Olfactory neuroblastoma: a tumour to recognise

To study a series of cases of Olfactory Neuroblastoma which is a rare neurogenic tumour. Design: A retrospective study of cases of Olfactory Neuroblastoma in a period of 11 years [From July 1985 to December 1995]. Subjects and Main outcome measures: 10 cases of Olfactory Neuroblastoma seen in last 11 years were assessed with clinical details, histological interpretation and result outcome of the regime of therapy. Age incidence ranged from 3 yrs. to 63 yrs. Males were 70%. 7 cases presented with unilateral nasal mass, nasal obstruction and epistaxis. Proptosis was seen in 2 cases while 3 had regional lymphadenopathy 50% cases were treated with initial surgical excision followed by cobalt therapy and cytotoxic drugs. Rest of the cases were managed by combination of cobalt therapy and chemotherapy. The patients with Olfactory Neuroblastoma must be continuously followed and evaluate for any regional and distant metastasis and also for local recurrence as it is very aggressive and highly malignant neoplasm. Overall survival rate is very poor

Ear, nose and throat injury in children

To find out type of injury and mechanism involved in ear, nose and throat regions children. A retrospective study of 160 cases over a period of 5 years was carried out and related data were analysed. ENT, Department of Prince Bijay Singh Memorial Hospital attached to Sardar Patel Medical College, Bikaner [Rajasthan] India. 160 children from 0-15 years managed in ENT unit. Main outcome measures: Type of injury, mode of injury, complications and preventive measures. Nose was found to be the commonest site [50%] of injury and nasal bone fracture was the commonest injury [26%]. Fall and trauma by pointed object [55%] were the most common modes of injury. In children of less than 5 years, the commonest cause of injury was pointed object in the mouth while in children between 5-10 years, the commonest causes were fall. In children between 10-15 years, the common cause of injury was fall [23%] and road accident [27%]. The pattern of injury of ear, nose and throat region is different in children than in adults. It is also not similar in all age group of children. Not only the type but mechanism involved is also different