scholarly journals Nasal Sinus Tract of Odontogenic Origin: Report of a Case

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Sagar Sareen ◽  
Anjani Kumar Pathak ◽  
Parth Purwar ◽  
Jaya Dixit ◽  
Divya Singhal ◽  
...  
Keyword(s):  
Holistic Approach ◽  
Health Care Research ◽  
Sinus Tract ◽  
Treatment Modalities ◽  
Diagnostic Challenge ◽  
Nasal Sinus ◽  
Comprehensive Management ◽  
Odontogenic Origin ◽  
The Right

Extraoral sinus tract often poses a diagnostic challenge to the clinician owing to its rare occurrence and absence of symptoms. The accurate diagnosis and comprehensive management are inevitable as the aetiology of such lesions is often masked and requires holistic approach. The present case report encompasses the management of an extraoral discharging sinus tract at the base of the right nostril in a chronic smoker. The lesion which was earlier diagnosed to be of nonodontogenic origin persisted even after erratic treatment modalities. Our investigations showed the aetiology of sinus tract to be odontogenic. Initially, a five-step program as recommended by the Agency for Health Care Research and Quality was used for smoking cessation followed by root canal therapy (RCT) and surgical management of the sinus tract. The patient has been under stringent follow-up and no reoccurrence has been noted.

scholarly journals Significance of Correct Diagnosis of Odontogenic Extraoral Sinus: A Report Of Two Cases

2018 ◽  
Vol 1 (11) ◽  
pp. 334-338
Author(s):  
Shweta Bansal ◽  
Ruchi Juneja ◽  
Gyanendra Mishra ◽  
Akshay Nambiar
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Antibiotic Therapy ◽  
Clinical Course ◽  
Correct Diagnosis ◽  
Sinus Tract ◽  
Short Term ◽  
Diagnostic Challenge ◽  
Odontogenic Origin

Cutaneous draining sinus tracts of odontogenic origin often are a diagnostic challenge. A delay in correctly diagnosing these types of lesions can result in unnecessary antibiotic therapy and surgical treatment. This case report presents the clinical course of two cases with extra-oral sinus tract formation, from diagnosis and treatment to short-term follow-up and evaluation. These facial lesions were initially misdiagnosed as lesions of non-odontogenic origin. Later on an odontogenic cause was identified and endodontic intervention resulted in resolution of the problem, confirming the initial misdiagnosis.

Non-surgical management of an extraoral cutaneous sinus tract of odontogenic origin

2020 ◽  
Vol 13 (7) ◽  
pp. e234699
Author(s):  
Lynn Lilly Varghese ◽  
Auric Bhattacharya ◽  
Praveena Sharma ◽  
Abhishek Apratim
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Dental Pulp ◽  
Complete Resolution ◽  
Sinus Tract ◽  
Odontogenic Origin ◽  
One Year ◽  
Minimal Scar ◽  
Cutaneous Sinus

Chronic apical periodontitis associated with dental pulp necrosis is the main cause of odontogenic extraoral cutaneous sinus openings. These tracts are often initially misdiagnosed unless the treating clinician considers a dental aetiology. This case report of a 19-year-old woman describes the diagnosis and treatment of an extraoral cutaneous sinus tract of odontogenic origin. Non-surgical conservative endodontic therapy was opted as the involved teeth were restorable. One month after the completion of obturation, there was closure of the sinus tract. One year follow-up showed complete resolution of the sinus tract with minimal scar formation.

scholarly journals Intraarterial Thrombolysis with r-tPA for Treatment of Anterior Circulation Acute Ischemic Stroke

2003 ◽  
Vol 9 (3) ◽  
pp. 273-282
Author(s):  
F. Baltacioğlu ◽  
N. Afşar ◽  
G. Ekinci ◽  
N. Tuncer-Elmaci ◽  
N Çagatay Çimşit ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Recombinant Tissue Plasminogen Activator ◽  
Neurological Status ◽  
Treatment Modalities ◽  
Anterior Circulation ◽  
Main Trunk ◽  
History Of ◽  
The Right

To investigate factors effecting the safety and recanalization efficacy of local intraarterial (IA) recombinant tissue plasminogen activator (r-tPA) delivery in patients with acute ischemic stroke. Eleven patients with anterior circulation acute ischemic stroke were treated. The neurological status of the patients were graded with the Glasgow Coma Scale (GCS) and National Institute of Health Stroke Scale (NIHSS). All patients underwent a computed tomography (CT) examination at admission. In addition four patients had diffusion-weighted and one patient had a perfusion magnetic resonance (MR) examinations. Patients were treated within six hours from stroke onset. Immediate, six hours, and 24 hours follow-up CT examinations were performed in order to evaluate the haemorrhagic complications and the extent of the ischemic area. The Rankin Scale (RS) was used as an outcome measure. Two of the 11 patients had carotid “T” occlusion (CTO), nine had middle cerebral artery (MCA) main trunk occlusion. Four patients had symptomatic haemorrhage with a large haematoma rupturing into the ventricles and subarachnoid space. Of these, three patients died within 24 hours. The remaining seven patients had asymptomatic haematomas that were smaller compared to symptomatic ones, and showed regression in size and density on follow-up CTs. At third month five patients had a good outcome and three patients had a poor outcome. In acute ischemic stroke, local IA thrombolysis is a feasible treatment when you select the right patient. Haemorrhage rate does not seem to exceed that occuring in the natural history of the disease and in other treatment modalities.

