ABSTRACT:Otomycosis is fungal infection of external auditory canal, which is common throughout the world. Otomycosis may be refractory to treatment prescribed and hence challenges the clinician. AIM: To identify the organism causing otomycosis and to explore specific predisposing factors and treatment. MATERIALS AND METHODS: This is a descriptive study of cases of otomycosis attending ENT outpatient department of Govt. Medical College, Thiruvananthapuram which were evaluated clinically and microbiologically for one year. RESULT AND CONCLUSION: The commonest predisposing factor for otomycosis is trauma due to self-cleaning and water entering the ear. Common in females. Common presentation is itching of ear and ear ache. Commonest organism isolated is Aspergillus Niger. Usually respond to treatment with topical antifungal agent especially clotrimazole. Most of the cases responded satisfactorily with topical clotrimazole.
Introduction The Peripheral Primitive Neuroectodermal Tumour (pPNET)/Ewing's sarcoma family tumor (ESFT) group is a recently redefined term which includes all small round cell tumors of bone, soft tissue, and nerve with a common neuroectodermal origin. These highly aggressive pediatric soft tissue tumors occur less frequently in the craniospinal axis. Primary cranial lesion associated with spinal and pelvic metastasis is a rare presentation. Clinical Presentation A 9-year old girl was hospitalized with features of progressive increase in intracranial pressure with quadriparesis. The patient had ⅘ quadriparesis with bilateral papilledema. Brain MRI showed a large, hetero intense, contrast enhancing right parietal bony lesion infiltrating the dura with mass effect over the brain. Brain CT showed bony expansion and multiple calvarial lytic lesions. MRI cervical spine revealed collapsed fourth cervical vertebral body with extensive paravertebral and paraspinal soft tissue components with cord compression. Metastatic workup revealed a lytic lesion in the left iliac bone and left lung. The patient underwent a surgically challenging C4 corpectomy with cage fixation followed by craniotomy and excision of parietal bony lesion with titanium mesh cranioplasty in the same sitting. Histopathology revealed pPNET and was confirmed by CD99 positivity. Conclusion This rare multiple site tumor presentation was carefully planned and effectively managed by a combined single-stage surgical approach involving total excision of primary parietal bone and metastatic cervical spine tumors with primary
<p class="abstract"><strong>Background:</strong> Obstructive sleep apnoea syndrome is a disorder that involves periodic partial or total collapse of the pharyngeal airway during sleep which results in progressive asphyxia. It also leads to more insidious conditions including hypertension, diabetes mellitus, coronary artery disease, stroke, cognitive impairment and daytime somnolence. The aim is to analyse the surgical outcomes of series of 16 patients of OSA having circumferential collapse at velopharynx for which Zetaplasty was done by comparing pre-operative and post-operative symptoms, Epworth Sleepiness Scale, DISE and polysomnography.</p><p class="abstract"><strong>Methods:</strong> A prospective study in 16 patients was done in our institute during the period from July 2017 to June 2018 and was followed for a period of 6 months. It comprised of 14 male and 2 female. At the patients in our study had complaints of snoring, frequent awakening at night and excessive day time sleepiness. </p><p class="abstract"><strong>Results:</strong> All the 16 patients showed good improvement in symptoms after the surgery. There was around 50% drop in the post-op AHI. The post-op ESS score was also reduced. Lowest oxygen saturation improved significantly.</p><p><strong>Conclusions:</strong> Zetaplasty for circumferential airway collapse at velopharynx level is a very safe and effective option as determined by the results of our study which is substantiated by reduction in AHI, ESS score and reduction in snoring. </p>
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