Profile of head and neck neoplasms at a tertiary care centre in North India: two years pilot study (2018-2019)

Background: In India 53,251 New Head and neck cancer cases are diagnosed every year. Oral cancer is the predominant subsite among both benign and malignant lesions.Methods: A retrospective study of cases with head and neck neoplastic lesions was conducted in department of otolaryngology, head and neck surgery, Dayanand Medical College and Hospital Ludhiana during for a period of 2 years (January 2018 to December 2019). Demographic, gender profile of the patients was studied. Results: Incidence of oral cancer was 21.5% followed by salivary glands 18.9%. among head and neck neoplasms over a period of 2 years (January 2018 to December 2019). The overall male to female ratio was 1:1.25, among benign was 1:1 and among malignant was 1:1.3.Conclusions: Commonest subsite of benign lesions was - oral cavity followed by salivary glands and larynx. Most common malignant subsite was oral cavity followed by larynx and thyroid. Male patients outnumbered the female. Mean age of presentation varied according to subsite.

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A RETROGRADE STUDY OF MYIASIS IN A TERTIARY CARE CENTRE

10.36106/paripex/1504291 ◽

2020 ◽

pp. 3-5

Author(s):

Ayesha Goel ◽

Ritu Nigam

Keyword(s):

Oral Cavity ◽

Head And Neck ◽

Tertiary Care ◽

Personal Hygiene ◽

Intracranial Extension ◽

Atrophic Rhinitis ◽

Time Interval ◽

Age Group ◽

Predisposing Factor ◽

Female Ratio

Myiasis in head and neck region is a rare occurrence and is usually found in tropical countries like India. Poor hygiene, unsanitary living conditions, mental retardation, neglected wounds, diabetes mellitus and old age along with a warm and humid climate lay down a conducive environment for the larva of dipterous fly to infest humans. Maggots due to their tissue destructive properties can affect many regions in otolaryngorhinology like nasal cavity, ears, oral cavity, tracheostomy site ostoma, PNS, the skin and ulcerative lesions of head and neck. The burden of the disease lies in the fact that the complications range from minor tissue destruction, perforation of either the tympanic membrane, palate or septum, vertigo, angioedema to severe neurological manifestations, intracranial extension or rarely even death. Objective: To assess the commonly affected age group and gender infested by myiasis, it’s seasonal trend, socioeconomic status of the affected patients and the relationship of myiasis infestation with various predisposing factors. Methodology: Retrograde study was conducted on 95 patients of department of otorhinolaryngology. The study was done from January 2015 to October 2018 by collecting data of 3 years 10 months time interval and results tabulated. Ethical clearance was sort and patients consent obtained. Result: The most commonly affected age group was found to be elderly, in the 7th decade of life (56.84%). Females were more commonly affected than males consisting of 55 out of 95 cases (57.89%), with a male female ratio of 1:1.4. Majority of cases presented in the months of October-January, with a peak in November (32/95). Nasal myiasis was found to be more common (69 cases) in comparison to aural and oral cavity myiasis. The most common predisposing factor was found to be Atrophic Rhinitis in 66.7% cases. Conclusion : With awareness and improved personal hygiene a devastating disease like myiasis is easily preventable and curable.

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Diagnostic challenges in late-presenting congenital diaphragmatic hernia: a 16-year experience from tertiary care centre in North India

Tropical Doctor ◽

10.1177/0049475519827109 ◽

2019 ◽

Vol 49 (2) ◽

pp. 138-141 ◽

Cited By ~ 1

Author(s):

Kamal Nain Rattan ◽

Jasbir Singh ◽

Poonam Dalal

Keyword(s):

