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Isolated fungal epiglottitis: A rare presentation 孤立的真菌性会厌炎:罕见的表现
Pub Date : 2022-10-15 DOI: 10.18231/j.ijoas.2022.022
Harjitpal Singh, D. Sharma, M. Mahajan, A. Saini, T. Guleria, Bharti Ranot, Ravinder Kaur
Primary fungal epiglotitis is the isolated fungal infection of the epiglottis, without affecting the other body parts such as the larynx, lungs, pharynx, and oral cavity. It is an extremely rare clinical entity. Very few cases could be found in world literature. Pain throat and/or odynophagia are common clinical presentations. It can be secondary to inhaled steroid therapy which is usually mild.: In this article, we introduced a rare case of fungal epiglotitis in a 66 years old immunocompetent male presented with odynophagia without any other symptom or sign. In endoscopic laryngoscopy, using a 70 scope, a white lesion on swollen epiglottis was seen and rest of larynx was normal. No cervical lymphadenopathy was seen. Laryngeal area was tender on deep palpation. Patient was put on antibiotics and anti-inflammatory agents. There was no response even after 24 hers of starting treatment. Patient was put on empirically oral antifungal treatment and he improved in 6-8 hrs. Diagnosis of fungal epiglotitis was clinical, based on patient’s history, signs and sypmtoms. Signs included the inflammatory changes of the epiglotis and candida whitish discoloration of it. There was rapid and obvious improvement in condition of the patient, once started on oral antifungal treatment.
原发性真菌性会厌炎是会厌的孤立性真菌感染,不影响喉、肺、咽、口腔等其他身体部位。这是一种极为罕见的临床疾病。在世界文学中很少能找到这样的例子。喉咙痛和/或咽痛是常见的临床表现。它可以继发于吸入类固醇治疗,通常是轻微的。在这篇文章中,我们介绍一个罕见的真菌性会厌炎的病例,66岁的免疫功能正常的男性表现为吞咽,没有任何其他症状或体征。在内镜喉镜下,使用70镜,可见会厌肿胀的白色病变,喉部其余部分正常。未见宫颈淋巴结病变。深触诊喉区触痛。给病人开了抗生素和消炎药。即使在开始治疗24小时后也没有任何反应。经经验性口服抗真菌药物治疗,6 ~ 8小时病情好转。真菌性会厌炎的诊断是临床根据患者的病史,体征和症状。征象包括会厌的炎性改变和念珠菌白色变色。一旦开始口服抗真菌药物治疗,患者的病情有迅速而明显的改善。
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引用次数: 0
Faucial pillar suturing following tonsillectomy 扁桃体切除术后鼻梁缝合
Pub Date : 2022-10-15 DOI: 10.18231/j.ijoas.2022.017
Manish Gupta
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引用次数: 0
A comparative study of intranasal steroids with intranasal antihistamines sprays v/s intranasal steroids sprays alone in management of allergic rhinitis 鼻内类固醇与鼻内抗组胺喷雾剂或单独鼻内类固醇喷雾剂治疗变应性鼻炎的比较研究
Pub Date : 2022-10-15 DOI: 10.18231/j.ijoas.2022.019
Deepa Shivnani, E. V. Raman
Allergic rhinitis is the most common form of rhinitis, worldwide, affecting close to 10% to 30% of the global population. Heredity and environmental exposures may contribute to a predisposition to allergies. Pharmacotherapy along with effective allergen avoidance measures forms the mainstay of management of Allergic Rhinitis. The evidence indicates that intranasal corticosteroids are more efficacious than are antihistamines in the control of Allergic Rhinitis symptoms. This "superiority" is principally related to their effect on nasal obstruction. The numbers of studies done to know the efficacy of combination sprays over steroidal sprays alone are very few and provide insufficient insight.The purpose of this study was to ascertain whether the combination nasal sprays should be prescribed as a standard medical management for allergic rhinitis or not, as to achieve better quality of life after treatment with maximum improvement in Total Nasal Symptom Score (TNSS). 100 subjects were taken up for this study, 50 in each group after fulfilling the inclusion and exclusion criteria. Subjects were allocated in two groups according to consultant’s preference. Subjects were evaluated for Total Nasal Symptom Score (TNSS) and score of Mini Rhino conjunctivitis Quality of Life Questionnaire (MiniRQLQ) before and after the treatment initiation The study was conducted in two groups based on drug given and both the groups were evaluated after 2 weeks and 4 weeks of medication on the basis of TNSS and MiniRQLQ score. Allergic Rhinitis was found to be more common in younger age group. Both the drugs were effective in reducing the Total nasal symptom scores (TNSS) and score of MiniRQLQ significantly (p<0.001). However, Combination Nasal Sprays (Intra-nasal corticosteroids with intranasal antihistamines) were found to be statistically superior when compared to only intranasal steroid sprays.Combination Nasal Sprays are highly efficacious and statistically better to steroid nasal sprays hence this study confirms the superiority of combination nasal sprays and recommends combination nasal sprays as first line of treatment for allergic rhinitis.
