Objective: To evaluate the common complications following parotid surgery. Material & methods: A retrospective study was done from January 2011 to December 2019 in the Department of ENT & Head Neck Surgery, Enam Medical College & hospital, Savar. Sixty (60) patients with both benign & malignant parotid disease underwent surgical treatment was selected for this study. All cases were diagnosed preoperatively by Fine Needle Aspiration Cytology (FNAC). Patients with preoperative facial nerve palsy were excluded from this study. Patients were followed up for six months and per operative & postoperative complications
{"title":"Complications of Parotid surgery: A study in 60 cases","authors":"K. Atikuzzaman, Mushfiqur Rahman, Naseem Yasmeen","doi":"10.3329/BJO.V27I1.53208","DOIUrl":"https://doi.org/10.3329/BJO.V27I1.53208","url":null,"abstract":"Objective: To evaluate the common complications following parotid surgery. Material & methods: A retrospective study was done from January 2011 to December 2019 in the Department of ENT & Head Neck Surgery, Enam Medical College & hospital, Savar. Sixty (60) patients with both benign & malignant parotid disease underwent surgical treatment was selected for this study. All cases were diagnosed preoperatively by Fine Needle Aspiration Cytology (FNAC). Patients with preoperative facial nerve palsy were excluded from this study. Patients were followed up for six months and per operative & postoperative complications","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46089578","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, M. Islam, A. Razzak, Mohosana Khanam, A. Harun, S. Kabir, A. Saifuddin, A. Sobhan
Objective: The incidence of thyroid cancer has rapidly increased in the United States (US) and other developed countries over the past 30 years but there is no study to find out the true incidence of thyroid cancer in Bangladesh. The aim of this study is to compare FNAC with histopathology reports and to find out the true incidence of thyroid malignancy in thyroidectomy patients presenting with thyroid swelling. Methods: This is a prospective study of 200 thyroid swelling patients underwent thyroid surgery done at Shaheed Suhrawardy Medical College Hospital, a tertiary Care Hospital in Dhaka from July 2017 to December 2020. FNAC and histopathology reports were studied to find out the incidence of benign and thyroid malignancy among the thyroid swelling. Results: The age of the patients ranged from 8 to 75 years. The mean age was 37.2 years. There were 156 female and 44 male patients with female male ratio 3.54:1. Diagnostic categorization of 200 thyroid swelling underwent surgery, FNAC based on Bathesda classification showed that 163 (81.5%) cases were cytologically benign, 37 (18.5%) cases were malignant category. Out of 200 cases histopathology showed134 cases(67.0%) are benign and 66(33.0%) are malignant thyroid swelling. Among the benign lesions96.31% are colloid goiter and among the malignant lesions 93.4% are papillary thyroid carcinoma. Conclusion: Although FNAC is an essential diagnostic test to rule out thyroid malignancy but histopathological examination is the only way to give true incidence of thyroid malignancy among the thyroid swelling and it is observed that there is high incidence of thyroid malignancy(33.0%) among the thyroid swelling patient underwent thyroid surgery.
