Pritam Chatterjee - Academia.edu (original) (raw)
Papers by Pritam Chatterjee
International Journal of Ophthalmology, Apr 18, 2022
Objective: To show utility of small incision (4 cm or less) in parotidectomy where incision is pu... more Objective: To show utility of small incision (4 cm or less) in parotidectomy where incision is purely cervical. Study design: Prospective study. Setting: Tertiary care centre. Materials and Methods: In the study period of 7 years, from July 2008 to June 2015, 40 patients were included in this study, and were considered pre-operatively for possible attempt to perform minimally invasive small incision parotidectomy. All these patients with parotid swelling were included based on ultrasound and fine needle aspiration cytology. The exclusion criteria were malignancy, involvement of skin, facial nerve palsy and patients with tumour size more than 5 cm in one diameter. Conclusion: Small Incision Parotid Surgery (SIPS) can be a good procedure, if used judiciously, even for deep lobe tumour with proper visualization of the facial nerve, may prevent frey’s syndrome producing a very good aesthetic outcome. Keyword: Parotidectomy, Small Incision, Extra Capsular Dissection, Frey’s Syndrome, Cer...
Cystic hygromas are rare tumours. The pathophysiology lies in occlusion of lymph channels. It may... more Cystic hygromas are rare tumours. The pathophysiology lies in occlusion of lymph channels. It may present as a congenital swelling or in adulthood. There are various chromosomal anomalies associated with it. We here have are presented a series of 9 patients of cystic hygromas and their management. Though easy to diagnose clinically, it needs good radiological evaluation. Complete surgical excision is possible even in very extensive lesions.
IOSR Journal of Dental and Medical Sciences, 2014
Pleomormpic lipoma of the anterior neck is a rare entity. Although pleomorphic lipomas a benign t... more Pleomormpic lipoma of the anterior neck is a rare entity. Although pleomorphic lipomas a benign tumour it may contain atypical cells. Histologically pleomorphic lipoma is composed of mature fat, bland spindle shaped mesenchymal cells and coarse "rope like" collagen bands In addition pleomorphic lopoma contains multi-neucleated florat like giant cells. It Enzinger & Harvey [1] in their original series of pleomorphic lipoma \ spindle cell lipoma where there is little fat or no fat is a diagnostic challange.Immunohostochemical analysis by CD 34 positivity and desmin negativity is a diagnostic criteria. Here with we presenting a huge pleomorphic lipoma in the retropharyngeal space presenting as anterior neck swelling and sleep apnoea.
Indian Journal of Otolaryngology and Head & Neck Surgery, Jan 12, 2017
Odontogenic tumours are a group of heterogeneous diseases that range from hamartomatous or nonneo... more Odontogenic tumours are a group of heterogeneous diseases that range from hamartomatous or nonneoplastic tissue proliferations to benign neoplasms to malignant tumours with metastatic potential. They are rare, comprising about \2-3% of all oral and maxillofacial biopsy specimens. The aim of the present study was to determine the clinico-pathological presentation of this heterogeneous group of lesions and review of literature. The present study was conducted in the ENT department of a Government Medical College and Hospital, West Bengal, India, over the period of 5 years from January 2011 to December 2015. It included a total of 15 patients who were clinico-radiologically diagnosed as odontogenic tumours, and were given appropriate treatment. Their diagnostic and management approaches are discussed. Among 15 odontogenic tumours, 13 were benign and two were malignant. Male to female ratio was 2:3. Mandible to maxilla ratio was 1.8:1. The patients were in between 4 and 56 years of age with highest incidence in 3rd decade of life. All patients are doing well till date with a minimum follow-up of 1 year. Incisional biopsy is considered as gold standard for preoperative diagnosis but FNAC can offer clinicians a less invasive alternative. CT is the choice of investigation for study of lesion, analysis of its extension and surgical planning. The challenge to proper management lies in balancing between conservative and radical approach to reduce morbidity and recurrence both. Final diagnosis is made by post-operative histopathological examination.