scholarly journals EFFECT OF SELECTED YOGA TECHNIQUES ALONG WITH ASHWAGANDHA AND VACHA IN DEPRESSION IN THE AGE GROUP 65–75 YEARS

2021 ◽  
pp. 65-68
Author(s):  
SOUMYA MELEPPURAKKAL ◽  
SUNITHA K ◽  
JAYAN D
Keyword(s):  
Combined Therapy ◽  
Holistic Approach ◽  
Study Groups ◽  
Warm Water ◽  
Treatment Modalities ◽  
Control Group ◽  
Study Group ◽  
Age Group ◽  
Study Population

Objective: The study was done to compare the effect of selected yoga techniques, drugs, and combined therapy in depression in geriatrics. Methods: 75 patients between 65 and 75 years of age with depression were included in the study which was assessed by HAM D Score. The study population was randomly allocated to one control group and two study groups. The control group was given Aswangandha and Vacha churna with warm water as anupana after food, selected yoga techniques in the first study group, and combined yoga and the drug were given to the second study group. Outcome variables were assessed for the groups after the 30th day and follow-up after 45 days. Results: The results obtained in the study were analyzed using the ANOVA test. Yoga along with drug experienced a comparatively greater reduction in HAM-D score after treatment and follow-up (p<0.05) than other groups. Conclusion: Holistic approach can bring a better and static result than applying the treatment modalities alone.

scholarly journals Peripheral primitive neuroectodermal tumor of seminal vesicles: Is there a role for relatively aggressive treatment modalities?

2014 ◽  
Vol 86 (4) ◽  
pp. 291 ◽  
Author(s):  
Alessandro Crestani ◽  
Andrea Guttilla ◽  
Mario Gardi ◽  
Marina Gardiman ◽  
Fabrizio Dal Moro ◽  
...  
Keyword(s):  
Seminal Vesicle ◽  
Primitive Neuroectodermal Tumor ◽  
Cystic Lesion ◽  
Radiation Treatment ◽  
Seminal Vesicles ◽  
Treatment Modalities ◽  
Peripheral Primitive Neuroectodermal Tumor ◽  
Hypoechoic Mass ◽  
The Right

A 50 year old white man received an incidental ultrasound diagnosis of hypoechoic mass interesting the right seminal vesicle. A CT scan showed the presence of a 7.8 cm roundish cyst, originating from the right seminal vesicle. He had been followed by the removal of the right seminal vesicle and both the cystic lesion. The histological findings of the specimen documented the presence of small round cells compatible with Ewing’s sarcoma/PPNET. The patient received also adjuvant chemotherapy and radiation treatment. After 10 years, the follow-up is still negative.

scholarly journals Clinical evaluation and management of scrotal swelling

2021 ◽  
Vol 8 (12) ◽  
pp. 3601
Author(s):  
Upendra Pawar ◽  
Sharanbasappa Gubbi
Keyword(s):  
Previous History ◽  
Treatment Modalities ◽  
Age Group ◽  
Colour Doppler ◽  
Younger Age ◽  
Scrotal Swelling ◽  
Surgical Modality ◽  
The Right ◽  
Urinary Problems

Background: The present study was conducted with the main purpose to identify the mode of presentation, various treatment modalities and outcome of these with their complications.Methods: This prospective study was carried out on a total of 100 subjects presented with scrotal swellings. Exhibiting symptoms were noted including discomfort, painless swelling, urine symptoms and fever. Questionnaires were used to analyse all the predisposing factors of patients, which were then categorized as idiopathic, urinary problems, trauma or previous history. Ultrasound as well as colour Doppler was carried out on all subjects. The options for treatment were either surgical or conservative. The cases treated were recorded accordingly and follow up was done.Results: The majority of study patients, that is, 56%, suffered with scrotal swelling on the right side, followed by left (40%) and bilateral side (4%). 63% of the subjects were presented with symptoms of painless swelling. Whereas 27% of the study subjects were presented with symptoms of pain and fever and 10% of them showed only the symptoms of pain. The majority of study subjects, that is, 71% were treated with surgical modality. Whereas 29% with conservation modality. The most common USG finding found among the study subjects was hydrocoele (37%). 37 (37.0%) subjects having hydrocoele suffered postoperative complications.Conclusions: Younger age group and manual labourers were more prone to scrotal swellings. Few of the operated cases developed postoperative complications like epididymoorchitis. There is a resurgence of thorough clinical examination to establish a diagnosis in patients with scrotal swelling. 

