were included in the study. After a detailed clinical examination, relevant investigations and a valid informed consent, Fine Needle Aspiration Cytology of the neck swelling was performed, followed by biopsy and histopathological examination of the neck swelling. The result of Fine Needle Aspiration Cytology was correlated with result of Histopathological examination of neck swelling. STATISTICAL ANALYSIS USED: The result of this study was calculated by using the method of Galen and Gambino for substantiating the correlation. RESULTS: The histopathological correlation of Fine Needle Aspiration Cytology in our study was 92%. The sensitivity, specificity and efficiency of Fine Needle Aspiration Cytology in our study were 87.5%, 100% and 98% respectively. CONCLUSION: Fine Needle Aspiration Cytology is an excellent first line method for investigating patients presenting with neck masses. Since the masses of the neck are easily accessible, Fine Needle Aspiration Cytology is a diagnostic procedure which suits well for such a situation.
<p class="abstract"><strong>Background:</strong> Neck mass in pediatric age group is a common clinical condition encountered by an ENT Specialist. Detailed clinical examination and knowledge of the common neck masses in children, which differ from those in adults is vital in early diagnosis and treatment. Diagnostic modalities such as Ultrasonography, Computerised Tomography, Fine needle aspiration cytology (FNAC) and histopathological examination aids in the diagnosis of superficial neck masses. The majority of neck masses in the pediatric population are congenital or inflammatory in origin and some are neoplastic. This study was conducted to establish the various causes of neck masses and the site of origin of neck masses in pediatric patients attending ENT OPD.</p><p class="abstract"><strong>Methods:</strong> 50 patients in the age group of 1 month to 18 years presenting with neck masses to the ENT OPD of Vinayaka Mission’s Medical College and Hospital, Karaikal were included in the study. This was a prospective study conducted for a period of 2 years. All the cases underwent FNAC. Biopsy and histopathological examination was done in cases where the cytological diagnosis was inconclusive. </p><p class="abstract"><strong>Results:</strong> Of the 50 cases clinically evaluated, 24 were lymph node swellings, 7 were thyroid swellings, 8 were salivary gland swellings, 10 were congenital neck swellings, with 1 swelling being due to other cause.</p><p class="abstract"><strong>Conclusions:</strong> Inflammatory swelling arising from the Lymph nodes were the commonest cause of neck swelling in pediatric patients. Neck swellings were located most commonly in the Submandibular triangle in the study.</p>
<p class="abstract"><strong>Background:</strong> Rhinosporidiosis is a chronic granulomatous infective disorder that is caused by <em>Rhinosporidium seeberi</em>. It usually presents as a soft polypoidal, pedunculated or sessile mass arising from the nasal mucosa. Common sites of occurrence of rhinosporidiosis are nasal cavity and nasopharynx, it can also be found in conjunctiva, larynx and maxillary sinuses.</p><p class="abstract"><strong>Methods:</strong> A cross-sectional study was conducted in the outpatient department of ENT, at Vinayaka Mission’s Medical College and Hospital for a period of 1 year 7 months from October 2011 to April 2013. During the study period, all cases that were diagnosed as rhinosporidiosis by histopathology were included in the study group. The aim of this study is to determine the epidemiology, risk factors, clinical features and evaluation of blood group in patients with rhinosporidiosis in a study group. </p><p class="abstract"><strong>Results:</strong> Majority of patients in our study were young male adults from low socio-economic strata and from rural area. The common sites involved were the nasal cavity and nasopharynx. It showed an association with blood group O type.</p><p class="abstract"><strong>Conclusions:</strong> Rhinosporidiosis is an infective disease which is seen in individuals using surface water sources for daily needs. It requires careful clinical evaluation and diagnosis. Patients in high risk group with suspicion should undergo surgical excision with electrocautery. Careful follow up is essential for early diagnosis of recurrence.</p>
Background: Upper aerodigestive tract malignancies constitute approximately 4% of all malignancies. These include cancers of the various sites of the upper aerodigestive tract where malignant lesions can be found such as the nasal cavity, paranasal sinuses, nasopharynx, oral cavity and it's sub-sites, oropharynx, larynx and hypopharynx. Malignancies of these sites are found to be common in people from lower socio-economic strata. Tobacco and alcohol are considered as risk factors for it's development. Methods: A cross-sectional study was conducted in the outpatient section for a period of 1 years 10 months from October 2014 to July 2016. During the study period, 100 cases that were diagnosed as having upper aerodigestive tract malignancy by histopathology were included in the study group. The aim of this study is to determine the epidemiology, clinical features and anatomical site-wise distribution of malignancy in the study group. Results: Oral cavity was the commonest site where malignancy developed in the upper aerodigestive tract followed by the larynx. Malignant disease was more common in males and in the elderly. Majority of the patients who developed malignancy had history of tobacco and alcohol consumption. Conclusions: Oral cavity malignancy is common in rural population, is associated with tobacco chewing and is more common in elderly male.
Background: Hearing plays an important role for children in development of speech and language and socialization. Hearing impairment can have a negative impact on an individual’s social, educational, and emotional life. If not detected early, it can affect the speech and language development. Early diagnosis by newborn hearing screening methods and protocols helps in prevention of hearing impairment. Objective: The primary objective of this study was to find the incidence of hearing loss in normal and high risk neonates. Materials and Methods: The study was carried out in a tertiary care teaching hospital over a period of 12 months. A total of 1200 babies including 810 normal and 390 high risk babies were enrolled into the study. All neonates underwent otoacoustic emission (OAE) test within first 3 days of birth. Those who failed in this test underwent repeat OAE after 2 weeks, followed by brain stem evoked response audiometry (BERA), when the neonates fail in second OAE. Results: Of 810 normal babies and 390 high risk babies, 65 and 103 babies showed absent OAE respectively on initial screening. On follow up, 10 and 21 babies still showed absent OAE in normal and high risk group respectively.
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