Surgery for otitis media with cholesteatoma: canal up versus canal down procedures

To compare and evaluate the results of surgery for Otitis Media with cholesteatoma by canal up versus canal down techniques in our set up. A descriptive study. Ear Nose Throat Department, Liaquat University Hospital, Hyderabad from January 2000 to December 2001. This study included 80 cases of otitis media with cholesteatoma. Patient were aged between 05 to 45 years. All cases operated under Zeiss microscope adopting two surgical techniques, i.e. canal up and canal down. The cases followed'up till 02 years for the recurrence of disease and any complication. Majority of cases were male adults belonging to rural areas. In patients, operated with canal up procedure, high risk of disease recurrence and complications was seen as compared to the patients operated with canal down procedure. In closed or canal-up procedures, there is more risk of recurrence of disease. Cholesteatoma has a tendency to recur if it is not properly eradicated. The canal down procedure are more reliable and safe for the patients irrespective of their age. Moreover, for follow-up the response by patients is poor due to lack of health awareness and facilities in the rural areas.. Thus, no chance should be given to the disease to recur in any case of otitis media with cholesteatoma

Primitive neuroectodermal tumor of tongue

We report a highly rare case of primitive neuroectodermal tumor of tongue. A 13-years old male presented with progressive lesion at the tip of tongue and the left lateral border since six months. Excision biopsy of the patient was done with local flap reconstruction of the tongue. Histopathology favoured the diagnosis of primitive neuroectodermal tumor