Three Years’ Experience of Management of Different Types of Rhinosporidiosis in Rural Part of Western West Bengal

Article Sidebar

pdf
Published: Dec 1, 2015
DOI: https://doi.org/10.47210/bjohns.2015.v23i3.54
Keywords:
Rhinosporidiosis, Otolaryngology, Epinephrine, Endoscopy, Lidocaine, Electrocoagulation

Main Article Content

Debdulal Chakraborty
Associate Professor & HOD, Department of ENT, BSMCH, Bankura, WB
Chiranjib Das
RMO cum clinical tutor, Department of ENT, BSMCH, Bankura, WB
Rajesh Hansda
Assistant Professor, Department of ENT, BSMCH, Bankura, WB

Abstract

Introduction: The incidence of different types of rhinosporidiosis is very high in the rural western part of West Bengal.  The treatment of choice is surgical excision and cauterization of the base. The recurrence rate is very high.


Aims and objectives: The objectives of this study were to assess the distribution of rhinosporidiosis according to age, sex, presenting features, site of origin, recurrence rate and compare them with literature; and describe the surgical technique to reduce recurrence of the disease.


Materials and methods: This prospective case study was done in the department of Otorhinolaryngology in a tertiary care hospital in the western part of West Bengal from April 2012 to March 2015. Wide local excision of rhinosporidiosis along with electrocautery of the base was done. We took the help of endoscope and microscope whenever needed. Regular follow up with endoscope was done in postoperative period.


Results: Out of total 112 patients 62 were male and 50 were female. Commonest age group affected was 2nd decade. There was no recurrence in patients undergoing operation for the first time. Recurrence was noted in nasopharynx of 3 patients undergoing revision surgery.


Conclusion: Complete removal of rhinosporidiosis from the base is the basic criterion to reduce recurrence. It is possible by using meticulous technique along with the guidance of endoscope or microscope whenever needed. Regular postoperative follow up with endoscope is must to detect and treat early recurrence. 

Article Details

How to Cite
1.
Chakraborty D, Das C, Hansda R. Three Years’ Experience of Management of Different Types of Rhinosporidiosis in Rural Part of Western West Bengal. BJOHNS [Internet]. 2015Dec.1 [cited 2024Nov.5];23(3):92-8. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/54
Issue
Vol. 23 No. 3 (2015): Bengal Journal of Otolaryngology and Head Neck Surgery
Section
Main article
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

References

Ahluwalia KB. New interpretations in rhinosporidiosis, enigmatic disease of the last nine decades. J Submicros Cytol Pathol. 1992; 24:109-14.

Karunaratne WA. Rhinosporidiosis in man. London: Athlone Press; 1964. p. 14-8.

Sharma KD, Junnarkay RV and Ararwal S. Rhinosporidiosis. J Indian Med Assoc. 1962; 38: 640-642.

Kameswaran S, Lakshmanan M. Rhinosporidiosis. In ENT disorders in a tropical environment. Kameswaran S, Kameswaran M, Eds. Chennai, MERF Publications, 1999:19-34.

Arseculeratne SN. Recent advances in rhinosporidiosis and Rhinosporidium seeberi. Indian J Med Microbiol. 2002; 20:119-31.

Ali A, Flieder D, Guiter G, Hoda SA. Rhinosporidiosis: An unusual affliction. Arch Pathol Lab Med. 2001; 125(10):1392-93.

Bhandary S, Natesh V, Chettri S, Kumar A. Rhinosporidiosis. Analysis of cases presenting to a tertiary care hospital in Nepal. Int J Tropical Med. 2012; 8 (1): 1-1.

Venkateswaran S, Date A, Job A, Mathan M. light and electron microscopic findings in rhinosporidiosis after dapsone therapy. Trop Med Int Health 1997; 2: 1128-32.

Vukovic Z, Bobic-Radovanovic A, Latkovic Z, Radovanovic Z. An epidemiological investigation of the first outbreak of rhinosporidiosis in Europe. J Trop Med Hyg. 1995; 98:333-7.

Ashworth JH. On Rhinosporidium seeberi with special reference to its sporulation and affinities. Trans Roy Soc Edinburgh 1923; 53:301-42.

Herr RA, Ajello L, Taylor JW, Arseculeratne SN, Mendoza L. Phylogenetic analysis of rhinosporidiumseeberi's18S small-subunit ribosomal DNA groups this pathogen among members of the protoctistan Mesomycetozoa clade. J Clin Microbiol. 1999; 37: 2750-4.

Karunaratne WAE. The pathology of rhinosporidiosis. J Path & Bact. 1936; 42:193-202.

Das BC. Rhinosporidiosis. Ind J Otolaryngol 1974; 26: 79-84.

Makannavar JH, Chavan SS. Rhinosporidiosis: a clinicopthological study of 34 cases. Indian J Pathol Microbiol. 2001; 44: 17–21

Weir N. Golding-Wood DG. Infective rhinitis and sinusitis. In: Mackay IS, Bull TR (Eds) Scott-Brown’s Otolaryngology Butterworth-Heinemann, 1997; 4 (6): 39-40.

Harissi-Dagher M, Robillard N, Corriveau C, Mabon M, Allaire GS. Histopathologically confirmed ocular rhinosporiodiosis in two Canadians. Can J Ophthalmol. 2006; 41:226-9.

Das S, Kashyap B, Barua M, Gupta N, Saha R, Vaid L, Banka A. Nasal rhinosporidiosis in humans: new interpretations and a review of the literature of this enigmatic disease. Med Mycol. 2011; 49(3):311-315.