Background: Thyroidectomy is usually done under general anaesthesia.Objective: The purpose of the present study was to present our experience and evaluate effectiveness of thyroid surgery under local anaesthesia.Methodology: This is a cross-sectional study carried out in upazila health complex, Boalkhali, Chittagong and 250 bed General Hospital, Chittagong since January 2013 to December 2015. 30 patient underwent thyroidectomy for benign and malignant diseases under local anaesthesia. All patients are adult from 20 to 60 years, examined thoroughly investigated accordingly, euthyroid or made euthyroid, normotensive or made normotensive. Each patient was given Tab. Bromazepam 3mg at night before the day of surgery and repeated in morning on the day of surgery. Half an hour before the surgery patient is given injection Pethidine 1mg/kg I.M, injection Ketorolac 30mg I.V, injection Ranitidine 50mg I.V, injection Ondansetron 8mg I.V, injection Ceftriaxone 1gm I.V.Result: Among 30 patients male 8, female 22. Male-Female ration 1:2.75. Mean age 33.8 years. Mean lesion size 5.95cm. Mean Operation time: 91min. Surgery included hemithyroidectomy 18, subtotal thyroidectomy 8, total thyroidectomy 6. Post operative complication included infection in 1 and haematoma in 1 case.Conclusion: In our study thyroidectomy under local anaesthesia found effective and safe in a setup of limited anaesthesia facilities and safe alternative where general anaesthesia is contraindicated.Journal of Current and Advance Medical Research 2016;3(2):56-59

Lipomas are adipose mesenchymal neoplasms. The oral cavity is not commonly affected. representing about0.5% to 5% of all benign oral tumors. The clinical presentation is typically as an asymptomatic yellowish mass.The overlying epithelium is intact and superficial blood vessels are usually evident over the tumour. Although benign in nature their progressive growth may cause interference with speech and mastication due to tumour’s dimension. The present report shows the case of a 52-year old male who presented with a large intraoral lipoma with extension to the right submandibular region. Bangladesh J Otorhinolaryngol; April 2016; 22(1): 58-61

Giant sialoliths are classified as those exceeding 15 mm in any one dimension.Sialolithiasis is the most common disease of salivary glands and approximately 80% of all reported cases of sialoliths occur in the sub mandibular salivary gland and its duct. A case of unusually large sialolith arising in the submandibular salivary gland duct presented which was removed surgically through per-oral approach.It was measured to be 38 mm along with its greatest length and 15 mm wide. JCMCTA 2016 ; 27 (2) : 81 - 83