{"title":"Incidence of Thyroid Cancer in Thyroid Swelling, Study of 200 Cases","authors":"M. Matin, M. Islam, A. Razzak, Mohosana Khanam, A. Harun, S. Kabir, A. Saifuddin, A. Sobhan","doi":"10.3329/BJO.V27I1.53200","DOIUrl":"https://doi.org/10.3329/BJO.V27I1.53200","url":null,"abstract":"Objective: The incidence of thyroid cancer has rapidly increased in the United States (US) and other developed countries over the past 30 years but there is no study to find out the true incidence of thyroid cancer in Bangladesh. The aim of this study is to compare FNAC with histopathology reports and to find out the true incidence of thyroid malignancy in thyroidectomy patients presenting with thyroid swelling. Methods: This is a prospective study of 200 thyroid swelling patients underwent thyroid surgery done at Shaheed Suhrawardy Medical College Hospital, a tertiary Care Hospital in Dhaka from July 2017 to December 2020. FNAC and histopathology reports were studied to find out the incidence of benign and thyroid malignancy among the thyroid swelling. Results: The age of the patients ranged from 8 to 75 years. The mean age was 37.2 years. There were 156 female and 44 male patients with female male ratio 3.54:1. Diagnostic categorization of 200 thyroid swelling underwent surgery, FNAC based on Bathesda classification showed that 163 (81.5%) cases were cytologically benign, 37 (18.5%) cases were malignant category. Out of 200 cases histopathology showed134 cases(67.0%) are benign and 66(33.0%) are malignant thyroid swelling. Among the benign lesions96.31% are colloid goiter and among the malignant lesions 93.4% are papillary thyroid carcinoma. Conclusion: Although FNAC is an essential diagnostic test to rule out thyroid malignancy but histopathological examination is the only way to give true incidence of thyroid malignancy among the thyroid swelling and it is observed that there is high incidence of thyroid malignancy(33.0%) among the thyroid swelling patient underwent thyroid surgery.","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43102890","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 Nazmul Haque, M. A. Sakik, M. A. Bhuiyan, Moshammat Fatima Akhter, S. Khan, Mohammad Zakaria Sarker, A. Hossain
Objective: To observe the correlation between fine needle aspiration cytology (FNAC) and Histopathology in the diagnosis of thyroid lesions. Methods:It was a Retrospective record review study .One hundred four (104) Patients with enlarged thyroid gland of both sexes were selected from admitted patients of National institute of ENT, Tejgaon, Dhaka, Duration was from January 2017 to December 2018. Every patients had preoperative FNAC & postoperative histopathology report of thyroid lesions. Results: FNACdiagnosis of thyroid lesions were correlated with histopathology diagnosis. Out of 104 patients 26 were male 78 were female. Male-Female ratio were 1:3.out of 104 patients most Patients were 31 to 40 years of ageGroup.out of 104 cases of FNAC 9 cases were false Cyto-diagnosis. Overall accuracy rate was 91.35%. Conclusion: FNAC is a reliable, safe and relatively accurate method as apreoperative evaluationin thyroid gland swelling before surgery. FNAC has more accuracy in detecting thyroid gland malignancy and therefore it is a reliable diagnostic test for evaluation of thyroid swelling.
{"title":"Correlation between FNAC and Histopathology in the Diagnosis of Thyroid Lesions","authors":"Md Nazmul Haque, M. A. Sakik, M. A. Bhuiyan, Moshammat Fatima Akhter, S. Khan, Mohammad Zakaria Sarker, A. Hossain","doi":"10.3329/BJO.V27I1.53211","DOIUrl":"https://doi.org/10.3329/BJO.V27I1.53211","url":null,"abstract":"Objective: To observe the correlation between fine needle aspiration cytology (FNAC) and Histopathology in the diagnosis of thyroid lesions. Methods:It was a Retrospective record review study .One hundred four (104) Patients with enlarged thyroid gland of both sexes were selected from admitted patients of National institute of ENT, Tejgaon, Dhaka, Duration was from January 2017 to December 2018. Every patients had preoperative FNAC & postoperative histopathology report of thyroid lesions. Results: FNACdiagnosis of thyroid lesions were correlated with histopathology diagnosis. Out of 104 patients 26 were male 78 were female. Male-Female ratio were 1:3.out of 104 patients most Patients were 31 to 40 years of ageGroup.out of 104 cases of FNAC 9 cases were false Cyto-diagnosis. Overall accuracy rate was 91.35%. Conclusion: FNAC is a reliable, safe and relatively accurate method as apreoperative evaluationin thyroid gland swelling before surgery. FNAC has more accuracy in detecting thyroid gland malignancy and therefore it is a reliable diagnostic test for evaluation of thyroid swelling.","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44705091","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}
Shoukat Ali, SM Masudul Alam, M. Alam, A. Sattar, M. Uddin, B. Siddiquee
Background: Carcinoma of oral tongue has a great potential for metastatic spread to neck nodes, which may not be clinically detected in early stage. To detect frequency of occult neck metastasis in clinically N o patients with early oral tongue carcinoma (stage I & II) the study has done. Methods: It was a 2 years cross sectional study among fifty patients in three tertiary care hospitals of Dhaka from 2016 to 2018. Results: Majority of the patients were male (M:F=3:2) with age ranged 25 to 80 years. Among these patients 38(76%) were in T 1 and remaining 12(24%) in T 2 stage. Tongue ulceration was most common(84%) presenting feature followed by dysphagia(64%) and pain(52%).Only 32(64%) patients revealed no histopathological proved metastasis(true N 0 ). Occult nodal metastasis was significantly common(83.33%) among male patients than females(p<0.01) and also common(72.22%) among < 50 years age group(p<0.01).Sampling node positive was significantly more(66.67%) in T 2 stage(p<0.01). Conclusion: Regarding clinical, radiological and histopathological stages and stage migration of early carcinoma in oral tongue this study revealed significant differentiation among these methods. This study implies sampling neck dissection of sentinel neck nodes in early oral tongue carcinoma for management.
