Granulomatous Hypophysitis - A Case Report.

Hypophysitis is a rare pituitary condition that commonly presents with nonspecific clinical and radiological patterns and is commonly misdiagnosed as pituitary adenoma. Definitive diagnosis can be made only by histopathology. No clearcut guidelines have been established for its management. This is a case report of one of such rare case.

A Rare Case Report of an Acute Orbit.

Orbital complications of rhino-sinusitis was one of the most common extracranial complications in the pre-antibiotic era. However, the incidence of intra-orbital complications secondary to rhinosinusitis has significantly decreased in recent times with the advertent usage of broad-spectrum antibiotics. The subperiosteal abscess is one of the most common intraorbital complications of acute rhinosinusitis. This is a case report of a 14-year-old girl who presented with diminished vision and ophthalmoplegia which on evaluation was diagnosed to be a case of a subperiosteal abscess. The patient was treated by endoscopic sinus surgery and with complete post-operative recovery to normal vision and ocular movements. This report aims at describing the presentation and management of the condition.

Vascular Control in Nose and Paranasal Sinus Tumours.

Effective management of Tumors of Nose and Paranasal Sinuses (PNS) require adequate vascular control of the vessels supplying the tumor to facilitate complete removal and to reduce the complications. To emphasize the role of prior control of feeding vessels in reducing intraoperative blood loss, achieving bloodless fields for endoscopic excision and in facilitating complete excision of tumors of Nose and PNS. A prospective study of 23 patients who were operated for various tumors of Nose and PNS by either Endoscopic or Open approaches for which intraoperative control of the feeding vessels was done based on the Radiological findings. The mean average blood loss was 280 ml and mean Operating time for Endoscopic approach was less than 2 h. All the patients were stable postoperatively and none of the patients had worrisome intraoperative hemorrhage or required multiple blood transfusions. All the patients had complete removal of the tumor. Prior identification of all the vessels that supply the tumor and planning to control them before manipulating the tumor always gives us good results. Tumors supplied by single vessel can be controlled by Embolization or intraoperative clamping, when the tumor is supplied by multiple vessels or when it is not possible to access the vessel by the size of the tumor, Temporary Clamping of the main vessel is a definitive alternative.

Office Based Voice Evaluation in Assessing Outcome of Treatment in Laryngeal Disorders.

Rapidly evolving global economic status has changed professional behavior. Of late, there is a drastic increase in professional voice users and thereby increase in the patients with voice disorders. Clinically, the changes in the voice can only be perceived but cannot be quantified and documented. It is therefore necessary to have a gadget/tool which is simple and with which we can document and quantify the voice change objectively. This is a prospective case control study with 50 normal control subjects (25 male and 25 female subjects) who had no voice complaints and 50 patients(cases) who presented with complaints of change in voice due to various voice pathologies, the voices were recorded from the control group and also from the cases group both pre and posttreatment and were analyzed. The disease specific frequency in various pathologies of voice pre and post treatment were documented. The degree of change in voice frequency pre and post treatment were compared with each other and with the average frequency obtained from the voices in the control group. Office based acoustic analysis can definitely be used as a simple tool for documenting voice changes on outpatient basis and it provides a dependable documented evidence with which we can even compare the results following treatment.