Background: Sinonasal malignancies are challenging not only from diagnostic view point but also from therapeutic aspects. Owing to the rarity of the lesions, delayed clinical presentations and poor prognosis there is lack of large experience. Objectives: Aim of this study is to assess Evaluation of extensions of sinonasal malignancy by correlating clinical and surgical findings with CT scan. Methods: A Cross Sectional study was carried out in the Department of Otolaryngology-Head and Neck Surgery, Sylhet M.A.G Osmani Medical College Hospital, Sylhet, from August 2019 to July 2021. A total 30 subjects were included in this study based on inclusion and exclusion criteria. A data collection form was designed and prepared including general characteristics of subjects and reviewed clinically, radiologically and surgically. All the data were compiled and sorted properly and the numerical data were analyzed statistically by using Statistical Package for Social Sciences (SPSS-26). The result was expressed as frequency and percentage and displayed with figure and table. Z proportion test, Spearman’s rho correlation coefficient test and Diagnostic accuracy test of clinical, CT and surgical finding were performed as applicable. For all comparisons p value of <0.05 was considered as significant. Results: In this study, CT findings was positively related with clinical and surgical findings. But this relation was strongly significant with surgical findings. In this study, clinical evaluation was 28.8% Sensitive and 100% Specific. Positive predictive value (PPV) was 100% and negative predictive value (NPV) was 9.1%. CT evaluation was 78.6% Sensitive and 100% Specific. Positive predictive value (PPV) was 100% and negative predictive value (NPV) was 25%. Surgical evaluation was 92.9% sensitive and 100% Specific. Positive predictive value (PPV) was 100% and negative predictive value (NPV) was 50%. Conclusion: It can be concluded that CT findings was directly correlated with clinical and surgical findings. But this relation was strongly significant with surgical findings. Bangladesh J Otorhinolaryngol 2022; 28(2): 171-179
Background: Ear, Nose, Throat (ENT) & Head Neck diseases are very common in our country. Of course, patterns of ENT diseases vary depending on geographical distribution. Materials & methods: This retrospective study was carried out in ENT OPD in a tertiary hospital, Medical College for Women & Hospital (MCWH), Uttara, Dhaka, Bangladesh from July, 2015 to December, 2015. Total 3314 patients were selected for the study, males being 1582 & females, 1732. Cases were evaluated by local otolaryngologists by taking thorough history and clinical examination with proper and relevant investigations. Personal data included were age (1 month – 80 years) and sex. Information obtained was expressed in numbers and percentages with statistical analysis. Results: Top 10 diseases were selected which includes Chronic Suppurative Otitis Media (CSOM) 18.14%, Chronic tonsillitis 15.67%, Acute otitis media (AOM) 9.90%, Otitis externa (OE) 8.18%, Deviated nasal septum (DNS) 7.79%, Otitis media with effusion (OME) 7.27%, Allergic rhinitis (AR) 6.40%, Wax 4.98%, Pharyngitis 4.29%, Sinusitis 2.90%. The study reveals that the most vulnerable age group was 0-18 years. 47.74% and 52.26% were male and female respectively, the ratio being 0.9:1 that is almost equal. No significant differences were found in ENT diseases between males and females. Regarding infections of specific organs, CSOM was the most common and highest in order in our context followed by Ch. Tonsillitis, AOM, OE, DNS, OME, AR, Wax, Pharyngitis and Sinusitis. Conclusion:This study was made with an attempt to contribute to some extent to the epidemiologic profile of the common ENT & Head Neck diseases. It would probably enable the concerned personnel to enrich their knowledge and skill so that they can deal with the diseases properly. Bangladesh J Otorhinolaryngol 2022; 28(2): 186-192
Background: Adenoids are common childhood upper respiratory tract problem which frequently obstruct the nasopharyngeal opening with tubal occlusion causes reduction in middle ear pressure with conductive hearing loss. Objective: To observe middle ear pressure and level of hearing in children with enlarged adenoids. Methods: This cross sectional observational study conducted among 72 children of enlarged adenoids admitted or attended in Dhaka Medical College Hospital and Bangabandhu Sheikh Mujib Medical University Dhaka. Results: 72 children of enlarged adenoids of age ranges between 5-12 years with male female ratio was 1.25:1. Mouth breathing (65.27%), hearing impairment (59.72%), nasal obstruction (55.55%) and snoring (56.94%) were the presenting symptoms of the patients. Majority of the patients of this study came from middle class (52.77%). Most of the patients with enlarged adenoids were grossly enlarged (51.38%). 43.05% grossly enlarged adenoids had significant hearing loss . In this series 65 ears (45.13%) had type A Tympanogram. 58 ears (40.27%) has Type B Tympanogram and 21 ears (14.58%) has Type C Tympanogram. Conclusion: This study revealed significant association between enlarged adenoids and conductive hearing loss of variable degree and negative middle ear pressure. Bangladesh J Otorhinolaryngol; April 2021; 27(1): 73-80
Results: There were 15 male patients, 3 non radiated cases and 12 post irradiated cases. Age of patients ranged from 35-75 years. Complications included wound infection (04), pharyngocutaneous fistula (03), flap necrosis (01), pharyngeal stenosis (01), stomal stenosis (01) and stomal recurrence (01). Conclusions:Wound infection and pharyngocutaneous fistula are most common complications after total laryngectomy. Preoperative radiotherapy is an important risk factor for development of pharyngocutaneous fistula in total laryngectomy patients.
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