Necrotizing fasciitis (NF) of the face and neck is a very rare complication of dental infection. Otolaryngologists and dentists should be familiar with this condition because of its similarity to odontogenic deep neck space infection in the initial stages, its rapid spread, and its life-threatening potential. Trauma has been reported to be an important predisposing factor for NF of the face. In this paper, we describe the presentation and treatment of a 62-year-old man who developed NF of the face and neck following bilateral odontogenic deep neck space abscesses. The disease progressed rapidly, with necrosis of the skin, after the patient inflicted minor trauma in the form of application of heated medicinal leaves. The organism isolated in culture from pus was Acinetobacter sp. The comorbid conditions in our patient were anemia and chronic alcoholism. The patient was managed by immediate and repeated extensive debridements and split-skin grafting.

<p class="abstract"><strong>Background:</strong> Eagle’s syndrome is a pain syndrome which occurs due to elongated and misdirected styloid process. It is commoner than generally thought.</p><p class="abstract"><strong>Methods:</strong> 20 cases of styalgia were diagnosed and prospectively studied at two hospitals. The characteristic symptoms were chronic throat pain and foreign body sensation in throat. Diagnosis was made with clinical symptoms, physical examination in form of intraoral palpation of styloid and radiological correlation. All patients underwent Tonsillostyloidectomy for affected sites under General anaesthesia. The patients were followed up for 12 weeks post-operatively and relief of symptoms was noted.  </p><p class="abstract"><strong>Results:</strong> Chronic throat pain was the commonest symptom. Most cases were associated with chronic tonsillitis or Laryngopharyngeal reflux disease (LPRD). 19 (95%) patients were symptom free by 4 weeks postoperatively.</p><strong>Conclusions:</strong> In an established case of Styalgia with intraoral palpable styloid tip, tonsillostyloidectomy by intra-oral approach gives good results. Also, LPRD may be a possible aetiology of the disease. Incidentally, it was found that position of head over neck should be intraoperatively adjusted in order to suit easy approach to the styloid depending on antero-posterior angulation of styloid.

No abstract

<p class="abstract">An infection with the larval stage of tapeworm (<em>Taenia solium</em>) is known as cysticercosis. It is seen as cysts in various human tissues, most commonly in the the brain and orbit. Head and neck (except brain and orbit) is a rare location for cysticercosis. We present a case of lateral neck swelling which turned out to be solitary cysticercosis of sternocleidomastoid (SCM). The case is reported because it is rare and to reinforce the fact that possibility of parasitic infection should be considered while dealing with a case of neck swelling. It can be managed medically and high resolution sonography can be a reliable tool for diagnosis and follow-up<span lang="EN-IN">.</span></p>

No abstract