Ameya Bihani

Secondary laryngeal tuberculosis revisited.

Introduction: Laryngeal tuberculosis is often misdiagnosed and is a highly contagious public health problem. The changing pattern of the clinical involvement of this disease poses a diagnostic challenge. The authors report four cases of laryngeal tuberculosis encountered in a short span of one month. Materials and Methods: All the four patients who presented to us with hoarseness had underlying active lesions in the lung. In spite of that they presented with mainly laryngeal symptoms and a multitude of findings on laryngeal examination. A diagnosis could be established owing to a high index of clinical suspicion, and due consideration given to the chest findings and positive sputum examination. The patients showed an excellent response to antituberculous therapy. Results and Conclusions: This study underlines the varied nature of laryngeal tuberculosis and the importance of addressing the hoarseness of a patient at the earliest, for the prompt diagnosis of this infectious condition.

A rare case of synovial sarcoma of the neck with review of literature

Synovial sarcoma (SS) is a malignant tumor of pluripotent/undifferentiated cells. Only 3% of all SSs are found in the neck. We present a case of a 16-year-old male presenting neck swelling for 6 months which was diagnosed as biphasic SS of the neck on fine-needle aspiration cytology. Complete surgical resection with lateral partial pharyngectomy was done followed by postoperative radiotherapy. We also present the recent reviews on diagnosis and management on SS of head and neck.

Pedunculated Oropharyngeal Schwannoma Arising from Posterior Tonsillar Pillar

Schwannoma are benign tumours which arise from Schwann cells. Most commonly occur in the paraharyngeal space in the neck. Peduncalted oropharyngeal schwannoma are very rare and to the best of our knowledge only 5 cases of peduncaleted oropharyngeal tumours have reported in literature. We present 52 year old male with peduncaleted oropharyngeal schwannoma which was arising from superior part of posterior tonsillar pillar. This site of origin for a pedunculated schwannoma has never been reported before.

Spontaneous CSF otorrhea in cases of Mondini’s dysplasia: a rare cause of recurrent bacterial meningitis

Inner ear anomaly is rare developmental anomaly with Mondini’s dysplasia being the most common. The perilymphatic fistula cause due to high pressure condition in anomalous inner ear result into CSF otorrhea which become a tract for bacteria to reach central nervous system and cause recurrent meningitis. We are presenting 3 cases of Mondini’s dyaplasia which had CSF leaking into middle ear cleft which was diagnosed with HRCT of temporal bone with cisternography and MRI cisternography and were managed successfully with surgical repair by trans-mastoid approach.