Challenges and operative strategy in an unusual case of giant mastoid osteoma

2021 ◽  
Vol 14 (6) ◽  
pp. e242706
Author(s):  
Hetal Marfatia ◽  
Kp Ashwathy ◽  
Asmita Madhavi ◽  
Pankaj Goyal
Keyword(s):  
Temporal Bone ◽  
Female Patient ◽  
Unusual Case ◽  
Outpatient Department ◽  
Good Recovery ◽  
Operative Strategy ◽  
The Past ◽  
Post Procedure ◽  
Nose And Throat

A 19-year-old female patient presented to the outpatient department of ear, nose and throat with complaints of hard swelling behind her left ear for the past 5 years. It was a large bony swelling arising from the left temporal bone causing a cosmetic deformity that was surgically excised. The patient made a good recovery post procedure. Histopathology confirmed the lesion to be osteoma.

Campylobacter coli bacteraemia: how common is it?

2020 ◽  
Vol 13 (12) ◽  
pp. e236634
Author(s):  
Sindhura Pisipati ◽  
Adnan Zafar ◽  
Yousaf Zafar
Keyword(s):  
Liver Cirrhosis ◽  
Campylobacter Jejuni ◽  
Unusual Case ◽  
Campylobacter Coli ◽  
Decompensated Liver Cirrhosis ◽  
The Past

Campylobacter species are known to cause enteritis. However, over the past 40–50 years, there have been reports of varying presentations, such as cellulitis, spondylodiscitis and bacteraemia. Of the Campylobacter species, Campylobacter jejuni is the most common culprit for causing bacteraemia, however, Campylobacter coli bacteraemia is becoming more prevalent. Here, we discuss an unusual case of C. coli bacteraemia in a patient with decompensated liver cirrhosis.

scholarly journals 666 Innovations in ENT Surgery During The COVID-19 Pandemic

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Aziz ◽  
M Benamer ◽  
S Hany ◽  
Y Sahib
Keyword(s):  
Healthcare Workers ◽  
Sinus Surgery ◽  
Healthcare Team ◽  
Ear Surgery ◽  
The Past ◽  
Ent Surgery ◽  
Global Pandemic ◽  
Theatre Staff ◽  
Reduce Risk ◽  
Nose And Throat

Abstract Introduction Severe acute respiratory syndrome coronavirus 2 (SARS-COV-2), is responsible for the coronavirus disease 2019 (COVID – 19) global pandemic. Similar coronavirus epidemics over the past years affected healthcare workers significantly. Aerosol generating procedures (AGPs) presented a unique risk to ear, nose and throat (ENT) Surgeons. We introduce various methods of reducing risk in ENT AGPs. Recommendations During trachesostomies we advocate the adoption of a specialist checklist based on ENT UK guidelines. We also advise the use of a clear drape to create a clear barrier between the patient and staff. For ear surgery we advise suturing 2 microscope pieces together end-to-end so that a clear drape can sperate the patient from surgeon. During nasal and sinus surgery, we advise attaching a clear drape to the sterile camera drape used in rigid nasal endoscopy to create a barrier between patient and surgeon. Discussion Our recommendations will create an extra barrier between the patient and the rest of healthcare team. This should reduce the risks to theatre staff from AGPs. Conclusions COVID 19 is a serious health issue affecting healthcare workers, especially during AGPs in ENT surgery. We recommend several techniques to reduce risk. These can also be used during future epidemics.

Application of intraoperative high-field magnetic resonance imaging in pediatric neurosurgery

2009 ◽  
Vol 4 (5) ◽  
pp. 467-474 ◽  
Author(s):  
Ron Levy ◽  
Robin G. Cox ◽  
Walter J. Hader ◽  
Terry Myles ◽  
Garnette R. Sutherland ◽  
...  
Keyword(s):  
Surgical Planning ◽  
Pediatric Neurosurgery ◽  
Extent Of Resection ◽  
Neurosurgical Procedures ◽  
Spinal Disease ◽  
Operative Strategy ◽  
The Past ◽  
Imaging Results ◽  
Age At Surgery ◽  
Quality Imaging

