scholarly journals Demographic profile of subjects currently undergoing frontal sinusotomy for frontal sinusitis, in a tertiary health care facility of Punjab

2021 ◽  
Vol 8 (2) ◽  
pp. 618
Author(s):  
Manish Munjal ◽  
Sanjeev Puri ◽  
Anurag Chaudhary ◽  
Sarit Sharma ◽  
Shubham Munjal ◽  
...  
Keyword(s):  
Care Facility ◽  
Health Care Facility ◽  
Inferior Turbinate ◽  
Sinus Surgery ◽  
Purulent Discharge ◽  
Frontal Sinusitis ◽  
Middle Meatus ◽  
Demographic Profile ◽  
Male Predominance ◽  
The Right

Background: The demographic profile of patients with frontal sinusitis undergoing surgical intervention in the state of Punjab was analysed. The emphasis was on the age, gender and clinical presentation in this prospective study.Methods: In this prospective study 85 patients of clinically diagnosed frontal sinusitis were randomly selected from the Rhinology clinics of Oto-rhino-laryngology services, Dayanand Medical College and Hospital Ludhiana; in a period of one and a half years (June 2008 to December 2009). All patients were taken up for functional endoscopic sinus surgery with frontal sinusotomy.Results: 3 (3.53%) subjects, with frontal sinusitis were in the pediatric age group, 65 (76.47%) were males 20 (23.53%) females. Males outnumbered females by a ratio of 3.25:1. The age range varied from a minimum of 8 to a maximum of 86 years. 16 (18.8%) had a discharge in the right middle meatus and 21 (24.7%) over the Eustachian tube orifice. Right sided deviation of the nasal septum was in 13 (14.1%) patients, septal spur in 4 (4.7%) and hypertrophy of the inferior turbinate in 7 (8.2%).Conclusions: Frontal sinusitis was seen in all ages with a male predominance. Nasal blockage on the right side rather than frank frontal headache was the primary complaint. Purulent discharge in the middle meatus and over the Eustachian type were the common findings. Pathology on histopathology encountered was mucosal hypertrophy followed by polyp in the sinus. There was no correlation of frontal sinusitis with the weight and height of the patients

scholarly journals Demographic profile of subjects currently undergoing middle meatus antrostomy for maxillary sinusitis, in a tertiary care centre of Punjab: analysis of 64 subjects

2021 ◽  
Vol 8 (3) ◽  
pp. 1196
Author(s):  
Manish Munjal ◽  
Ritu Gupta ◽  
Anurag Chaudhary ◽  
Mahesh Satija ◽  
Shubham Munjal ◽  
...  
Keyword(s):  
Prospective Study ◽  
Eustachian Tube ◽  
Maxillary Sinusitis ◽  
Tertiary Care ◽  
Clinical Findings ◽  
Sinus Surgery ◽  
Middle Meatus ◽  
Tertiary Care Centre ◽  
Demographic Profile ◽  
Male Predominance

Background: The demographic profile of patients with Maxillary sinusitis undergoing surgical intervention in the state of Punjab was analyzed. The emphasis was on the age, gender and clinical presentation in this prospective study.                   Methods: In this prospective study 64 patients with maxillary sinusitis, were randomly selected from the Rhinology clinics of Oto-rhino-laryngology services, Dayanand Medical College and Hospital, Ludhiana in a period of one and a half years (June 2008 to December 2009). All patients were taken up for Functional endoscopic sinus surgery with middle meatus antrostomy.Results: Only 7 (10.94%) patients, with maxillary sinusitis were in the pediatric age group. 40(62.5%) were males and 24 (37.5%) females. Males outnumbered females in the ratio of 1.67:1. Clinical findings were nasal polyp in 33 (51.56%), middle meatus discharge in 10 (15.63%) and septal deviation was seen in 36 (56.25%) patients. Polypoidal mass was seen in the posterior choana in 24 (37.5%) patients followed by discharge inferior to the Eustachian tube orifice in 7 (10.94%). Recurrence of polypoidal change or frank polyposis occurred in 7 patients (10.94%). Post nasal drip persisted in 15/49 cases, while 54 (84.38%) were completely relieved of their symptoms. Recurrence was noticed more commonly in the region of ethmoid air cells.Conclusions: Patients with maxillary sinusitis were seen in the broad age range from 11 to 66 years with a male predominance. Nasal blockage rather than cheek ache was the primary complaint followed by polyp in the middle meatus and post nasal drip inferior to the Eustachian tube.     

