First Issue 2022最新文献

{"title":"OPTIMISING FUNCTIONAL OUTCOME IN SURGICAL\u0000RESECTION OF TONGUE BASE MALIGNANCIES USING\u0000LABIO-MANDIBULO-GLOSSOTOMY","authors":"Pookamala. S","doi":"10.36611/upjohns/volume10/issue1/7","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/7","url":null,"abstract":"AIM\u0000To highlight the advantages of median labiomandibulo\u0000glossotomy as a surgical approach for\u0000excision of tongue base malignancy.\u0000MATERIAL & METHODS\u0000It is a case review of 5 cases with tongue base\u0000malignant tumours treated in a tertiary care centre.\u0000There were 3 female and 2 male patients in the age\u0000group of 18-50 years. Histopathology included\u0000muco-epidermoid carcinoma in 3 cases, squamous\u0000cell carcinoma in1 case and clear cell sarcoma in 1\u0000case. Pre-operative assessment included\u0000endoscopic examination and MRI. Surgical\u0000excision was done via medianlabio-mandibuloglossotomy.\u0000Outcome was assessed in terms of\u0000oncologic adequacy and the functional impact.\u0000RESULTS\u0000Disease free resection margin could be achieved\u0000in all the 5 cases. Near normal functional recovery\u0000could be achieved within 2 weeks. 2 cases\u0000required speech therapy for few months. None of\u0000the patients developed recurrence during the\u0000follow up period.\u0000CONLUSION\u0000In selected cases of base of tongue malignant\u0000tumours, this approach provides complete disease\u0000clearance without any significant functional and cosmetic impact.\u0000KEYWORDS\u0000Labio-mandibuloglossotomy, oropharyngeal\u0000carcinoma, base of tongue malignancy, Chemoradiotherapy.","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"25 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121922790","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":"ORBITAL APEX SYNDROME","authors":"Eshani Dutta","doi":"10.36611/upjohns/volume10/issue1/9","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/9","url":null,"abstract":"The orbital apex syndrome is a relatively\u0000uncommon entity, characterized by retrobulbar\u0000pain, supraorbital nerve hypoesthesia, palpebral\u0000ptosis, loss of vision, ophthalmoplegia and fixed\u0000mydriasis caused by involvement of the structures\u0000within the orbital apex, namely, second (optic), third\u0000(oculomotor), fourth (trochlear), fifth (Opthalmic\u0000divison of trigeminal) and sixth (abducens) cranial\u0000nerves. Presenting a case of 62 year diabetic male\u0000with complaints of loss of vision, ptosis.\u0000Management of orbital apex syndrome mainly\u0000depends upon localization of the lesion,\u0000identification of the etiology followed by full course\u0000of antifungal therapy. Clinical diagnosis was\u0000supplemented with imaging modalities, like\u0000contrast enhanced computed tomography (CECT)\u0000of the orbits and paranasal sinuses, as well as MRI\u0000PNS with orbits, along with lab investigations. In\u0000this article, we attempt to explain in detail the\u0000symptomatology, clinical and radiological findings\u0000and management of the case.","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"-1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129998757","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":"A STUDY ON THE ROLE OF\u0000PROBIOTICS IN NASAL ALLERGY","authors":"Prashanth Veerabhadraiah","doi":"10.36611/upjohns/volume10/issue1/6","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/6","url":null,"abstract":"INTRODUCTION:\u0000One of the major components of the commensal\u0000microbial flora, which is being frequently used as\u0000probiotics in the intestinal tract of humans, is\u0000Lactobacilli. It exerts health benefits beyond\u0000inherent basic nutrition, and its role in increasing\u0000the immunomodulating capacity of the host is\u0000widely accepted. In the treatment of allergic\u0000diseases, the beneficial effect of probiotics has\u0000been demonstrated.\u0000OBJECTIVE\u0000This study was aimed to observe the effectiveness\u0000of probiotics in reducing the symptoms of nasal\u0000allergy.