Papers by Sushil Aggarwal
INTERNATIONAL JOURNAL OF ANATOMY, RADIOLOGY AND SURGERY, 2019
Journal of Pure and Applied Microbiology
Rhinosporidiosis is a granulomatous disease with a chronic course, the etiological agent being Rh... more Rhinosporidiosis is a granulomatous disease with a chronic course, the etiological agent being Rhinosporidium seeberi which usually causes the development of localized lesion in the mucosa of the nose, conjunctiva, and urethra. The disease is prevalent in South India and Sri Lanka although case reports are evident from many parts of the world like Europe, America, and Africa. In the present study, we are reporting a case of rhinosporidiosis elaborating its clinical features, diagnostic modalities, and treatment. Since R.seeberi is not a successfully cultivable organism, in vitro susceptibility of drugs remains a concern. The main focus of the present study is on molecular detection of R. seeberi which can be helpful in the future for early diagnosis and prompt treatment of such cases.
NATIONAL JOURNAL OF LABORATORY MEDICINE
The samples were collected under aseptic conditions using sterile cotton swab from the external a... more The samples were collected under aseptic conditions using sterile cotton swab from the external auditory canal. To diagnose otomycosis, detailed history, clinical examination, otoscopic findings and laboratory identification of fungus were considered [9].
Indian Journal of Clinical and Experimental Ophthalmology, 2015
The Indian journal of tuberculosis, 2012
Middle ear infection due to Mycobacterium tuberculosis has been reduced from 3-5% to 0.05-0.9% in... more Middle ear infection due to Mycobacterium tuberculosis has been reduced from 3-5% to 0.05-0.9% in the last century due to advent of effective anti-tuberculosis therapy. On the other side, this decrease in frequency of tuberculous otitis media along with indistinguishable signs and symptoms of frequently occurring non-tuberculous otitis media makes clinicians vulnerable to delayed or misdiagnosis of the disease. A case of tubercular otitis media with atypical clinical manifestations in the form of encephalopathy is presented.
Asian Journal of Neurosurgery, 2016
Papillary tumor of the pineal region (PTPR) is a newly described entity, which has been recently ... more Papillary tumor of the pineal region (PTPR) is a newly described entity, which has been recently included in the World Health Organization classification of central nervous system tumors. We report an unusual presentation of PTPR in a 17-year-old girl, which was extending into the third ventricle, along with a detailed description of morphological and immunohistochemical characteristics of PTPRs. The diagnosis of PTPR was established on immunohistopathological examination.
Bangladesh Journal of Otorhinolaryngology, 2013
Clinical Rhinology An International Journal, 2011
Aims & Scope: Indian Journal of Clinical and Experimental Ophthalmology (IJCEO) is a refereed, pe... more Aims & Scope: Indian Journal of Clinical and Experimental Ophthalmology (IJCEO) is a refereed, peer-reviewed, indexed journal with academics and experts of repute as members of its Editorial Board. IJCEO publishes articles in the field of Ophthalmology and Vision science for a worldwide readership. It publishes original research papers, unusual case reportsand critical reviews dealing with all sub specialties of Ophthalmology like Pediatric ophthalmology, Neuro-ophthalmology, Ocular Oncology &Oculoplasty, CommunityOphthalmology, Oculartraumatology, Vitreo-retina and Cornea & refractive surgery etc. Special emphasis is given to issues that include new clinical trials, technical & surgical innovations and current ophthalmic updates, research activities and continuedmedical education in ophthalmic teaching. The role of Ophthalmologyin society and, new findings from the frontiers of current researchare always encouraged.
Objectives The objectives of this study were to study the safety profile and role of mononuclear ... more Objectives The objectives of this study were to study the safety profile and role of mononuclear stem cells in the rehabilitation of posttraumatic facial nerve paralysis not improving with conventional treatment. Study Design This is a prospective nonrandomized controlled trial. Study Setting This study is conducted at Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh between July, 2007 and December, 2008. Patients We included eight patients of either sex aged between 18 and 60 years of posttraumatic facial nerve paralysis not improving with conventional treatment presented to PGIMER, Chandigarh between July 2007 and December 2008. Methods All patients underwent preoperative electroneuronography (ENoG), clinical photography, and high-resolution computed tomography (HRCT) temporal bone. All patients then underwent facial nerve decompression and stem cell implantation. Stem cells processing was done in well-equipped bone marrow laboratory. Postoperatively, ...
The Indian journal of tuberculosis, 2012
Middle ear infection due to Mycobacterium tuberculosis has been reduced from 3-5% to 0.05-0.9% in... more Middle ear infection due to Mycobacterium tuberculosis has been reduced from 3-5% to 0.05-0.9% in the last century due to advent of effective anti-tuberculosis therapy. On the other side, this decrease in frequency of tuberculous otitis media along with indistinguishable signs and symptoms of frequently occurring non-tuberculous otitis media makes clinicians vulnerable to delayed or misdiagnosis of the disease. A case of tubercular otitis media with atypical clinical manifestations in the form of encephalopathy is presented.
Journal of Postgraduate Medicine
Teratomas are tumors of multipotent cells derived from all three germ cell layers and recapitulat... more Teratomas are tumors of multipotent cells derived from all three germ cell layers and recapitulate normal organogenesis. Teratomas are hypothesized to arise by misplacement of multipotent germ cells. Teratoma is usually developmental and sometimes congenital neoplasm which displays both solid and cystic components with gross and microscopic differentiation into a wide variety of tissues representative of all three germ layers-ectoderm, mesoderm and endoderm. We are describing a case which was initially diagnosed as bilateral nasal polyposis clinically but histopathology report came out to be immature teratoma. This case is being reported to make aware all ENT surgeons of such unique presentation of sinonasal teratomas as such presentation of these tumors has not been reported in literature previously, and hence teratomas should be considered in the differential diagnosis of nasal polyposis in future.