过敏性鼻炎是世界范围内最常见的鼻炎形式,影响全球近10%至30%的人口。遗传和环境暴露可能导致过敏倾向。药物治疗以及有效的过敏原避免措施形成变应性鼻炎管理的支柱。有证据表明,在控制变应性鼻炎症状方面,鼻内皮质类固醇比抗组胺药更有效。这种“优势”主要与它们对鼻塞的作用有关。为了了解联合喷雾剂比单独使用类固醇喷雾剂的疗效而进行的研究数量很少,而且提供的见解也不够充分。本研究的目的是确定是否应将联合鼻喷雾剂作为变应性鼻炎的标准医疗管理,以获得更好的治疗后生活质量,并最大限度地改善鼻症状总评分(TNSS)。本研究共纳入100名受试者,每组50名,符合纳入和排除标准。受试者根据咨询师的偏好分为两组。在治疗开始前和治疗开始后对受试者进行鼻总症状评分(TNSS)和迷你犀牛结膜炎生活质量问卷(MiniRQLQ)评分。研究根据给药情况分为两组,分别在给药2周和4周后对两组患者进行TNSS和MiniRQLQ评分。变应性鼻炎在年轻人群中更为常见。两种药物均能显著降低总鼻症状评分(TNSS)和MiniRQLQ评分(p<0.001)。然而,联合鼻腔喷雾剂(鼻内皮质类固醇与鼻内抗组胺药)被发现在统计学上优于仅鼻内类固醇喷雾剂。联合鼻喷雾剂疗效显著且优于类固醇鼻喷雾剂,因此本研究证实了联合鼻喷雾剂的优越性,并推荐联合鼻喷雾剂作为过敏性鼻炎的一线治疗方法。
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引用次数: 0
An unusual foreign body in the trachea: A broken PVC tracheostomy tube 气管内异常异物:PVC气管造口管断裂
Pub Date : 2022-10-15 DOI: 10.18231/j.ijoas.2022.023
Manish Gupta, Amarjeet Kumar, Kiran J Thomas, Akanksha Gupta
In patients with upper airway obstruction and on long-term ventilatory support, tracheostomy is often needed. One rare complication of the same is fracture and aspiration of distal portion into the lower airway, mainly seen in metallic tubes. We report a very rare case, where aspiration of fractured PVC tracheostomy tube occurred, which was successfully removed by rigid bronchoscopy. The etiology and prevention measures are also being reviewed.
对于有上气道阻塞且需要长期通气支持的患者,通常需要气管切开术。一种罕见的并发症是骨折和远端吸入下气道,主要见于金属管。我们报告一个非常罕见的病例,发生了PVC气管造口管断裂的误吸,并成功地通过刚性支气管镜取出。病因和预防措施也正在审查中。
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引用次数: 0
A study of cut neck injuries in A tertiary health care centre 三级保健中心颈部割伤的研究
Pub Date : 2022-10-15 DOI: 10.18231/j.ijoas.2022.020
Arupjyoti Sarma, R. Borgohain, Geeta Timungpi, Daizy Brahma, Jenius Kochary Barman
Cut neck injuries are sharp incised injuries in the neck which if not treated promptly may lead to lifetime morbidity or even death of the patient. To study the socio-demographical pattern, various modes of injury and the management of cut neck injuries. This study was conducted in Tezpur Medical College from the time period of 01/01/20 to 31/12/21. A total of 28 cases of cut neck injuries were included in the study after obtaining proper consent from the patient party. The socio- demographic pattern, modes of injury and the treatment provided were recorded and analysed. Out of 28 cases, 18 were males and 10 females. Majority of the cases were suicidal (15), followed by homicidal (10) and accidental (3). Patients from rural areas were 19 whereas 3 cases were from urban population. Tracheostomy was needed in 10 cases. Cut neck injuries are serious injuries that need prompt treatment, failing to which can be life threatening to the patient. In our study we found that most of the patients were from lower socioeconomic background from rural areas. We also found that male were more commonly affected than females with a male to female ratio of 1.8:1. Most of the injuries were suicidal in nature.
