Prashant H Patil

ABSTRACT Pyogenic granuloma is a benign vascular neoplasm of skin and mucous membranes. It is also known as Botriomycome. It results from inflammatory hyperplasia of mucosa or the skin. Females are more commonly affected probably due to the vascular effects of hormones that occur during puberty, pregnancy and menopause. Intraorally, gingiva is the most commonly (75%) affected and rarely have been reported on extragingival sites like palate, buccal mucosa, tongue and lips. Intraorally, the lesion appears as a hyperplastic inflammatory response to local irritation or trauma. Extra oral sites commonly involved are the skin of face, neck, upper and lower extremities, and mucous membrane of nose and eyelids. Clinically, pyogenic granulomas are characterized as a smooth or lobulated exophytic lesion with colour ranging from red/pink to purple. The mass may have a pedunculated or sessile base and is usually non tender but it can bleed on touch. Hereby we are reporting an unusual location of pyogenic granuloma on tongue. Keywords: Tongue, Hormone, NBCA

Background:A saccular cyst of the larynx is a mucous filled dilatation of the laryngeal saccule.It is an uncommon laryngeal anomaly that needs early diagnosis and timely management as they can mimic or be associated with other more serious laryngeal pathology including carcinoma of the larynx. Case report:A 45 year old female presented to ENT OPD with throat pain and change in voice since 3 months. Indirect laryngoscopy revealed a smooth bulge over right false vocal cord, obliterating the visualisation of the right true vocal cord,with normal mobility. CECT scan showed well defined soft tissue lesion involving right false vocal cord. USG guided FNAC was done revealed features suggestive of benign cystic lesion.Patient was started on IV antibiotics and oral steroid.Patient showed drastic improvement symptomatically and clinically which was confirmed with regular Indirect laryngoscopy. Conclusion:Saccular cyst although uncommon should be included in the differential of any laryngeal mass. Once recognized early, they can be effectively and safely treated.

Introduction: Nasal Obstruction Symptom Evaluation score is a simple method to assess the severity of the symptoms of Allergic Rhinitis. This study is done to know the effect of Nasal corticosteroid spray in Allergic Rhinitis in relation to N.O.S.E score & Absolute Eosinophil Count. Material & Method: This prospective observational study was conducted in patients of Allergic Rhinitis visiting ENT & HNS Department, KLES Dr. Prabhakar Kore Hospital & Medical Research Centre, Belgaum for 1 year. A total of 50 patients were included in study after obtaining the informed consent. All the patients were assessed by severity of symptoms with N.O.S.E score with AEC before & after treatment with intranasal corticosteroid spray & was followed up after 3 months. Result: The mean age of patients is 32.48±12.77, with 40% female participants and 60% were male participants. The male to female ratio in 1.5:1, with male preponderance. The NOSE score was found to be significantly higher before treatment (47.1±1.56) compared to after treatment (16.40±0.85), with p<0.05. There is a weak strength of positive correlation between the NOSE score with the AEC (r=0.201, p<0.05). Conclusion: Nasal corticosteroid spray is effective in Allergic Rhinitis in relation to NOSE score. NOSE score is better indicator of control of Allergic Rhinitis compared to AEC. The examination of NOSE score is simple, inexpensive, and non-invasive. As a result, it can be utilised as a replacement for AEC value in clinical settings.