Bleomycin sclerotherapy in congenital lymphatic and vascular malformations of head and neck.

Bleomycin is an established antineoplastic drug, but recently some attempts were made to inject it locally as a sclerosing agent in cases of congenital lymphatic malformations. We present the outcome of this treatment modality tried on 10 paediatric cases of whom 9 had such malformation in the cervical region and one in the parotid region. Seven of these cases had congenital lymphatic malformation while three had haemodynamically less active congenital vascular malformation.

Periosteo-Temporofascial flap for cavity obliteration - first Indian study.

Healing of the mastoid cavtiycompletely is the desired result after a mastoid surgery. Even after the Sade's principles' of the complete disease clearance, adequate lowering of the facial ridge, good meatoplasty and closure of the perforation of the tympanic membrane are fallowed, the complete healing of tike mastoid cavity is sometimes net the end result. According to various surgeons, the incidence of discharging mastoid cavity after a open cavity mastoid surgery is between /0-60%-H The usual techniques of obliteration of the mastoid cavity to decrease the size of the mastoid cavity, unusually has good healing results due to good vascularity.

Butterfly inlay tympanoplasty: A study in Indian scenario.

Popularly myringoplasty is done by an underlay or an onlay technique using mostly temporalis fascia graft. A new technique of inlay tympanoplasty using composite cartilage perichondrium graft is applied in the present study of 20 patients, for closure of small to medium sized perforations. The results have been analysed in terms of graft take up rate and hearing improvement.