ABSTRACT
Accidental ingestion of strong acids and alkalines still remains the commonest cause of benign strictures of the oesophagus in our country, particularly in children from the poor socio-economic strata, who are left alone to fend for themselves. Once the stricture is well-formed, repeated antegrade dilatations are required in order to dilate the lumen gradually. The procedure is done with the utmost care and gentleness in order to avoid rupture of the cicatricial wall of the oesophagus. The present series consisting of 10 cases of multiple, benign, mostly permeable, strictures of the oesophagus were successfully managed with Jackson's antegrade dilatation technique. During one of the dilatation sessions we observed that instead of pushing the bougie gently, it seemed to be sucked down entirely on its own, a few millimeters at a time (described in case 3) and traversed the entire stricture. This procedure appears safer for the patient and has now become routine with us. There was no mortality in our series. In all, a total of 168 dilatations have been done. The average lumen achieved in all our cases was 6 mm (Jackson's bougie No. 18) which was well maintained in all our cases on a permanent basis.
Subject(s)
Esophageal Stenosis/surgery , Child , Child, Preschool , Dilatation/methods , Esophageal Stenosis/diagnostic imaging , Female , Humans , Infant , Male , RadiographyABSTRACT
A 12-year-old male child had spontaneous, recurrent bouts of profuse bleeding from the nose for 15 days. On examination of the nose a purplish polypoidal mass, which bled at touch filled the entire right nasal cavity. On lateral rhinotomy, a soft, greyish, cheesy mass was found, choking the maxillary, frontal, ethmoidal sinuses and the nasal cavity on the right side. It was completely excised. The histopathology report was vascular hamartoma (haemangioma).
Subject(s)
Hemangioma/diagnosis , Paranasal Sinus Neoplasms/diagnosis , Child , Hemangioma/pathology , Humans , Male , Paranasal Sinus Neoplasms/pathology , Paranasal Sinuses/pathologySubject(s)
Tuberculosis/diagnosis , Adenoids/pathology , Adolescent , Adult , Child , Child, Preschool , Female , Humans , Infant , Male , Tuberculosis/pathologySubject(s)
Cysticercosis/diagnosis , Otorhinolaryngologic Diseases/diagnosis , Adult , Child , Female , Humans , MaleABSTRACT
A case of granulomatous osteomyelitis of the maxilla, probably due to tuberculosis is reported, and the literature reviewed. Excision of the diseased tissue with antitubercular treatment forms the most effective line of treatment.
Subject(s)
Maxillary Sinus/pathology , Osteomyelitis/pathology , Tuberculosis, Osteoarticular/pathology , Child, Preschool , Female , Granuloma/pathology , Humans , Paranasal Sinus Diseases/pathologyABSTRACT
Two cases of embryonal rhabdomyosarcoma, arising from the middle ear, are described. It is a rare mesenchymal tumour of childhood, with a very poor prognosis. The literature is briefly reviewed and the difficulties encountered in diagnosis are outlined.
Subject(s)
Ear Neoplasms/pathology , Ear, Middle/pathology , Mastoid/pathology , Rhabdomyosarcoma/pathology , Child , Child, Preschool , Female , Humans , MaleABSTRACT
Three cases of hamartomas of the nose, very rare conditions in otolaryngology are reported. According to the Willis (1953) classification two of these cases, belonged to the angiomatous, and the third one to the lipomatous, group of hamartomas.
