scholarly journals Maxillary Sinus Osteoma: A Rare Cause of Headache

2011 ◽  
Vol 4 (2) ◽  
pp. 111-113 ◽  
Author(s):  
Vikrant Mittal ◽  
Navneet Kumar
Keyword(s):  
Maxillary Sinus ◽  
Postoperative Period ◽  
Facial Pain ◽  
Anterior Wall ◽  
Treatment Modalities ◽  
Mri Brain ◽  
Bony Lesion ◽  
Endoscopic Guidance ◽  
One Year ◽  
Made In

ABSTRACT A 66-year-old male presented with right-sided facial pain and headache since one year. MRI brain showed a large bony lesion in right side of maxillary sinus. CT scan of the paranasal sinuses revealed maxillary sinus osteoma. The tumor was excised through an opening made in anterior wall of maxilla along with endoscopic guidance through nasal cavity. Postoperative period was uneventful. The pathogenesis and various treatment modalities for maxillary sinus osteomas have been discussed.

The Incidence of Complications after Canine Fossa Puncture Performed during Endoscopic Sinus Surgery

2005 ◽  
Vol 19 (2) ◽  
pp. 203-206 ◽  
Author(s):  
Simon R. Robinson ◽  
Robert Baird ◽  
Tong Le ◽  
Peter John Wormald
Keyword(s):  
Maxillary Sinus ◽  
Facial Pain ◽  
Complete Removal ◽  
Sinus Surgery ◽  
Canine Fossa ◽  
Number Of Patients ◽  
Facial Numbness ◽  
Cheek Swelling ◽  
Made In

Background Patients with extensive disease affecting the maxillary sinus may require a canine fossa approach for complete removal of disease. This study was designed to determine the complications associated with this procedure. Methods We performed a retrospective study of 21 patients who had undergone a canine fossa puncture at an academic hospital complex in Adelaide, Australia. Results A total of 37 canine fossa punctures were made in 21 patients. Twenty-eight of the 37 (75.7%) sides in which a canine fossa puncture was performed experienced a complication. The most common complaint was of cheek swelling in 14 (38%) followed by facial pain in 12 (32%), facial numbness in 11 (30%), cheek pain in 10 (27%), dental numbness in 10 (27%), gingival complications in 9 (24%), and facial tingling in 6 (16%) of sides. Most complications (75.5%) resolved within the 1st month after surgery. Six patients (28.6%) had persistent complications with facial tingling in 3 patients (50%) followed by facial numbness and tingling in 1 patient (11%), facial numbness alone in 1 patient (8.3%), and facial pain in 1 patient (7.1%). Conclusion Canine fossa antrostomy is a technique that provides additional access to the maxillary sinus. Surgeons need to be aware that, although minor, a significant number of patients will experience both transient and long-term complications.

‘Intranasal toothache’: case report

2012 ◽  
Vol 127 (3) ◽  
pp. 321-322 ◽  
Author(s):  
T A van Essen ◽  
J B van Rijswijk
Keyword(s):  
Case Report ◽  
Facial Pain ◽  
Surgical Extraction ◽  
History Of ◽  
Nasal Tooth ◽  
Endoscopic Guidance ◽  
Ectopic Tooth ◽  
One Year ◽  
The One

AbstractObjective:This paper describes a patient with recurrent unilateral nasal discomfort and pain due to an intranasal tooth. A short overview of the literature is provided in relation to the aetiology, symptomatology, diagnosis and treatment of intranasal teeth.Case report:A 26-year-old man was referred with a history of recurrent left-sided nasal obstruction, facial pain and discomfort, and chronic purulent rhinorrhoea. Computed tomography revealed a nasal tooth, which was likely to have been the cause of these symptoms. After transnasal surgical extraction under endoscopic guidance, the patient was relieved of his complaints (at the one-year follow up).Conclusion:An ectopic tooth in the nasal cavity is a rare phenomenon, and in most cases the cause of an intranasal tooth remains unclear. The treatment of an intranasal tooth entails surgical extraction even though such teeth may remain asymptomatic; several cases have illustrated the potential significant morbidity associated with their occurrence.

