Abhay Gupta

An unusual foreign body in oesophagus

Foreign body in the esophagus is not an unusual finding. Coin in children and bone fragments in adults are commonly observed foreign bodies. Usually foreign bodies are removed within few hours to few days. Forgotten or unattended foreign bodies are seen in either mentally retarded patients or in children. We are reporting here a case, having unusual foreign body in oesophagus, i.e. a thorn of babul tree since one month, presented as perioeso-phagitis with dysphagea in a mentally retarded child of 12 years.

A microbiological study of anterior nasal packs in epistaxis.

Bleeding per nose is one of the comnonest ailment encountered by each and every otolaryngologvst Since hemostasis is immediate concern, anterior nasal pressure pack is put and is usually allowed to remain for 24-72 hours. Blood soaked pack and raw mucosal surface are good media for bacterial multiplication resulting in infection including sinusitis and sometimes toxic shock syndromes.Present study is conducted to work out bacterial flora of anterior nasal pack and effect of svstemic antibiotics in controlling it. Thirty cases of epistaxis of different etiology were included. Out of these 26 cases were positive on culture. These included Staphylococcus aureus 70%,. Pseudomonas aeruginosa twenty three percent. Klabsiella pneumonia and proteus mirabilis 3.3%, Streptococcus and Hemolyticus 3.3%. Details of type and duration of packing and its relation with organism cultured are discussed. It is concluded that the packing material should be soaked with antibiotics prior to use and should not be keep for more than 48 hours. And systemic antibiotics does not have any significant on this local infection due to packing.

A cutaneous horn over seborrhoeic keratosis of pinna

Cutaneous horn is not rare. Many varieties of cutaneous horns have been described. Seborrhoeic keratosis of pinna is not very common especially with a cutaneous horn developing over it. We encountered a cutaneous horn, over seborrhoeic kerotosis involving pinna, an uncommon finding.

Hemangioendothelioma of orbit

Hemangioendothelioma of the orbit is a rare condition which usually occurs in young adult with mean age group of 24 years. Very few cases had been reported in the literature. We describe here a case of hemangioendothelioma in a female of 30 years who came with history of pen-etrating foreign body entering into right eye and fluctuating painful swelling in the lower lid with decrease in the vision. The patient’s presentation simulated malignancy of maxillary an-trum, however, the diagnosis was confirmed by histopathology.

A study of prevalence of cholesteatoma in complications of suppurative otitis media

Complications of suppurative otitis media are common in developing world. Cholesteatoma has been implicated as the causative factor. We studied 76 cases of suppurative otitis media presented with complica tions and found that only 64% cases had cholesteatoma. Granulation were present in most of the cases of intracranial complications (16.68%).

Traumatic retropharyngeal abscess presenting with quadriparesis: A case report.

Retropharyngeal abscess is not very common in adults. If it occurs,it is usually secondary to tuberculous lesion of spine or penetrating forgein body in food passage. We describe a case of retropharyngeal abscess with quadriparesis following neck trauma.

Giant cell reparative granuloma of maxilla

Giant Cell Reparative Granuloma is a reparative process in mandible. A case of Giant Cell Reparative Granuloma of Maxilla in a 15 years old female is reported. Tumour is very rare in maxilla and more often is diagnosed as a giant cell tumour. The case is reported on account of its rarity in maxilla and dilemma in differentiating it from other giant cell lesions. Differentiation is only based on the clinical test histopathological examination.

A Clinical Study of Local Acriflavin in Treatment of Rhinoscleroma

Rhinoscleroma is a chronic granulomatous disease which involves upper respiratory tract. We undertook this study to find out the antibacterial effect of local acriflavin on Klebsiella rhinoscleromatis, as well as the disease rhinoscleroma. Antibiotic effect of acriflavin was studied on one of the isolate of Klebsiella rhinoscleromatis using whatman No.1 filter paper disc soaked in 2% and 5% acriflavin solution and was found sensitive. A total of 26 cases diagnosed clinically and histopathologically were studied. These patients were treated using 1%, 2% and 5% acriflavin ointment. The cure was 33%, 67% and 100% respectively. Details of response to acriflavin therapy and its adverse effect will be discussed. It is concluded that acriflavin can be used as a good alternative to systemic therapy for rhinoscleroma. As it can be prepared and applied easily and is not a financial burden on already poor patient.

An unusual case of solitary scleroma of cheek

Scleroma is a disease of unwashed and occurs in people living in poor unhygienic conditions. Commonly it involves respiratory tract. We encountered a case of scleroma over cheek presenting as a solitary nodule without any sign of nasal scleroma.

Arteriovenous malformation of the mandible

A patient of arterio-venous malformation of the mandible, who had massive haemorrhage following a tooth extraction is presented. Various management options for the controll of hemorrhage are discussed.