International Journal of Medicine and Biomedical Research
Background: Diagnosing nosocomial sinusitis (NS) in Intensive Care Unit (ICU) is difficult as the... more Background: Diagnosing nosocomial sinusitis (NS) in Intensive Care Unit (ICU) is difficult as the patient is usually on ventilator and the usual clinical signs and symptoms of acute or chronic rhinosinusitis cannot be confirmed from the patient. Aim: Authors want to highlight that nosocomial sinusitis as the cause of fever in ICU patients should be explored. A detailed review of literature on evaluation and management of nosocomial sinusitis is also presented in this article. Findings: In this article, we emphasize how to evaluate and diagnose nosocomial sinusitis in ICU patients using a case of a 38-year old patient who was treated for nosocomial sinusitis. Nosocomial sinusitis can be treated successfully in most of the patients if it is diagnosed early and managed properly. Hence, an index of suspicion should be kept for nosocomial sinusitis in a case of pyrexia of unknown origin in ICU settings. Conclusion: Nosocomial sinusitis in ICU setting presenting with fever needs to be diagnosed early in patients having risk factors for this entity and should be managed aggressively to prevent life threatening complications like ventilator-associated pneumonia and sepsis. Early endoscopic clearance of all the sinuses along with culture sensitivity-based antibiotics should be the standard management protocol in all such cases.
Journal of pediatric neurosciences, 2011
Esthesioneuroblastoma (ENB) presenting simultaneously with proptosis and bilateral neck metastasi... more Esthesioneuroblastoma (ENB) presenting simultaneously with proptosis and bilateral neck metastasis is a very rare presentation. ENB is a rare tumor arising from the olfactory epithelium of the nasal vault which frequently invades the cranial base, cranial vault and orbit. ENB has a bimodal age distribution between 11 and 20 years and between 51 and 60 years. ENB accounts for approximately 1 to 5% of intranasal cancers and no consensus has been reached yet regarding the treatment of this tumor. We are reporting a 17-year-old male patient who presented with right eye proptosis with loss of vision and bilateral neck metastasis. Contrast enhanced computed tomography (CECT) and magnetic resonance imaging (MRI) was done which showed Kadish stage C tumor. Nasal biopsy was done to make the diagnosis and the patient was subjected to radiotherapy. Tumor responded to radiotherapy and both the primary lesion and the cervical lymph node metastasis disappeared. The purpose of this study is to rep...
International Journal of Critical Illness and Injury Science, 2013
Indian Journal of Otolaryngology and Head & Neck Surgery, 2014
We have described a new technique of using ultra-thin silicon sheet (0.2 mm) between two transect... more We have described a new technique of using ultra-thin silicon sheet (0.2 mm) between two transected bony ends for temporo-mandibular joint (TMJ) ankylosis in children with advantages of short operative time, minimal foreign material insertion and faster recovery time post-operatively which makes our technique a good alternative to conventional techniques. Our study is a non-randomized prospective study conducted on 10 children aged between 4 and 15 years who presented to our tertiary care institute with severe trismus after traumatic injury and were willing to undergo this new technique. The main outcome measure taken into consideration was difference between pre-operative, intra-operative (on table) and post-operative mouth opening (minimum 2 years follow-up). The pre-operative mouth opening in our cases varied from 1 to 5 mm. The intra-operative mouth opening achieved ranged from 2.8 to 3.2 cm. The mouth opening was about more than 2.7 cm in all our cases at 2 years of follow-up. Our technique is a good alternative to conventional techniques used for TMJ ankylosis in children but few more randomized controlled trials are required to assess its effectiveness in comparison to conventional techniques and for universal adoption of this technique.
International Journal of Pediatric Otorhinolaryngology, 2012
We have designed a technique of tracheostomy in pediatric patients with S-shaped incision on the ... more We have designed a technique of tracheostomy in pediatric patients with S-shaped incision on the tracheal wall which we think, provides a larger cross-sectional area of stoma and facilitates easier insertion of tracheostomy tube and thus helped in reducing early and late complications associated with it in our series. The trachea was exposed in midline by a vertical skin incision. In order to make S-shaped tracheostoma, second tracheal ring was identified. The conventional vertical incision was made in second tracheal ring and then extended at both its ends laterally in the inter-cartilaginous space parallel to the tracheal cartilage in the opposite direction to make the incision S-shaped. The trachea was dilated with tracheal dilator and appropriate size of tracheostomy tube was then placed into the trachea. S-shaped tracheostomy was performed in 40 children with mean age of 6.36 years (age range is 2-12) required for airway maintenance or prolonged ventilatory support. The incidence of early complications was quite less in our patients (ranged from 0 to 5%). There was no incidence of excessive intra-operative bleeding or injury to surrounding structures causing subcutaneous emphysema or vocal cord palsy. One patient developing pneumothorax after the procedure was managed conservatively. There was no incidence of tracheo-esophageal fistula, suprastomal collapse or difficulty in decannulation on 9 months of follow up related to our technique. However, one of the patients developed early trachietis and cutaneous peristomal granulomas and 2 patients developed late trachietis which was treated conservatively. S-shaped tracheoplasty, a new pediatric tracheotomy technique has resulted in a quantifiable reduction in the risk of the early and late complications in our series. Hence, we feel that this new technique is a better alternative to existing methods but larger randomized controlled studies are required before universal adoption of this technique.
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Papers by Sushil Aggarwal