Indian Journal of Otolaryngology and Head & Neck Surgery, Jul 1, 2015
Chronic suppurative otitis media (CSOM) presents with a typical history of recurrent otorrhoea wi... more Chronic suppurative otitis media (CSOM) presents with a typical history of recurrent otorrhoea with tympanic membrane perforation. The diagnosis of cholesteatoma is usually made on otologic examination. High resolution computed tomography (HRCT) is indicated to evaluate the extension and the complications of cholesteatoma. The aim of the work was to study the role of HRCT in detecting, evaluating diagnosing and managing CSOM. All patients presenting with CSOM who were planned for mastoid exploration surgery in department of ENT, Gauhati Medical College and Hospital within a period of 2 years-from 1st January, 2013 to 31th December, 2014, were taken up for the study. HRCT mastoids done routinely before cholesteatoma surgery, but with improved resolution, to characterize all middle ear structures and complications of the disease prior to surgery, might guide as road map during mastoid explorations for unsafe CSOM. The important role of HRCT lies on the early detection of cholesteatoma, and more conservative surgical procedures can be used to eradicate the disease.
Bengal Journal of Otolaryngology and Head Neck Surgery, 2021
Introduction The most common complication following accidental ingestion of a foreign body is ent... more Introduction The most common complication following accidental ingestion of a foreign body is entrapment in the upper digestive tract. Spontaneous penetration of a foreign body through the upper digestive tract and migration into the soft tissues of the neck is very uncommon. Consequences from such migratory foreign body can be serious and potentially fatal. Case Report Thirty six years old female presented with history of accidental ingestion of an unknown foreign body 3 days back. Clinical examination, plain radiography, hypopharyngoscopy and oesophagoscopy failed to find out the foreign body. Thereafter the patient developed thyroid abscess which was confirmed by computed tomography. Surprisingly we discovered the foreign body during surgical exploration of neck. Conclusion In a case of accidental ingestion of foreign body, even if initial evaluation with endoscopy and plain radiography are negative, the patient should be followed closely until resolution of symptoms. A high inde...
Metastasis to head and neck in patients with astrocytomas may rarel y be seen on ro utine follow ... more Metastasis to head and neck in patients with astrocytomas may rarel y be seen on ro utine follow - up by clinicians. Here we present a rare case of metastatic pleomorphic xanthoastrocytoma (PXA ) presenting as cervical neck node, confirmed by FNAC and d iscuss various po ssible explanations for the same.
Bengal Journal of Otolaryngology and Head Neck Surgery, 2021
Introduction Hydatid cysts in the neck are relatively exceptional. We report a rare case of a hyd... more Introduction Hydatid cysts in the neck are relatively exceptional. We report a rare case of a hydatid cyst localized in the right submandibular region of the neck with a second cyst in lung discussing diagnostic and management algorithm with brief review of literature. Case Report A 6 years old boy presented to us in Gauhati Medical College & Hospital with a gradually enlarging painless swelling in right submandibular region since last 4 months. The patient was thoroughly evaluated. Imaging and FNAC was performed. Suspected common locations were also screened prior to surgery. He was treated with total pericystectomy and followed up regularly. Discussion Hydatid disease is a widespread public health problem in developing countries. The possibility of hydatid disease, especially in endemic regions, may always be considered in the differential diagnosis of mesenchymal neoplasms or soft tissue cystic masses in the neck. Radiologic imaging modalities in such cases are mandatory for the...
Bengal Journal of Otolaryngology and Head Neck Surgery, 2021
Introduction Foreign body cases are common in otolaryngologic practice, usually occurring in chil... more Introduction Foreign body cases are common in otolaryngologic practice, usually occurring in children. An impacted penetrating impaling foreign body can be one of the most challenging emergencies Management revolves around safe extraction of impaling object and prevention of complications. Here we share our experience with one such case of unusual foreign body impacted at an unusual site, with an extensive review of literature discussing management & prevention of complications in similar cases. Case Report A 3 year old boy presented to us in ENT emergency with a long metallic hook impaled in nasopharynx for the past 8 hours. We were able to dislodge the impacted foreign body under direct endoscopic visualisation under general anaesthesia. Discussion Any such injury might be similar but no two injuries are the same. It needs combined expertise of multidisciplinary team usually consisting of ENT surgeon, anaesthesiologist, radiologist and may also need vascular surgeon and interve...
