Common Age Group Of Presentation Research Articles

Novel Approach to Rhinosporidiosis

ABSTRACTRhinosporidiosis is a chronic enigmatic disease affecting mainly the upper aerodigestive tract and is notorious for frequent recurrences as high as 70%. Higher incidences of recurrence are mainly due to nonendoscopic excision with resultant residual disease leading to seedling of the disease.ObjectivesThe aim of this study is to highlight the factors responsible for recurrence and to follow the clinical course to ensure against recurrence of rhinosporidiosis. External surgery in rhinosporidiosis should be avoided for the fear of implantation. With the advent of endoscopes and Lasers allow the surgeon to complete excision of the lesion with cauterization of the base.Materials and methodsA retrospective study of thirty two cases of rhinosporidiosis presented to us over a period of 10 years from 2002 to 2012. Out of which 14 cases presented to us for the first time and 18 cases were recurrent cases. The commonest age group of presentation was between 20 and 30 years in patients presenting for the first time and in recurrent cases the commonest age of presentation was between 50 and 60 years of age. Majority of patients were males with male to female ratio of 9:1. All patients underwent endoscopic excision, electro cautery was used in 30 patients and Laser was used in 2 patients.ResultsFourteen cases did not have any recurrence and in the 18 cases of recurrent cases three of them again had a recurrence where electro cautery was used to cauterize the base.ConclusionEndoscopic excision of rhinosporidiosis has a better result over nonendoscopic approaches with lesser recurrence rate. Our results show that use of endoscopes in patients who presented for the first time have a better results as the mucosa of recurrence patients have already been insulted due to previous surgeries.How to cite this articleAroor R, Gowda MM, Bhat VS, Bhandary SK. Novel Approach to Rhinosporidiosis. Int J Otorhinolaryngol Clin 2014;6(2):55-57.

English

Acid peptic disease is the most common condition affecting the gastrointestinal tract. H. pylori, which colonizes the gastric submucosa, being the most prolific etiological agent and responsible for various gastrointestinal lesions like gastritis to gastric ulcer and sometime malignant lesion. The present study deals with the spectrum of lesions caused by H. pylori and their diagnosis by rapid urease test & histopathological examination of gastroduodenal biopsies. Total 100 patients with symptoms of acid peptic disease were evaluated and endoscopic biopsies from gastroduodenal site were obtained. The biopsy specimens were processed for rapid urease test & histopathological examination using H&E and special staining (Warthin-starry and Giemsa stain) techniques. Among the 100 cases, common age group of presentation was 31-40 years & male to female ratio was 1.78:1. On histopathological examination the most common lesion was chronic gastritis (33 cases) followed by duodenal ulcer (21 cases), gastric ulcer (12 cases) & gastric neoplastic lesion (14 cases). Among neoplastic lesion, adenocarcinoma was most common finding. Rapid urease test showed positive results for H. pylori in 61% cases and on histopathology in 63% of cases. H. pylori infection has significant role in the pathogenesis of acid peptic disease, of which gastritis was most common condition. Rapid urease test is simple and cost-effective. Histopathological examination using H&E and special stains are the gold standard tools for the diagnosis of H. pylori infection.

Novel Approach to Rhinosporidiosis

ABSTRACT Rhinosporidiosis is a chronic enigmatic disease affecting mainly the upper aero digestive tract and is notorious for frequent recurrences as high as 70%. Higher incidences of recurrence are mainly due to nonendoscopic excision with resultant residual disease leading to seedling of the disease. Objectives The aim of this study is to highlight the factors responsible for recurrence and to follow the clinical course to ensure against recurrence of rhinosporidiosis. External surgery in rhinosporidiosis should be avoided for the fear of implantation. With the advent of endoscopes and Lasers allow the surgeon to complete excision of the lesion with cauterization of the base. Materials and methods A retrospective study of thirty two cases of rhinosporidiosis presented to us over a period of 10 years from 2002 to 2012. Out of which 14 cases presented to us for the first time and 18 cases were recurrent cases. The commonest age group of presentation was between 20 and 30 years in patients presenting for the first time and in recurrent cases the commonest age of presentation was between 50 and 60 years of age. Majority of patients were males with male to female ratio of 9:1. All patients underwent endoscopic excision, electro cautery was used in 30 patients and Laser was used in 2 patients. Results Fourteen cases did not have any recurrence and in the 18 cases of recurrent cases three of them again had a recurrence where electro cautery was used to cauterize the base. Conclusion Endoscopic excision of rhinosporidiosis has a better result over nonendoscopic approaches with lesser recurrence rate. Our results show that use of endoscopes in patients who presented for the first time have a better results as the mucosa of recurrence patients have already been insulted due to previous surgeries.