Milon Kazi, Md Iqbal Hossen, Fazle Elahi Jonaed, IM Hashim Reza Roktim, Mirza Kaisar Elahi, M. Chowdhury
Background: Laryngeal malignancy is the second most common malignancy in head neck region worldwide. Incidence of supraglottic carcinoma is more common in this country which interferes with most vital functions in the sufferers like voice, respiration and swallowing by virtue of its anatomical location, local infiltration and direct extension. Objectives: To find out the clinicopathological profile of supraglottic laryngeal malignancies of the patients attending in a tertiary level Hospital. Methods: A cross sectional study was conducted among seventy eight cases of supraglottic carcinoma who were histopathologically proven selected from the in-patient department of ENT and Head -Neck Surgery Dhaka Medical College Hospital, Dhaka during January 2020 to July 2021. Results: Among 78 cases in this study, male: female ratio 10.1:1 and mean age was 52.1 (± 4.6) years with the range from 40 to 78 years. Majority of the patients came from low socioeconomic condition (79.5%). Regarding habit 93.6% of cases were smoker and 59% are habituated in chewing betel nut and leaves, 3.8% were with chewing tobacco and alcohol 2.6%. Most of patients presented with more than one symptom and the commonest was change of voice (87.2%), which followed by dysphagia (78.2%), neck swelling (55.1%), irritable cough (32%) and dyspnoea (20.5%). A big portion of the patients (39.7%) had T2 lesion followed by T3 lesion (38.5%), T1 lesion (11.5%) and T4 lesion (10.3%) clinically. Clinical nodal involvement presented in 55.1% cases and there was no distance metastasis. 56 (71.8%) patients had exophytic growth and 22 (28.2%) patients had ulcerative growth. A large portion of the patients (65.4%) had growth in Aryepiglottic fold followed by False Cord (34.6%), arytenoid (29.5%) and Epiglottis (25.6%). On histopathological evaluation, Squamous cell carcinoma (SCC) was present in 85.8% cases, well differentiated (14.1%), moderately differentiated (53.8%), and poorly differentiated (17.9%). While Adenocarcinoma found in 7.7% cases and Non-Hodgkin Lymphoma present in 6.4% cases. Conclusion: Supraglottic carcinoma usually occurs in 5th decade with male predominancy in poor socio economic group. Smoking, chewing (tobacco and betel nut) habits and alcohol consumption have got strong relation in the causation of supraglottic carcinoma.More than half of the cases has nodal metastasis and predominant histological type was squamous cell carcinoma. Bangladesh J Otorhinolaryngol 2022; 28(2): 141-148
{"title":"Clinicopathological Study of Supraglottic Laryngeal Malignancies","authors":"Milon Kazi, Md Iqbal Hossen, Fazle Elahi Jonaed, IM Hashim Reza Roktim, Mirza Kaisar Elahi, M. Chowdhury","doi":"10.3329/bjo.v28i2.64297","DOIUrl":"https://doi.org/10.3329/bjo.v28i2.64297","url":null,"abstract":"Background: Laryngeal malignancy is the second most common malignancy in head neck region worldwide. Incidence of supraglottic carcinoma is more common in this country which interferes with most vital functions in the sufferers like voice, respiration and swallowing by virtue of its anatomical location, local infiltration and direct extension. \u0000Objectives: To find out the clinicopathological profile of supraglottic laryngeal malignancies of the patients attending in a tertiary level Hospital. \u0000Methods: A cross sectional study was conducted among seventy eight cases of supraglottic carcinoma who were histopathologically proven selected from the in-patient department of ENT and Head -Neck Surgery Dhaka Medical College Hospital, Dhaka during January 2020 to July 2021. \u0000Results: Among 78 cases in this study, male: female ratio 10.1:1 and mean age was 52.1 (± 4.6) years with the range from 40 to 78 years. Majority of the patients came from low socioeconomic condition (79.5%). Regarding habit 93.6% of cases were smoker and 59% are habituated in chewing betel nut and leaves, 3.8% were with chewing tobacco and alcohol 2.6%. Most of patients presented with more than one symptom and the commonest was change of voice (87.2%), which followed by dysphagia (78.2%), neck swelling (55.1%), irritable cough (32%) and dyspnoea (20.5%). A big portion of the patients (39.7%) had T2 lesion followed by T3 lesion (38.5%), T1 lesion (11.5%) and T4 lesion (10.3%) clinically. Clinical nodal involvement presented in 55.1% cases and there was no distance metastasis. 56 (71.8%) patients had exophytic growth and 22 (28.2%) patients had ulcerative growth. A large portion of the patients (65.4%) had growth in Aryepiglottic fold followed by False Cord (34.6%), arytenoid (29.5%) and Epiglottis (25.6%). On histopathological evaluation, Squamous cell carcinoma (SCC) was present in 85.8% cases, well differentiated (14.1%), moderately differentiated (53.8%), and poorly differentiated (17.9%). While Adenocarcinoma found in 7.7% cases and Non-Hodgkin Lymphoma present in 6.4% cases. \u0000Conclusion: Supraglottic carcinoma usually occurs in 5th decade with male predominancy in poor socio economic group. Smoking, chewing (tobacco and betel nut) habits and alcohol consumption have got strong relation in the causation of supraglottic carcinoma.More than half of the cases has nodal metastasis and predominant histological type was squamous cell carcinoma. \u0000Bangladesh J Otorhinolaryngol 2022; 28(2): 141-148","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69459200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Md. Assaduzzaman Liton, Rashedul Islam, M. A. Rifat, Husne Qumer Osmany, U. C. Ghosh, Md. Abu Yusuf Fakir
