- Head and Neck Surgical Oncology
- Sinusitis and nasal conditions
- Pituitary Gland Disorders and Treatments
- Meningioma and schwannoma management
- Oral and Maxillofacial Pathology
- Injury Epidemiology and Prevention
- Salivary Gland Tumors Diagnosis and Treatment
- Foreign Body Medical Cases
- Ear and Head Tumors
- Cancer and Skin Lesions
- Sarcoma Diagnosis and Treatment
- Musculoskeletal synovial abnormalities and treatments
- Hemostasis and retained surgical items
- Glioma Diagnosis and Treatment
- Surgical Sutures and Adhesives
- Global Public Health Policies and Epidemiology
- Cerebrospinal fluid and hydrocephalus
- Breast Cancer Treatment Studies
- Head and Neck Anomalies
- Otolaryngology and Infectious Diseases
- Parasitic infections in humans and animals
- Nasolacrimal Duct Obstruction Treatments
- Growth Hormone and Insulin-like Growth Factors
- Otitis Media and Relapsing Polychondritis
- Parasites and Host Interactions
Eastern Command Hospital
2024
Vardhman Mahavir Medical College & Safdarjung Hospital
2022
All India Institute of Medical Sciences Bhubaneswar
2022
Employees' State Insurance Model Hospital
2017-2021
Mount Elizabeth Hospital
2019
Safdarjang Hospital
2012-2015
Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences
2011-2014
Singapore General Hospital
1996-2012
University of Health Sciences Antigua
2012
Institute of Medical Sciences
2011
A retrospective review was conducted of 64 patients with deep neck abscesses. Based on clinical and operative findings, these abscesses were categorized as retropharyngeal abscess (29 patients), parapharyngeal (10 Ludwig's angina (19 or necrotizing cervical fasciitis (six patients). Regional trauma from an ingested foreign body the cause for 59 per cent a abscess. In 90 subjects angina, odontogenic established; however, in majority cases (80 cent) (85 cent), aetiology unknown. Fifty-five (86...
Abstract The excellent visualization and minimally invasive surgical technique of endoscopic sinus surgery was applied to the management 40 patients with sellar lesions. Endoscopic lesions offers, not only advantage improved visualization, but also magnification, a panoramic perspective important relationships sella turcica. In past year, we have managed subjects lesions, endoscopically: 38 had pituitary adenomas two craniopharyngioma. At our hospital, endoscope has replaced operating...
Isolated sphenoid lesions are rare. It is likely that isolated sinus disease underreported for a number of reasons. First, the presenting symptoms often nonspecific; second, inaccessibility precludes optimal physical examination; and third, before advent CT MRI scanning, radiologic examination was inadequate. Endoscopic evaluation current imaging techniques with or have contributed to an increase in diagnosis these lesions. Twenty‐one patients I treated 4‐year period presented. The pathology...
Abstract An endoscopic study of the sphenoid sinus was carried out, on 30 cadavers, to understand important anatomical relationships sinus, and sella turcica. The aim anatomy variants, determine if instrumentation techniques, could play a beneficial role in management sellar lesions. results this are discussed, with particular reference surgical features sinus. A technique for transsphenoid approach turcica developed. Anatomical variants can be identified endoscopically, techniques have...
Ingested foreign bodies are the commonest otolaryngological emergency in Singapore and other parts of Southeast Asia. One uncommon complications ingested is migration, which has potential to cause morbidity mortality. A retrospective study 24 patients presenting from 1990 1996 at General Hospital was done evaluate presentation, investigation, diagnosis migrated bodies. Of interest, most had within hours. All were linear, sharp fish bones. Migration said have occurred presence positive neck...
Background: Various histopathological changes have been observed following neoadjuvant chemotherapy in individual tumors the literature. Aims and Objectives: To observe histopathologic seen after breast malignancies, squamous cell carcinomas, adenocarcinomas, Wilms′ tumor using cancer predominantly as model. Materials Methods: The present prospective study was carried out on 60 patients including 40 with carcinoma 20 other malignancies who received chemotherapy. Results: Post chemotherapy,...
Lesions of the orbital apex often present a diagnostic dilemma. Clinical assessment and imaging studies are helpful but tissue biopsy is required. The morbidity associated with transcranial approaches to may outweigh benefits obtaining by these routes. Fine needle aspiration cytology lesions can be performed there disadvantages this method. We describe transnasal endoscopic technique apex. was used successfully obtain diagnosis in six patients lesions. This enabled commencement definitive...