{"title":"Role of Sampling Neck Dissection in Early Oral Tongue Carcinoma","authors":"Shoukat Ali, SM Masudul Alam, M. Alam, A. Sattar, M. Uddin, B. Siddiquee","doi":"10.3329/bjo.v26i2.50643","DOIUrl":"https://doi.org/10.3329/bjo.v26i2.50643","url":null,"abstract":"Background: Carcinoma of oral tongue has a great potential for metastatic spread to neck nodes, which may not be clinically detected in early stage. To detect frequency of occult neck metastasis in clinically N o patients with early oral tongue carcinoma (stage I & II) the study has done. Methods: It was a 2 years cross sectional study among fifty patients in three tertiary care hospitals of Dhaka from 2016 to 2018. Results: Majority of the patients were male (M:F=3:2) with age ranged 25 to 80 years. Among these patients 38(76%) were in T 1 and remaining 12(24%) in T 2 stage. Tongue ulceration was most common(84%) presenting feature followed by dysphagia(64%) and pain(52%).Only 32(64%) patients revealed no histopathological proved metastasis(true N 0 ). Occult nodal metastasis was significantly common(83.33%) among male patients than females(p<0.01) and also common(72.22%) among < 50 years age group(p<0.01).Sampling node positive was significantly more(66.67%) in T 2 stage(p<0.01). Conclusion: Regarding clinical, radiological and histopathological stages and stage migration of early carcinoma in oral tongue this study revealed significant differentiation among these methods. This study implies sampling neck dissection of sentinel neck nodes in early oral tongue carcinoma for management.","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47220054","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: Chronic suppurative otitis media (CSOM) is an inflammatory process in the middle ear cleft. When there is attic or marginal perforation it is called the atticoantral variety of COSM which is manifested as foul smelling aural discharge and hearing impairment. In Bangladesh, chronic suppurative otitis media (CSOM) is a common disease in clinical practice. Objective: The aim of this study was to find out the clinical presentation of atticoantral chronic suppurative otitis media (CSOM) in defence personnel and their families. Methods: A retrospective study was carried out in the Department of ENT and Head-Neck Surgery, Combined Military Hospital (CMH), Dhaka from 01 April 2017 to 31 December 2019.Forty seven patients of Atticoantral variety of CSOM were included by matching inclusion and exclusion criteria. Results: Majority of the patients presented in the second and third decade of life(11-20 years: 29.79%, 21-30 years: 44.68%). All the patients belonged to the soldiers and their families. The maximum numbers of patients were from rural area(51.06%), completed only primary education (48.94%). Most of them lived in a kutcha building. Almost all the patients presented with multiple symptoms. Discharge from ear(s) (100%), and hearing impairment (82.97%) were the leading features. Only (2.14%) had extracranial complication and there was no intracranial complication. Most of the patients were having unilateral atticoantral CSOM, in the right side (61.70%), left side (36.17%) and only one (2.12%) had bilateral involvement. Audiometric tests were done in 100% of the patients and found; mild deafness (19.14%), moderate deafness (78.72%) and moderately severe deafness (2.14%). Conclusion: The frequency of chronic suppurative otitis media is higher in the younger age group and lacking of education. By increasing health awareness of the general people and early diagnosis of atticoantral CSOM and timely surgical intervention may be helpful to eradicate the disease and prevent complications. Bangladesh J Otorhinolaryngol; October 2020; 26(2): 136-141
