Background: Identifying top problems in any discipline is very important for diagnosis and effective management. Unfortunately there is a knowledge gap in Chattogram, Bangladesh. To fill up the gap we have conducted the study. Materials and methods : It was a retrospective study based on hospital records of Chattogram General Hospital from January 2017 to December 2017. All (104) cases with neck mass were included. Age, sex, clinical diagnosis, histo-pathological diagnosis and management were noted. Data were managed manually. Results: Total 104 cases were studied among the cases 65% were female and 35% were male. 91% cases were of 10-50 years age group. Highest cases 33% were found in 20-30 years age group. According to Histo-pathological report 25% cases were Tubercular lymphadenopathy, Nonspecific lymphadenopathy were 17% and Multi-nodular goiter were 15%. Results were contrasted with previous studies. Conclusion: Top 05 causes of neck mass in Chattogram have been unveiled. Tuberculosis is still number one problem. So, TB control program should be evaluated further to find out causes of high TB cases in this region. Chatt Maa Shi Hosp Med Coll J; Vol.19 (2); July 2020; Page 18-20

Background : Oral malignancy is an emerging disease all over the world. Treatment failure is grave if the diagnosis is delayed in this disease which will ultimately increase the mortality rate. This is an observational sociodemographic study, done to identify the causes in diagnostic delay of the patients suffering from oral cancer. Materials and methods: The study was done with a sample size of 215 cases of oral cancer patients. This observational study was conducted from 1st August 2015 to 31st December 2016 at Upazila Health Complex, Mirsarai, Chattogram & later at ENT Department of Chittagong Medical College Hospital from 1st March 2017 to 30thApril 2018. Results: Several causes of diagnostic delay were identified. Among them, monetary issue (78%) and Ignorance or Illiteracy (69%) have been found as the most important causes. Stage of the disease, delay in referral system, tobacco use, age, gender, alternative medicine, social taboo ,distance of hospital from house etc were found the other factors delaying the diagnosis of the cancer. Conclusion: Many of the causes of delay can be preventable. The authority should establish awareness among the patients & a protocol for early detection of cancer by the health professionals. Chatt Maa Shi Hosp Med Coll J; Vol.19 (2); July 2020; Page 37-40

Abstract:Tonsillectomy is considered as a relatively safe procedure. This report aimed at describing an uncommon complication of this surgical procedure -subcutaneous emphysema. A 12 years old girl admitted for tonsillectomy operation. After routine preoperative assessment her operation was performed under general anesthesia. Surgery was uneventful.7-8 hours after surgery, during follow-up in postoperative room progressing subcutaneous emphysema was noticed which initially involved the neck. But later on, it extended upper chest, upper arms, face & back. Crepitus swelling of neck and bilateral parotid region, typical of subcutaneous emphysema was noted. Chest X ray showed free air in the cervical regions reaching upper mediastinum. There was no airway obstruction and patient's general condition was stable. Emphysema was no longer clinically evident 3 days after & patient was released.Journal of Paediatric Surgeons of Bangladesh (2012)

Background: Thelarynx is an intricate part of the body which has to perform a very composite function like protection, respiration, phonation. To carry out the function, larynx should be adaptable and flexible. Any structural disorder like vocal cord polyp alter these specialized function and squander the laryngeal pacing, and increasing voice discomfort of the patient like hoarseness, dysphonia, and odynophagia day by day. Phonosurgery is the mainstay of treatment. Methods: It is a cohort retrospective study of 54 cases in the Department of Otolaryngology and Head-Neck Surgery, Comilla Medical College, Bangladesh, from 20 February 2017 to 27 October 2019. Result: Incidence of vocal cord polyp in laryngeal disorder patient was 6.83%, and the laryngeal operative patient was 28.27%. All patients were treated by micro laryngeal surgery with rigid Hopkin’s laryngeal telescope, and setback was 2 (3.70%). Of them, male were 41(75.92%), females were 13(24.08%), below 20 years were 2(3.70%), 20-50 years 39(72.23%,) and above 50 years 13(24.07%), unilateral was 50(92.59%) and 4(7.41%) were bilateral, smoker was 41(75.92%), nonsmoker 13(24.08%), industrial workers were 21(38.89%), professional voice user was 13(24.07%)

Introduction: Rhinosporidiosis is a very common and hazardous problem of the South-east Asian region, which involves not only nose but also some other body areas. Though it's a very old disease, its post-operative recurrence is high and public awareness for eradication or control of the disease is not yet sufficient. Aim: To assess the epidemiological data, clinical presentations, and recurrences of Rhinosporidiosis so that physicians can be guided to diagnose and treat the patients, and health education can be given to peoples of endemic areas to reduce the prevalence and spread of the disease. Materials and Methods: It is an observational study done in the ENT Department of Chittagong Medical College, Chittagong, from March 2018 to February 2020. The sign-symptoms of the disease, rate of recurrence and outcomes of surgery, recurrence rate, etc. were analyzed. Results: A very strong correlation was found between the disease and bathing at canals or ponds. Young Male gender was found significantly related to the disease. Almost all the patients came from low or middle socioeconomic society. Epistaxis with chronic nasal obstruction or nasal mass was found as the commonest clinical presentation. Conclusion: Rhinosporidiosis is highly associated with rural residence, young male adults, and low socioeconomic status of the patients. The post-operative recurrence rate is high .adequate surgical excision with wide base cauterization can reduce the recurrence rate. Social awareness programs and health education programs among the people of the endemic zone can reduce the incidence of the disease.