Congenital Diaphragmatic Hernia ◽

Diaphragmatic Hernia ◽

Tertiary Care ◽

Therapeutic Interventions ◽

North India ◽

Ultrasound Screening ◽

Care Centre ◽

Tertiary Care Centre ◽

Female Ratio ◽

Plain Chest Radiograph

With increasing use of ultrasound screening, the prenatal diagnosis of congenital diaphragmatic hernia (CDH) in better resourced areas has become the norm. However, early diagnosis is still not universal in resource-poor settings and late presentations of CDH continue. We retrospectively analysed the medical records of children operated for late-presenting CDH from 2001 to 2016 at our tertiary care centre in North India. A total of 32 patients were operated during the period with a male-to-female ratio of 3:1. Of these, 78% presented with respiratory symptoms, 37% with recurrent vomiting and 18% with an acute abdomen. Nine (28%) had been treated erroneously for gastroenteritis and another six (18%) had received anti-tubercular therapy for variable periods. A plain chest radiograph with a Ryle’s tube in situ was confirmatory in 75% (24/32). In conclusion, initial misdiagnosis and subsequent unnecessary therapeutic interventions were the leading cause of morbidity .

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Oral pemphigus vulgaris: clinicopathological study of 35 cases at a tertiary care centre in North India

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20170973 ◽

2017 ◽

Vol 3 (2) ◽

pp. 192

Author(s):

Ameesha Mahajan ◽

Jasleen Kaur ◽

Mridu Manjari ◽

Saurabh Sharma ◽

Pooja Bains ◽

...

Keyword(s):

Histopathological Examination ◽

Tertiary Care ◽

Pemphigus Vulgaris ◽

Skin Lesions ◽

Punch Biopsy ◽

North India ◽

Tertiary Care Centre ◽

Present Specimen ◽

Female Ratio ◽

Oral Ulcers

Background: The purpose of the study was to evaluate the clinical and histopathological features of oral pemphigus vulgaris.Methods: A prospective study of 35 cases of oral pemphigus vulgaris, over a period of 2.5 years from June 2014 to December 2016 in the Department of Dermatology, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar was designed. Complete history and detailed mucocutaneous examination was done. Punch biopsy was performed from the oral mucosa and skin lesions (if present). Specimen was sent for histopathological examination and results analysed.Results: Out of 35 patients, 17 (48.57%) were males and 18 (51.42%) were females. Male to female ratio was 1:1.1. The majority of the patients (12, 34.29%) were in the 40-49 year age group. Multiple sites were involved in all patients with bilateral buccal mucosa being involved in all the cases, followed by tongue (30, 85.71%). Histopathological examination showed presence of suprabasal split and acantholytic cells in all cases. Conclusions: Oral ulcers are a presenting feature of pemphigus vulgaris which commonly precede the skin lesions. Histopathological examination enables early diagnosis of the disease which leads to prompt treatment and decreased morbidity.

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Oral cancer profile in a tertiary care center

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20171191 ◽

2017 ◽

Vol 3 (2) ◽

pp. 343

Author(s):

Nitin Arora ◽

Jai Lal Davessar ◽

Jyoti Singh

Keyword(s):

Risk Factor ◽

Oral Cancer ◽

Oral Cavity ◽

Head And Neck ◽

Tertiary Care ◽

Head And Neck Cancers ◽

Age Group ◽

Common Site ◽

Oral Cancers ◽

Age And Sex

Background: Head and neck cancers constitute around 5-50% of all cancers worldwide. Head and Neck Cancers constitute about 30% of all cancers that are found in India. It is the 8th most common cancer in the world. Oral cancer forms a major public health issue in India due to its rising incidence, especially in women and in younger age group. The purpose of our study was to evaluate, the epidemiologic profile of patients with oral cancer, its incidence according to age and sex, site distribution, risk factors involved and clinical stage at presentation.Methods: It is a prospective study done from January 2014 to November 2014, in a total of 100 patients in age group 21 to 70 years, irrespective of gender, with a proven malignancy confined to the oral cavity. Patients were observed for the age and sex distribution, tumour staging, location and metastasis, commonly associated risk factor and most common site. Results: Oral cavity cancers were more common in males, than females. It is most prevalent in age group of 51-60 years. Oral tongue is the most common site. Betel nut chewing is the most significant risk factor associated with oral cavity cancer.T1 and T2 is the most the most common primary T stage. Neck metastasis occurs most commonly at N2 stage. Most common neck node level involved is level 2.Conclusions: Oral cancers presents at advanced stage and age. It has also been seen in younger generations, which is due to increasing use of tobacco, its related products and alcohol. We see patient’s reports at advanced age and stage, which is increasing the morbidity and mortality related to oral cancers. Hence, today there is great need to create awareness about oral cancers. Preventive strategies must be designed in order to lessen the burden of Oral cancers.

