Objectives: To assess the efficacy of the technique regarding the surgical outcome, post-operative crusting, and bleeding. Design: Single Blind interventional type of study. Study Place and period: This study was conducted at, Chaudhary Muhammad Akram Teaching and Research Hospital Lahore from July 2018 to June 2019. Material and methods: The study included 100 patients and the results of technique in respect to surgical outcome, the safety of technique regarding post-operative complications like crusting in the postoperative period and epistaxis were analyzed. Results: A total of 100 patients were included for research. Their ages were between 10-40 years. It was concluded that almost all the patients had felt improvement in their nasal blockage and postnasal discharge. The sneezing and headache in these patients also have been improved. Ten patients presented with nose crusting and 4 patient presented with mild epistaxis. No acitve intervention was not required in any patient. Conclusion: It was concluded that reduction of inferior turbinate by Diode laser is an excellent, and safe option, regarding the surgical outcome, and complications faced by patients registered for turbinate surgery. Keywords: Turbinates reduction, Diode laser, epistaxis.
Chronic suppurative otitis media (CSOM) is a communal ailment of the middle ear Objective: To compare hearing status with and without reconstruction after a modified radical mastoidectomy. Methods: 40 total patients with Chronic suppurative otitis media (the Atico-antral variety) who endured a modified radical mastoidectomy (MRM) with reconstruction or without reconstruction were enrolled in the study. The subjects were alienated into 2 groups depending on the surgical procedure. Patients done with modified radical mastoidectomy but reconstruction was not accomplished were added in the group I (n = 20), and patients done with reconstruction after MRM (n = 20) added to the group II. The patients were thoroughly examined one week before the operation, and their hearing levels were assessed using pure tone audiometry. The general anesthesia was given to the patients of both groups and operated under a microscope with post auricular approach. Temporal fascia and cartilage were collected as a material for grafting after modified radical mastoidectomy in group II. After surgery, patients were monitored at regular intervals. After 8 weeks, pure tone audiometry was performed and the closure of the air-bone gap was compared with the hearing assessment. Results: Many of the patients in this analysis were amongst 11 and 20 years of age and the majority of patients were male. Bone-air gap closure was more common in patients undergoing reconstructive MRM. Conclusion: Reconstruction after MRM results in improved hearing amplification and similarly results in greater improvement of life quality.
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