Background: Tracheostomy is a surgical procedure, often a life saving measure in a variety of clinical conditions. It is one of the commonest procedures carried out on the critically ill patient. The most common causes of non-malignant airway obstruction are head and severe facial trauma, cerebrovascular accident, coma, respiratory burn and presence of foreign bodies in airway etc. Tracheostomy is an increasingly utilised adjunct in the ICU management of patients. Effective tracheostomy management involved the multi-professional team in a coordinated approach. Objectives: To study the indications of tracheostomy in non-malignant disorders. Study design: Cross-sectional study. Study setting and period: Department of Otolaryngorhinology and Head- Neck surgery (Unit- 1,2,3), General Surgery, ICU, Casualty, Neurosurgery, Thoracic surgery, Burn & Plastic Surgery and relevant OPD in Dhaka Medical College Hospitalfrom6th September 2015 to 5th March 2016. Methods: A hospital based cross-sectional study. Fifty patients admitted to hospital, underwent tracheostomy for non-malignant factors. Purposive samplings technique was used. Detail demographic data were collected from the informant and recorded in structured case record form. Clinical examination and relevant investigation were done meticulously. All collected questionnaire checked very carefully to identify the error in the data. Data processing work consist of registration schedules, editing computerization, preparation of dummy table, analyzing and matching of data. Result: A total of 50 patients of non-malignant pathology causing airway patency loss in different ward unit of DMCH were selected. In this study, maximum numbers of patients (36%) were between 51-70 years age groups with mean age was 47.23±11.57 years. It was observed that, frequency of non-malignant aetiology for tracheostomy gradually increases with age. Study show that, 51-70 years was most frequent age group (36%). Out of 50 cases 82% were male. Present study show that socioeconomically majority patients were poor class (52%), highest percentage of patient comprised of day labourer (30%). Head trauma (12%) and cerebrovascular accidents (9%) were the most common etiological factor trauma was the major aetilogical group (50%),followed by, central drive problems or neurological disease (38%) and elective tracheostomy was done. Conclusion: Head and facial trauma, cerebrovascular accident, coma, respiratory burn and presence of foreign bodies etc. are common aetilogical factors. It was found that tracheostomy is safer alternative to intubation when a prolonged artificial airway is required. Bangladesh J Otorhinolaryngol 2022; 28(2): 157-164
{"title":"Tracheostomy in Non-malignant Disorders","authors":"Md. Assaduzzaman Liton, Rashedul Islam, M. A. Rifat, Husne Qumer Osmany, U. C. Ghosh, Md. Abu Yusuf Fakir","doi":"10.3329/bjo.v28i2.64299","DOIUrl":"https://doi.org/10.3329/bjo.v28i2.64299","url":null,"abstract":"Background: Tracheostomy is a surgical procedure, often a life saving measure in a variety of clinical conditions. It is one of the commonest procedures carried out on the critically ill patient. The most common causes of non-malignant airway obstruction are head and severe facial trauma, cerebrovascular accident, coma, respiratory burn and presence of foreign bodies in airway etc. Tracheostomy is an increasingly utilised adjunct in the ICU management of patients. Effective tracheostomy management involved the multi-professional team in a coordinated approach. \u0000Objectives: To study the indications of tracheostomy in non-malignant disorders. \u0000Study design: Cross-sectional study. \u0000Study setting and period: Department of Otolaryngorhinology and Head- Neck surgery (Unit- 1,2,3), General Surgery, ICU, Casualty, Neurosurgery, Thoracic surgery, Burn & Plastic Surgery and relevant OPD in Dhaka Medical College Hospitalfrom6th September 2015 to 5th March 2016. \u0000Methods: A hospital based cross-sectional study. Fifty patients admitted to hospital, underwent tracheostomy for non-malignant factors. Purposive samplings technique was used. Detail demographic data were collected from the informant and recorded in structured case record form. Clinical examination and relevant investigation were done meticulously. All collected questionnaire checked very carefully to identify the error in the data. Data processing work consist of registration schedules, editing computerization, preparation of dummy table, analyzing and matching of data. \u0000Result: A total of 50 patients of non-malignant pathology causing airway patency loss in different ward unit of DMCH were selected. In this study, maximum numbers of patients (36%) were between 51-70 years age groups with mean age was 47.23±11.57 years. It was observed that, frequency of non-malignant aetiology for tracheostomy gradually increases with age. Study show that, 51-70 years was most frequent age group (36%). Out of 50 cases 82% were male. Present study show that socioeconomically majority patients were poor class (52%), highest percentage of patient comprised of day labourer (30%). Head trauma (12%) and cerebrovascular accidents (9%) were the most common etiological factor trauma was the major aetilogical group (50%),followed by, central drive problems or neurological disease (38%) and elective tracheostomy was done. \u0000Conclusion: Head and facial trauma, cerebrovascular accident, coma, respiratory burn and presence of foreign bodies etc. are common aetilogical factors. It was found that tracheostomy is safer alternative to intubation when a prolonged artificial airway is required. \u0000Bangladesh J Otorhinolaryngol 2022; 28(2): 157-164 ","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48870276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Md. Mostafizur Rahman, A. Taous, SM Abdul Awual, Ahmed Tarique, Sheikh Mohammad Rafiqul Hossain
