Endoscopic sinus surgery results in significant improvement in the symptoms of patients with CRS alongwith a definitive decrease in antibiotic and antihistaminic requirement. We conclude that ESS is an effective treatment for CRS in those who fail to respond to medical treatment.
this condition is so dramatic as to be almost diagnostic. Such a case who went from pillar to post for more than 3 weeks, before a diagnosis was made is being reported, to increase awareness of this not so common disorder among clinicians [2]. Case Report A 40 year old wife of a serving Junior Commissioned Officer (JCO), hailing from Bihar, reported with complaints of pain throat on swallowing since the last 24 days. On direct questioning she gave history of low grade fever. She had been on antibiotics but with no relief. There was no history of having ingested any foreign body, haemoptysis or change of voice. On examination voice was normal, temperature was 99.4°F but pulse was 136/min. Examination of the throat and indirect laryngoscopy did not reveal any abnormality. Laryngeal crepitus was present. Palpation of the thyroid revealed a very slight uniform diffuse enlargement with a small 1x1 cm tender nodule palpable on the left lobe. A provisional diagnosis of De Quervain's thyroiditis was made and FNAC and T3, T4, TSH were asked for. FNAC confirmed the diagnosis. Smear revealed numerous lymphocytes scattered singly and in groups with a few plasma cells and macrophages. A number of multinucleated giant cells and aggregates of epitheloid cells (granuloma) were also seen (Fig 1 & 2). The native follicular cells were seen scattered
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