Utpal Jana

Fallopian canal dehiscence: can it be pridicted

The aim of the study is to give an idea about true incidence and most common location of fallopian canal dehiscence and to identify predictive factors associated with fallopian canal dehiscence based on preoperative and peroperative clinical correlates so as to facilitate preemptive prediction of the condition. The study design pertains to a prospective study. The setting of the study was tertiary referral hospital and a total of 146 patients underwent radical and modified radical mastoidectomy as primary procedure between Jan. 2003 to Dec. 2004. The site of dehiscence and associated pre-operative and per-operative findings were noted. Our results showed the incidence of fallopian canal dehiscence among cases undergoing radical and modified radical mastoidectomy was 82/1000 per year. Around 66.6% dehiscence was located in tympanic segment. The preoperative factors significantly associated with the fallopian canal dehiscence (p< 0.05) were Aural polyp, Extra-cranial complications, Cholesteatoma and Facial palsy. Per-operative findings were Cholesteatoma, All ossicles necrosed except stapes footplate and Lateral semicircular canal fistula.

Benign osteoblastoma of maxillary sinus: A rare presentation

Benign osteoblastoma of paranasal sinuses is a rare tumor of the 2nd decade of life with only few cases reported till date. It arises most commonly from the ethmoid sinus and present as an intra-nasal mass leading to broadening of the nasal bridge. Here we present a case of benign osteoblastoma in a 8 year old girl presenting with a large intranasal mass seen through nostril and leading to facial deformity.

Simultaneous complete branchial and thyroglossal fistula — a rare presentation

The anomalies of branchial cleft and thyroglossal tract accounts for the majority of fistulas in head neck region. A simultaneous presentation of both type of fistula in a same patient is very rare with no such cases reported in Indian literature till date. Here we present a case of simultaneous complete branchial and thyroglossal fistula in a 13-year-old girl with radiologically demonstrable internal opening on fistulogram managed surgically.

Fistula of submandibular gland-a rare presentation

Salivary fistulas commonly affect parotid gland. Sabmandibular fistulas are very rare. Most of them are congenital in origin and may be associated with abnormalities of the branchial apparatus. Traumatic submandibular fistulas on the other hand are very rare entities with only few cases reported till date.

Paranasal sinus mucoceles: a comprehensive retroprospective study in Indian perspective.

Paranasal sinus mucoceles are the most common expansile lesion of the paranasal sinuses. Hereby we present a comprehensive retroprospective study on the paranasal sinus mucoceles in our geographic area which is very significantly lacking till now which we hope would immensely help comparative analysis and management in near future.

Chondrosarcoma of nose and paranasal sinus - a rare presentation

Chondrosarcoma, the most malignant cartilageneous tumor, constitute only 4% of non-epithelial tumours of the nasal cavity, paranasal sinuses and nasopharynx, making it one of the rarest malignancies. Here we present a case of Grade 1 chondrosarcoma involving nose, maxillary sinus, ethmoids and sphenoid sinus managed surgically by wide excision. 12 months follow-up reveled no recurrence or complication.

Surgical management of parapharyngeal tumors - our experience

Fifteen cases of parapharyngeal tumors treated surgically in ENT department of Calcutta National Medical College in last 2 years were included, 80% cases were of benign tumors, most common being schwannomas. Most important investigation was found to be CT scan. The study gives an overview regarding the surgical approach, based upon the extent and histology of the tumor and transcervical approach was found to be most efficient for all practical purpose.

Frontal sinus osteomyelitis with midline fistula

Chronic osteomyelitis of frontal sinus is a rare complication of recurrent sinusitis. The pent-up secretions in the sinus may result in pressure necrosis of the containing wall of frontal sinus resulting in persistently discharging fistula. Here we present a case of chronic osteomyelitis of frontal sinus with persistent midline fistula over forehead in a 30 year old male managed surgically by osteoplastic flap procedure and frontal sinus obliteration with abdominal fat.

Nasopharyngeal carcinoma presenting as Gradenigo's syndrome.

Nasopharyngeal carcinoma usually has an insidious onset and non-specific features in the initial stages. This makes early diagnosis difficult. The most usual presenting features are cervical lymphadenopathy, otological symptoms (serous otitis media) and involvement of adjacent cranial nerves. We report a case of Gradenigo’s syndrome in a patient of undifferentiated nasopharyngeal carcinoma.

Role of prosthodontist with regard to impacted esophageal dentures from an ENT perspective

Aims: The study tries to elucidate the contributing factors responsible for cases of denture impaction with regard to the events preceding the impaction, types of denture responsible for impaction, duration of the use of denture, age and sex distribution, presenting signs, symptoms, diagnosis and complications with an idea of providing an ENT perspective of the problem, thereby underlining the need for preventive measures and doctor/patient education. Based on the results, a few suggestions are made to serve these purposes. Settings: A tertiary hospital of a developing country. Study Design: A retrospective chart review. Materials and Methods: A retrospective analysis of 106 cases of denture impaction presenting to the Otorhinolaryngology Department over a period of 5 years (September 2000 to September 2005). Statistical Analysis Used: The statistical package for social sciences (SPSS) 10.0 windows compatible program. Results and Conclusion: Denture impaction was most prevalent in elderly persons (>50 years) using dentures for more than 5 years. The upper single tooth and double teeth nonhooked acrylic dentures were the most common types of denture responsible for impaction. The most common preceding event was the wrong manner of drinking water. The most common location of impaction was in lower one-third of the esophagus with rigid esophagoscopy being a fairly safe technique for management. The rate of complications was directly proportional to the duration of presentation. The current modalities of the localization of impacted denture were largely ineffective or high costs were involved for the routine use of radio-opaque materials and the alternative coloring of the denture. Hence, education of the doctor and patient regarding the availability of such materials and proper use of dentures should be given paramount importance.