Glandular Odontogenic Cyst – a Case Report

Dental Update ◽  
2020 ◽  
Vol 47 (1) ◽  
pp. 75-77 ◽  
Author(s):  
Manouchehri Shaadi ◽  
Amini Ali
Keyword(s):  
Case Report ◽  
Odontogenic Cyst ◽  
Treatment Modalities ◽  
Occurrence Rate ◽  
Odontogenic Cysts ◽  
Glandular Odontogenic Cyst ◽  
Wide Range ◽  
Odontogenic Origin ◽  
The Right ◽  
Anterior Mandible

Abstract: A Glandular Odontogenic Cyst (GOC) is a rare developmental cyst of odontogenic origin. Occurrence rate is low, with less than 150 cases reported in the literature thus far. 1 GOCs can be misdiagnosed due to clinicopathological similarities to other odontogenic cysts, including those of a benign and malignant nature. A wide range of ages can be affected, with a mean age of 45.7. 2 The most commonly affected site appears to be the anterior mandible. An unusual presentation of a GOC affecting the right posterior mandible of a 42-year-old male is reported. CPD/Clinical Relevance: This article highlights the importance of appropriate special investigations for a glandular odontogenic keratocyst and treatment modalities.

scholarly journals Recurrent epistaxis secondary to nasal haemangioma with a misleading CT angiogram

2019 ◽  
Vol 12 (6) ◽  
pp. e230737
Author(s):  
Oliver Wright ◽  
Philippe Bowles ◽  
Andrew Pelser
Keyword(s):  
First Aid ◽  
Ct Imaging ◽  
Treatment Modalities ◽  
Diagnostic Challenge ◽  
Multiple Treatment ◽  
Examination Technique ◽  
Ct Angiogram ◽  
Recurrent Epistaxis ◽  
Standard Investigation

The majority of epistaxes are anterior in nature, resolve with simple first aid measures and require no further follow-up. However, some cases pose more of a diagnostic challenge and prove resistant to standard investigation and treatment. We present a case of recurrent epistaxis, refractory to multiple treatment modalities and with CT imaging suggestive of a vascular aetiology which was ultimately disproved. The case highlights the shortcomings of CT imaging and importance of thorough examination technique. Nasal haemangiomas are a rare but recognised cause of epistaxis and should be considered in refractory cases.

scholarly journals Multifocal Pulmonary Granular Cell Tumor Presenting with Postobstructive Pneumonia

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Samid M. Farooqui ◽  
Muhammad S. Khan ◽  
Laura Adhikari ◽  
Viral Doshi
Keyword(s):  
Granular Cell Tumor ◽  
Main Bronchus ◽  
Granular Cell ◽  
Middle Lobe ◽  
Cell Tumor ◽  
Diagnostic Challenge ◽  
Right Middle Lobe ◽  
The Right ◽  
Lost To Follow Up

Granular cell tumor (GCT) is a neoplasm of Schwann cell origin. Its presence in the aerodigestive tract is uncommon and becomes a diagnostic challenge on initial presentation. Our case is of a 59-year-old woman who presented to the emergency department with a history of productive cough and dyspnea associated with fever and chest pain. An initial chest X-ray (CXR) showed a right middle lobe consolidation with follow-up Computed Tomography (CT) scan showing a mass in the right bronchus. Bronchoscopy revealed a polypoid, sessile granular mass in the right bronchus intermedius with multiple white lesions in trachea, left main bronchus, and right upper bronchi. Histology revealed a benign GCT. Bronchoalveolar lavage from the right middle lobe grew Streptococcus pneumoniae. Patient was treated with intravenous levofloxacin during hospital stay and discharged on a 7-day course of oral antibiotics to be followed as outpatient but was lost to follow-up. GCT can present as a polypoid tumor causing recurrent postobstructive pneumonia. Surgical resection is the most successful treatment option. The tumor is more common in third and fourth decade of life and our patient is the oldest patient, according to our knowledge, to have a GCT.

scholarly journals Second primary chondrosarcoma of the maxilla: a case report

2020 ◽  
Vol 6 (9) ◽  
pp. 1733
Author(s):  
Shreeya Pabi ◽  
Yanpothung Yanthan ◽  
Sweety Gupta ◽  
Biswajyoti Das ◽  
Ajas Ibrahim ◽  
...  
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Punch Biopsy ◽  
Treatment Modalities ◽  
Second Primary ◽  
Uncommon Case ◽  
Well Differentiated ◽  
The Right

<p>We are reporting an uncommon case of second primary chondrosarcoma of the maxilla in a 52-year-old male patient. Patient had first been diagnosed in 2004 with chondrosarcoma of the right maxilla. He had undergone right partial maxillectomy for the same. Since 2016 he had started noticing a swelling over the left side of the maxilla. Repeated biopsies from the growth showed no evidence of any malignancy. Hence, he was kept on routine follow up. However, in 2018, during follow up the growth had increased in size - hard swelling present in remnant post partial maxillectomy cavity, non-tender -and a punch biopsy was taken, revealing a well differentiated chondrosarcoma. A diagnosis of second primary chondrosarcoma of the maxilla was made based on Warren and Gates criteria. A brief discussion on the radiologic and histologic presentation of the tumor and the treatment modalities of this unusual tumor is discussed.</p>

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