Journal of ENT and Allied Sciences

Temporal bone carcinoma is a rare entity. Incidence of Sqamaous Cell Carcinoma( SCC ) of temporal bone is very less accounting as less than 6 cases per million per year which is 0.3% of all head and neck tumors. Temporal bone carcinoma is frequently misdiagnozed before surgery. Delay in treatment as a result of misdiagnosis has a poor prognosis. Five year disease specific survival is only 19% to 48%1-3. In this article we are reporting two cases of temporal bone carcinoma. In these cases High Resolution Computed Tomography (HRCT) and MRI findings revealed soft tissue density in external auditory canal with involvement of middle ear and mastoid area. The disease was in filtrating the surrounding bony substance which was ill defined, there was destruction of ear ossicles with limited erosion of facial canal wall. Both cases were initially misdiagnozed as chronic otitis media with extensive cholesteatoma which were later proved to be SCC temporal bone. Both cases underwent surgical resection with adequate marginsto eliminate the disease. HRCT reports were consistent with the intraoperative findings and post surgery histopathology reports. Patients underwent radiotherapy postoperative and followed up for average 6 months without recurrence.

Keywords: Temporal bone carcinoma; Head and neck cancers; Lateral temporal bone resection; Radiotherapy.
 

Introduction: Following surgical procedures in the region of nasal vestibule and nasal valves majority of patients have risk of developing vestibular stenosis and face lifelong complications with the external and internal nasal valves; sequels of the repair. The use of endotracheal tube as nasal stent has been mentioned in various literature but it is not validated yet. In the present study we highlighted the use of this endotracheal tube tailored nasal stents for recanalization, prevention of recurrences vestibular stenosis and preserving nasal valves.

Keywords: Nasal vestibular stenosis; Endotracheal tube; Nasal stents.
 

Castleman Disease (CD) is a nonclonal lymphoproliferative disorder that can affect either a single lymph node called unicentric or, can be generalized, multicentric. Though the disease has a wide spectrum of presentation, still there are no studies describing its natural history.
Unicentric type is usually a chronic and asymptomatic swelling with neck being the unusual site as compared to multicentric type which presents with mediastinal lymph node involvement and constitutional symptoms. Here we report a 24 year male, presenting with long standing history of painless solitary gradually progressive swelling in the posterior triangle of the neck, which was treated successively with excisional biopsy and was diagnozed with histopathology which showed unicentric type of Castleman disease. He was evaluated further to rule out multicentric type of disease, no other swellings seen in the body.

Keyword: Castleman disease; Excisional biopsy; Unicentric.
 

Mucormycosis is one of the sinister variant of fungal rhinosinusitis. An immunocompromised case with mucormycosis requires prompt diagnosis, in order to prevent a fatal outcome. Though the primary cause lies in the nose and sinus, due to lack of awareness, patients usually visits a physician, an ophthalmologist and may be then the otorhinolaryngologist, during this period, patient would have progressed to an advanced stage missing the early intervention. This case report of 70 year old male with mucormycosis of left side of the nose and sinus with paradoxical involvement of right eye and has been successfully treated with repeated endoscopic clearance of the crusts and diabetic control. Since the disease has a stormy course and rapid progression,
an early diagnosis and aggressive management is imperative and all the more so when the presentation is paradoxically elusive to avoid complications.

Keywords: Mucormycosis; Amphotericin; Fungal
 

Chronic infection of the middle ear cleft for at least 2 weeks or more is known as Chronic Suppurative otitis media. It usually manifests as a complication of acute otitis media. It is more prevalent in developing countries due to various predisposing factors like malnutrition, overcrowding, poor hygiene, inadequate health care, and recurrent upper respiratory tract infection. Due to advancement in medical facility, India still falls under high prevalence zone. In India, average prevalence of chronic Suppurative otitis media is 5.2%. Pseudomonas aeruginosa
and Staphylococcus aureus are the predominant isolates in most of the studies conducted in India as well as in other developing countries of the world. In case of fungal aetiology Candida spp and Aspergillus spp were the predominant isolates.

Keywords: Chronic Suppurative otitis media; Aerobic isolates; Developing countries.