Cancer of the external auditory canal (EAC) and middle ear (ME) is rare, accounting for less than... more Cancer of the external auditory canal (EAC) and middle ear (ME) is rare, accounting for less than 1% of all head-and-neck malignancies [1] [2] of which squamous cell carcinoma (SCC) is the most common. Even though squamous cell carcinoma [SCC] of the middle ear and chronic suppurative otitis media (CSOM) co-exist, no definitive correlation has been proven. Here we are presenting a case of squamous cell carcinoma of the middle ear who presented with headache, fever and vom-iting with a background history of chronic suppurative otitis media since childhood. A provisional diagnosis of mastoid abscess with intracranial complications secondary to chronic suppurative otitis media was made and modified radical mastoidectomy was done but histology of the mastoid specimen revealed well differentiated keratinizing squamous cell carcinoma, which was treated with radical radiotherapy. Objective of this presentation is to bring attention to the coexistence of CSOM and squamous cell carcinoma ear...
Osteoma is a benign, slow growing tumour which is most commonly located in the fronto occur in ma... more Osteoma is a benign, slow growing tumour which is most commonly located in the fronto occur in maxillary and sphenoid sinuses, mandible and occasionally arise in temporal bone. Osteoma of the external auditory canal should be differentiated from exosto differentiating clinical features between osteoma and exostoses of the external auditory canal, the controversies of histological features and management are presented. Key Word: Exostoses, Exter nal auditory canal (EAC), Osteoma
Sino Nasal Outcome Test-22 (SNOT-22) Questionnaire was used pre-operatively and after 3 months of... more Sino Nasal Outcome Test-22 (SNOT-22) Questionnaire was used pre-operatively and after 3 months of surgery. All patients were operated on using the "Round about" technique and the intraoperative findings were carefully documented and recorded. The post-operative follow-up period ranged from 3 to
International Journal of Otolaryngology and Head & Neck Surgery, 2016
Ameloblastomas are benign dental tumors, constituting 15% of oral neoplasms, most frequent odonto... more Ameloblastomas are benign dental tumors, constituting 15% of oral neoplasms, most frequent odontogenic tumor of the jaw. Patient presenting at a late stage usually presents with large swelling with facial deformity. We present a case of 50 years old male who presented with recurrent ameloblastoma on the left side of the mandible causing facial disfigurement and functional impairment. Adequate removal of the tumor required hemimandibulectomy and intermaxillary fixation was done without any bony reconstruction. We would like to focus on the excellent postoperative result with regard to facial symmetry and functional improvement obtained in this case, though the available management protocols differ and are more advanced in current scenario. This case report gives hope and guidance to the surgeons who face difficulty in managing the deforming benign bony tumors due to the unavailability of facility and funds to reconstruct.
International Journal of Otolaryngology and Head & Neck Surgery, 2015
Spontaneous cerebrospinal fluid rhinorrhoea with encephalocele restricted to the sphenoid sinus i... more Spontaneous cerebrospinal fluid rhinorrhoea with encephalocele restricted to the sphenoid sinus is rare clinical finding. As of today, only 17 cases encephalocele protruding through the Sternberg's canal and extending into the lateral recess of sphenoid sinus, have been described in literature. Patients presenting with this special clinical entity usually do not have any history of trauma, tumour or iatrogenic injury. Thus the lesions are considered to originate from a congenital bony defect in the lateral wall of the sphenoid sinus, first described by Sternberg in 1888 as the lateral craniopharyngeal canal (Sternberg's canal). In our experience each patient of spontaneous CSF rhinorrhea should have suspicion of intrasphenoid encephalocele though cribriform plate is a common site. Endoscopic tranasnasal approach is one of the best modalities for such cases.
