Subject(s)
Bell Palsy , Bell Palsy/diagnosis , Bell Palsy/physiopathology , Bell Palsy/therapy , HumansABSTRACT
Fifty-one patients with established pulmonary tuberculosis underwent clinical evaluation and endoscopic examination of the larynx to determine the manifestations of laryngeal involvement. There were 46 males and 5 females (mean age 38 years). Fever, cough and haemoptysis were the prime pulmonary complaints while hoarseness, weak voice and episodic dyspnoea were the main laryngeal symptoms. Sites of laryngeal lesions included true vocal cords, arytenoids and false vocal cords. Oedema, pallor, ulcers, vocal cord immobility and thickening were the main laryngeal lesions observed. Twenty-four (47%) cases showed morphological changes in the larynx. The presentation pattern was consistent with the classical description and predilection for laryngeal involvement was not demonstrated.
Subject(s)
Tuberculosis, Laryngeal/epidemiology , Tuberculosis, Pulmonary/complications , Adult , Female , Humans , Incidence , Male , Pakistan/epidemiology , Risk Factors , Smoking/adverse effects , Tuberculosis, Laryngeal/pathologyABSTRACT
Radical laryngeal surgery was performed in 71 patients of stage III and IV laryngeal carcinoma. They were followed-up for the stomal recurrence. Stomal recurrence occurred in 5 (7%) patients, four of these had cervical nodal metastasis. The average time interval between laryngectomy and the stomal recurrence was 19 months. All the patients expired and the mean length of survival after the recurrence was 5.3 months.
Subject(s)
Laryngeal Neoplasms/surgery , Neoplasm Recurrence, Local/diagnosis , Adult , Female , Follow-Up Studies , Humans , Incidence , Laryngeal Neoplasms/pathology , Laryngectomy/methods , Male , Middle Aged , Neoplasm Recurrence, Local/epidemiology , Neoplasm Recurrence, Local/therapy , Neoplasm Staging , Pakistan , Retrospective Studies , Survival RateABSTRACT
Sixty-eight cases of stage III and IV laryngeal cancer were analysed to determine the frequency and management of post-operative pharyngocutaneous fistula (PCF). The overall incidence in our series is 8.9% (6 cases). In five patients PCF healed spontaneously without any surgical intervention while one patient expired due to concomitant other medical illness. The longest time taken by the fistula to heal by conservative treatment was 7 weeks. Retaining the NG tube for a longer period (14-16 days) and adequate and appropriate antibiotic cover reduces the incidence of fistula formation.
Subject(s)
Cutaneous Fistula/etiology , Fistula/etiology , Laryngectomy/adverse effects , Pharyngeal Diseases/etiology , Adult , Aged , Female , Humans , Male , Middle AgedABSTRACT
Cranial fasciitis is a rare variant of nodular fasciitis. It is a benign condition with features resembling sarcoma, seen principally in young males. It involves the skull bones and grows at a rapid pace. Accurate diagnosis and surgical excision is the key to management. Prognosis is good with recurrence rare. By 1992, 17 cases had been reported in the literature. The present case is the first reported in Pakistan. It presented as a post-auricular mass.
Subject(s)
Cranial Fossa, Posterior , Fasciitis/diagnosis , Temporal Bone , Child, Preschool , Female , Humans , Tomography, X-Ray ComputedABSTRACT
Peroperative findings in 145 consecutive cases of chronic suppurative otitis media, operated at Civil Hospital, Karachi were recorded. The mean age was 24 years. More than half of the patients (51%) had subtotal perforations and majority had damage of more than one ossicle. Involvement of all the three ossicles was seen in 30 (40%) cases. The frequency of damaged malleus along with incus was higher than other series. Granulations and subtotal perforations were commoner and could account for it. Extensive cholesteatoma was present in 30 cases.
