Giant Epidermal Cyst of Floor of Mouth: Case Report.

Introduction: The epidermoid cysts of the mouth are located on the mid line of the floor of mouth, most likely caused by the retention of the germinal epithelium during the growth of the mandible and hyoid branchial arches. Here, we present a case of large epidermoid cyst involving sublingual region.

Evaluate the Role of Rigid Bronchoscopy in Tracheo-Bronchial Foreign Bodies.

Tracheobronchial foreign bodies continue to present challenges to practitioners worldwide. The major issues involve the accurate diagnosis and speedy and safe removal of the foreign bodies. The aim of this study was to to assess an epidemiological data regarding airway foreign bodies in patients presenting to our institute and to assess the role of rigid bronchoscopy for diagnosis and management of cases of foreign body aspiration. Study was conducted between December 2015 and July 2021 in Otorhinolaryngology and Head and Neck Surgery Department. 200 patients who underwent rigid bronchoscopy in above period for suspected foreign body aspiration was included in the study. All the parameters was recorded and analysed in an attempt to define the epidemiology, clinical presentation, management and associated morbidity. Descriptive statistical analysis was done using SPSS software version 22 of Windows 7. Tracheo-bronchial foreign bodies (TFB) were more common in pediatric age group. 80% of our patients with TFB were aged less than 3 years. Most common symptom was cough (70%) and the commonest sign was diminished unilateral breath sounds (72%). Peanut was the commonest (45%) foreign body. Most common site of lodgement of TFB was right main bronchus (49%). TFB aspiration is always accidental and sudden with high mortality. It is a life threatening condition and needs urgent intervention. Rigid bronchoscopy under general anesthesia represents a safe and effective tool in the management of TFB aspiration.

The Otoscopic, Radiological and Audiological Study of Contralateral Ear in Unilateral Chronic Otitis Media.

Chronic otitis media is a disease developing due to Eustachian tube dysfunction secondary to any insult in nasopharynx which is likely to be bilateral with different stages of disease in both ear. The objective of this study was to examine contralateral ear through otoscopic, radiological and audiological study. Study was conducted between December 2018 and July 2020 in Otorhinolaryngology and Head and Neck Suregery Department. The Contralateral ear was defined as the ear with no tympanic membrane perforation and with no symptoms in patients of unilateral chronic otitis media. Otoscopy, Pure tone audiometry and HRCT temporal bone were done. Results were recorded and analysed. Descriptive stastical analysis was done using SPSS software version 22 of Windows 7. Grade1 pars tensa retraction which is most common abnormal finding in contralateral ear on otoscopy in both unilateral mucosal and squamosal COM patients. On otoscopy of contralateral ear 71.43% squamosal COM patients were having abnormal tympanic membrane. Hearing loss was seen in 25.71% patients of mucosal COM and 22.9% patients of squamosal COM patients. 17.1% patients of mucosal COM and 20% patients of squamosal COM show mastoid sclerosis of contralateral ear on HRCT temporal bone. Majority of patients with unilateral COM have initial findings of pathogenesis of COM in contalateral ear. These findings in contralateral ear are more common in patients with squamosal COM than patients with mucosal COM.