Bengal Journal of Otolaryngology and Head Neck Surgery, 2018
Introduction Although temporalis fascia is the commonly used graft material for tympanoplasty, ca... more Introduction Although temporalis fascia is the commonly used graft material for tympanoplasty, cartilage has become the material of choice in cases with eustachian tube dysfunction, bilateral disease, total or anterior perforation of tympanic membrane, tympanosclerosis etc. Cartilage slices < 0.5 mm thick are similar to the tympanic membrane in their acoustic properties. The present study is aimed to describe stitch-less type 1 tympanoplasty with sliced tragal cartilage-perichondrium and evaluate anatomical, audiological and cosmetic outcomes. Materials and Methods A prospective study was conducted from March 2014 to August 2016, in ENT department of a Government Medical College and Hospital, West Bengal, India. Primary tympanoplasty cases irrespective of age, size and site of perforation, laterality and eustachian tube function were included in the study. History of previous tympanoplasty or mastoid surgery and cases requiring ossicular reconstruction or mastoidectomy were exclu...
Bengal Journal of Otolaryngology and Head Neck Surgery, 2020
Introduction Majority of lymphomas involving the head and neck are Non-Hodgkin lymphoma (NHL). Mo... more Introduction Majority of lymphomas involving the head and neck are Non-Hodgkin lymphoma (NHL). Most of them present as cervical lymphadenopathy. The objectives of this study are to present the problems encountered in the diagnosis of extra-nodal NHL in head and neck region and show the importance of thorough clinical examination and proper investigation. Materials and Methods A prospective study was done in the department of ENT in a tertiary care hospital of West Bengal from July 2015 to June 2018. Patients diagnosed as NHL on the basis of histopathology and immunohistochemistry were included in this study. Patients who were lost in follow up were excluded from the study. Patients were treated with chemotherapy and radiotherapy by Oncologist. All patients were followed up routinely both by Otorhinolaryngologist and Oncologist. Results There were 26 male and 11 female patients in this study. Patients were between 22 years to 76 years of age with highest incidence in 6th decade o...
Bengal Journal of Otolaryngology and Head Neck Surgery, 2020
Introduction Ranula is a pseudocyst in the floor of the mouth originating from the sublingual sal... more Introduction Ranula is a pseudocyst in the floor of the mouth originating from the sublingual salivary gland.A variety of surgical procedures have been quoted in the literature. But the main concern is high rate of recurrence. Aim of the present study is to describe a definitive technique for managing ranula and compare the result with review of literature. Materials and Methods A prospective study was done in the department of ENT in a tertiary care hospital of West Bengal from 1st April, 2014 to 31st March, 2019. Patients presenting with ranula irrespective of age and sex; size of the mass; whether primary or recurrent case were included in the study. Patients presenting with congenital and plunging ranula were excluded. Patients were treated with total excision of ranula along with sublingual salivary gland. Patients were followed up regularly for at least one year post-operatively. Results We treated thirteen primary and four recurrent cases of ranula. Among them eight were male...
Indian Journal of Otolaryngology and Head & Neck Surgery, 2018
Rhinosporidiosis is a chronic granulomatous disease caused by Rhinosporidium seeberi. It usually ... more Rhinosporidiosis is a chronic granulomatous disease caused by Rhinosporidium seeberi. It usually presents as sessile or pedunculated granular polyp, red in colour with multiple yellowish pin-head sized dots. Atypical presentations due to involvement of extra-nasal sites may produce diagnostic dilemma. Very high incidence of rhinosporidiosis and that too with atypical presentations in the rural western part of West Bengal, encourages us to undertake this study. The present study was conducted in a tertiary care hospital in the rural western part of West Bengal from July 2013 to December 2016. Patients presenting with rhinosporidiosis in extra-nasal sites and with atypical presentations were included in the study. Rhinosporidiosis confined to nose and patients who lost follow up were excluded from the study. All patients were treated with wide excision and cauterization of base. Among total 114 patients of rhinosporidiosis, 16 had atypical presentations (14.04%). Nine patients (56.25%) presented with a mass hanging in the oropharynx, some mimicking oropharyngeal malignancy. Two patients (12.50%) presented with acute respiratory distress and stridor. One patient (6.25%) presented with disseminated rhinosporidiosis with involvement of the skin, subcutaneous tissue, muscle, bone, penis and urethra. Recurrence was noted in only two patients (12.50%) in nasopharynx. This chronic disease may present with different acute presentations. Proper clinical eye may avoid pre-operative biopsy which may lead to extensive bleeding. Recurrence can be reduced with meticulous and complete removal. Regular post-operative follow-up with endoscopy is must to detect and treat early recurrence.
