Lateral pharyngotomy for removal of a penetrating fish bone; Case Report

A 34 years old female Philippine patient complained of neck pain, dysphagia and neck stiffness following fish bone swallowing of two days duration. Lateral plain x-ray of neck showed suspected shadow at the level of the forth-cervical vertebra with widening of prevertebral space. Endoscopy was performed twice, but no foreign body was detected. Only oedema of valleculla and post-cricoid regions with abscess formation. C.T. showed that the fish bone was penetrating the pharyngeal wall and impacted in the prevertebral tissue. Right lateral Pharyngotomy was performed and the fish bone was removed

Mycolic paranasal sinusitis

Seven case reports of invasive mycotic paranasal sinusitis is presented. Diagnosis was established by a combination of histopathological examination and fungal culture of the excised tissues. Diagnosis was suspected form the chronic and relentless course of sinus disease. The extent of the local invasion was studied using CT examination. Despite the wide local spread, none of the patients had intracranial spread of the infection. Wide surgical excision through ethmoid [external or internal] approach or Culdwell-Luc operation was used to remove the fungus masses combined with Amphtercin-B treatment

Limitations of tympanometry in diagnosis of otitis media with effusion

Some dismatch was noticed between results of automatic tympanometric screening and operative findings in cases of otitis media with effusion. Many cases which had type-B preoperative tympanogram showed no fluid during myringotomy. This prompted us to study this phenomenon in 50 patients with type B tympanogram. To assess the accuracy of doagnosis of otitis media with effusion, the tympanometric results were correlated to history clinical findings and audiometry in cooperative patients. This will help us to limit the increasing number of unnecessary myringotomies based on false tympanometric results which was shown by this study to have an accuracy of 75.26% only

Rhinosporidiosis

Sixteen cases of rhinosporidiosis, all males, Indian or Bangladeshi, are discussed.Their ages ranged from 20 to 53 years. Each presented with a unilateral bleeding polyp which was diagnosed clinically and confirmed by histopathological examination which revealed sporangia containing numerous spherules along with other cellular changes. Our experience in management by surgical excision followed by cautery is discussed