Comparison of Improvised Ventilating Nasal Packs with Vaseline Gauze Packs in Nasal Surgery

To study the outcome of using Improvised ventilating nasal packs compared with Vaseline gauze packs in nasal surgery. A comparative study. Department of ENT, Combined Military Hospital Rawalpindi, from July 2011 to December 2012. One hundred and twenty patients undergoing nasal surgery were divided into two groups of sixty each. After surgery, Group A was packed with Improvised Ventilating nasal packs and Group B with Vaseline gauze nasal packs. Effects of nasal packs in both the groups were studied and compared in terms of control of bleeding, comfort level while in place, and discomfort level while packs were being removed. Patient comfort level was significantly better in Group A as compared to Group B, while there was no significant difference in post operative bleeding control among the two groups. Discomfort level while packs were being removed, was also similar among the two groups. Ventilating nasal packs provide a better alternative to conventional nasal packs in terms of patient comfort after nasal surgery, while they are as good in providing bleeding control

Myringoplasty: anatomical and functional results

Myringoplasty is an established procedure. However, the quest is on to improve the results further by studying the different factors that could possibly affect the outcome. The objectives of myringoplasty are essentially to restore the eardrum integrity and improve hearing level. We have retrospectively reviewed the myringoplasty operations performed in ENT department Combined Military Hospital Kharian, between January 2000 to December 2002, corresponding to 105 surgical interventions. It has been tried to find out the possible factors that affect the anatomical and functional outcome. We analyzed functional results in ears with anatomic success. 73% of patients had successful surgery and 65% of these patients had good functional outcome. This series suggest that patient with smaller perforation and shorter duration of disease has better anatomical and functional outcome

Cytopathological appearance of pindborg tumor

Use of fine needle aspiration cytology [FNAC] in the diagnosis of odentogenic tumours has gained little attention. We came across one such case where the cytological appearance was found to be typical calcifying epithelial odentogenic tumour [CEOT] also called Pindborg tumor when finally correlated with histology. No such case is published previously, therefore, its cytological appearance is described along with radiological, histological and clinical behavior. Case Repot: A 62 years old female presented with a firm to hard swelling in the lower part of mandible at its junction of ramus with body on left side. The swelling was 6 x 4 cm, non-mobile and non-tender. The overlying skin was tense and flattened. Local temperature of the growth was not raised and there was no fluctuation in the swelling. The x-ray of the lesion showed radiopaque and some radiolucent areas. Fine needle aspiration of the swelling was done under local anesthesia after explaining the procedure thoroughly to the patient. Two slides were prepared which were wet fixed in a cytological fixative [mixture of absolute alcohol and acetone in equal amount]. The slides were stained with haemotoxylin and eosin stain. On cytological examination of the smears, there was abundant eosinophilic amorphous material with few red blood cells in the background. Following three patterns of cell groups were seen: I. There were small to medium size epithelial type cohesive groups. The cellular groups were compact without any dyshesions and dyspolarity. II. Few multinucleated giant cells with regular small to medium sized nuclei and abundant cytoplasm. III. The third pattern was of isolated cells having mostly epithelial cuboidal type appearance which at places were having plasmacytoid look. The impression of 'epithelial tumor, probably dentigerous origin' was conveyed and biopsy was suggested. The biopsy material on histology showed sheets of epithelial cells with eosinophilic homogenous and calcified areas around. There was slight variation of epithelial cells but no mitoses were seen. Typical circular intracellular degeneration of epithelial tumor tissue as described by Pindborg was also present. On histology a final diagnosis of Pindborg Tumor was made