Background: Perichondritis refers to an inflammation of the perichondrium, a layer of connective tissue which surrounds cartilage. Auricular perichondritis, the commonest form, involves the pinna due to infection of a traumatic or surgical wound or the deep spread of superficial inflammation. This type of disease often leads to residual deformity, and its incidence in our experience seems to be increasing. Objectives: The present study was conducted to determine the predisposing factors, pathogenic organisms, interventions and residual deformities of the disease in a peripheral medical college hospital. Methods: This was a prospective study which was conducted in the Department of Otolaryngology – Head & Neck Surgery, Pabna Medical College Hospital, Pabna from January 2017 to June 2018. Follow up was for six months ending with assessment of pinna deformity. Data was analyzed using SPSS for windows version 22. Results: Patients were from 15- 75 years of age (range 60 years) with male predominance and peak in the fourth decade of life. The most common predisposing factors were trauma from motor vehicle accidents (30%) followed by high ear piercing (22%). Pseudomonas aeruginosa (48%) followed by Staphylococcus aureus (20%) were the most common organisms. Patients were treated with intravenous antibiotics but 76% also required surgical intervention. 68% developed residual deformities of the pinna with 50% being total and 18% being partial. Conclusion: Auricular perichondritis is a frightening disease which requires early management. As Pseudomonas aeruginosa is the most common organism, antipseudomonal antibiotics should be started as early as possible. Despite medical and surgical intervention, residual deformities may ensue. Bangladesh J Otorhinolaryngol 2022; 28(2): 165-170
{"title":"Auricular Perichondritis: Clinical Search in a District Level Hospital","authors":"Md. Mostafizur Rahman, A. Taous, SM Abdul Awual, Ahmed Tarique, Sheikh Mohammad Rafiqul Hossain","doi":"10.3329/bjo.v28i2.64520","DOIUrl":"https://doi.org/10.3329/bjo.v28i2.64520","url":null,"abstract":"Background: Perichondritis refers to an inflammation of the perichondrium, a layer of connective tissue which surrounds cartilage. Auricular perichondritis, the commonest form, involves the pinna due to infection of a traumatic or surgical wound or the deep spread of superficial inflammation. This type of disease often leads to residual deformity, and its incidence in our experience seems to be increasing. \u0000Objectives: The present study was conducted to determine the predisposing factors, pathogenic organisms, interventions and residual deformities of the disease in a peripheral medical college hospital. \u0000Methods: This was a prospective study which was conducted in the Department of Otolaryngology – Head & Neck Surgery, Pabna Medical College Hospital, Pabna from January 2017 to June 2018. Follow up was for six months ending with assessment of pinna deformity. Data was analyzed using SPSS for windows version 22. \u0000Results: Patients were from 15- 75 years of age (range 60 years) with male predominance and peak in the fourth decade of life. The most common predisposing factors were trauma from motor vehicle accidents (30%) followed by high ear piercing (22%). Pseudomonas aeruginosa (48%) followed by Staphylococcus aureus (20%) were the most common organisms. Patients were treated with intravenous antibiotics but 76% also required surgical intervention. 68% developed residual deformities of the pinna with 50% being total and 18% being partial. \u0000Conclusion: Auricular perichondritis is a frightening disease which requires early management. As Pseudomonas aeruginosa is the most common organism, antipseudomonal antibiotics should be started as early as possible. Despite medical and surgical intervention, residual deformities may ensue. \u0000Bangladesh J Otorhinolaryngol 2022; 28(2): 165-170 ","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41525122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Md. Ashraful Islam, Md Mashiur Rahman, Nazmul Hossain Choudhury, A. Rahman, F. Milki, M. K. Arefin
Background: Adenoid is a patch of tissue that is situated high up in the throat and just behind the nose in the nasopharynx. Adenoid along with the tonsils, is a part of the lymphatic system that clears away infection and keeps body fluids in balance.Whenever, adenoid become enlarged, seriously infected or causes certain complications, adenoidectomy becomes essential. It can be performed with many ways includingcoblation assisted adenoidectomy and conventional curettage adenoidectomy. Aim of the study: The aim ofthis study was to assessthe advantages of coblation assisted adenoidectomy over conventional curettage adenoidectomy. Methods: This comparative observational study was conducted in the Department of ENT, Bangladesh Medical College Hospital and Popular Medical College Hospital, Bangladesh during the period from July 2019 to June 2022. A total of 100 admitted patients for adenoidectomy were included as the study. All the participants were divided in two groups. In Conventional group, there were 50 participants selected for conventional curettage adenoidectomy.On the other hand, in coblation group, other 50 participants selected for coblation assisted adenoidectomy. For comparison of both the method all necessary data along with demographic and clinical status were collected in a predesigned questioner. All data were processed and analyzed and disseminated by using MS Office and SPSS version 23 programs as per need. Results: In this study, as the superiority of coblation assisted adenoidectomy over conventional curettage adenoidectomy we found significantly lower ‘intra operative blood loss in ml (7.58±3.28 ml)’, ‘post-operative bleeding (0%)’, presence of residual lymphoid tissue (8%)’, ‘days with analgesics (10.42±3.60 days), ‘post operative adenoid grading (0.0±0.0)’, ‘rate of recurrence (20%)’ and ‘needed days for recovery (4.68±2.17 days)’ among coblation group patients than that among conventional group patients. Conclusion: Coblation assisted adenoidectomy ensures more easier and specific treatment for the patient. As per the findings of this study we can conclude that, considering the attractive features like lower intra operative and post-operative blood loss, presence of residual lymphoid tissue, days with analgesics, post operative adenoid grading, rate of recurrence and needed days for recovery coblation assisted adenoidectomy may be considered as the method of choice for such treatment. Bangladesh J Otorhinolaryngol 2022; 28(2): 128-134
