Md. Harun Or Rashid, Md. Mojib Uddin, Sheikh Mohammad Rafiqul Hossain, A. Taous
Objectives: To find out the complications arise from use of cotton bud in external auditory canal. Methods: This cross sectional study was carried out from January 2020- December 2020 in Pabna medical college hospital. About 100 patients with complications of cotton bud use were included in this study. Diagnosis was based on the history and otoscopic examination. Results: In this study most of the cases were age group 0-10 years -30%, 10-50-years 30%, 50-60- years 10%, more than 60 years 40%. Common Complications were Infection of external auditory canal 50%, injury to external auditory canal 40% and injury to tympanic membrane 10%. Conclusion: Injudicious use of Cotton bud has injurious effect for external auditory canal and should be avoided. Bangladesh J Otorhinolaryngol 2022; 28(1): 91-95
{"title":"Conventional Practice of use of Cotton Bud in External Auditory Canal and it’s Complications","authors":"Md. Harun Or Rashid, Md. Mojib Uddin, Sheikh Mohammad Rafiqul Hossain, A. Taous","doi":"10.3329/bjo.v28i1.60831","DOIUrl":"https://doi.org/10.3329/bjo.v28i1.60831","url":null,"abstract":"Objectives: To find out the complications arise from use of cotton bud in external auditory canal. \u0000Methods: This cross sectional study was carried out from January 2020- December 2020 in Pabna medical college hospital. About 100 patients with complications of cotton bud use were included in this study. Diagnosis was based on the history and otoscopic examination. \u0000Results: In this study most of the cases were age group 0-10 years -30%, 10-50-years 30%, 50-60- years 10%, more than 60 years 40%. Common Complications were Infection of external auditory canal 50%, injury to external auditory canal 40% and injury to tympanic membrane 10%. \u0000Conclusion: Injudicious use of Cotton bud has injurious effect for external auditory canal and should be avoided. \u0000Bangladesh J Otorhinolaryngol 2022; 28(1): 91-95","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":"46815838","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 Iqbal Hossen, Milon Kazi, Fazle Elahi Jonaed, Kamrun Nahar Hurain, Md Abdul Hafiz, Suraiya Sharmin Anjum
Background: Incidence of thyroid malignancy is increasing day by day in thyroid swelling. The exact cause of cancer is not known. But there are few predisposing factors in genesis of thyroid malignancy such as age, sex, geographical distribution, familial predisposition, radiation exposure, pre-existing thyroid disease. Papillary thyroid carcinoma is most common among all thyroid malignancy with high incidence of lymph node metastasis. The aim of this study is to find out the pattern of malignancy in thyroid swelling. Methods: This cross-sectional observational study was done in department of Otolaryngology- Head neck surgery; Dhaka Medical College Hospital for 6 months. 50 Patients with thyroid swelling undergone operative management were included. Results: Results of this study showed that the highest numbers of patients were in 31-40 years of age group numbering 20 (40%). There were 42 females comprising 84% and males comprising 8 (16%) with female to male ratio 5.25:1. Among the thyroid swelling 35 (70%) cases were solid & 15 (30%) cases were cystic and 38 cases were non-neoplastic and 12 cases were neoplastic. Among the 12 cases 7 cases were malignant. Papillary carcinoma was predominant having 6 (85.7%) cases and Follicular carcinoma was in 1 (14.28%) case and out of 7 cases metastatic cervical lymph node was in 1 (14.28%) case which was from papillary carcinoma. Conclusion: Incidence of thyroid malignancy in thyroid swellings is high. Male patients with thyroid swelling has more chance of thyroid malignancy and papillary thyroid carcinoma is the commonest of all thyroid malignancy with cervical neck node metastasis. Bangladesh J Otorhinolaryngol 2022; 28(1): 78-83
