Background: Otolaryngological diseases are serious public health problems affecting all age groups. This includes problem of hearing, speech, phonation, breathing, swallowing, smell & taste and protection of lower respiratory passage. Objective: The aim of this study was to determine the common clinical presentation and socio demographic characteristics of the patients attending in ENT outdoor. Method: This cross-sectional study was conducted among 500 patients attending in ENT outdoor in Eastern medical college Hospital, Cumilla, Bangladesh using a self-administered semi-structured questionnaire from July 2020 to September 2020. Result: In this study 44.8% were male and 55.2% female. All age group were included and majority of patients were age group of 21-30 years (28.6%). In our study 38.2% (191) of the study populations were suffering from ear diseases, and then followed by 32% (160) nose diseases and 29.8% (149) throat diseases. Common ear, nose, throat diseases were suppurative otitis media 30.37% (58), allergic rhinitis 23.13% (37), tonsillitis 31.54% (47), respectively. Conclusion: Our study provides basic information of the incidence of ENT disorders in the study area suggests that suppurative otitis media, tinnitus, foreign body ear, allergic rhinitis, nasal polyp, sinusitis, tonsillitis and pharyngitis are the most common Otolaryngological (ENT) problems in general population visiting the ENT Department of this hospital and contribute significantly to morbidity. EMCJ. January 2022; 7(1): 6-10
A 52-year-old male patient attended on 13 July 2022 with the complaints of pain in right ear and voice change for 1 month and cough for 15 days, difficulty in swallowing along with weight loss for same duration of past 1 month. Examination revealed a swelling on the right side of neck over the submandibular region also with cervical lymphadenopathy (level IB). After all evaluation, all biochemical tests were normal, but Fiber Optic Laryngoscopy (FOL) revealed right vocal cord palsy, USG of neck revealed right submandibular mass and cervical lymphadenopathy, CT scan of Neck up to Mid-chest revealed no pathology and last but not the least pre-operative FNAC was done and revealed organizing abscess. After that patient underwent excision of the right sub mandibular mass and removal of few superficial group of lymph nodes. Post-operative histopathology revealed Adenoid Cystic Carcinoma (ACC). Patient presented to us with no complain about submandibular gland or fine needle aspiration cytology (FNAC) also doesn’t indicate about malignancy, but our clinical suspicion was submandibular gland malignancy, that’s why we have decided to publish this case report. After operation Patient was fine till his last follow-up. Eastern Med Coll J. Jan 2023; 8 (1) 28-30
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