiac MRI in patients with myocardial infarction
• MRI evaluation of HIV positive patients with central nervous system manifestations
• MDCT evaluation of mediastinal and hilar masses
• Evaluation of rotator cuff & labro-ligamentous complex lesions by MRI & MRI arthrography of shoulder joint
• Role of imaging in the evaluation of soft tissue vascular malformation
• Role of MRI and ultrasonography in the evaluation of multifidus muscle pathology in chronic low back pain patients
• Role of ultrasound elastography in the differential diagnosis of breast lesions
• Role of magnetic resonance cholangiopancreatography in evaluating dilated common bile duct in patients with symptomatic gallstone disease.
• Comparative study of CT urography & hybrid CT urography in patients with haematuria.
• Role of MRI in the evaluation of anorectal malformations
• Comparison of ultrasound-Doppler and magnetic resonance imaging findings in rheumatoid arthritis of hand and wrist
• Role of Doppler sonography in the evaluation of renal artery stenosis in hypertensive patients undergoing coronary angiography for coronary artery disease.
• Comparison of radiography, computed tomography and magnetic resonance imaging in the detection of sacroiliitis in ankylosing spondylitis.
• Mr evaluation of painful hip
• Role of MRI imaging in pretherapeutic assessment of oral and oropharyngeal malignancy
• Evaluation of diffuse lung diseases by high resolution computed tomography of the chest
• Mr evaluation of brain parenchyma in patients with craniosynostosis.
• Diagnostic and prognostic value of cardiovascular magnetic resonance imaging in dilated cardiomyopathy
• Role of multiparametric magnetic resonance imaging in the detection of early carcinoma prostate
• Role of magnetic resonance imaging in white matter diseases
• Role of sonoelastography in assessing the response to neoadjuvant chemotherapy in patients with locally advanced breast cancer.
• Role of ultrasonography in the evaluation of carotid and femoral intima-media thickness in predialysis patients with chronic kidney disease
• Role of H1 MRI spectroscopy in focal bone lesions of peripheral skeleton choline detection by MRI spectroscopy in breast cancer and its correlation with biomarkers and histological grade.
• Ultrasound and MRI evaluation of axillary lymph node status in breast cancer.
• Role of sonography and magnetic resonance imaging in evaluating chronic lateral epicondylitis.
• Comparative of sonography including Doppler and sonoelastography in cervical lymphadenopathy.
• Evaluation of Umbilical Coiling Index as Predictor of Pregnancy Outcome.
• Computerized Tomographic Evaluation of Azygoesophageal Recess in Adults.
• Lumbar Facet Arthropathy in Low Backache.
• “Urethral Injuries After Pelvic Trauma: Evaluation with Uretrography
• Role Of Ct In Diagnosis Of Inflammatory Renal Diseases
• Role Of Ct Virtual Laryngoscopy In Evaluation Of Laryngeal Masses
• “Ct Portography Using Mdct Versus Color Doppler In Detection Of Varices In
• Cirrhotic Patients”
• Role Of Multidetector Ct In Characterization Of Renal Masses
• Role Of Ct Virtual Cystoscopy In Diagnosis Of Urinary Bladder Neoplasia
• Role Of Multislice Ct In Diagnosis Of Small Intestine Tumors
• “Mri Flow Quantification In The Assessment Of The Commonest CSF Flow Abnormalities”
• “The Role Of Fetal Mri In Diagnosis Of Intrauterine Neurological CongenitalAnomalies”
• Role Of Transcranial Ultrasound In Diagnosis Of Neonatal Brain Insults
• “The Role Of Interventional Imaging Procedures In The Treatment Of Selected Gynecological Disorders”
• Role Of Radiological Imaging In Diagnosis Of Endometrial Carcinoma
• “Role Of High-Resolution Ct In Differentiation Between Benign And Malignant Pulmonary Nodules In Children”
• Role Of Ultrasonography In The Diagnosis Of Knee Joint Lesions
• “Role Of Diagnostic Imaging Modalities In Evaluation Of Post Liver Transplantation Recipient Complications”
• “Diffusion-Weighted Magnetic Resonance Imaging In Diagnosis And
• Characterization Of Brain Tumors In Correlation With Conventional Mri”
