scholarly journals Transcanal endoscopic myringoplasty: a retrospective study

2020 ◽  
Vol 6 (7) ◽  
pp. 1303
Author(s):  
Anchal Gupta ◽  
Padam Singh Jamwal
Keyword(s):  
Retrospective Study ◽  
Pure Tone Audiometry ◽  
Cost Effective ◽  
Neck Surgery ◽  
Female Ratio ◽  
Uptake Rates ◽  
Duration Of Surgery ◽  
Male Female Ratio ◽  
Endoscopic Myringoplasty ◽  
Small Perforation

<p class="abstract"><strong>Background:</strong> Transcanal myringoplasty has the advantages of demanding lower operative time and minimal external incisions. It can be performed using the microscopic or endoscopic approach.</p><p class="abstract"><strong>Methods:</strong> This retrospective study was conducted in the Department of ENT and Head and Neck Surgery, SMGS Hospital, Jammu from January 2018 to January 2020. Patients attending ENT OPD with central dry perforation of tympanic membrane were selected for endoscopic transcanal myringoplasty. Written and Informed consent were taken. During surgery, various parameters were noted including duration of surgery and hospitalization. These patients were followed through a period of 6 months and assessed using pure tone audiometry and graft uptake was seen.  </p><p class="abstract"><strong>Results:</strong> Out of 40 patients, male: female ratio was 1.2:1. Time taken for surgery was less than 60 minutes in 16 (40%) patients whereas in 24 (60%) patients it was between 60-120 minutes. In our study the patients with small perforation had excellent graft uptake rates (18/19 patients, 94.73%), whereas patients with medium sized perforation showed graft uptake rate of 76.47% (13/17 patients). Objective analysis of cosmetic result was done at the end of six month and revealed that none of the patient had visible scar. Mean pre-operative air bone gap was 24.38 dB whereas mean postoperative air bone gap was 8.34 dB. Mean improvement comes out to be 16.04 dB.</p><p class="abstract"><strong>Conclusions:</strong> Endoscopic myringoplasty was found to be equally effective, less morbid and very cost effective in small central perforations.</p>

scholarly journals Canal wall window tympanomastoidectomy – A review of 84 cases

1970 ◽  
Vol 16 (1) ◽  
pp. 3-8
Author(s):  
Delwar Hossain ◽  
Mosleh Uddin ◽  
Ahmmad Taous ◽  
Kazi Shameemus Salam ◽  
Rafiqul Islam
Keyword(s):  
Retrospective Study ◽  
Pure Tone ◽  
Canal Wall ◽  
Retraction Pocket ◽  
Female Ratio ◽  
Primary Surgery ◽  
Male Female Ratio ◽  
Canal Wall Down ◽  
Canal Wall Down Mastoidectomy ◽  
Materials Used

Canal wall window (CWW) tympanomastoidectomy is a modified form of attico-antrostomywhich can be a substituted for canal wall down procedure. A retrospective study of 84 casesof CWW tympanomastoidectomy were collected from department of otolaryngology and Headnecksurgery, BSMMU and ENT Foundation Hospital, Dhaka from June 2005 to July 2009.In this study majority of the patients were 16 to 48 years 57(67.86%). Male female ratio was3:1. Most of the patients were found cholesteatoma 27 (32.14%), granulation tissue 25(29.76%),retraction pocket 22(26.19%),Postoperative hearing gain (mean three frequency pure tone air bone gap) assessed 3 monthsafter primary surgery, most of the patients 34(40.48%) had gain 20dB+, 26 patients (30.95%)had gain 10dB+,18 patients (2143%) had gain 30dB+.Materials used in tympano-ossiculoplasty were chonchal cartilage, sculptured incus, PORPand TORP. Most of the patients we used incus reposition 36(42.86%), cartilage ossiculoplasty28(33.33%), PORP 12(14.29%) and TORP 8 (9.52%).Post operative followup of the patient was done in 1 month, 3 month and 6 month intervals andcondition of external auditory canal assessed. Dry ear were found 70 patients (83.33%), moistear were found 8 patients (9.52%) and 6 patients (7.14%) were found purulent dischargingears and later canal wall down mastoidectomy done .Key words: Canal wall window; Tympanomastoidectomy.DOI: 10.3329/bjo.v16i1.5774Bangladesh J Otorhinolaryngol 2010; 16(1): 3-8

