scholarly journals Importance of Preserving Parathyroids in Surgery for Hemiagenesis of Thyroid: Analysis with Review of Literature

2015 ◽  
Vol 6 (4) ◽  
pp. 146-148
Author(s):  
Sudhir Naik ◽  
Rajshekar Halkud ◽  
RM Deekshith ◽  
P Sathya ◽  
Purshottam Chavan ◽  
...  
Keyword(s):  
Total Thyroidectomy ◽  
Congenital Anomalies ◽  
Developmental Anomaly ◽  
Review Of Literature ◽  
Medical College ◽  
Thyroid Hemiagenesis ◽  
Head Neck

ABSTRACT Background/objectives As congenital anomalies of the thyroid are rare and the pathology associated with it warranting total thyroidectomies is still rare, so the inadvertent parathyroidectomies are rarely reported. Unilateral or bilateral hypoplasia or agenesis of one or both thyroid lobes, with or without isthmic agenesis, is a rare developmental anomaly. Meticulous subcapsular dissection with preserving the vascular twigs to the parathyroid is very important in avoiding complications. Materials and methods We report two cases of thyroid hemiagenesis in our medical college institution over a period of 10 years. Both were females in the 6th decade with swelling in the neck. One had a right-sided swelling and the second had a left-sided swelling, both measuring about 5 ⨯ 5 cm. Conclusion So the total thyroidectomy surgery in hemiagenesis cases poses a risk to the parathyroids as the altered anatomy. So the time-tested technique of subcapsular dissection and meticulous preservation of the multiple vasculature of the parathyroids in the fascial compartment provides better results with least morbidity. How to cite this article Naik SM, Halkud R, Chavan P, Appaji M, Sathya P, Bhat SR, Deekshith RM. Importance of Preserving Parathyroids in Surgery for Hemiagenesis of Thyroid: Analysis with Review of Literature. Int J Head Neck Surg 2015;6(4):146-148.

scholarly journals Hypocalcaemic Tetany After Total Thyroidectomy

2016 ◽  
Vol 10 (2) ◽  
pp. 59-62
Author(s):  
Nripendra Nath Biswas ◽  
Wazir Ahmed Chaudhury ◽  
Jahangir Alam Khan ◽  
Akhil Chandra Biswas ◽  
Khan Mohammad Arif ◽  
...  
Keyword(s):  
Total Thyroidectomy ◽  
Thyroid Function Test ◽  
Neck Surgery ◽  
Time Interval ◽  
College Hospital ◽  
Medical College ◽  
Post Operative Period ◽  
Function Test ◽  
Head Neck Surgery ◽  
Head Neck

Hypocalcaemic tetany is one the commonest complication after total thyroidectomy. It may cause significant morbidity. Early detection and treatment have better out come. The main objective of the study is to find the incidence of hypcalcaemic tetany in post operative period after total thyroidectomy and average interval period of hypocalcaemia following surgery. This was an observational study conducted in the department of Otolaryngology & head-Neck Surgery Sylhet M.A.G. Osmani Medical College Hospital during 1st January 2006 to 31st December 2007. Pre-operative routine investigation, Thyroid Function test, Ultrasonography thyroid gland and cytological evaluation by FNAC were done in all patients. Ten patient developed hypocalcaemia after surgery. Among them only one suffered from permanent hypocalcaemia. Most of the patient developed symptoms about 48 hours after surgery. The Incidence and time interval of development of hypocalcaemic tetany after total thyroidectomy found in the series fully coincides with the results of other researchers globally.Faridpur Med. Coll. J. Jul 2015;10(2): 59-62

scholarly journals The Spectrum of Congenital Central Nervous System Anomalies Among Stillborn: An Autopsy Based Study

2021 ◽  
pp. 097275312199016
Author(s):  
S. P. Vinutha ◽  
D. Narayanappa ◽  
G. V. Manjunath ◽  
M. S. Sujatha ◽  
M. C. Sapna Patel ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Congenital Anomalies ◽  
Developmental Process ◽  
Holistic Approach ◽  
Fetal Autopsy ◽  
Exact Test ◽  
Medical College ◽  
Ultrasound Findings ◽  
Cns Anomalies

