To evaluate the hearing outcome in canal wall down mastoidectomy with middle ear reconstruction, prospective longitudinal study was done at National Institute of ENT, Dhaka from March 2015 to September 2016. Total 22 patients were included in the study undergoing canal wall down mastoidectomy with 6 months postoperative followup. Hearing outcomes were observed and compared with the preoperative hearing tests. Among the 22 patients 9 (39.1% of subjects) patients had hearing gain, 12 (52.2%) had hearing loss and 1 (4.3%) had no change in hearing postoperatively.Although disease clearance is the main objective in canal wall down mastoidectomy, hearing gain can be achieved if combined with ossiculoplasty and tympanoplasty. The hearing gain or loss depends upon the extension of disease and status of the ossicular chain. Most patients usually experience hearing loss more than the preoperative period due to removal of ossicle or ossicles for the sake of disease clearance. Bangladesh J Otorhinolaryngol; October 2017; 23(2): 195-198
Objective: The objective of this study is to determine the pattern of nodal metastases of papillary thyroid carcinoma to regional lymph in patients who have clinically positive nodes. Study design: Cross sectional study. Methods: Between January 2008 and December 2009, a total of 50 consecutive patients (15 male and 35 female) with clinical evidence of cervical lymph node metastases of papillary thyroid carcinoma was analyzed. Patients those with previous neck dissection for non thyroid malignancies and those neck node with follicular and medullary thyroid carcinoma were excluded from the study. Results: The predominant site of metastases was level III (82%), followed by level IV (62%), level II (48%), level VI (18%) and level V (16%). So, patients in the anterolateral group (level II, III and IV) were the greatest risk of metastatic disease, with level III nodes consistently the most frequently involved. No patient exhibited in level I involvement, multiple level involvement was found in 74% (37 of 50) patients. Conclusion: The high incidence of metastatic disease found in level III and IV. The level V and VI involvement were also reasonably high. Which supports the recommendation for posterolateral and anterior neck dissection for patients with papillary thyroid carcinoma with clinically positive nodes. DOI: http://dx.doi.org/10.3329/bjo.v19i1.14862 Bangladesh J Otorhinolaryngol 2013; 19(1): 46-52
This prospective study was carried out in the Department of ENT and Head Neck Surgery, Sheikh Hasina medical college, Tangial, Bangladesh in a period of 6 months from January 2017 July 2017 among those complaining hearing loss attending in ENT out patient department. The aim of the study was to find the out pattern of hearing loss and hearing level comparison between noisy area (such as bazaar, bus stands, factory, school etc) to silent area. In this study 103 cases of hearing impaired people were taken and the data were collected by interviewing the cases as per questionnaire from history, examination and investigation report. Working place of most of the hearing impaired people was in noisy area 88 (85.4%). Among them most of the patients was male (58%) and female was (42%) and male:female ratio 1.4:1. The commonest type of hearing loss was sensorineural type. In the right ear 55 cases (53.4%) of sensorineural type deafness, 19 cases (18.4%) of mixed type of deafness and 21 cases (20.4%) of conductive type deafness. In the left ear 46 cases (47.7%) of sensorineural type deafness, 18 cases (17.5%) of mixed type deafness and 24 cases (23.3%) of conductive type deafness. This study showed that male (58%) were mostly affected than female (42%) and vehicle drivers (25.5%) were commonest group of people. From this study we got both ears were involved by disease process in 77.6% of patients and only right ear was 14.6% and only left ear was 10% of the patient of hearing loss. Bangladesh J Otorhinolaryngol; October 2017; 23(2): 159-163
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