scholarly journals Inflammatory Myofibroblastic Tumors in Children: A Clinical Retrospective Study on 19 Cases

2021 ◽  
Vol 9 ◽  
Author(s):  
Min Da ◽  
Bo Qian ◽  
Xuming Mo ◽  
Cheng Xu ◽  
Haiyan Wu ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Disease Onset ◽  
Immunohistochemical Analysis ◽  
Extensive Resection ◽  
Female Ratio ◽  
Male Female Ratio ◽  
Inflammatory Myofibroblastic Tumors ◽  
Children And Young Adults ◽  
The Mean ◽  
Lost To Follow Up

Background: Inflammatory myofibroblastic tumor (IMFT) is a rare neoplasm mainly affecting children and young adults. We conducted a retrospective study to evaluate the clinical features and treatment alternatives of childhood inflammatory myofibroblastic tumors.Methods: A total of 19 patients who were pathologically diagnosed with IMT between December 2008 and October 2018 were included. Collected data were demographic information, main complaints, tumor characteristics, treatment, pathological results, immunohistochemical analysis, and prognosis.Results: The male/female ratio was 13:6. The mean age at disease onset was 44.9 ± 33.9 months (range 4 to 111 months). The mean tumor size was 6.5 ± 4.0 cm (range 1.2 to 17.0 cm). The most common site was the abdomen (13/19). The most commonly used detection tool was CT. Eleven patients (57.9%) had aggressive tumor growth, including eight receiving extensive resection and three receiving palliative resection due to high local invasiveness and postoperative chemotherapy. Eight cases whose tumors were completely enveloped received complete resection. Immunohistochemistry was performed for 17 patients and ALK positivity was found in 11 patients. Despite three children lost to follow-up, sixteen patients were followed up for 6 to 132 months (average 63.9 months, median 66 months). Of which, twelve children survived with no evidence of IMT, and four cases (21%) showed local recurrences (two of them died). No distant metastasis was detected.Conclusions: IMT is rare in children with various locations, mostly appearing in the abdomen. Whether the tumor could be completely removed, the location and the invasiveness of surrounding tissues might be highly prognosis-related.

scholarly journals Outcome of Injection Sclerotherapy for First Degree and Second Degree Haemorrhoids– A Study of 50 Cases

2016 ◽  
Vol 12 (2) ◽  
pp. 98-101
Author(s):  
Md Ershad Ul Quadir ◽  
Md Mahbubur Rahman ◽  
Md Tanvirul Islam ◽  
SM Shakhawat Hosssain
Keyword(s):  
Symptomatic Relief ◽  
Digital Rectal Examination ◽  
Cost Effective ◽  
Armed Forces ◽  
Injection Sclerotherapy ◽  
Female Ratio ◽  
Medical College ◽  
Number Of Patients ◽  
Male Female Ratio ◽  
Second Degree