• The Role Of PET-CT In The Evaluation Of Hepatic Tumors
• “Role Of Computerized Tomography In Evaluation Of Mediastinal Masses In Pediatric patients”
• “Trans Vaginal Ultrasound And Magnetic Resonance Imaging In Female Urinary Incontinence”
• Role Of Multidetector Ct In Diagnosis Of Urinary Bladder Cancer
• “Role Of Transvaginal Ultrasound In Diagnosis And Treatment Of Female Infertility”
• Role Of Diffusion-Weighted Mri Imaging In Evaluation Of Cancer Prostate
• “Role Of Positron Emission Tomography With Computed Tomography In Diagnosis Of Cancer Thyroid”
• The Role Of CT Urography In Case Of Haematuria
• “Value Of Ultrasonography In Assessment Of Acute Abdominal Diseases In Pediatric Age Group”
• “Role Of Functional Magnetic Resonance Imaging In Making Brain Tumor Surgery Safer”
• The Role Of Sonoelastography In Characterization Of Breast Lesions
• “Ultrasonography, Magnetic Resonance Cholangiopancreatography (MRCP) In Assessment Of Pediatric Biliary Lesions”
• “Role Of Ultrasound And Color Doppler Imaging In Assessment Of Acute Abdomen Due To Female Genital Causes”
• “Role Of Multidetector Ct Virtual Laryngoscopy In Evaluation Of Laryngeal Mass Lesions”
• MRI Of The Postoperative Knee
• Role Of Mri In Assessment Of Valvular Heart Diseases
• The Role Of 3D & 4D Ultrasonography In Abnormalities Of Fetal Abdomen
• State Of The Art Of Mri In Diagnosis Of Hepatic Focal Lesions
• Role Of Multidetector Ct In Diagnosis Of Salivary Gland Lesions
• “Role Of Virtual Endoscopy Using Mdct In Detection & Evaluation Of Gastric Pathologies”
• The Role Of Ultrasound & Mri In Acute Pelvic Inflammatory Disease
• “Diagnosis & Staging Of Liver Fibrosis By Ultraso Und Elastography In
• Patients With Chronic Liver Diseases”
• Role Of Mri In Evaluation Of Spinal Trauma
• Validity Of Mri In Diagnosis Of Congenital Anorectal Anomalies
• Imaging Of Vascular Complication After Liver Transplantation
• “Contrast-Enhanced Digital Mammography And Digital Breast Tomosynthesis In Early Diagnosis Of Breast Lesion”
• Role Of Mammotome In Breast Lesions
• “Role Of MRI Diffusion Tensor Imaging (DTI) In Assessment Of Traumatic Spinal Cord Injuries”
• “Prediction Of Pre-eclampsia And Fetal Growth Restriction By Uterine Artery Doppler”
• “Role Of Multidetector Row Computed Tomography In Assessment Of Maxillofacial Trauma”
• “Role Of Diffusion Magnetic Resonance Imaging In Assessment Of Neoplastic And Inflammatory Brain Lesions”
• Role Of Diffusion Mri In Preoperative Evaluation Of Brain Neoplasms
• “Role Of Multidetector Ct Virtual Hysteroscopy In The Detection Of The
• Uterine & Tubal Causes Of Female Infertility”
• Role Of Advances Magnetic Resonance Imaging Sequences In Multiple Sclerosis Magnetic Resonance Spectroscopy In Multiple Sclerosis
• “Role Of Conventional Mri, And Diffusion Tensor Imaging Tractography In Evaluation Of Congenital Brain Malformations”
• Role Of MRI In Evaluation Of Spinal Trauma
• Diagnostic Role Of Diffusion-weighted MR Imaging In Neck Masses
• “The Role Of Transvaginal Ultrasound Versus Magnetic Resonance Imaging In Diagnosis & Evaluation Of Cancer Cervix”
• “Role Of 3d Magnetic Resonance Imaging Tractography In Assessment Of White Matter Tracts Compromise In Supra Tentorial Tumors”
• Role Of Proton MR Spectroscopy In The Evaluation Of Temporal Lobe Epilepsy
• Role Of Multislice Computed Tomography In Evaluation Of Crohn’s Disease
• Role Of MRI In Assessment Of Hydrocephalus In Pediatric Patients
• The Role Of MRI In Diagnosis And Staging Of Urinary Bladder Carcinoma
• USG and MRI correlation of congenital CNS anomalies
• HRCT in interstitial lung disease
• X-Ray, CT and MRI correlation of bone tumors
• “Study on the diagnostic and prognostic utility of X-Rays for cases of pulmonary tuberculosis under RNTCP”
• “Role of magnetic resonance imaging in the characterization of female adnexal  pathology”
• “CT angiography of carotid atherosclerosis and NECT brain in cerebral ischemia, a correlative analysis”
• Role of CT scan in the evaluation of paranasal sinus pathology
• USG and MRI correlation on shoulder joint pathology