Object Over the past decade, the use of intraoperative MR (iMR) imaging in the pediatric neurosurgical population has become increasingly accepted as an innovative and important neurosurgical tool. The authors summarize their experience using a mobile 1.5-T iMR imaging unit with integrated neuronavigation with the goal of identifying procedures and/or pathologies in which the application of this technology changed the course of surgery or modified the operative strategy. Methods A database has been prospectively maintained for this patient population. The authors reviewed the hospital charts and imaging results for all patients in the database. This review revealed 105 neurosurgical procedures performed in 98 children (49 male and 49 female) between March 1998 and April 2008. Intradissection (ID) and/or quality assurance images were obtained at the discretion of the surgeon. Results The median age at surgery was 12 years (4 months–18 years). One hundred intracranial and 5 spinal procedures were performed; 22 of these procedures were performed for recurrent pathology. Surgical planning scans were obtained for 102 procedures, and neuronavigation was used in 93 patients. The greatest impact of iMR imaging was apparent in the 55 procedures to resect neoplastic lesions; ID scans were obtained in 49 of these procedures. Further surgery was performed in 49% of the procedures during which ID scans had been obtained. A smaller proportion of ID scans in the different cranial pathology groups (5 of 21 epilepsy cases, 4 of 9 vascular cases) resulted in further resections to meet the surgical goal of the surgeon. Two ID scans obtained during 5 procedures for the treatment of spinal disease did not lead to any change in surgery. Postoperative scans did not reveal any acute adverse events. There was 1 intraoperative adverse event in which a Greenberg retractor was inadvertently left on during ID scanning but was removed after the scout scans. Conclusions The application of iMR imaging in the pediatric neurosurgical population allows, at minimum, the opportunity to perform less invasive surgical exposures. Its potential is greatest when its high-quality imaging ability is coupled with its superior neuronavigation capabilities, which permits tracking of the extent of resection of intracranial tumors and, to a lesser extent, other lesions during the surgical procedure.

scholarly journals Male Urethritis Caused by Trichomonas vaginalis

2021 ◽  
Vol 79 (1) ◽  
pp. 71-73
Author(s):  
Ângela Roda ◽  
João Borges-Costa
Keyword(s):  
Sexually Transmitted Infections ◽  
Sexually Transmitted Diseases ◽  
Trichomonas Vaginalis ◽  
Unusual Case ◽  
Parasitic Infection ◽  
Men And Women ◽  
Sexually Transmitted ◽  
Molecular Assays ◽  
The Past ◽  
The Impact

Trichomoniasis is one of the most common sexually transmitted infections worldwide. In women, Trichomonas vaginalis infection may present with vaginitis, cervicitis, or pelvic inflammatory disease, while in men it is mainly asymptomatic or causes mild and transient symptoms of urethritis, epididymitis, or prostatitis. In the past, little importance had been given to the impact of T. vaginalis infection on men’s health, since it was believed to be a self-limited condition without sequelae. However, there is growing evidence it is associated with more serious disorders in both men and women and efforts to diagnose and treat this parasitic infection have increased. Recent advances in testing for sexually transmitted diseases using multiplex molecular assays have increased diagnostic opportunities for T. vaginalis infection, especially in men, as detection of the parasite by traditional methods is much more challenging. We describe an unusual case of male urethritis caused by T. vaginalis observed in our consultation of Sexually Transmitted Infections.

scholarly journals Iatrogenic Inflammatory Fibrosis of Hard Palate in a 13-Year-Old Female Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Shanthan Mettu ◽  
Radhika Muppa ◽  
G. Siva Prasad Reddy ◽  
Srinivas Nallanchakrava ◽  
Sri Veda Gurugubelli
Keyword(s):  
Female Patient ◽  
Hard Palate ◽  
Unusual Case ◽  
Fibrous Tissue ◽  
Surgical Excision ◽  
Inflammatory Cells ◽  
Nerve Tissue ◽  
Rare Occurrence ◽  
Reactive Process ◽  
Tooth Number

Palatal swellings are rare in children and the incidence differs from that of the adult counterparts. When the palatal swellings do arise in children, they usually are palatal abscess from periapical region, and few cases like pleomorphic adenoma in young adults have also been reported. But inflammatory fibrosis of palate in children is a rare occurrence. Inflammatory fibrosis is formation of excess fibrous connective tissue in an organ or tissue, as a reparative or reactive process. This report describes an unusual case of iatrogenic inflammatory fibrosis on the palate due to extraction of tooth number 22 in a 13-year-old female patient. The patient presented with a single large well-circumscribed oval palatal swelling that was soft, fluctuant, not fixed, and nontender. Surgical excision of the lesion was done and it was sent for histopathological assessment. The biopsy showed fibrous tissue with collagen fibers, spindle shaped fibroblasts, neovascularization, RBCs, chronic inflammatory cells, and traces of salivary gland and nerve tissue.