{"title":"Sociodemographic Factors of Atticoantral Chronic Suppurative Otitis Media","authors":"M. S. Islam, B. Ahmed, N. Khan, A. Asaduzzaman","doi":"10.3329/bjo.v26i2.50641","DOIUrl":"https://doi.org/10.3329/bjo.v26i2.50641","url":null,"abstract":"Background: Chronic suppurative otitis media (CSOM) is an inflammatory process in the middle ear cleft. When there is attic or marginal perforation it is called the atticoantral variety of COSM which is manifested as foul smelling aural discharge and hearing impairment. In Bangladesh, chronic suppurative otitis media (CSOM) is a common disease in clinical practice. \u0000Objective: The aim of this study was to find out the clinical presentation of atticoantral chronic suppurative otitis media (CSOM) in defence personnel and their families. \u0000Methods: A retrospective study was carried out in the Department of ENT and Head-Neck Surgery, Combined Military Hospital (CMH), Dhaka from 01 April 2017 to 31 December 2019.Forty seven patients of Atticoantral variety of CSOM were included by matching inclusion and exclusion criteria. \u0000Results: Majority of the patients presented in the second and third decade of life(11-20 years: 29.79%, 21-30 years: 44.68%). All the patients belonged to the soldiers and their families. The maximum numbers of patients were from rural area(51.06%), completed only primary education (48.94%). Most of them lived in a kutcha building. Almost all the patients presented with multiple symptoms. Discharge from ear(s) (100%), and hearing impairment (82.97%) were the leading features. Only (2.14%) had extracranial complication and there was no intracranial complication. Most of the patients were having unilateral atticoantral CSOM, in the right side (61.70%), left side (36.17%) and only one (2.12%) had bilateral involvement. Audiometric tests were done in 100% of the patients and found; mild deafness (19.14%), moderate deafness (78.72%) and moderately severe deafness (2.14%). \u0000Conclusion: The frequency of chronic suppurative otitis media is higher in the younger age group and lacking of education. By increasing health awareness of the general people and early diagnosis of atticoantral CSOM and timely surgical intervention may be helpful to eradicate the disease and prevent complications. \u0000Bangladesh J Otorhinolaryngol; October 2020; 26(2): 136-141","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49576940","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}
Zakaria Sarker, Muhammad Rafiqul Islam, U. Dutta, Debabrota Roy, Ahm Ferdows Nur, SM Shafi Wahid, A. Hanif
Background: Sensory neural hearing loss (SNHL) is the most common congenital sensory deficit, with an incidence of one to three per 1000 live births. Acoustic deprivation during the first 3 years of life can hinder speech and language acquisition with significant negative consequences on a child’s educational and psychosocial development. The gold standard intervention for permanent severe to profound hearing loss is cochlear implantation. Cochlear implant (CI); is a semi implantable electronic device that bypass the cochlea. Objectives: An observational study was carried out on 40 cases of pre-lingual deaf to find out the causes of pre-lingual deaf, to evaluate the preoperative procedures to set ideal criteria for pre -lingual cochlear implantation and to evaluate surgical procedure and outcome of cochlear implantations. Methods: Evaluation of the candidates included patient medical history, general health checkup, ENT examination, audiometric evaluation, CT and MRI scans, psychological profile of the candidate. A limited cortical mastoidectomy was performed. The facial recess was opened using the fossa of incudis as an initial landmark. The round window niche was visualized through the facial recess about 2 mm inferior to the stapes. A cochleostomy created by drilling over the basal turn of the cochlea anterior and inferior to the annulus of the round window membrane. The electrode array was then carefully inserted through the fenestra into the scala tympani of the cochlea. Electrophysiological testing (Neural Response Telemetry: NRT) was performed to verify the correct placement of active electrodes. Resulst: Among them 22 (55%) were male and 18 (45%) were female. Male female ratio was 1.2:1. Age distribution at implantation was 3.3±1.054(SD). Average hearing loss was 96.4±5.3(SD) dB and in aided audiogram was 63.7±4.6(SD) dB. Overall complications 1. Associate Professor, National Institute of ENT, Dhaka. 2. Registrar, National Institute of ENT, Dhaka. 3. Assistant Professor, National Institute of ENT, Dhaka. 4. Medical Officer, National Institute of ENT, Dhaka. 5. Research Officer, National Institute of ENT, Dhaka. 6. Assistant Registrar, National Institute of ENT, Dhaka. 7. Professor and Director, National Institute of ENT, Dhaka Address of correspondence: Dr. Zakaria Sarker, Associate Professor, National Institute of ENT, Dhaka Mobile no: 01819157287, E-mail: zakaria.sarker@ymail.com
