Browsing by Author "Ghimire, SB"
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Publication Angiomyolipoma of Nasal Cavity - A rare clinical entity(Kathmandu University, 2024) Shrestha, KS; Shrestha, BL; Sapkota, B; Ghimire, SB; Shrestha, PABSTRACT Angiomyolipomas (AML) are benign mesenchymal tumour with varying proportion of matured fat cells, thick walled vessels and smooth muscle cells. Nasal angiomyolipomas are exceedingly rare and usually present as small tumour in middle aged and old men. This is a case of 86 years old male who presented in the ENT OPD with the swelling in the right nasolabial fold for 2 months. He underwent excision of the mass under general anesthesia and the histopathological examination proved to be angiomyolipoma of nose. KEY WORDS Angiomyolipoma, Hamartoma, HistopathologyPublication Laryngeal Paraganglioma - A Rare Entity(Kathmandu University, 2023) Ghimire, SB; KC, AK; Karmacharya, S; Shrestha, BLABSTRACT Laryngeal paragangliomas are neural crest derived rare neuroendocrine tumors which originates from either superior or inferior laryngeal paraganglia. It arises most commonly in supraglottis with mean age of 44 years and it is three times more common in females. This is a case of 39 years female who underwent endoscopic debulking and excision of tumor for histopathological examination which proved to be poorly differentiated squamous cell carcinoma and received a cycle of chemotherapy that probably resulted in complete resolution of initial mass which was confirmed in subsequent follow up. Futher immunohistochemistry examination diagnosed the case as Laryngeal paraganglioma. With this consideration, how effective is the role of chemotherapy in the management of proven case of Laryngeal paragangliomas? KEY WORDS Chemotherapy, Immunohistochemistry, Laryngeal paragangliomaPublication Nonsyndromic Complete Second Branchial Cleft Fistulas: A Clinicosurgical Experience(Kathmandu University, 2025) Ghimire, SB; Dhakal, A; Pandey, A; Vaidya, SABSTRACT Branchial cleft anomalies are congenital malformations resulting from the abnormal persistence of branchial clefts during embryogenesis, often presenting as cysts, sinuses, or fistulae. These anomalies account for approximately 20% of pediatric head and neck masses, with bilateral cases being particularly rare. This report discusses a case of an 11-year-old boy with complete bilateral second branchial cleft fistulae, characterized by intermittent mucopurulent discharge and recurrent inflammation, primarily following upper respiratory infections. Diagnostic imaging, including CT scans, confirmed the presence of bilateral fistulous tracts. Surgical management involved a combined transoral and transcervical approach, including bilateral tonsillectomy and complete excision of the fistulous tracts. The procedure resulted in successful removal of the anomalies without postoperative complications. This case emphasizes the importance of thorough diagnostic evaluation and the effectiveness of complete surgical excision in managing bilateral branchial cleft anomalies to prevent recurrence and improve patient outcomes. Further research is warranted to optimize surgical techniques and postoperative results. KEY WORDS Congenital neck mass, Excision, Second branchial cleft fistula