Benign neoplasms of the laryngopharynx are extremely rare. Hereby we present 3 such interesting cases managed at our institute. While one was managed by conventional endoscopic route the other two required external approach. Even in the present era of endoscopic surgery sometimes these lesions necessitates external approach owing to anatomical distortion causing difficulty in intubation and/or inadequate exposure of the lesion. All these cases highlights the need of a competent surgeon to treat benign laryngopharyngeal lesions.
Introduction:Congenital choanal atresia is the developmental failure of the nasal cavity to communicate with nasopharynx. The newborn baby presents with intermittent attacks of cyanosis and respiratory distress soon after birth. Inability to pass nasal catheters in both the nares reveals the diagnosis of bilateral Choanal Atresia. Study aimed to present our experience with a endoscopic approach for transnasal repair of choanal atresia.
Material and Methods:Seven patients with mean age 7 days with bilateral choanal atresia,underwent endoscopic repair using a mucoperichondrial flap from the nasal septum. The bony stenosis was opened with a surgical curette or drill, and the raw surface was covered by the flap.
Results:A total of 7 choanae were operated. With mean follow-up 27 months. Out of seven patients operated by us, five patient survived with a patent choana.We had two deaths, one patient expired during the procedure due to bleeding and one patient expired three hour after the procedure due to CCF.Conclusion: Endoscopic repair of choanal atresia is a safe and rapid procedure.
<p class="abstract">Unsafe chronic suppurative otitis media (CSOM) requires early attention, otherwise leads to various extracranial and intracranial complications. Petrositis is one of the complications of temporal bone due to unsafe CSOM leading to inflammation or abscess in the petrous apex along with involvement cranial nerves V and VI nerve and leading to a trio of symptoms like ipsilateral otorrhea, deep facial pain and ipsilateral lateral rectus palsy, this clinical trio collectively called as Gradenigo’s syndrome. We have done retrospective study of 3 cases who were presented to our tertiary care centre ENT-OPD with symptoms suggestive of Gradenigo’s syndrome. Cases selected by simple random sampling. Cases with ear malignancy was excluded from study. Cases were followed up for 3 months and results were analysed. Petrositis if ignored can lead to rare but fatal complication of unsafe CSOM. Common in males in third decade and the ear swab suggestive of common organism was pseudomonas. Medical management given as per culture and sensitivity report of ear swab and then followed by definitive surgery of canal wall down tympano-mastoidectomy with petrous apex decompression.</p>
Introduction: Otogenic abscess is a complication commonly arising from active squamous chronic otitis media. It is rare (1:10000) but in fact are a dangerous reality to be managed promptly. Materials and Methods: A retrospective study of 82 cases of otogenic abscesses were studied over a period 24 years by simple random sampling. Cases of ear malignancy, previously operated mastoidectomy were excluded from study. All postop cases were analysed. Result: Most commonly affected were male (63.4%) in the second decade (34.1%) of life. Commonest bacterial infection was staphylococcus aureus (31.7%). Conclusion: Otogenic abscess though rare, are a reality and should be suspected when the patient with chronic ear discharge has high grade fever, severe headache and does not respond to best medical line of treatment. All these patients were subjected to imaging neurosurgical I&D of brain abscess followed by canal wall down tympano-mastoidectomy.
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