ABSTRACT
AIM: To study the clinical, radiological and operative findings in childhood acquired cholesteatoma. Methods: Totally 50 patients of age less than 18 years with active squamosal chronic otitis media (COM) underwent thorough clinical examination and pre-operative high resolution computed tomography (HRCT) of temporal bone followed by surgery. Their clinical examination findings, HRCT temporal findings and operative findings were noted and correlated. Results: According to the present study, commonest age group was 11-15 years, average duration of complaints was 7.9 years, commonest complaint was ear discharge, commonest examination finding was central perforation in tympanic membrane (TM), most patients had moderate conductive hearing loss, on HRCT temporal bone most common finding was soft tissue attenuation in middle ear cavity, per-operatively cholesteatoma was found in middle ear cleft in all the cases. Conclusion: Cholesteatoma is more aggressive especially in children where it has a short course of duration, high incidence of ossicular involvement and is more often associated with complications. High resolution computerized tomographic scan of temporal bone was highly accurate in diagnosing cholesteatoma, assessing the extent of the disease, identifying bony erosion and ossicular chain destruction and detecting destruction of lateral wall of mastoid, dural plate erosion and sinus plate erosion.
ABSTRACT
Background: The purpose of this study was to evaluate the complications of thyroid surgery and their management. Methods: A prospective study was conducted on 50 patients at Teerthankar Mahaveer Medical College and ResearchCentre Teerthankar Mahaveer University, Moradabad, Uttar Pradesh over a period of 12 months. Patients undergoing thyroid surgery in our department were included in this study after taking proper written informed consent. Complete history was taken and thorough ENT examination was performed. Clinical and laboratory data from the study was recorded as per the pro forma. Results: Among the patients undergoing surgery, Isthmusectomy was performed in 3 (6.0%) patients, Left hemithyroidectomy in 5 (10.0%) patients, Right hemithyroidectomy in 28 (56.0%), Subtotal thyroidectomy in 6 (12.0%) patients, Near total thyroidectomy in 3 (6.0%) patients and Total thyroidectomy in 5 (10.0%) patients. The most common complication that occurred was hypocalcemia(16%). Other complications observed were permanent hypoparathyroidism (6%), permanent recurrent laryngeal nerve palsy (4%), superior laryngeal nerve palsy (2%), post-operative haemorrhage (2%), seroma (8%), hypertrophic scar (8%), keloid (2%), wound infection (6%). Conclusion: The most common complications generally observed are hypoparathyroidism and recurrent laryngeal nerve injuries.