Devendra Mahore | MUHS, Nasik (original) (raw)

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Papers by Devendra Mahore

GLOBAL JOURNAL FOR RESEARCH ANALYSIS, Oct 15, 2022

X 113 GJRA-GLOBAL JOURNAL FOR RESEARCH ANALYSIS Salivary gland tumours are a relatively rare and ... more X 113 GJRA-GLOBAL JOURNAL FOR RESEARCH ANALYSIS Salivary gland tumours are a relatively rare and morphologically diverse group of lesions, thus are highly prone to diagnostic confusion. Worldwide reports show difference in incidence, prevalence and histological type of this tumours. Location, age and gender distribution of salivary gland tumours vary depending on race and geographical conditions. OBJECTIVE 1) To study the clinicopathological ndings in Salivary Gland Tumours 2) To study various surgical modalities of treatment undertaken for salivary gland tumours RESULTS: Pleomorphic Adenoma (77.27%) was the most common benign tumour followed by warthins tumour (9.09%). Mucoepidermoid carcinoma was the most common malignant tumour in parotid gland. In our study Ultrasonography was found to had Sensitivity of 52.63% and Specicity of 95.45% And Fine needle aspiration cytology had sensitivity of 78.95% and specicity of 90.90% FNAC continues to be a reliable diagnostic technique in hands of an experienced CONCLUSION: cytopathologist. Ultrasonography is a reliable radiological rst line investigations for salivary gland tumours.

Indian Journal of Otolaryngology and Head and Neck Surgery, 2006

Indian Journal of Otolaryngology and Head & Neck Surgery, 2007

Pleomorphic adenoma is a common benign tumour of the salivary gland that has elements of both epi... more Pleomorphic adenoma is a common benign tumour of the salivary gland that has elements of both epithelial and mesenchymal tissue. It is commonly seen in major salivary glands, parotid being the most common site followed by submandibular gland. However it can sometimes arise from minor salivary glands that are distributed throughout the upper aerodigestive tract and paranasal sinuses. We report a case of a 45 yrs. Old male patient, who presented with progressive nasal blockage and intermittent minor episodes of epistaxis from left nostril for 1 ½ years. Lateral Rhinotomy revealed a well encapsulated lesion attached to the nasal septum, which was excised completely. Histopathology revealed it to be Pleomorphic Adenoma without any features of malignancy. Lesion is a rare one hence reported.

International Journal of Medical Research and Review

Introduction: Accessory parotid gland is separated normal tissue from the main parotid gland, lyi... more Introduction: Accessory parotid gland is separated normal tissue from the main parotid gland, lying over the parotid duct. Accessory parotid gland is more prone for parotid tumors than main parotid gland. The accessory parotid is the site of congenital and acquired lesions. It usually presents as mid cheek swelling. Mid cheek incision may damage branches of facial nerve. Material & Method: Forty parotid glands were dissected from 20 cadavers during a period of 2 years from 2014 to 2016. Dissections were carried out at Chirayu Medical College & Hospital, Bhopal. Result: Out of 40 parotid glands dissected, accessory parotid glands were observed in 3 cases on right side. Incidence was found to be 7.5% for the present study. Accessory parotid gland was observed on right side lying on parotid duct detached from the main mass of the parotid gland. In case 2, accessory parotid was observed lying on parotid duct and here gland has two different ducts draining separately. Conclusion: Accessory parotid gland is the commonest site for pleomorphic adenoma. It may present as a slowly progressive mid cheek mass. They are more in accessory parotid than main mass of parotid gland. The accessory parotid not often mentioned variant is separate from main parotid gland should be addressed properly to ensure complete removal of disease. This is very important in malignancy for surgical clearance.

International Journal of Phonosurgery & Laryngology

Incidence of congenital laryngeal anomalies is between 1:10,000 and 1:50,000 births. Laryngomalac... more Incidence of congenital laryngeal anomalies is between 1:10,000 and 1:50,000 births. Laryngomalacia is the most common cause of congenital stridor, characterized by partial or complete collapse of the supraglottic structures during inspiration. Patient was having inspiratory stridor at birth or immediately after birth. No active intervention is required in 90% of cases. So we are reporting this rare case that required active intervention and will also show how we managed it.

Indian Journal of Otolaryngology and Head & Neck Surgery

Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India, 2006

Epistaxis, being the commonest ENT emergency requiring hospital admission, is clearly an importan... more Epistaxis, being the commonest ENT emergency requiring hospital admission, is clearly an important condition - not only to the specialist but also to any general practitioner. The role of routine coagulation studies in the management of patients suffering from epistaxis is unclear. In an attempt to address this issue, the prospective case study was carried out in the department of ENT in Government medical college and hospital Nagpur over span of 2 years from October 2001 to November 2003 in which 100 cases were studied. Coagulation studies were carried out in 100 patients but only 7 patients had abnormal coagulation profile. No other coagulation abnormalities were identified. This study supports the view that there does not appear to br role for routine coagulation studies in patients of epistaxis. The investigation for potential haemostatic disorder should be performed when clinically indicated and if necessary, in consultation with the hematology service.