\u0000METHODS\u0000Total 50 patients suffering from Allergic Rhinitis\u0000(AR) were administered with probiotics for a period\u0000of six weeks post which the VAS and IgE scores of\u0000the symptoms (Rhinorrhea, Sneezing, and Nasal\u0000obstruction) were statistically analyzed. The pre\u0000and post treatment VAS and IgE scores were\u0000collected and analyzed.\u0000RESULTS\u0000It showed that there was a reduction in the scores\u0000after the administration of probiotics.\u0000CONCLUSIONS\u0000This prospective study demonstrated the\u0000presence of significant improvement in the VAS\u0000and IgE scores among the following nasal\u0000symptoms - Rhinorrhea, Sneezing, and Nasal obstruction with the administration of probiotics in\u0000the patients suffering with AR.\u0000KEYWORDS\u0000Allergic rhinitis, probiotics, nasal obstruction,\u0000rhinorrhea and sneezing.","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124542289","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":"ROLE OF MIDDLE EAR RISK INDEX SCORE,\u0000DIAGNOSTIC NASAL ENDOSCOPY AND EUSTACHIAN TUBE\u0000FUNCTION IN PREDICTING OUTCOME OF TYMPANOPLASTY","authors":"R. Nambiar","doi":"10.36611/upjohns/volume10/issue1/3","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/3","url":null,"abstract":"AIM\u0000To study the role of middle ear risk index (MERI)\u0000score, nasal pathology and Eustachian tube\u0000f u n c t i o n i n p r e d i c t i n g t h e o u t c o m e o f\u0000tympanoplasty.\u0000METHODOLOGY\u0000Patients of age group 5-60 years both male and\u0000female with diagnosis of CSOM, planned for\u0000tympanoplasty with or without mastoidectomy\u0000were taken in the study. Detailed history and\u0000examination of all patients fulfilling the inclusion\u0000criteria was done. Preop findings were observed\u0000and recorded. MERI scoring was obtained. The\u0000data collected pre operatively was assessed with\u0000surgical outcome based on graft uptake status and\u0000PTA. Post op follow up was done at 1.5 and 3\u0000months. This data was evaluated and compared\u0000with pre op finding.\u0000RESULTS\u0000The overall success rate of tympanoplasty in the\u0000study was 86% based on graft uptake and 85%\u0000according to hearing benefit. The number of\u0000patients with graft up[take was higher among\u0000those with mild MERI score (87.5%) compared to\u0000those with moderate and severe MERI scores\u0000(83%). The graft uptake is lesser in patients with\u0000gross DNS & Eustachian tube dysfunction. Thus\u0000MERI is a helpful tool to ascertain the prognosis of\u0000tympanoplasty.\u0000CONCLUSION\u0000The study concludes that MERI score, DNE and ET\u0000function evaluation in patients with chronic otitis\u0000media are very useful methods in predicting the\u0000outcome of tympanoplasty.\u0000KEYWORDS\u0000Chronic otitis media, Middle ear risk index,\u0000Eustachian tube function, diagnostic nasal\u0000endoscopy, tympanoplasty outcome","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128140130","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":"A PROSPECTIVE STUDY TO EVALUATE THE OUTCOME\u0000OF FLEXIBLE ENDOSCOPIC INJECTION THYROPLASTY\u0000IN PATIENTS OF VOCAL FOLD PARALYSIS","authors":"R. Singh","doi":"10.36611/upjohns/volume10/issue1/4","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/4","url":null,"abstract":"INTRODUCTION\u0000Injection Laryngoplasty in the office setting have\u0000shown promising results with significant\u0000improvement in both subjective and objective\u0000voice outcome measures in patients of Vocal fold\u0000paralysis\u0000OBJECTIVE\u0000The aim of this study was to evaluate the safety,\u0000efficacy and outcome of Flexible Endoscopic\u0000Injection Type-1 Thyroplasty in patients of\u0000Unilateral Adductor Vocal fold paralysis\u0000METHOD\u0000A Prospective hospital based Interventional study\u0000was carried out in the department of ENT of a\u0000Tertiary Care Medical College and associated\u0000Hospital during a period of 22 months from\u0000January 2020 to October 2021. A total of 60\u0000patients were selected according to Inclusion\u0000criteria and Exclusion criteria.Each of these\u0000patients underwent Injection Laryngoplasty with\u0000Gel foam under Local Anesthesia. Auditory\u0000perceptual assessment was done using modified\u0000GRBAS score, Voice Handicap Index and\u0000Maximum phonation time.