Thyroglossal duct cyst (TDC) is the most common congenital anomaly of the thyroid gland and the most common congenital cervical abnormality in childhood. Carcinoma arising from a TDC is rare, which composes only 1% of TDC cases. Here, we are reporting a case of 50-year-old male with a swelling in the upper left neck region which was progressively increasing in size over 5 years. Ultrasonography report showed a large lobulated cystic mass. Internal echoes with calcification and there were no neck nodes. Thyroid gland was normal. In the present study, the Sistrunk procedure was used to excise a TDC. Papillary carcinoma was confirmed with the histopathological examination following the surgery. The patient was treated with radioactive iodide and thyroid suppression therapy was given as adjuvant treatment. The patient has been following for 2 years without any metastasis.
'Ulcero-membranous lesions over tonsil' is a special entity, which puzzles every physician and surgeon because of it's diverse etiology. Every insult to the tonsil heals by ulcer and later membrane formation. A retrospective study has been conducted at our institute to analyse the cases of ulcero-membranous lesions of tonsil in terms of etiology, clinical features, diagnosis, treatment protocols and outcome in an Indian context. Diphtheria, if not detected early and treated, can lead to significant morbidity and mortality because of critical complications. Diphtheria mainly affects children aged between 1 and 5 years, however, due to good vaccine coverage, a shift in age incidence has been observed from preschool to school age (5-15 years) with more and more cases now being reported in adults. The health agencies and the government will have to take maximum efforts to increase immunization coverage as India has witnessed the highest number of cases in the world for the year 2015.
<p><strong>Background:</strong> The objective of the study was to evaluate the role of endoscopes in the management of dry central perforations of the tympanic membrane, compare the visualization of middle ear anatomy, time taken for the procedure and each step of the surgery and preoperative and postoperative hearing results/improvement.</p><p><strong>Methods: </strong>Fifty patients of chronic suppurative otitis media without cholesteatoma who came to ENT OPD at MGM medical college and hospital Aurangabad were included. They were divided into 2 groups with 25 patients each. Group A underwent microscopic approach to tympanoplasty and group b underwent endoscopic approach to tympanoplasty. Patients were assessed pre and postoperatively after 7 days, 14 days, 1 month, 3 months and 6 months with postoperative audiometry in the third month. <strong></strong></p><p><strong>Results: </strong>There was an improvement in the post-operative audiometry air bone gap (ABG) in both the groups. The operative time for group A was comparatively lesser than group B. Residual perforation were detected in one patient in group A at postoperative months 3 and 6, and for group B at postoperative month 3 and in two patients at postoperative month 6.<strong></strong></p><p><strong>Conclusions: </strong>A shorter operative duration is an advantage of microscopic tympanoplasty technique. One handed technique is one of the disadvantages of endoscope. The endoscopic approach gave better results in terms of easy visualization of the entire tympanic membrane and ossicular system. Tympanoplasty using endoscope was found to be an effective method for management of dry central perforations of the tympanic membrane.<strong></strong></p>
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