International Journal of Otolaryngology and Head & Neck Surgery, 2015
The triple-c cartilage tympanoplasty i.e. (composite chondroperichondrial clip) technique was dev... more The triple-c cartilage tympanoplasty i.e. (composite chondroperichondrial clip) technique was devised by Fernandes in 2003. Objectives: The objective of our case series was to assess the success rate and efficacy of the triple-c cartilage tympanoplasty by transcanal approach. Study Design: A retrospective analysis of patients subjected to the technique was conducted. Methods: 20 cases who met the inclusion criteria were assessed by otomicroscopy and pure tone audiometry before and 2 months after the surgery. Results: All patients had complete take-up of the graft and a hearing improvement which was statistically significant. Conclusions: Thus the triple-c technique provides an effective method of closing nonmarginal perforations of the tympanic membrane.
International Journal of Otolaryngology and Head & Neck Surgery, 2015
In 1994, the American Otological Society reported favourable experience with composite cartilage ... more In 1994, the American Otological Society reported favourable experience with composite cartilage shield tympanoplasty. The tragal cartilage with a grommet inserted in it was used for tympanoplasty in our patient with unilateral CSOM, supposedly because of severe chronic eustachian tube dysfunction. The marriage of cartilage tympanoplasty with grommet insertion was aimed to add the advantages and abolish the disadvantages of both the procedures. In 1990 Lary Hall first introduced the "long term ventilation of the middle ear" with a T-tube placed in the tragal cartilage perichondrium composite island graft. T-tube insertion in the cartilage has been described. But insertion of the Indian Sheperds grommet (ventilation tube) in the cartilage graft as described in this case and its technique are possibly the first of its kinds in literature. The report is aimed to ignite innovation of newer and better techniques of cartilage tympanoplasty.
International Journal of Otolaryngology and Head & Neck Surgery, 2014
Osteoma is a slow-growing tumor formed by mature bone tissue. In the temporal bone, intracanalicu... more Osteoma is a slow-growing tumor formed by mature bone tissue. In the temporal bone, intracanalicular osteomas are more frequent while extracanalicular ostemoas are rare. They very rarely occur over the mastoid region. They are treated mainly for cosmetic purposes. These are readily excised and recurrence is rare after complete excision. In this case report, we want to revisit this rare mastoid osteoma and discuss the differential diagnosis and treatment. We believe that this report will be of interest to otolaryngologists when dealing with temporal bone osteomas.
International Journal of Otolaryngology and Head & Neck Surgery, 2014
Epidermal cysts are very common skin lesions and 1.6% are seen in oral cavity. But epidermal cyst... more Epidermal cysts are very common skin lesions and 1.6% are seen in oral cavity. But epidermal cyst in submandibular region is extremely rare with only 3 such reported cases in last 25 years. Here we present a rare case of epidermal cyst in left submandibular space in a 53-year-old female.
International Journal of Otolaryngology and Head & Neck Surgery, 2014
Cancer of the external auditory canal (EAC) and middle ear (ME) is rare, accounting for less than... more Cancer of the external auditory canal (EAC) and middle ear (ME) is rare, accounting for less than 1% of all head-and-neck malignancies [1] [2] of which squamous cell carcinoma (SCC) is the most common. Even though squamous cell carcinoma [SCC] of the middle ear and chronic suppurative otitis media (CSOM) co-exist, no definitive correlation has been proven. Here we are presenting a case of squamous cell carcinoma of the middle ear who presented with headache, fever and vomiting with a background history of chronic suppurative otitis media since childhood. A provisional diagnosis of mastoid abscess with intracranial complications secondary to chronic suppurative otitis media was made and modified radical mastoidectomy was done but histology of the mastoid specimen revealed well differentiated keratinizing squamous cell carcinoma, which was treated with radical radiotherapy. Objective of this presentation is to bring attention to the coexistence of CSOM and squamous cell carcinoma ear and also the importance to detect these lesions at an early stage. This report also highlights the requirement of histopathological analysis in mastoidectomy and discusses the aetiology and management of squamous cell carcinoma of the middle ear with review of literature.