Background: Congenital central nervous system (CNS) anomalies are the structural or functional abnormalities of the brain and spinal cord that occur during the intrauterine developmental process. Purpose: The present study aims to detect the prevalence of congenital CNS anomalies among stillborn fetuses, the association between congenital anomalies and maternal factors, and also the association between autopsy and ultrasound findings. Methods: This study was conducted on 50 stillborn fetuses, obtained from the Department of Obstetrics and Gynecology at JSS Medical College and Hospital, Mysuru. The fetuses were fixed in 10% formalin and autopsies were performed as per the standard fetal autopsy protocol. The congenital CNS anomalies were studied in detail. Results: CNS anomalies were the most common congenital anomalies observed. Out of the total 50 stillborn fetuses studied, CNS anomalies were found in 17 fetuses and their occurrence was more common among male stillborn than females. Meningomyelocele was the most common anomaly, followed by anencephaly. The other anomalies documented were meningocele, encephalocele, meningoencephalocele, agenesis of the corpus callosum, craniorachischisis, bifid cerebellum with hypoplastic vermis, holoprosencephaly, and sirenomelia. Fisher’s exact test showed a significant association between maternal hypothyroidism and congenital CNS anomalies ( P < .05). The autopsy confirmed the ultrasound findings in 40 (80%) fetuses. There were significant additional findings observed in seven (14%) fetal autopsies and ultrasound diagnosis completely changed in three (6%) cases, after the final autopsy procedure. Conclusion: The fetal autopsy is the single most directly evident investigation, which gives information that changes or significantly improves the clinical diagnosis. A multidisciplinary holistic approach toward pregnancy will help to detect any kind of abnormality in the fetus and thus to take a timely decision toward the management.

scholarly journals Lymphoepithelial Cyst of Tonsil

2014 ◽  
Vol 5 (1) ◽  
pp. 28-30
Author(s):  
Kavita Rao ◽  
NS Priya ◽  
Lakshmi Shantharam ◽  
KG Somashekara
Keyword(s):  
Oral Cavity ◽  
Male Patient ◽  
Lymphoid Tissue ◽  
Cystic Lesion ◽  
Lymphoepithelial Cyst ◽  
Review Of Literature ◽  
Tissue Interactions ◽  
Head Neck ◽  
Lymphoepithelial Lesions

ABSTRACT The tissue interactions between epithelium and mesenchyme are few of the events which result in pathological processes. One such interaction of epithelium and lymphoid tissue may result in lymphoepithelial lesions in the oral cavity. Lymphoepithelial cyst (LEC) is a rare developmental cystic lesion of the oral cavity with various histogenetic implications. Documented cases of LEC of the tonsil are low in number in the literature. We are hereby reporting a case of LEC of the tonsil in a male patient with review of literature. How to cite this article Somashekara KG, Priya NS, Rao K, Shantharam L. Lymphoepithelial Cyst of Tonsil. Int J Head Neck Surg 2014;5(1):28-30.

scholarly journals Clinicopathological study of sinonasal masses

1970 ◽  
Vol 16 (1) ◽  
pp. 15-22 ◽  
Author(s):  
Abu HenaMohammad Parvez Humayun ◽  
AHM Zahurul Huq ◽  
SM Tarequddin Ahmed ◽  
Md Shah Kamal ◽  
Kyaw Khin U ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Malignant Lesion ◽  
Malignant Tumour ◽  
Neck Surgery ◽  
Female Ratio ◽  
Medical College ◽  
Male To Female ◽  
Study Setting ◽  
Head Neck Surgery ◽  
Head Neck