{"title":"Coblation Assisted Adenoidectomy vs. Conventional Curettage Adenoidectomy: A Comparative Study","authors":"Md. Ashraful Islam, Md Mashiur Rahman, Nazmul Hossain Choudhury, A. Rahman, F. Milki, M. K. Arefin","doi":"10.3329/bjo.v28i2.64295","DOIUrl":"https://doi.org/10.3329/bjo.v28i2.64295","url":null,"abstract":"Background: Adenoid is a patch of tissue that is situated high up in the throat and just behind the nose in the nasopharynx. Adenoid along with the tonsils, is a part of the lymphatic system that clears away infection and keeps body fluids in balance.Whenever, adenoid become enlarged, seriously infected or causes certain complications, adenoidectomy becomes essential. It can be performed with many ways includingcoblation assisted adenoidectomy and conventional curettage adenoidectomy. \u0000Aim of the study: The aim ofthis study was to assessthe advantages of coblation assisted adenoidectomy over conventional curettage adenoidectomy. \u0000Methods: This comparative observational study was conducted in the Department of ENT, Bangladesh Medical College Hospital and Popular Medical College Hospital, Bangladesh during the period from July 2019 to June 2022. A total of 100 admitted patients for adenoidectomy were included as the study. All the participants were divided in two groups. In Conventional group, there were 50 participants selected for conventional curettage adenoidectomy.On the other hand, in coblation group, other 50 participants selected for coblation assisted adenoidectomy. For comparison of both the method all necessary data along with demographic and clinical status were collected in a predesigned questioner. All data were processed and analyzed and disseminated by using MS Office and SPSS version 23 programs as per need. \u0000Results: In this study, as the superiority of coblation assisted adenoidectomy over conventional curettage adenoidectomy we found significantly lower ‘intra operative blood loss in ml (7.58±3.28 ml)’, ‘post-operative bleeding (0%)’, presence of residual lymphoid tissue (8%)’, ‘days with analgesics (10.42±3.60 days), ‘post operative adenoid grading (0.0±0.0)’, ‘rate of recurrence (20%)’ and ‘needed days for recovery (4.68±2.17 days)’ among coblation group patients than that among conventional group patients. \u0000Conclusion: Coblation assisted adenoidectomy ensures more easier and specific treatment for the patient. As per the findings of this study we can conclude that, considering the attractive features like lower intra operative and post-operative blood loss, presence of residual lymphoid tissue, days with analgesics, post operative adenoid grading, rate of recurrence and needed days for recovery coblation assisted adenoidectomy may be considered as the method of choice for such treatment. \u0000Bangladesh J Otorhinolaryngol 2022; 28(2): 128-134","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43851041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Md Murshedur Rahman, B. Siddiquee, Hawlader Mohammad Mustafizur Rahman, Mohammad Habibur Rahaman, Md. Lutfor Rahaman, Sabyasachi Talukdar
Background: Lymphatic metastasis in papillary thyroid cancer (PTC) is common; however, the extent of central compartment lymph nodes dissection (CCD) is controversial and requires the knowledge of pattern for central compartment (level VI) lymph nodes metastasis (CCM). Objective: To determine the frequency of central compartment (level VI) lymph node metastasis in T3 & T4 papillary thyroid carcinoma. Methods: This study was conducted in the Department of Otolaryngology-Head &Neck Surgery, BSMMU, Dhaka, from January 2019 to June 2020. A total of 31 cases of T3 & T4 PTC were selected after obtaining clearance and approval from the IRB of BSMMU; the subjects were included based on the inclusion and exclusion criteria. After taking informed written consent detailed history and examination was done. Ultrasound neck and fine-needle aspiration cytology was taken from all thyroid swelling. All patients had underwent total thyroidectomy with central compartment dissection. The data were analyzed by computer-based statistical software SPSS version 26. Results were expressed as frequency and percentage. Z proportion test was done as applicable. Results: In this study, mean (±SD) tumor size was 3.66 (±1.34) cm. 20 (64.52%) had T3 and 11 (35.48%) T4 PTC. 11 (35.48%) had N0, 20 (64.52%) N1a and 8 (25.81%) N1b. 20 (64.52%) had overall central compartment lymph nodes metastasis. Among T3 papillary thyroid carcinoma, 12 (60%) had overall central compartment lymph nodes metastasis, and inT4 papillary thyroid carcinoma, 8 (72.7%) had overall central compartment lymph nodes metastasis. This difference was not statistically significant. Conclusion: The frequency of central compartment (level VI) lymph node metastasis (CCM) is high (64.52%) in T3 & T4 papillary thyroid carcinoma. So central compartment (level VI) should be dissected in advanced (T3 & T4) papillary thyroid carcinoma. Bangladesh J Otorhinolaryngol 2022; 28(2): 149-156