International Journal of Otolaryngology and Head & Neck Surgery, 2014
Chondromas are common benign cartilaginous tumours in the skeletal system usually found in extrem... more Chondromas are common benign cartilaginous tumours in the skeletal system usually found in extremities. Extra skeletal chondromas are relatively uncommon of which those in head and neck regions are rarely documented. Although the tongue is one of the most common sites of oral soft tissue chondroma, lingual chondromas are rare as evidenced by the fact that only 33 cases are identified in the review of literature till now. This report has the objective of presenting a rare case of lingual enchondroma in a 26-year-old male which was excised with no evidence of recovery during follow up. We have also tried to present a concise review of the relevant literature.
International Journal of Otolaryngology and Head & Neck Surgery, 2014
Primary leiomyoma of the trachea is a rare disease which is of smooth muscle in origin. Presentin... more Primary leiomyoma of the trachea is a rare disease which is of smooth muscle in origin. Presenting symptoms depend on the location and size of the tumor. Here we are presenting a 45-year-old female, who was misdiagnosed and being treated for bronchial asthma presented to our institution with stridor. Her x-ray and Computed Tomography of neck showed tracheal mass & biopsy reported leiomyoma. Objective of this presentation is to report tracheal leiomyoma which is a rare clinical entity and how endoscopic resection of the tumor with diode laser helped us in attaining complete resection of tumor with minimal intra-operative and post-operative complications.
International Journal of Otolaryngology and Head & Neck Surgery, 2015
Aural polyps are a common clinical entity encountered by otorhinolaryngologist in daily practice.... more Aural polyps are a common clinical entity encountered by otorhinolaryngologist in daily practice. Polyps are frequently seen in paediatric patients, usually inflammatory in nature. In children rhabdomyosarcomas (RMS) can mimic all the cinical features of chronic suppurative otitis media which usually present as external auditory canal mass or polyp. Here we present a case where a male child presented with recurrence of polyp in left ear which was finally diagnosed as embryonal rhabdomyosarcoma which is a rare and invariably fatal disease in children. Through this article we intend to highlight the failures and delay committed in attaining diagnosis in this patient in spite of multispecialty evaluation involving repeated imaging and histopathological correlation. Our experience with embryonal rhabdomyosarcoma throws light on the high vigilance required in handling the aural polyps in pediatric population as early diagnosis and treatment are the key elements for successful outcomes.
International Journal of Otolaryngology and Head & Neck Surgery, 2013
The inverted papilloma is an uncommon unilateral benign unilateral tumor of the nose & paranasal ... more The inverted papilloma is an uncommon unilateral benign unilateral tumor of the nose & paranasal sinuses. Although a benign pathology, it is associated with aggressive local destruction and recurrence after removal and malignancy. The clinical picture presents non-specific signs and symptoms, such as unilateral nasal obstruction, anosmia and headache. Treatment is essentially surgical. This report has the objective of presenting an uncommon bilateral nasal inverted papilloma and the use of diode laser in surgical excision & making a literature review. The uniqueness in our case was the use of diode laser in excision of inverted papilloma.
International Journal of Otolaryngology and Head & Neck Surgery, 2015
Foreign bodies in maxillary sinuses are uncommon. But the incidence is on a rise. Herewith we pre... more Foreign bodies in maxillary sinuses are uncommon. But the incidence is on a rise. Herewith we present a case of foreign bodies (glass pieces) in left maxillary sinus and bilateral nasolacrimal ducts, which is managed endoscopically.
International Journal of Otolaryngology and Head & Neck Surgery, 2014
ENT practitioners encounter different types of nasal foreign bodies in their daily practices. A v... more ENT practitioners encounter different types of nasal foreign bodies in their daily practices. A variety of nasal foreign bodies have been described in literature. Here we present a case of an entangled fish hook in the nose of a 30-year-old fisherman.
