Shraddha Deshmukh

ENT manifestations of Wegeners granulomatosis.

Wegeners granulomatosis is a necrotizing granulomatous vasculitis with multisystemic involvement. We present two cases of Wegeners presenting with otological manifestations as the first symptom. These symptoms are subtle and diagnosis may be easily overlooked. Hence a high index of suspicion is required. Early diagnosis and treatment goes a long way in improving the outcomes and in preventing further complications.

Radical Management of Giant Ameloblastomas: A Case Series

Ameloblastomas are rare, slowly growing and locally invasive tumours with high recurrence rate, if not treated they can grow to enormous size; we report five such cases in our article and discuss their surgical management. We report five cases of giant ameloblastoma presented in our institute between 2007 and 2010, we treated them surgically with wide margin of resection. It is widely reported that recurrence of ameloblastoma in many cases reflects the inadequacy or failure of the primary surgical procedure. We treated all our cases with radical excision with free flap reconstruction with no recurrence in any of our patients in 2 years follow-up. Radical excision of these benign but locally invasive lesions, which grows to giant size with reconstruction using micro vascular free flaps forms the best modality of treatment.

Mastoid cavity obliteration: our experience.

INTRODUCTION A chronic discharging ear has been a challenge for the otologists for centuries. The mainstay of treatment for cholesteatoma is surgery and the surgical treatment of choice is modified radical mastoidectomy. The open mastoidectomy technique has been the mainstay of management of chronic ear disease; however this type of surgery is not without its problem. It results in the formation of a mastoid cavity which has various problems. Mastoid obliteration is done to eliminate the cavity related problems. AIMS AND OBJECTIVES To study surgical results of mastoid obliteration, efficacy of different methods of mastoid obliteration, cavity problems and the need of cavity care. MATERIALS AND METHODS This study was conducted on 30 subjects having evidence of attico-antral type of disease in middle ear cleft. The mastoid cavity was obliterated with either cartilage/bone dust/flaps Scientific design-prospective study. RESULTS AND CONCLUSIONS Incidence of discharge, debris, giddiness, pain was reduced in obliterated cavities. Healing of cavity was better in obliterated ears. Cavity obliterated with bone dust and flap had better and early epithelialisation as compared to cartilage.

Metallic foreign body in the neck: case report.

Penetrating neck injuries constitute 5-10% of all trauma cases. Such injuries are dangerous because of the high risk of injury to the vital structures in the neck and hence demand an immediate surgical exploration. We present a case of a penetrating injury of the neck caused by the broken metallic fragment of a saw.