{"title":"Central Compartment Involvement in T3 & T4 Papillary Thyroid Carcinoma","authors":"Md Murshedur Rahman, B. Siddiquee, Hawlader Mohammad Mustafizur Rahman, Mohammad Habibur Rahaman, Md. Lutfor Rahaman, Sabyasachi Talukdar","doi":"10.3329/bjo.v28i2.64298","DOIUrl":"https://doi.org/10.3329/bjo.v28i2.64298","url":null,"abstract":"Background: Lymphatic metastasis in papillary thyroid cancer (PTC) is common; however, the extent of central compartment lymph nodes dissection (CCD) is controversial and requires the knowledge of pattern for central compartment (level VI) lymph nodes metastasis (CCM). \u0000Objective: To determine the frequency of central compartment (level VI) lymph node metastasis in T3 & T4 papillary thyroid carcinoma. \u0000Methods: This study was conducted in the Department of Otolaryngology-Head &Neck Surgery, BSMMU, Dhaka, from January 2019 to June 2020. A total of 31 cases of T3 & T4 PTC were selected after obtaining clearance and approval from the IRB of BSMMU; the subjects were included based on the inclusion and exclusion criteria. After taking informed written consent detailed history and examination was done. Ultrasound neck and fine-needle aspiration cytology was taken from all thyroid swelling. All patients had underwent total thyroidectomy with central compartment dissection. The data were analyzed by computer-based statistical software SPSS version 26. Results were expressed as frequency and percentage. Z proportion test was done as applicable. \u0000Results: In this study, mean (±SD) tumor size was 3.66 (±1.34) cm. 20 (64.52%) had T3 and 11 (35.48%) T4 PTC. 11 (35.48%) had N0, 20 (64.52%) N1a and 8 (25.81%) N1b. 20 (64.52%) had overall central compartment lymph nodes metastasis. Among T3 papillary thyroid carcinoma, 12 (60%) had overall central compartment lymph nodes metastasis, and inT4 papillary thyroid carcinoma, 8 (72.7%) had overall central compartment lymph nodes metastasis. This difference was not statistically significant. \u0000Conclusion: The frequency of central compartment (level VI) lymph node metastasis (CCM) is high (64.52%) in T3 & T4 papillary thyroid carcinoma. So central compartment (level VI) should be dissected in advanced (T3 & T4) papillary thyroid carcinoma. \u0000Bangladesh J Otorhinolaryngol 2022; 28(2): 149-156","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44735711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Naseem Yasmeen, Am Shumon, K. Atikuzzaman, F. Hoque, Mousumi Malakar, Juliana Salam
Background: Ear, Nose, Throat (ENT) & Head Neck diseases are very common in our country. Of course, patterns of ENT diseases vary depending on geographical distribution. Materials & methods: This retrospective study was carried out in ENT OPD in a tertiary hospital, Medical College for Women & Hospital (MCWH), Uttara, Dhaka, Bangladesh from July, 2015 to December, 2015. Total 3314 patients were selected for the study, males being 1582 & females, 1732. Cases were evaluated by local otolaryngologists by taking thorough history and clinical examination with proper and relevant investigations. Personal data included were age (1 month – 80 years) and sex. Information obtained was expressed in numbers and percentages with statistical analysis. Results: Top 10 diseases were selected which includes Chronic Suppurative Otitis Media (CSOM) 18.14%, Chronic tonsillitis 15.67%, Acute otitis media (AOM) 9.90%, Otitis externa (OE) 8.18%, Deviated nasal septum (DNS) 7.79%, Otitis media with effusion (OME) 7.27%, Allergic rhinitis (AR) 6.40%, Wax 4.98%, Pharyngitis 4.29%, Sinusitis 2.90%. The study reveals that the most vulnerable age group was 0-18 years. 47.74% and 52.26% were male and female respectively, the ratio being 0.9:1 that is almost equal. No significant differences were found in ENT diseases between males and females. Regarding infections of specific organs, CSOM was the most common and highest in order in our context followed by Ch. Tonsillitis, AOM, OE, DNS, OME, AR, Wax, Pharyngitis and Sinusitis. Conclusion:This study was made with an attempt to contribute to some extent to the epidemiologic profile of the common ENT & Head Neck diseases. It would probably enable the concerned personnel to enrich their knowledge and skill so that they can deal with the diseases properly. Bangladesh J Otorhinolaryngol 2022; 28(2): 186-192
{"title":"Prevalence of ENT Diseases in Medical College for Women and Hospital, Dhaka - Six Months Retrospective Study","authors":"Naseem Yasmeen, Am Shumon, K. Atikuzzaman, F. Hoque, Mousumi Malakar, Juliana Salam","doi":"10.3329/bjo.v28i2.64523","DOIUrl":"https://doi.org/10.3329/bjo.v28i2.64523","url":null,"abstract":"Background: Ear, Nose, Throat (ENT) & Head Neck diseases are very common in our country. Of course, patterns of ENT diseases vary depending on geographical distribution. \u0000Materials & methods: This retrospective study was carried out in ENT OPD in a tertiary hospital, Medical College for Women & Hospital (MCWH), Uttara, Dhaka, Bangladesh from July, 2015 to December, 2015. Total 3314 patients were selected for the study, males being 1582 & females, 1732. Cases were evaluated by local otolaryngologists by taking thorough history and clinical examination with proper and relevant investigations. Personal data included were age (1 month – 80 years) and sex. Information obtained was expressed in numbers and percentages with statistical analysis. \u0000Results: Top 10 diseases were selected which includes Chronic Suppurative Otitis Media (CSOM) 18.14%, Chronic tonsillitis 15.67%, Acute otitis media (AOM) 9.90%, Otitis externa (OE) 8.18%, Deviated nasal septum (DNS) 7.79%, Otitis media with effusion (OME) 7.27%, Allergic rhinitis (AR) 6.40%, Wax 4.98%, Pharyngitis 4.29%, Sinusitis 2.90%. The study reveals that the most vulnerable age group was 0-18 years. 47.74% and 52.26% were male and female respectively, the ratio being 0.9:1 that is almost equal. No significant differences were found in ENT diseases between males and females. Regarding infections of specific organs, CSOM was the most common and highest in order in our context followed by Ch. Tonsillitis, AOM, OE, DNS, OME, AR, Wax, Pharyngitis and Sinusitis. \u0000Conclusion:This study was made with an attempt to contribute to some extent to the epidemiologic profile of the common ENT & Head Neck diseases. It would probably enable the concerned personnel to enrich their knowledge and skill so that they can deal with the diseases properly. \u0000Bangladesh J Otorhinolaryngol 2022; 28(2): 186-192","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44693243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ascif Al Mahady, Fauzia Zaman, Md Hasnat Anwar, M. Quayum, K. Atikuzzaman, N. K. Sinha
