RESUMEN
Purpose: In this study, the surgical management of an inverted papilloma of the nose and paranasal sinuses at our institutions [Allama Iqbal Medical College and King Edward Medical College Lahore-Pakistan] is reviewed
Methods: Nine patients diagnosed with an inverted papilloma and treated at the Ear Nose and Throat Departments of Allama Iqbal Medical College and King Edward Medical College Lahore-Pakistan from 1995 to 2003 were retrospectively reviewed. One patient after the complete work up left without surgery. Eight patients were treated with lateral rhinotomy and medial maxillectomy
Results: The patients had a mean follow up of 4 years and eight months [8 years to 2 years 3 months]. The overall recurrence rate was 12%. The patient with recurrence on biopsy showed presence of squamous cell carcinoma
Conclusions: All unilateral nasal masses must be biopsied. Lateral rhinotomy with medial maxillectomy is an effective way of treating sinonasal inverted papilloma in our set up
RESUMEN
Objectives: The objective of this study is to review the management of foreign body inhalation, the type of foreign bodies commonly inhaled, the site of impaction and the complications related with it
Design of Study: Retrospective clinical study
Setting: Mayo Hospital Lahore, ENT Unit I
Period: April 1999 to September 2000 [18 months]
Materials and methods: 32 consecutive patients with suspected foreign body inhalation were included in this study. A total of 35 bronchoscopies were carried out in these 32 patients. The patient data was collected on the basis of management complications and follow-up
Results: Total number of cases was 32 including 24 males [75%] and 8 females [25%]. Age range of the patients was 6 months to 30 years [average 6.65 years]. Most commonly inhaled foreign bodies were plastic whistles in 19 cases [66]]. The most common site of impaction was right main bronchus [62%] followed by left main bronchus [24%x]. Complications occurred in 2 patients [7%]
Conclusions: Foreign body in the airway is a common problem affecting young children mainly. The most common foreign body inhaled is a whistle. It is a preventable problem and educating the parents, teachers and other childcare providers in this regard is highly desirable