Huge Rhinolith in Adult

Objective:Rhinoliths in adult are rare and uncommon.Clinical Presentation and Intervention: We present two cases of rhinoliths in adult. The first case reports an interesting case of a healthy adult male who presented with symptoms of foul-smelling nasal discharge and nasal block. The second case report merely shows an adult with the same clinical symptoms in which a rhinolith was diagnosed. Both cases report incidental findings of huge rhinoliths in the right nasal cavity.Conclusion: Management of the rhinolith and possible genesis of the rhinolith are discussed

Retropharyngeal abscess: seven-year review - clinical presentation, diagnosis and management

This was a retrospective study of operative records between 2000 – 2007 from two ear, nose and throat (ENT) referral centers in Malaysia to review demographic patterns, clinical presentations and management of retropharyngeal abscess (RPA). Our case series comprised of eight patients with five females and three males with a median age at presentation of 47 years. Comorbid factor in this series was diabetes mellitus, with four patients having diabetes. There were three cases of fish bone ingestion. The commonest presentation was dysphagia or odynophagia. None of them had fever. All patients were treated with broad spectrum intravenous antibiotics (IV) and drainage was performed for the abscess. Four patients underwent transoral drainage with three having the cervical approach and one having spontaneous rupture.All patients recovered well from the infection and only one patient passed away due to septicaemia. In conclusion, patients with retropharyngeal abscess may present with vague symptoms of sore throat, odynophagia without fever due to partial antibiotics treatment. A correct diagnosis should be made so that adequate treatment can be given to prevent mortality

A retrospective study of ranula in two centres in Malaysia

Introduction: Ranula is a mucous extravasation cyst which occurs as a result of trauma or obstruction of the sublingual or minor salivary gland or the duct itself. Patients and results: 14 patients were seen at Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur and Hospital Tunku Ampuan Afzan, Kuantan, Malaysia between 2000 to 2006. There were six cases of intra-oral ranula and eight plunging ranula. Twelve patients underwent surgical intervention while two refused surgery. Four patients (33.3%) from those who had surgical intervention returned with recurrence; two (16.7%) had marsupialization and the other two (16.7%) had excision of the pseudocyst intraorally. Conclusion: Excision and marsupialization remain as the treatment of choice in our centres

Kimura’s Disease in Malaysian patients : three case reports

Kimura’s disease is a chronic inflammatory disorder which affects the subcutaneous tissues of the head and neck, axilla and upper limb as well as the groin region. In the head and neck region, major salivary glands and regional lymph nodes are mainly involved with associated eosinophilia and an elevated IgE concentration. Three cases of Kimura’s disease involving the parotid glands, lymph nodes and cheek are presented with a brief review of the literature