Cancer of the external auditory canal (EAC) and middle ear (ME) is rare, accounting for less than... more Cancer of the external auditory canal (EAC) and middle ear (ME) is rare, accounting for less than 1% of all head-and-neck malignancies [1] [2] of which squamous cell carcinoma (SCC) is the most common. Even though squamous cell carcinoma [SCC] of the middle ear and chronic suppurative otitis media (CSOM) co-exist, no definitive correlation has been proven. Here we are presenting a case of squamous cell carcinoma of the middle ear who presented with headache, fever and vom-iting with a background history of chronic suppurative otitis media since childhood. A provisional diagnosis of mastoid abscess with intracranial complications secondary to chronic suppurative otitis media was made and modified radical mastoidectomy was done but histology of the mastoid specimen revealed well differentiated keratinizing squamous cell carcinoma, which was treated with radical radiotherapy. Objective of this presentation is to bring attention to the coexistence of CSOM and squamous cell carcinoma ear...
Osteoma is a benign, slow growing tumour which is most commonly located in the fronto occur in ma... more Osteoma is a benign, slow growing tumour which is most commonly located in the fronto occur in maxillary and sphenoid sinuses, mandible and occasionally arise in temporal bone. Osteoma of the external auditory canal should be differentiated from exosto differentiating clinical features between osteoma and exostoses of the external auditory canal, the controversies of histological features and management are presented. Key Word: Exostoses, Exter nal auditory canal (EAC), Osteoma
Sino Nasal Outcome Test-22 (SNOT-22) Questionnaire was used pre-operatively and after 3 months of... more Sino Nasal Outcome Test-22 (SNOT-22) Questionnaire was used pre-operatively and after 3 months of surgery. All patients were operated on using the "Round about" technique and the intraoperative findings were carefully documented and recorded. The post-operative follow-up period ranged from 3 to
International Journal of Otolaryngology and Head & Neck Surgery, 2016
Ameloblastomas are benign dental tumors, constituting 15% of oral neoplasms, most frequent odonto... more Ameloblastomas are benign dental tumors, constituting 15% of oral neoplasms, most frequent odontogenic tumor of the jaw. Patient presenting at a late stage usually presents with large swelling with facial deformity. We present a case of 50 years old male who presented with recurrent ameloblastoma on the left side of the mandible causing facial disfigurement and functional impairment. Adequate removal of the tumor required hemimandibulectomy and intermaxillary fixation was done without any bony reconstruction. We would like to focus on the excellent postoperative result with regard to facial symmetry and functional improvement obtained in this case, though the available management protocols differ and are more advanced in current scenario. This case report gives hope and guidance to the surgeons who face difficulty in managing the deforming benign bony tumors due to the unavailability of facility and funds to reconstruct.
International Journal of Otolaryngology and Head & Neck Surgery, 2015
Spontaneous cerebrospinal fluid rhinorrhoea with encephalocele restricted to the sphenoid sinus i... more Spontaneous cerebrospinal fluid rhinorrhoea with encephalocele restricted to the sphenoid sinus is rare clinical finding. As of today, only 17 cases encephalocele protruding through the Sternberg's canal and extending into the lateral recess of sphenoid sinus, have been described in literature. Patients presenting with this special clinical entity usually do not have any history of trauma, tumour or iatrogenic injury. Thus the lesions are considered to originate from a congenital bony defect in the lateral wall of the sphenoid sinus, first described by Sternberg in 1888 as the lateral craniopharyngeal canal (Sternberg's canal). In our experience each patient of spontaneous CSF rhinorrhea should have suspicion of intrasphenoid encephalocele though cribriform plate is a common site. Endoscopic tranasnasal approach is one of the best modalities for such cases.