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Compliance to advocated therapeutics in and head and neck oncosurgery clinic in a tertiary health care facility in North India: a pilot study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20203376 ◽

2020 ◽

Vol 7 (8) ◽

pp. 3042

Author(s):

Manish Munjal ◽

Japneet Kaur ◽

Nitika Tuli ◽

Porshia Rishi ◽

Harjinder Sidhu ◽

...

Keyword(s):

Head And Neck ◽

Head And Neck Neoplasms ◽

Surgical Intervention ◽

Tertiary Care ◽

Care Facility ◽

Neck Region ◽

North India ◽

Therapeutic Modality ◽

Treatment Modalities ◽

Care Hospital

Background: Head and neck neoplasms are the tumours of head and neck region including various subsites in oropharynx, nasopharynx, larynx, upper oesophagus, paranaal sinuses, and ear. Various treatment modalities are available depending on the stage, type, site of tumour. This study was conducted to study the compliance of patients diagnosed with various head and neck neoplasms towards recommended treatment modalities.Methods: 243 patients presenting in the outpatient department of a tertiary care hospital in Northern India with positive biopsy for neoplastic pathology, benign and malignant were included in the study for a period of 2 years (January 2018-December 2019). All the patients were counselled and those who complied with the suggested therapeutic modality were further evaluated.Results: Surgical intervention was carried out in 79 subjects with benign and 133 with malignant pathologies. 49 patients among 133 were advised further surgical intervention. 31 patients underwent second surgery. Radio-therapeutic and chemotherapeutic modalities were undertaken in 66 subjects. 39 patients did not comply with treatment and were lost to follow up.Conclusions: Decision making for head and neck neoplasms is extremely important and should be considered after thorough discussion with the patient.

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Incidence of Post Operative Wound Infection Following the Use of Antibiotics in Clean Contaminated Head and Neck Surgery in a Tertiary Care Centre in Eastern Nepal

Birat Journal of Health Sciences ◽

10.3126/bjhs.v1i1.17100 ◽

2017 ◽

Vol 1 (1) ◽

pp. 51-55 ◽

Cited By ~ 1

Author(s):

K. Chapagain ◽

R. Pokharel ◽

R. Acharya ◽

S. Shah ◽

B.D. Paranjape

Keyword(s):

Wound Infection ◽

Head And Neck ◽

Tertiary Care ◽

College Teaching ◽

Neck Surgery ◽

Head And Neck Surgery ◽

Care Centre ◽

Tertiary Care Centre ◽

Clean Contaminated ◽

Operative Wound

Introduction Post operative wound infection continues to be the major concern even after the appropriate antibiotic coverage.Objective To find out the incidence of post operative wound infection following the use of antibiotics in clean contaminated head and neck surgery in a tertiary care centre in Eastern Nepal.Methodology It is a prospective study conducted at Department of Otorhinolaryngology and Head and Neck Surgery, Nobel Medical College Teaching Hospital, Biratnagar from 14th April 2013 to 12th April 2015. Patient who underwent clean contaminated head and neck surgery were followed up on 1st, 3rd and 6th post–operative day (POD) and wounds were inspected for any signs of wound infection.Results A total of 144 patients undergoing various clean contaminated head and neck surgeries were included in this study. Tonsillectomy was the commonest surgery performed (40.27%). An overall wound infection rate was 11.80%. Serous discharge rd from the surgical site observed on 3rd post operative day was the most common presentation of wound infection (29.41%). Parotidectomy was the surgery presenting with highest rate of wound infection (31.25%).Conclusion This study concludes that even the best technique and appropriate antibiotic has not completely eliminated the problem of wound infection in clean contaminated head and neck surgery.Birat Journal of Health Sciences 2016 1(1): 51-55

