Clinical and histopathological study of an inflammatory aural polyp and its relation to underlying cholesteatoma

Aural polyp is a sign of chronicity of otitis media. Cholesteatoma as underlying disease may be difficult to be diagnosed. Clinical, radiological and bacteriological examinations did not help much to diagnose the underlying cholesteatoma. Histological examination was a good predictor of the presence or absence of cholesteatoma in some cases. The aural polyp that showed excess polymorphs and haemosiderin in its stroma and was uncovered with surface epithelium had a probability of 89.6% to be associated with cholesteatoma. This probability was raised to 93% if it showed, in addition to the previous findings, giant cell formation and dystrophic calcification. High -incidence of underlying cholesteatoma, complications and recurrence with granulation polyp with acute exacerbation necessitates surgical exploration

Foreign bodies in the air way: a study of 67 Cases

Aspirated foreign body may be a fatal accident particularly in young children. Bronchoscopy is usually required for treatment. During bronchoscopy, as the air-way is shared by both the endoscopist and anaesthetist, close cooperation is mandatory and can make the procedure simple and almost free of complication. This work outlines some of statistics and management of 67 children admitted to ENT Department, Assiut University Hospital, during the last two years

Cervical mycobacterial lymphadenitis

Cervical lymphadenopathy may arise from infections with mycobacteria other than mycobacterial tuberculosis. These infections are being diagnosed more frequently, and reported to be an important cause of cervicofacial lymphadenitis in Western countries and United states. These infections resemble mycobacterial tuberculosis in its clinical picture, but it is important to make a distinction between them, for their clinical courses and treatments, are different. This work discussed the differential diagnosis of mycobacterial lymphadenitis and illusterated five cases of non tuberculous mycobacteria out of forty three cases examined, and showed that tuberculosis still having a higher incidence among our patients

Otitis media with effusion and pneumatization

A study of 106 ears with effusion showed that otitis media with effusion prevailed in children with poorly pneumatized ears. The chronicity of the disease and viscosity of the secretion had significant correlation with the degree of hypocellularity