Sujata A Gawai, K. R. Kumar, Suman P Rao, Vaishali S Sangole, D. George
{"title":"Inflammatory Pseudotumor of Premaxillary Subcutaneous Tissue","authors":"Sujata A Gawai, K. R. Kumar, Suman P Rao, Vaishali S Sangole, D. George","doi":"10.5005/JP-JOURNALS-10003-1066","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1066","url":null,"abstract":"Inflammatory pseudotumor also known as plasma cell granuloma is a space occupying lesion which occurs in wide variety of somatictissue and visceral organs, including lungs, liver, thyroid and many other organs. Recently, it has been described in the major salivaryglands and buccal tissue in children.1 We have described here the clinical, radiological and histological findings of inflammatory pseudotumorin premaxillary subcutaneous tissue in an adult, which is a rare site.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132195692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neeti Verma, Narender Kumar, R. Azad, Neelam Sharma
{"title":"Angiomatous Nasal Polyp: A Condition Difficult to Diagnose","authors":"Neeti Verma, Narender Kumar, R. Azad, Neelam Sharma","doi":"10.5005/JP-JOURNALS-10003-1062","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1062","url":null,"abstract":"Introduction: Angiectatic nasal polyp (ANP) is a rare entity of inflammatory sinonasal polyp, constituting 4 to 5% of all nasal polyps.1 Anangiomatous polyp originates from a sinochoanal polyp, either an antrochoanal or a sphenochoanal polyp. Their hallmark feature isextensive vascular proliferation and ectasia with deposition of pseudoamyloid and the presence of atypical stromal cells. Thispseudoneoplastic entity is the result of extensive reactive and reparative changes in inflammatory SNPs.Case report: We came across an interesting case of angiomatous nasal polyp. CT finding also supported the clinical impression ofneoplastic mass but repeated biopsies were negative for malignancy. The mass was excised by lateral rhinotomy and the final impressionof angiectatic nasal polyp was made.Discussion and conclusion: Only few studies have been done on this topic and literature is also scant. Thus, awareness of their existenceis of considerable importance. Differential diagnosis includes angiofibroma, malignancy, inverted papillomas and hemangiomas.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121179169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Baser, Shenal Kothari, S. Thatte, V. R. Munjal, Arvind Kinger
{"title":"Primary Orbital Hydatid Cyst","authors":"B. Baser, Shenal Kothari, S. Thatte, V. R. Munjal, Arvind Kinger","doi":"10.5005/JP-JOURNALS-10003-1072","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1072","url":null,"abstract":"The authors want to highlight the importance of clinical, radiological and histopathological evaluation in unilateral proptosis. A 17-yearoldmale presented with left progressive nonpulsatile proptosis, lateral gaze diplopia and decreased visual acuity. It was diagnosed asorbital hydatid cyst on CT scan and MRI. The patient was successfully operated with near total recovery of the vision. Radiologicalinvestigation showed a circumscribed cystic lesion lateral to orbit separate from the lacrimal gland. Intraoperative cysts and postoperativehistopathology confirmed the primary orbital hydatid cyst.Although rare there is always a possibility of a primary hydatid in patients with unilateral proptosis, restricted eye movements andlateral decreased visual acuity. This is possible even when the Casoni�s test is negative. Surgical excision with postoperative albendazoleis the effective treatment for the cure of disease.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"489 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122169654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zena M Patel, Santosh G. Gupta, B. Hathiram, V. Khattar
{"title":"Imaging in Common Anterior and Sellar/Perisellar Skull Base Lesions","authors":"Zena M Patel, Santosh G. Gupta, B. Hathiram, V. Khattar","doi":"10.5005/JP-JOURNALS-10003-1073","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1073","url":null,"abstract":"Skull base surgery is an advanced surgical subspeciality. A wide range of pathologies can primarily or secondarily involve the skull base. Due to its complex anatomy, cross-sectional imaging is an important part in the multidisciplinary approach for skull base lesions.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122005059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Patkar, Rama Yanamandala, Mukesh Pardhi, S. A. Gaikwad, S. Pawar
{"title":"MRI of Lateral Skull Base Lesions","authors":"D. Patkar, Rama Yanamandala, Mukesh Pardhi, S. A. Gaikwad, S. Pawar","doi":"10.5005/JP-JOURNALS-10003-1053","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1053","url":null,"abstract":"This article reviews the role of magnetic resonance imaging (MRI) in the evaluation of lateral skull base lesions. Due to superior softtissue resolution and multiplanar capability, MRI provides accurate information and exquisite anatomical detail. Thus, it guides thesurgeon in proper preoperative planning regarding the approach of a lesion. MRI is also useful in post-treatment follow-up to assess thetherapeutic response and to identify potential complications. We discuss the relevant anatomy, indications of MRI and MR pulse sequencesused in the diagnosis of lesions of lateral skull base. Characteristic MRI findings of various lesions which help to arrive at a specificdiagnosis as well as pitfalls of MRI which may confound the diagnosis are described. Newer MR pulse sequences enable image-guidedsurgery, which assist the surgeon intraoperatively, are briefly discussed. In summary, this article emphasizes the role of MRI in providinga specific answer to a clinical problem and its ability to guide the clinician for better management of patients.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123903936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Jugular Foramen Tumors","authors":"C. Rayappa","doi":"10.5005/JP-JOURNALS-10003-1050","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1050","url":null,"abstract":"Jugular foramen tumors are rare cranial base lesions that present diagnostic and management difficulties. Paragangliomas were themost frequent lesions, followed by schwannomas and meningiomas. These tumors have characteristic radiological features. Radicalresection of these tumors with preservation of the lower cranial nerves is the treatment of choice. Despite the advances in skull basesurgery, new postoperative lower cranial nerve deficits still represent a challenge.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116398504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Morwani, N. Jayashankar, S. Sankhla, R. Agrawal
