Unusual presentation of chronic suppurative otitis media

We prevent an unusual case of discharging ear with associated neck swelling that was diagnosed initially as infected cholesteatoma complicated by Bezold abscess. Due to the unusual pale abundant granulation tissue encountered intraoperatively and after the results of histopathology of the granulation tissue and Ziehl-Neelsen stain of the neck swelling aspirate the diagnosis was revived

Allergic fungal sinusitis

Allergic fungal sinusitis is the commonest form of fungal sinusitis which is analogous to allergic bronchopulmonary aspergillosis in many aspects. Once looked upon as a rare disease which now seems to be increasing in incidence either due to better diagnostic criteria or due to genuine increase in the number of cases. We report a case presented as allergic fungal sinusitis with infratemporal extension and expansion with bone resorption into intracranial region in an asthmatic teenager who was treated successfully with a combination of surgery and medical interventions

Management of enlarged adenoid in adults: Adenoidectomy using the Illman's adenoid curette under endoscopic video monitoring control

The objective of this prospective study is to present our experience in the management of enlarged adenoids in adults over a period of 4 years, January 2000 to January 2004. This was carried out at the Otorhinolaryngology Department, Dubai Hospital, UAE. This study was performed on 45 cases of enlarged adenoid, aged between 18-55 years [average age of 33 years] including 27 males and 18 females. Cases were selected after failure of medical treatment to improve patients' symptoms and after histopathological and CT exclusion of malignancy. Thirty-four patients presented with persistent nasal symptoms and 26 with persistent aural symptoms. Nasal endoscopy, nasopharyngoscopy, ear examination, plain x-ray, and CT nasopharynx were performed on all patients. Adenoidectomy using Illman's adenoid curette under endoscopic video-monitoring control was done, and all excised material was sent for histopathological examination. Nasal symptoms subsided within a week after surgery and associated sinusitis improved in all cases without need for sinus surgery. Middle ear ventilation improved in 15 cases and only 4 cases required ventilation tubes [grommets and T-tubes]. Histopathology revealed non-specific inflammation in all cases. The operative time and bleeding is less than conventional adenoidectomy. Adenoidectomy using lllman 's adenoid curette under endoscopic video monitoring control is less likely to cause complications than conventional adenoidectomy