Unusual presentation of laryngeal foreign bodies - report of two rare cases.

Aspiration of a foreign body into the respiratory tract is a common and serious problem in childhood but is rare in adults. Two interesting cases in which the diagnosis of foreign body in the larynx was not suspected preoperatively are being reported. A three and half year old female child was diagnosed as a case of bronchitis and was later found to have a metallic spring in the supraglottic region which was removed by direct laryngoscopy under general anesthesia. The other patient, a 32-year-old male, was diagnosed to have a fibrous lesion in the larynx one year previously, and on laryngoscopy a vegetable, spiculated foreign body was found after excising the fibrous lesion on the left false cord. Both the cases are symptom free 18 months after endoscopy.

Parapharyngeal space tumours a radiological and surgical correlation.

The parapharyngeal space is a deeply situated space on either side of head. Clinical assessment of lesions in this space in very difficult. 28 patients with parapharyngeal space masses diagnosed and managed in the department of Otorhinolaryngology and Head & Neck Surgery of Postgraduate Institute of Medical Education and Research. Chandigarh were studied. 8 patients were excluded as the tumour could not be removed en-bloc in these. 20 were analysed further.

Reversible hearing loss associated with high-voltage electric shock.

Hearing loss associated with high-voltage electric shock is a rare entity and minimal information is available in the current literature about this condition. To our knowledge, this article represents the first case report in the literature of improvement in sensorineural hearing loss sustained due to a high-voltage electric shock. A case report of a patient who incurred various otologic problems, including hearing loss and tinnitus, is presented. An improvement in hearing loss and tinnitus was observed in the subsequent follow up after one month. Audiological findings and possible pathophysiology of hearing loss are discussed. We recommend that further studies be done to investigate the incidence, severity and pathophysiology of hearing loss in such cases.

Carotico-cavernous sinus fistula.

We present a rare case of carotico-cavernous sinus fistula who presented with proptosis with gradual diminision of vision following a roadside accident. Contrast enhanced CT scan and angiography confiruned the diagnosis and it was managed by transfemoral embolisation of right ICCF.

Survival patterns in treated cases of carcinoma larynx in North India: A 10-year follow-up study.

Carcinoma of larynx is a common disease in North Indian population. It is seen commonly in smokers and alcoholics. It poses a serious health problem due to its tendency to cause airway obstruction and to make the patient aphonic if total larynxgectomy is done for curing this cancer. We conducted a retrospective analysis in 690 cases of carcinoma larynx presenting to Nehru Hospital, Postgraduate Institute of Medical Education and Research, Chandigarh. Various aspects of this disease like predisposing factors, patterns of spread, histological types, various treatment modalities, their complications and response of this disease to these therapeutic options were studied in detail.

Survival patterns in treated cases of carcinoma larynx in north india - a 10 years followup study.

Patients with stage I and II tumors had the best results with radical radiotherapy alone 5 years survival for patients with stage I and stage II tumors was 90-95% and 75-85% respectively Patients with advanced stage III & IV disease were treated Unoperable stage IV cancer patients had poor outcome and received only palliative treatment.