scholarly journals Intravascular Lymphoma of the Inferior Turbinate: An Unusual Rhinologic Presentation of a Rare Neoplasm

2007 ◽  
Vol 22 (1-2) ◽  
pp. 24-26 ◽  
Author(s):  
Milabelle B. Lingan ◽  
Francis V. Roasa
Keyword(s):  
Fever Of Unknown Origin ◽  
Medical Condition ◽  
Unknown Origin ◽  
Inferior Turbinate ◽  
Tertiary Hospital ◽  
Sinus Surgery ◽  
Intravascular Lymphoma ◽  
High Grade Fever ◽  
The Right ◽  
High Index Of Suspicion

Objective: To present a unique case of intravascular lymphoma of the inferior turbinate because of its rarity, unusual clinical presentation and difficulty in establishing a diagnosis. Design:      Case Report Setting:      A tertiary hospital Patient:      A 66-year-old male admitted to the hospital due to intermittent high grade fever of six months duration. Result:  The patient presented with fever of unknown origin, and exhaustive laboratory, ancillary procedures and biopsies to rule in/out infectious, autoimmune and oncologic causes were performed to arrive at a diagnosis. Nasal endoscopy revealed an enlarged, hypertrophied and violaceous right inferior turbinate with watery to mucoid discharge and septal deviation to the right confirmed by CT scans of the paranasal sinuses. Functional Endoscopic Sinus Surgery (FESS), septoplasty and turbinoplasty with biopsy revealed Intravascular Lymphoma. Chemotherapy was deferred due to the deteriorating medical condition and the patient expired 7 months after the initial onset of symptoms. Conclusion:  Patients who present with fever of unknown origin should undergo a thorough otorhinolaryngologic examination to exclude primary ENT conditions and ensure proper management. Given its rarity and multiplicity of presentation, it is extremely difficult to make a diagnosis of intravascular lymphoma. A high index of suspicion of Intravascular Lymphoma is necessary so that timely acquisition of tissue biopsy of any lesion involved will make a definite diagnosis. Keywords: Intravascular lymphoma, Fever, Fever of Unknown Origin

Clinical and Radiologic Characterization of Frontal Sinusitis in the Pediatric Population

2021 ◽  
pp. 000348942098796
Author(s):  
Nathalia Velasquez ◽  
William Strober ◽  
Amber Shaffer ◽  
Amanda Stapleton
Keyword(s):  
Frontal Sinus ◽  
Pediatric Population ◽  
Statistical Significance ◽  
Sinus Surgery ◽  
Treatment Modalities ◽  
Correct Identification ◽  
Frontal Sinusitis ◽  
Normal Flora ◽  
Sinus Disease ◽  
Male Predominance

