Download ACOFS Vol III Issue I[Full Text]
Table of Content
(September 2014-February 2015)
Case Report
Rhinoscleroma :A Case Report with Review of Literature
Iqbal Ali, Subodh Shankar Natu, Sameer Singh, Gazala Parveen, Manish Dubey
Iqbal Ali, Subodh Shankar Natu, Sameer Singh, Gazala Parveen, Manish Dubey
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ABSTRACT
Aim: Rhinoscleroma is a rare disease hence the diagnosis can be difficult and delayed because of its clinical polymorphism. This article aims to review the entity and depict one of the treatment modalities for the same.
Background: Rhinoscleroma is a chronic granulomatous, slowly progressive disease affecting the nose and other respiratory tract structures, endemic in some areas of southern and central Europe, Africa and the USA. The first evidence of patients with scleroma was in a Mayan Indian terracotta head dated between 300 and 600 AD depicting the typical nasal proliferative lesions of this disease. Hebra and Kohn in 1870 first described the condition as ''rhinoscleroma'' and considered it a neoplastic growth. Its inflammatory nature was first suggested by Gerber. We report herein one case of this disease in a patient living in Lucknow and include a review of the literature.
Case Description: The clinical and pathological features of patients diagnosed with rhinoscleroma are presented. A 45 years old female patient with a chief complaint of dull localized pain which aggravated during meals and subsided after medication. The swelling had gradually increased in size on right side of the face. She also had a complaint of watery nasal discharge associated with common cold along with nasal obstruction and difficulty in breathing during lying down position. Post histopathological confirmation of our diagnosis, we performed debulking of the lesion intraorally and Ciprofloxacin 750 mg twice daily for 6 weeks along with the Augmentin 625mg thrice daily for 4 weeks and Metrogyl 400 mg thrice daily were given for 1 week, all from the day of debulking.
Conclusion: A combination of debulking and antibiotic therapy apparently produced satisfactory results for our patient. A study comparing this method of treatment with other treatment methods, such as the use of pharmacotherapy alone in such patients, with a longer follow up would be of considerable interest.
Clinical Significance: A combination of debulking and antibiotic therapy can be taken into consideration as surgery results in immediate symptomatic relief and decrease the microbial load thereby increasing the sensitivity of the pharmacological therapy.
Keywords:Rhinoscleroma Klebsiella Rhinoscleromatis, Nasal Inflammatory Disease, Chronic Granulomatous Infection, Medical and Surgical treatment.
How to cite this Article: Ali I,Natu SS,Singh S,Parveen G,Dubey M.Rhinoscleroma:A Case Report with Review of Literature.Arch CranOroFac Sc 2014;3(1):1-7.
Source of Support: Nil.
Conflict of Interest: Nil.
Aim: Rhinoscleroma is a rare disease hence the diagnosis can be difficult and delayed because of its clinical polymorphism. This article aims to review the entity and depict one of the treatment modalities for the same.
Background: Rhinoscleroma is a chronic granulomatous, slowly progressive disease affecting the nose and other respiratory tract structures, endemic in some areas of southern and central Europe, Africa and the USA. The first evidence of patients with scleroma was in a Mayan Indian terracotta head dated between 300 and 600 AD depicting the typical nasal proliferative lesions of this disease. Hebra and Kohn in 1870 first described the condition as ''rhinoscleroma'' and considered it a neoplastic growth. Its inflammatory nature was first suggested by Gerber. We report herein one case of this disease in a patient living in Lucknow and include a review of the literature.
Case Description: The clinical and pathological features of patients diagnosed with rhinoscleroma are presented. A 45 years old female patient with a chief complaint of dull localized pain which aggravated during meals and subsided after medication. The swelling had gradually increased in size on right side of the face. She also had a complaint of watery nasal discharge associated with common cold along with nasal obstruction and difficulty in breathing during lying down position. Post histopathological confirmation of our diagnosis, we performed debulking of the lesion intraorally and Ciprofloxacin 750 mg twice daily for 6 weeks along with the Augmentin 625mg thrice daily for 4 weeks and Metrogyl 400 mg thrice daily were given for 1 week, all from the day of debulking.
Conclusion: A combination of debulking and antibiotic therapy apparently produced satisfactory results for our patient. A study comparing this method of treatment with other treatment methods, such as the use of pharmacotherapy alone in such patients, with a longer follow up would be of considerable interest.
Clinical Significance: A combination of debulking and antibiotic therapy can be taken into consideration as surgery results in immediate symptomatic relief and decrease the microbial load thereby increasing the sensitivity of the pharmacological therapy.
Keywords:Rhinoscleroma Klebsiella Rhinoscleromatis, Nasal Inflammatory Disease, Chronic Granulomatous Infection, Medical and Surgical treatment.