Introduction: Haemorrhoid is the frequent problem in clinical practice of general surgery. Haemorrhoids are dilatation and tortuosity of rectal veins affecting almost 4.5% of the population. Various operative and non operative therapeutic options are in practice to treat haemorrhoids, yet none has been proven cent percent effective. Sclerotherapy is a simple, safe and cost effective procedure that is widely practiced globally to treat haemorrhoids. Many sclerosants are being used with variable efficacies. Objective: To evaluate the outcome of injection Sclerotherapy in first degree and second degree haemorrhoids. Materials and Methods: Fifty patients of both gender having haemorrhoids who attended Outpatient Department (OPD) at BNS Patenga from September 2013 to August 2014 were included in this study. On the basis of history, patients were selected for Digital Rectal Examination (DRE) and proctoscopic examination to confirm the diagnosis. Sclerotherapy was repeated at interval of 6 weeks till symptomatic relief was achieved. Maximum 3 sittings of sclerotherapy were given. Patients were followed up at 3 months interval for 1 year. Results: This prospective study was conducted on 50 cases of first degree and second degree Haemorrhoids. The highest number of patients 21(42%) were in the age group of 21-30 years with majority 38(76%) being male. Male female ratio was 3.16: 1. All the patients presented with painless per-rectal bleeding. Satisfactory results were observed in 29(58%) patients of whom 20(40%) patients were having first degree haemorrhoids and 9(18%) patients were having second degree haemorrhoids. Sclerotherapy was more effective in first degree compared to second degree haemorrhoids patients. Conclusion: Injecting Sclerotherapy is a suitable office procedure for treatment of haemorrhoids. The method is easy, convenient, cheap, well accepted and comfortable for patient. More or less there are no complications and the result is also satisfactory. Journal of Armed Forces Medical College Bangladesh Vol.12(2) 2016: 98-101

scholarly journals LIGATURE MARK ON THE NECK

2015 ◽  
Vol 22 (06) ◽  
pp. 798-803
Author(s):  
Mariam Arif
Keyword(s):  
Retrospective Study ◽  
Study Design ◽  
Forensic Medicine ◽  
Soft Tissues ◽  
Thyroid Cartilage ◽  
Age Group ◽  
Manner Of Death ◽  
Female Ratio ◽  
Medical College ◽  
Male Female Ratio

Introduction: There are three types of compression of neck which are of primeforensic importance – (1) Manual strangulation (2) Hanging (3) Ligature strangulation. Ligaturemark is found in the latter two types.1 Ligature mark is a pressure mark on the neck underneaththe ligature. Initially it appears as a pale groove which on drying becomes yellowish brownparchment like.2,5 Objective: The aim is to study the information provided by a ligature markin ligature asphyxial deaths. Methodology: Study Design: A retrospective study on ligatureasphyxial deaths. Setting: Forensic Medicine and Toxicology Departments of King EdwardMedical University, Lahore and Nishtar Medical College, Multan. Period: January, 2012 toDecember, 2013. Results: The incidence of violent ligature asphyxial deaths was 4.21% of thetotal medicolegal deaths autopsied. Age group 21 to 30 years accounted for the maximumcases (37.6%). Male: female ratio was 1.02. Nylon rope (44.7%) was the most common ligaturematerial used. Ligature mark was single in all cases and was situated above thyroid cartilage in82.92% cases of hanging. In ligature strangulation deaths, mark was one in number in 93.18%cases and was below thyroid cartilage in 97.72% cases. The manner of death in hangingwas mostly suicidal (90.24%) as compared to homicidal in all cases of ligature strangulation.Ligature mark was incompletely encircling the neck in 85.36% cases and obliquely present in100% cases of hanging. In all deaths due to ligature strangulation, it was completely encirclingand transversely present around the neck. Underlying soft tissues of neck were glisteningwhite in all hanging deaths while it showed extravasations of blood in all ligature strangulationcases. Conclusions: A meticulous examination of the ligature mark during autopsy, though notconclusive, can give valuable information that can be very helpful in diagnosing deaths due tohanging and ligature strangulation.