\u0000RESULTS\u0000Statistical analysis revealed a significant difference\u0000between pre and post-injection voice quality as\u0000assessed by “GRBAS” scale and Voice Handicap\u0000Index (VHI). Maximum phonation time (MPT) was\u0000sufficiently increased following injection andimprovement was consistent throughout the\u0000follow-up periods.\u0000CONCLUSION\u0000Injection Laryngoplasty with gel foam paste is a\u0000temporary remedy for compensatory therapy for\u0000v o c a l c o r d p a r a l y s i s w i t h o u t a n y m a j o r\u0000disadvantages.\u0000KEYWORDS\u0000Hoarseness, Vocal cord paralysis, Injection\u0000Thyroplasty","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134047028","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":"ENDOSCOPIC TRANSCANAL TRANSTYMPANIC POP\u0000THROUGH TECHNIQUE OF MYRINGOPLASTY USING\u0000TRAGAL PERICHONDRIUM GRAFT","authors":"Dechu Muddaiah","doi":"10.36611/upjohns/volume10/issue1/1","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/1","url":null,"abstract":"INTRODUCTION\u0000A perforated tympanic membrane is most\u0000commonly repaired using temporalis fascia graft\u0000by microscope assisted post auricular approach\u0000and underlay technique, we present an alternative\u0000technique to repair the perforated tympanic\u0000membrane using an alternative easily accessible\u0000graft material like tragal perichondrium, by\u0000endoscope assisted trans canalicular approach,\u0000where the graft is placed medial to the tympanic\u0000membrane remnant by pop through technique.\u0000OBJECTIVE\u0000T h e u s a g e o f r i g i d 4 m m e n d o s c o p e f o r\u0000myringoplasty allows better visualization,\u0000magnification and reconstruction of perforated\u0000tympanic membrane using tragal perichondrium is\u0000minimally invasive. The purpose of the study is to\u0000put across our experience in 69 patients where\u0000endoscopic assisted myringoplasty was done\u0000using tragal perichondrium graft. The graft was\u0000placed medial to the tympanic membrane remnant\u0000by trans tympanic pop through technique and\u0000tympanomeatal flap was not raised.\u0000METHOD\u0000This study was done over a period of 3 years, 69\u0000patients with chronic suppurative otitis media\u0000fitting into the inclusion criteria underwent\u0000endoscopic transcanal myringoplasty using tragal\u0000perichondrium as graft material by underlay pop\u0000t h r o u g h t e c h n i q u e . T h e p o s t o p e r a t i v e\u0000audiological improvement in closure of air bone\u0000gap on pure tone audiometry, success in tragal\u0000perichondrium graft uptake, and mean operative\u0000time was evaluated.\u0000RESULTS\u0000The study population was 69 with predominantly\u0000females, the post operative pure tone audiometry\u0000showed that 39.1% had closure of airbone gap of\u000010db, 17.4% showed air bone gap closure of 20bd\u0000and 43.5 % showed air bone closure of 15db.\u000085% had success of graft uptake (i.e. complete\u0000closure of perforation) at 6 weeks post op .The\u0000mean operative time was 80 minutes.\u0000CONCLUSION\u0000Endoscopic assisted trans-canalicular (pop\u0000t h r o u g h t e c h n i q u e ) o f s i m p l e u n d e r l a y\u0000myringoplasty using tragal perichondrial graft is\u0000simple, minimally invasive with good post\u0000operative improvement in hearing and can be\u0000d o n e a s a d a y c a r e p r o c e d u r e w i t h o u t\u0000complications.\u0000KEYWORDS\u0000Endoscopic myringoplasty, tragal perichondrium ,\u0000pop in technique.","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122149052","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":"QUILTING, AS AN ALTERNATIVE TO NASAL PACKING,\u0000OUR EXPERIENCE AT A GOVERNMENT DISTRICT\u0000HOSPITAL IN NORTH INDIA","authors":"Vertika Tewari","doi":"10.36611/upjohns/volume10/issue1/5","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/5","url":null,"abstract":"We aimed to study the efficacy of transseptal\u0000suturing in patients undergoing septoplasty and to\u0000compare the surgical outcome and complications\u0000of transseptal suturing with nasal packing. We\u0000c o n d u c t e d a p r o s p e c t i v e , c o m p a r a t i v e ,\u0000randomized study in Deen Dayal Upadhyaya\u0000hospital New Delhi from July 2016 to May 2017.A\u0000total of 60 patients with symptomatic Deviated\u0000nasal septum within age group of 18 to 60 years\u0000were included in our study. All these patients\u0000underwent septoplasty and were randomly\u0000divided into two group of nasal packing and\u0000transseptal suturing. Patients were interviewed\u0000and assessed for nasal pain, nasal bleeding,\u0000epiphora, dryness of mouth, sleep disturbances.