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Epidemiology and outcomes of electric burn injury: a study of 768 patients in a high volume tertiary care centre of North India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20182509 ◽

2018 ◽

Vol 5 (7) ◽

pp. 2786 ◽

Cited By ~ 2

Author(s):

Sunil Srivastava ◽

Hiranmayi Kumari ◽

Abhimanyu Singh ◽

Rohit Kumar Rai

Keyword(s):

High Voltage ◽

Burn Injury ◽

Low Voltage ◽

Tertiary Care ◽

High Volume ◽

North India ◽

Cardiac Events ◽

Tertiary Care Centre ◽

Concomitant Injuries ◽

Female Ratio

Background: Electrical burn injuries (EBI) comprise a small proportion of the total burn admissions but they inflict significant morbidity. The objective of this study was to analyse recent epidemiologic data and identify prevention measures.Methods: A retrospective study was conducted by reviewing the medical records of all burn admissions from April 2016 to March 2018 and data was analysed for demographic characteristics and outcomes and patterns of electric burn injury.Results: A total of 3136 admissions were made. Male to female ratio was 1.5:1.0. Rural: urban ratio was 2:1. Mode of injury was accidental (79%), suicidal (12%) and homicidal (9%). Flame burn (64.47%) topped the list of etiologic factors. Electric burn represented 24.49% which was quite significant when compared to other parts of the world. 1042 patients expired (33.22%). Out of the total electric burn admissions, 768 (24.49%) patients were of electric injury. 207 (27.01%) patients sustained low voltage (<1000 kv) injuries while 561 (73.04%) patients had high voltage (>1000 kv) injury. Most of the injuries were work related. There was a rise in serum creatine phosphokinases, myoglobinuria, renal failure, abnormal cardiac events and other concomitant injuries in the high voltage group. Reconstructive surgeries performed in both high and low voltage group was high. A total of 71 (9.24%) fasciotomy and 123 (16.01%) amputations were done. The mortality rate was 10.5%.Conclusions: EBI has a devastating influence on burn survivors. We advocate a low threshold for managing associated injuries, educating safety principles and improving infrastructure by the state to curb this preventable danger.

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Emerging Antimicrobial Resistance Among Methicillin Resistant Staphylococcus Aureus (MRSA) in a Tertiary Care Centre in North India

JMS SKIMS ◽

10.33883/jms.v23i1.747 ◽

2020 ◽

Vol 23 (1) ◽

pp. 48-49

Author(s):

Javaid Ahmad Bhat ◽

Shariq Rashid Masoodi

Keyword(s):

Staphylococcus Aureus ◽

Antimicrobial Resistance ◽

Tertiary Care ◽

Resistance Mechanisms ◽

North India ◽

Global Public Health ◽

Care Centre ◽

Tertiary Care Centre ◽

Effective Prevention ◽

Mupirocin Resistance

Apropos to the article by Dr Bali, titled “Mupirocin resistance in clinical isolates of methicillin-sensitive and resistant Staphylococcus aureus in a tertiary care centre of North India” (1), the authors have raised important issue of emerging antimicrobial resistance (AMR). Antimicrobial resistance is an increasingly serious threat to global public health that requires action across all government sectors and society. As per WHO, AMR lurks the effective prevention and management of an ever-increasing spectrum of infections caused by bacteria, parasites, fungi and viruses. Novel resistance mechanisms are emerging and spreading globally, threatening the man’s ability to treat common infectious diseases.

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