{"title":"Pattern of Malignancy in Thyroid Swelling","authors":"Md Iqbal Hossen, Milon Kazi, Fazle Elahi Jonaed, Kamrun Nahar Hurain, Md Abdul Hafiz, Suraiya Sharmin Anjum","doi":"10.3329/bjo.v28i1.60828","DOIUrl":"https://doi.org/10.3329/bjo.v28i1.60828","url":null,"abstract":"Background: Incidence of thyroid malignancy is increasing day by day in thyroid swelling. The exact cause of cancer is not known. But there are few predisposing factors in genesis of thyroid malignancy such as age, sex, geographical distribution, familial predisposition, radiation exposure, pre-existing thyroid disease. Papillary thyroid carcinoma is most common among all thyroid malignancy with high incidence of lymph node metastasis. The aim of this study is to find out the pattern of malignancy in thyroid swelling. \u0000Methods: This cross-sectional observational study was done in department of Otolaryngology- Head neck surgery; Dhaka Medical College Hospital for 6 months. 50 Patients with thyroid swelling undergone operative management were included. \u0000Results: Results of this study showed that the highest numbers of patients were in 31-40 years of age group numbering 20 (40%). There were 42 females comprising 84% and males comprising 8 (16%) with female to male ratio 5.25:1. Among the thyroid swelling 35 (70%) cases were solid & 15 (30%) cases were cystic and 38 cases were non-neoplastic and 12 cases were neoplastic. Among the 12 cases 7 cases were malignant. Papillary carcinoma was predominant having 6 (85.7%) cases and Follicular carcinoma was in 1 (14.28%) case and out of 7 cases metastatic cervical lymph node was in 1 (14.28%) case which was from papillary carcinoma. \u0000Conclusion: Incidence of thyroid malignancy in thyroid swellings is high. Male patients with thyroid swelling has more chance of thyroid malignancy and papillary thyroid carcinoma is the commonest of all thyroid malignancy with cervical neck node metastasis. \u0000Bangladesh J Otorhinolaryngol 2022; 28(1): 78-83","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":"42353386","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 Shah Sakender, M. Alam, Md. Lutfor Rahaman, Sabyasachi Talukdar, Murshedur Rahaman, Mohammad Nazrul Islam
Background: Endoscope and microscope are exclusively used in different middle ear pathologies as well as patients with attic cholesteatoma. However, straightforward information regarding surgical advances, postoperative results, and information about in which patients and how this surgical technique should be exclusively used is debatable. Aim: To compare the outcome of primary exclusive endoscopic ear surgery with those of the microscopic ear surgery in two groups of patients with cholesteatoma limited to the attic region. Methods: This prospective observational study was conducted in the Department of Otolaryngology-Head and Neck Surgery, BSMMU, Dhaka, from July 2018 to December 2019, with 26 patients having cholesteatoma limited to the attic region. Patients were divided into two groups. One group of patients were submitted to atticotomy with tympanoplasty via microscopic ear surgery (MES) and a second group to exclusive trans-canal endoscopic ear surgery (EES). All the patients were followed up post-operatively up to 3 months with PTA. Results: Mean bone conduction threshold, air conduction threshold, and ABG has been reduced considerably in both groups (endoscopic and microscopic) at the end of three months postoperatively.There was no significant statistical difference between the two groups in terms of graft uptake success rate and the audiological success rate (p-value >0.05).Postoperatively, pain requiring analgesics wassignificantly lower (p<0.033) in theendoscopic group (23.1%) than in the microscopic group (69.2%). Conclusion: Audiological outcome and graft uptake success rates achieved by the endoscopic ear surgery were similar to the results obtained by the microscopic ear surgery in limited attic cholesteatoma. Bangladesh J Otorhinolaryngol 2022; 28(1): 103-111
{"title":"Outcome of Limited Attic Cholesteatoma Surgery: Endoscopic vs Microscopic","authors":"Md Shah Sakender, M. Alam, Md. Lutfor Rahaman, Sabyasachi Talukdar, Murshedur Rahaman, Mohammad Nazrul Islam","doi":"10.3329/bjo.v28i1.60834","DOIUrl":"https://doi.org/10.3329/bjo.v28i1.60834","url":null,"abstract":"Background: Endoscope and microscope are exclusively used in different middle ear pathologies as well as patients with attic cholesteatoma. However, straightforward information regarding surgical advances, postoperative results, and information about in which patients and how this surgical technique should be exclusively used is debatable. \u0000Aim: To compare the outcome of primary exclusive endoscopic ear surgery with those of the microscopic ear surgery in two groups of patients with cholesteatoma limited to the attic region. \u0000Methods: This prospective observational study was conducted in the Department of Otolaryngology-Head and Neck Surgery, BSMMU, Dhaka, from July 2018 to December 2019, with 26 patients having cholesteatoma limited to the attic region. Patients were