颈部割伤是颈部尖锐的割伤,如果不及时治疗,可能导致患者终生发病率甚至死亡。目的:探讨颈部割伤的社会人口学特征、各种损伤方式及处理方法。本研究于20年1月1日至21年12月31日在提斯普尔医学院进行。经患者当事人同意后,共纳入28例颈部割伤患者。记录和分析了社会人口统计模式、伤害模式和所提供的治疗。在28例患者中,男性18例,女性10例。自杀性死亡最多(15例),其次是他杀(10例)和意外死亡(3例)。农村19例,城市3例。气管切开术10例。颈部割伤是严重的伤害,需要及时治疗,否则可能危及患者的生命。在我们的研究中,我们发现大多数患者来自社会经济背景较低的农村地区。我们还发现,男性比女性更容易受到影响,男女比例为1.8:1。大多数伤都是自杀性质的。
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引用次数: 0
Adenoid cystic carcinoma of soft palate 软腭腺样囊性癌
Pub Date : 2022-10-15 DOI: 10.18231/j.ijoas.2022.021
Abhinandan J Shriyan, Deepalakshmi Tantry, G. Tantry
Adenoid cystic carcinoma is a slow growing and relentless salivary gland malignancy composed of epithelial and myoepithelial neoplastic cells that form various patterns, including tubular, cribriform, and solid forms. It is a rare tumor constitutes for less than 1% of head and neck malignancies and 10% of all salivary gland tumors. Palate is the most common site to be involved in the oral cavity followed by parotid gland and submandibular gland. They are usually asymptomatic, characteristically shows infiltrative growth and perineural invasion. In this paper a case of adenoid cystic carcinoma of soft palate in 52 year old male is presented.
腺样囊性癌是一种生长缓慢且持续不断的唾液腺恶性肿瘤,由上皮和肌上皮肿瘤细胞组成,形成各种形态,包括管状、筛状和实状。它是一种罕见的肿瘤,占头颈部恶性肿瘤的不到1%,占所有唾液腺肿瘤的10%。腭是口腔最常见的受累部位,其次是腮腺和下颌骨腺。它们通常无症状,典型表现为浸润性生长和神经周围浸润。本文报告一例52岁男性软腭腺样囊性癌。
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引用次数: 0
A nasty guest of EAC - A rare case report of human otoacariasis EAC的一个讨厌的客人-一个罕见的人类耳螨病病例报告
Pub Date : 2022-10-15 DOI: 10.18231/j.ijoas.2022.024
Chenchulakshmi Vasudevan, B. Belaldavar, P. Apoorva
Otalgia has a spectrum of causes and one among them is a foreign body in the EAC. Insects are not uncommon, but pose a threat by virtue of carrying infections that affect the patient locally as well as systemically.A 42-year female patient presented with acute onset otalgia, examination by otoendoscopy showed a foreign body over the posterior superior canal wall and it was removed, further microscopy then diagnosed it as Ambylomma Testudinarium and patient was treated accordingly.In tropical and developing countries such as India otologists must be aware and watchful of EAC infestations by arthropod vectors. Farmers are more prone to this zoonotic infection. Ticks consume a blood meal and hatch eggs, causing local irritation, perforations and hematogenic spread of infection.Tick infestations though rare are perilous due to the risk of tick-borne infections, which have grave complications. The management must be holistic including the otological perspective with systemic treatment.
奥塔吉亚有一系列的原因,其中之一是东欧共同体有异物。昆虫并不罕见,但由于携带的感染会影响病人的局部和全身,因此构成威胁。女,42岁,急性起病耳痛,耳内窥镜检查发现后上管壁有异物,取出后镜检诊断为耳硬膜瘤,并予治疗。在热带和发展中国家,如印度,耳科医生必须意识到并警惕由节肢动物媒介感染的EAC。农民更容易感染这种人畜共患疾病。蜱虫吃血并孵化卵,引起局部刺激、穿孔和血源性感染传播。蜱虫感染虽然罕见,但由于蜱传播感染的风险,它具有严重的并发症。管理必须是整体的,包括耳科的角度和系统的治疗。
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引用次数: 0
Basal cell carcinoma excision with bilobed flap nasal reconstruction 基底细胞癌切除及双叶皮瓣鼻部重建
Pub Date : 2022-07-15 DOI: 10.18231/j.ijoas.2022.011
K. Kumar, Sumit Prinja, G. Bansal, Asuvini R, Simran Dhanoa, D. Rani
: Basal cell carcinoma (BCC) is a slow growing, locally destructive, malignant tumor of the skin. It is derived from non- keratinizing cells that originate from the basal layer of the epidermis. After excision nasolabial flap, median forehead dorsal nasal flap, glabellar flaps, bilobed flaps, cheek and craniofacial flaps are used for nasal reconstruction. The Zitelli’s bilobed flap is one of the most useful flaps for nasal reconstruction. It is a simple double transposition flap and is designed to move more skin, without deformation. A 60-years old male patient reported to our department with complains of circular raised and reddish discoloration lesion on the left side of the nose. Surgical excision and reconstruction of defect using bilobed flap was planned under general anaesthesia. The flap was designed in such a manner that the flap could be turned over the defect on the ala of the nose and closure of the donor site could be done primarily without deformity. Surgical excision of the nose lesion was done and reconstruction was performed using bilobed flap. The patient has been followed up for 1year with no evidence of recurrence. The bilobed flap is a versatile and reliable flap for coverage of small skin and soft tissue defects of the lower third of the nose. It gives a successful outcome if it is designed well and performed properly. In this case it helped us to achieve a defect free cosmetically fine nose after excision of basal cell carcinoma nose.
