Introduction Haemangiomas are common presentation in head and neck, prevalence being 60% followed by 25% and 15% respectively in trunk and limbs. This report studies the efficacy of Polidocanol as sclerosant in the treatment of heamangiomas in head and neck. Materials and Methods The two year prospective study conducted from January 2015 to December 2016 with Polidocanol as sclerosant on 55 patients attending the department of ENT. Intralesional injections of 3 % polidocanol were given at 2 week intervals. Results Out of 55 patients 15 cases did not follow up after the first dose, so results were calculated out of 40 patients. 12 patients showed complete regression & 15 showed regression to half the size. Thus 67.5 % patients showed acceptable results. There were no side effects except hyperpigmentation in 2 patients. There were no cases of recurrence during our study period. Conclusion Sclerotherapy is a promising method of treatment for haemangiomas of head and neck that may obviate the need for surgical intervention.
OBJECTIVE:To study the role of adenoidectomy in the management of otitis media with effusion. TYPE OF STUDY: A prospective clinical study. MATERIALS AND METHODS: 20cases studied in department of ENT, GMCH. The duration of study was from February 2011 to December 2011. Hearing loss assessment in the form of PTA & TYMPANOMETRY before and after adenoidectomy was done. OBSERVATIONS AND RESULTS: Children <14 years were included in the study. Sex wise distribution was observed. Patients categorized according to the symptoms, gender and degree of hearing loss. Satisfactory results observed after adenoidectomy in relation to the improvement in hearing loss. There can be some complications after adenoidectomy but in our studies proper precautions were taken and no complications seen. CONCLUSION: Adenoidectomy is a very effective surgical modality of treatment in patients who are having otitis media with effusion due to adenoid hypertrophy. Conservative management has no role and grommet insertion is not of much value. Adenoidectomy alone has been shown to produce otoscopic clearance of middle ear effusion, alteration of tympanometric status and improvement of hearing loss.
Introduction Steroid therapy is considered to be the gold standard for sudden sensorineural hearing loss (SSNHL). Delivering steroids by intratympanic injection is more efficient than systemic injections with minimum or no side effects. The present study was aimed to evaluate the efficacy and safety of intratympanic methylprednisolone injections as initial first line therapy for unilateral idiopathic SSNHL and the ease of giving it by otoendoscopy. Materials and Methods A prospective analysis was performed for the patients diagnosed as unilateral idiopathic SSNHL from April 2014 to April 2016 and receiving intratympanic steroids injections as first line therapy. Patients with unilateral sensorineural hearing loss of at least 30 dB at 3 contiguous frequencies occurring within a period of not more than 3 days are only included. All of the intratympanic steroid (ITS) injections were administered as OPD procedures. Each patient was treated by 3 injections given at 3 days interval. Results A total of 22 patients who underwent primary intratympanic steroid (ITS) injection for unilateral SSNHL during the study period were included in the study. The mean age was 42.22 years (+ 9.79) and age ranged from 27 to 68 years. Patients included in our study came within 2nd to 27th day of occurrence of deafness and the mean duration (days) from onset of disease to start of ITS was 7.86 days. The average hearing gain in our study was 44.22 dB. In the present study 11 patients (50%) showed complete hearing improvement and 10 cases (45.45%) had partial and one (4.54%) showed no hearing recovery at 3 weeks follow up period. Conclusion Minimal systemic absorption with minimum or no systemic effects and high percentage of success rate encouraged the surgeons to prefer ITS as primary therapy for idiopathic unilateral SSNHL. It is effective, cheap, well-tolerated and can be performed as OPD procedure.
AIMS AND OBJECTIVES: 1. To study the incidence of various neck injuries in patients attending ENT OPD/admitted in ENT ward. 2. To evaluate the distribution in age, sex, modes of presentation and nature of injury (suicidal, homicidal or accidental) 3. To categorize neck injuries according to zones of involvement. 4. To study cases of neck injuries where tracheostomy was needed/blood transfusion was required. TYPE OF STUDY: A prospective clinical study. MATERIALS AND METHODS: Patients admitted in ENT WARD/attending ENT OPD, GMCH, Guwahati with neck injuries are selected for the present study. A prospective study is conducted over the selected group for their age, sex, modes of presentation and their investigations. Patients requiring tracheostomy in neck injuries are also included. Study on various treatment modalities either conservative or surgical is done. OBSERVATION AND RESULTS: The neck injuries were more common in males and in most of the cases belonged to lower socioeconomic status. Homicidal intent was most common with edged weapon as the choice. Penetrating wound was seen to be most common type. Commonest mode of presentation was bleeding. The most common investigation done was blood grouping and hemoglobin. In maximum cases, repair of soft tissue was done. Morbidity with left vocal cord paresis in l case and facial palsy in l case were observed. Mortality in our study was 1.31%. CONCLUSION: The increase in incidence of neck injuries is due to urban violence, psychological stress or illness and accidents. Open neck injury was more common than close injury. While managing the cases we found that clinical examination is more important than any other investigation. Management of neck injuries requires multidisciplinary approach. Consultations were taken from the department of CTVS, Psychiatry, Neurology and other departments as per requirement.
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