PRIYA KANAGAMUTHU
@care.edu.in
professor department of ENT
Chettinad University
EDUCATION
MBBS, MS ENT
Scopus Publications
Scholar Citations
Scholar h-index
Scholar i10-index
Scopus Publications
Balaji Dhanasekaran, Rajasekaran Srinivasan, Priya Kanagamuthu, Prabakaran Somu, Namasivaya Navin R.B., K. Gowthame, Sarath Kumar, C. Ramya Shree, S.R. Karthika, and Greeshma U. Gopan
Springer Science and Business Media LLC
A. Raghvi, K. Priya, S. Rajasekaran, S. Prabakaran, R. B. Namasivaya Navin, D. Balaji, and K. Gowthame
Springer Science and Business Media LLC
S. Rajasekaran, K. Priya, D. Balaji, and R. Karthika
Springer Science and Business Media LLC
Priya Kanagamuthu and Karthika Santhipalayam Ranganathan
Springer Science and Business Media LLC
A. Raghvi, K. Priya, and D. Balaji
Springer Science and Business Media LLC
Priya Kanagamuthu, Balaji Dhanasekaran, S. R. Karthika, and V. K. Raghavan
Springer Science and Business Media LLC
Balambigai N, Usha Rani Chittathur, Priya Kanagamuthu, and Jayachandran Ganesh
Knowledge E DMCC
Introduction: Gesture is a form of non-verbal communication. Down syndrome (DS) is one of the most common congenital syndromes in which speech and language deficits are prominent. Earlier studies have revealed mixed results regarding the advanced use of gestures among children with DS in Western literature. Indian culture influences parent-child interactions and gesture use differently. This study aims to assess whether a gesture advantage exists among DS children in the Indian context
 Materials and Methods: In this case-control study, 5 Tamil-speaking children with DS and 5 typically developing (TD) language-age-matched controls were observed. Their spontaneous interactions with their mothers were analyzed for type and frequency of gestures and gestureword combinations using a checklist.
 Results: Except for the frequency of deictic (requesting, giving) gestures, all the other gestures, namely deictic (pointing, showing), symbolic and representational gestures, and word-gesture combinations (equivalent, complementary, and supplementary) were observed much less frequently in DS children, although only pointing had a statistical significance. Also, fewer types of gestures were observed among DS children.
 Conclusion: Children with DS in the Indian context do not exhibit a gesture advantage. This study highlights the importance of gesture assessment and intervention among these children.
K. Priya, P. N. Aswin Vaishali, S. Rajasekaran, D. Balaji, and R. B. Namasivaya Navin
Springer Science and Business Media LLC
The protection efficacy of face masks during this covid 19 pandemic has been well documented. The changes in human nasal functions after wearing facemask for prolonged period is not known. The aim of this study is to determine the effects of prolonged usage of facemask by ENT professionals during covid 19 pandemic. It is a cross sectional study conducted in department of ENT in Chettinad Hospital and Research Institute, Kelambakkam. A self-constructed questionnaire containing 21 queries regarding the effects of prolonged use of face mask, after being analysed by the experts of our institution were distributed to 124 ENT professionals all over India. People who are ENT by professionals can participate in this study. Participation is voluntary. Study period was from March 2020 to December 2020. All answered questionnaires were sent for statistical analysis. 63.71% experienced difficulty in breathing while wearing face mask, 37.10% experienced dry nose, 46.77% experienced dry mouth. The most common modality of prevention in an OPD setup was face mask with face shield (31.45%). About 80.65% people believed there are side effects due to wearing mask. Since facemasks are essential to protect us from COVID-19, certain strategies can be followed to reduce the discomfort due to its prolonged usage such as encouraging nasal breathing, taking short breaks from wearing mask in a safe environment and to maintain hydration.