Trusts cut down on operations of 'limited clinical value'

2012 ◽  
Vol 94 (7) ◽  
pp. 224-224
Author(s):  
Katie Bennett
Keyword(s):  
Cochlear Implants ◽  
Clinical Value ◽  
Hernia Surgery ◽  
Emergency Admissions ◽  
Clinical Guidance ◽  
The Past ◽  
Daily Telegraph ◽  
Knee Replacements ◽  
Nose And Throat

In April the Daily Telegraph reported that the widespread rationing of tonsillectomies had resulted in a 40% rise in emergency admissions in the past decade. Ear, nose and throat surgeons, who have supported us in dealing with the increased media interest in the rationing of elective operations, agree that this is just part of a much larger problem. It is known that some trusts have drawn up a list of procedures deemed to be of 'limited clinical value' or 'low priority' against clinical guidance – these include hip and knee replacements, grommets, cochlear implants and elective hernia surgery.

A rare case of nasal gout

2020 ◽  
Vol 13 (10) ◽  
pp. e234788
Author(s):  
Emma Richards ◽  
Emma Watts ◽  
Lisha McClelland
Keyword(s):  
Disease Progression ◽  
Metabolic Disorder ◽  
Rare Case ◽  
Unusual Case ◽  
Metatarsophalangeal Joint ◽  
First Metatarsophalangeal Joint ◽  
Nasal Bones ◽  
Acute Attacks ◽  
Work Up ◽  
Nose And Throat

Gout is an increasingly common metabolic disorder worldwide. Classical presentation is with acute attacks of arthritis affecting the first metatarsophalangeal joint. With disease progression, tophi may also appear. We present an unusual case of nasal gout in a 55-year-old man who was referred to the Ear, Nose and Throat department with irregularity over the nasal bones and episodic pain. We discuss the work up, diagnosis and management of this case and review the limited literature on this topic.

Submandibular hydatid cyst caused by Echinococcus oligarthrus

2000 ◽  
Vol 114 (6) ◽  
pp. 473-476 ◽  
Author(s):  
J. K. Sahni ◽  
M. Jain ◽  
Yogesh Bajaj ◽  
Virender Kumar ◽  
Anubhav Jain
Keyword(s):  
Salivary Gland ◽  
Hydatid Cyst ◽  
Female Patient ◽  
Rare Variant ◽  
Unusual Case ◽  
Submandibular Salivary Gland ◽  
Unusual Site ◽  
Submandibular Region ◽  
Hepatic Involvement

An unusual case of Echinococcus oligarthrus infestation of the submandibular salivary gland is reported. Echinococcus oligarthrus is a rare variant of the Echinococcus species affecting humans. To the best of our knowledge only one case of submandibular hydatid cyst caused by Echinococcus oligarthrus has been reported. A 28-year-old female patient was admitted with a progressively increasing swelling in the left submandibular region of four years’ duration. There was no pulmonary or hepatic involvement. The present case of submandibular hydatid cyst caused by Echinococcus oligarthrus is of interest because of the unusual site of the disease.

Temporal bone osteomyelitis and temporoparietal abscess secondary to malignant otitis externa

2009 ◽  
Vol 123 (11) ◽  
pp. 1288-1291 ◽  
Author(s):  
B Alva ◽  
K Chandra Prasad ◽  
S Chandra Prasad ◽  
S Pallavi
Keyword(s):  
Temporal Bone ◽  
Otitis Media ◽  
World Literature ◽  
Otitis Externa ◽  
Acute Otitis Media ◽  
Suppurative Otitis Media ◽  
The Past ◽  
Modified Radical Mastoidectomy ◽  
Malignant Otitis Externa ◽  
Canal Wall Down

AbstractObjective:We report an advanced presentation of osteomyelitis of the temporal bone secondary to malignant otitis externa.Method:We present a case report and a review of the world literature concerning osteomyelitis of the temporal bone secondary to malignant otitis externa.Results:A 60-year-old diabetic man developed osteomyelitis of the temporal bone and a temporoparietal abscess as advanced complications of malignant otitis externa. He was successfully treated in our institution using a post aural incision after draining the abscess and excising the fistula, a modified radical mastoidectomy with canal wall down procedure with sequesterectomy and debridement of surrounding area done.Conclusion:The terms ‘osteomyelitis of the temporal bone’, ‘skull base osteomyelitis’ and ‘malignant otitis externa’ have not been clearly defined, and have in the past often been used interchangeably in the literature. Osteomyelitis of the temporal bone can occur secondary to malignant otitis externa, acute otitis media, chronic suppurative otitis media or trauma. Here, we present the management of an advanced case of osteomyelitis of the temporal bone.

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