Anterior Mediastinal Paraganglioma Mimicking Thymoma

2012 ◽  
Vol 15 (3) ◽  
pp. 170
Author(s):  
Hee Moon Lee ◽  
Dong Seop Jeong ◽  
Pyo Won Park ◽  
Wook Sung Kim ◽  
Kiick Sung ◽  
...  
Keyword(s):  
Mediastinal Mass ◽  
Aortic Wall ◽  
Anterior Wall ◽  
Ascending Aorta ◽  
Anterior Mediastinal Mass ◽  
Arterial Reconstruction ◽  
Ct Evaluation ◽  
One Year ◽  
Mediastinal Paraganglioma

A 54-year-old man was referred to our institution with hemoptysis and hoarseness of 1 year's duration. A computed tomography (CT) scan showed an anterior mediastinal mass (2.5 cm x 1.0 cm), which was diagnosed as thymoma. The tumor was resected under a sternotomy. The tumor had invaded the anterior wall of the ascending aorta. With the patient under cardiopulmonary bypass, the aortic wall invaded by the mass was resected, and arterial reconstruction was performed with patch material. The tumor was revealed to be a tumor of neuronal origin. The patient's postoperative course was uneventful. The patient was discharged on postoperative day 9. One year after the operation, a follow-up chest CT evaluation showed no specific complications or recurrence.

scholarly journals Effect of Cortical Bone Thickness on Detection of Intraosseous Lesions by Ultrasonography

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Sadaf Adibi ◽  
Alireza Shakibafard ◽  
Zohreh Karimi Sarvestani ◽  
Najmeh Saadat ◽  
Leila Khojastepour
Keyword(s):  
Cortical Bone ◽  
Imaging Technique ◽  
In Vitro Study ◽  
Bone Thickness ◽  
Cortical Bone Thickness ◽  
Bony Lesion ◽  
Ultrasonic Assessment ◽  
Central Lesions ◽  
Made In

Background. Usefulness of ultrasound (US) in detection of intrabony lesions has been showed. A cortical bone perforation or a very thin and intact cortical bone is prerequisite for this purpose.Objective. The current in vitro study was aimed at measuring the cut-off thickness of the overlying cortical bone which allows ultrasonic assessment of bony defects.Materials and Methods. 20 bovine scapula blocks were obtained. Samples were numbered from 1 to 20. In each sample, 5 artificial lesions were made. The lesions were made in order to increase the overlying bone thickness, from 0.1 mm in the first sample to 2 mm in the last one (with 0.1 mm interval). After that, the samples underwent ultrasound examinations by two practicing radiologists.Results. All five lesions in samples numbered 1 to 11 were detected as hypoechoic area. Cortical bone thickness more than 1.1 mm resulted in a failure in the detection of central lesions.Conclusion. We can conclude that neither bony perforation nor very thin cortical bones are needed to consider US to be an effective imaging technique in the evaluation of bony lesion.

Endoscopic sinus surgery for the anterior maxillary sinus, using a 135° reflective CO2 laser

2007 ◽  
Vol 122 (9) ◽  
pp. 918-920 ◽  
Author(s):  
K Sato
Keyword(s):  
Maxillary Sinus ◽  
Endoscopic Surgery ◽  
Endoscopic Sinus Surgery ◽  
Maxillary Antrum ◽  
Anterior Wall ◽  
Surgical Instruments ◽  
Sinus Surgery ◽  
Reliable Procedure ◽  
Wall Lesion ◽  
Wall Lesions

AbstractObjectives:Endoscopic sinus surgery has been widely performed to treat nose and paranasal diseases. However, it is difficult to manipulate anterior wall lesions of the maxillary sinus using conventional surgical instruments. This paper presents a method of performing endoscopic surgery for anterior wall lesions of the maxillary sinus, using a 135° reflective CO2 laser.Method:A CO2 laser with a 135° reflective tip on the pipe-guide handpiece and a CO2 laser angulated to the same degree were used. The pipe-guide handpiece with reflective tip was inserted into the nasal cavity and the base of the maxillary sinus anterior wall lesion was vaporised and removed via an enlarged natural ostium. During the procedure, the maxillary antrum was visualised with a 70° endoscope. Ten cases of maxillary sinus anterior wall lesion underwent this surgical procedure.Results:In all cases, the base of the maxillary sinus anterior wall lesion was removed completely and recurrence avoided.Conclusion:This method is a reliable procedure enabling endoscopic sinus surgery for anterior wall lesions of the maxillary sinus.