Journal of Evolution of Medical and Dental Sciences, 2016
BACKGROUND Patients with chronic bifascicular block (BFB) can progress to advanced atrioventricul... more BACKGROUND Patients with chronic bifascicular block (BFB) can progress to advanced atrioventricular block (AVB), especially when syncope or a prolonged HV interval is present. MATERIALS AND METHODS We prospectively studied 100 consecutive BFB patients at a single centre between 2009 and 2012 presenting with syncope or presyncope, who have undergone electrophysiological study. Clinical, electrocardiographic, and electrophysiological variables were analysed to identify the risk of progression to significant AVB (i.e., second or third grade). RESULTS In total, the study included 100 patients (mean age 68.4 years; 20 female). After a follow-up period of 3 years, overall about one half of our patients received pacemaker therapy either in view of markedly prolonged HVI or because of the suggestive symptoms in the face of moderately or severely prolonged HVI. The patients who developed infra-His block during HV-interval study and also who developed stressed HV-interval >65 msec during rapid atrial pacing also treated with permanent pacemaker. CONCLUSION Invasive EPS is safe and effective method for the assessment of progression to advanced AV block. Rate of progression to CHB in patients with normal HV interval is low but cannot be ruled out.
Indian Journal of Otolaryngology and Head & Neck Surgery, 2015
Chronic suppurative otitis media (CSOM) presents with a typical history of recurrent otorrhoea wi... more Chronic suppurative otitis media (CSOM) presents with a typical history of recurrent otorrhoea with tympanic membrane perforation. The diagnosis of cholesteatoma is usually made on otologic examination. High resolution computed tomography (HRCT) is indicated to evaluate the extension and the complications of cholesteatoma. The aim of the work was to study the role of HRCT in detecting, evaluating diagnosing and managing CSOM. All patients presenting with CSOM who were planned for mastoid exploration surgery in department of ENT, Gauhati Medical College and Hospital within a period of 2 years-from 1st January, 2013 to 31th December, 2014, were taken up for the study. HRCT mastoids done routinely before cholesteatoma surgery, but with improved resolution, to characterize all middle ear structures and complications of the disease prior to surgery, might guide as road map during mastoid explorations for unsafe CSOM. The important role of HRCT lies on the early detection of cholesteatoma, and more conservative surgical procedures can be used to eradicate the disease.
IOSR Journal of Dental and Medical Sciences, 2014
There is some "grey zone" in thyroid cytology where the diagnostic efficacy declines sharply rend... more There is some "grey zone" in thyroid cytology where the diagnostic efficacy declines sharply rendering it difficult to categorize the lesions resulting in discrepancy. So, a cross-sectional study was conducted to determine the accuracy of FNAC in diagnosis of thyroid swelling and to assess the correlation between preoperative cytological diagnosis and post operative histopathological diagnosis. It was observed that FNAC is reliable, safe and accurate method as a first line of evaluation in thyroid swelling before the surgery. FNAC is more sensitive in detecting thyroid gland malignancy and therefore histopathological analysis still remains essential for final diagnosis.
Indian Journal of Otolaryngology and Head & Neck Surgery, 2017
Odontogenic tumours are a group of heterogeneous diseases that range from hamartomatous or nonneo... more Odontogenic tumours are a group of heterogeneous diseases that range from hamartomatous or nonneoplastic tissue proliferations to benign neoplasms to malignant tumours with metastatic potential. They are rare, comprising about \2-3% of all oral and maxillofacial biopsy specimens. The aim of the present study was to determine the clinico-pathological presentation of this heterogeneous group of lesions and review of literature. The present study was conducted in the ENT department of a Government Medical College and Hospital, West Bengal, India, over the period of 5 years from January 2011 to December 2015. It included a total of 15 patients who were clinico-radiologically diagnosed as odontogenic tumours, and were given appropriate treatment. Their diagnostic and management approaches are discussed. Among 15 odontogenic tumours, 13 were benign and two were malignant. Male to female ratio was 2:3. Mandible to maxilla ratio was 1.8:1. The patients were in between 4 and 56 years of age with highest incidence in 3rd decade of life. All patients are doing well till date with a minimum follow-up of 1 year. Incisional biopsy is considered as gold standard for preoperative diagnosis but FNAC can offer clinicians a less invasive alternative. CT is the choice of investigation for study of lesion, analysis of its extension and surgical planning. The challenge to proper management lies in balancing between conservative and radical approach to reduce morbidity and recurrence both. Final diagnosis is made by post-operative histopathological examination.