{"title":"Preoperative Evaluation and Surgical Outcome of Cochlear Implantation in NIENT","authors":"Zakaria Sarker, Muhammad Rafiqul Islam, U. Dutta, Debabrota Roy, Ahm Ferdows Nur, SM Shafi Wahid, A. Hanif","doi":"10.3329/bjo.v26i2.50640","DOIUrl":"https://doi.org/10.3329/bjo.v26i2.50640","url":null,"abstract":"Background: Sensory neural hearing loss (SNHL) is the most common congenital sensory deficit, with an incidence of one to three per 1000 live births. Acoustic deprivation during the first 3 years of life can hinder speech and language acquisition with significant negative consequences on a child’s educational and psychosocial development. The gold standard intervention for permanent severe to profound hearing loss is cochlear implantation. Cochlear implant (CI); is a semi implantable electronic device that bypass the cochlea. Objectives: An observational study was carried out on 40 cases of pre-lingual deaf to find out the causes of pre-lingual deaf, to evaluate the preoperative procedures to set ideal criteria for pre -lingual cochlear implantation and to evaluate surgical procedure and outcome of cochlear implantations. Methods: Evaluation of the candidates included patient medical history, general health checkup, ENT examination, audiometric evaluation, CT and MRI scans, psychological profile of the candidate. A limited cortical mastoidectomy was performed. The facial recess was opened using the fossa of incudis as an initial landmark. The round window niche was visualized through the facial recess about 2 mm inferior to the stapes. A cochleostomy created by drilling over the basal turn of the cochlea anterior and inferior to the annulus of the round window membrane. The electrode array was then carefully inserted through the fenestra into the scala tympani of the cochlea. Electrophysiological testing (Neural Response Telemetry: NRT) was performed to verify the correct placement of active electrodes. Resulst: Among them 22 (55%) were male and 18 (45%) were female. Male female ratio was 1.2:1. Age distribution at implantation was 3.3±1.054(SD). Average hearing loss was 96.4±5.3(SD) dB and in aided audiogram was 63.7±4.6(SD) dB. Overall complications 1. Associate Professor, National Institute of ENT, Dhaka. 2. Registrar, National Institute of ENT, Dhaka. 3. Assistant Professor, National Institute of ENT, Dhaka. 4. Medical Officer, National Institute of ENT, Dhaka. 5. Research Officer, National Institute of ENT, Dhaka. 6. Assistant Registrar, National Institute of ENT, Dhaka. 7. Professor and Director, National Institute of ENT, Dhaka Address of correspondence: Dr. Zakaria Sarker, Associate Professor, National Institute of ENT, Dhaka Mobile no: 01819157287, E-mail: zakaria.sarker@ymail.com","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69459123","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, A. Harun, M. Islam, A. S. Uddin, M. Sabur
Mesenchymal Chondrosarcomas of the parotid are extremely rare tumours. They are broadly classified under extra skeletal form of mesenchymal chondrosarcomas and account for less than 1% of all sarcomas. It is characterized by a multinodular architecture, abundant myxoid matrix, and malignant chondroblast like cells arranged in cords. The tumor is an entity from chondrosarcomas of bones, commonly found in the soft tissues of the lower extremities at 80%. There are very limited reports of this tumor in the head and neck, especially in the parotid gland. We report a rare case of a parotid mesenchymal chondrosarcoma in a 55 years old man and discuss the pathogenesis, clinical presentation and management of such a rare tumour Bangladesh J Otorhinolaryngol; October 2020; 26(2): 158-160
