Research
A Migratory Foreign Body from Cervical Esophageal Lumen: A Case Report
Introduction: ENT foreign body (FB) account for around 11% of emergencies. Swallowed FB especially fish, mutton bone or chicken bone are commonly seen in adult and elderly while coin in children. In adult, etiology may be considered due to gluttony, poor mastication or age related neuromuscular, decrease in oral tactile sensation. A traumatic FB of neck passed through the esophageal lumen and lodged into intramuscular plane of neck. Radiological investigations helps in localizing migrated FB from lumen. Neck dissection for extraluminal FB removal is the one of the surgical management. Aim of study: To present extraluminal FB and its management. Case Report: We had a case of a 60 year old female with complaints of 3 weeks continuous throat pricking sensation. She was treated like gastro-esophageal reflux disease (GERD) but was not getting relief, hence along with radiological investigations we have found a radiopaque extraluminal FB in the right trachea-esophageal groove. FB removal was done without any complications.
A Descriptive Study of Benign Vocal Cord Lesions with Speech Prameters Operated with Microlaryngoscopy
Background: Humanity has appreciated the importance and power of the human voice. Voice disorders like benign, malignant lesions of vocal cord affect the voice quality and also can have a devastating effect on daily functioning and quality of life. These lesions can be diagnosed and treated with microlaryngoscopy. Micro-laryngoscopy is a procedure for visualization of a magnified view of the voicebox (larynx) with the help of a laryngoscope assisted with an operating microscope for precise laryngeal surgery. Speech parameters helps in voice quality assessment for vocal cord lesions. Method: We have studied 30 cases of benign vocal cord lesion by simple random sampling for two years which got operated with microlaryngoscopic conventional surgery. Their pre and post-operative assessment is done with respect to speech parameters like Maximum Phonation Time, Voice Handicap Index and GRBAS Score. Clinical history and rigid Hopkins 700 also helped in diagnosing of benign vocal cord lesions.
