ABSTRACT
study included 40 patients treated for CSOM with central perforation. Only type I tympanoplasty was done in 30 patients with dry central perforation and simple mastoidectomy with type I tympanoplasty was performed in 10 patients with moist or discharging perforation. Type I tympanoplasty utilizing an underlay technique with TFG shows high probability of success (85%). Presence of bilateral perforations lowers the success rate (66.66%). Status of non-operated ear is a significant factor for success rate. An overall hearing gain of about 10db was achieved. Poor pre-operative hearing status of elderly adversely influences post-operative improvement of hearing. Typel tympanoplasty with simple mastoidectomy results excellent surgical success rate (100%) but gives less improvement of hearing (closure of A-B gap= 3.3db). In type I tympanoplasty alone surgical success rate drops to 80-75% but is offers more improvement of hearing (closure of A-B gap = 6.708 db).
ABSTRACT
Foreign body oesophagus, specially, coin is not very uncommon in children. But an undiagnosed old foreign body (coin) presented with growth retardation and swallowing in a peculiar posture, which has to be removed by thoracotomy-a case report.
ABSTRACT
Hamartoma though quite common in face and head-neck region, huge size of such a magnitude is not very common- hence the case is being reported.