divided into two groups. One group of patients were submitted to atticotomy with tympanoplasty via microscopic ear surgery (MES) and a second group to exclusive trans-canal endoscopic ear surgery (EES). All the patients were followed up post-operatively up to 3 months with PTA. \u0000Results: Mean bone conduction threshold, air conduction threshold, and ABG has been reduced considerably in both groups (endoscopic and microscopic) at the end of three months postoperatively.There was no significant statistical difference between the two groups in terms of graft uptake success rate and the audiological success rate (p-value >0.05).Postoperatively, pain requiring analgesics wassignificantly lower (p<0.033) in theendoscopic group (23.1%) than in the microscopic group (69.2%). \u0000Conclusion: Audiological outcome and graft uptake success rates achieved by the endoscopic ear surgery were similar to the results obtained by the microscopic ear surgery in limited attic cholesteatoma. \u0000Bangladesh J Otorhinolaryngol 2022; 28(1): 103-111","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":"48640442","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. Lutfor Rahaman, Nasima Akhtar, A. Biswas, Md Shah Sakender, Murshedur Rahman, SM Rasel Parvez
Background: Type 1 Tympanoplasty is a widely performed procedure for inactive mucosal COM. Considerable controversy remains in choice of type-1 tympanoplasty in the paediatric patients. Objectives: To assess the outcomes of type-1 tympanoplasty in paediatric patients. Methods: This study was conducted in the Department of Otolaryngology-Head & Neck Surgery, BSMMU, Dhaka, from July 2018 to December 2019, with 44 paediatric patients having an inactive mucosal variety of chronic otitis media. Patients were divided into 10-14 and 15-18 years age group. All patients underwent type-1 tympanoplasty under operating microscope and temporalis fascia used as a graft material. Minimum hearing improvement of 10 dB was regarded as an audiological success and an intact graft at the end of the third month was regarded as graft success. The statistical significance was set to p< 0.05. Results: The graft success rate was 90.9% and audiological improvement was 81.8% in paediatric tympanoplasty. Success rate was higher in 15-18 years age group than 10-14 years of age group which was statistically insignificant. Irrespective of the site, size, duration of discharge showed an insignificant association with outcomes of pediatric type-1 tympanoplasty. Conclusion: Type-1 tympanoplasty showed promising result in paediatric patients. The age of the patients did not significantly affect the postoperative outcome. Bangladesh J Otorhinolaryngol 2022; 28(1): 43-49
{"title":"Outcome of Type 1 Tympanoplasty in Paediatric Patients","authors":"Md. Lutfor Rahaman, Nasima Akhtar, A. Biswas, Md Shah Sakender, Murshedur Rahman, SM Rasel Parvez","doi":"10.3329/bjo.v28i1.60823","DOIUrl":"https://doi.org/10.3329/bjo.v28i1.60823","url":null,"abstract":"Background: Type 1 Tympanoplasty is a widely performed procedure for inactive mucosal COM. Considerable controversy remains in choice of type-1 tympanoplasty in the paediatric patients.\u0000Objectives: To assess the outcomes of type-1 tympanoplasty in paediatric patients.\u0000Methods: This study was conducted in the Department of Otolaryngology-Head & Neck Surgery, BSMMU, Dhaka, from July 2018 to December 2019, with 44 paediatric patients having an inactive mucosal variety of chronic otitis media. Patients were divided into 10-14 and 15-18 years age group. All patients underwent type-1 tympanoplasty under operating microscope and temporalis fascia used as a graft material. Minimum hearing improvement of 10 dB was regarded as an audiological success and an intact graft at the end of the third month was regarded as graft success. The statistical significance was set to p< 0.05.\u0000Results: The graft success rate was 90.9% and audiological improvement was 81.8% in paediatric tympanoplasty. Success rate was higher in 15-18 years age group than 10-14 years of age group which was statistically insignificant. Irrespective of the site, size, duration of discharge showed an insignificant association with outcomes of pediatric type-1 tympanoplasty.\u0000Conclusion: Type-1 tympanoplasty showed promising result in paediatric patients. The age of the patients did not significantly affect the postoperative outcome.\u0000Bangladesh J Otorhinolaryngol 2022; 28(1): 43-49","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":"47807000","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}
