Objectives: To find out the difference between tubotympanic and atticoantral type of chronic suppurative otitis media in their presentation, complications and hearing impairment they produce. Methods: This cross sectional study done in the department of Otolaryngology of Mymensingh Medical College Hospital and Bangabandhu Sheikh Mujib Medical University, during the period of January 2005 to February 2006. For this study 100 Patients who were diagnosed as a case of chronic suppurative otitis media by detailed history, clinical examination and related investigations were collected. Results: In this study majority of the patients were within 10-20 years of age & male female ratio 2.1:1. This condition was common in rural population with low socio economic status having poor nutrition and those who take bath in river or pond water in rural area. Common presentation of tubotympanic type of CSOM was aural discharge and deafness but presentation of atticdntral type of CSOM was aural discharge and deafness with other symptoms like earache, fever, headache tinnitus and vertigo, etc. Hearing loss was found more in atticoantral type of disease. Complication of CSOM was found only in atticoantral type of disease. Conclusion: Complications are more frequent and hearing impairment is morein severity in case of atticoantral type of chronic suppurative otitis media Key word: CSOM; Tubotympanic; Atticoantral.DOI: 10.3329/bjo.v16i2.6846Bangladesh J Otorhinolaryngol 2010; 16(2): 113-119

This cross sectional study done in the department of Banghabandhu Sheikh Mujib Medical University and Dhaka Medical College Hospital during the period of July 2005 to October 2007 to determine frequency & pattern of malignancy in solitary thyroid nodule. For this study, 118 patients who were diagnosed as a case of malignancy in solitary thyroid nodule by detailed history, clinical examination, thyroid hormone assay, ultrasonogram, thyroid scan, FNAC and histopathological examination, were collected. In this study majority of the patients were within 21-40 years of age. Frequency of solitary thyroid nodule is more in female with male female ratio 1: 2.11 Majority of the nodules were firm (72.03%), others were hard (16.95%) and cystic (11.02%). Malignant lesion was more common in hard nodule (70%). Most of the nodules were cold (66.10%) among them 25.6% cases were malignant, followed by warm (30.5%) and hot (3.3%). No malignancy was found in hot nodule. FNAC showed colloid nodule (44%), cellular follicular lesion (29.66%), papillary carcinoma (12.7%), colloid degeneration (4.2%) and medullary carcinoma (1.6%) Out of 118 patients, histopathologically non malignant were 96 (81.35%) and malignant were 22(18.65%). Among malignant cases, 16 (72.72%) cases were papillary carcinoma, 4 (18.18%) cases were follicular carcinoma and 2(9.1%) cases were medullary carcinoma. Key words: Solitary thyroid nodule, FNAC, Papillary carcinoma, Follicular carcinomaDOI: 10.3329/bjo.v15i1.4303 Bangladesh J of Otorhinolaryngology 2009; 15(1): 1-5

Objective: In this study forty patients of sinonasal malignancy were studied to observe the topographical distribution of the disease. Methods: This cross sectional study was done in the Otolaryngology-Head & Neck Surgery Department of Bangabandhu Sheikh Mujib Medical University during the period of January 2007 to December 2008. The diagnosis was made by detailed history, clinical examination, investigation. Analyzed data presented by various tables, graphs and figures. Results: In this study majority of the patients were within 51-60 years of age. Male to female ratio was 3:1 and came from rural area (62.5%). Most of them were farmers (37.5%), illiterate (35%), poor socioeconomic condition (55%) and habits were smoker (37.5%). Most of the patients presented with multiple symptoms and multiple sinuses involvement (70%) and among single sinus involvement maxillary (58.34%) followed by nasal cavity (33.33%), ethmoidal sinuses (8.33%), primary frontal and sphenoid tumours were not found. About T stage of tumour T3 (42.5%), T4 (37.5%), T2 (15%) and T1 (5%). 08 cases were nodal involvement (20%), submandibular node metastasis were most common (62.5%), squamous cell carcinoma (55%), followed by adenocystic carcinoma (10%). Adenocarcinoma (7.5%), mucoepidermal carcinoma (5%), non Hodgkin’s lymphoma (5%), transitional cell carcinoma (5%), small cell carcinoma (5%), chondosarcoma (2.5%) and malignant fibrous histocytoma (2.5%). Radiological finding with bone destruction (12.5%), without bone destruction (87.5%), intracranial involvement (45%) and orbital extension (17.5%). Conclusion: From the review of the series it is obvious that sinonasal malignancy usually presented at advanced stage with multiple sinus involvement. In case of single sinus involvement maxillary antral carcinoma is significantly common than other sinuses. Key words: Topographical Distribution; Sinonasal Malignancy. DOI: 10.3329/bjo.v17i1.7619 Bangladesh J Otorhinolaryngol 2011; 17(1): 21-28

Abstract:Objective: To report an extremely rare variant of first branchial cleft anomaly.