EPIDEMIOLOGICAL STUDY ON HEAD AND NECK MALIGNANCIES - A STUDY OF 150 CASES

OBJECTIVE: In the present study we investigate the head and Neck Malignancy cases presenting to the ENT department of our Hospital, and analyze the same to give inputs as to the incidence of head and neck malignancies, the symptoms and stage of presentation, lifestyle and habits as contributory risk factors, identify ENT primary in neck secondaries, histopathological types and selection of best treatment.METHODS: Prospective analysis of 150 patients with newly diagnosed malignancies of nasopharynx, oropharynx, larynx, hypopharynx and ear.RESULTS: Most malignancies are common in patients greater than 40 years of age. 88% of cancer occur in males. Oropharynx cancer is the most common cancer in our study, with the commonest subsite as base of tongue. Supraglottic and pyriform fossa tumours are the commonest tumour in laryngeal and hypopharyngeal cancers  respectively. The most common presentation is dysphagia. Synergistic effect of smoking and alcohol is seen in 50% of patients. Most of the cases were seen in stage III and IV except glottis cancer which is predominantly seen in stage I, almost all cases were squamous cell carcinoma.CONCLUSION:The results of our study were in conformity with other similar studies. In larynx, Supraglottic was more common as opposed to glottis in certain western studies. Analysis of various factors helps in early diagnosis and management.KEYWORDS:Cancer, Head and Neck Malignancy, Larynx, pharynx, Nasopharynx, Neck secondaries.

A STUDY ON CHRONIC OTITIS MEDIA ACTIVE MUCOSAL TYPE WITH SINUSITIS AS FOCAL SEPSIS

AIM : To establish the role of Sinusitis as Focal sepsis in Chronic Otitis media active mucosal disease, to emphasizethe need of proper diagnostic endoscopic evaluation and improvement in middle ear mucosal disease status afterfunctional endoscopic sinus surgery.METHODS : 60 Patients in the age groups of 18-49 years Chronic otitis media active mucosal disease wereidentified and screened for evidence of Focal Sepsis in Pasanasal sinus by Diagnostic Nasal endoscopy andcomputed tomography of paranasal diseases. Then Functional endoscopic sinus surgery was done to clear sinusitisand middle ear mucosal disease status assessed.RESULTS :Evaluation revealed that sinusitis in these patients was the cause for persistent discharge. All patients hadone or more evidence of sinusitis like pus in middle meatus, deviated nasal septum and turbinoseptal deformities,prominent enlarged bullae, enlarged middle turbinate on DNE and CT. The otoendoscopy showed inflamed andboggy middle ear mucosal status. All patients underwent septoplasty/FESS depending on findings. Out of 60patients 52 patient had improvement in middle ear mucosal status with surgery.In the adult population sinusitis is the most important focal sepsis in case of persistent ear discharge in ChronicOtitis Media active mucosal type of disease.A proper diagnostic nasal evaluation of all Chronic Otitis Media activemucosal type of patients is necessary in comprehensive management of the disease. The clearance of sinusitis hasimproved the middle ear mucosal status. Unilateral ear discharge is associated with sinusitis only on thecorresponding side, which is in concurrence with our study. Functional endoscopic sinus surgery has emerged as thebest procedure for clearance of sinusitis.

A STUDY ON EFFICACY OF AUTOLOGOUS PLATELET RICH PLASMA IN MYRINGOPLASTY

Objective: To study the efficacy and advantage in using autologus platelet rich plasma during myringoplasty in closure of tympanic membrane perforation   preventing the graft displacement, promoting quicker healing & improving overall outcome.Methods : Platelet rich plasma(PRP) is an autologus platelet rich concentrate prepared from patients own blood  with growth factors up to 8 times that of normal serum and its efficacy when used during myringoplasty is studied.50 patients with chronic otitis media inactive mucosal disease were randomly chosen and 25 of them was the study group and other 25 were the control group. Both group patients underwent myringoplasty and PRP was used in the study group and the results were evaluated.Results: In our study among 25 cases that underwent myringoplasty with use of platelet rich fibrin, 24 had complete tympanic membrane closure and only one failure has been noticed. In controls 5 out of 25 cases had failure. The graft take up rate in our study is comparable with the reference studies. Use of PRP accelerates graft uptake.Conclusion: Platelet rich plasma is a cheap and cost effective platelet concentrate with enriched growth factors. It accelerates the tympanic membrane closure following myringoplasty.