M. Matin, Md. Abul Kalam Azad, Masud Bin Hasan, M. Haque, Tanjhila Akhter
Objective: To examine the efficacy of combined use of intranasal steroids, antibiotics and monteleukast for improving adenotonsillar hypertrophy. Materials and Methods: This prospective study was done at Bangladesh ENT Hospital, Dhaka from January 2020 to June 2021. 50 children were included with primary symptoms of mouth breathing, snoring and sleep disturbances. X-ray soft tissue nasopharynx lateral view was done before and after treatment for comparison. All were prescribed intranasal fluticasone, phenoxymethyl penicillin and monteleukast for 3 months and followed up after completion of 3 months treatment. Results: The age of the children ranged from 2-12 years with mean age 5.4 years. There were 30 female and 20 male with female male ratio 3:2. 30 patients (60%) got complete relief of primary symptoms, 12patients (24%) got moderate improvement of symptoms and 8(16%) patients got no benefit of medical treatment and referred for surgery. Conclusion: Intranasal steroid along with oral penicillin and monteleukast are effective reducing size of adenotonsillar hypertrophy, relieving symptoms and reducing the need for surgery. Bangladesh J Otorhinolaryngol 2022; 28(1): 16-21
{"title":"Medical Treatment of Adenotonsillar Hypertrophy- Study of 50 cases","authors":"M. Matin, Md. Abul Kalam Azad, Masud Bin Hasan, M. Haque, Tanjhila Akhter","doi":"10.3329/bjo.v28i1.60794","DOIUrl":"https://doi.org/10.3329/bjo.v28i1.60794","url":null,"abstract":"Objective: To examine the efficacy of combined use of intranasal steroids, antibiotics and monteleukast for improving adenotonsillar hypertrophy. \u0000Materials and Methods: This prospective study was done at Bangladesh ENT Hospital, Dhaka from January 2020 to June 2021. 50 children were included with primary symptoms of mouth breathing, snoring and sleep disturbances. X-ray soft tissue nasopharynx lateral view was done before and after treatment for comparison. All were prescribed intranasal fluticasone, phenoxymethyl penicillin and monteleukast for 3 months and followed up after completion of 3 months treatment. \u0000Results: The age of the children ranged from 2-12 years with mean age 5.4 years. There were 30 female and 20 male with female male ratio 3:2. 30 patients (60%) got complete relief of primary symptoms, 12patients (24%) got moderate improvement of symptoms and 8(16%) patients got no benefit of medical treatment and referred for surgery. \u0000Conclusion: Intranasal steroid along with oral penicillin and monteleukast are effective reducing size of adenotonsillar hypertrophy, relieving symptoms and reducing the need for surgery. \u0000Bangladesh J Otorhinolaryngol 2022; 28(1): 16-21","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":"48798234","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}
Objective: The aim of this study was to evaluate the early and late (6 months after surgery) complications in patients undergoing thyroid surgery. Material & methods: A retrospective study was done from January 2015 to December 2019 in the Department of ENT & Head Neck Surgery, Enam Medical College & Hospital. One hundred and sixty three patients with both benign & malignant thyroid disease underwent surgical treatment was selected for this study. Patients were followed up for six months and peroperative & postoperative complications were evaluated. Results: Out of 163 patients 132(80.9%) cases were benign and 31(19.1%) cases were malignant. Total thyroidectomy was done in 71(43.56%) patients and hemithyroidectomy was done in 82(50.3%) patients and 10(6.13%) patients had other thyroid surgery. 29(17.80%) patients develop complications after thyroid surgery. Most common post operative complication was hypoparathyroidism with a incidence of 17(10.43%). 15(9.20%) patients developed temporary hypocalcaemia and 2(1.23%) patients developed permanent hypocalcaemia. Others complications were recurrent laryngeal nerve (RLN) palsy 2(1.23%), superior laryngeal nerve (SLN) palsy 3(1.84%), wound infection 2(1.23%), haematoma 1(0.61%) and hypertrophied scar 4(2.45%). Conclusion: Hypocalcaemia was the most frequent post-thyroidectomy complication, while voice change, seroma, haematoma, wound infection and hypertrophied scar are additional complications. Surgeons have to pay attention to curtail the complications during thyroid surgery. Bangladesh J Otorhinolaryngol 2022; 28(1): 50-55
