Introduction: Epistaxis is a common otolaryngological emergency but most of the cases are idiopathic. This study was done to assess clinical profile in patients with idiopathic epistaxis. Methods: Patients presenting in ENT outpatient department or emergency with epistaxis and no definite cause were selected. Patients demographic data, present and past history was recorded. All patients underwent anterior rhinoscopy and rigid nasal endoscopy. Results: There were 142 patients with epistaxis without definite cause. Age ranged from 11 to 84 years with mean 32.8 years. Approximately two-third were male. Bleeding from right side was seen in 64 (45.0%) patients. Past history of bleeding was given by 79 (55.6%) patients and out of them 60 (75.9) % had bleeding from same side. Presentation was mostly in months of January to March. Bleeding point was seen in 65 patients. Most of them (37/65) was in Little’s area. Deviated nasal septum was seen in 102 patients. More than half of patients with unilateral bleeding were having bleeding from convex side of deviation. Blood pressure was found to be equal or more than 140/90 mm Hg in 55 (38.7%) patients at the time of presentation. Antihypertensive was required in less than half of these patients. Conclusion: Idiopathic epistaxis is common in male, in winter season and in right side and from nasal septum. Hypertension may be found at presentation but most of them don’t need antihypertensive. Keywords: deviated nasal septum; epistaxis; hypertension.
Key words: Chronic sinusitis; sinus surgery; outcomeDOI: 10.3126/njenthns.v1i2.4754 Nepalese J ENT Head Neck Surg Vol.1 No.2 (2010) p.6-8
Objectives: Oral submucous fibrosis (OSMF) is an insidious precancerous disease mostly seen in the Southeast Asia. This paper aims to study on clinical profile of patients with OSMFMaterial and Methods: This cross sectional study was done in department of ENT and HNS, Nepalgunj Medical College and Teaching Hospital. In outpatient department patients with OSMF were ask to fill up a questionnaire that included identification of patient, occupation, their symptoms and habit of taking betel quid or paan, gutkha, etc. Oral cavity was examined and lesion along with its extent and severity was noted. Intra lesional steroid and antioxidant and physiotherapy were main stay of treatment.Results: There were total 136 patients (98 male and 38 female) from 15th Dec 2013 to 15th Jan 2015. Age of patient ranged from 16 years to 53 years and average being 25.6years. Most common preparation taken was gutkha 131(96.3%) followed by betel nut, betel quid etc. Only 24(17.6%) were taking these preparations for less than 1 year. Common presenting complaints were difficulty in opening mouth followed by burning sensation and dryness of mouth. Clinically, the extent of fibrous band was found to be more commonly involving soft palate, pillars and buccal mucosa. Isolated involvement of different region of oropharynx or oral cavity was less common. Correlation of grade of trismus and average duration of taking these different preparations was highly significant. (p=0.008)Conclusions: Oral submucous fibrosis is commonly associated with intake of gutkha having dose dependent relationship with trismus. Further studies are required why only a small fraction of those using betel quid develop the disease.
Objective: The main objective of the study was to identify various geriatric otolaryngological problems in mid western part of Nepal.Materials and methods: A cross-sectional descriptive hospital based study was done from 1st January 2014 to 1st September 2014 among the all patients 60 years or above visiting the outpatient department of ENT/Emergency department of Nepalgunj Medical College. Data collection was done via interviewing with semi structured Performa with questionnaire. Data was entered in SPSS 17th version and exercised the analysis.Results: Among the total 866 geriatric population, female were 450 while 416 were male. Age ranged from 60 to 96 with average age of 70.3 years. Maximum numbers of elderly were of 60-70 years. Farming was the most common occupation in past. Sixty one percent (289) were smokers or tobacco chewer and 23% (106) consumed alcohol regularly. Majority of elderly had Hypertension as main co morbid condition. Decreased hearing was major complaint (82.6%) which was present for on an average 10.5years. Second leading ear problem was tinnitus (47.7%). Regarding nasal problems, bleeding nose was commonest (21.5%) followed by equal proportion of decreased smelling and nasal blockage (16%, 16.2%). Snoring was the frequent throat problem (58.4%) with average duration of approximately 6 years, followed by day time somnolence (16.6%).Conclusion: Among the ENT problems, hearing problem was the most common problem of these elderly. Nasal bleeding was common nasal problem presented among approximately one fourth of elderly. Among the throat problem snoring was the most prevailing with more than fifty percent occurrence. Occasional aesthetical complaint is very common. Head and neck malignancy was least common in these aged populationsNepalese Journal of ENT Head and Neck Surgery, Vol. 5, No. 2, 2014, Page: 23-25
Nepalese Journal of ENT Head and Neck Surgery Vol.2 No.1 Issue 1 (Jan-Jun 2011) 2-4 DOI: http://dx.doi.org/10.3126/njenthns.v2i1.6767
Objective: The aim of this study was to determine pattern of facial bones fracture in western region of Nepal.Material and Methods: A descriptive cross sectional study was carried out in department of ENT, Nepalgunj medical college, Nepalgunj. Records from emergency department, inpatient ward and OPD of ENT and dental department of last 3 years (Jan 2012 to Dec 2014) were enrolled in the study and entered into proforma. Comparison was done between mode of injury, demography and types of injuries. Data was analyzed using SPSS 17 software.Results: Out of included 626 cases, there were 410 male patients and 216 female patients. Age ranged from 3 to 68 years with average age being 32.4 years. Most of the male patients sustained trauma due to road traffic accidents (51.7%) followed by physical assault (23.9%). In female also same mode of injuries were common with higher proportion due to physical assault. Majority of cases were from Midwestern Terai region (35.4%). There were 288(46.0%) cases with isolated facial bone fracture. The maximum was that of mandibular fracture (29.1%) followed by nasal bone fracture (27.7%) and maxilla (24.3%). Rest of 338 patients had multiple facial bone fractures with zygomatic bone fracture (79.2%) being commonest. It was followed by maxilla (64.4%) and mandible fracture (36.6%). The overall frequency of fracture is mainly involving zygomatic bone (49.5%) followed by maxilla (46.0%) and mandible (33.2%).Conclusion: Middle aged male patients are usually involved in facial bone fractures with road traffic accident and physical assault being common modes of injury. Zygomatic bone is the commonest bone to get fractured in isolated cases while mandible is commonest bone to get fractured in multiple fracture cases.Nepalese Journal of ENT Head and Neck Surgery, Vol. 6, No. 1, 2015
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