Comparitive study of prolene wire stents and silicon tube stents used in 150 cases of endonasal dacryocysto-rhinostomies

Closure of the rhinostomy opening is a major factor for surgical failure in endonasal dacryocystorhinostomy. Silicone tube stent improves surgical outcomes of endoscopic dacryocystorhinostomy. We used 1-0 prolene suture wire stent which is a cheaper alternative. A comparative case series analysis study with random patient allocation done in Department of ENT, Head and Neck Surgery, KVG Medical College, Sullia. Endonasal dacryocystorhinostomy [EnDCR] were done in 150 patients who were randomly allocated into 3 groups with 50 patients each. Silicon tube stents were used in group B and prolene wire stents were used in group C. No stents were used in group A and were taken as control. In our study, 90% success in syringing patency was seen in group A, 92% success in syringing patency was seen in group B and 90% success in syringing patency was seen in group C. No significant difference in success rates were recorded in patients where no stent was used when compared with those with groups with silicon or prolene stent used. 1-0 prolene suture wire is commonly available in all operation theaters and is used as a possible substitute for silicon tube stents

Advantages of plaster of paris splints over denver splints in nasal bone fracture reduction and rhinoplasties

Plaster of Paris [POP], thermoplastic splints, and self-adhesive padded aluminium [Denver] splints are the most common splints used to stabilize fractured nasal bones and to support external nasal framework after rhinoplasty. All these splints are efficient but may have disadvantages like being cumbersome, time-consuming, bulky, conspicuous and expensive. K VG Medical College, Department of ENT, Head and Neck Surgery. A comparative study involving 122 cases of nasal splinting done during the study period of 51 months from Jan 2007 to April 2011. 122 cases of nasal bone fractures and rhinoplasties were splinted using POP and Denver splints to stabilize the nasal framework. 15 cases of nondislocated nasal fractures and 16 cases of internal augmentation rhinoplasties were stabilized by Denver splints. 77 cases of displaced nasal fractures and 14 cases of external rhinoplasties were stabilized by POP splints. POP splints give the best stabilsation for nasal bone fractures as well as for rhinoplasties hut are bulky and conspicuous. Denver nasal splints are not bulky and conspicuous but cannot be used for fractures with lacerations and external rhinoplasties

Tonsillo-styloidectomy for Eagle's syndrome: a review of 15 cases in KVG medical college Sullia

Elongated styloid process causing Eagle's syndrome is a rare clinical entity and the diagnosis is often difficult as result of its vague symptomatology. However, palpation of tonsillar fossa with radiological demonstration of the elongated styloid process confirms the diagnosis. This is a report of a retrospective study conducted at the KVG Medical College, Hospital, Sullia, Karnataka, India where 15 patients who were surgically treated for Eagle's syndrome in the ENT department were retrospectively studied. Fourteen patients became symptom free after surgery within three months of follow up. Tonsillo-styloidectomy is the treatment of choice for Eagle's syndrome with a high success rate