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Naik S.M.,KVG Medical College Hospital | Appaji M.K.,KVG Medical College Hospital | Ravishankara S.,KVG Medical College Hospital | Mushannavar A.S.,KVG Medical College Hospital | Naik S.S.,Narayana Hrudayalaya
Indian Journal of Otolaryngology and Head and Neck Surgery | Year: 2013

Acute dacryocystitis, or inflammation of the lacrimal sac with lacrimal abscess, is almost always secondary to nasolacrimal duct obstruction. The standard practice for the treatment is incision and drainage because of concerns about the risks of exacerbation and spread of infection. Here we tried to evaluate primary EnDCR as a treatment for acute dacryocystitis with abscess formation. Department of ENT, Head and Neck Surgery, KVG Medical College, Sullia. This is comparative case series analysis study done in our medical college hospital during the study period 61 months from January 2007 to November 2011. 31 cases of acute dacryocystitis with lacrimal abscess managed were included in the study. 13 cases were operated primarily with EnDCR. Rest of the 18 cases was managed conventionally by incision and drainage and later by an external approach of DCR. Swelling disappeared intraoperatively in all EnDCR cases while medial canthal edema and erythema completely reduced within 2-3 days post-operatively. While in incision and drainage swelling disappeared partially intraoperatively and repeated draining was needed on the 2nd and 3rd day. The mean VAS score on first post operative day was 3.14 in group A and was 4.64 in group B. Group A had faster pain relief with 92.3% improvement in epiphora while group B had slower pain relief but epiphora remained. Mean intraoperative blood was 65 ml in group A and minimal in group B. Primary EnDCR is successful as a procedure of choice for acute dacryocystitis with abscess preventing further episodes of abscess formation and epiphora in the patients. We recommend EnDCR as the treatment of choice for acute dacryocystitis with lacrimal abscesses. © 2012 Association of Otolaryngologists of India.


Hiremath R.,Kvg Medical College Hospital | Aishwarya K.C.,Kvg Medical College Hospital | Philomena Noronha G.,Kvg Medical College Hospital | Naik S.B.,Kvg Medical College Hospital | Tejasvi S.,Kvg Medical College Hospital
Journal of Clinical and Diagnostic Research | Year: 2013

Metastatic tumors of the heart are more common than the primary cardiac tumors. Bronchogenic carcinoma is one of the common primaries for cardiac metastases. Cardiac metastasis from bronchogenic carcinoma via pulmonary vein is rare occurrence. We present a case of central bronchogenic carcinoma with left atrial tumor thrombus via right superior pulmonary vein.


PubMed | KVG Medical College & Hospital
Type: Journal Article | Journal: Indian journal of pharmacology | Year: 2012

To evaluate the pathogenesis in heart and liver by the early induction of biochemical and antioxidant derangements in rats exposed to endosulfan.Wistar rats were gavaged with endosulfan (0.5, 1 and 1.5 mg/kg body weight in sunflower oil) for a period of 21 days (single dose at 24 h interval). Control and sunflower oil control groups were also maintained simultaneously. Rats were sacrificed on the 22(nd) day posttreatment. Blood samples, heart and liver were collected and different biochemical parameters such as total protein, cholesterol, triglycerides, amino acids and antioxidant and lipid peroxidation level were measured. Statistical analysis was carried out by one way ANOVA, followed by Bonferroni post-hoc test.Endosulfan induced a significant increase in the serum levels of total protein, amino acids, triglyceride, total cholesterol, free fatty acid and phospholipid levels in a dose-dependent manner. In the heart and liver, lipid peroxidation was increased significantly in a dose-dependent manner and the antioxidant levels such as superoxide dismutase (SOD), glutathione S-transferase, glutathione peroxidase, and catalase were significantly decreased in a dose-dependent pattern.Exposure to endosulfan results in a significant derangement in the biochemical parameters with a decrease in antioxidant levels in the heart and liver. This is an early indication of pathogenesis in the vital organs of rats.


PubMed | Kvg Medical College Hospital
Type: Journal Article | Journal: Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India | Year: 2012

Accidental entry of foreign bodies into the ear canal is very common. Animate foreign bodies constitute upto 14% of cases, majority being the cockroaches. Not many cases of ticks entering into human ears are found in the scientific literature. Even the available reports are from South Africa, Nepal, Malaysia, Chile and Srilanka. This Indian study discusses the occurence, clinical features, the methods adopted in the removal and the complications of tick infestation of human ear. A total of 144 cases of ticks entering the human ears were studied over a period of two years from Jan 2004 to Dec 2005. This report represents one of the largest recorded series of human otoacariasis available in the Indian literature.


PubMed | Kvg Medical College Hospital
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2014

Metastatic tumors of the heart are more common than the primary cardiac tumors. Bronchogenic carcinoma is one of the common primaries for cardiac metastases. Cardiac metastasis from bronchogenic carcinoma via pulmonary vein is rare occurrence. We present a case of central bronchogenic carcinoma with left atrial tumor thrombus via right superior pulmonary vein.


PubMed | Kvg Medical College & Hospital and MS Ramaiah Medical College Hospitals
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2015

To know the value of preoperative Dopplerultrasonography vascular mapping of upper limb for hemodialysis access placement.Prospective ultrasonographic assess- ment of upper extremity vessels was performed in 60 patients prior to hemodialysis access placement and potential access sites were selected (based on the standard criteria). The findings were correlated with the operative findings. Discrepancies found between ultrasonographic and operative findings were analysed.All the 60 patients who underwent vascular mapping had vascular access placed. 80% of them had native arteriovenous fistulae (AVF) placed. In 95% of patients, at the selected sites, the vascular parameters as determined by ultrasonography matched with the operative findings. In 5% of patients there were discrepancies between the ultrasonography findings and operative findings. There was no negative surgical exploration. There was strong correlation between the diameters measured by ultrasonography and surgery.Preoperative ultrasonography vascular mapping prior to hemodialysis access placement has facilitated definite selection of potential sites in difficult patient population in whom evaluation by physical examination was inconclusive. It also helped in maximizing the native AVFs and decreasing the negative surgical exploration rates.

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