Pharyngeal perforation by a swallowed sewing needle.
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Adult↗
Biomedical subjects
L M Ghosh
Publications and source records attributed to L M Ghosh.
The syndrome of elongated styloid process.
Symptom-complex associated with the elongated styloid process is more common than generally thought. The exact etiology of this syndrome has not yet been fully understood. The present article is a review of the symptoms, physical signs, theories of causation, diagnosis and treatment of this condition. During the 20 years period from 1975 to 1995, 35 symptomatic patients with the established diagnosis of elongated styloid process were managed. Their diagnosis were confirmed by clinical and radiological examinations. Surgical shortening of the elongated processes were done by intraoral transtonsillar approach under general anaesthesia. Twenty were bilateral and 15 were unilateral elongations. Eighteen were males and seventeen were females. Largest distribution of patients in age was seen in the fifth decade of life. Pain in the throat was most frequently encountered as the presenting complaint. A total of 31 patients obtained complete symptomatic relief within 6 months following operation. In four patients there were either incomplete relief or recurrence of symptoms after operations. Elongated styloid process may be one of the causes annoying maxillofacial or craniocervical pain. It requires thorough clinical examination of the head and neck, and should be confirmed radiologically. Occasionally multidisciplinary cooperation may be needed to come to a diagnosis. Surgical shortening of the elongated process is the only way to give symptomatic relief to the patient. Further research is needed to understand the aetiogenesis of this condition.
Adult↗
Benign pleomorphic adenoma of the larynx: report of a case and review and analysis of 20 additional cases in the literature.
Among the benign pleomorphic adenomas of the minor salivary glands, those that develop in the larynx are very rare. One such case of benign pleomorphic adenoma of the larynx in an adult female is described. The patient was treated with epiglottectomy with a lateral pharyngotomy approach. Review of the literature showed an additional 20 well-described cases of benign pleomorphic adenoma of the larynx. These patients usually present with hoarseness, dyspnea or dysphagia, or any combination of these depending on the site of origin and the size of the tumor. Occasionally the tumor may be discovered incidentally. The tumor can occur in any part of the larynx with the epiglottis being the most common site. Clinically they are indistinguishable from other benign laryngeal neoplasms, as surface mucosal lining remains intact. Histopathological examination is used to make the definitive diagnosis, but rarely, misinterpretation may occur. Conservative surgery provides a lasting cure.
Adenoma, Pleomorphic↗
Entomophthoromycosis caused by Conidiobolus coronatus: clinicomycological study of a case.
A case of midfacial swelling in a middle aged woman proved to be caused by a fungus Conidiobolus coronatus has been reported. It is a very rare condition and the knowledge of this fungus affecting the rhinofacial region in human started since 1965 only. These cases pose diagnostic problem. The treatment with the combination of ketoconazole and the saturated solution of potassium iodide was effective for this fungal infection.
Adult↗
Klippel-Feil syndrome with congenital conductive deafness: report of a case and review of literature.
Klippel-Feil syndrome is a clinical triad consisting of short neck, decreased head mobility, and low occipital hairline. Additional deformities of the musculoskeletal and the neural system may also be present. Otological defects occur in about one third of these patients. They are seen either unilaterally or bilaterally and accompanied by deafness which may be perceptive, or mixed, or rarely conductive in type. They are caused either by dysplasia of the labyrinth and/or internal auditory canal, or by the middle and the outer ear. We present a report of a case of Klippel-Feil syndrome with congenital conductive deafness. Detailed radiological investigations failed to show any malformations of the middle ear. At operations, thick glue was removed from the middle ear cavities, and dehiscent fallopian canals and bulging of the facial nerve in the tympanic segment were seen. One year postoperatively, audiometry showed a hearing gain of only 20 dB on both sides. Review of the literature shows that there is a trend among the contemporary otologic surgeons to undertake curative surgery whenever possible, so as to improve the hearing, despite isolated reports of various difficulties and complications of curative surgery.
Child↗
Neck abscess secondary to perforation and complete extraluminal migration of a pharyngeal foreign body (wire): a case report.
Only a small number of ingested foreign bodies perforate the food passage and even a smaller fraction migrate extraluminally. This report describes a 15-year-old male patient who developed neck abscess due to perforation and complete extraluminal migration of a pharyngeal foreign body (wire). The wire was removed by surgical exploration of the neck, while the lumen of the upper food and air passages were normal.
Abscess↗
Paediatric myringoplasty in India.
In comparison to chronic non-suppurative otitis media, the incidence of chronic suppurative otitis media is no less in developing countries. This is due to lack of consciousness, low socioeconomic condition, and increased susceptibility to upper respiratory tract infection. Thirty-two ears of 20 patients between the ages of 5 and 12 years are included in this study who underwent myringoplasty, and were followed up for 3 months to 1 year postoperatively. Successful take of the graft was 60% in patients of 5 to 8 year age group, and 72.7% in 9 to 12 year age group. Postoperative air conduction was elevated up to 10 dB level in all the successful ears. In paediatric patients, the tympanic membrane perforation should be repaired to reduce the enormous degree of morbidity, and economic and social disability which afflict so many hundred thousands of people.
Adolescent↗
Haemangioma of the maxilla.
Haemangioma involving the paranasal air sinuses is rare. It presents with severe epistaxis or bleeding due to dental extraction and may mimic malignancy. A case of haemangioma of the maxilla is presented and the diagnostic and operative difficulties together with a review of literature are discussed. Bucy and Capp (1930) described primary haemangioma of bone with special reference to X-ray diagnosis. Wyke (1949) was of the opinion that haemangiomas accounted for only 10 per cent of primary benign neoplasms of skull bones. Batsakis (1979) commented that haemangioma of bone accounted for seven per cent of all osseous neoplasms and that from a review of literature he had found no more than 40 such cases. Dahlin (1967) in a review of 3,947 cases of bone tumours, found 47 cases of osseous haemangioma out of which only three involved the upper jaw. Smith (1959) reported that only 10 cases of haemangioma of the maxilla had been published by 1959 and further isolated cases have been described by Sawhney et al. (1973), Pandhi et al. (1977) and Ahad and Chisti (1977).
Adult↗