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":"1 1","pages":""},"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}
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":" ","pages":""},"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":" ","pages":""},"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}
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":" ","pages":""},"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}
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":" ","pages":""},"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}
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":" ","pages":""},"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":" ","pages":""},"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":" ","pages":""},"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":" ","pages":""},"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}
GM Faruquzzaman, Md. Aminul Haque, Md Nazmul Islam, Md Nazrul Islam, M. Kamruzzaman, D. Hossain
Objective: To see the clinical presentation of thyroglossal cysts and sinuses. Methods: Observational type of Cross sectional study. Department of ENT & Head-Neck Surgery in Sher-E-Bangla Medical College Hospital, Barishal from September 2014 to February 2015. All patients attended in the Department of ENT and Head Neck Surgery in Sher-E-Bangla Medical College Hospital, Serum TSH, USG of thyroid swelling and FNAC were done for diagnoses and for evaluation. Results: Thyroglossal cysts and sinuses were found in 23(63.9%) and 13(36.1%) cases respectively. The mean age of presentation was found 16.6±11.3 years in cysts group and 15.5±7.2 years in sinus group. Regarding the site of cysts 4(17.4%) cases was suprahyoid, 11(47.8%) infrahyoid and 8(34.8%) at the level of hyoid. Regarding the site of sinus 1(7.7%) case was suprahyoid, 9(69.2%) infrahyoid and 3(23.1%) at the level of hyoid. All the patients had normal thyroid gland in both group, all of them had normal serum TSH level. FNAC was done in all cyst patients and shows normal cystic lesion with no malignancy. But in sinus patients only one FNAC was done and reported as cystic lesion. Conclusion: Thyroglossal cysts and sinuses were more common in 2nd decade and male predominant. Majority of the cysts are Infrahyoid and on the right side of midline and majority of sinuses are Infrahyoid and on the right side. Development of sinuses is due to operation following abscess formation in majority of cases. Bangladesh J Otorhinolaryngol 2022; 28(1): 7-15
目的:探讨甲状舌囊肿和舌窦的临床表现。方法:观察型横断面研究。2014年9月至2015年2月在巴里沙尔Sher-E-Bangla医学院医院耳鼻喉科及头颈外科工作。所有在谢尔- e -孟加拉医学院附属医院耳鼻喉科和头颈外科就诊的患者，均进行血清TSH、甲状腺肿胀USG和FNAC的诊断和评估。结果:甲状腺舌囊肿23例(63.9%)，舌窦13例(36.1%)。囊肿组平均发病年龄为16.6±11.3岁，窦性组平均发病年龄为15.5±7.2岁。关于囊肿部位，舌骨上4例(17.4%)，舌骨下11例(47.8%)，舌骨水平8例(34.8%)。舌骨上窦1例(7.7%)，舌骨下窦9例(69.2%)，舌骨水平窦3例(23.1%)。两组患者甲状腺功能均正常，血清TSH水平均正常。所有囊肿患者均行FNAC检查，显示囊性病变正常，无恶性肿瘤。但在鼻窦患者中，仅进行了一次FNAC，并报告为囊性病变。结论:甲状舌囊肿和舌窦多见于第二十年，以男性为主。大多数囊肿位于舌骨下，位于中线右侧，大多数鼻窦位于舌骨下，位于右侧。在大多数情况下，鼻窦的发展是由于脓肿形成后的手术。孟加拉国[J] otorhinolyngol 2022;28 (1): 7 - 15
{"title":"Clinical Presentation of Thyroglossal Cysts and Sinuses","authors":"GM Faruquzzaman, Md. Aminul Haque, Md Nazmul Islam, Md Nazrul Islam, M. Kamruzzaman, D. Hossain","doi":"10.3329/bjo.v28i1.60792","DOIUrl":"https://doi.org/10.3329/bjo.v28i1.60792","url":null,"abstract":"Objective: To see the clinical presentation of thyroglossal cysts and sinuses. \u0000Methods: Observational type of Cross sectional study. Department of ENT & Head-Neck Surgery in Sher-E-Bangla Medical College Hospital, Barishal from September 2014 to February 2015. All patients attended in the Department of ENT and Head Neck Surgery in Sher-E-Bangla Medical College Hospital, Serum TSH, USG of thyroid swelling and FNAC were done for diagnoses and for evaluation. \u0000Results: Thyroglossal cysts and sinuses were found in 23(63.9%) and 13(36.1%) cases respectively. The mean age of presentation was found 16.6±11.3 years in cysts group and 15.5±7.2 years in sinus group. Regarding the site of cysts 4(17.4%) cases was suprahyoid, 11(47.8%) infrahyoid and 8(34.8%) at the level of hyoid. Regarding the site of sinus 1(7.7%) case was suprahyoid, 9(69.2%) infrahyoid and 3(23.1%) at the level of hyoid. All the patients had normal thyroid gland in both group, all of them had normal serum TSH level. FNAC was done in all cyst patients and shows normal cystic lesion with no malignancy. But in sinus patients only one FNAC was done and reported as cystic lesion. \u0000Conclusion: Thyroglossal cysts and sinuses were more common in 2nd decade and male predominant. Majority of the cysts are Infrahyoid and on the right side of midline and majority of sinuses are Infrahyoid and on the right side. Development of sinuses is due to operation following abscess formation in majority of cases. \u0000Bangladesh J Otorhinolaryngol 2022; 28(1): 7-15","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47304596","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：