Indian Journal of Otolaryngology and Head & Neck Surgery, 2011

Every surgery is planned on the anatomical arrangement of the structures. Any variation in the ar... more Every surgery is planned on the anatomical arrangement of the structures. Any variation in the arterial arrangement may lead to haemorrhagic episodes during intraoperative procedures. In this study, variations in the branching pattern of external carotid artery were noted. In two of the cases, thyrolingual trunk was observed. In the first case, thyrolingual trunk was arising from the common carotid artery, 17 mm below carotid bifurcation and in the second one at the carotid bifurcation. The knowledge of anatomical variation is necessary during intra-arterial chemotherapy and to prevent haemorrhagic accidents during intraoperative procedures.

International Journal of Head and Neck Surgery, 2013

There is a tendency among the head and neck surgeons to classify head and neck tumors as squamous... more There is a tendency among the head and neck surgeons to classify head and neck tumors as squamous and nonsquamous. The latter is a miscellaneous collection of less common, but certainly no less significant neoplasms. The rarity of these tumors is evident from the limited data available on clinical characteristics and outcomes. This study is thus an attempt to meet the need and fill the void by providing practical information regarding different pathological subtypes, their treatment and prognosis. In our study, we documented a total of 48 cases of nonsquamous cell cancers of the head and neck region including all sites like nose and paranasal sinuses, oral cavity and oropharynx, neck and larynx and documented important clinical, pathological and treatment features of these.

Indian Journal of Otolaryngology and Head & Neck Surgery, 2014

Facial artery plays a key role in blood supply of the face. Facial artery one of the anterior bra... more Facial artery plays a key role in blood supply of the face. Facial artery one of the anterior branches of the external carotid artery originates within the carotid triangle. Variation in the origin of the facial artery was observed on two sides out of 60 sides in 30 cadavers. Facial artery was observed originating at the level just below the maxillary artery within the parotid gland. Facial artery may originate as linguo-facial trunk or thyro-linguo-facial trunk. Other developmental variations have also been described in the literature like, agenesis of facial artery, enlarged facial artery, hypoplastic facial artery. Variability in situation may complicate the surgery. Therefore maxillofacial surgeon, plastic surgeons and head & neck surgeon should be aware of such variation.

International Journal of Phonosurgery & Laryngology, 2013

The basic principle of head and neck surgery is based on the identification and preservation of i... more The basic principle of head and neck surgery is based on the identification and preservation of important structures, rather than avoidance. This principle is also applicable to identification and preservation of external branch of the superior laryngeal nerve (EBSLN) as a standard routine in all thyroid surgeries. During thyroid surgery, the EBSLN is clearly at risk due to its close proximity to the superior thyroid artery (STA) and its branches that need to be ligated during dissection of the superior pole of the thyroid gland. Injury is detrimental to the patient by causing paralysis of the cricothyroid muscle which is the main tensor and pitch controlling mechanism of the vocal folds. Injury to the EBSLN during surgery can result in the voice changes, loss of upper range and easy fatigability of voice, the severity of which varies according to the vocal demand of the patient. Total 45 cases of thyroid swellings were treated with surgery, in the Department of ENT at a tertiary care hospital during the period from 1st October 2009 to 30th October 2010. Hemithyroidectomy was the most common operative procedure implemented in 24 patients (53.33%) in which right sided was common. Next common procedure performed was that of total thyroidectomy in 14 patients (31.11%). Four patients underwent total thyroidectomy with neck dissection. The position of EBSLN was classified according the Cernea et al classification. In our study we found the EBSLN to be type I in 46.66%, type IIa in 73.33% and type IIb in 02.22%. The anatomical landmark taken into consideration to identify EBSLN was the Joll's triangle with its relation to the superior pole of the thyroid gland and STA.

Atlas of Thyroid Surgery, 2013

Indian Journal of Otolaryngology and Head & Neck Surgery, 2013

Thyroid anomalies are not uncommon. Two lobes are usually connected by isthmus at the level of 2-... more Thyroid anomalies are not uncommon. Two lobes are usually connected by isthmus at the level of 2-4 tracheal rings. We encountered a unique variation in which thyroid lobes were connected near upper pole by an isthmus at the level above the cricoid cartilage giving an 'inverted U' shape to the thyroid gland. Such unusual variation in thyroid gland has not been reported earlier in the literature. The sound knowledge of such variation should be important to the surgeon while operating on thyroid.