Background: Open septorhinoplasty is most common procedure carried out in the ENT basic setup. It is performed to relieve the nasal obstruction and to get better aesthetic appearance. Objective: The objective of the study was to assess the nasal patency and cosmetic improvement among patients. Method: It was cross-sectional descriptive study in which 100 patients with nasal obstruction and external nasal deformity visiting ENT Department of Lahore General Hospital Lahore were included. Data was collected through questionnaire, which was entered into computer using SPSS software version 20.0. Results: Among 100 patients, 57.0% were males and 48.0% were 21-25 years old. Among these patients, 100.0% had nasal blockage and external deformity. After septorhinoplasty, 94.0% patients had complete improvement in nasal blockage and 95.0% patients had improved external deformity. Conclusion: Study concluded that 94.0% patients had complete improvement in nasal blockage and 95.0% patients in external deformity. Septorhinoplasty is a useful surgical procedure and should be used in health care facilities
Background: Deep neck space infections (DNSI) mostly present a true clinical challenge. Though the use of antibiotics has decrease the incidence but DNSI remain a leading public health problem. Objective: To evaluate deep neck space infections among patients. Method: It was retrospective study in which 50 patients with DNSI admitted in ENT Department of Lahore General Hospital, Lahore, from June 2016 to April 2019 were included. All the parameters such as gender, age, symptoms, etiological factors and location of abscess were studied. Results: Among 50 patients, 66.0% were males. 90.0% patients had neck pain, 86.0% neck swelling, 82.0% dysphagia and 76.0% fever. Among these patients, 36.0% had odontogenic infection and 50.0% had ludwig’s angina. Conclusion: Deep neck space infections were more prevalent among males and the most common symptoms were neck pain, neck swelling, dysphagia, fever and odynophagia. Odontogenic infections were most frequent etiological factor and Ludwig’s angina was very common presentation of DNSI.
Abstract: Background: Peritonsillar abscess is most prevalent deep neck space infection and treatment is mainly medical and surgical. There are three major surgical procedures namely incision & drainage, interval tonsillectomy and needle aspiration. Aim: To compare per and post-operative complications in patients of PTA undergoing early and delayed interval tonsillectomies in respect of pain, hemorrhage and hospital stay. Material and Methods: It was a randomized control trial study of sixty patients of peritonsillar abscess. Among thirty patients early interval tonsillectomy was performed while other thirty patients underwent delayed interval tonsillectomy. The study was conducted in ENT Department of Lahore General Hospital, Lahore. Results: The age range in both groups was 13-46 years. The male to female ratio was 2.3:1 and 1.3:1 in group I and II respectively. Per-operative hemorrhage in group I, mild in 53.3% patients, moderate in 36.7% and severe in 10.0% patients while in group II, mild in 43.3%, moderate in 40.0% and severe in 16.7% patients. A Single case in group II had secondary hemorrhage. Post-operative pain in group I was mild in 66.7%, moderate in 26.7% and severe in 6.7% patients while in group II, it was mild in 26.7%, moderate in 56.7% and severe in 16.7% patients. The duration of hospital stay less than one week was 76.7% in group I and 13.3% in group II. Conclusion: Early interval tonsillectomy has a lower incidence of postoperative hemorrhage and pain with less hospital stay as compared to delayed interval tonsillectomy.
Background: Deviated nasal septum (DNS) is a very common condition which leads to nasal obstruction, headache, sinusitis, epistaxis and obstructive sleep apnea. Septoplasty is most frequent procedures carried out for DNS correction. Objective: To compare the surgical outcome of corrected deviated nasal septum with endoscopic septoplasty and conventional septoplasty. Method: It was a comparative study in which 60 patients with deviated nasal septum were randomly selected from ENT Department of Lahore General Hospital Lahore. Patients were divided into 2 groups like group A having 30 patients and group B another 30 patients. Group A patients underwent endoscopic septoplasty and Group B patients experienced conventional septoplasty. Results: Among 30 patients who underwent endoscopic septoplasty, 70.0% were males and 60.0% were upto 30 years old while among 30 patients who underwent conventional septoplasty, 76.7% were males and 56.7% were upto 30 years old. Among patients treated with endoscopic septoplasty, 10.0% had nasal blockage, 6.7% postnasal drip, 16.7% headache and 16.7% patients had septal deviation after surgery. Likewise among patients treated with conventional septoplasty, 13.3% had nasal blockage, 10.0% postnasal drip, 26.7% headache and 23.3% patients had septal deviation after surgery. Conclusion: Study concluded that endoscopic septoplasty is superior to conventional septoplasty and patients treated with endoscopic septoplasty had better outcome regarding nasal blockage, postnasal drip, headache and septal deviation.
Objective: To describe this technique for treatment of caudal septal dislocation and to evaluate the effectiveness of this technique in terms of correction of cosmetic deformity and relief of nasal obstruction.Methods: This was a descriptive case series study performed at ENT department of Services Institute of Medical Sciences (SIMS), Services Hospital, Jail Road, Lahore. 30 Cases of mild to moderate degree of septal caudal dislocation were selected and operated. The septum was fixed by sutures to the anterior nasal spine. Columellar pocket was made and septum was sutured in the pocket by two sutures at upper and lower levels to increase the stability of corrected septum.Results: We performed this suturing technique on 30 septoplasty cases during 3 years from Jan-2016 to Jan-2019. Among them 12 (40%) were male and 18 (60%) were female. Total follow up period ranged between 3 to 6 months. Anterior rhinoscopy showed no persistence of deviation or dislocation in 25 patients. 5 cases had mild deviation of septum on non-operated side.Conclusion: Two level septocolomellar suture technique is very effective, easy to learn & perform and shows long term reliability in correction of caudal septal dislocation. This is effective in improving cosmesis and nasal air flow.
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