Lobular capillary hemangioma of the nasal cavity treated by radiofrequency excision: a retrospective study

&lt;p class="abstract"&gt;&lt;strong&gt;Background:&lt;/strong&gt; The objective of the study was to assess the clinical presentation, radiological features and treatment by radiofrequency excision of lobular capillary hemangioma of the nasal cavity in a tertiary care hospital.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods:&lt;/strong&gt; A retrospective descriptive study of capillary hemangioma of the nasal cavity on patients attending a tertiary care hospital from January 2015 to January 2019 was conducted. Case records were analysed and results were tabulated.  &lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Results:&lt;/strong&gt; There were 14 patients of capillary hemangioma of the nasal cavity of which 11 were males and 3 females with age ranging from 15 to 68 years. Epistaxis was the most common symptom followed by nasal obstruction. Anterior nasal septum was the most commonly affected area followed by posterior nasal septum, nasal vestibule and inferior turbinate. CT scans showed enhancing lesion with no bony erosion. Patients underwent endoscopic and classical excision by radiofrequency. No patient had any recurrence over 6 to 24 months follow-up.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; Lobular capillary hemangiomas of the nasal cavity present with epistaxis as the common symptom and occur most commonly over anterior part of nasal septum. Excision by radiofrequency results in minimal complications without any recurrence.&lt;/p&gt;&lt;p class="abstract"&gt; &lt;/p&gt;</jats:p

Topical use of Autologous Platelet Rich Fibrin in Tympanoplasty: A Prospective Interventional Study

Introduction: Tympanoplasty is the surgery performed in Chronic Otitis Media (COM) to improve the hearing function and prevent ear discharge. Platelet Rich Fibrin (PRF) is one of the materials that can be used to improve the graft uptake and hearing outcome. It is obtained by centrifugation of blood. The PRF contains leukocytes, cytokines, structural glycoproteins and growth factors which accelerates healing. It has been used in various surgical procedures to improve the outcome. Aim: To determine the efficacy of autologous PRF in closure of tympanic membrane perforation after tympanoplasty and to study the influence of PRF on the hearing outcome in the study population. Materials and Methods: This prospective interventional study was conducted in Department of Ear, Nose and Throat at SDM Medical College, Dharwad, Karnataka, India, from November 2018 to June 2020. The study included 60 patients with safe type of COM, who underwent tympanoplasty. Two group were made, group A consisted of 30 consecutive patients with safe type COM who underwent tympanoplasty with PRF application and group B, consisted of 30 patients who underwent tympanoplasty without PRF application. The outcome was assessed by endoscopic evaluation every month for 3 months to look for graft uptake. Hearing gain was evaluated by Pure Tone Audiometry (PTA) after 3 months of surgery. Statistical analysis was done using Chi-square test. Results: Group A had 29 cases with complete tympanic membrane closure and only one failure. However in group B, three out of 30 cases had failure. Thus, the overall the success rate was 96.66% in group A and 90% in group B. Postoperative PTA in group A showed that 18 cases (60%) had an improvement of &gt;15 dB whereas in group B, 12 cases (40%) had hearing improvement of &gt;15 dB. Conclusion: Considering the higher success rate of tympanoplasty with group A compared to group B and no noticeable side effects, it is recommended that tympanoplasty with autologous PRF should be preferred.</jats:p