ABSTRACT
Chronic suppurative otitis media (CSOM) presents with a typical history of recurrent otorrhoea with tympanic membrane perforation. The diagnosis of cholesteatoma is usually made on otologic examination. High resolution computed tomography (HRCT) is indicated to evaluate the extension and the complications of cholesteatoma. The aim of the work was to study the role of HRCT in detecting, evaluating diagnosing and managing CSOM. All patients presenting with CSOM who were planned for mastoid exploration surgery in department of ENT, Gauhati Medical College and Hospital within a period of 2 years-from 1st January, 2013 to 31th December, 2014, were taken up for the study. HRCT mastoids done routinely before cholesteatoma surgery, but with improved resolution, to characterize all middle ear structures and complications of the disease prior to surgery, might guide as road map during mastoid explorations for unsafe CSOM. The important role of HRCT lies on the early detection of cholesteatoma, and more conservative surgical procedures can be used to eradicate the disease.
ABSTRACT
A total number of 62 cases of ophthalmological manifestations caused by various ENT diseases, mostly paranasal tumour extensions, nasopharyngeal tumour and furunculosis of nose were analysed in a retrospective study in relation to their age, sex, clinical, radiological and HP profile. CT scan was considered as the most dependable investigating tool. Different modalities of medical and surgical treatment have been adopted according to location and nature of the disease. A close cooperation is needed between otolaryngologist and ophthalmologist to overcome this challenge.
ABSTRACT
Managing oesophageal strictures, whether benign or malignant has always been a challenging task for ENT Surgeons, Endoscopists, Cardio-thoracic surgeons and Gastro-enterologists. Although various newer technological developments have helped in better management of malignant strictures, it is the benign strictures that are still being managed by conventional means with gum-elastic bougies and other dilatation techniques. Children are not immune to benign strictures, rather corrosive strictures, congenital webs and membranes etc. are much more common in the paediatric age group. We present the technical details and our experience in managing benign oesophageal strictures in five children by endoscopic balloon dilatation.
ABSTRACT
Endoscopic placement of metal stent is an established palliative method for advanced inoperable cases of carcinoma oesophagus. Although various types of prosthesis are available, but the recent development of self-expandable metal stents has gained popularity because of less procedure related complications. We present the technique and result of ultraflex self-expandable metal stenting, which was placed by us in a small series of six patients successfully.