Analysis of Distance of Frontal Sinus Ostium from Columella by CT PNS: Our Experience.

Introduction: Knowledge of variable anatomy, narrow frontal sinus ostium and vital anatomical structures near outflow tract, is very important during preoperative planning for exposure of the frontal sinus recess during endoscopic sinus surgery. Preoperative knowledge of distance of nasofrontal beak and anterior skull base from columella is very helpful in avoiding intraoperative complication by deeper penetration into cranial cavity. Aim: To analyse distance from columella to the anterior and posterior border of the Frontal sinus ostium in males and females by CT PNS. Materials and methods: This retrospective observational study carried out in katihar medical college, Katihar during the period of 01 July 2021 to 31 December 2021 including 31 patients. Result and Conclusion: A distance approx 60.9 mm in men and 57.34 mm in women from the columella to frontal sinus ostium is safe during endoscopic sinus surgery.

Analysis of the efficacy of the pectoralis major myocutaneous flap in reconstructive head and neck surgery.

INTRODUCTION: Although free flaps have been used predominantly in past decades for the soft tissue reconstruction of head and neck malignancies, Pectoralis major myocutaneous flap (PMMF) is still a reliable workhorse for patients with co-existing co-morbidities or low economic status where free flaps are not feasible. PATIENTS AND METHODS: It was a retrospective study done on 36 patients of head and neck malignancies over the period of 5 years in which PMMF was used as a method of reconstruction in our hospital. Patients were followed up for a period of one year and outcome of PMMF was evaluated. RESULTS: Out of 36 patients 31 were of oral cancer and 5 were of carcinoma hypopharynx. Incidence of total flap necrosis was nil and partial flap necrosis was 16.6%. Orocutaneous fistula was found in 16.6%, wound dehiscence was in 19.4% and infection was found in 13.5% of patients. Non-flap related complications were found in 13.8% of patients. 35 out of 36 patients (97.2%) eventually achieved satisfactory surgical outcome of PMMF reconstruction. CONCLUSION: PMMF is a reliable method of reconstruction for head and neck malignancies especially in basic healthcare settings. With minimal expertise and groundwork, it is still a cost-effective workhorse flap for head and neck reconstruction.

Analysis of the efficacy of the pectoralis major myocutaneous flap in reconstructive head and neck surgery

Introduction: Although free flaps have been used predominantly in past decades for the soft tissue reconstruction of head and neck malignancies, Pectoralis major myocutaneous flap (PMMF) is still a reliable workhorse for patients with co-existing co-morbidities or low economic status where free flaps are not feasible. Patients and methods: It was a retrospective study done on 36 patients of head and neck malignancies over the period of 5 years in which PMMF was used as a method of reconstruction in our hospital. Patients were followed up for a period of one year and outcome of PMMF was evaluated. Results: Out of 36 patients 31 were of oral cancer and 5 were of carcinoma hypopharynx. Incidence of total flap necrosis was nil and partial flap necrosis was 16.6%. Orocutaneous fistula was found in 16.6%, wound dehiscence was in 19.4% and infection was found in 13.5% of patients. Non-flap related complications were found in 13.8% of patients. 35 out of 36 patients (97.2%) eventually achieved satisfactory surgical outcome of PMMF reconstruction. Conclusion: PMMF is a reliable method of reconstruction for head and neck malignancies especially in basic healthcare settings. With minimal expertise and groundwork, it is still a cost-effective workhorse flap for head and neck reconstruction.(AU)

Introducción: Aunque se han utilizado colgajos libres, fundamentalmente en las últimas décadas, para la reconstrucción de tejido blando en tumores malignos de cabeza y cuello, el colgajo miocutáneo de pectoral mayor (PMMF) sigue siendo un método fidedigno para los pacientes con comorbilidades coexistentes o baja situación económica en la que no se tiene acceso a los colgajos libres. Pacientes y métodos: Estudio retrospectivo realizado en 36 pacientes con tumores malignos de cabeza y cuello a lo largo de un periodo de 5 años, en los que se utilizó PMMF como método de reconstrucción en nuestro hospital. Se realizó un seguimiento a los pacientes durante un periodo de un año, evaluándose el resultado de PMMF. Resultados: De los 36 pacientes, 31 tenían cáncer oral y 5 cáncer de hipofaringe. La incidencia de necrosis total del colgajo fue nula, y la de necrosis parcial fue del 16,6%. Se encontró fístula orocutánea en el 16,6% de los casos, dehiscencia de la herida en el 19,4% e infección en el 13,5% de los pacientes. Se encontraron complicaciones no relacionadas con el colgajo en un 13,8% de los pacientes. Treinta y cinco de los 36 pacientes (97,2%) lograron finalmente un resultado quirúrgico satisfactorio de reconstrucción con PMMF. Conclusión: El PMMF es un método de reconstrucción fiable para los tumores malignos de cabeza y cuello, especialmente en los entornos sanitarios básicos. Con experiencia y base preparatoria mínimas sigue siendo un colgajo fiable para la reconstrucción de cabeza y cuello.(AU)

Success Rate of Type I Tympanoplasty Using Temporalis Fascia by Underlay Technique in Safe Mucosal COM in KMCH, Katihar.

Otitis media is inflammation of middle ear, commonly seen in children of school going age. Chronic otitis media is permanent abnormality of tympanic membrane most commonly as a result previous acute otitis media. Early diagnosis and management of chronic otitis media is important because it may affects hearing of child which in turn may affect cognitive development of children. This is a retrospective observational study done on 60 patients of age between 18 and 60 yrs during the period from May 2019 to November 2019 in ENT department of Katihar Medical College, Katihar, Bihar and assessed success rate of Type I Tympanoplasty using Temporalis Fascia by Underlay technique in safe mucosal COM. Success rate was 90% when preoperative dry ear was for more than one month. Graft taken up properly in 50 patients out of 60 cases i.e. 83.33%.

Analysis of the efficacy of the pectoralis major myocutaneous flap in reconstructive head and neck surgery.

INTRODUCTION: Although free flaps have been used predominantly in past decades for the soft tissue reconstruction of head and neck malignancies, Pectoralis major myocutaneous flap (PMMF) is still a reliable workhorse for patients with co-existing co-morbidities or low economic status where free flaps are not feasible. PATIENTS AND METHODS: It was a retrospective study done on 36 patients of head and neck malignancies over the period of 5 years in which PMMF was used as a method of reconstruction in our hospital. Patients were followed up for a period of one year and outcome of PMMF was evaluated. RESULTS: Out of 36 patients 31 were of oral cancer and 5 were of carcinoma hypopharynx. Incidence of total flap necrosis was nil and partial flap necrosis was 16.6%. Orocutaneous fistula was found in 16.6%, wound dehiscence was in 19.4% and infection was found in 13.5% of patients. Non-flap related complications were found in 13.8% of patients. 35 out of 36 patients (97.2%) eventually achieved satisfactory surgical outcome of PMMF reconstruction. CONCLUSION: PMMF is a reliable method of reconstruction for head and neck malignancies especially in basic healthcare settings. With minimal expertise and groundwork, it is still a cost-effective workhorse flap for head and neck reconstruction.