\u0000Mean Pain score using VAS was 8 in nasal packing\u0000group and 2.3 in transseptal suturing group in 48\u0000hours observation period, moreover mean score of\u00008 on VAS was observed during pack removal in\u0000nasal packing group. None of the patient in\u0000transseptal suturing group underwent nasal\u0000bleeding thus none of them required add on nasal\u0000packing.100% patients in medicated gauze nasal\u0000packing group presented with epiphora,\u0000headache, sleep disturbances, and dryness of\u0000mouth in 48 hours observation period, whereas\u0000none of the patient in transseptal suturing group\u0000presented with such symptom. None of the patient\u0000in either group presented with postoperative\u0000septal perforation, synechiae foramation, crusting,\u0000s t t h septal haematoma during 1 and 4 week\u0000diagnostic nasal endoscopy. Even with limited resources of a government district hospital we\u0000were able to conclude transseptal suturing as\u0000better and efficient method to minimize the\u0000sufferings of patients undergoing septoplasty.\u0000KEYWORDS\u0000Quilting, Transseptal suturing, Septoplasty","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124181668","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":"SURGICAL MANAGEMENT OF\u0000POSTAURICULAR EPIDERMAL INCLUSION CYST\u0000AFTER COCHLEAR IMPLANT SURGERY","authors":"Govind Bhuskute","doi":"10.36611/upjohns/volume10/issue1/8","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/8","url":null,"abstract":"Post auricular epidermal inclusion cyst after ear\u0000surgery are rare in clinical practice and such\u0000condition post cochlear implantation is not yet\u0000reported in the literature.We are reporting\u0000management of two cases of post auricular\u0000epidermal inclusion cyst occurring few years after\u0000cochlear implantation with a functional implant insitu.\u0000OBJECTIVE\u0000To highlight the occurrence of post operative\u0000epidermal inclusion cyst in patients with cochlear\u0000implantation.\u0000MATERIAL AND METHODS\u0000Two cases with post aural cystic lesion post\u0000cochlear implantation surgery reported between\u00002017 to 2019 at a referral centre are highlighted.\u0000They were aged 8 and 13 years old and had\u0000cochlear implant surgery done 5 and 8 years prior\u0000to onset of swelling. Both cases were managed\u0000surgically.\u0000RESULTS\u0000Post cochlear implant swelling at surgical site is\u0000always a matter of concern. Both patients\u0000underwent FNAC and CT which were suggestive of\u0000epidermal inclusion cyst. Total excision was done\u0000with no evidence of recurrence.\u0000CONCLUSION\u0000Post auricular EIC are very rare after cochlear implant and should be kept in differential diagnosis\u0000of post auricular swelling years after surgery and\u0000can be differentiated from seroma by location and\u0000FNAC. EIC can be safely excised after cochlear\u0000implant surgery without compromising the implant.\u0000KEYWORDS\u0000Cochlear Implant, post uricular cyst, epidermal\u0000i n c l u s i o n c y s t , v e r i a , C o c h l e a r i m p l a n t\u0000complication.","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"130 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134054676","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":"A COMPARATIVE STUDY OF ENDOSCOPIC\u0000MYRINGOPLASTY V/S MICROSCOPIC MYRINGOPLASTY","authors":"A. Naseem","doi":"10.36611/upjohns/volume10/issue1/2","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/2","url":null,"abstract":"INTRODUCTION\u0000Chronic suppurative otitis media (CSOM) is one of\u0000the common Otological conditions in India for\u0000w h i c h p a t i e n t s s e e k a d v i c e f r o m a n\u0000Otorhinolaryngologists. Poverty, illiteracy,\u0000overcrowding and poor hygiene are all factors\u0000which play an important role in the causation of the\u0000disease.