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what is the line of investigations, diagnosis and management?
dr g. venkateswara rao,
pg in ent,
guntur medical college,
guntur,
andhra pradesh.
dr84 said...
i think this is fungal sinusitis which has eroded the palate
investigation-biopsy for histopathology and culture,sensitivity for fungus,nasal endoscopy,CT_FACE
treatment-debridement,palatal prosthesis
March 4, 2010 6:08 PM
raghunath said...
Possible DD could be
Midline granuloma,post operative defect,syphilitic gumma orpost irradiation necrosis.
Take detailed hystory,diopsy from the edge and serology.
Palatal obturator
March 4, 2010 10:53 PM
i think this is fungal sinusitis which has eroded the palate
ReplyDeleteinvestigation-biopsy for histopathology and culture,sensitivity for fungus,nasal endoscopy,CT_FACE
treatment-debridement,palatal prosthesis
Possible DD could be
ReplyDeleteMidline granuloma,post operative defect,syphilitic gumma orpost irradiation necrosis.
Take detailed hystory,diopsy from the edge and serology.
Palatal obturator
needs biopsy, fungal staining and imaging. DD includes midline lethal granuloma, mucor, lymphoma, and rarely tuberculous. please let know the final diagnosis.
ReplyDeleteDr, it looks Fungal sinusitis of Nasopharynx and Para nasal sinuses.
ReplyDeletePlease you may investigate him for -
Hb%,TC,DC,ESR, Nasal Scraping and KOH smear,Nasal wash and Fungal culture , Blood- sugar preferably fasting ( Rule out DM), Blood VDRL,
Nasal Endoscopy and Biopsy (careful on taking biopsy) CT- PNS, CT-Base of Skull, Audiogram.
If it is confirmed proceed with disease clearance ans Antifungal Chemotherapy, Repeat DNE if required CT-Base of Skull. Keep Inform about this case later .
Dr(Sqn Ldr) AJ Tamilmani