Ecthyma gangrenosum with pseudomonas sepsis in a previously healthy child

Ecthyma gangrenosum [EG] is a gangrenous skin lesion that is commonly caused by Pseudomonas aeruginosa in patients with neutropenia or underlying immune deficiency. They have been few reports in the literature of EG in previously healthy children who either had previously undetected immune deficiencies or another transient risk factor. We report a case of previously healthy child with pseudomonas sepsis and severe EG lesions, who had no apparent risk factors

Permeatal myringoplasty: Assessment of different grafting materials

This study includes 100 cases of dry perforations of the ear drum. Four types of grafting materials were utilized in the repair of such perforations, namely: temporalis fascia, trageal perichondrium, sclera and dura. Each was used in 25 cases. We performed permeatal myringoplasty applying the underlay technique. Success rate was 90% after a follow up period of two months. Statistical studies of the results showed no significant difference as regards to the type of material used. However, there was significant improvement of hearing in lower frequencies, rather than in higher frequencies. Moreover, hearing was considerably improved in all cases of posterior perforations as well as moderately side anterior perforations. The permeatal approach, using the underlay technique was found to be easier, quicker and with an excellent prognosis. The four grafting materials used were considered suitable for such an operation, with rather similar success rates

Craniofacial resection: Evaluation of 48 cases

Craniofacial resection was conducted an 43 patients over a period of six years. They were all suffering from malignant tumours involving the paranasal sinuses and infiltrating the base of the skull. Only one patients had an extensive benign stoma which called for combined approach. The complications and the outcome of this aggressive form of surgery are discussed

Submandibular salivary gland neoplasms

Submandibular salivary gland neoplasms are rare and have a high incidence of maIignancy with aggressive nature. Twenty one cases have been presented in this study with varification of various pathological subtypes. Excisional biopsy with removal of both the submandibular salivary gland and the related tumour is considered quite adequate for microscopically proven benign tumours requiring no further management. For malignant tumours more aggressive line of treatment was attempted a combination of both aggressive tumour bearing area resection followed by radiotherapy. We think that only by this aggressive combined approach can we hope to decrease the number of failure of local treatment