Bullet injuries to head and neck are usually associated with high mortality and morbidity due to a number of vital structures lying in close proximity. We present a rare case of air-gun injury with an unusual entry wound. The pellet having a simple trajectory was lodged into middle ear avoiding all important structures.
Tuberculosis is a communicable disease manifesting as pulmonary and extra pulmonary infection. Extra pulmonary tuberculosis involving pharynx is usually secondary to active pulmonary tuberculosis. Primary oropharyngeal tuberculosis is rare and has been reported in association with immunocompromised states like HIV-AIDS and chronic alcoholism. It has very unusual clinical presentation and sometimes mimics malignancy. We report herewith two cases of primary oropharyngeal tuberculosis, clinically mimicking a malignancy, in immunocompetent adult patients. A high index of suspicion is required to diagnose pharyngeal tuberculosis in patients presenting with ulceroproliferative mass in oropharynx. Histopathological findings of characteristic tuberculous granuloma are confirmatory. Anti-tuberculous therapy gives excellent results within two months of commencing the treatment.
<p class="abstract"><span lang="EN-US">Petrous apex lesions are highly challenging for surgical access as they lie in the most medial portion of the temporal bone, surrounded by vital structures. These lesions are traditionally tackled by labyrinthine approaches. Endoscopic endonasal approach has been described to drain cystic lesions like cholesterol granulomas. Intraosseous schwannomas of the petrous apex are a rare occurrence with only 3 cases being reported so far. We are the first to describe a transphenoidal route to completely excise a solid petrous apex lesion like a schwannoma</span>.</p>
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