Introduction: Frontal sinusitis in the pediatric population is a disease that has not been thoroughly studied or characterized. The goals of this study are to characterize the clinical presentation, radiologic variables, treatment modalities, complications, and prognosis associated with acute and chronic frontal sinus disease in the pediatric population. Methods: IRB-approved retrospective cohort study of pediatric patients who were diagnosed with acute (AFS) or chronic frontal sinusitis (CFS) and underwent frontal sinus surgery at a tertiary level Children’s Hospital from 2006 to 2016. Patients with AFS were compared to patients with CFS. Statistical analysis completed using chi-square test or Fisher’s exact test, statistical significance set at P < .05. Results: A total of 19 patients with AFS and 15 patients with CFS were analyzed. There was a male predominance in AFS and female predominance in CFS ( P < .05).AFS patients were less likely to have allergies, prior sinus disease, or significant comorbidities ( P < .05).Additionally, AFS patients presented with constitutional, neurologic, and ocular symptoms. The CFS group had predominantly sinonasal symptoms. CT-scan analysis showed that AFS patients had higher prevalence of complex frontal anatomy (Type-II cells, concha bullosa) compared with CFS patients ( P < .05). Culture results were positive in 78% of the AFS group, with S. Anginosus (53%), Anaerobes (20%), and normal flora (17%). In the CFS group cultures were positive in 60% of the patients, 56% grew normal flora, 13% H. Influenzae, 6.5% Pseudomonas, and 24.5% other species. CFS patients were more likely to have persistent sinus disease and require repeat sinus procedures ( P < .05). Conclusion: There are 2 distinct presentations of frontal sinus disease in the pediatric population. Patients with AFS vary significantly from those with CFS. Males, ages 13 to 18 years old, who cultured positive for S. Anginosus (former S.Milleri) dominated the AFS subgroup. Whereas as female patients with a history of allergic rhinitis and muco-cilliary disease were more prominent in the CRS subgroup. Correct identification and understanding of these 2 different entities are crucial for the appropriate short and long-term patient management.

scholarly journals Functional Endoscopic Orbital Decompression Surgery in Acute Rhinosinusitis with Orbital Complication : A Case Report

Medicinus ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 33
Author(s):  
Michael Lekatompessy ◽  
Amanda P Kirana
Keyword(s):  
Nasal Cavity ◽  
Vision Loss ◽  
Inferior Turbinate ◽  
Sinus Surgery ◽  
Decompression Surgery ◽  
Orbital Decompression ◽  
Acute Rhinosinusitis ◽  
The Right ◽  
Orbital Complications ◽  
Spread Of Infection

<div class="WordSection1"><p><strong>Introduction: </strong>Orbital complications secondary to acute rhinosinusitis can cause permanent vision loss and death if not treated promptly and appropriately. The prevalence of orbital complications due to rhinosinusitis is more common in children than adults, occurring in 3-4% of children with acute rhinosinusitis. Lamina papyracea in children has many dehiscences, the nasal cavity tends to be narrower and the mucosa is softer than in adults, therefore causing the spread of infection more easily from the sinuses to the eyes. Clinical presentation: a 4-year-old child presented with eye swelling and pus discharge in the right eye for 5 days before being admitted to the hospital, for which she was treated with medication and did not improve. On physical examination, there is a narrow nasal cavity, inferior turbinate edema, and hyperemia, mucopurulent discharge. CT scan and MRI revealed contrast enhancement in intraorbital with suspected intraorbital abscess with orbital cellulitis, right pansinusitis, and buccal abscess. Functional endoscopic orbital decompression was done immediately.</p><p><strong>Conclusion: </strong>Orbital complications due to acute rhinosinusitis are uncommon but potentially lead to more fatal complications. Early diagnosis and aggressive treatment of immediate functional endoscopic sinus surgery and antimicrobial therapy have a good outcome.</p></div>

scholarly journals Observation of Causes of Death from Sickle Cell Anemia in Niger

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Djibrilla Almoustapha A ◽  
◽  
Maman Brah M ◽  
Chefou M ◽  
Ousseni M ◽  
...  
Keyword(s):  
Sickle Cell ◽  
Causes Of Death ◽  
Care Facility ◽  
Health Care Facility ◽  
Consanguineous Marriage ◽  
Age Group ◽  
Preventive Action ◽  
Cell Disease ◽  
Male Predominance

