BACKGROUND Preauricular sinus is an asymptomatic congenital abnormality of external ear found along the ascending crux of the helix or adjacent to tragus. Asymptomatic preauricular sinus does not require any intervention. The most common clinical presentation of infected preauricular sinus is erythema, swelling, pain and discharge. Infected preauricular sinus requires surgical excision to prevent recurrence and reinfection.The objective of this study is to compare the outcomes of preauricular sinus excision by classic simple sinusectomy, classic simple sinusectomy with methylene blue dye injection and supra-auricular approach. MATERIALS AND METHODSA prospective study was carried out in Department of Otorhinolaryngology of Gandhi Medical College, Secunderabad from 2009 to 2014 with a 3-year follow-up period. Patients were evaluated on the outcomes of 3 surgical techniques namely classic simple, sinusectomy, classic simple sinusectomy with methylene blue injection and supra-auricular approach. RESULTSA total of 50 patients required surgical excision of preauricular sinus during study period. Around 64% of cases were in the age group of 6 -10 years. Around 15% of study population who underwent classic simple sinusectomy showed recurrence after excision and 10% of subjects who underwent classic simple sinusectomy with intraoperative methylene blue injection showed recurrence. There were no recurrences reported among study subjects who underwent excision of sinus by supra-auricular approach. CONCLUSIONFrom the present study, it can be concluded that supra-auricular approach has no recurrence/ least recurrence when compared with other surgical techniques for management of preauricular sinus.
BACKGROUND Laryngeal cancer is the eleventh most common cancer in men worldwide, but is relatively uncommon in women. Cancer larynx constitutes 2.63% of all body cancers in India. Tobacco smoking and alcohol are the major risk factors for laryngeal cancer. The presenting complaints of laryngeal cancer are hoarseness, dysphagia and referred pain in the ear or mass of lymph nodes in the neck. Objectives-1. To describe sociodemographic factors among patients with carcinoma larynx. 2. To assess the spectrum of clinical features in patients with laryngeal carcinoma. 3. To determine the histopathological pattern in carcinoma larynx patients. MATERIALS AND METHODSA descriptive study was undertaken in ENT Department of Gandhi Hospital and MNJ Cancer Institute, which are tertiary care centres in Hyderabad, Telangana for a period of 2 years (November 2014 -October 2016). Fifty patients who were clinically diagnosed as carcinoma larynx were included in the study. Ethical clearance was obtained from institutional ethics committee. Informed consent was obtained from the patients before including them in the study. RESULTSThe maximum incidence of carcinoma larynx in this study was found in the age group of 41-60 years (52%) followed by the 61-80 years age group (42%). Around 94% of Cases were male. Almost 96% of patients belonged to low socioeconomic status. Chief complaint noted in this study was change in voice -48%. Alcohol consumption and beedi smoking were found to be the contributing factors in the occurrence of carcinoma larynx. CONCLUSIONAround 98% of cases showed squamous cell carcinoma on histopathological examination. The most common site of carcinoma larynx was glottis (54%) followed by supraglottis region (44%).
<p class="abstract"><strong>Background:</strong> Eye lies in close anatomical relation to ear, nose and throat due to which it is liable to get involved secondary to ENT disorders. Hence ENT disorders can manifest with varied ocular symptoms due to involvement of orbit and its content. Early diagnosis and treatment helps in reducing the mortality associated with it.</p><p class="abstract"><strong>Methods:</strong> All age group of patients presenting with ocular symptoms secondary to ENT disorders were reported accounting to 171 cases during 2 years of duration (June 2017-June 2019). Data regarding age, gender, clinical profile, etiology and management were collected and statistical analysis was done. </p><p class="abstract"><strong>Results:</strong> The maximum incidence was in young and middle aged group of patients. Males were most commonly affected. The majority of them were Infective or granulomatous (59, 34%) followed by traumatic (45, 26%) and neoplastic (44, 26%). The most common ocular involvement was proptosis (53) and the most common etiology was neoplastic (32 neoplastic cases caused proptosis) of which sinonasal squamous cell carcinoma (SCC) (8) followed by juvenile nasopharyngeal angiofibroma (JNA) (7) were the most common neoplastic cause for proptosis.</p><p class="abstract"><strong>Conclusions:</strong> Early recognition and management can pave the path to prevention of mortality and morbidity associated with ocular involvement secondary to ear, nose, throat (ENT) disorders.</p>
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