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Otologic immunoglobulin G4–related disease (IgG4-RD) is a rare and a relatively newer pathology. COVID-19, IgG4-RD, and type 2 diabetes, all have independent capabilities to considerably affect the immune system. The immunological effects of COVID are a global conundrum; consequently, the association of this trio (otologic IgG4-RD, COVID-19, and type 2 diabetes), the only reported case in literature, paves the way for a fascinating interplay to explore the knowledge of which would help optimize treatment and improve disease outcomes. [ABSTRACT FROM AUTHOR]

Introduction: The victorious healing of the tympanic membrane (TM) primarily depends upon the adequate blood supply to the affected part of the TM. Magnifying narrow-band imaging (NBI) is a new technique used to improve the visualization of the vascularity status of perforated TM. However, search of peer-reviewed Indian literature revealed a lack of consensus on this. To improve the understanding of this subject in this study, magnifying NBI and conventional white light were compared using Vascular Otoendoscopy Score (VOS) which is a subjective scoring system used for evaluation of the degree of vascularization. Materials and Methods: The study was conducted using NBI and white light videoendoscopy to visualize TM vascularity in 100 otitis media (OM) and 100 normal TMs. Grading of vascularity was done using VOS in both arms and compared. Results: Our study revealed a score of 1.4 ± 0.71 on white light and 1.72 ± 0.45 on NBI as a reference in cases with OM and a score of 1.68 ± 0.46 on white light and 1.96 ± 0.19 on NBI can be taken as a reference for a normal TM. Conclusion: NBI has the advantage of better visualization of the vascularity status of TM and thus can potentially complement the white light examination for the prediction of better surgical outcomes. [ABSTRACT FROM AUTHOR]

Ossifying fibroma is a nonneoplastic developmental disease of osseous tissue seen rarely in association with Sturge–Weber syndrome. It is a lesion of unknown aetiology, uncertain pathogenesis, and diverse histopathology. The aim of this study is to report an unusual case of in a 11-year-old male of SWS. The rarity of the case and the fact that ossifying fibroma may be associated with Sturge–Weber syndrome propelled us to report it. Physical examination showed facial asymmetry (due to hemifacial swelling) without any tenderness, fluctuation, ocular pain, or ophthalmoplegia. Imaging studies revealed a solid mass involving the left maxilla and orbital floor. A conservative therapeutic approach to these lesions may be sufficient to relieve signs and symptoms effectively. Periodic follow-up is indicated to detect recurrences or malignant changes in the early stages. [ABSTRACT FROM AUTHOR]

Aim and Objectives: The current study was undertaken to assess the effect of the coronavirus disease 2019 (COVID-19) pandemic on cochlear implant rehabilitation of children with congenital nonsyndromic bilateral severe-to-profound sensorineural hearing loss (SNHL). The objectives were to find out the psychological impact of COVID-19 on parents of children with cochlear implant habilitation, to assess the performance of children with cochlear implant habilitation through teletherapy, and to analyze the problems faced by the parents to obtain the professional hearing health-care services for their cochlear implanted children. Materials and Methods: An online questionnaire survey was conducted among the parents of children who had undergone cochlear implantation (CI) consequent to congenital severe-to-profound SNHL. Prior to the COVID-19 pandemic, these children were receiving regular auditory verbal therapy (AVT) including visits to the Centre for audiological services (mapping and troubleshooting of the speech processor). Results: The online questionnaire survey has undertaken. A total of 50 parents were participated in this study. All the parents are unanimously reported that the COVID-19 pandemic has adversely affected them in the form of accessing the professional health-care services for regular mapping and troubleshooting of the speech processor and also their children's rehabilitation. However, active involvement between the health-care professionals and the parents through video consultation and tele AVT has definitely helped the children to a great extent. Conclusion: The present study emphasizes the great challenge posed by the COVID-19 pandemic for continued rehabilitation of CI children. The innovative digital media technology helps in addressing such medical issues through telemedicine, teleaudiology, and teletherapy. [ABSTRACT FROM AUTHOR]