International Journal of Ophthalmology, Apr 18, 2022
Objective: To show utility of small incision (4 cm or less) in parotidectomy where incision is pu... more Objective: To show utility of small incision (4 cm or less) in parotidectomy where incision is purely cervical. Study design: Prospective study. Setting: Tertiary care centre. Materials and Methods: In the study period of 7 years, from July 2008 to June 2015, 40 patients were included in this study, and were considered pre-operatively for possible attempt to perform minimally invasive small incision parotidectomy. All these patients with parotid swelling were included based on ultrasound and fine needle aspiration cytology. The exclusion criteria were malignancy, involvement of skin, facial nerve palsy and patients with tumour size more than 5 cm in one diameter. Conclusion: Small Incision Parotid Surgery (SIPS) can be a good procedure, if used judiciously, even for deep lobe tumour with proper visualization of the facial nerve, may prevent frey’s syndrome producing a very good aesthetic outcome. Keyword: Parotidectomy, Small Incision, Extra Capsular Dissection, Frey’s Syndrome, Cer...
Cystic hygromas are rare tumours. The pathophysiology lies in occlusion of lymph channels. It may... more Cystic hygromas are rare tumours. The pathophysiology lies in occlusion of lymph channels. It may present as a congenital swelling or in adulthood. There are various chromosomal anomalies associated with it. We here have are presented a series of 9 patients of cystic hygromas and their management. Though easy to diagnose clinically, it needs good radiological evaluation. Complete surgical excision is possible even in very extensive lesions.
IOSR Journal of Dental and Medical Sciences, 2014
Pleomormpic lipoma of the anterior neck is a rare entity. Although pleomorphic lipomas a benign t... more Pleomormpic lipoma of the anterior neck is a rare entity. Although pleomorphic lipomas a benign tumour it may contain atypical cells. Histologically pleomorphic lipoma is composed of mature fat, bland spindle shaped mesenchymal cells and coarse "rope like" collagen bands In addition pleomorphic lopoma contains multi-neucleated florat like giant cells. It Enzinger & Harvey [1] in their original series of pleomorphic lipoma \ spindle cell lipoma where there is little fat or no fat is a diagnostic challange.Immunohostochemical analysis by CD 34 positivity and desmin negativity is a diagnostic criteria. Here with we presenting a huge pleomorphic lipoma in the retropharyngeal space presenting as anterior neck swelling and sleep apnoea.
Indian Journal of Otolaryngology and Head & Neck Surgery, Jan 12, 2017
Odontogenic tumours are a group of heterogeneous diseases that range from hamartomatous or nonneo... more Odontogenic tumours are a group of heterogeneous diseases that range from hamartomatous or nonneoplastic tissue proliferations to benign neoplasms to malignant tumours with metastatic potential. They are rare, comprising about \2-3% of all oral and maxillofacial biopsy specimens. The aim of the present study was to determine the clinico-pathological presentation of this heterogeneous group of lesions and review of literature. The present study was conducted in the ENT department of a Government Medical College and Hospital, West Bengal, India, over the period of 5 years from January 2011 to December 2015. It included a total of 15 patients who were clinico-radiologically diagnosed as odontogenic tumours, and were given appropriate treatment. Their diagnostic and management approaches are discussed. Among 15 odontogenic tumours, 13 were benign and two were malignant. Male to female ratio was 2:3. Mandible to maxilla ratio was 1.8:1. The patients were in between 4 and 56 years of age with highest incidence in 3rd decade of life. All patients are doing well till date with a minimum follow-up of 1 year. Incisional biopsy is considered as gold standard for preoperative diagnosis but FNAC can offer clinicians a less invasive alternative. CT is the choice of investigation for study of lesion, analysis of its extension and surgical planning. The challenge to proper management lies in balancing between conservative and radical approach to reduce morbidity and recurrence both. Final diagnosis is made by post-operative histopathological examination.