基底细胞癌(BCC)是一种生长缓慢,局部破坏性的皮肤恶性肿瘤。它来源于来源于表皮基底层的非角化细胞。术后采用鼻唇瓣、前额正中鼻背瓣、眉间瓣、双叶瓣、颊瓣和颅面瓣重建鼻腔。Zitelli双叶皮瓣是鼻部重建中最有用的皮瓣之一。这是一个简单的双移位皮瓣,旨在移动更多的皮肤,而不会变形。一位60岁男性患者到我科就诊,主诉左侧鼻部圆形凸起及红色变色病变。在全身麻醉下,采用双叶皮瓣进行手术切除和缺损重建。皮瓣的设计是这样的,皮瓣可以翻转在鼻翼上的缺陷和关闭供区可以完成基本无畸形。手术切除鼻部病变,用双叶皮瓣重建。患者随访1年,无复发迹象。双叶瓣是一种多功能和可靠的皮瓣覆盖小的皮肤和软组织缺损的下三分之一的鼻子。如果设计得当,执行得当,它就会取得成功。在这个病例中,它帮助我们在基底细胞癌鼻子切除后获得了一个无缺陷的美观的鼻子。
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引用次数: 0
Mucormycosis outbreak in India - What lead us to this crisis? 印度毛霉病爆发——是什么导致了这场危机?
Pub Date : 2022-07-15 DOI: 10.18231/j.ijoas.2022.008
R. Prasad, Sachana Prasad, R. Kumari, Komal khalkho, R. Choudhary
This is a retrospective study analysing the demographics, clinical characteristics, radiological findings and treatment of the 54 patients of rhino-sino-orbital or cerebral mucormycosis in a tertiary health care centre in Jharkhand. All patients with probable or proven mucormycosis were included in the study. A significant number (45%) of patients belonged to rural areas. About 20% of patients did not give history of COVID infection denoting association of mucormycosis in mild or asymptomatic COVID patients. There was a delay of approximately 11 days in seeking medical care leading to poorer outcome in patients. Diabetes was a major risk factor associated with 83% of the patients. Steroid was given as treatment in 80%of the patients who had COVID - 19. Extensive disease was seen in 37% of the patients suggesting that the mucormycosis was more devastating during the outbreak as compared to pre- covid times.
这是一个回顾性研究分析人口统计、临床特征、放射性的发现和治疗的54例rhino-sino-orbital或脑毛霉菌病恰尔肯德邦三级医疗中心。所有可能或证实患有毛霉病的患者都被纳入研究。相当多(45%)的患者来自农村地区。约20%的患者无COVID感染史,提示轻度或无症状的COVID患者与毛霉菌病有关。在寻求医疗护理方面有大约11天的延迟,导致患者预后较差。糖尿病是与83%的患者相关的主要危险因素。80%的COVID - 19患者给予类固醇治疗。在37%的患者中发现广泛的疾病,这表明与covid前相比,毛霉病在暴发期间更具破坏性。
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引用次数: 0
An unusual case of lymphoepithelial cyst of palatine tonsil 腭扁桃体淋巴上皮囊肿1例
Pub Date : 2022-07-15 DOI: 10.18231/j.ijoas.2022.013
Rinshin T, Deepalakshmi Tantry, G. Tantry
Amongst the various cystic lesions of oral cavity, Lymphoepithelial cyst (LEC) is a rare cystic lesion that presents as an asymptomatic submucosal mass and is usually discovered during routine oral examinations. Most common site of occurence is the floor of the mouth but tonsillar involvement seems to be very rare. Pathogenesis involves the excessive accumulation of desquamated epithelial lining in the tonsillar crypt. This results in a dilated obstructed crypt of the palatine tonsil region which presents as a cystic lesion. Here we are reporting a case of 17 year old female with lymphoepithelial cyst of tonsil.
在口腔的各种囊性病变中,淋巴上皮囊肿(LEC)是一种罕见的囊性病变,表现为无症状的粘膜下肿块,通常在口腔常规检查中发现。最常见的发生部位是口腔底部,但扁桃体的累及似乎是非常罕见的。发病机制涉及扁桃体隐窝中脱皮上皮衬里的过度积累。这导致腭扁桃体区域隐窝扩张阻塞,表现为囊性病变。我们在此报告一例17岁女性扁桃体淋巴上皮囊肿。
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引用次数: 0
期刊
IP Journal of Otorhinolaryngology and Allied Science
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