Objective: To observe the incidence, clinical presentation and to perform comparative studyof different sinonasal masses. Study design: Prospective study. Setting: Department ofotolaryngology and Head-Neck Surgery & ENT OPD of Chittagong Medical College Hospital.Patients & methods: 50 patients are included in this study (39 male & 11 female) between theages of 3 years and 80 years who were treated between August 2006 to January 2007. Studybased on history, clinical, radiological, laboratory and histopathological examination. Results:Mean age for male was 35.12 years and for female was 22.63 years. Male to female ratio was3.5:1. Highest frequency was noted in second decade. Most of patient (78%) were from poorclass. Frequency of inflammatory nasal masses were more in second decade, benign tumourin fourth and fifth decade, malignant tumour in second decade (OAN & NHL) and fifth andsecond decades (others). Rhinosporidiosis were most frequent inflammatory nasal masses.Nasal obstruction was the commonest and orbitus symptoms were less frequent symptoms.But orbital symptoms were more prevalent in malignant lesion. Conclusion: sinonasal massesare found in all age group. Rhinosporidiosis are appearing to be the commonest nasal masses.The prevalence of nasal polyp is also high. Among the malignant sinonasal masses thepercentage of squamous cell carcinoma is high.DOI: 10.3329/bjo.v16i1.5776Bangladesh J Otorhinolaryngol 2010; 16(1): 15-22

scholarly journals Solitary Trichoepithelioma of Nose: A Rare Case Report and Review of Literature

2015 ◽  
Vol 6 (3) ◽  
pp. 115-117
Author(s):  
Sachin Lal Shilpakar ◽  
Bivek Aryal ◽  
Shyam Thapa Chettri ◽  
Apar Pokharel ◽  
Deepak Paudel
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Histopathological Examination ◽  
Hair Follicles ◽  
Review Of Literature ◽  
Solitary Lesion ◽  
Biological Potential ◽  
Rare Case Report ◽  
The Face ◽  
Head Neck

ABSTRACT The trichoepithelioma is a benign cutaneous neoplasm which is derived from hair follicles. It is common in the face, but there are only three reports of the solitary occurrence on the nose. It is often not recognized because of its rarity, controversial classification, origin and biological potential. The objective of this paper is to present a case of solitary trichoepithelioma on the nose, histopathological examination and treatment. It should be considered as a differential diagnosis of a solitary lesion of nose which is confused with basal cell carcinoma. The confirmation by histopathological examination is essential. How to cite this article Sah BP, Shilpakar SL, Aryal B, Chettri ST, Pokharel A, Mishra S, Paudel D. Solitary Trichoepithelioma of Nose: A Rare Case Report and Review of Literature. Int J Head Neck Surg 2015;6(3):115-117.

scholarly journals Spectrum of Neonatal Surgical Problems in the Newborn: Incidence, Clinical Course, Immediate Outcome, Follow up Study in a Tertiary Care NICU

2019 ◽  
pp. 1-9
Author(s):  
K. G. Sachin ◽  
K. R. Sachin ◽  
H. Ramesh ◽  
Guru Prasad ◽  
Harsha Bullapur
Keyword(s):  
Congenital Anomalies ◽  
Congenital Malformations ◽  
Population Control ◽  
Tertiary Care ◽  
Relevant Information ◽  
The United States ◽  
Physical Structure ◽  
Neonatal Deaths ◽  
Medical College

Background: A congenital anomaly may be defined in terms of physical structure as a malformation, an abnormality of physical structure or form usually found at birth or during the first few weeks of life. Congenital anomalies affect approximately 1 in 33 infants and result in approximately 3.2 million birth defect-related disabilities every year. Congenital anomalies or birth defects are relatively common, affecting 3% to 5% of live births in the United States (US) and 2.1% in Europe. Congenital anomalies account for 8% to 15% of perinatal deaths and 13% to 16% of neonatal deaths in India. Objectives: To provide an insight on the burden and types of surgical problems encountered in our NICU of Bapuji Child Health Institute & Research Center, JJM Medical College, Davangere, Karnataka, India and to study the incidence, clinical profile and outcome of surgical condition. Methodology: A total of 3820 babies were examined over a period of 2 years. The relevant information was documented on a semi-structured proforma and analysed. Results: Overall incidence of congenital malformations at birth was 24.8 per 1000 births. The GIT system (51.58%) was most commonly involved followed by respiratory system (26.32%). The incidence of congenital malformation was more in male babies than female babies. Increased frequency was seen in babies born to mothers between 26–30 years & primigravida. The factors which significantly increased the rate of congenital malformations were consanguinity in parents & bad obstetric history. Out of 95 cases, 72% got discharged normally, 18% died in NICU and 10% got discharged against medical advise. Conclusion: With emphasis on “small family” norms and population control it is necessary to identify malformations so that interventional programmes can be planned. Systematic clinical examination of newborns for early detection of anomalies that may warrant medical or surgical intervention. Accurate antenatal anomaly scan need to be done to identify major malformations and terminate the pregnancy.