• “Radiological evaluation of a patient presenting with extrapulmonary tuberculosis”
• CT and MRI correlation in focal liver lesions”
• Comparison of MDCT virtual cystoscopy with conventional cystoscopy in bladder tumors”
• “Bleeding vessels in life-threatening hemoptysis: Comparison of 64 detector row CT angiography with conventional angiography prior to endovascular management”
• “Role of transarterial chemoembolization in unresectable hepatocellular carcinoma”
• “Comparison of color flow duplex study with digital subtraction angiography in the evaluation of peripheral vascular disease”
• “A Study to assess the efficacy of magnetization transfer ratio in differentiating tuberculoma from neurocysticercosis”
• “MR evaluation of uterine mass lesions in correlation with transabdominal, transvaginal ultrasound using HPE as a gold standard”
• “The Role of power Doppler imaging with trans rectal ultrasonogram guided prostate biopsy in the detection of prostate cancer”
• “Lower limb arteries assessed with doppler angiography – A prospective comparative study with multidetector CT angiography”
• “Comparison of sildenafil with papaverine in penile doppler by assessing hemodynamic changes”
• “Evaluation of efficacy of sonosalphingogram for assessing tubal patency in infertile patients with hysterosalpingogram as the gold standard”
• Role of CT enteroclysis in the evaluation of small bowel diseases
• “MRI colonography versus conventional colonoscopy in the detection of colonic polyposis”
• “Magnetic Resonance Imaging of anteroposterior diameter of the midbrain – differentiation of progressive supranuclear palsy from Parkinson disease”
• “MRI Evaluation of anterior cruciate ligament tears with arthroscopic correlation”
• “The Clinicoradiological profile of cerebral venous sinus thrombosis with prognostic evaluation using MR sequences”
• “Role of MRI in the evaluation of pelvic floor integrity in stress incontinent patients” “Doppler ultrasound evaluation of hepatic venous waveform in portal hypertension before and after propranolol”
• “Role of transrectal sonography with colour doppler and MRI in evaluation of prostatic lesions with TRUS guided biopsy correlation”
• “Ultrasonographic evaluation of painful shoulders and correlation of rotator cuff pathologies and clinical examination”
• “Colour Doppler Evaluation of Common Adult Hepatic tumors More Than 2 Cm  with HPE and CECT Correlation”
• “Clinical Relevance of MR Urethrography in Obliterative Posterior Urethral Stricture”
• “Prediction of Adverse Perinatal Outcome in Growth Restricted Fetuses with Antenatal Doppler Study”
• Radiological evaluation of spinal dysraphism using CT and MRI
• “Evaluation of temporal bone in cholesteatoma patients by high resolution computed tomography”
• “Radiological evaluation of primary brain tumours using computed tomography and magnetic resonance imaging”
• “Three dimensional colour doppler sonographic assessment of changes in  volume and vascularity of fibroids – before and after uterine artery embolization”
• “In phase opposed phase imaging of bone marrow differentiating neoplastic lesions”
• “Role of dynamic MRI in replacing the isotope renogram in the functional evaluation of PUJ obstruction”
• Characterization of adrenal masses with contrast-enhanced CT – washout study
• A study on accuracy of magnetic resonance cholangiopancreatography
• “Evaluation of median nerve in carpal tunnel syndrome by high-frequency ultrasound & color doppler in comparison with nerve conduction studies”
• “Correlation of Agatston score in patients with obstructive and nonobstructive coronary artery disease following STEMI”
• “Doppler ultrasound assessment of tumor vascularity in locally advanced breast cancer at diagnosis and following primary systemic chemotherapy.”
• “Validation of two-dimensional perineal ultrasound and dynamic magnetic resonance imaging in pelvic floor dysfunction.”
• “Role of MR urethrography compared to conventional urethrography in the surgical management of obliterative urethral stricture.”

