Wednesday, December 19, 2012

Isolated fracture of lamina papyracea.

Note fracture of medial wall of right orbit wall (known as Lamina payracea because this bone is as thin as paper).
Same case as above in different axial cuts of CT Scan. Fortunately this patient does not have any diplopia.

Tuesday, December 11, 2012

Low grade adenocarcinoma of Parotid

This was a very large tumour which was abutting the external auditory canal. The whole EAC cartilage became bare and so fascia was kept over the bare cartilage while closing the wound. A radical parotidectomy was done for full clearance of tumour. The patient received Radiotherapy after.

Saturday, December 8, 2012

Submandibular duct calculus

A 60-year Female presented with uncontrolled diabetes mellitus with cellulitis of floor of mouth. She responded to oral clindamycin. When the swelling subsided, a left side submandibular calculus was discovered which was confirmed with CT Scans. Despite insulin treatment, her sugar levels remains highly uncontrolled. Her stone was removed under local anesthesia and the duct was marsupialized.






Here is a view of marsupialized submandibular duct few months after surgery. Clear saliva can bee seen coming from it.

 

Tongue tie