Purpose: Improve the management of Major Sickle Cell Syndromes (SDM) by studying the circumstances in which patients affected by this disease die in Niger. Methods: This was a retrospective study of descriptive and analytical type in sickle cell patients followed at the National Sickle Cell Reference Center (CNRD) in Niamey with a follow-up file, who died during our study period, which was 9 years (January 1, 2010 to December 31, 2018). Results: During the study period, 6,465 sickle cell patients were followed up at the CNRD, 249 deaths were recorded, representing a frequency of 3.8%. There is a male predominance with a sex ratio of 1:3. The 0-15 age group was the most represented with 34.5% with an average age of 9.25 years. 34.1% of the patients came from a consanguineous marriage. Of the 249 deaths, 94% (n=234) were SS, 5.6% (n=14) were SC and 0.4% (n=1) was S/β. The majority of patients died at the time of registration, i.e. 58.25% (n=145 (SS=137. SC=8.)). 90.4% had died in a health-care facility. The main cause of death was anemia in 73.1% of cases. Conclusion: The management of sickle cell disease requires adequate preventive action to reduce the rate of early mortality.

Epithelial Myoepithelial Carcinoma of the Nasal Cavity: Clinical, Histopathological, and Immunohistochemical Distinction of a Case Report

2017 ◽  
Vol 26 (4) ◽  
pp. 342-346 ◽  
Author(s):  
Sally Nguyen ◽  
Marjorie Perron ◽  
Sylvie Nadeau ◽  
Alexandre Nakao Odashiro ◽  
Marie-Noëlle Corriveau
Keyword(s):  
Nasal Cavity ◽  
Distant Metastases ◽  
Inferior Turbinate ◽  
Disease Recurrence ◽  
Myoepithelial Cells ◽  
Sinus Surgery ◽  
Low Grade ◽  
Oncocytic Variant ◽  
Epithelial Myoepithelial Carcinoma ◽  
The Right

Background. Epithelial myoepithelial carcinomas (EMCs) are rare low-grade salivary gland tumors. Here, we report the case of a 75-year-old man presenting with an oncocytic variant of EMC of the nasal cavity, initially diagnosed as an oncocytoma. Methods. Our patient underwent functional sinus surgery in 2012. On pathology, an oncocytic neoplasm was found in the right nasal cavity, characterized by fragments of uniform bland oncocytic cells with bilayered arrangement of nuclei. Immunohistochemical stains demonstrated biphasic cells: luminal epithelial and basal cell–type myoepithelial cells. The tumor was best diagnosed as an oncocytoma. In 2015, the patient presented with a recurrent right inferior turbinate lesion, compatible with oncocytic EMC. Results. The patient underwent oncological surgery and received adjuvant radiotherapy. He had no disease recurrence. Conclusion. Different variants of EMCs exist, such as oncocytic EMC. EMCs should be treated aggressively because they can be locally invasive, recur, and give rise to distant metastases.

The Role of Frontal Sinus Obliteration in the Era of FESS

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P81-P81
Author(s):  
Nicolas BuSaba ◽  
Stacey T. Gray
Keyword(s):  
Frontal Sinus ◽  
Tertiary Care ◽  
Case Series ◽  
Care Facility ◽  
Sinus Surgery ◽  
Salvage Procedure ◽  
Frontal Sinusitis ◽  
First Line ◽  
Frontal Sinus Surgery ◽  
Sinus Obliteration

Objective To determine the current indications for osteoplastic frontal sinus obliteration (OFSO) for the treatment of inflammatory frontal sinus disease. Methods Retrospective case series from a single tertiary care facility. The medical records of 35 patients who underwent OFSO for chronic frontal sinusitis (n=26) and frontal sinus mucocele (n=9) between 1995 and 2007 were reviewed. Data regarding age, gender, date and nature of previous frontal sinus operation(s), pre-operative imaging, pre-operative diagnosis, and operative complications were culled. Results There were 19 males and 16 females with an age range of 19 to 76 years. All patients had pre-operative sinus CT, while 6 patients had additional MRI. Among the 9 patients diagnosed with frontal sinus mucocele, OFSO was first-line treatment in 8 and salvage for 2 failed endoscopic masupialization procedures in 1. Among the 26 patients with chronic frontal sinusitis, OFSO was first-line in 9 and salvage for failed frontal sinus surgery in 17. The failed surgeries were OFSO (n=7), Lynch procedure (n=2), and endoscopic frontal sinus surgery including drill-out (n=10). Five patients failed multiple previous operations. The failed operations dated from 1 to 33 years prior to the present illness in the case of OFSO, 1 to 4 years in the case of Lynch procedure, and 1 to 7 years in the case of endoscopic frontal sinus surgery. There was one reported complication (orbital hematoma). Conclusions OFSO remains a key surgical treatment for frontal sinus mucocele, but is used more commonly as a salvage procedure for chronic frontal sinusitis.