{"title":"Mesenchymal Chondrosarcoma of the Parotid Gland","authors":"M. Matin, A. Harun, M. Islam, A. S. Uddin, M. Sabur","doi":"10.3329/bjo.v26i2.50645","DOIUrl":"https://doi.org/10.3329/bjo.v26i2.50645","url":null,"abstract":"Mesenchymal Chondrosarcomas of the parotid are extremely rare tumours. They are broadly classified under extra skeletal form of mesenchymal chondrosarcomas and account for less than 1% of all sarcomas. It is characterized by a multinodular architecture, abundant myxoid matrix, and malignant chondroblast like cells arranged in cords. The tumor is an entity from chondrosarcomas of bones, commonly found in the soft tissues of the lower extremities at 80%. There are very limited reports of this tumor in the head and neck, especially in the parotid gland. We report a rare case of a parotid mesenchymal chondrosarcoma in a 55 years old man and discuss the pathogenesis, clinical presentation and management of such a rare tumour \u0000Bangladesh J Otorhinolaryngol; October 2020; 26(2): 158-160","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42896973","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. Sumon Hossain, Md. Arif Hossain Bhuyan, A. Kafi, M. Islam, Md Asadul Haque
Background: Thyroglossal cyst is a congenital malformation that occurs due to incomplete closure of the thyroglossal duct. Apart from quiescent embryological remnant, it presents clinically as a midline cystic swelling that moves with tongue protrusion; present at any age, often requires surgical excision. Objective: To evaluate the clinical features and treatment outcomes of patients with a thyroglossal duct cyst. Material and methods: This observational study was carried out in the Department of Surgery, Dept. of Otolaryngology, Ibn Sina Medical College, Dhaka, A total 40 cases of both sexes with the age 6-67 years, during the period of 2013 to 2018 (5 years) Results: A total 40 cases of thyroglossal cyst with mean age of 24.37 years were included in study. Of the total 40 cases, 20 (50%) patients were male and 20(50%) were female. Most common clinical presentation was painless midline cystic swelling was the main complaint in 30 patients (75%), followed by dysphagia 5 (12.5%), Sore throat 3 (7.5%) and globus 2 (5%) in descending order. Most common location of cyst was in infrahyoid region in 26 patients (65%), suprahyoid in 14 patients (35%). Conclusion: The most common presentation of thyroglossal cyst is a midline cystic swelling that moves with tongue protrusion. The standard surgical approach to thyroglossal cyst is Sistrunk’s operation with low recurrence rate. Malignancy within thyroglossal cyst is very rare but should be rule out in all cases. Bangladesh J Otorhinolaryngol; October 2020; 26(2): 153-157
{"title":"Clinicopathological Study of Thyroglossal Cyst","authors":"Md. Sumon Hossain, Md. Arif Hossain Bhuyan, A. Kafi, M. Islam, Md Asadul Haque","doi":"10.3329/bjo.v26i2.50644","DOIUrl":"https://doi.org/10.3329/bjo.v26i2.50644","url":null,"abstract":"Background: Thyroglossal cyst is a congenital malformation that occurs due to incomplete closure of the thyroglossal duct. Apart from quiescent embryological remnant, it presents clinically as a midline cystic swelling that moves with tongue protrusion; present at any age, often requires surgical excision. \u0000Objective: To evaluate the clinical features and treatment outcomes of patients with a thyroglossal duct cyst. \u0000Material and methods: This observational study was carried out in the Department of Surgery, Dept. of Otolaryngology, Ibn Sina Medical College, Dhaka, A total 40 cases of both sexes with the age 6-67 years, during the period of 2013 to 2018 (5 years) \u0000Results: A total 40 cases of thyroglossal cyst with mean age of 24.37 years were included in study. Of the total 40 cases, 20 (50%) patients were male and 20(50%) were female. Most common clinical presentation was painless midline cystic swelling was the main complaint in 30 patients (75%), followed by dysphagia 5 (12.5%), Sore throat 3 (7.5%) and globus 2 (5%) in descending order. Most common location of cyst was in infrahyoid region in 26 patients (65%), suprahyoid in 14 patients (35%). \u0000Conclusion: The most common presentation of thyroglossal cyst is a midline cystic swelling that moves with tongue protrusion. The standard surgical approach to thyroglossal cyst is Sistrunk’s operation with low recurrence rate. Malignancy within thyroglossal cyst is very rare but should be rule out in all cases. \u0000Bangladesh J Otorhinolaryngol; October 2020; 26(2): 153-157","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48343625","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: Trends of searching primary has been changed as etiological backup are changing. PET- CT and other viral molecular markers has been included in most recent protocols for searching