ABSTRACT
A case of sebaceous adenoma in the region of the medial canthus causing proptosis is presented along with a review of the medical literature. The clinicopathological aspects of the tumour are discussed. The mode of treatment was surgical excision. A six month follow-up showed a reduction in the proptosis with no recurrence.
Subject(s)
Adenoma, Sweat Gland/complications , Exophthalmos/etiology , Eyelid Neoplasms/complications , Adenoma, Sweat Gland/diagnosis , Adenoma, Sweat Gland/surgery , Adult , Blepharoplasty/methods , Eyelid Neoplasms/diagnosis , Eyelid Neoplasms/surgery , Follow-Up Studies , Humans , Male , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
Fourth branchial arch fistula is a rare anomaly. This report describes in detail the presentation and management of a fourth arch fistula.
Subject(s)
Branchial Region , Fistula , Adult , Branchial Region/diagnostic imaging , Branchial Region/surgery , Fistula/diagnostic imaging , Fistula/surgery , Humans , Male , RadiographyABSTRACT
Rhinocerebral mucormycosis is a rapidly fatal fungal disease which involves the nose, paranasal sinuses, orbit and central nervous system. The fungal infection is usually secondary to immunosuppression, diabetic acidosis, or antibiotic, steroid or cytotoxic therapy. It can also occur in patients suffering from burns, malignancy and haematological disorders. Current treatment consists of correction of the underlying disorder, repeated debridement of the wound in combination with intravenous amphotericin B. This paper describes our experience with a case of rhinocerebral mucormycosis. This is an unusual case in which mucormycosis was seen in a young female where no underlying cause was found. She responded to surgical debridement in combination with intravenous amphotericin B.
Subject(s)
Cellulitis/microbiology , Mucormycosis/complications , Nose Diseases/microbiology , Opportunistic Infections/complications , Orbital Diseases/microbiology , Adult , Cellulitis/therapy , Combined Modality Therapy , Female , Humans , Mouth Diseases/microbiology , Mouth Diseases/therapy , Mucormycosis/therapy , Nose Diseases/therapy , Opportunistic Infections/therapy , Orbital Diseases/therapy , Ulcer/microbiology , Ulcer/therapyABSTRACT
Sixty-three patients with loss of vision following head injury were subjected to decompression of the optic nerve by the transethmoid route. This paper discusses the criteria for selection of patients for surgery, the results of the operation and the prognostic factors determining the results.
Subject(s)
Blindness/etiology , Craniocerebral Trauma/surgery , Optic Nerve Injuries , Adolescent , Adult , Child , Ethmoid Sinus/injuries , Female , Humans , Male , Methods , Middle Aged , Optic Nerve/surgery , Prognosis , Skull Fractures/complicationsABSTRACT
Diminution of vision following head injuries involving the optic canal is not uncommon. In order to find out how a blunt trauma to the frontotemporal region produced damage to the optic nerve in its canalicular portion, this study was conducted on cadaveric skulls and its results are described.
Subject(s)
Craniocerebral Trauma/complications , Optic Nerve Injuries , Skull/injuries , Blindness/etiology , Cadaver , Humans , Skull Fractures/complications , Wounds, Nonpenetrating/complicationsABSTRACT
It has been proved beyond doubt that the causation and perpetuation of disease in the dependent sinuses (maxillary and frontal sinuses) is secondary to disease of the ostiomeatal complex, the primary focus of which is the anterior ethmoid. Based on this concept, functional endoscopic sinus surgery (FESS) aims at correcting the underlying pathology in the ethmoids and helps to re-establish normal ventilation and mucociliary clearance of the dependent sinuses.
Subject(s)
Endoscopy/methods , Ethmoid Sinusitis/surgery , Combined Modality Therapy , Ethmoid Sinusitis/pathology , HumansABSTRACT
Seventy-eight patients of chronic sinusitis were subjected to functional endoscopic sinus surgery by the technique described in the previous paper. The clinical features, findings at surgery and the results of this technique are described here.