{"title":"Decision Making in Lateral Skull Base Surgery","authors":"K. Morwani, N. Jayashankar, S. Sankhla, R. Agrawal","doi":"10.5005/JP-JOURNALS-10003-1048","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1048","url":null,"abstract":"Lateral skull base surgery encompasses a number of lesions and also a variety of approaches to deal with them. Correct understandingof the nature of the lesion as also various patient factors are used to decide on surgical option wherever indicated. The extent of thelesion and also the involvement of structures adjacent to the lesion is discussed with the neuroradiology team, and is very important indeciding the most favorable surgical approach. The subject is explained preoperatively about staging of the procedure, if needed. Theprinciple is to gain maximal exposure of the lesion with good control of the neurovascular structures along the surgical route, so as tominimize morbidity. Correct decision making and good skill help in achieving the best possible results.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"229 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116641194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Management of Vestibular Schwannoma: Dependence on Stakeholder's View for Small and Medium-Sized Tumors","authors":"H. Gouveris, Maria Zisiopoulou, W. Mann","doi":"10.5005/JP-JOURNALS-10003-1049","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1049","url":null,"abstract":"Management options for patients with vestibular schwannoma include observation and active treatment, namely surgical resection, gamma knife stereotactic radiosurgery or fractionated radiation therapy. Although for large tumors microsurgery remains the mainstay of treatment, management of the small- and medium-sized vestibular schwannomas has been the matter of considerable controversy. Computerized clinical decision support systems have been developed to assist clinicians in this demanding task. Nonetheless, the complexity of the problem requires adaptation of the decision strategy to specific circumstances arising within a particular clinical scenario which can not always be modeled with adequate precision or addressed adequately within a mathematical framework. We present a set of clinical, neurophysiologic and radiologic parameters and the respective evidence which may guide carers’ decisions. These parameters include the size, growth rate and localization of the tumor, the age, general medical condition, facial nerve function, hearing and hearing deterioration rate, balance, vestibular and trigeminal nerve function of the affected individual, the estimated risk of malignant transformation and radiation-induced tumors, the health-related quality of life measures, the patient’s and surgeon’s preference and the issue of cost-effectiveness. A complex decision analysis, guided by evidence and tailored to each individual patient is required.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132543523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Should Gamma Knife be Offered as aPrimary Treatment for a Resectable GlomusJugulare Tumor","authors":"K. Morwani, N. Jayashankar, S. Sankhla, V. Kakkar","doi":"10.5005/JP-JOURNALS-10003-1056","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1056","url":null,"abstract":"Attempted total resections is the preferred treatment option in the management of glomus jugulare tumors in most subjects. In theelderly patients, it may be advisable to leave a tiny residue over the involved cranial nerve to preserve function. In a medically unfit andanesthetically high-risk subject observation with serial MRI scans is the preferred line of management. If in such a patient there occursbrainstem compression, it is prudent to only operate the intracranial part to relieve the compression explaining the very high-risk in thisgroup. Radiotherapy is not to be offered as a primary treatment for glomus jugulare tumors.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132653850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transmastoid repair of temporal meningoencephaloceles and cerebrospinal fluid otorrhea","authors":"D. Zanetti, W. Garavello, L. Gaini","doi":"10.5005/JP-JOURNALS-10003-1052","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1052","url":null,"abstract":"This paper reviews the diagnosis and treatment of temporal bone meningoencephaloceles, defined as the herniation of meninges orbrain tissue into empty spaces within the temporal bone, i.e. tympanic or mastoid cavity, through the tegmen tympani or antri respectively.It also describes the current methods of control of cerebrospinal fluid (CSF) leaks, which commonly present as serous otorrhea orrhinorrhea in addition to a variety of symptoms, such as conductive hearing loss. Imaging is the mainstay of the diagnostic process.Management of the condition is surgical, and this review outlines the surgical options with special emphasis on the transmastoid approachand the materials applicable for repair of the bony dehiscences.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133785972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}