Indian Journal of Otolaryngology and Head & Neck Surgery, Jul 1, 2015
Chronic suppurative otitis media (CSOM) presents with a typical history of recurrent otorrhoea wi... more Chronic suppurative otitis media (CSOM) presents with a typical history of recurrent otorrhoea with tympanic membrane perforation. The diagnosis of cholesteatoma is usually made on otologic examination. High resolution computed tomography (HRCT) is indicated to evaluate the extension and the complications of cholesteatoma. The aim of the work was to study the role of HRCT in detecting, evaluating diagnosing and managing CSOM. All patients presenting with CSOM who were planned for mastoid exploration surgery in department of ENT, Gauhati Medical College and Hospital within a period of 2 years-from 1st January, 2013 to 31th December, 2014, were taken up for the study. HRCT mastoids done routinely before cholesteatoma surgery, but with improved resolution, to characterize all middle ear structures and complications of the disease prior to surgery, might guide as road map during mastoid explorations for unsafe CSOM. The important role of HRCT lies on the early detection of cholesteatoma, and more conservative surgical procedures can be used to eradicate the disease.
Bengal Journal of Otolaryngology and Head Neck Surgery, 2021
Introduction The most common complication following accidental ingestion of a foreign body is ent... more Introduction The most common complication following accidental ingestion of a foreign body is entrapment in the upper digestive tract. Spontaneous penetration of a foreign body through the upper digestive tract and migration into the soft tissues of the neck is very uncommon. Consequences from such migratory foreign body can be serious and potentially fatal. Case Report Thirty six years old female presented with history of accidental ingestion of an unknown foreign body 3 days back. Clinical examination, plain radiography, hypopharyngoscopy and oesophagoscopy failed to find out the foreign body. Thereafter the patient developed thyroid abscess which was confirmed by computed tomography. Surprisingly we discovered the foreign body during surgical exploration of neck. Conclusion In a case of accidental ingestion of foreign body, even if initial evaluation with endoscopy and plain radiography are negative, the patient should be followed closely until resolution of symptoms. A high inde...
Metastasis to head and neck in patients with astrocytomas may rarel y be seen on ro utine follow ... more Metastasis to head and neck in patients with astrocytomas may rarel y be seen on ro utine follow - up by clinicians. Here we present a rare case of metastatic pleomorphic xanthoastrocytoma (PXA ) presenting as cervical neck node, confirmed by FNAC and d iscuss various po ssible explanations for the same.
Bengal Journal of Otolaryngology and Head Neck Surgery, 2021
Introduction Hydatid cysts in the neck are relatively exceptional. We report a rare case of a hyd... more Introduction Hydatid cysts in the neck are relatively exceptional. We report a rare case of a hydatid cyst localized in the right submandibular region of the neck with a second cyst in lung discussing diagnostic and management algorithm with brief review of literature. Case Report A 6 years old boy presented to us in Gauhati Medical College & Hospital with a gradually enlarging painless swelling in right submandibular region since last 4 months. The patient was thoroughly evaluated. Imaging and FNAC was performed. Suspected common locations were also screened prior to surgery. He was treated with total pericystectomy and followed up regularly. Discussion Hydatid disease is a widespread public health problem in developing countries. The possibility of hydatid disease, especially in endemic regions, may always be considered in the differential diagnosis of mesenchymal neoplasms or soft tissue cystic masses in the neck. Radiologic imaging modalities in such cases are mandatory for the...
Bengal Journal of Otolaryngology and Head Neck Surgery, 2021
Introduction Foreign body cases are common in otolaryngologic practice, usually occurring in chil... more Introduction Foreign body cases are common in otolaryngologic practice, usually occurring in children. An impacted penetrating impaling foreign body can be one of the most challenging emergencies Management revolves around safe extraction of impaling object and prevention of complications. Here we share our experience with one such case of unusual foreign body impacted at an unusual site, with an extensive review of literature discussing management & prevention of complications in similar cases. Case Report A 3 year old boy presented to us in ENT emergency with a long metallic hook impaled in nasopharynx for the past 8 hours. We were able to dislodge the impacted foreign body under direct endoscopic visualisation under general anaesthesia. Discussion Any such injury might be similar but no two injuries are the same. It needs combined expertise of multidisciplinary team usually consisting of ENT surgeon, anaesthesiologist, radiologist and may also need vascular surgeon and interve...