{"title":"Early and Late Complications after Thyroid Surgery: A Retrospective Study in 163 Patients","authors":"K. Atikuzzaman, Mushfiqur Rahman, R. Roy","doi":"10.3329/bjo.v28i1.60824","DOIUrl":"https://doi.org/10.3329/bjo.v28i1.60824","url":null,"abstract":"Objective: The aim of this study was to evaluate the early and late (6 months after surgery) complications in patients undergoing thyroid surgery. \u0000Material & methods: A retrospective study was done from January 2015 to December 2019 in the Department of ENT & Head Neck Surgery, Enam Medical College & Hospital. One hundred and sixty three patients with both benign & malignant thyroid disease underwent surgical treatment was selected for this study. Patients were followed up for six months and peroperative & postoperative complications were evaluated. \u0000Results: Out of 163 patients 132(80.9%) cases were benign and 31(19.1%) cases were malignant. Total thyroidectomy was done in 71(43.56%) patients and hemithyroidectomy was done in 82(50.3%) patients and 10(6.13%) patients had other thyroid surgery. 29(17.80%) patients develop complications after thyroid surgery. Most common post operative complication was hypoparathyroidism with a incidence of 17(10.43%). 15(9.20%) patients developed temporary hypocalcaemia and 2(1.23%) patients developed permanent hypocalcaemia. Others complications were recurrent laryngeal nerve (RLN) palsy 2(1.23%), superior laryngeal nerve (SLN) palsy 3(1.84%), wound infection 2(1.23%), haematoma 1(0.61%) and hypertrophied scar 4(2.45%). \u0000Conclusion: Hypocalcaemia was the most frequent post-thyroidectomy complication, while voice change, seroma, haematoma, wound infection and hypertrophied scar are additional complications. Surgeons have to pay attention to curtail the complications during thyroid surgery. \u0000Bangladesh J Otorhinolaryngol 2022; 28(1): 50-55","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":"44849888","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 Sirajul Islam Mahfuz, M. Islam, Md Shafiul Akram, T. Hossain, Md Naimul Hossain
Objectives: To observe the necessity and effectiveness of the surgical intervention as a last measure in management of tubercular cervical lymphadenopathy. Another objectives are to identity the various presentation of extra pulmonary cervical tuberculosis in our country, patterns as well as causes of recurrence and resistance, type of surgery done in tubercular cervical lymphadenopathy and complications after surgery. Materials and Methods: This prospective observational study was carried among 52 patients of tubercular cervical lymphadenopathy attended in the outpatient department (OPD) and admitted into the inpatient department (IPD) of National Institute of ENT, Dhaka during the period of January 2017 to June 2018 of which first 12 months for treatment and follow up; and next 06 months exclusively for follow up, where patients of tubercular cervical lymphadenopathy were surgically treated along with standard antitubercular drugs. Results: Most of the patients 71.16% had fever and weight loss, 51.93% patients had multiple nodes at one level, 48.08% abscess and 9.62% sinus, most tubercular lymph nodes were present at level V 73.07% and in the left side 57.69% , 60% were Gene -Xpert positive. All patients were cured who had underwent surgery with no recurrence. Conclusion: A good number of patients of tubercular cervical lymphadenopathy necessitated neck dissection but patient compliance is a must in the management of the disease. Bangladesh J Otorhinolaryngol 2022; 28(1): 84-90
{"title":"Outcome of Surgical Treatment in the Management of Tubercular Cervical Lymphadenopathy: An Experience in NIENT, Dhaka","authors":"Md Sirajul Islam Mahfuz, M. Islam, Md Shafiul Akram, T. Hossain, Md Naimul Hossain","doi":"10.3329/bjo.v28i1.60830","DOIUrl":"https://doi.org/10.3329/bjo.v28i1.60830","url":null,"abstract":"Objectives: To observe the necessity and effectiveness of the surgical intervention as a last measure in management of tubercular cervical lymphadenopathy. Another objectives are to identity the various presentation of extra pulmonary cervical tuberculosis in our country, patterns as well as causes of recurrence and resistance, type of surgery done in tubercular cervical lymphadenopathy and complications after surgery. \u0000Materials and Methods: This prospective observational study was carried among 52 patients of tubercular cervical lymphadenopathy attended in the outpatient department (OPD) and admitted into the