MANAGEMENT OF RHINOSPORIDIOSIS IN OUR EXPERIENCE
Journal Title: IJAR-Indian Journal of Applied Research - Year 2019, Vol 9, Issue 6
Abstract
Background: Rhinosporidiosis is a chronic granulomatous disease caused by aquatic parasite Rhinosporidium seeberi belonging to group of fish parasite Mesomycetozoa. It commonly affects nose and nasopharynx. It is one of the endemic disease is in India. Materials and Methods: This is a prospective study of distribution pattern and management of 12 cases of rhinosporidiosis in our institute(GIMSR)from the region of Visakhapatnam, Vizianagaram and Srikakulam districts of Andhra Pradesh, India. This is also to study the pattern of involvement according to age, sex, site, laterality, and their management. It emphasizes the importance of excision under local anaesthesia once the stalk of the lesion is identified. Results: Our study of 12 patients were shown slightly male preponderance, around the age of 11-20 years, with a clear cut history of having a bath in contaminated pools and rivers . Nasal obstruction & epistaxis are the predominant symptoms. The majority of cases had been excised endoscopically under local anaesthesia with less bleeding and minimal recurrence rate. It also reveals the importance of general anesthesia when the lesions involving posterior aspect of nasal cavity, nasopharynx to prevent aspiration in to lungs and in children who don't cooperate for local anaesthesia. Conclusion: Endoscopic identification of stalk is mandatory before excising the lesion under local anaesthesia. The bleeding is less when excision done with diathermy cautery.
Authors and Affiliations
Dr P. James Sudhakar, Dr M. Harini
Keywords
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