Inderdeep Singh

Cervical vagal schwannoma mimicking tonsillar mass

Schwannomas are nerve sheath tumours. Head and neck schwannomas comprise 25-45% of all extracranial schwannomas.4 Schwannomas commonly arise from glossopharyngeal, accessory and hypoglossal nerves. They are adherent to nerve of origin Vagus nerve schwannomas are general benign growing at the rate of 2.53mm per year. They commonly present with hoarseness, dyspnoea, dysphagia, cough, tongue weakness and vocal cord paralysis. It is not uncommon for vagal schwannomas to present as lateral neck masses. Vagal Schwannoma displaces the internal carotid medially and internal jugular laterally.5

Recurrent Nasal and Disseminated Rhinosporidiosis

Rhinosporidiosis is a chronic granulomatous infective disease commonly involving the nose and occasionally involving the skin and subcutaneous tissues. We hereby report a case of nasal and disseminated rhinosporidiosis who was operated thrice and had a recurrence of disease in the nasal cavity and the nasopharynx. Biopsy from the lesions in nasal cavity proved the recurrence of disease and he was managed with endoscopic endonasal resection of the lesions along with CO2 laser assisted ablation & electrocautery assisted cauterisation of the base of the disease from the nasal cavity & nasopharynx.

Acute Orbital Cellulitis: A Case Series

Orbital cellulitis is an important and frequent complication of rhinosinusitis. If not treated adequately and timely, it can lead to loss of vision and life threatening complications. We describe three peculiar cases of orbital cellulitis with favorable outcome. An endoscopic approach is favored if orbital cellulitis is arising as a complication of rhinosinusitis. The nasal endoscopic approach is safe and quick way of addressing severe sub-periosteal abscess as well as sinus infections especially in the immunocompromised patients with poor general health conditions. Medial orbital decompression is achieved by removal of lamina papyracea, part of superolateral wall of sphenoid sinus wall and inferiomedial wall of the orbit so that orbital contents can be decompressed.

Endonasal Endoscopic Technique in Management of Juvenile Nasopharyngeal Angiofibroma - Our Experience

Juvenile nasopharyngeal angiofibroma (JNA) is benign & locally aggressive vascular tumorprimarily affecting adolescent boys. Intraoperative blood loss is reduced by preoperative embolization and should be done before 24 to 48 hours of surgery. Preoperative angiography at the time of embolization can help to identify the feeding vessel and any contribution from ICA. The exact etiology of JNA is not known. Most of the JNAs can be resected via an endoscopic endonasal approach with decreased morbidity, decreased blood loss and less recurrence. This article highlights and emphasizes on role of endoscopic technique in JNA surgery and our experience in managing such cases. 5 cases have been highlighted here who underwent successful en bloc removal of the tumour via endoscopic endonasal approach.