inpatient department (IPD) of National Institute of ENT, Dhaka during the period of January 2017 to June 2018 of which first 12 months for treatment and follow up; and next 06 months exclusively for follow up, where patients of tubercular cervical lymphadenopathy were surgically treated along with standard antitubercular drugs. \u0000Results: Most of the patients 71.16% had fever and weight loss, 51.93% patients had multiple nodes at one level, 48.08% abscess and 9.62% sinus, most tubercular lymph nodes were present at level V 73.07% and in the left side 57.69% , 60% were Gene -Xpert positive. All patients were cured who had underwent surgery with no recurrence. \u0000Conclusion: A good number of patients of tubercular cervical lymphadenopathy necessitated neck dissection but patient compliance is a must in the management of the disease. \u0000Bangladesh J Otorhinolaryngol 2022; 28(1): 84-90","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":"42887472","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}
M. Mannan, Mohammad Arifuzzaman, Affa Khan, S. Hossain, Saad Sultan, Abdullah Al Mamun
Background: Neck Space Infections are serious and common diseases that involve several spaces in the neck. Deep neck space infections can be life threatening in diabetic, immunocompromised and elderly patients and special attention should therefore be given to these groups. Objectives: This study was conducted to assess complications of deep neck space infections and its management, etiology, risk factors, presentation, spaces affected and complications among patients admitted in Department of ENT and Head- Neck Surgery in Dhaka Medical College & Hospital. Methods: This was a Cross Sectional Study conducted in the ENT and Head- Neck Surgery Department, Dhaka Medical College & Hospital from January 2016 to June 2016. A total of 150 patients were included who fulfill the selection criteria. Purposive sampling was used to collect data. Statistical analysis was done by SPSS version 21. Results: More than half of the patients (53.30%) came from middle class. Diabetes Mellitus was the most common risk factor (74.5%). Almost all patients presented with neck pain followed by neck swelling, dysphagia, fever and trismus. Organism isolated from drainage fluid was polymicrobial. Streptococcus (51.34%) and staphylococcus (18.60%) were most common organisms isolated. Airway was secured first and then high doses of antibiotics, immediate surgical drainage under local anesthesia were done in 130 (86%) patients. Commonly used antibiotics were ceftriaxone 132(82%), Metronidazole 113(75%) and flucloxacillin 98(65%). Complications were recorded in 55 patients. Most common was airway complication 40(73%). Tracheostomy was done in 17(11.33%) patients. Mortality occurred in 17(11.33%) patients. Conclusion: Early diagnosis and management is essential to prevent complications. Odontogenic infections, poor oral hygiene, lack of nutrition, smoking and tobacco chewing, DM were associated with neck space infection and we can prevent & control those factors. Bangladesh J Otorhinolaryngol 2022; 28(1): 56-61
{"title":"Complications and Management of Neck Space Infection","authors":"M. Mannan, Mohammad Arifuzzaman, Affa Khan, S. Hossain, Saad Sultan, Abdullah Al Mamun","doi":"10.3329/bjo.v28i1.60825","DOIUrl":"https://doi.org/10.3329/bjo.v28i1.60825","url":null,"abstract":"Background: Neck Space Infections are serious and common diseases that involve several spaces in the neck. Deep neck space infections can be life threatening in diabetic, immunocompromised and elderly patients and special attention should therefore be given to these groups. \u0000Objectives: This study was conducted to assess complications of deep neck space infections and its management, etiology, risk factors, presentation, spaces affected and complications among patients admitted in Department of ENT and Head- Neck Surgery in Dhaka Medical College & Hospital. \u0000Methods: This was a Cross Sectional Study conducted in the ENT and Head- Neck Surgery Department, Dhaka Medical College & Hospital from January 2016 to June 2016. A total of 150 patients were included who fulfill the selection criteria. Purposive sampling was used to collect data. Statistical analysis was done by SPSS version 21. \u0000Results: More than half of the patients (53.30%) came from middle class. Diabetes Mellitus was the most common risk factor (74.5%). Almost all patients presented with neck pain followed by neck swelling, dysphagia, fever and trismus. Organism