EVALUATE INTRAOPERATIVE VARIABLES AND POSTOPERATIVE OUTCOMES OF INTERTROCHANTERIC FRACTURES WITH VULNERABLE/ BROKEN LATERAL WALL MANAGED WITH SHORT AND LONG CEPHALOMEDULLARY NAIL

2021 ◽  
pp. 36-37
Author(s):  
Rahul Kumar ◽  
Wasim Ahmed ◽  
Indrajeet Kumar
Keyword(s):  
Blood Loss ◽  
Functional Outcome ◽  
Postoperative Outcomes ◽  
Treatment Modalities ◽  
Harris Hip Score ◽  
Intertrochanteric Fractures ◽  
Neck Shaft Angle ◽  
Duration Of Surgery ◽  
One Year ◽  
Lateral Walls

Purpose: To evaluate intraoperative variables and postoperative outcomes of intertrochanteric fractures with vulnerable/broken lateral walls managed with short and long cephalomedullary nails. Materials & Methodology: Twenty prospective cases of patients treated with LCMN and twenty retrospective cases treated with SCMN were included in the study. Intraoperative variables compared were duration of surgery, blood loss during surgery, and surgeon's perception of surgery. Functional outcome was evaluated by Parker Palmer mobility score (PPMS), Harris hip score (HHS), and Short Form-12 at one year. Radiological assessment were done at six months/one year to look for progress of fracture union, change in neck-shaft angle, and any signs of implant failure. Results: Duration of surgery (p<0.001), blood loss during surgery (p=0.002), and surgeon's perception of surgery (p=0.002) were signicantly more in the LCMN group. The LCMN group had a better functional outcome. HHS for the LCMN group was 89.15±9.53, and for the SCMN group it was 81.53±13.21 (p=0.021). PPMS for LCMN group was 8.85± 0.67 and for the SCMN group was 7.53±1.807 (p=0.005). There were four implant failures in the LCMN group compared to none in the SCMN group (p=0.036). Conclusion: Both SCMN and LCMN are effective treatment modalities for unstable intertrochanteric fractures with vulnerable/broken lateral walls. In the absence of more extensive study and long-term follow-up, the superiority of one implant over the other cannot be recommended.

scholarly journals Metachronous Diffuse Large B-Cell Lymphoma of the Breasts: A Case Report and Literature Review

2021 ◽  
Vol 14 (6) ◽  
Author(s):  
Mastane Saneii ◽  
Pedram Fadavi ◽  
Kambiz Novin ◽  
Maryam Garousi
Keyword(s):  
B Cell ◽  
Cell Lymphoma ◽  
B Cell Lymphoma ◽  
Maximum Level ◽  
Treatment Modalities ◽  
Regional Lymph Nodes ◽  
Case Presentation ◽  
Large B Cell Lymphoma ◽  
One Year ◽  
Large B Cell

Introduction: PBL is a rare form of extranodal lymphoma. The most common pathology is diffuse large B cell lymphoma and most patients are diagnosed at stages 1 and 2. The therapeutic options undertaken so far include surgery, radiotherapy, and chemotherapy Case Presentation: The patient was a 54-year old woman with localized primary breast DLBCL. The patient underwent 6 courses of chemotherapy with an RCHOP regimen followed by radiotherapy of the breast and regional lymph nodes with a 40 Gy dose. The patient was in complete remission on PET scan 3 months later. Around one year after, the patient experienced relapse in the contralateral breast. Conclusions: In the pattern of relapse of patients, there is a tendency for extranodal relapse. In some studies maximum level of relapse occurring in CNS and some advocate CNS prophylaxis in these patients. The best outcome is for patients treated with chemotherapy including rituximab followed by radiation. We reviewed some studies in the aspect of treatment modalities and site of relapsed.

