Aural masses are most commonly inflammatory in nature, but may also manifest as more severe disease making them an important differential diagnoses. We present the case of a 20-year-old female who presented with a 3-month history of unilateral, foul smelling, occasionally blood stained ear discharge and earache. She was conservatively treated for these 3 months and was subsequently referred to our institute where she was diagnosed with a mass left ear. After thorough evaluation an excision biopsy with histopathological examination was done which proved the mass to be a fungal granuloma. The importance of this case report lies in the statement that in a case presenting with chronic foul smelling ear discharge fungal granuloma should be kept in the differential diagnoses.
A young female presented with complaint of swelling of the parotid region for one year. She was diagnosed as a case of primary tubercular parotiditis. The diagnosis was confirmed by fine needle aspiration cytology. She was managed with antitubercular drugs. After completing the course the swelling resolved completely and there was no recurrence.
A prospective clinico pathological study of Head and Neck Cancer cases presenting in E.N.T. OPD was done and its observations were compared with retrospective studies done earlier by Gupta et al (1986), It was seen that carcinoma laryngopharynx was the commonest (38.18%) malignancy seen in the present study followed by carcinoma of Larynx (16.36%) and Oesophagus (14.54%). Carcinoma of the nasopharynx was seen in 12.72% cases followed by carcinoma oropharynx (10.91%), Histopathologically; 98.18% cases were of squamous cell carcinomas and out of these only 31.48% were well differentiated carcinoma. There was only 1 case (1.81%) of occult primary. In the retrospective study, the incidence of cancer of Laryngopharynx was 33.33% followed by oropharynx 16.66% and Larynx and Lymphoma (11.11%) each. Occult primary was observed in 3 cases (5.33%) and carcinoma naspoharynx in 4 cases (4.44%). Poor socioeconomic status, bad orodental hygiene, Plummer-vinson syndrome in females were the commonest predisposing factors in addition to smoking, Pan Masala, Zarda and Gutka chewing in the causation of Head and Neck cancer both in prospective and retrospective studies.
One hundred cases of Chronic Tubotympanitis with or without effusion were treated by myringolomy and Grommet insertion in the tympanic membrane. 60% cases presented with effusion and 40% with tubal catarrh. Hearing loss of conductive type 15-45dB was the main feature in all the cases. The effusion (serous, mucoid and mixed type) was drained in 84% of the cases. The recovery in the state of middle ear was evident in 80% cases showing return to normal tympanogram of type 'A' from type 'C' and type 'B' variety suggesting equalisation of middle ear pressure with the atmospheric pressure after the Grommet insertion. Excessive bleeding (12%), Permanent perforation (8%), worsening of hearing (8%) and extrusion of grommet (4%) were the only complication observed.
A rare case of Embryonal Rhabdomyosarcoma in a 5 year male child involving Nasopharynx with intracranial. secondaries is reported. The child presented with difficulty in breathing and swallowing with change of the voice and bleeding from nose and mouth off and on. Histopathology of the excised mass proved the diagnosis of RMS & CT scan showed secondaries in the left frontal & temporal to be of brain. In spite of the surgery and chemotherapy, the disease proved to be fatal within 3 months of diagnosis.