isolated from drainage fluid was polymicrobial. Streptococcus (51.34%) and staphylococcus (18.60%) were most common organisms isolated. Airway was secured first and then high doses of antibiotics, immediate surgical drainage under local anesthesia were done in 130 (86%) patients. Commonly used antibiotics were ceftriaxone 132(82%), Metronidazole 113(75%) and flucloxacillin 98(65%). Complications were recorded in 55 patients. Most common was airway complication 40(73%). Tracheostomy was done in 17(11.33%) patients. Mortality occurred in 17(11.33%) patients. \u0000Conclusion: Early diagnosis and management is essential to prevent complications. Odontogenic infections, poor oral hygiene, lack of nutrition, smoking and tobacco chewing, DM were associated with neck space infection and we can prevent & control those factors. \u0000Bangladesh J Otorhinolaryngol 2022; 28(1): 56-61","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":"42494589","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}
Pub Date : 2022-07-20DOI: 10.1007/springerreference_109454
K. Tarafder, A. Taous
{"title":"Globus pharyngeus","authors":"K. Tarafder, A. Taous","doi":"10.1007/springerreference_109454","DOIUrl":"https://doi.org/10.1007/springerreference_109454","url":null,"abstract":"","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":"47869030","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}
SM Azizur Rahman, Md Delwar Hossain, Km Nurul Alam, S. Khan, Palash Sarkar
Background: Otitis media with effusion(OME) is a common ear problem among children characterized by accumulation of secretion in the middle ear. The pathophysiology of OME is negative pressure due to eustachian tube dysfunction. In children adenoid enlargement is associated with enlargement of the tonsils. Surgical treatment is advocated when conservative treatment fails. Surgical treatment consists of adenotonsillectomy with myringotomy. Negative middle ear pressure is expected to improve after surgical intervention. Objectives: To see the pressure changes after surgical treatment of OME. Methods: Among 68 subjects with OME, 88 ears were operated. Adenotonsillectomy was done in all subjects. In addition myringotomy was done in 65 ears and myringotomy with grommet insertion was done in 23 ears. In post-operative period all patient were followed up at end of 1 month, 3 month and 6 month with tympanometry. Results: Pre operatively type B tympanogram was 67(76.13%) whereas type Atympanogram was 0(0%). At end of 6 month type A curve was 49(61.27%) and type B tympanogram was 9(11.25%) that indicates improvement of middle ear function after operation. Conclusion: Tympanometric improvement was significant after 6 month of surgery. Bangladesh J Otorhinolaryngol 2022; 28(1): 22-28
{"title":"Middle Ear Pressure Changes after Adenotonsillectomy and Myringotomy in Patients with Otitis Media with Effusion","authors":"SM Azizur Rahman, Md Delwar Hossain, Km Nurul Alam, S. Khan, Palash Sarkar","doi":"10.3329/bjo.v28i1.60795","DOIUrl":"https://doi.org/10.3329/bjo.v28i1.60795","url":null,"abstract":"Background: Otitis media with effusion(OME) is a common ear problem among children characterized by accumulation of secretion in the middle ear. The pathophysiology of OME is negative pressure due to eustachian tube dysfunction. In children adenoid enlargement is associated with enlargement of the tonsils. Surgical treatment is advocated when conservative treatment fails. Surgical treatment consists of adenotonsillectomy with myringotomy. Negative middle ear pressure is expected to improve after surgical intervention. \u0000Objectives: To see the pressure changes after surgical treatment of OME. \u0000Methods: Among 68 subjects with OME, 88 ears were operated. Adenotonsillectomy was done in all subjects. In addition myringotomy was done in 65 ears and myringotomy with grommet insertion was done in 23 ears. In post-operative period all patient were followed up at end of 1 month, 3 month and 6 month with tympanometry. \u0000Results: Pre operatively type B tympanogram was 67(76.13%) whereas type Atympanogram was 0(0%). At end of 6 month type A curve was 49(61.27%) and type B tympanogram was 9(11.25%) that indicates improvement of middle ear function after operation. \u0000Conclusion: Tympanometric improvement was significant after 6 month of surgery. \u0000Bangladesh J Otorhinolaryngol 2022; 28(1): 22-28","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":"49137024","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：