Publications by authors named "M Pankhania"
A multicentre observational study of paediatric head and neck abscesses.
Int J Pediatr Otorhinolaryngol
November 2024
Article Synopsis
- Pediatric ENT surgeons in the UK noticed an unusual increase in severe head and neck abscesses during the winter of 2022/3, prompting a study to validate this trend and explore associated factors.
- A multicentre study collected data from 262 patients admitted with head and neck abscesses between September 2022 and February 2023, revealing a significant rise in group A streptococcus cases and complications like venous thrombosis during the winter months.
- Despite the observed increases in certain complications, the overall number of abscess cases fell within expected historical ranges, indicating that the winter 2022/2023 rates were consistent with pre-COVID trends in pediatric cases.
Objectives: Insertions of nasal and oral foreign bodies (FB) are common presentations in the emergency department, with coins frequently implicated among paediatric populations. Contactless payments were first introduced in the UK in 2007, and cash payments significantly declined from 2012. This study aims to explore the potential implications of increasing contactless payments on FB ingestion.
View Article and Find Full Text PDFLithium is a psychotropic drug used primarily in the treatment of bipolar disorder. It is renally excreted and characteristically causes nephrogenic diabetes insipidus as an adverse drug reaction. Lithium also requires serum level monitoring as there is a narrow therapeutic window and untreated toxicity can result in neurological sequelae including drowsiness, coma, seizures, and ultimately death.
View Article and Find Full Text PDFOrbital cellulitis is a condition with a high risk of morbidity, including visual loss. It commonly originates from the paranasal sinuses. We present a case of multifocal intraorbital abscesses secondary to viral sinusitis in an adolescent with SARS-CoV-2 infection.
View Article and Find Full Text PDFObjective: Endoscopic endonasal surgery is a minimally invasive technique that has revolutionised the management of complex neurosurgical, otolaryngological, skull-base and craniofacial lesions. Traditionally performed under general anaesthetic, this study explores the growing role of local anaesthetic techniques.
Method: A contemporaneous review of modified dental techniques and intraoral anatomy provides a supportive guide for performing endoscopic sinus surgery under local anaesthetic.