Background: Sinonasal malignancies are challenging not only from diagnostic view point but also from therapeutic aspects. Owing to the rarity of the lesions, delayed clinical presentations and poor prognosis there is lack of large experience. Objectives: Aim of this study is to assess Evaluation of extensions of sinonasal malignancy by correlating clinical and surgical findings with CT scan. Methods: A Cross Sectional study was carried out in the Department of Otolaryngology-Head and Neck Surgery, Sylhet M.A.G Osmani Medical College Hospital, Sylhet, from August 2019 to July 2021. A total 30 subjects were included in this study based on inclusion and exclusion criteria. A data collection form was designed and prepared including general characteristics of subjects and reviewed clinically, radiologically and surgically. All the data were compiled and sorted properly and the numerical data were analyzed statistically by using Statistical Package for Social Sciences (SPSS-26). The result was expressed as frequency and percentage and displayed with figure and table. Z proportion test, Spearman’s rho correlation coefficient test and Diagnostic accuracy test of clinical, CT and surgical finding were performed as applicable. For all comparisons p value of <0.05 was considered as significant. Results: In this study, CT findings was positively related with clinical and surgical findings. But this relation was strongly significant with surgical findings. In this study, clinical evaluation was 28.8% Sensitive and 100% Specific. Positive predictive value (PPV) was 100% and negative predictive value (NPV) was 9.1%. CT evaluation was 78.6% Sensitive and 100% Specific. Positive predictive value (PPV) was 100% and negative predictive value (NPV) was 25%. Surgical evaluation was 92.9% sensitive and 100% Specific. Positive predictive value (PPV) was 100% and negative predictive value (NPV) was 50%. Conclusion: It can be concluded that CT findings was directly correlated with clinical and surgical findings. But this relation was strongly significant with surgical findings. Bangladesh J Otorhinolaryngol 2022; 28(2): 171-179
{"title":"Evaluation of Extensions of Sinonasal Malignancy by Clinical, Surgical & CT Scan Findings","authors":"Ascif Al Mahady, Fauzia Zaman, Md Hasnat Anwar, M. Quayum, K. Atikuzzaman, N. K. Sinha","doi":"10.3329/bjo.v28i2.64521","DOIUrl":"https://doi.org/10.3329/bjo.v28i2.64521","url":null,"abstract":"Background: Sinonasal malignancies are challenging not only from diagnostic view point but also from therapeutic aspects. Owing to the rarity of the lesions, delayed clinical presentations and poor prognosis there is lack of large experience. \u0000Objectives: Aim of this study is to assess Evaluation of extensions of sinonasal malignancy by correlating clinical and surgical findings with CT scan. \u0000Methods: A Cross Sectional study was carried out in the Department of Otolaryngology-Head and Neck Surgery, Sylhet M.A.G Osmani Medical College Hospital, Sylhet, from August 2019 to July 2021. A total 30 subjects were included in this study based on inclusion and exclusion criteria. A data collection form was designed and prepared including general characteristics of subjects and reviewed clinically, radiologically and surgically. All the data were compiled and sorted properly and the numerical data were analyzed statistically by using Statistical Package for Social Sciences (SPSS-26). The result was expressed as frequency and percentage and displayed with figure and table. Z proportion test, Spearman’s rho correlation coefficient test and Diagnostic accuracy test of clinical, CT and surgical finding were performed as applicable. For all comparisons p value of <0.05 was considered as significant. \u0000Results: In this study, CT findings was positively related with clinical and surgical findings. But this relation was strongly significant with surgical findings. In this study, clinical evaluation was 28.8% Sensitive and 100% Specific. Positive predictive value (PPV) was 100% and negative predictive value (NPV) was 9.1%. CT evaluation was 78.6% Sensitive and 100% Specific. Positive predictive value (PPV) was 100% and negative predictive value (NPV) was 25%. Surgical evaluation was 92.9% sensitive and 100% Specific. Positive predictive value (PPV) was 100% and negative predictive value (NPV) was 50%. \u0000Conclusion: It can be concluded that CT findings was directly correlated with clinical and surgical findings. But this relation was strongly significant with surgical findings. \u0000Bangladesh J Otorhinolaryngol 2022; 28(2): 171-179 ","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44941910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Bilateral anterior nasal packing is often done after septal surgery for hemostatic reasons and mechanical splinting. It has been suggested that nasal packing following septal surgery is a frequent cause of short term eustachian tube dysfunction such as ear fullness and mild pain.
