Cysticercosis is an infection of Cestodes, or tapeworms (larvae), which are segmented worms. The adults reside in the gastrointestinal tract, but the larvae can be found in almost any organ. We present a case of an adult presenting as cystic neck swelling which turned out to be cysticercosis of sternocleidomastoid muscle. On evaluation using USG, FNAC cysticercosis was diagnosed and the same was confirmed by histopathological examination. Hence we conclude that parasitic infestation should be considered as differential diagnosis in any neck swelling.
Epiglottic cyst is a benign tumour that can occur at all ages. Considering that the diameter of the respiratory tract is smaller in infants and children, an epiglottic cyst may easily obstruct the airway and large cysts may present as stridor, cyanosis with feeding and respiratory difficulty. On the other hand most adult epiglottic cysts remain benign and asymptomatic. Rarely they may progress to epiglottitis or epiglottic abscess, leading to airway obstruction and respiratory arrest. We report the case of a 20 year old male patient who presented to us with abrupt onset of dyspnoea and stridor. Our foremost priority was to secure the airway and emergency tracheostomy was done. Laryngoscopic examination revealed a large cyst occupying lingual surface of epiglottis including the free margin. Contrast enhanced CT scan of neck demonstrated prominent epiglottis with hypodense lesions suggestive of abscess within it. The patient underwent microlaryngoscopy with marsupialization of the cyst wall. Patient was subsequently decannulated and on follow up showed no recurrences of cyst.
<p class="abstract"><strong>Background:</strong> The objective of the study was to determine the difference in extent of laryngeal visualization between indirect laryngoscopy (IDL) mirror and rigid endoscopy (70°) and relevance of IDL in present day otolaryngological practice.</p><p class="abstract"><strong>Methods:</strong> 100 patients attending to the Department of ENT, Vijayanagara Institute of Medical Sciences, Ballari, Karnataka with complaints referable to larynx and upper digestive tract were taken up for study. All patients underwent IDL mirror and rigid endoscopic (4 mm, 70°) examination. The extent of laryngeal visualization by the clinician was recorded for each examination. </p><p class="abstract"><strong>Results:</strong> Out of 100 patients who underwent IDL mirror examination and rigid endoscopic (4 mm, 70°) examination in 87% of cases IDL mirror examination was adequate for making the diagnosis and in 11% of cases we needed rigid endoscopic examination for making the diagnosis. In 2% of cases we were not able to visualize the pathologies even with rigid endoscopy, in whom we needed other modalities of examination like radiological evidence to arrive at a diagnosis.</p><p class="abstract"><strong>Conclusions:</strong> In the present study, in 87% of the cases IDL mirror examination was adequate for making the diagnosis. Eleven cases needed rigid endoscopic (4 mm, 70°) examination to aid in diagnosis of pathologies. Even though laryngeal mirror examination is less comfortable, causing gagging for patient and may provide less complete information when compared to rigid endoscopy because of its less expensive, better depth visualization of structures and near real size images provides a versatile tool till date. Be that as it may indirect laryngoscopic mirror examination remains the mainstay of otolaryngological practice in today’s Otolaryngology practice.</p>
<p class="abstract"><strong><span lang="EN-US">Background: </span></strong>Post-tonsillectomy haemorrhage remains the most serious complication of tonsillectomy. Many topical agents have been used to control the post-operative bleeding by the surgeons. This study was undertaken to evaluate hemocoagulase as a local application in tonsillectomy for the control of primary, reactionary and secondary haemorrhages.</p><p class="abstract"><strong><span lang="EN-US">Methods: </span></strong>50 patients, between the ages 5-60 years, who came with chronic tonsillitis or adenoid hypertrophy, were included into the study. The surgery was performed under general anaesthesia by tonsillar resection or tonsilloadenoid resection. </p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>The most common age group to be affected was between 5 and 15 years, though in this age group the number of females and males were the same, accounting for 28% each of the total number of patients. Among the 50 patients, only 5 (10%) of them had reactionary haemorrhage, which was immediately contained. None of the patients had either primary or secondary haemorrhage.</p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>The use of hemocoagulase has after tonsillectomy has definite advantage in controlling post-operative bleeding. It can be used as a routine application after tonsillectomy to control the bleeding.</p>
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