purpose. To reviewed 416 patients who underwent discectomy for primary or recurrent prolapse of lumbar intervertebral discs (PLID). Methods. Records of 296 men and 102 women aged 19 to 60 (mean, 39) years who underwent discectomy for a primary PLID, and 14 men and 4 women aged 28 to 50 (mean, 40) years who underwent revision discectomy for a recurrent ipsilateral (n=14) or contralateral (n=4) PLID at L4-5 (n=14), L5-S1 (n=3), or L3-4 (n=1) were reviewed. The pain-free interval, side and degree of herniation, operating time, length of hospital stay, and pre-and post-operative visual analogue score (VAS) for pain were recorded. Clinical outcomes were evaluated using the modified Macnab criteria and the Oswestry Disability Index. results. Patients were followed up for one to 4 years. The mean operating time was significantly longer in revision discectomy (65 vs. 141 minutes, p<0.001, unpaired t-test).

Objectives: To find out the sites of involvement of carcinoma larynx. Methods: A cross sectional study was carried out from January, 2006 to December, 2007 at the Department of ENT and Head-Neck Surgery of Dhaka Medical College Hospital, Dhaka. This study included 147 cases with of carcinoma larynx. Results: Among 147 cases in this study near age was 54.53 years the pearl incidence was 6th to 7th decade; male: female rate 28.4: 1. Majority of case were related to cultivation (42.6%), came for rural area (66.7%), socioeconomic group (68%) and illiterate (49.7%). Regarding habit most of them were more than one habits (87.7%) patients were smokers, duration of smoking habit varied from 2 years to more than 40 years and per day consumption from 3-32 sticks. 100% of female had the, habit of betel leaf chewing in this study. The common symptom was hoarseness of voice (93.8%) followed by dysphagia (61.6%) respiratory distress (52.4%), earache (6.8%) cases, haemoptysis and neck pain in small proportion. Indirect larygoscopic examination: Supraglottic carcinoma extension to one dial wall of pyriform fossa and valecular / bare of the tongue were present in (11.5%) and 8.7 cases respectively. 73.4% cases were more then one subsites involvement. Impaired vocal cord morbidity was found in 30.9% and fixed cord was 49.6%, 55.2% cases were airway inadequate, nodal involvement was 46.9%, 98.6% nodal involvement in supraglotic region, 65.2% were NI stage followed by N2 (21.7% and N3 (13%) distribution of the carcinoma larynx were supraglottic 74.10 glottic 25.10% and subglottic 0.70% more than one insite involvement were 88%, in supraglottic epiglottis 5.5%, any epiglottic folds 4.6% or glend 0.9% and ventricular bands were 0.9%. In the subsite of the glottic carcinoma glottic proper 37.8% followed by more then one insite (32.4%) anterior commissure 18.4% and posterior commissure 10.8%, 55% of the patient were Grade II and 49.6% were stage III. Conclusion: Incidence of supraglottic carcinoma was more common, involvement of more than one single site also common. Key words: Carcinoma larynx; supraglottic. DOI: http://dx.doi.org/10.3329/bjo.v17i2.8848 BJO 2011; 17(2): 96-103

<p class="Abstract">Spondylolisthesis is forward slipping of upper vertebra in relations to its lower one, commonest is L4-L5. The ideal surgical treatment of spondylolisthesis is still controversial. Posterior lumber interbody fusion with pedicle fixation is one of treatment choices for the lumber spondylolisthesis. Forty patient who operated through posterior lumber interbody fusion and pedicle screw fixation by single surgeon was included from January 2012 to March 2015. Periodical follow-up was done both clinically and radiologically up to 6 months. Patient outcome was completed based on pain relief graphic rating scale and Oswestry disability index. In our series, the excellent outcome were 25 patients (62.5%), good were 12 patients (30%), and fair were 3 patients (7.5%). There were no poor outcome and no new neurological deficit. This study concludes that posterior lumber inter-body fusion with pedicle is an effective treatment for the lumber spondylolisthesis. It helps to maintain the biomechanics, associated with less complication and improve the quality of life of patient.</p>

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