How to cite this Article: Ali I,Natu SS,Singh S,Parveen G,Dubey M.Rhinoscleroma:A Case Report with Review of Literature.Arch CranOroFac Sc 2014;3(1):1-7.
Source of Support: Nil.
Conflict of Interest: Nil.
Original Study
Osteomeatal Complex Variations and its Clinical Importance - Our Experience
Vikram Kulkarni, Praveen Thakur, Rajeev Nishad
Vikram Kulkarni, Praveen Thakur, Rajeev Nishad
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Abstract
Objective: To understand the number of variations presenting in osteomeatal complex of paransal sinus CT scan and its relationship with sinusitis.
Method: Retrospective analysis of the 100 CT scans of the patients presenting with the symptoms of sinusitis. Number of the patients presenting with 2 and more variations in osteomeatal complexes were analysed using Lund mackay scoring system for sinusitis. The unpaired 't' test was applied to find significance of this scoring for two or more anatomic variations.
Results: Though the occurrence of the variations were wide but two or more variations occurrence was statistically significant (p<0.0001), for the development of sinusitis.
Conclusion: CT scan evaluation of the sinusitis is important in identifying the number of variations present in the osteomeatal complex and two and more variations are considered to be significant factors predisposing to sinusitis.
Keywords: Paranasal Sinus, CT scan, Sinusitis, Osteomeatal Complex.
How to cite this Article: Kulkarni V, Thakur P, Nishad R.Osteomeatal Complex Variations and its Clinical Importance -Our Experience. Arch CranOroFac Sc 2014;3(1):8-12.
Source of Support: Nil.
Conflict of Interest: Nil.
Objective: To understand the number of variations presenting in osteomeatal complex of paransal sinus CT scan and its relationship with sinusitis.
Method: Retrospective analysis of the 100 CT scans of the patients presenting with the symptoms of sinusitis. Number of the patients presenting with 2 and more variations in osteomeatal complexes were analysed using Lund mackay scoring system for sinusitis. The unpaired 't' test was applied to find significance of this scoring for two or more anatomic variations.
Results: Though the occurrence of the variations were wide but two or more variations occurrence was statistically significant (p<0.0001), for the development of sinusitis.
Conclusion: CT scan evaluation of the sinusitis is important in identifying the number of variations present in the osteomeatal complex and two and more variations are considered to be significant factors predisposing to sinusitis.
Keywords: Paranasal Sinus, CT scan, Sinusitis, Osteomeatal Complex.
How to cite this Article: Kulkarni V, Thakur P, Nishad R.Osteomeatal Complex Variations and its Clinical Importance -Our Experience. Arch CranOroFac Sc 2014;3(1):8-12.
Source of Support: Nil.
Conflict of Interest: Nil.
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Original Study
INCIDENCE AND PATTERN OF MAXILLOFACIAL TRAUMA IN A TEACHING HOSPITAL
Fareedi Mukram Ali, Yaswant Kumar DS, Varsha H Tambe, Kedar Saraf, Prasant MC, Mahesh Ahire, Dipak Sahane.
Fareedi Mukram Ali, Yaswant Kumar DS, Varsha H Tambe, Kedar Saraf, Prasant MC, Mahesh Ahire, Dipak Sahane.
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Abstract
Background: Among various injuries seen in emergency department maxillofacial injuries are most common in occurrence. Injuries to maxillofacial area mandate special attention due to its close proximity with important vital structures in head and neck region. The treatment of maxillofacial injuries is a challenge in achieving full functional and esthetic results to oral and maxillofacial surgeons. Aim of the present study to determine the incidence and pattern of maxillofacial trauma and associated complications in a Teaching Hospital in Rural Maharashtra.
Method: A retrospective study done from Jan 2011 to Nov 2013 in SMBT Dental College and Hospital Sangamner Taluka, Ahmednagar District,Maharashtra,India. Data was analyzed with respect to incidence of the trauma, age and sex, types of injury, treatment and complications if any, were recorded from the patient records.
Result: This retrospective study was conducted in SMBT Dental College and Hospital Sangamner from January 2011 and November 2013, (23 months Period). Patients records were examined for all details. A total of 115 patients had reported during this period and of them 75 (65.21%) were males.The frequently involved age group was 21-40 years in 82 cases (71.3%).Most common area involved was mandible with 69 cases (60%). Maxillary area was involved in 46 cases (40%), Most common anatomical location in mandible was the angle area 20.29% and 74.78% fractures were simple fractures and closed reduction was employed in 60.87% of cases.
Conclusion: The present study indicated that majority of patients with maxillofacial trauma were young adult Males and most common etiologic factors was Road Traffic Accidents.It can therefore be concluded that although if not all most of the RTA are preventable and immediate awareness campaign for Road safety should be started and adverse effects of drunken driving should be highlighted. Also implementation of law and road repairs should be undertaken to improve the situation.
