Annals of Indian Academy of Otorhinolaryngology Head and Neck Surgery

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Objective: This study aimed to evaluate the etiology, clinical profile, morbidity, diagnosis, and management of vertigo among elderly patients at a tertiary care teaching hospital of Eastern India. Materials and Methods: Seventy-two elderly patients were diagnosed as cases of peripheral vertigo above the age of 60 years enrolled in this study. The detailed etiology, clinical presentations, diagnostic methods, and treatment were assessed. Results: The most common peripheral vestibular disorders were benign peripheral paroxysmal positional vertigo (38.38%), idiopathic vestibulopathy (9.72%), migraine-related vertigo/migraine vestibulopathy (26.38%), Meniere's disease (5.55%), and acute vestibular neuritis (6.94%). Diabetes mellitus is a common systemic disorder associated with elderly vertigo patient. Mental disorders such as anxiety (18.05%), depression (15.27%), and phobia (12.5%) were seen in this study among elderly vertigo patients. Conclusion: This retrospective study revealed that 72 of elderly patients had been diagnosed with peripheral vertigo. The majority of vertigo patients are of benign paroxysmal positional vertigo with unilateral horizontal canal involvement among elderly patients in this study, followed by migrainous vestibulopathy, idiopathic vestibulopathy, and vestibular neuritis. Proper diagnosis and management help to make a better and quality life in elderly patients suffering with vertigo.

Background: Rhabdomyosarcoma (RMS) is not uncommon in the head-and-neck region. The nonspecific symptomology mimicking benign or inflammatory lesions result in delayed diagnosis, often in advanced stage, mandating multimodal therapy. Moreover, this delayed diagnosis may contribute to poor outcomes. Objective: The aim of this study is to share our experience in managing RMS affecting head-and-neck region. Materials and Methods: This was a retrospective review of six cases treated at a tertiary care institute. Results: Four cases diagnosed to have RMS of the paranasal sinus, one case involving the temporal bone, and one case with tumor presenting in the nasopharynx underwent treatment. Spinal metastasis was detected in two patients. A 5½-year-old child presenting with RMS temporal bone had the longest period of follow-up. Conclusion: This paper presents a series of six such cases that were treated by the senior author. Embryonal RMS of the temporal bone survived for more than 7 years and is on follow-up. Alveolar variant of RMS has a poor survival of >3 years in our series.

Osteoclastoma or giant cell tumor is an uncommon neoplasm of the bone. Common sites for osteoclastomas are long bones. Osteoclastoma of the craniofacial bones is extremely rare clinical entity. Here, we are reporting a case of osteoclastoma originating from the left maxilla presenting with swelling at the left nasolabial area with nasal obstruction. He had undergone complete excision of the tumor under general anesthesia. During the postoperative period, the patient did well without any evidence of recurrence or metastasis for 1-year follow-up.

Parapharyngeal space (PPS) tumors are rare constituting 0.5% of all head and neck tumors. Salivary gland tumors are common followed by neurogenic tumors. The initial diagnostic modality for these tumors is incisional biopsy which is hazardous at this site. Now, fine-needle aspiration cytology (FNAC) is gaining popularity as a prime diagnostic modality for parapharyngeal lesions. Here, we report a case of schwannoma of PPS in a 32-year-young lady, diagnosed by FNAC.

Online since 12^th Sep, 2016