International Journal of Otolaryngology and Head & Neck Surgery, 2015
The triple-c cartilage tympanoplasty i.e. (composite chondroperichondrial clip) technique was dev... more The triple-c cartilage tympanoplasty i.e. (composite chondroperichondrial clip) technique was devised by Fernandes in 2003. Objectives: The objective of our case series was to assess the success rate and efficacy of the triple-c cartilage tympanoplasty by transcanal approach. Study Design: A retrospective analysis of patients subjected to the technique was conducted. Methods: 20 cases who met the inclusion criteria were assessed by otomicroscopy and pure tone audiometry before and 2 months after the surgery. Results: All patients had complete take-up of the graft and a hearing improvement which was statistically significant. Conclusions: Thus the triple-c technique provides an effective method of closing nonmarginal perforations of the tympanic membrane.
International Journal of Otolaryngology and Head & Neck Surgery, 2015
In 1994, the American Otological Society reported favourable experience with composite cartilage ... more In 1994, the American Otological Society reported favourable experience with composite cartilage shield tympanoplasty. The tragal cartilage with a grommet inserted in it was used for tympanoplasty in our patient with unilateral CSOM, supposedly because of severe chronic eustachian tube dysfunction. The marriage of cartilage tympanoplasty with grommet insertion was aimed to add the advantages and abolish the disadvantages of both the procedures. In 1990 Lary Hall first introduced the "long term ventilation of the middle ear" with a T-tube placed in the tragal cartilage perichondrium composite island graft. T-tube insertion in the cartilage has been described. But insertion of the Indian Sheperds grommet (ventilation tube) in the cartilage graft as described in this case and its technique are possibly the first of its kinds in literature. The report is aimed to ignite innovation of newer and better techniques of cartilage tympanoplasty.
International Journal of Otolaryngology and Head & Neck Surgery, 2014
Osteoma is a slow-growing tumor formed by mature bone tissue. In the temporal bone, intracanalicu... more Osteoma is a slow-growing tumor formed by mature bone tissue. In the temporal bone, intracanalicular osteomas are more frequent while extracanalicular ostemoas are rare. They very rarely occur over the mastoid region. They are treated mainly for cosmetic purposes. These are readily excised and recurrence is rare after complete excision. In this case report, we want to revisit this rare mastoid osteoma and discuss the differential diagnosis and treatment. We believe that this report will be of interest to otolaryngologists when dealing with temporal bone osteomas.
International Journal of Otolaryngology and Head & Neck Surgery, 2014
Epidermal cysts are very common skin lesions and 1.6% are seen in oral cavity. But epidermal cyst... more Epidermal cysts are very common skin lesions and 1.6% are seen in oral cavity. But epidermal cyst in submandibular region is extremely rare with only 3 such reported cases in last 25 years. Here we present a rare case of epidermal cyst in left submandibular space in a 53-year-old female.
International Journal of Otolaryngology and Head & Neck Surgery, 2014
Cancer of the external auditory canal (EAC) and middle ear (ME) is rare, accounting for less than... more Cancer of the external auditory canal (EAC) and middle ear (ME) is rare, accounting for less than 1% of all head-and-neck malignancies [1] [2] of which squamous cell carcinoma (SCC) is the most common. Even though squamous cell carcinoma [SCC] of the middle ear and chronic suppurative otitis media (CSOM) co-exist, no definitive correlation has been proven. Here we are presenting a case of squamous cell carcinoma of the middle ear who presented with headache, fever and vomiting with a background history of chronic suppurative otitis media since childhood. A provisional diagnosis of mastoid abscess with intracranial complications secondary to chronic suppurative otitis media was made and modified radical mastoidectomy was done but histology of the mastoid specimen revealed well differentiated keratinizing squamous cell carcinoma, which was treated with radical radiotherapy. Objective of this presentation is to bring attention to the coexistence of CSOM and squamous cell carcinoma ear and also the importance to detect these lesions at an early stage. This report also highlights the requirement of histopathological analysis in mastoidectomy and discusses the aetiology and management of squamous cell carcinoma of the middle ear with review of literature.
