251 results match your criteria: "Command Hospital- Eastern Command[Affiliation]"

Unlabelled: Sino-nasal malignancies are extremely rare accounting < 1% of all malignancies and < 3% of aero-digestive tract tumors. Their surgical pathology is extremely challenging due to the enormous heterogeneity. Few of these sino-nasal tumors may possibly present histologically as clear cell neoplasm.

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We report a problematic case of solitary fibrous tumor of the orbit in an anemic patient who presented with painless, progressive outward protrusion of the right eye. Magnetic resonance imaging (MRI) orbit and brain with contrast showed a well-defined intraconal lesion in the superomedial aspect of the right orbit. The lesion was excised using a vertical eyelid split orbitotomy with minimal blood loss.

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Purpose: To present a unique case of recurrent panuveitis in a young patient associated with a novel pathogenic variant in the PIK3CD gene, expanding the clinical spectrum of Activated PIK3 delta syndrome (APDS), a primary immunodeficiency that predisposes individuals to infections, autoimmunity, and malignancies.

Methods: We evaluated a 15-year-old boy with refractory panuveitis, recurrent infections, and lymphadenopathy with Hodgkin lymphoma. Ophthalmic assessment and ultra-wide field fundus fluorescein angiography were conducted.

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Carcinoid tumors are slow-growing tumors noticed in the tracheobronchial tree and pulmonary parenchyma. Generally, these tumors are slow growing with minimum risk of distant metastasis, but the atypical type of carcinoids has greater malignant potential with lower survival rates. The primary and most effective treatment for all pulmonary carcinoid tumors is surgical resection if no contraindications to surgery exist.

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Background: Management of Diabetic Macular edema (DME) requires repeated injections. Therefore newer Anti-VEGFs like Brolucizumab with longer durability have been introduced. We compared two different dosages of Brolucizumab, 6.

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Background: In India, the prevalence of Chlamydia Trachomatis (CT) studies in different groups are focused on high-risk populations - HIV-positive women and female sex workers - and have shown a variable prevalence rate ranging from 1.1 to 45%. One concern about comparing these studies is that the enzyme-linked immunosorbent assay (ELISA) test is estimated to be only 65-70% sensitive.

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Background: The evaluation of mediastinal lymphadenopathy and masses poses a diagnostic challenge because of a myriad of possible etiologic causes; their proximity to numerous vital structures and the difficulty of access for biopsy. Computed tomography is an excellent modality for the initial evaluation of mediastinal lymph nodes (LNs). Tissue diagnosis is of paramount importance to confirm the diagnosis of mediastinal lymphadenopathy.

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Background: Achalasia is characterized by failure of relaxation of the lower oesophageal sphincter (LOS) and abnormal peristalsis during swallowing. The study aimed to observe the effects of intervention in three sub-types of achalasia and compare the intervention outcomes among the three sub-types.

Methods: Forty-one patients underwent Eckardt scoring for severity of achalasia, followed by high-resolution manometry (HRM).

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Eisenmenger syndrome during pregnancy: A true anesthetic challenge.

Med J Armed Forces India

December 2024

Professor & Senior Advisor, (Anaesthesia & Critical Care), Command Hospital (Eastern Command), Kolkata, West Bengal, India.

Eisenmenger syndrome (ES) is a rare congenital heart disease (CHD) that occurs in persons with large intracardiac anatomical defects which may go undetected for many years, consequently results in reduced life expectancies and high mortality in the third and fourth decade of life. Pregnancy in patients with CHD and pulmonary arterial hypertension (PAH) is presaged with challenges, and perioperative management of such cases remains a topic of debate. Our case had both, atypical presentation, not diagnosed until her third trimester of third pregnancy and a quick progression to a severe stage with PAH and CorPulmonale.

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High altitude pulmonary oedema: Mimicker of acute coronary syndrome.

Med J Armed Forces India

December 2024

Clinical Tutor, Department of Internal Medicine, Armed Forces Medical College, C/o 56 APO, India.

High altitude pulmonary oedema (HAPO) is a common emergency seen at high altitude. It can be associated with electrocardiogram (ECG) changes due to pulmonary arterial hypertension in the form of ST elevation and T wave inversion in the right precordial leads, which mimic acute coronary syndrome. These changes can lead to confusion in diagnosis and management.

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Introduction: Grommet insertion is a common procedure in field of Otology. Its outcome depends highly on degree of experience of the surgeon.

