New Cartilage Slicer for Slicing Techniques in Tympanoplasty: Design and Applications

Abstract

Cartilage-perichondrium composite graft is used in middle ear surgery for tympanic membrane, ossicular and for soft wall reconstruction. The thickness of the cartilage is thought to interfere with the sound conduction. In our otology practice for tympanic membrane reconstruction, we prefer the sliced cartilage graft to achieve acoustic benefit. At times in the process of slicing, the cartilage gets wasted if not sliced with a precision slicing instrument. We have designed and developed a multi-purpose cartilage slicer for precise reduction of the thickness of the cartilage. To describe the design of our cartilage slicer and to report our preliminary experience with the cartilage slicer. Descriptive study. The technique of slicing with our new cartilage slicer and its usage has been described in detail. A total number of 689 cartilages in tympanoplasty and mastoidectomy have been sliced with it from 2013 to 2017. Our study reports the technique of slicing the tragal cartilage for tympanoplasty, highlighting its advantages and precision of the cartilages slices obtained. Our cartilage slicer is a good option for cartilage slicing in tympanoplasty.

Level of Evidence

Level 4.

https://ift.tt/2K8Vcn7

Endoscopic Removal of Intranasal Supernumerary Tooth: A Case Report

Abstract

The presence of an ectopic tooth into the nasal cavity is unusual. It can be supernumerary, deciduous or permanent. It is important to identify it early to prevent complications such as epistaxis, paranasal sinusitis, nasal septal deviation, nasal septal abscess, and oral-nasal fistula. The diagnosis of nasal teeth is mainly based on clinical and radiographic examination. Treatment is early extraction and endoscopy gives good illumination and helps in easy and precise dissection which is better than old morbid traditional techniques. We report a case of a female presenting with nasal obstruction and foul smell, diagnosed with nasal tooth and successfully removed with endoscopic approach.

https://ift.tt/2LPratm

New Cartilage Slicer for Slicing Techniques in Tympanoplasty: Design and Applications

Abstract

Cartilage-perichondrium composite graft is used in middle ear surgery for tympanic membrane, ossicular and for soft wall reconstruction. The thickness of the cartilage is thought to interfere with the sound conduction. In our otology practice for tympanic membrane reconstruction, we prefer the sliced cartilage graft to achieve acoustic benefit. At times in the process of slicing, the cartilage gets wasted if not sliced with a precision slicing instrument. We have designed and developed a multi-purpose cartilage slicer for precise reduction of the thickness of the cartilage. To describe the design of our cartilage slicer and to report our preliminary experience with the cartilage slicer. Descriptive study. The technique of slicing with our new cartilage slicer and its usage has been described in detail. A total number of 689 cartilages in tympanoplasty and mastoidectomy have been sliced with it from 2013 to 2017. Our study reports the technique of slicing the tragal cartilage for tympanoplasty, highlighting its advantages and precision of the cartilages slices obtained. Our cartilage slicer is a good option for cartilage slicing in tympanoplasty.

Level of Evidence

Level 4.

https://ift.tt/2K8Vcn7

Endoscopic Removal of Intranasal Supernumerary Tooth: A Case Report

Abstract

The presence of an ectopic tooth into the nasal cavity is unusual. It can be supernumerary, deciduous or permanent. It is important to identify it early to prevent complications such as epistaxis, paranasal sinusitis, nasal septal deviation, nasal septal abscess, and oral-nasal fistula. The diagnosis of nasal teeth is mainly based on clinical and radiographic examination. Treatment is early extraction and endoscopy gives good illumination and helps in easy and precise dissection which is better than old morbid traditional techniques. We report a case of a female presenting with nasal obstruction and foul smell, diagnosed with nasal tooth and successfully removed with endoscopic approach.

https://ift.tt/2LPratm

Concomitant Extramedullary Plasmacytoma in the Oropharynx and Hypopharyngeal Squamous Cell Carcinoma

We report a rare case of hypopharyngeal squamous cell carcinoma occurring synchronously with extramedullary plasmacytoma (EPM) of the oropharynx in which radiotherapy was used as the curative treatment. A 73-year-old man presented with a sore throat that had persisted for 6 months. Examination revealed a superficial, smooth tumorous lesion at the base of his tongue with a red hue in the oropharynx. In addition, a protruding tumor was observed on the mucosal surface in the right piriform recess of the hypopharynx, and computed tomography revealed thickening of the pharyngeal wall at the right tongue base and in the right piriform recess of the hypopharynx. Because no definitive diagnosis could be reached for the lesion at the base of the tongue, the entire tongue-base tumor was resected by transoral surgery under endoscopy. Proliferation of plasma cells in the tumor was detected, and a bone marrow puncture test ruled out multiple myeloma leading to a definitive diagnosis of Stage I (cT1N0M0) squamous cell carcinoma in the right piriform recess of the hypopharynx and primary extramedullary plasmacytoma in the oropharynx. Radiotherapy was selected for curative treatment with a complete response for both cancers. No recurrences have been observed as of 12 months postoperatively.

https://ift.tt/2vjR6TR

A new nonsense mutation in the POGLUT1 gene in two sisters with Dowling–Degos disease

Journal of the European Academy of Dermatology and Venereology, EarlyView.


https://ift.tt/2mX9u0U

Brucellosis in renal transplant recipients: a comparative review of 5 cases

Although brucellosis in renal transplant recipients is rare, we studied the clinical characteristics of this infection in this patient population due to the significantly increased number of renal transplantations performed over the past few decades. We report one case from our experience and undertake a review of the previously reported cases retrieved from the PubMed. A total of 5 cases of brucellosis in renal transplant recipients were found to date. The mean time from transplantation to diagnosis of brucellosis was 4.7 years (range, 4 months to 13 years). Blood culture and detection of anti-Brucella antibodies were frequently used diagnostic investigations. Treatment with appropriate antibiotic regimen led to a clinical cure and marked improvement in Brucella titre in all the patients. This review illustrates that clinicians should remain vigilant for this infectious aetiology following renal transplantation. Further studies are required to delineate the magnitude and scope of this association.

https://ift.tt/2M5t2ez