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Showing posts from March, 2020

Corona pandemic

    Since last couple of weeks entire world is facing this dangerous pandemic of corona. Started with China's Wuhan province, it has spread to almost every continent on earth. And with the influx of tourists, NRI residents, students it is rapidly spreading inside India.       We don't know the structural similarity between corona and Spanish flu virus of 1918. But the way corona is spreading across the globe with a killing spree, we don't have a choice but to compare it with Spanish flu that killed  millions of people across the globe.       Only difference I see is, while Spanish flu killed youngsters with same ferocity as elderly, corona is mainly taking away seniors particularly those with pre-existing health problems.       Spanish flu came to India on ships brought by infected, ailing indian soldiers in British army stationed in Europe. From the dockyards it spread to suburbs of Mumbai and with flleeing populace it spr...

Fibrous dysplasia with unsafe ear

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Curious case of pearloma !😊      Life is full of surprises ! Recently a case was referred by neurosurgeon with severe ear pain , stenosed ear canal and with the above CT findings😱. A case of fibrous dysplasia with temporal bone invo lvement and huge expanded mastoid cavity and petrous temporal bone.      First of this kind of experience😒. Nevertheless took the case for decompression of the lesion . It was huge skull due to expansion, Changed the routine of endaural to postural incision. The bone of mastoid was like ping pong ball and almost non existing ear canal because of anteriorly collapsed post canal wall. Little drilling and cavity opened with pus and debri and then in between pearls of none other than our old aquaitance as if saying 'Hey ! Get me out of hear if you want relief for your pt and your self😉. Inferiorly dehiscent jugular and a closed cavity with collapsing walls on all sides    with only suction doing the j...