Introduction: 3 Plasma cell granuloma mainly occurs in lungs but can occur in any other organ or soft tissue . It occurs very rarely in oral cavity. We have also reviewed different articles describing plasma cell granuloma in oral cavity. We search the articles in google scholar and pubmed with keywords plasma cell granuloma in oral cavity, buccal mucosa, gingiva, tongue. A Case report: 39 year old male came with a chief complaint of growth on left buccal mucosa. HPE discovered parakeratinized stratied squamous epithelium, showing focal ulceration and underlying dense connective tissue stroma. On the basis of clinicopathological ndings the diagnosis of plasma cell granuloma was made. Discussion: Plasma cell granuloma is a benign lesion but its exact aetiology, behaviour and prognosis is not completely known. We can give emphasis on frozen histopathology intraoperatively to avoid unnecessarily extensive and potentially destructive surgery as the treatment plan.
Introduction:Laryngeal tuberculosis is often misdiagnosed and is a highly contagious public health problem. The changing pattern of the clinical involvement of this disease poses a diagnostic challenge. The authors report four cases of laryngeal tuberculosis encountered in a short span of one month.Materials and Methods:All the four patients who presented to us with hoarseness had underlying active lesions in the lung. In spite of that they presented with mainly laryngeal symptoms and a multitude of findings on laryngeal examination. A diagnosis could be established owing to a high index of clinical suspicion, and due consideration given to the chest findings and positive sputum examination. The patients showed an excellent response to antituberculous therapy.Results and Conclusions:This study underlines the varied nature of laryngeal tuberculosis and the importance of addressing the hoarseness of a patient at the earliest, for the prompt diagnosis of this infectious condition.
Background: In cases of chronic suppurative otitis media, the most common cause for the discontinuity in the ossicular chain is erosion of lenticular or long process of incus. To study hearing results, sequel and complications of using autologous incus as interposition graft in type IIb osiculoplasty. Methods: We studied 30 patients who required ossiculoplasty using autologous incus. The pre-operative audiograms were done. Post operatively patients were followed up to 2 years during which complete otological examination with audiogram was done. Results: According to the American Academy of Otolaryngology-Head and Neck Surgery guidelines, a successful hearing result is the one with post-operative air-bone gap of 20 decibels or less. Hence, by this standard our success rate is 77 percent and in all of our patients we have air-bone gap closure to below 30 decibles. Average closure in airbone gap (gain) in our patients is 25.9 decibles with average pre-operative and post-operative air-bone gap being 47.70 decibles and 16.9 decibles there was no extrusion of incus. 3 patients had residual perforation and 2 patients had retracted grafts. All the patients with retracted grafts or residual perforation had oedematous middle ear mucosa and Eustachian tube dysfunction and high MER index. Conclusions: Autologous incus is an excellent interposition graft for ossiculoplasty. There is no risk of transmission of disease and no extra cost involved. Higher values of Middle Ear Risk Index, oedematous middle ear mucosa and Eustachian tube dysfunction are poor prognostic factor for success of ossiculoplasty.
<p class="abstract"><span lang="EN-US">Bezold’s abscess is a very rare complication of unsafe chronic suppurative otitis media. The diagnosis of Bezold’s abscess is clinched by the presence of inflammation which is tracking down the anterior belly of digastrics and sternocleidomastoid. Surgery constituting incision and drainage of abscess with canal wall modified radical mastoidectomy is treatment of choice. We hereby present a case of 42 year male presenting with parapharyngeal abscess (Bezold’s abscess) which was secondary to unsafe chronic suppurative otitis media.</span></p>
<p class="abstract">Malherbe’s calcifying epithelioma is a very rare benign tumour in area of cheek but generally present in first two decades of life. Fine Needle Aspiration Cytology (FNAC) and radiological imaging technique are not of great help in diagnosing this tumour. We hereby present a case of 15 year female with cheek swelling since 3 years which turned out to be pilomatricoma on histopathology of specimen of excisional biopsy. </p><p class="keywords"><strong><span lang="EN-US">Keywords: </span></strong>Malherbe’s calcifying epithelioma, Pilomatrixoma, BCL-2, CTNNB1</p>
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