Fifty-five patients with deep neck infections treated consecutively over a period of six and half years between January 1983 July 1989 were reviewed. Nine these had abscesses localized to the pharapharyngeal space form basis this study. The aetiology parapharyngeal abscess was odontogenic in two remained unknown other seven. Five associated systemic disease; four diabetics one patient non-Hodgkin's Lymphoma. High dosage intravenous antibiotics directed towards causative micro-organisms,...
AIMS: To compare the clinical and pathologic assessment of response to neoadjuvant chemotherapy describe various histopathologic changes observed. MATERIALS AND METHODS: We studied a group 40 patients with locally advanced breast cancer who had their initial workup in form clinico-imaging size pretreatment biopsy from lesion. All received two six cycles chemotherapy, either cyclophosphamide 50 60 mg/m 2 IV, doxorubicin IV 5-fluorouracil 500 800 (CAF) or cyclophosphamide, epirubicin, (CEF)....
Abstract We describe two cases of sphenoid sinus mucocoele. Both presented with isolated oculomotor nerve palsy. Mucocoeles involving only the are uncommon. They probably under-diagnosed as they may be asymptomatic or cause non-specific symptoms. Nasal symptoms occur infrequently but close relationship to orbital apex means that ocular including cranial palsies a common presenting feature. Involvement third in isolation is rare has important neurosurgical implications which must excluded...
Choroid plexus tumors are rare intracranial which account for only 0.4-0.6% of all brain tumors. These intraventricular papillary neoplasms derived from choroid epithelium and range papillomas (World Health Organisation (WHO) grade I) to carcinomas (WHO III). It is an important albeit cause hydrocephalous. We present you the case a 1-year-old child who presented with signs symptoms hydrocephalous was diagnosed as papilloma on histopathology.
Nasal septal abscess complicating acute sinusitis is rare. There have been very few reports in the literature of this condition. We present a 12-year old-male with nasal pansinusitis.
Squamous cell carcinoma of the cervix is most common gynecological malignancy in India. Direct extension from a cervical growth can involve uterine corpus, but superficial spread, without invasion underlying myometrium, uncommon. We report three cases squamous cervix, with to whole endometrial cavity, by expansile intraepithelial growth. Clinically, two our presented pyometra and one vaginal bleeding discharge. The tumor had spread superficially into entire up fundus, replacing columnar...
Primary splenic cyst is a relatively rare entity; they comprise only about 10% of benign non-parasitic cysts. Most these are asymptomatic and observed incidentally during abdominal ultrasonography. The number diagnosed cases seems to have risen because the increasing use imaging techniques. However, definite diagnosis possible after splenectomy when epithelial lining confirmed histologically. We report case 14-year-old child who presented with fullness abdomen pain in left hypochondrium...
Twenty patients with chronic refractory sinusitis or rhinitis were identified to have immune defects on the basis of total immunoglobulin level, G subclass, and vaccine response. Eight A deficient, five had low levels hyporesponse, four normal responses. Three subjects showed isolated G1 deficiency. Demographic variables such as age, sex, infection pattern, any other related disorders studied retrospectively, which may contributed diagnosis. An immunologic screen was essential for diagnosis...
Isolated sphenoethmoid recess (SER) polyps are rare. They usually arise from the sphenoid sinus. We report six patients with SER as only abnormal clinical finding at initial presentation. All cases were investigated outpatient biopsy and computed tomography (CT) or magnetic resonance (MR) imaging. Pre-operative histology revealed three of inflammatory disease, two inverted papilloma, one case an ectopic pituitary adenoma arising One arose directly mucosa around ostium. The other five...
Retained foreign bodies after surgery is a quite rare condition, which can have medico-legal consequences. Foreign forgotten in the abdomen include towels, artery forceps, pieces of broken instruments or irrigation sets, and rubber tubes. The most common surgically retained body laparotomy sponge. Such materials cause reaction surrounding tissue. complications caused by these are well known, but cases rarely published because implications. We report case 41-year-old female who was admitted...
Abstract We report a case of 52‐year‐old man who presented with iatrogenic bilateral nasoethmoidal meningoencephaloceles following endoscopic nasal surgery performed in neighboring country 8 years ago. Imaging studies, including computed tomography and magnetic resonance imaging the paranasal sinuses anterior skull base, demonstrated suspicious intracranial lesion. In view lesion size base defect, an external approach via bicoronal flap was used for exploration repair. Intraoperative...