Pterygopalatine Fossa- A Keystone Area in Disease Progression and Management in Rhino-Oculo-Cerebral Mucormycosis.

To analyze the involvement of disease in pterygopalatine fossa (PPF), its relation to regional extension of disease and the treatment outcome in rhino-oculo-cerebral mucormycosis (ROCM). A prospective study was done including 50 patients diagnosed with ROCM. All patients were examined and evaluated with high resolution CT and MRI imaging.

Applicability of Paediatric Kerrison's Punch in Endoscopic Transcanal Mastoidectomy-Harnessing a Fresh Perspective.

The science of endoscopic ear surgery is gaining popularity and increasing momentum with reported outcomes comparable to conventional microscopic ear surgery. Endoscopic ear surgery has numerous advantages including access to visualization of occult areas of middle ear like sinus tympani. The endoscopic transcanal mastoidectomy via conventional drilling technique(Inside-out) has also established itself as a successful procedure with excellent post-operative outcomes.

Neutrophil-to-lymphocyte Ratio: A Shunned Entity as a Novelty in Diagnosing Peripheral Vestibular Disorders.

Unlabelled: Vestibular vertigo is a condition characterized by dizziness or imbalance, often resulting from changes in head position. With an incidence of 1.4% in adults, vertigo is a common symptom in the general population (Oxford Textbook of Vertigo and Imbalance, Oxford University Press, Oxford, 2013).

Sub-Lingual Implantation Keratinized Epidermoid Cyst Masquerading as Plunging Ranula: Report of a Rare Case with Literature Review.

Sublingual epidermoid cysts are rare benign lesions derived from ectodermal tissue, typically located beneath the tongue or the floor of the mouth. While often asymptomatic, these cysts can grow and cause discomfort or complications, making accurate diagnosis and appropriate treatment crucial. We present the case of a 6-year-old Indian girl diagnosed with an implantation keratinized sublingual epidermoid cyst, initially misidentified as a plunging ranula.

Endoscopic Transeptal Choanoplasty with Resection of Rostrum of Sphenoid.

Unilateral Choanal atresia is rare. Bilateral choanal atresia though common, is incompatible with life. 24-year female came with persistent complaints despite undergoing left-sided choanal atresia repair in childhood.

Brain Metastasis from Oral Cancer Presenting with Seizures and Cranial Nerve Palsy in Immediate Post Operative Period- A Rare Occurrence.

Metastasis is the hallmark of malignancy but the spread to brain is an exceedingly rare occurrence for oral cancer. Two of our patients who underwent definitive surgery for oral cancer developed manifestations of Central nervous system (CNS) involvement within 7 days of surgery, one with seizures and other with cranial nerve palsies (3rd and 7th ), who were otherwise symptom free for CNS involvement preoperatively. These cases highlight the need for thorough metastasis workup including CNS.

Papillary Carcinoma in Thyroglossal Cyst: A Case Report with Comprehensive Review of Treatment Modalities.

Thyroglossal duct cysts are the most common form of congenital neck cysts. The incidence of thyroid papillary carcinoma in thyroglossal duct cyst is less than 1%. In most cases, the diagnosis is made postoperatively.

Continuous Positive and Negative Pressure Dressing - A Novel Approach in the Treatment of Auricular Seroma.

Introduction: Auricular seroma is a benign ear condition characterized by the accumulation of sterile serous fluid between the perichondrium and auricular cartilage. It presents as a painless, solitary or diffuse, and fluctuant swelling, diagnosis hinges on these distinctive features. Treating this condition is challenging due to its high recurrence rate.

Insights into Retropharyngeal Space Lesions: Our Clinical Experience.

Unlabelled: The retropharyngeal space is a distinct space along the midline that extends from the skull base to the upper mediastinum. Retropharyngeal space lesions can produce significant morbidity, given their proximity to the aero-digestive tract, skull base and its ability to extend into upper mediastinum. Difficulty in assessing the retropharyngeal space by direct inspection or physical examination may cause delay in diagnosis and early intervention thus knowledge about these lesions and their effective management is essential.

The Repercussions of Hearing in Gestational Diabetes Patients.

Sensorineural hearing loss and type 2 diabetes are two frequent health issues that arise with ageing. Although both type 2 diabetes and gestational diabetes have been linked to hearing loss, a direct causal relationship has proven challenging to demonstrate. The intricate connection between gestational diabetes and sensorineural hearing loss will be outlined in the following article.

Epidemiology of Iodine Deficiency Disorders in North-Eastern Part of Karnataka, India.

The north-eastern part of Karnataka lies on the Deccan Plateau of the South Indian Peninsula, characterized by black soil. This region is known for its mineral resources, including a gold ore mine in Hatti (Raichur District), an iron ore mine in Toranagallu (Bellary District), and uranium deposits in Gogi (Yadgir District). However, the soil in this area is deficient in iodine, leading to iodine deficiency disorders such as goiter and hypothyroidism.

Fibrous Dysplasia of Sphenoid: A Case Report.

Fibrous dysplasia, a rare benign condition with an uncertain cause, is characterized by substituting normal medullary bone with abnormal and weak fibrous and osseous tissue. This primary bone disorder is non-neoplastic and involves a deficiency in osteoblastic differentiation and maturation, which begins in the bone's mesenchymal precursor. A 20-year-old female attended ENT OPD with complaints of headache for 3 years, A diagnostic nasal endoscopy was done which showed no significant abnormalities, and CT PNS was done which showed Extensive sclerotic bony expansion with a ground glass appearance involving the clivus, right greater wing of sphenoid, pterygoid processes - Likely fibrous dysplasia since she had no other signs or symptoms, she was kept under observation.