primary of carcinoma unknown primary (CUP). Despite of the exhaustive effort with traditional tool many unknown primaries are not known. Patients with CUP without localizing primary, are subjected to radical surgery, wide-field radiation and chemotherapy during treatment. Objectives: To determine the effectiveness of localization of the primary tumor by using conventional technique and to compare the outcome of it to the standard guideline. Methods:This was a prospective study. In conventional search, after thorough clinical examination and diagnostic workup, Panendoscopy with bilateral Tonsillectomy and excision of tongue base mucosa in selective cases is done. Biopsy from nasopharynx, Larynx and hypopharynx is done only when clinically suspected. PET-CT and other viral/molecular markers has been done for recent standard protocol group. Results: In conventional method, Out of 29 patient, 6 primaries found. 5 in tonsil and 1 in base of the tongue base. In standard protocol method, out of 34 cases with PET-CT and viral marker 8 primaries detected, 5 in tonsil and 2 in tongue base and 1 in nasopharynx. Conclusion: Unknown head and neck primaries present a diagnostic challenge that outcome in the search of primary for CUP may be improved by digital examination and appropriate tissue examination in traditional detection protocols. Bangladesh J Otorhinolaryngol; October 2020; 26(2): 142-146
{"title":"Differences of Methods of Searching Primary Site of Carcinoma Unknown Primary between Traditional and Standard Guideline","authors":"Abdus Sattar, B. H. Siddique","doi":"10.3329/bjo.v26i2.50642","DOIUrl":"https://doi.org/10.3329/bjo.v26i2.50642","url":null,"abstract":"Background: Trends of searching primary has been changed as etiological backup are changing. PET- CT and other viral molecular markers has been included in most recent protocols for searching primary of carcinoma unknown primary (CUP). Despite of the exhaustive effort with traditional tool many unknown primaries are not known. Patients with CUP without localizing primary, are subjected to radical surgery, wide-field radiation and chemotherapy during treatment. \u0000Objectives: To determine the effectiveness of localization of the primary tumor by using conventional technique and to compare the outcome of it to the standard guideline. \u0000Methods:This was a prospective study. In conventional search, after thorough clinical examination and diagnostic workup, Panendoscopy with bilateral Tonsillectomy and excision of tongue base mucosa in selective cases is done. Biopsy from nasopharynx, Larynx and hypopharynx is done only when clinically suspected. PET-CT and other viral/molecular markers has been done for recent standard protocol group. \u0000Results: In conventional method, Out of 29 patient, 6 primaries found. 5 in tonsil and 1 in base of the tongue base. In standard protocol method, out of 34 cases with PET-CT and viral marker 8 primaries detected, 5 in tonsil and 2 in tongue base and 1 in nasopharynx. \u0000Conclusion: Unknown head and neck primaries present a diagnostic challenge that outcome in the search of primary for CUP may be improved by digital examination and appropriate tissue examination in traditional detection protocols. \u0000Bangladesh J Otorhinolaryngol; October 2020; 26(2): 142-146","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/bjo.v26i2.50642","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43964941","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. H. Rahman, Abirvab Naha, Riashat Azim Majumder, Khalid Mahmud, A. M. Jewel, K. Tarafder, A. Chowdhury, S. Rahman
Background: Venous malformations (VMs) are a variety of low flow vascular malformations, which are developmental error of morphogenesis of veins where veins are dysplastic lined by quiescent or normal endothelium. Although surgical extirpation is the standard method for the treatment of vascular malformations, this procedure often leads to significant loss of motor function, nerve damage, or massive bleeding in patients which may endanger the life. Therefore, sclerotherapy has now been accepted as a less invasive alternative and good results have been obtained. Objectives: This study was conducted to evaluate the clinical outcomes after Foam sclerotherapy with injection Ethanolamine Oleate (EO) for the treatment