Keywords: Maxillofacial Trauma, Road Traffic Accidents,Treatment
How to cite this Article:Ali FM,Kumar DSY,Tambe VH,Saraf K,Prasant MC,Ahire M,Sahane D.Incidence and Pattern of Maxillofacial Trauma in a Teaching Hospital.Arch CranOroFac Sc 2015;3(1):13-17.
Source of Support: Nil.
Conflict of Interest: Nil.
Background: Among various injuries seen in emergency department maxillofacial injuries are most common in occurrence. Injuries to maxillofacial area mandate special attention due to its close proximity with important vital structures in head and neck region. The treatment of maxillofacial injuries is a challenge in achieving full functional and esthetic results to oral and maxillofacial surgeons. Aim of the present study to determine the incidence and pattern of maxillofacial trauma and associated complications in a Teaching Hospital in Rural Maharashtra.
Method: A retrospective study done from Jan 2011 to Nov 2013 in SMBT Dental College and Hospital Sangamner Taluka, Ahmednagar District,Maharashtra,India. Data was analyzed with respect to incidence of the trauma, age and sex, types of injury, treatment and complications if any, were recorded from the patient records.
Result: This retrospective study was conducted in SMBT Dental College and Hospital Sangamner from January 2011 and November 2013, (23 months Period). Patients records were examined for all details. A total of 115 patients had reported during this period and of them 75 (65.21%) were males.The frequently involved age group was 21-40 years in 82 cases (71.3%).Most common area involved was mandible with 69 cases (60%). Maxillary area was involved in 46 cases (40%), Most common anatomical location in mandible was the angle area 20.29% and 74.78% fractures were simple fractures and closed reduction was employed in 60.87% of cases.
Conclusion: The present study indicated that majority of patients with maxillofacial trauma were young adult Males and most common etiologic factors was Road Traffic Accidents.It can therefore be concluded that although if not all most of the RTA are preventable and immediate awareness campaign for Road safety should be started and adverse effects of drunken driving should be highlighted. Also implementation of law and road repairs should be undertaken to improve the situation.
Keywords: Maxillofacial Trauma, Road Traffic Accidents,Treatment
How to cite this Article:Ali FM,Kumar DSY,Tambe VH,Saraf K,Prasant MC,Ahire M,Sahane D.Incidence and Pattern of Maxillofacial Trauma in a Teaching Hospital.Arch CranOroFac Sc 2015;3(1):13-17.
Source of Support: Nil.
Conflict of Interest: Nil.
Case Report
PLEOMORPHIC ADENOMA OF PAROTID GLAND: A Case Report
Rajnish Nagarkar, Shirsendu Roy,Mohammad Akheel,Shrikant Suryavanshi.
Rajnish Nagarkar, Shirsendu Roy,Mohammad Akheel,Shrikant Suryavanshi.
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ABSTRACT
Pleomorphic adenoma is the most common type of benign ,slow,continuous growing salivary gland tumor, most commonly affecting the parotid gland. It can often attain an enormous size and clinically manifest itself as a huge swelling behind the mandible with elevation of the ear lobule. We present a case of a pleomorphic adenoma in a 61 year old female with a history of 4 years of a growing lesion with no signs of facial palsy. The tumor was completely resected by superficial parotidectomy and preservation of facial nerve. On histopathological examination it had a predominance of epithelial and myoepitheliah cells with myxoid stroma. The follow up of patient was 1 year and there is no recurrence.
Key words: Pleomorphic Adenoma, Parotid.
How to cite this Article:Nagarkar R, Roy S, Akheel M, Suryavanshi S.Pleomorphic Adenoma of Parotid Gland:A Case Report. Arch CranOroFac Sc 2015;3(1):18-20.
Source of Support: Nil.
Conflict of Interest: Nil.
Pleomorphic adenoma is the most common type of benign ,slow,continuous growing salivary gland tumor, most commonly affecting the parotid gland. It can often attain an enormous size and clinically manifest itself as a huge swelling behind the mandible with elevation of the ear lobule. We present a case of a pleomorphic adenoma in a 61 year old female with a history of 4 years of a growing lesion with no signs of facial palsy. The tumor was completely resected by superficial parotidectomy and preservation of facial nerve. On histopathological examination it had a predominance of epithelial and myoepitheliah cells with myxoid stroma. The follow up of patient was 1 year and there is no recurrence.
Key words: Pleomorphic Adenoma, Parotid.
How to cite this Article:Nagarkar R, Roy S, Akheel M, Suryavanshi S.Pleomorphic Adenoma of Parotid Gland:A Case Report. Arch CranOroFac Sc 2015;3(1):18-20.
Source of Support: Nil.
Conflict of Interest: Nil.