Objectives: To evaluate the effect of anterior nasal packing on middle ear pressure.
Methods: For this prospective, longitudinal study, ninety-two (92) patients admitted for routine septal surgeries were selected according to inclusion and exclusion criteria from the in-patient Department of ENT and Head &Neck Surgery, Dhaka Medical College and Hospital, Dhaka during 1st January 2020 to 31st July 2021. Following informed written consent, the patients were interviewed three times: preoperative, after 24 hours of ANS pack and 6 days after pack removal. During each time, middle ear pressure was measured by an impedance audiometer. Any otological symptoms produced when ANS pack was in place for 24 hours and 6 days after pack removal were also observed and recorded.
Results: Among 92 patients in this study, mean preoperative middle ear pressure was -5.5 (± 30.14) daPa. After 24 hours of anterior nasal packing, 70 ears (38%) showed abnormal middle ear pressure among 184 ears. Mean middle ear pressure after 24 hours of ANS pack was -76.5 (± 58.8) daPa. Middle ear pressure again measured after 6 days of removal of ANS pack and showed that the middle ear pressure of all the patients were within normal range. Mean middle ear pressure was -12.4(± 36.5) daPa after 6 days of pack removal. Some otological symptoms developed due to change in middle ear pressure following ANS pack like ear fullness, earache and tinnitus. All these symptoms subsided after 6 days of pack removal.
Conclusion: Anterior nasal packing decreases middle ear pressure which is reversible and returns to normal 6 days after pack removal. Some otological symptoms developed due to change in middle ear pressure which were transient and all came to normal after 6 days of pack removal.
Bangladesh J Otorhinolaryngol 2022; 28(2): 135-140
{"title":"Effect of Anterior Nasal Packing on Middle Ear Pressure","authors":"Fazle Elahi Jonaed, M Alamgir Chowdhury, Md Iqbal Hossen, Milon Kazi, Shaikh Nurul Fattah Rumi, Husne Qumer Osmany","doi":"10.3329/bjo.v28i2.64296","DOIUrl":"https://doi.org/10.3329/bjo.v28i2.64296","url":null,"abstract":"Background: Bilateral anterior nasal packing is often done after septal surgery for hemostatic reasons and mechanical splinting. It has been suggested that nasal packing following septal surgery is a frequent cause of short term eustachian tube dysfunction such as ear fullness and mild pain.
 Objectives: To evaluate the effect of anterior nasal packing on middle ear pressure.
 Methods: For this prospective, longitudinal study, ninety-two (92) patients admitted for routine septal surgeries were selected according to inclusion and exclusion criteria from the in-patient Department of ENT and Head &Neck Surgery, Dhaka Medical College and Hospital, Dhaka during 1st January 2020 to 31st July 2021. Following informed written consent, the patients were interviewed three times: preoperative, after 24 hours of ANS pack and 6 days after pack removal. During each time, middle ear pressure was measured by an impedance audiometer. Any otological symptoms produced when ANS pack was in place for 24 hours and 6 days after pack removal were also observed and recorded.
 Results: Among 92 patients in this study, mean preoperative middle ear pressure was -5.5 (± 30.14) daPa. After 24 hours of anterior nasal packing, 70 ears (38%) showed abnormal middle ear pressure among 184 ears. Mean middle ear pressure after 24 hours of ANS pack was -76.5 (± 58.8) daPa. Middle ear pressure again measured after 6 days of removal of ANS pack and showed that the middle ear pressure of all the patients were within normal range. Mean middle ear pressure was -12.4(± 36.5) daPa after 6 days of pack removal. Some otological symptoms developed due to change in middle ear pressure following ANS pack like ear fullness, earache and tinnitus. All these symptoms subsided after 6 days of pack removal.
 Conclusion: Anterior nasal packing decreases middle ear pressure which is reversible and returns to normal 6 days after pack removal. Some otological symptoms developed due to change in middle ear pressure which were transient and all came to normal after 6 days of pack removal.
