Vikasdeep Gupta

Abstract

Laryngeal trauma is exceptionally rare due to the protective effect of the mandible and sternum and the laryngotracheal framework’s elastic nature. Trauma to the larynx can be life-threatening and cause not only mortality but longterm upper aerodigestive morbidity. Here is a case of a 37 year-old male with electric burn of laryngotracheal region. Keywords: Laryngotracheal, Trauma.

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Abstract

Nasal endoscopy and computed tomography (CT) scans are used as diagnostic modalities of paranasal sinus disease. A randomized study was carried over 40 patients diagnosed with chronic rhinosinusitis who undervent a diagnostic nasal endoscopy and a CT scan. The purpose of the study was to demonstrate the effectiveness and limitations of CT and endoscopy in assessment of CRS. In this study we observed that endoscopy was superior for assessment of localized disease like polyp, pathological secretion, presence of accessory maxillary ostia and condition of mucosa. CT scan gave a better idea of the condition of paranasal sinuses, the osteomeatal complex and various anatomical variations including concha bullosa, paradoxical middle turbinate and deviated nasal septum. Keywords: Tomography, Endoscopy.

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Abstract

Syndrome of inappropriate antidiuretic hormone secretion (SIADH) is one of the most frequent paraneoplastic syndrome associated with hyponatremia in patients with tumours. The most common malignancy associated with SIADH is small cell tumour of lung. 1 Association of SIADH with head and neck malignancies is only seen in 1.5% of cases. We are reporting a case of 70 year old male, who came to emergency with irritable behaviour and stridor. On indirect laryngoscopy, there was proliferating mass right vocal cord. Emergency tracheostomy was done. Even though the blood pressure and pulse were within normal limits, patient was irritable and semiconscious. His serum sodium level was 110 mg/dl. Patient was started on fluid restriction and 3% saline infusion. On biopsy of mass right vocal cod, it was squamous cell carcinoma. Keywords: Antidiuretic, Carcinoma.

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