Facial Nerve Function and Hearing Following Facial Nerve Decompression for Traumatic Facial Nerve Palsy Through Posterior Tympanotomy Approach: A Descriptive Study.

To assess Facial Nerve function and hearing status among patients who have undergone facial nerve decompression via the Posterior tympanotomy approach for traumatic facial nerve palsy. A descriptive study was carried out in a tertiary referral centre. Patients with traumatic facial nerve palsy (HB VI) who underwent facial nerve decompression via posterior tympanotomy approach were enrolled in the study after at least 3 months of the surgery.

Loss of Taste: A Case of Unusual Tonsillectomy Complication Resolved with Empiric Zinc Supplementation.

Post-tonsillectomy loss of taste is an uncommon, yet significant complication. The author reports a case of post-tonsillectomy loss of taste, for six months. Zinc deficiency was thought to be the cause, it resolved with zinc supplementation.

Prevalence of Elevated IgG4 in Patients with Nasopharynx and Laryngopharynx Diseases: A Systematic Review and Meta-Analysis.

Unlabelled: Elevated Immunoglobulin G4 (IgG4) levels have been implicated in various autoimmune and inflammatory diseases, including those affecting the nasopharynx and laryngopharynx. The current systematic review and meta-analysis aimed to determine the prevalence of elevated IgG4 and associated risk factors in patients with nasopharynx and laryngopharynx diseases. This systematic review and meta-analysis were conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

To Study the Incidence of Biofilm Formation, its Microbiology and its Effect on the Development of Acute and Chronic Rhinosinusitis- A Prospective Study.

Bacterial biofilms are organised complex structures having polymicrobial nature in a single community, which provide protection to bacteria from antibiotics by various means. The aim of our study was to determine the prevalence of biofilm-forming bacteria in clinical isolates of acute and chronic rhinosinusitis (ARS and CRS) patients with sinonasal mucopurulence. To know the incidence of bacterial biofilms in patient with ARS and CRS, to study the microbiology of bacterial biofilms in ARS and CRS, to assess the role and effects of biofilm in ARS and CRS and to correlate the association between the formation of the biofilm and development of rhinosinusitis.

Case of recurrent Dermatofibrosarcoma Protuberans- factors and pitfalls.

Dermatofibrosarcoma protuberans (DFSP) is a benign but locally aggressive tumor originating from the skin's fibroblasts. In its appearance, the tumor can resemble other harmless conditions such as a hypertrophic scar or even acne, with no definitive symptoms. A 32-year-old woman presented with a 2-month history of a lesion over the neck.

Predictive factors for visual prognosis in neurosyphilis presenting with optic atrophy: a Chinese case series study.

Background: We aimed to explore the clinical features and predictive factors for visual prognosis of neurosyphilis-associated optic atrophy (NSAOA).

Methods: This retrospective observational study included 17 patients (33 eyes) with NSAOA who received standard anti-ocular syphilis treatment. LogMAR (logarithm of the minimum angle of resolution) best-corrected visual acuity (BCVA), visual field, and optical coherence tomography, were recorded at baseline, short-term (within one month after treatment), and long-term (> 6 months) follow-up.

Association between human leukocyte antigen E expression and outcomes in solid tumors: a systematic review and meta-analysis.

Background: Immunotherapy has gained momentum with the discovery of novel antibodies targeting immunosuppressive proteins. HLA-E, a non-classical major histocompatibility complex class I (MHC-I) protein, exhibits immunosuppressive properties, potentially influencing tumor immune evasion mechanisms. The association between Human Leukocyte Antigen E (HLA-E) expression and outcomes in solid tumors remains unclear.

Embracing the Transoral Parapharyngeal Space Surgery (TOPPSS).

Transoral Parapharyngeal Space Surgery (TOPPSS) is often opted by surgeons for parapharyngeal tumors. But its broad implementation is curtailed by limited exposure and the potential for various complications to arise. In this article, authors have outlined the 'DK et al.

Prevalence of Fungal Sinusitis in Cases of Allergic Rhinitis: A Cross-Sectional Study.

Allergic fungal rhinosinusitis is a non-invasive form of highly recurrent chronic rhinosinusitis. A probable correlation between fungal sinusitis, a disorder resulting from fungal infections of the sinuses that can worsen nasal symptoms and complicate treatment, and allergic rhinitis has been shown by recent investigations. The aim of this study is to estimate the prevalence of fungal sinusitis among allergic rhinitis patients.

Unusual Presentation of Nasal Myiasis in Immunocompetent Young Individual: Case Report.

Background: Nasal myiasis, an infestation by fly larvae, is a rare condition typically associated with immunocompromised individuals, poor hygiene, and low socioeconomic status. It is commonly seen in tropical regions and is often linked to chronic sinonasal diseases or underlying health conditions. However, cases in healthy individuals without predisposing factors are uncommon, making this case novel and worthy of documentation.

Correlation Between Preoperative HRCT Temporal Bone Findings and Intraoperative Findings in Patients with Chronic Otitis Media Active Squamosal Disease.

This study was done to evaluate the role of high resolution computed tomography temporal bone as a diagnostic modality in Cholesteatoma and its usefulness in determining the extent of disease in Chronic Otitis Media Active Squamosal Disease and to correlate its findings with surgical findings. This study was conducted on patients with chronic otitis media active squamosal disease as an observational study over the period of 18 months (August 2022-January 2024). HRCT temporal bone was done and intra operative findings were noted and correlated.

Palatal Actinomycosis: Re-emergence of an Ancient Pathology.

Palatal actinomycosis is a rare chronic infectious disease primarily caused by Actinomyces species. Here, we present case reports of two immunocompromised patients with palatal actinomycosis. This paper highlights the clinical presentation, diagnosis, management, and potential complications.