ABSTRACT
A nasal polyp is a prolapsed pedunculated part of the oedematous mucosa of the nose or paranasal sinuses. It is inflammatory in origin and not a neoplastic (Bhargava in A short book of E.N.T. diseases. 9th edn. Usha Publication, [1]). This present study was aimed to treat Nasal polyposis with the drug administration through nasal as well as oral route. Total 61 patients were registered in three groups. Simple random sampling (alternate) method was adopted for the selection of the patients and selected patients were divided into 3 groups. Patients of Nasya Group and Nasya + Oral group received Ayurvedic treatment where as Controlled Group patients were treated with allopathic medicine. Duration of treatment was kept 3 months for Nasya Group and Nasya + Oral group, while 21 days for Controlled Group. Follow up was kept for 2 months at interval of 15 days each. Though all three groups showed significant improvement in subjective symptoms; Nasya Group and Nasya + Oral group showed better result in grading of Polyp.
ABSTRACT
Choanal atresia is one of the more commonly observed congenital abnormalities of the nose. The condition is predominantly found in females with a M:F ratio of 1:2. 65-75 % of patients with choanal atresia are unilateral, and the rest are bilateral. About 50 % of the cases are associated with other congenital anomalies, the most common being coloboma, Heart disease, choanal atresia, mental and growth retardation, genital hypoplasia, ear deformities syndrome. The embryonic origin of choanal atresia is due to persistent bucco-pharyngeal or naso-buccal membrane. Our study was a retrospective study of 14 cases of choanal atresia. All the cases were operated by the first author. Each patient was investigated in detail and recorded by stratifying in sex of patient, age of presentation, type and site of atresia, and associated other congenital anomalies. Patient were operated under general anesthesia and Hegar's dilators were used to perforate the atretic plate as Hegar's dilators are believed to have ideal curvature with respect to the sloping contour of the nasal floor. Out of the total 14 cases, 9 (64 %, n = 14) cases were male and 5 (36 %, n = 14) females. The age variations varied from youngest of 3 days to the oldest 31 year old female. Stents were kept for a period of 6-8 weeks and regular follow up nasal endoscopy was done weekly for suctioning and visualizing the size of the airway. There are five different surgical approaches that have been described for surgical treatment of choanal atresia: (1) trans-nasal, (2) trans-palatal, (3) trans-septal, (4) trans-antral and (5) sublabial-transnasal. In our study M:F ratio was 1.8:1 which is comparable Gosepath et al. (Rhinology 45:158-163, 2007) (2:1). In our study bilateral atresia was seen in 43 % (6, n = 14) and unilateral in 57 % (8, n = 14) which is comparable to Newman et al. (44 % bilateral cases, n = 43). Amicable and prompt referral to the ENT surgeon can be of immense value so as to buy adequate time for the surgeon to decide and act as per the patient's clinical and radiological findings. Hegar's dilator is passed along the floor of the nose, pushed against the septum so as to avoid penetrating the basal sphenoid.
ABSTRACT
Primary mucosal malignant melanoma reported in this case is a rare clinical entity. Very few cases of primary mucosal malignant melanoma of middle ear have been reported in the literature till date. The etiopathology, clinical features and management of this disease has been described here.