scholarly journals LIVER BIOPSY

2011 ◽  
Vol 18 (04) ◽  
pp. 709-714
Author(s):  
FUAD AHMAD SIDDIQI ◽  
RIZWANA KITCHLEW ◽  
ASIF HASHMI
Keyword(s):  
Liver Biopsy ◽  
Liver Tissue ◽  
Blood Donors ◽  
Carrier State ◽  
Military Hospital ◽  
Histopathologic Diagnosis ◽  
Right Lobe ◽  
The Mean ◽  
One Year ◽  
Made In

Objective: To study the safety and efficacy of Surecut needle in obtaining the liver tissue by percutaneous liver biopsy. Design: Single centered prospective hospital based study. Place and duration of study: Department of Internal medicine (Unit-1) & Family ward, Combined military hospital Lahore for more than one year from August 2002 to March 2004. Materials and Methods: One hundred and fifty patients of either gender having asymptomatic hepatitis C carrier state, healthy blood donors, with positive HCV-PCR were included in study. The patients liver biopsy was done with Surecut needle 16G with patient breath suspended in expiration from the periphery of right lobe of liver. Result: Majority of patients, 135 ( 90% ) were male and 15 (10%) were female. The mean age was 30.3 years with range of 25-55years. In 146(97.31%)patients successful biopsy was done while the biopsy was non-diagnostic in 4(2.69%) patients. Mean core length of liver tissue obtained was Mean+sd(1.2+0.42cm) and histopathologic diagnosis was made in 97.31% cases. Total number of attempts were 1-2. In 99% single attempt was done. No major complications related to procedure was seen. Conclusions: liver biopsy with Surecut needle is safe and effective in establishing the diagnosis of Chronic hepatitis.

scholarly journals VARIOUS DIMENSIONS OF DAIVAVYAPASHRAYA WITH ITS POSSIBLE RATIONALITY - A JIGNASA

2021 ◽  
Vol p5 (5) ◽  
pp. 3022-3025
Author(s):  
Sowjanya. J
Keyword(s):  
Microbial Activity ◽  
Negative Energy ◽  
The Body ◽  
Treatment Modalities ◽  
Scientific Approach ◽  
Made In

“Shubham Karoti Kalyanam Arogyam Dhanasampadaha Shatrubuddhi Vinashaya Deepajyoti Namostute”. The concept of Daivavyapashraya chikitsa has been misunderstood as magical therapy which is wrong, as Acharya Charaka has emphasized it as the prime most among Trividhaushadhi’s in Trisreshaneeyaadhyaya due to its Aashu vyadhiharatwatana, which highlights its importance among all three treatment modalities. Daiva refers to Adrushta and Vyapashraya to Visheshena ashrayam. Hence a review on the art of invocation and implanting it by preventing and curing Physical and Psychosocial diseases with a proper scientific approach is very much essential. Dai- vavyapashrayachikitsa comprises MantrAoushadhaManiMangalaBaliaadi. Many instances are available in the Samhitha’s such as, ‘Siddhamantrapatana’ in the treatment of AagantujaUnmada, ‘Sahadeevimooladharana’ in the case of Vishamajwara, which is purely scientific. Acharya Sushrutha in Uttaratantra quotes the concept of Bali and Rakshavidhanam as a treatment in the case of each Grahabhada in children. For example: In case of Skandha- graha Raktamaala, Pataka, Raktagandhadravyas, Raktabhakshya, KukkutaBali along with Ghantanaada and ShivaParvati Mantrapatana. The rationality behind it can be interpreted as, it acts on microbial activity, negative energy and child's psychology, as well as the Mantra's, which are energy-based sounds that act on a particular system of the body and mind. Since the word Daiva is quoted in different contexts with different meanings as Adrushta, Poorvadaihikakarma and based on the aspects explained under Daivavyapashrayachikitsa, rationality can be interpreted as Microbiology, Psychology, Spiritualism, Philosophy, Astrology and Paranormal sciences are included in it. Thus, an attempt is made in understanding and practicing Daivavyapashrayachikitsa along with the scientific approach. Keywords: Daivavyapashrayachikitsa, Psychology, Sushrutha

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