International Journal of Otolaryngology and Head & Neck Surgery, 2014
Chondromas are common benign cartilaginous tumours in the skeletal system usually found in extrem... more Chondromas are common benign cartilaginous tumours in the skeletal system usually found in extremities. Extra skeletal chondromas are relatively uncommon of which those in head and neck regions are rarely documented. Although the tongue is one of the most common sites of oral soft tissue chondroma, lingual chondromas are rare as evidenced by the fact that only 33 cases are identified in the review of literature till now. This report has the objective of presenting a rare case of lingual enchondroma in a 26-year-old male which was excised with no evidence of recovery during follow up. We have also tried to present a concise review of the relevant literature.
International Journal of Otolaryngology and Head & Neck Surgery, 2014
Primary leiomyoma of the trachea is a rare disease which is of smooth muscle in origin. Presentin... more Primary leiomyoma of the trachea is a rare disease which is of smooth muscle in origin. Presenting symptoms depend on the location and size of the tumor. Here we are presenting a 45-year-old female, who was misdiagnosed and being treated for bronchial asthma presented to our institution with stridor. Her x-ray and Computed Tomography of neck showed tracheal mass & biopsy reported leiomyoma. Objective of this presentation is to report tracheal leiomyoma which is a rare clinical entity and how endoscopic resection of the tumor with diode laser helped us in attaining complete resection of tumor with minimal intra-operative and post-operative complications.
International Journal of Otolaryngology and Head & Neck Surgery, 2015
Aural polyps are a common clinical entity encountered by otorhinolaryngologist in daily practice.... more Aural polyps are a common clinical entity encountered by otorhinolaryngologist in daily practice. Polyps are frequently seen in paediatric patients, usually inflammatory in nature. In children rhabdomyosarcomas (RMS) can mimic all the cinical features of chronic suppurative otitis media which usually present as external auditory canal mass or polyp. Here we present a case where a male child presented with recurrence of polyp in left ear which was finally diagnosed as embryonal rhabdomyosarcoma which is a rare and invariably fatal disease in children. Through this article we intend to highlight the failures and delay committed in attaining diagnosis in this patient in spite of multispecialty evaluation involving repeated imaging and histopathological correlation. Our experience with embryonal rhabdomyosarcoma throws light on the high vigilance required in handling the aural polyps in pediatric population as early diagnosis and treatment are the key elements for successful outcomes.
International Journal of Otolaryngology and Head & Neck Surgery, 2013
The inverted papilloma is an uncommon unilateral benign unilateral tumor of the nose & paranasal ... more The inverted papilloma is an uncommon unilateral benign unilateral tumor of the nose & paranasal sinuses. Although a benign pathology, it is associated with aggressive local destruction and recurrence after removal and malignancy. The clinical picture presents non-specific signs and symptoms, such as unilateral nasal obstruction, anosmia and headache. Treatment is essentially surgical. This report has the objective of presenting an uncommon bilateral nasal inverted papilloma and the use of diode laser in surgical excision & making a literature review. The uniqueness in our case was the use of diode laser in excision of inverted papilloma.
International Journal of Otolaryngology and Head & Neck Surgery, 2015
Foreign bodies in maxillary sinuses are uncommon. But the incidence is on a rise. Herewith we pre... more Foreign bodies in maxillary sinuses are uncommon. But the incidence is on a rise. Herewith we present a case of foreign bodies (glass pieces) in left maxillary sinus and bilateral nasolacrimal ducts, which is managed endoscopically.
International Journal of Otolaryngology and Head & Neck Surgery, 2014
ENT practitioners encounter different types of nasal foreign bodies in their daily practices. A v... more ENT practitioners encounter different types of nasal foreign bodies in their daily practices. A variety of nasal foreign bodies have been described in literature. Here we present a case of an entangled fish hook in the nose of a 30-year-old fisherman.
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