Priya Kanagamuthu and Raghvi Anand
Medknow
Introduction: The preauricular sinus is a congenital abnormality which was initially identified by Van Heusinger in 1864. Preauricular sinus development is strongly related to the development of auricle in the sixth week of pregnancy. Preauricular sinus can be inherited or are sporadic. Most cases are sporadic and over half of all cases are unilateral. Bilateral cases are more frequent in inherited cases. Case Report: A 10 year old boy was brought with complaints of discharge from left pre auricular region on and off since birth. History of frequent episodes of discharge from left pre auricular region about 2-3 episodes per year. Local examination showed preauricular sinus tract at the root of helix on both sides. There was no discharge,no warmth, no tenderness. The child underwent necessary investigations and pre aneasthetic fitness was obtained. Pre auricular sinus tract excision on left side under general anasthesia was done. Multiple sinus tracts were excised and sent for histopathological examination which showed evidence of pilonidal sinus. There was presence of sinus tract line by epidermis, lumen filled with keratin and hair shafts. The child was brought for follow up on postoperative day 10, the sutured site was found to be healthy. Suture removal was done and the wound was healing well. The child is on regular follow up and has shown no signs of any recurrence. Discussion: The only definite treatment of recurrent infective sinuses is complete excision of the sinus tract. In our case, supra aural elliptical incision was placed and all visible sinus tracts were cleared and sent for histopathological analysis. When these sinuses get infected, most frequent cause being with gram-positive bacteria, the exudates should be sent for culture, and the appropriate antibiotics should be administered. The temporalis fascia, the cartilage of the helix, and the auditory canal are identified using the supra-auricular approach. An en bloc excision of the sinus is then carried out. Pilonidal sinus is a difficult condition that causes suffering and embarrassment to its victims. Despite it being rare and atypical, pilonidal sinus could also occur in the auricular region. Although pilonidal sinus has been reported in a number of uncommon areas of the body besides the sacrococcygeal region, this is the second case of pilonidal sinus that we are aware of in the preauricular region that is reported in literature. Conclusion: Thus we present a very rare case of pilonidal sinus in pre auricular region. Only two cases have been reported till date in literature and our case is the second one to be reported in the pre auricular region.
Priya Kanagamuthu, TDinesh Kumar, Gunakeerthana Ramesh, and Rajasekaran Srinivasan
Medknow
Congenital aural atresia (CAA) is the abnormality of the auricle and/or external auditory canal where there is closure of the external auditory canal which may be associated with microtia and anomalies in the middle ear, inner ear, or temporal bone. It can be solid or membranous type of atresia. To identify the type of defect, high-resolution computed tomography (HRCT) temporal bone is useful. After identifying the defect, the patient can be planned for canaloplasty or atresiaplasty with split skin graft. A 6-year-old boy was brought to the otorhinolaryngology outpatient department with complaints of deformity of the left ear since birth. HRCT temporal bone showed isolated left external auditory canal atresia. Echocardiogram showed dextrocardia with situs solitus and USG abdomen revealed situs inversus of the abdominal organs with no significant abnormality. After proper evaluation of the child, after obtaining preanesthetic fitness, the child had undergone atresiaplasty with split skin graft under general anesthesia. Soft tissue that was excised from the external auditory canal was sent for histopathological examination, which revealed the presence of salivary gland tissue with lymph nodes showing reactive changes. These features were suggestive of possibility of choristoma of the left external auditory canal. CAA occurs in the defect during embryological development which may result in deformity of the auricle and external auditory canal. The surgical management of congenital external auditory canal atresia is atresiaplasty, and hearing rehabilitation (bone anchored hearing aid) should be given in case of no improvement in hearing. The surgery will be challenging because of altered anatomy of surgical landmarks. Choristoma is a tumor-like growth of normal tissue in an abnormal place. It is a benign condition, which may be found commonly in the head-and-neck region such as presence of salivary gland tissue in the middle ear, presence of gastric mucosa in the tongue and presence of osseous or cartilaginous masses in the intraoral soft tissues. Total excision can be done for small and pedunculated tumors, and care should be taken not to injure facial nerve. CAA may not necessarily present with deformities in the external ear (pinna), but Congenital aural atresia cases may not always present with deformities of the pinna,but it is crucial not to miss such cases. These patients may be evaluated by doing High Resolution Computed Tomography temporal bone and audiometric assessment such as. Pediatric evaluation is equally important to rule out for any syndromic association. Atresiaplasty or canaloplasty has shown great result for correcting the cosmetic defect. Hearing can be facilitated further using bone anchored hearing aids or cochlear implantation.