of VMs in head-neck region. Methods: This quasi-experimental study was conducted in the Department of Otolaryngology- Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU). Forty-three patients with venous malformation in head neck region that had the inclusion criteria were enrolled as a study sample. The patients were diagnosed mostly clinically & confirmed by demonstrating non-pulsatile blood flow and venous space using Duplex ultrasound. The sclerosing solution 5% Ethanolamine Oleate (EO) was used in this study. Sclerofoam was produced using the Tessari method in 4:1 air to liquid ratio, the foam had been used within 60- 90 seconds. Results of the study were categorized as excellent, good, fair and poor. Ethical clearance was obtained from the Institutional Review Board (IRB) of BSMMU. Results: Among 43 patients 34(79.1%) patients underwent single session and 9(20.9%) were two sessions. All the lesions were responded to EO. Response to sclerotherapy categorized as excellent were in two third 29 (67.4%) patients and 14 (32.6%) had good response. No sessions resulted in poor responses. No complications occurred following any procedures. All of the sessions were performed as a day case basis without anesthesia. Conclusions: Foam sclerotherapy with injection EO appears to be safe and effective for the treatment of VMs in the head and neck region and should be considered when treating these complex lesions. Bangladesh J Otorhinolaryngol; October 2020; 26(2): 79-85
{"title":"Role of Foam Sclerotherapy with Injection Ethanolamine Oleate for the Treatment of Venous Malformation in Head-Neck Region","authors":"M. H. Rahman, Abirvab Naha, Riashat Azim Majumder, Khalid Mahmud, A. M. Jewel, K. Tarafder, A. Chowdhury, S. Rahman","doi":"10.3329/bjo.v26i2.50606","DOIUrl":"https://doi.org/10.3329/bjo.v26i2.50606","url":null,"abstract":"Background: Venous malformations (VMs) are a variety of low flow vascular malformations, which are developmental error of morphogenesis of veins where veins are dysplastic lined by quiescent or normal endothelium. Although surgical extirpation is the standard method for the treatment of vascular malformations, this procedure often leads to significant loss of motor function, nerve damage, or massive bleeding in patients which may endanger the life. Therefore, sclerotherapy has now been accepted as a less invasive alternative and good results have been obtained. \u0000Objectives: This study was conducted to evaluate the clinical outcomes after Foam sclerotherapy with injection Ethanolamine Oleate (EO) for the treatment of VMs in head-neck region. \u0000Methods: This quasi-experimental study was conducted in the Department of Otolaryngology- Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU). Forty-three patients with venous malformation in head neck region that had the inclusion criteria were enrolled as a study sample. The patients were diagnosed mostly clinically & confirmed by demonstrating non-pulsatile blood flow and venous space using Duplex ultrasound. The sclerosing solution 5% Ethanolamine Oleate (EO) was used in this study. Sclerofoam was produced using the Tessari method in 4:1 air to liquid ratio, the foam had been used within 60- 90 seconds. Results of the study were categorized as excellent, good, fair and poor. Ethical clearance was obtained from the Institutional Review Board (IRB) of BSMMU. \u0000Results: Among 43 patients 34(79.1%) patients underwent single session and 9(20.9%) were two sessions. All the lesions were responded to EO. Response to sclerotherapy categorized as excellent were in two third 29 (67.4%) patients and 14 (32.6%) had good response. No sessions resulted in poor responses. No complications occurred following any procedures. All of the sessions were performed as a day case basis without anesthesia. \u0000Conclusions: Foam sclerotherapy with injection EO appears to be safe and effective for the treatment of VMs in the head and neck region and should be considered when treating these complex lesions. \u0000Bangladesh J Otorhinolaryngol; October 2020; 26(2): 79-85","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/bjo.v26i2.50606","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45285946","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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