RFP Journal of ENT and Allied Sciences

Capillary hemangioma is benign proliferation of blood vessels that primarily occurs during childhood. Pyogenic granuloma and capillary haemangioma are well known and commonly occurring benign vascular lesions of the oral cavity. Pyogenic ulcerative granuloma is known to show a striking predilection for the gingiva and capillary hemangioma frequently occurs in the lips, cheek, and tongue. The gingival occurrence of capillary hemangioma is considered relatively rare. The purpose of this article is to report an unusual case of benign tumor occurring on the gingiva which was clinically diagnosed as pyogenic granuloma and histopathologically proved to be a capillary hemangioma. The clinical diagnosis of such an uncommon occurrence can be quite challenging as they sometimes may mimic benign as pyogenic granuloma Otorhinolaryngologist should therefore be aware of these lesions when making a diagnosis and attempts at excision of apparently innocent lesions may result in serious bleeding.

Keywords: Capillary Hemangioma; Excisional Biopsy; Gingival Overgrowth; Pyogenic Granuloma.

Chronic tonsillitis is a inflammatory lesion of pharynx most commonly affecting children in the first decade of life. Situs inversus totalis is a rare congenital condition occurring with an incidence of 1:5000 to 1: 10000 in which there is mirror image transposition of both the abdominal and thoracic visera . The etiology of occurance of situs inversus totalis is still unknown, such individuals are generally asymptomatic and have a normal life expectancy and the condition may go unnoticed for years. We describe the first reported case of situs inversus totalis with dextrocardia in a teenage patient with chronic tonsillitis.

Keywords: Situs Inversus Totalis; Chronic Tonsillitis; Dextrocardia.

Aspergillosis of the nasal and paranasal sinuses is a common opportunistic fungal infection in immunocompromised patients. However invasive variant in normal hosts is a very rare occurrence. We report a case of invasive aspergillosis involving the maxillary sinus in an immunocompetent patient. The patient underwent endoscopic clearance followed by antifungal therapy.

Keywords: Aspergillosis; Immunocompetent; Antifungal.

Verrucous carcinoma is an Unusual Indolent and Deceptive variant of well differenciated squamous cell carcinoma [1] that can be confused with a benign process. Verrucous carcinoma is most commonly seen in elderly male [2] smokers. In all likelyhood no other neoplasm of larynx calls for co-operation between a surgeon and pathologist as much as in the diagnosis of verrucous carcinoma as it is particularly deceptive. The lesion is very difficult to diagnose clinically and histopathologically from a well differenciated squamous cell carcinoma. Although curable at an early stage, leaving it untreated leads to local aggressiveness and calls for a green eyed early detection followed by early surgical intervention to give good results. Keeping in mind that each case is a generative source of ideas for medical and surgical inventions we worked up our case. Our case was diagnosed and treated early thus evading a need for tracheostomy and its consequences. A 53y old male who was a known smoker (40 pack years) who presented with hoarseness of voice of one month duration. Videolaryngoscopy revealed a proliferative growth involving the anterior commissure and anterior 2/3rd of the left vocal cord. Histopathology showed features suggestive of verrucous carcinoma larynx. Microlaryngeal surgery was done and the mass was excised in toto. Post-op period was uneventful with no recurrence till date.

Keywords: Verrucous Carcinoma; Ackermans Tumour; Laryngel Squamous Cell Carcinoma; Uncommon Variant of Squamous Cell Carcinoma. 

The whole world is alarmed at air, water and land pollution. But there’s a deafening silence about noise pollution. Be it human or machine-created, noise disrupts normal activity and balance of life. Noise-induced hearing loss (NIHL) is the most common cause of sensorineural hearing loss (SNHL). NIHL is one of the most common workplace disorders and the second most selfreported occupational injury. Exposure to noise can be occupational or nonoccupational. Government and regulatory bodies have fixed the permissible limit of sound levels.Noise control laws are openly violated. It is the time that the public and authorities should awake against the danger of noise pollution. They should strictly enforce the noise control laws. Noise-induced hearing loss is 100% preventable, but once you have hearing loss, you’ll have it for life.

Keywords: NIHL; Noise Pollution; Hearing Loss.