D. Balaji, S. Prabakaran, K. Paventhan, K. Priya, and S. Rajasekaran
Africa Health Research Organization
Endotracheal intubation has achieved widespread use and refinement in standard treatment for respiratory failure. The aim of the study is to observe the most common structures that get injured in prolonged intubation and to assess the structural changes in the larynx after prolonged intubation in patientswho are admitted at Chettinad Hospital and Research institute. 58 patients were included in this study that were admitted to the hospital or attended the ENT outpatient department. The study was conducted from November 2017 to May 2019. Structural changes in the larynx were assessed in the patients who were intubated for more than 48 hours using video laryngoscopy. The findings were documented and subjected to statistical analysis. In the study, based on the data collected from 58 patients who were under intubation for more than 48 hours, underwent video laryngoscopy to assess the anatomical changes in larynx. It is concluded that – As the number of days of intubation increased in our study group, the prevalence of structural changes in larynx also increased. Hence, it is ideal to keep the patients under intubation for not more than 48 hours. If the patient needs continuous ventilatory support, it is better to shift to other modes of assisted ventilation.
K. Priya, P. Karthikeyan, and V. Nirmal Coumare
Springer Science and Business Media LLC
During the time period of August 2009 to August 2010, five cases of odontogenic keratocyst were admitted and treated under the care of Department of Otorhinolaryngology, MGMC and RI, Puducherry. Patients came to the ENT OPD with history of swelling in the cheek region, nasal obstruction, numbness in the upper alveolar region. On examination diffuse swelling of size 7 × 3 cm in one patient and size of 5 × 3 cm in two patients, and other two patients size of 6 × 3 cm present in the maxillary region with ill defined borders, the swelling was firm in consistency, no warmth, non tender. Anterior rhinoscopy reveals mass pushing the lateral wall medially, septum pushed to opposite side, mucopus present in nasal cavity, airway reduced on the side of swelling. On examination of oral cavity, a small granulation of size 1.0 × 0.5 cm present in two patient and swelling of size 1.5 × 1.0 cm seen in two patients in vestibule, no swelling in one patient and swelling of size 3 × 2 cm seen in hard palate of two patients and no swelling in three patients, no loosening of tooth seen in all patients. X-ray PNS reveals maxillary hazziness, diagnostic nasal endoscopy reveals lateral wall of nose pushed medially and septum pushed to opposite side. FNAC reveals resolving inflammatory aspirate in one patient, few macrophages seen in two of patients, few keratinocytes seen in two of the patients. CT nose and PNS revealed a large cystic lesion with erosion of anterior and medial wall and floor of maxilla in relation to the root of the last molar tooth in two patients and there is erosion of anterior and medial wall in other three patients. A combined endonasal and external sublabial (Caldwell-luc) approach was performed in four patients and the cystic lesion was removed and in other one patient only endonasal approach was done and cystic lesion was removed and sent for biopsy. Biopsy sent for HPE revealed odontogenic keratocyst.
Kanagamuthu Priya, AlandurPonnusamy Sambandan, Padmanabhan Karthikeyan, and VenkataramanujamNirmal Coumare
Medknow
Aims and Objectives: To assess the eustachian tube function (ETF) and to evaluate the treatment outcome of chronic suppurative otitis media (CSOMtubotympanic type) in relation to eustachian tube dysfunction. Materials and Methods: Prospective study for a period of 2 years; the study comprises of 100 patients diagnosed to have CSOM (tubotympanic type). ETF was assessed by Toynbee's test. Patients with normal ETF were taken up for myringoplasty. Patients with totally impaired ETF irrespective of middle ear mucosal status (dry or wet) were taken up for cortical mastoidectomy with tympanoplasty. Patients with partially impaired ETF, with dry middle ear mucosa were taken up for myringoplasty and those with wet middle ear were taken up for cortical mastoidectomy with tympanoplasty. Results and Analysis: The ETF in these patients was analyzed and graft uptake was assessed clinically in reference to ETF status. The results are tabulated and analyzed using Chi-square test using number cruncher statistical system (NCSS) software. In our study, preoperative ETF had a highly significant P value = 0.0005. Conclusion: Methodology of treatment adapted for CSOM patients based on ETF proves that the eustachian tube plays a major role in the uptake of graft.
P Karthikeyan, K Priya, and AGanesh Bala
Medknow