Materials And Methods: Simulation in training and clinical practice is an important facet in a surgeon's life.

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Pneumolabyrinth is a rare entity in a case of squamous chronic otitis media in the practice of otology. We report a case of 56 year male, a known case of Squamous Chronic Otitis Media who was diagnosed as a case of Pneumolabyrinth associated with a Perilymphatic fistula. Diagnosis was done with the help of audiometry and High-Resolution Computed Tomography of Temporal Bone in background of his symptoms.

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Cholesteatoma is a mass of keratin debris in the middle ear cavity or mastoid. Congenital cholesteatomas may remain asymptomatic for many years and present during adulthood or may even be an incidental finding. We hereby describe a case of 41-year male with an isolated mastoid congenital cholesteatoma with sigmoid plate erosion and posterior cranial dura exposure extending into digastric muscle.

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Article Synopsis
  • * A study presented 11 patients who underwent NO-TOTVET for goiter at a hospital in Kolkata between November 2022 and July 2023, showcasing successful operations performed through small oral ports without converting to open surgery.
  • * The average age of patients was 37.5 years, with surgeries taking about 139 minutes and requiring only 1.5 days of hospital stay; minor complications included two cases of seroma and one case of transient nerve
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Background: The etiology of Bipolar Affective Disorder (BPAD) is influenced by a variety of factors, possibly related to gene-environment interactions. Childhood trauma (CT) has been associated with an increased risk of developing BPAD. It also impacts the course of illness.

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  • Phacoemulsification is the main technique for cataract surgery but can lead to severe complications if lens nuclei are dislodged, traditionally managed through a method that risks retinal damage.
  • This study evaluated the OZil phacoemulsification handpiece, which uses torsional movement, to see if it could reduce surgical time and complications compared to the standard phacofragmatome.
  • Results showed that the OZil handpiece significantly shortened surgery duration and decreased the occurrence of nucleus dislocation while maintaining similar postoperative outcomes for vision and safety as the traditional method.*
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  • Bone Anchored Hearing Aids (BAHAs) are effective for treating hearing issues, particularly in patients with single sided deafness (SSD), and this study evaluates the BAHA Attract system's outcomes.
  • A prospective observational study involving 15 patients over two years analyzed surgical success, functional improvements, audiological results, and cosmetic outcomes.
  • Results showed a mean surgical time of 39 minutes, with 73% of patients healing well, significant enhancements in hearing abilities (especially sound localization), and strong cosmetic acceptance, marking the BAHA Attract as a safe option for SSD.
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  • Chronic otitis media with cholesteatoma is a destructive ear infection that can damage bones and lead to serious complications if untreated.
  • A study with 12 patients evaluated their symptoms and audiological status before and after surgery, focusing on otorrhoea, hearing loss, and vertigo.
  • Results showed that 91.7% of patients preserved their hearing post-surgery, and no one experienced hearing loss due to medical intervention; the study also suggested using advanced MRI techniques for better diagnosis of ear conditions.
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Vogt striae: Demystified.

Med J Armed Forces India

December 2022

Consultant (Ophthalmology) & Brig I/C Adm, Command Hospital (Eastern Command), Kolkata, India.

Background: To study the correlation of different variables of Vogt striae to other attributes of keratoconus and to suggest a new grading system for Vogt striae to exactly represent the configuration and extent in each individual keratoconic cornea.

Methods: The study was an observational and data review study. A total of 386 eyes of 207 keratoconus patients were screened from February 2016 to August 2018.

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Background: Narrow band imaging (NBI) is an emerging modality that enhances the accuracy of detection of head and neck malignancies by visualisation of aberrant neoangiogenesis in malignant tissue using narrow bandwidth light in blue and green spectrum. The purpose of this study was to assess the role of NBI in detecting recurrence in patients with Squamous cell carcinoma larynx and hypopharynx who have undergone Radiotherapy/Chemoradiotherapy (RT/CTRT). The aim of the study was to (a) determine the role of NBI in follow-up of patients with carcinoma of larynx and hypopharynx previously treated with radiotherapy or chemotherapy, (b) determine the role of NBI as the initial investigatory tool of choice in detecting local recurrence and compare with other modalities like fibreoptic laryngoscopy (FOL), Magnetic Resonance Imaging (MRI) and Positron Emission Tomography- Computed Tomography (PETCT).

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