ABSTRACT
Upper aerodigestive tract may harbour foreign bodies such as sponges, grains, toy parts, stones, paper, insects, cotton, glass ball, etc. These objects may go undetected for days or even weeks. A metallic foreign body after being inhaled and ultimately being lodged in the nasopharynx is a rare entity. We report a case of an unusual nasopharyngeal foreign body (glass ball) presenting with symptoms of nasal regurgitation and change in voice in a 2-year boy. The foreign body was diagnosed by X-ray skull lateral view including nasopharynx and was removed under general anesthesia.
ABSTRACT
Background: Inflammatory sinonasal diseases (ISD) refer to a group of disorders characterized by inflammation of the mucosa of the PNS. Acute ISD are defined as sudden in onset and duration less than 3 weeks. Recurrent acute infections are defined as four or more attacks per year lasting greater than 7-10 days. Chronic is defined as duration of symptoms more than 12 weeks. Materials and methods: The present prospective study was conducted in the department of ENT JSS Medical College and Hospital. The study was conducted from a period of November 2012 to June 2014. The study included a total of 50 patients with clinically proven inflammatory sinonasal diseases not responding to medical line of treatment. A complete detail about their signs and symptoms was also recorded in a tabulated form. Data was expressed as percentage of the total information and analysis was done using SPSS software. Results: The present study enrolled 50 subjects, out of these; there were 21 females and 29 males. 56% were diagnosed as with chronic sinusitis, 30% with ethmoid polyposis and 14% with antrochonal polyp in this study. The specificity of CT was found to be best for posterior ethmoid, hiatus semilunaris, sphenoethmoid recess, uncinate process, frontal recess, inferior turbinate. The values were 97%, 89%, 95%, 93.5%, 89.5% and 88.5% respectively. CT was relatively less sensitive for anterior ethmoid, infundibulum, bulla ethmoidalisad maxillary sinus. The values were 86%, 85%, 71%, 66%. Conclusion: CT is effective in demonstrating predisposing cause of Inflammatory Sino nasal diseases (e.g. Anatomical variants) and provides guidance for therapeutic endoscopic instrumentation. CT with its excellent capability for displaying bone and soft tissue is the current diagnostic modality of choice for evaluation of osteomeatal complex. CT scan has to be done, to know sino nasal anatomy and anatomical variations and to plan for FESS.CT scan provides findings which helps in management and acts as Road Map to the surgeons if FESS is indicated.
ABSTRACT
Background: Chronic rhino sinusitis is a widely prevalent and significant health problem but still its etiology is not clearly understood. It is a heterogeneous condition with persistent inflammation of the mucosa of the sinuses. The present study was aimed at evaluating the characteristics of the subjects most frequently affected by inflammatory sinunasal disease. Materials and methods: The present comparative study was conducted in department of ENT JSS Medical College and Hospital, Mysore from November 2012 to June 2014. A routine hemogram (HB, TC, DC, BT, CT and Platelet count) and urine examination (albumin, sugar, and microscopy) were done for the patients. All the patients in active stage of the disease were treated with course of suitable antibiotic, systemic antihistamines and local decongestants. All the data obtained was arranged in a tabulated form and analysed using SPSS software. Data was expressed as percentage of total data. Results: There were 15 subjects (30%) that were aged between 18-25 years of age. Majority of subjects were in this age group. There were 18% (n=9) subjects between 26-30 years of age. There were 58% (n=29) males in this study, making the majority. There were 21 (42%) females in the study. Conclusion: From the above study it can be concluded that the majority of subjects that were affected were males and of the age range between 18- 25 years of age.