A Giant Ranula: The Rima Oris Lantern – A Catch-All Approach

 

Abstract

Oral ranula is a retention cyst which arises from the sublingual salivary gland in the floor of the mouth due to ductal obstruction and fluid retention. Various surgical procedures have been quoted in the literature ranging from simple aspiration to complete or partial excision of the ranula. This paper highlights a case report of a huge impending plunging ranula in the floor of the mouth which has been successfully excised completely.

Keywords: Ranula; Marsupialisation; Pseudo-cyst

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Lupine Publishers | Cervicofacial Herpes Zoster Complicating Ganglion- Pulmonary Tuberculosis: Case Report and Review of the Literature: A Case Report

 

Abstract

Tuberculosis is an infectious disease; it has a variable degree of presentation, most often pulmonary while the extrapulmonary location is dominated by lymph node involvement, especially cervical. On the other hand, herpes zoster results from the reactivation of the virus that causes varicella. Here, we report the case of cervicofacial herpes zoster complicating ganglion-pulmonary tuberculosis in a 19-year-old female patient with a history of varicella during childhood, who presents bilateral lymphadenopathy, the diagnosis of pulmonary and lymph node tuberculosis is confirmed by histology, she has treated with anti-tuberculosis drugs and the evolution was marked by the presence of lymphadenopathy and the appearance of cervicofacial herpes zoster.

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Association Between Hearing Loss with Site and Size of Tympanic Membrane Perforation: A Retrospective Study

 

Abstract

Background: Perforation of tympanic membrane decreases surface area and allows the sound waves to pass through middle ear directly. Size of perforation and severity of the hearing loss are related.

Aim: The present study was aimed to evaluate association between hearing loss with site and size of tympanic membrane perforation.

Methods: All patients between 15-60 years of age with chronic otitis media safe type attending to outpatient clinic of ENT, Bangalore Medical College over the period of one year were included in this hospital-based retrospective study. The patients with unsafe CSOM, mixed hearing loss, and refusal to participate in the study, were excluded.

Results: 52% patients aged between 21 and 30 years. Male to female ratio was 1.7:1. 53% patients belonged to average socioeconomic class. The most common symptom on presentation was decreased hearing present in all the patients followed by otalgia (38%), and headache (31%). Unilateral ear was affected in 82 patients in our study. In 9 patients, both ears were affected. Among 50% ears, size of perforation was 10-30 mm2 followed by 0-9 mm2 in 40% ears, and >30 mm2 in 10% patients. We also observed that the patients with higher perforation have an increase in hearing loss on PTA examination (P<.0001). Among 100 ears, the most common perforation site was central (70%) followed by antero-superior (19%), antero-inferior (15%), postero-inferior (9%), and postero-superior (3%). We also observed that median PTA frequency on postero-superior site was significantly higher than antero-superior, anterosuperior, and central site (P<0.01).

Conclusion: Hearing loss is directly related to the size of TM perforation, as the size increases hearing loss also increases.

Keywords:Chronic otitis media; tympanic membrane; hearing loss

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The Differences in Prosodic Features of Alaryngeal Speech after Laryngectomy

 

Abstract

Purpose: Defining the prosodic features of alaryngeal speech and determining their differences depending on the type of alternative speech.

Methods: The study included 60 laryngectomized subjects of both sexes with a mean age of 63 years. The subjects were divided into three groups depending on the type of alternative alaryngeal speech. Prosodic features were assessed using a four-component scale for the assessment of prosody of alaryngeal speech by three examiners. Statistical data processing was done using the SPSS statistical package.

Results: Significant differences were found between tracheoesophageal, esophageal, and electro laryngeal speech with respect to melody and accent performance, and variable rhythm, while the existing differences in the realization of pauses in speech were not significant. Most tracheoesophageal subjects have the appropriate melody, as well as the accent achieved during the speech, the logical pauses present, and in most cases the appropriate speech rhythm.

Conclusion: By evaluating prosody, vocal rehabilitation by the installation of a tracheoesophageal prosthesis has proven to be the most optimal rehabilitation method.

Keywords: Alaryngeal Speech; Assessment; Laryngectomy; Prosody

 

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Prevalence of Abnormal Cervical Vestibular Evoked Myogenic Potential (CVEMP) Responses in Dizzy Patients Following Mild Traumatic Brain Injury

 

Abstract

Objective: We sought to assess the feasibility of cervical vestibular evoked myogenic potential (cVEMP) as a diagnostic tool for patients experiencing dizziness after mild traumatic brain injury (mTBI) in tertiary neurotology clinic. We used cVEMP to estimate the prevalence of saccular dysfunction after mTBI.

Design: This was a cross-sectional study of patients referred to a tertiary neurotology clinic for dizziness after mTBI. These patients were given a standard neurotology clinical examination and vestibular assessment in addition to a cVEMP test.

Results: 20 of 63 (31.7%) patients had an abnormal cVEMP response. 75% of these subjects showed no deficiency by clinical exam or VNG and 50% registered a deficiency by pure tone audiometry (PTA).

Conclusions: We found that abnormal cVEMP responses were common in dizzy patients post-mTBI and many had normal results in standard neurotological/vestibular tests. cVEMP may help identify those with vestibular dysfunction associated with saccular injury after mTBI.

Keywords: Vestibular evoked myogenic potential; TBI; cVEMP, saccule

Abbreviations: TBI: Traumatic Brain Injury; VEMP: Vestibular Evoked Myogenic Potential; SCM: Sternocleidomastoid; PTA: Pure Tone Audiometry; IAD: Interaural Amplitude Difference; PPPD: Persistent Postural Positional Dizziness

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