Abstract:The objective of this study was to determine the efficacy of fine needle aspiration cytology in diagnosis and management of thyroid swelling. The study evaluated the predictive value of Pre operative fine needle aspiration cytology (FNAC) almost all of them presents with nodular thyroid swelling. Nodular goiter remains a problem of enormous magnitude all over the world, although exact data on incidence and prevalence are unavailable. In our country the national prevalence rate is 10-15%, which indicates, the whole country is endemic. The endemicity varies from one place to another. The highest prevalence rate in Bangladesh is in the district of Rangpur and Jamalpur, the range varies from 21-30%. Nodular thyroid disease is more prevalent than diffuse goitre. In a report from the thyroid clinic, BSMMU, Dhaka 32.67% of all thyroid patients had solitary nodules (Alauddin M, 2003).A solitary nodule has a higher risk of being malignant, than the multiple multinodular goitre (Hilal M, Al-Sayer et al., 1985). The .
Background: Congenital neck mass is a very common problem in children in
Abstract:Metastatic neck node is not uncommon in the otolaryngology department of a tertiary level hospital. Ignorance, illiteracy, delay in seeking medical advice and poor orientation of our general practitioners regarding management causes these patients to suffer from marked morbidity and mortality. It is a prospective study with random selection of sixty (60)
Objective: To compare the hearing status after modified radical mastoidectomy with and without reconstruction. Materials and Methods: This was a cross sectional observational study which was carried out in the departments of Otolaryngology and Head-Neck surgery of Bangabondhu Sheikh Mujib Medical University Dhaka Medical College during the period of April’2012 to September ’2012. A Total 30 patients of CSOM (Atico-antral variety) underwent modified radical mastoidectomy (MRM) with or without reconstruction were included in this study. Patients were divided into two groups according to operative procedure. Patient underwent MRM without reconstruction belonged to group I (n=15) and with reconstruction was considered as group II(n=15). Patients were examined thoroughly and preoperative hearing level was assessed by pure tone audiometry one week before operation. Both groups of patients were operated by general anesthesia under microscope with post auricular approach. In group II, temporalis fascia and cartilage were taken as graft materials after doing modified radical mastoidectomy. Post operative patients were followed up at regular intervals. Pure tone audiogram (PTA) was done after 8 weeks and hearing assessment was compared by closure of air bone gap. Results: In this study majority of patients were within 11-20 years and most of patients were male. Closure of air-bone gap was higher in patients underwent MRM with reconstruction. Conclusion: Reconstruction following MRM causes better hearing gain and also improves the quality of life. Bangladesh J Otorhinolaryngol; April 2019; 25(1): 41-46
Objectives: To evaluate morbidity of different modalities of treatment in advanced carcinoma larynx (stage III and IV). Methods: It was a cross sectional study conducted among selected 70 patients of advanced carcinoma larynx treated by different modalities of treatment from April 2009 to April 2010 in different tertiary hospitals in Dhaka. Results:The age of the patients ranged from 30 to 79 years (mean ± SD = 54±10.94), maximum age incidence 5th decade. Almost all were male, habituated in betel nut and leaves chewing and smoking. Mostly (60%) from poor socioeconomic group. 70% cases were supraglottic and 30% cases were glottic carcinoma. Nature of lesion was exophytic 71.43% and ulcerative 28.57%. 22.86% had neck node metastasis. Histopathologically 60% were moderately differentiated and grade II squamous cell carcinoma (SCC). In the total laryngectomy patient pharyngocuteneous fistula (30%), wound infection (10%), haematoma (10%), stomal recurrence (10%), stenosis is tracheostomy (10%), recurrent chest infection (10%) and pharyngeal stenosis (10%) were the morbidities. Mucositis or painful erythematous reaction in larynx and pharynx (95%), periconditis (2.5%), dryness of mouth and throat (100%), loss of test (100%), subcutaneous fibrosis (32.5%), nausea vomiting, skin rashes and alopecia (100%) were the morbidities of chemoradiotherapy and radiotherapy. After analysis the major and minor morbidities of different, modalities of treatment there was no significant (p > 0.05) difference among those modalities. Conclusion: The difference between the morbidity of single modality and combined modalities had not significant. So the combined modalities approach may be advocated for the treatment of advanced carcinoma larynx where required. DOI: http://dx.doi.org/10.3329/bjo.v20i2.22021 Bangladesh J Otorhinolaryngol; October 2014; 20(2): 66-74
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.