\u0000Various surgical modalities of treatment have been\u0000tried since ages to eliminate this disease from the\u0000middle ear cleft. The use of the surgical\u0000microscope brought revolutionary advances into\u0000the field of Otological surgery because its new\u0000technology expanded the ability of surgeons to\u0000see in limited confines of the temporal bone.\u0000Initially endoscopes were used only for diagnostic\u0000and photographic purposes but now endoscopes\u0000are being used more and more for surgical\u0000purposes.\u0000The current study attempts to study the\u0000advantages and disadvantages of endoscopic\u0000myringoplasty in comparison to the conventional\u0000microscope assisted myringoplasty.\u0000OBJECTIVES\u0000To e v a l u a t e t h e e ffi c a c y o f E n d o s c o p i c\u0000myringoplasty with Microscopic Myringoplasty\u0000with reference to hearing and graft uptake\u0000MATERIALS AND METHODS\u0000Fifty cases of clinically diagnosed chronic\u0000suppurative otitis media with dry central\u0000perforation were taken into account of which 25\u0000cases were undergone endoscopic myringoplasty\u0000a n d 2 5 c a s e s u n d e r g o n e c o n v e n t i o n a l\u0000myringoplasty. All patients were followed up till 6\u0000months after surgery.\u0000RESULTS\u0000There was a strong statistical significant difference\u0000between the two groups (p=<0.001) for duration of\u0000surgery, hospitalization and hearing gain and graft\u0000uptake. In endoscopic and conventional groups of\u0000myringoplasty, the mean hearing loss improved to\u000016.88 dB and 19.76 dB respectively.\u0000CONCLUSION\u0000The surgical outcome of endoscope assisted\u0000myringoplasty was comparable in terms of\u0000tympanic membrane status after surgery, but in\u0000terms of duration of surgery, hospitalization and\u0000post-operative air bone gap patients in the\u0000endoscope group had better results.\u0000KEYWORDS\u0000Chronic suppurative otitis media, Endoscopic\u0000Myringoplasty, Microscopic Myringoplasty.","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116492630","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":"A RARE CASE OF INTRAORAL PENETRATING INJURY\u0000(IRON ROD) IN A 11 YEAR OLD CHILD.","authors":"R. Yadav","doi":"10.36611/upjohns/volume10/issue1/10","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/10","url":null,"abstract":"INTRODUCTION\u0000Morbidity and mortality of penetrating neck trauma\u0000reported as 5-10% and 3-6% respectively. Massive\u0000haemorrhage has been main cause of death\u0000.Selective management is a shift from traditional\u0000mandatory exploration which is based on physical\u0000examination and selective diagnostic studies. We\u0000hereby present a case of penetrating zone II neck\u0000injury by an iron rod in a11 year old boy due to\u0000accidental fall in under construction building.\u0000AIM AND OBJECTIVE\u0000To highlight the rarity of the case and emphasize on\u0000the complex nature of injury.\u0000METHODOLOGY\u000011 year old male child was referred to our medical\u0000college hospital with history of fall over iron rod in\u0000an under construction building. He was vitally\u0000stable on examination and around 45 cms iron rod\u0000was seen penetrating through anterior tongue and\u0000floor of mouth extending through the left\u0000submandibular gland externally. There was no\u0000bleeding or hematoma . Patient was subjected to\u0000Surgery and rod was removed under GA .There\u0000was no post operative complications .On follow up\u0000upto 6 months patient was doing fine .\u0000CONCLUSION\u0000Penetrating neck injury is rare and anatomical\u0000knowledge of neck is of utmost importance so as to\u0000prevent undue complications and aggressive\u0000management .Conventional packing of sinus tract\u0000is no longer recommended .Good clinical\u0000diagnosis can rule out any sign of vascular injury and in that case angiography and CT could be\u0000avoided without any major risk.","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132315240","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}