Effect of torrefaction pretreatment on the pyrolysis of rubber wood sawdust analyzed by Py-GC/MS

The aim of this study was to investigate the effect of torrefaction on the pyrolysis of rubber wood sawdust (RWS) using pyrolysis–gas chromatography/mass spectrometry (Py-GC/MS). Three typical torrefaction temperatures (200, 250, and 300 °C) and pyrolysis temperatures (450, 500, and 550 °C) were considered. The results suggested that only diethyl phthalate, belonging to esters, was detected at the torrefaction temperatures of 200 and 250 °C, revealing hemicellulose degradation. With the torrefaction temperature of 300 °C, esters, aldehydes, and phenols were detected, suggesting the predominant decomposition of hemicellulose and lignin. The double-shot pyrolysis indicated that the contents of oxy-compounds such as acids and aldehydes in pyrolysis bio-oil decreased with rising torrefaction temperature, implying that increasing torrefaction severity abated oxygen content in the bio-oil. With the torrefaction temperature of 300 °C, relatively more cellulose was retained in the biomass because the carbohydrate content in the pyrolysis bio-oil increased significantly

Ground Water Quality Assessment in Paper Mill Effluent Irrigated Area - Using Multivariate Statistical Analysis

Paper mill effluent while flowing, percolates through soil and slowly mixes with ground water bodies (Open well), water samples were collected from three stations (S1, S2 and S3) in and around paper mill. This paper represents the characteristics of ground water quality and the effect of paper mill effluent, which is using recycled water for irrigation and domestic purpose. Cluster analysis (CA), principal component analysis (PCA) and multidimensional scale plot (MDS) appear were employed to evaluate the tropic status of water quality for three monitoring stations. High pollution load was observed in the ground water bodies due to continuous flow of effluent near the ground water sources. Effluent water consists of 3400 mg/l suspended solids. However, pH varied from 5.5-7.6. The biochemical oxygen demand and chemical oxygen demand ranged from 2-780 and 60 - 1520 mg/l respectively. SAR, RSC and SSP level was high from S2 and S3, both were unsuitable for both domestic and irrigation purposes. An elevated coliform bacterial count indicates that these water samples S2 and S3 were not suitable for domestic purpose. The dendrogram of the effluent water quality parameters evidently indicate that Maruthi Paper mill does not meet nominal National standard set by central pollution control board to discharge in agricultural fiel

Ultrastructure of egg membrane of rohu (Labeo rohita)

The fine structure of the egg envelope and micropyle of unfertilised spawned eggs of rohu (Labeo rohita) was observed using scanning electron microscope (SEM). The outer surface showed regularly arranged pores (dia. 0.20 - 0.25 μm) but was devoid of any filaments, fibrils or wrinkles. The micropyle was funnel shaped which exibited an outer pit (10 μm dia.) narrowing into a distinct canal (4.5 μm dia.). The larger diameter of the micropylar canal in comparison with the sperm head size of rohu and some other cyprinids make intergeneric and interspecific hybridisation easy in rohu

Fine structural changes of Rohu (Labeo rohita) sperm after dilution with cryoprotectants

Spermatozoa of rohu (Labeo rohita) were diluted in two cryodiluents and fine structural changes were investigated. Damages were observed in head, mid-piece and tail of about 51% spermatozoa immediately after dilution in one of the cryodiluents. After 10 minutes of equilibration period, the frequency of damaged sperms increased to 85%. The other diluent did not exhibit signif~cant structural changes unlike the former one and nearly 60% sperms remained visibly intact even after 10 minutes of equilibration time. The present investigation points out (1) diluents inhibiting sperm motility alone need not always be ideal for a species and (2) usefulness of ultrastructural images of fish sperms in determining the fertilizing ability of milt and in preliminary screening and selection of cryodiluents for deepfreezing programmes

Efficient nitrogen-vacancy centers' fluorescence excitation and collection from micrometer-sized diamond by a tapered optical fiber

Efficiently excite nitrogen-vacancy (NV) centers in diamond and collect their fluorescence significantly benefit the fiber-optic-based NV sensors. Here, using a tapered optical fiber (TOF) tip, we significantly improve the efficiency of the laser excitation and fluorescence collection of the NV, thus enhance the sensitivity of the fiber-optic based micron-sized diamond magnetic sensor. Numerical calculation shows that the TOF tip delivers a high numerical aperture (NA) and has a high fluorescence excitation and collection efficiency. Experiments demonstrate that using such TOF tip can obtain up to over 7-fold the fluorescence excitation efficiency and over15-fold the fluorescence collection efficiency of a flat-ended (non-TOF) fiber. Such fluorescence collection enhances the sensitivity of the optical fiber-based diamond NV magnetometer, thus extending its potential application region.Comment: 11 pages, 13 figure