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Free Resources for Preparing Radiology Thesis

• Radiology thesis topics- Benha University – Free to download thesis
• Radiology thesis topics – Faculty of Medical Science Delhi
• Radiology thesis topics – IPGMER
• Fetal Radiology thesis Protocols
• Radiology thesis and dissertation topics
• Radiographics

Proofreading Your Thesis:

Make sure you use Grammarly to correct your spelling ,  grammar , and plagiarism for your thesis. Grammarly has affordable paid subscriptions, windows/macOS apps, and FREE browser extensions. It is an excellent tool to avoid inadvertent spelling mistakes in your research projects. It has an extensive built-in vocabulary, but you should make an account and add your own medical glossary to it.

Guidelines for Writing a Radiology Thesis:

These are general guidelines and not about radiology specifically. You can share these with colleagues from other departments as well. Special thanks to Dr. Sanjay Yadav sir for these. This section is best seen on a desktop. Here are a couple of handy presentations to start writing a thesis:

Read the general guidelines for writing a thesis (the page will take some time to load- more than 70 pages!

A format for thesis protocol with a sample patient information sheet, sample patient consent form, sample application letter for thesis, and sample certificate.

Resources and References:

• Guidelines for thesis writing.
• Format for thesis protocol
• Thesis protocol writing guidelines DNB
• Informed consent form for Research studies from AIIMS 
• Radiology Informed consent forms in local Indian languages.
• Sample Informed Consent form for Research in Hindi
• Guide to write a thesis by Dr. P R Sharma
• Guidelines for thesis writing by Dr. Pulin Gupta.
• Preparing MD/DNB thesis by A Indrayan
• Another good thesis reference protocol

Hopefully, this post will make the tedious task of writing a Radiology thesis a little bit easier for you. Best of luck with writing your thesis and your residency too!

More guides for residents :

• Guide for the MD/DMRD/DNB radiology exam!
• Guide for First-Year Radiology Residents
• FRCR Exam: THE Most Comprehensive Guide (2022)!
• Radiology Practical Exams Questions compilation for MD/DNB/DMRD !
• Radiology Exam Resources (Oral Recalls, Instruments, etc )!

Tips and Tricks for DNB/MD Radiology Practical Exam

• FRCR 2B exam- Tips and Tricks !
• FRCR exam preparation – An alternative take!
• Why did I take up Radiology?
• Radiology Conferences – A comprehensive guide!
• ECR (European Congress Of Radiology)
• European Diploma in Radiology (EDiR) – The Complete Guide!
• Radiology NEET PG guide – How to select THE best college for post-graduation in Radiology (includes personal insights)!
• Interventional Radiology – All Your Questions Answered!
• What It Means To Be A Radiologist: A Guide For Medical Students!

Radiology Mentors for Medical Students (Post NEET-PG)

• MD vs DNB Radiology: Which Path is Right for Your Career?
• DNB Radiology OSCE – Tips and Tricks

More radiology resources here: Radiology resources This page will be updated regularly. Kindly leave your feedback in the comments or send us a message here . Also, you can comment below regarding your department’s thesis topics.

Note: All topics have been compiled from available online resources. If anyone has an issue with any radiology thesis topics displayed here, you can message us here , and we can delete them. These are only sample guidelines. Thesis guidelines differ from institution to institution.

Image source: Thesis complete! (2018). Flickr. Retrieved 12 August 2018, from https://www.flickr.com/photos/cowlet/354911838 by Victoria Catterson

About The Author

Dr. amar udare, md, related posts ↓.

7 thoughts on “Radiology Thesis – More than 400 Research Topics (2022)!”

Amazing & The most helpful site for Radiology residents…

Thank you for your kind comments 🙂

Dr. I saw your Tips is very amazing and referable. But Dr. Can you help me with the thesis of Evaluation of Diagnostic accuracy of X-ray radiograph in knee joint lesion.

Wow! These are excellent stuff. You are indeed a teacher. God bless

Glad you liked these!

happy to see this

Glad I could help :).

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