 Bangladesh J Otorhinolaryngol 2022; 28(2): 135-140","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135423839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mushfiqur Rahman, K. Atikuzzaman, Kabir Ahmed, Md Sazzadul Hoque, S. N. Mahdee
Background: The nasopharyngeal tonsil, universally known as adenoids is to be found at the crossroads of roof along with posterior wall of nasopharynx. Adenoid is gift next to birth. Adenoid mass may block the eustachian tube, retracted tympanic membrane leads to conductive hearing loss. Impedance audiometry helps to assess the condition. Objective: To observe the changes of impedance audiometry before and after adenoidectomy in a clinically normal ear. Methods: This longitudinal study was done in Cumilla Medical College & Hospital, Cumilla during a period of one year. 50 Cases of enlarged adenoids of 3-12 years admitted in ENT ward were included in this study. All cases underwent adenotonsillectomy. Impedance Audiometry was done before and one month after adenotonsillectomy. Collected data were classified, edited, coded and statistical analysis was done. Results: Total 50 cases, mean age was 6.95(±1.77) years. Majority 33(66%) were male and 17(34%) were female. Middle ear pressure of both ears was increased after adenotonsillectomy. After operation 40(80%) was type A curve and 09(18%) was type B in right ear and 42(84%) was type A curve and 08(16%) was B curve in left ear. Conclusion: Majority tympanometry was type B in both ears before adenotonsillectomy and after operation majority tympanometry curvature was type A in both ears Bangladesh J Otorhinolaryngol 2022; 28(1): 62-67
{"title":"Changes of Impedance Audiometry before and after Adenoidectomy in a Clinically Normal Ear","authors":"Mushfiqur Rahman, K. Atikuzzaman, Kabir Ahmed, Md Sazzadul Hoque, S. N. Mahdee","doi":"10.3329/bjo.v28i1.60826","DOIUrl":"https://doi.org/10.3329/bjo.v28i1.60826","url":null,"abstract":"Background: The nasopharyngeal tonsil, universally known as adenoids is to be found at the crossroads of roof along with posterior wall of nasopharynx. Adenoid is gift next to birth. Adenoid mass may block the eustachian tube, retracted tympanic membrane leads to conductive hearing loss. Impedance audiometry helps to assess the condition. \u0000Objective: To observe the changes of impedance audiometry before and after adenoidectomy in a clinically normal ear. \u0000Methods: This longitudinal study was done in Cumilla Medical College & Hospital, Cumilla during a period of one year. 50 Cases of enlarged adenoids of 3-12 years admitted in ENT ward were included in this study. All cases underwent adenotonsillectomy. Impedance Audiometry was done before and one month after adenotonsillectomy. Collected data were classified, edited, coded and statistical analysis was done. \u0000Results: Total 50 cases, mean age was 6.95(±1.77) years. Majority 33(66%) were male and 17(34%) were female. Middle ear pressure of both ears was increased after adenotonsillectomy. After operation 40(80%) was type A curve and 09(18%) was type B in right ear and 42(84%) was type A curve and 08(16%) was B curve in left ear. \u0000Conclusion: Majority tympanometry was type B in both ears before adenotonsillectomy and after operation majority tympanometry curvature was type A in both ears \u0000Bangladesh J Otorhinolaryngol 2022; 28(1): 62-67","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46114530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Md Abdul Hafiz, Muhammad Mukhlesur Rahman, Anm Nurul Huda, Md. Azizul Hoque Manik, Mohammad Zahirul Islam, Md Iqbal Hossen
Objectives: To assess the clinical presentation and histopathological types and extensions of the disease at the time of presentation. Methods: Cross sectional observational study of 40 patients with sinonasal malignancy from the department of otolaryngology and Head neck surgery, Sylhet MAG Osmani Medical College Hospital, Sylhet Bangladesh, period from May 2019 to April 2020. The patients were examined after admission into hospital pre-operatively and in the postoperative period. The surgical specimens were sent for Histopathology. Results: Majority patients were at 4th to 6th decade where male outnumbered the female with male female ratio was 3.4:1. Out of 40 patients, the majority of patients complaints of nasal obstruction followed by nasal discharge, facial pain, facial swelling and headache. About the site of the lesion maximum patients having the lesion in Maxillary sinus (60%) followed by nasal cavity (15%) multiple sinuses (12.5%) involvement in Ethmoidal sinus (10%) lateral wall of nose (2.5%) Conclusion: Sinonasal Malignancy is usually a disease of middle age and elderly people. Most of the patients (in this study 65% patients come at T3 & T4 stage) presented late with multiple symptoms. Bangladesh J Otorhinolaryngol 2022; 28(1): 37-42
{"title":"Clinicopathological Study of Sinonasal Malignancy-Experience in a Tertiary Level Hospital in Bangladesh","authors":"Md Abdul Hafiz, Muhammad Mukhlesur Rahman, Anm Nurul Huda, Md. Azizul Hoque Manik, Mohammad Zahirul Islam, Md Iqbal Hossen","doi":"10.3329/bjo.v28i1.60822","DOIUrl":"https://doi.org/10.3329/bjo.v28i1.60822","url":null,"abstract":"Objectives: To assess the clinical presentation and histopathological types and extensions of the disease at the time of presentation. \u0000Methods: Cross sectional observational study of 40 patients with sinonasal malignancy from the department of otolaryngology and Head neck surgery, Sylhet MAG Osmani Medical College Hospital, Sylhet Bangladesh, period from May 2019 to April 2020. The patients were examined after admission into hospital pre-operatively and in the postoperative period. The surgical specimens were sent for Histopathology. \u0000Results: Majority patients were at 4th to 6th decade where male outnumbered the female with male female ratio was 3.4:1. Out of 40 patients, the majority of patients complaints of nasal obstruction followed by nasal discharge, facial pain, facial swelling and headache. About the site of the lesion maximum patients having the lesion in Maxillary sinus (60%) followed by nasal cavity (15%) multiple sinuses (12.5%) involvement in Ethmoidal sinus (10%) lateral wall of nose (2.5%) \u0000Conclusion: Sinonasal Malignancy is usually a disease of middle age and elderly people. Most of the patients (in this study 65% patients come at T3 & T4 stage) presented late with multiple symptoms. \u0000Bangladesh J Otorhinolaryngol 2022; 28(1): 37-42","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41836893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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