The aim of this study is to evaluate the role of bleomycin as a primary mode of nonsurgical treatment in lymphangiomas of head and neck and study their complications. This is a prospective study of 8 patients diagnosed with lymphangioma of head and neck presenting to ENT department of Tata main Hospital from December 2014 to January 2017. They were clinically and radiologically evaluated and treated with intralesional injection of bleomycin diluted in normal saline. Complete resolution was seen in 62.5% (5/8) of patients, 25% (2/8) had good response while 12.5% (1/8) had a poor response. No major complications were noted apart from fever and inflammation. Intralesional bleomycin can be used as a primary modality of treatment.
Background: Vocal cord nodules are bilateral, benign, and callous like growths of the mid portion of the membranous vocal folds. They are of variable size and characterised histologically by thickening of epithelium with a variable degree of inflammation in the underlying superficial lamina propria1. They characteristically produced hoarseness, discomfort and an unstable voice when speaking or singing. AIMS: Comparison between post treatment (surgical and conservative treatment groups) voice quality of the two groups and post treatment status of nodules in both the groups. MATERIAL AND METHODS: Outpatient department and Indoor wards of Department of ENT and Head Neck surgery, R. G Kar Medical College. Patients attending ENT OPD of R G Kar Medical College during the Study period were the study population. Sample size was atleast 50 Patients. RESULT: In group-A, 4(23.5%) patients were regressing and 13(76.5%) patients had resolve. In group-B, 4(12.1%) patients were persisting and 29(87.9%) patients were regressing. Association of post Rx VCN vs. group was statistically significant (p<0.001). CONCLUSION: Vocal fold nodule is one of the most frequent benign laryngeal lesions, influencing the quality of life of those affected by them, primarily the vocal production. Despite being a well-established therapy in conjunction with surgery, speech therapy alone may also be effective in treating these lesions.
Background: Foreign body aspiration may occur at any age, however most of these accidents occur in the children below age three years. The high incidence in young children reflects their tendency to explore their world using their mouths. Furthermore, these children have not yet developed a full posterior dentition, and neuromuscular mechanisms for swallowing and airway protection may not be fully mature. Aim: To describe the common presenting signs and symptoms of foreign bodies among patients attending ENT department at TMH. Material and methods: The present study was carried out in the Department of Otorhinolaryngology, R. G. Kar Hospital, Kolkata, West Bengal. Approval by the ethics committee of Hospital, Jamshedpur is taken and written informed consent of patients is obtained to conduct the study. The study was conducted from August 2014 to December 2015 for a period of 1 and half years. Result: In our study, there was equal incidence of FB among the various socioeconomic statuses. We have clustered 1 and 2 socioeconomic status as upper status, and 3,4 and 5 as lower status. There were statistically no significant difference in the incidence of FB was seen according to their SES, with p – value = 0.7721 { p > 0.05 }. Conclusion: Proper history and examination are the key components to diagnose foreign bodies. Otolaryngologists should categorise high risk patients on the basis of parity of mother, socioeconomic status and education of care giver, and they should be examined thoroughly.
Background: Vocal fold nodules (VFNs), are localized, benign, superficial growths on the medial surface of the true vocal folds (TVFs) that are commonly believed to result from phonotrauma. Nodules are bilateral with a classic location at the junction of the anterior and middle third of the vocal fold (ie, the midpoint of the membranous vocal fold). AIMS: Correlation between response of treatment (as evident by post-treatment and post follow up GRBAS score), in each group. MATERIAL AND METHODS: Outpatient department and Indoor wards of Department of ENT and Head Neck surgery, R. G Kar Medical College. Patients attending ENT OPD of R G Kar Medical College during the Study period were the study population. Sample size was atleast 50 Patients. RESULT: In group-A, the mean Pre Rx GRBAS (mean±s.d.) of the patients was 11.4118 ± 2.0018. In group-B, the mean Pre Rx GRBAS (mean±s.d.) of the patients was 11.1818 ± 2.5794.Distribution of mean Pre Rx GRBAS vs. group was not statistically significant (p=0.7499). CONCLUSION: Vocal fold nodule is one of the most frequent benign laryngeal lesions, influencing the quality of life of those affected by them, primarily the vocal production. Despite being a well-established therapy in conjunction with surgery, speech therapy alone may also be effective in treating these lesions.
Background: Parent‘s laxness and lack of attention by leaving small objects at the reach of children contributes to this high incidence of foreign bodies. Ears, noses and throats are the most exposed orifices, hence the incidence of foreign bodies is also high in them. Problem of dealing with aspirated foreign body either swallowed or aspirated are since antiquity. In such cases, no definitive treatment was available and hence, the morbidity and mortality were very high. Aim: To determine the incidence of foreign bodies in the upper aerodigestive tracts according to the age and sex among patients attending ENT department at TMH. Material and methods: This Prospective study was carried out in the Department of Otorhinolaryngology, Department of Otorhinolaryngology, R. G. Kar Hospital, Kolkata, West Bengal. Results: Complications after FB ingestion or removal are higher in lower SES group. Lower SES – 19/72(26.7%) while high SES with 10/68(14%). There were statistically no significant difference among the patients according to their Complications when compared with their SES although the percentage of lower status group are more than higher, with p – value=0.5533 {p >0.05}. Conclusion: Adults have more predilections for digestive tract foreign bodies which is mainly because of dietary habits and hasty eating.
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