Bengal Journal of Otolaryngology and Head Neck Surgery, 2018
Introduction Although temporalis fascia is the commonly used graft material for tympanoplasty, ca... more Introduction Although temporalis fascia is the commonly used graft material for tympanoplasty, cartilage has become the material of choice in cases with eustachian tube dysfunction, bilateral disease, total or anterior perforation of tympanic membrane, tympanosclerosis etc. Cartilage slices < 0.5 mm thick are similar to the tympanic membrane in their acoustic properties. The present study is aimed to describe stitch-less type 1 tympanoplasty with sliced tragal cartilage-perichondrium and evaluate anatomical, audiological and cosmetic outcomes. Materials and Methods A prospective study was conducted from March 2014 to August 2016, in ENT department of a Government Medical College and Hospital, West Bengal, India. Primary tympanoplasty cases irrespective of age, size and site of perforation, laterality and eustachian tube function were included in the study. History of previous tympanoplasty or mastoid surgery and cases requiring ossicular reconstruction or mastoidectomy were exclu...
Bengal Journal of Otolaryngology and Head Neck Surgery, 2020
Introduction Majority of lymphomas involving the head and neck are Non-Hodgkin lymphoma (NHL). Mo... more Introduction Majority of lymphomas involving the head and neck are Non-Hodgkin lymphoma (NHL). Most of them present as cervical lymphadenopathy. The objectives of this study are to present the problems encountered in the diagnosis of extra-nodal NHL in head and neck region and show the importance of thorough clinical examination and proper investigation. Materials and Methods A prospective study was done in the department of ENT in a tertiary care hospital of West Bengal from July 2015 to June 2018. Patients diagnosed as NHL on the basis of histopathology and immunohistochemistry were included in this study. Patients who were lost in follow up were excluded from the study. Patients were treated with chemotherapy and radiotherapy by Oncologist. All patients were followed up routinely both by Otorhinolaryngologist and Oncologist. Results There were 26 male and 11 female patients in this study. Patients were between 22 years to 76 years of age with highest incidence in 6th decade o...
Bengal Journal of Otolaryngology and Head Neck Surgery, 2020
Introduction Ranula is a pseudocyst in the floor of the mouth originating from the sublingual sal... more Introduction Ranula is a pseudocyst in the floor of the mouth originating from the sublingual salivary gland.A variety of surgical procedures have been quoted in the literature. But the main concern is high rate of recurrence. Aim of the present study is to describe a definitive technique for managing ranula and compare the result with review of literature. Materials and Methods A prospective study was done in the department of ENT in a tertiary care hospital of West Bengal from 1st April, 2014 to 31st March, 2019. Patients presenting with ranula irrespective of age and sex; size of the mass; whether primary or recurrent case were included in the study. Patients presenting with congenital and plunging ranula were excluded. Patients were treated with total excision of ranula along with sublingual salivary gland. Patients were followed up regularly for at least one year post-operatively. Results We treated thirteen primary and four recurrent cases of ranula. Among them eight were male...
Indian Journal of Otolaryngology and Head & Neck Surgery, 2018
Rhinosporidiosis is a chronic granulomatous disease caused by Rhinosporidium seeberi. It usually ... more Rhinosporidiosis is a chronic granulomatous disease caused by Rhinosporidium seeberi. It usually presents as sessile or pedunculated granular polyp, red in colour with multiple yellowish pin-head sized dots. Atypical presentations due to involvement of extra-nasal sites may produce diagnostic dilemma. Very high incidence of rhinosporidiosis and that too with atypical presentations in the rural western part of West Bengal, encourages us to undertake this study. The present study was conducted in a tertiary care hospital in the rural western part of West Bengal from July 2013 to December 2016. Patients presenting with rhinosporidiosis in extra-nasal sites and with atypical presentations were included in the study. Rhinosporidiosis confined to nose and patients who lost follow up were excluded from the study. All patients were treated with wide excision and cauterization of base. Among total 114 patients of rhinosporidiosis, 16 had atypical presentations (14.04%). Nine patients (56.25%) presented with a mass hanging in the oropharynx, some mimicking oropharyngeal malignancy. Two patients (12.50%) presented with acute respiratory distress and stridor. One patient (6.25%) presented with disseminated rhinosporidiosis with involvement of the skin, subcutaneous tissue, muscle, bone, penis and urethra. Recurrence was noted in only two patients (12.50%) in nasopharynx. This chronic disease may present with different acute presentations. Proper clinical eye may avoid pre-operative biopsy which may lead to extensive bleeding. Recurrence can be reduced with meticulous and complete removal. Regular post-operative follow-up with endoscopy is must to detect and treat early recurrence.