The Great Awakening - Digitalization in Dental Healthcare during the pandemic COVID-19

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 380-384
Author(s):  
Priyanka Paul Madhu ◽  
Yojana Patil ◽  
Aishwarya Rajesh Shinde ◽  
Sangeeta Kumar ◽  
Pratik Phansopkar
Keyword(s):  
Health Care ◽  
Task Force ◽  
Care Service ◽  
Health Care Service ◽  
Care Facility ◽  
Health Care Facility ◽  
Health Care Facilities ◽  
World Health ◽  
Record System ◽  
The World

disease in 2019, also called COVID-19, which has been widely spread worldwide had given rise to a pandemic situation. The public health emergency of international concern declared the agent as the (SARS-CoV-2) the severe acute respiratory syndrome and the World Health Organization had activated significant surveillance to prevent the spread of this infection across the world. Taking into the account about the rigorousness of COVID-19, and in the spark of the enormous dedication of several dental associations, it is essential to be enlightened with the recommendations to supervise dental patients and prevent any of education to the dental graduates due to institutional closure. One of the approaching expertise that combines technology, communications and health care facilities are to refine patient care, it’s at the cutting edge of the present technological switch in medicine and applied sciences. Dentistry has been improved by cloud technology which has refined and implemented various methods to upgrade electronic health record system, educational projects, social network and patient communication. Technology has immensely saved the world. Economically and has created an institutional task force to uplift the health care service during the COVID 19 pandemic crisis. Hence, the pandemic has struck an awakening of the practice of informatics in a health care facility which should be implemented and updated at the highest priority.

scholarly journals Current practices of waste management in teaching hospitals and presence of incinerators in densely populated areas

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Salma Khalid ◽  
Najibul Haq ◽  
Zia-ul-Ain Sabiha ◽  
Abdul Latif ◽  
Muhammad Amjad Khan ◽  
...  
Keyword(s):  
Waste Management ◽  
Care Facility ◽  
Health Care Facility ◽  
Waste Incineration ◽  
World Health ◽  
Teaching Hospitals ◽  
Operational Parameters ◽  
Hospital Waste ◽  
Private And Public ◽  
Health Organization

Abstract Background Hospital waste management (HWM) practices are the core need to run a proper health care facility. This study encompasses the HWM practices in teaching hospitals of Peshawar, Pakistan and examine the enforcement of Pak HWM (2005) rules and risks through transmission of pathogens via blood fluids, air pollution during waste incineration and injuries occurring in conjunction with open burning and dumping. Methods A questionnaire based on World Health Organization (WHO) recommendations was used to survey the selected private and public teaching hospital (n = 16). Site visits and personnel observations were also included in the data. It was spatio-statistically analyzed using descriptive statistics, Krushkal-wallis and Fisher’s exact tests. Results The findings revealed that the lack of HWM practices in all surveyed hospitals (p > 0.05), besides statistical difference (p < 0.017) in waste generation/day. No proper segregation of waste from generation point to final disposal was practiced. However, the performance of private teaching hospitals (50%) was found better in terms of HWM personnel and practices. In surveyed hospitals, only nine hospitals (56.3%) were found with the incinerator facility while rest of the hospitals (43.7%) practiced open dumping. Moreover, operational parameters of the incinerators were not found satisfactory and located in densely populated areas and emitting hazardous gases. Conclusion Proper HWM practices are not being followed in the light of WHO guidelines. Hospital waste impose serious menace to healthcare workers and to nearby population. WHO issued documents for improving HWM practices but triggered no change in Pakistan. To improve the situation, insights in this context is need for enforcement of rules.

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