scholarly journals CONGENITAL ANOMALIES OF ORAL CAVITY AND PHARYNX (REVIEW OF LITERATURE)

2017 ◽  
Vol 21 (2 (82) p.2) ◽  
pp. 153-155 ◽  
Author(s):  
T.V. Protsak ◽  
O.S. Zabrodska ◽  
K.A. Pantsiuk ◽  
K.I. Yakovets
Keyword(s):  
Oral Cavity ◽  
Congenital Anomalies ◽  
Review Of Literature

scholarly journals Intravascular Papillary Endothelial Tumor of the Adrenal Gland: A Case Report and Review of Literature

2019 ◽  
Vol 4 (3) ◽  
Keyword(s):  
Case Report ◽  
Adrenal Gland ◽  
Blood Clot ◽  
Adrenal Adenoma ◽  
Vascular Tumor ◽  
Review Of Literature ◽  
Intravascular Papillary Endothelial Hyperplasia ◽  
Papillary Endothelial Hyperplasia ◽  
Malignant Lesions ◽  
Head Neck

Intravascular Papillary Endothelial Hyperplasia (IPEH) or Masson’s Tumor is a benign vascular tumor, most commonly seen on the skin and usually on the head, neck or extremities. It is more common in women with no age predilection. Visceral involvement is very rare, with about 30 intra-abdominal reports. We present a case report of a 58 year old woman who underwent a CT scan due to dysphagia complaints, with an incidental known finding of growth in the adrenal adenoma, which was 5 cm in diameter on hospitalization. The patient underwent laparoscopic adrenalectomy. Biopsy results demonstrated a brownish yellow lesion, 2.8 cm in diameter, composed of a blood clot and septate. Immunochemical staining for CD31 and CD34 was positive and the lesion was diagnosed as an IPEH of pure form. Our review of literature examines different forms of IPEH, previous reports and characteristics of Masson’s tumors in the adrenal gland and stratifies ways of differentiation it from other benign or malignant lesions of the adrenal.

scholarly journals Rhinolith causing unilateral chronic rhinosinusitis: a case report

2020 ◽  
Vol 6 (2) ◽  
pp. 414
Author(s):  
Sumit Prinja ◽  
Garima Bansal ◽  
Jailal Davessar ◽  
Simmi Jindal ◽  
Suchina Parmar
Keyword(s):  
Nasal Cavity ◽  
Nasal Obstruction ◽  
Maxillary Sinusitis ◽  
Nasal Discharge ◽  
Endonasal Approach ◽  
Review Of Literature ◽  
Medical College ◽  
Uncommon Disease ◽  
Chronic Maxillary Sinusitis ◽  
The Right

<p class="abstract">Rhinolith or nasal stone is formed by mineralization within nasal cavity. They are calcareous concretions that are formed by the deposition of salts on an intranasal foreign body. It is an uncommon disease that may present asymptomatically or cause symptoms like nasal obstruction, consecutive sinusitis with or without purulent rhinitis, post nasal discharge, epistaxis, anosmia, nasal malodour and headache. They are usually diagnosed incidentally on radiographic examinations or depending on the symptoms. In this paper we report a 28-year-old woman admitted in the ENT department of GGS Medical College and Hospital, Faridkot with a calcified mass in the right nasal cavity causing long standing unilateral nasal obstruction for 3 years, rhinorrhoea (usually malodourous foetid), post nasal discharge and headache for 1 year. The calcified mass was thought to contain the air cell and removed by endonasal approach. The aim of this study is to report a case of rhinolith with chronic maxillary sinusitis along with a review of literature.</p>

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