Journal of Evolution of Medical and Dental Sciences, 2016
BACKGROUND Patients with chronic bifascicular block (BFB) can progress to advanced atrioventricul... more BACKGROUND Patients with chronic bifascicular block (BFB) can progress to advanced atrioventricular block (AVB), especially when syncope or a prolonged HV interval is present. MATERIALS AND METHODS We prospectively studied 100 consecutive BFB patients at a single centre between 2009 and 2012 presenting with syncope or presyncope, who have undergone electrophysiological study. Clinical, electrocardiographic, and electrophysiological variables were analysed to identify the risk of progression to significant AVB (i.e., second or third grade). RESULTS In total, the study included 100 patients (mean age 68.4 years; 20 female). After a follow-up period of 3 years, overall about one half of our patients received pacemaker therapy either in view of markedly prolonged HVI or because of the suggestive symptoms in the face of moderately or severely prolonged HVI. The patients who developed infra-His block during HV-interval study and also who developed stressed HV-interval >65 msec during rapid atrial pacing also treated with permanent pacemaker. CONCLUSION Invasive EPS is safe and effective method for the assessment of progression to advanced AV block. Rate of progression to CHB in patients with normal HV interval is low but cannot be ruled out.
Indian Journal of Otolaryngology and Head & Neck Surgery, 2015
Chronic suppurative otitis media (CSOM) presents with a typical history of recurrent otorrhoea wi... more Chronic suppurative otitis media (CSOM) presents with a typical history of recurrent otorrhoea with tympanic membrane perforation. The diagnosis of cholesteatoma is usually made on otologic examination. High resolution computed tomography (HRCT) is indicated to evaluate the extension and the complications of cholesteatoma. The aim of the work was to study the role of HRCT in detecting, evaluating diagnosing and managing CSOM. All patients presenting with CSOM who were planned for mastoid exploration surgery in department of ENT, Gauhati Medical College and Hospital within a period of 2 years-from 1st January, 2013 to 31th December, 2014, were taken up for the study. HRCT mastoids done routinely before cholesteatoma surgery, but with improved resolution, to characterize all middle ear structures and complications of the disease prior to surgery, might guide as road map during mastoid explorations for unsafe CSOM. The important role of HRCT lies on the early detection of cholesteatoma, and more conservative surgical procedures can be used to eradicate the disease.
IOSR Journal of Dental and Medical Sciences, 2014
There is some "grey zone" in thyroid cytology where the diagnostic efficacy declines sharply rend... more There is some "grey zone" in thyroid cytology where the diagnostic efficacy declines sharply rendering it difficult to categorize the lesions resulting in discrepancy. So, a cross-sectional study was conducted to determine the accuracy of FNAC in diagnosis of thyroid swelling and to assess the correlation between preoperative cytological diagnosis and post operative histopathological diagnosis. It was observed that FNAC is reliable, safe and accurate method as a first line of evaluation in thyroid swelling before the surgery. FNAC is more sensitive in detecting thyroid gland malignancy and therefore histopathological analysis still remains essential for final diagnosis.
Indian Journal of Otolaryngology and Head & Neck Surgery, 2017
Odontogenic tumours are a group of heterogeneous diseases that range from hamartomatous or nonneo... more Odontogenic tumours are a group of heterogeneous diseases that range from hamartomatous or nonneoplastic tissue proliferations to benign neoplasms to malignant tumours with metastatic potential. They are rare, comprising about \2-3% of all oral and maxillofacial biopsy specimens. The aim of the present study was to determine the clinico-pathological presentation of this heterogeneous group of lesions and review of literature. The present study was conducted in the ENT department of a Government Medical College and Hospital, West Bengal, India, over the period of 5 years from January 2011 to December 2015. It included a total of 15 patients who were clinico-radiologically diagnosed as odontogenic tumours, and were given appropriate treatment. Their diagnostic and management approaches are discussed. Among 15 odontogenic tumours, 13 were benign and two were malignant. Male to female ratio was 2:3. Mandible to maxilla ratio was 1.8:1. The patients were in between 4 and 56 years of age with highest incidence in 3rd decade of life. All patients are doing well till date with a minimum follow-up of 1 year. Incisional biopsy is considered as gold standard for preoperative diagnosis but FNAC can offer clinicians a less invasive alternative. CT is the choice of investigation for study of lesion, analysis of its extension and surgical planning. The challenge to proper management lies in balancing between conservative and radical approach to reduce morbidity and recurrence both. Final diagnosis is made by post-operative histopathological examination.