Ramanuj Bansal

Pilonidal sinus of the neck

A pilonidal sinus is most commonly seen in the sacrococcygeal region. Here we describe a rare case of pilonidal sinus of the neck following trauma due to shaving. Excision of the sinus with primary repair resulted in complete healing of the lesion with no recurrence. The possible pathogenesis of this acquired condition is also discussed.

Hearing loss in rural population : the etiology.

Out of the five sensations, hearing is a major one. The gross impairment of hearing especially in the children lead to lack of development of speech and makes the person grossly handicapped. This study consisting of 758 cases from rural area having hearing impairment, was aimed to findout the various aetiological factors resulting in hearing loss. 62.2% of cases belonged to 0-20 years age group. Otitis media (57.25%) was the commonest aetiological factor. Conductive hearing loss was the commonest type of hearing loss in otitis media. 86.17% cases of otitis media were in age group 0-20 years.

Overlooked impacted dentures and their unusual complications.

Two interesting and unusual cases of overlooked impacted dentures in oesophagus, one for 3 months and the other for 2 years are reported. We also report the complications of Bilateral Recurrent Laryngeal Nerve Paralysis and Oesophageal Diverticuli due to prolonged obstruction by denture.

Leiomyosarcoma of the cheek

Leiomyosarcoma of cheek has been reported rarely in the world literature. An additional case of Leiomyosarcoma of the cheek in 12 years old male is reported. The relevant literatures of Leiomyosarcoma are reviewed and discussed.

Bera in high risk children a 5 year hearing evaluation

Very few studies have been done all over the world to find out incidence of hearing loss associated with different risk factors. The objective of this study was to find out incidence of hearing loss in children from High Risk category especially in reference to individual risk factor. Out of 593 children (0-5 year) from High Risk category subjected to B.E.R.A. over last 5 years, 126 (21.4%) showed hearing loss. 202 children (34.06%) from Birth Asphyxia category formed the largest group. Patients with Head and Neck anomaly showed maximum hearing loss (91.66%). 101 (80.15 %) children showed bilateral hearing loss. 57 Ears (4.80%), 67 Ears (5.64%), 99 Ears (8.34%) showed Mild, Moderate and Severe hearing loss respectively. 152 ears (71.31%), 67 ears (29.90%), 4 ears (1.79%) showed Cochlear, Retrocochlear and conductive hearing loss.

Can HIV-infected patients undergo cochlear implantation?

Objective: HIV-infected patients have an increased risk of developing sensorineural hearing loss. Cochlear implantation can be a mean of rehabilitating such patients. Methods: A 36-year-old HIV-infected male with bilateral profound sensorineural hearing loss underwent cochlear implantation after exclusion of medical and radiological contraindications. The patient was followed up for 2 years to assess the audiological outcome. Results: After a follow up of 2 years, the patient has attained good functional results not experienced any complications. Conculsion: Cochlear implantation can restore hearing to HIV-infected patients with profound hearing loss due to cochlear impairment. This helps in both social and vocational rehabilitation and can improve the quality of life of such patients.

Role of N-Nitrosodimethylamine (NDMA) as a carcinogenic agent for tumours of nasal cavities in workers of leather industry

The chemical used during leather tanning Dimethylene Sulphate (DMS) is nitrosated, perhaps, by Oxides of Nitrogen in air, to produce N-Dimethyl-nitosamine (NDMA) which has been proved to be carcinogenic to various body organs including nasal cavity. This study was aimed at finding the incidence of nasal tumuors in leather tanning workers and to campare with that of general population to ascertain if nitrosamines are significant occupational hazardous agents.

Von-Recklinghausen’s disease a rare presentation

A rare presentation of Von Recklinghausen’s desease in a 8 year old boy is reported. Disease was confined to right side and involved eye, palate, gingiva, face, and external auditory canal.

Leiomyosarcoma of the nose and paranasal sinuses

Leiomyosarcoma of Nose and Paranasal sinuses is a rare tumour. 20 cases have been reported in world literature of Leiomyosarcoma of nose and P.N.S. An additional case of leiomyosarcoma of nose and P.N.S. is reported.