Prevalence Of Inverted Papilloma In A Teritiary Hospital

Inverted papilloma is a benign tumour of nasal cavity arising from lateral wall of nose, septum or anywhere in nasal cavity and sinuses. Pathogenesis is unknown even though many causes are explained like viral infection by HPV, HSV, chronic rhinosinusitis. These have capacity of malignant transformation 10 to 15%.Epstein–Barr virus (EBV), smoking, occupational, environmental and industrial exposures, cell cycle related proteins, angiogenic factors and chronic inflammation.Aims : To findout prevalence of inverted papilloma among nasal massesTo evaluate the sex incidence among these casesTo know symptomatology compared to other nasal massesMethods –ASRAM Medical College, Eluru, Dept of ENT.This is a prospective study over 2 years period ( 2015 Sept to 2017 August)Sample size – total no of 50 cases with nasal mass was studiedMethodology – All the patients having nasal masses were taken for the study. All the malignant masses were excluded from the study. Thorough clinical examination and investigations were done and data were analyzed.Results • The incidence of nasal mass to be higher in Males (58%). Especially males majority seen in inverted papilloma (5cases) and 1 female.nd• Most common nasal mass is nasal polyp,followed by 2most common is inverted papilloma.

The Clinical Observation of Hydroxyapatite Prosthesis Implantation through Lateral Rhinotomy Approach on the Orbit / 昆明医科大学学报

Objective To observe exposure rates of hydroxyapatite artificial eye by comparing hydroxyapatite prosthesis implantation through lateral rhinotomy approach on the orbit and traditional sclera shell hydroxyapatite prosthesis implantation.Methods After eye content was enucleated at postoperative stage I,75 patients received hydroxyapatite prosthesis implantation,among which 26 received direct sclera shell prosthesis implantation (group A) and 49 received implantation through lateral rhinotomy approach on the orbit (group B).During postoperative follow-up from 6 months to 5 years,exposure rates of hydroxyapatite artificial eye under two operation ways were observed and analyzed by x 2 test.Results According to observation,8 cases were exposed in the group A,and 2 cases were repaired by fascia and conjunctival repair.Six cases were healed by prosthesis and sclera replacement.In group B,only 1 case was exposed slightly and recovered after simple conjunctival repair.The incidence of the eye exposure rate using two kinds of operation methods in group A is significantly higher than that in group B (P ＜ 0.05) The difference was statistically significant.Conclusion The exposure of hydroxyapatite artificial eye can be effectively avoided and postoperative complications can be reduced by hydroxyapatite prosthesis implantation through lateral rhinotomy approach on the orbit among patients with severe eyeball ruptures,painful eyeballs of no light perception and atrophy eyes.

Lateral rhinotomy for a large, infected haller cell causing proptosis

@#<p style="text-align: justify;"><strong>OBJECTIVE:</strong> To report a case of a large sinus Haller cell that presented with chronic rhinosinusitis and proptosis and its surgical management.<br /><strong>METHODS:</strong><br /><strong>Design:</strong> Case Report<br /><strong>Setting:</strong> Tertiary Government Hospital<br /><strong>Patient:</strong> One<br /><strong>RESULTS:</strong> A 34-year-old lady with proptosis and secondary sinusitis due to a giant infected Haller cell was successfully treated by lateral rhinotomy approach and clearance of all diseased mucosa therein into the nasal cavity.<br /><strong>CONCLUSION:</strong> Approach to diseased sinonasal structures via lateral rhinotomy is an alternative to endoscopic sinus surgery in the presence of an unusually large Haller cell.</p>

A LATERAL RHINOTOMY INCISCON: CASE REPORTS AND REVIEW OF LITERATURES

The lateral rhinotomy signifies only an incision and not on operation and a lateral rhinotomy incision with osteotomy of the nasal bones provides access to the entire nasal cavity and maxillary, ethmoid, and sphenoid sinuses as well as the frontal sinus if the floor is removed, permitting removal of benign lesions at these sites and en bloc resection of the ethmoid labyrinth and the party wall between the nasal cavity and antrum with infiltrating tumors. The authors treated a tumor patient and a midfacial bone fracture patient via lateral rhinotomy approach and had a good result. So we report the cases with literature review.

Anterior Approaches to Midline Skull Base Tumors

Among various approaches to midline skull base tumors, anterior approaches can provide excellent visualization of the lesion. Since June 1989, 12 anterior procedures have been carried out on 9 consecutive patients presenting with midline skull base tumors(four transsphenodal approches, three Le Fort I osteotomies. Two lateral rhinotomies, two facial translocation approaches, and one craniofacial approach). These anterior procedures allowed good access to the lesions. Wound healing was rapid, with little discomfort to the patients. Cosmetic results were also excellent, and there were no significant problems related to malocclusion in the cases of Le Fort I osteotomy. Patients who underwent facial translocation approach developed nasolacrimal duct obstruction and small area hypesthesia on the cheek. Postoperatively, two patients died from tumor progression and meningitis secondary to CSF leakage, respectively. Although the number of cases and follow-up period are limited in our series, we think that anterior approaches may be useful in the surgical treatment to midline skull base tumors.