The Epidemiology of Genital Chlamydial Infection in South Australia

1993 ◽  
Vol 4 (4) ◽  
pp. 204-210 ◽  
Author(s):  
Gavin Hart
Keyword(s):  
Chlamydial Infection ◽  
Laboratory Tests ◽  
South Australia ◽  
Cost Effective ◽  
Female Ratio ◽  
Private Practitioners ◽  
Cost Effective Method ◽  
Male Female Ratio ◽  
Medical Reports ◽  
Epidemiological Pattern

All laboratory tests performed and medical reports received in South Australia in 1990–1991 and screening results for Chlamydia trachomatis at the central STD clinic from 1988–1991 were analysed to clarify the epidemiology of genital chlamydial infection. From 70494 laboratory tests in 1990–1991, 2449 (3.5%) infections were detected of which 2431 (99%) were also reported by clinicians. Infections were detected in 1335 (6.4%) of 21004 patients (71% of 29 401 attendees) screened at the central STD clinic from 1988 to 1991. STD clinic yields suggest a male: female ratio of 1.08:1 (95% confidence intervals = 1.05:1–1.11:1), with 46% of infections in males and 67% of infections in females being asymptomatic. For both males and females, infection rates were highest in 15–19-year-olds and decreased with increasing age, but were not independently related to marital status. The statewide epidemiological pattern was probably distorted in medical reports because of selection biases in testing (89% of tests performed by non-STD clinicians were on females) which resulted in decreased detection in asymptomatic females, symptomatic and asymptomatic males, married persons and unmarried young persons (15–19-year-old females and 15–24-year-old males) by private practitioners. A cost-effective method for increased detection of chlamydial infection in undertested groups (particularly of asymptomatic unmarried males aged 15–24) will be required to control transmission of chlamydial infection in South Australia. Increased detection in young married persons is also desirable.

scholarly journals Epidemiology of COVID-19 cases diagnosed at quarantine facilities in Paraguay

2021 ◽  
Vol 31 (1) ◽  
pp. e39374
Author(s):  
Pasionaria Rosa Ramos Ruiz Diaz ◽  
Gladys Velázquez ◽  
Elder Oliveira da Silva ◽  
Claudia Carolina Centurión Viveros ◽  
Roberto Esperanza Dullack Peña ◽  
...  
Keyword(s):  
Public Health ◽  
Retrospective Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Female Ratio ◽  
Infected People ◽  
Rapid Spread ◽  
Male Female Ratio ◽  
Epidemiological Characteristics ◽  
Access Data

Aims: This study aimed to describe the epidemiological characteristics of COVID-19 cases diagnosed in quarantine facilities in Paraguay.Methods: This was a descriptive, cross-sectional, temporarily retrospective study. The time scope was from April 1 to September 30 2020. The variables were sex, age and administrative departments. The open access data available on the website of the Ministry of Public Health and Social Welfare was used. Frequencies expressed in percentages and the Chi square value were calculated to observe the statistically significant differences between cases and age and sex.Results: from April 4 to September 30 2020, 1.581 cases were diagnosed in COVID-19. The fewest number of positive cases were reported in April (50) and the highest number was reported in May (628). From the total, 69.6% (1.101) were male, (male / female ratio 2.3), 42.1% (666) were aged between 20-29 years, the average age was 30.23 years (range 0 to 87, standard deviation 14.66. 95% CI 1.5 - 58.95). The departments with the highest number of cases were Caaguazú 21.7 % (343), Alto Paraná 17.3 % (274), Central 13.3% (210) and Asunción 11.4% (180). The least number of cases of COVID-10 in women were registered in the Departments of Amambay, Pdte. Hayes, Ñeembucú and Boquerón, and in men the Departments of Ñeembucú and Boquerón. The largest number of male cases were registered in Caaguazú 70.8% (243), Alto Paraná 66.1% (181), Central 69.5% (146) and Asunción 68.9% (124). The number of Covid-19 infected people in quarantine facilities presented statistically significant differences between the variables sex and age.Conclusion: the quarantine facilities are one of the measures that the Paraguayan government needed to avoid the rapid spread and dispersion of the virus. The epidemiology of the cases diagnosed in them corresponds to what was expected according to the characteristics of the country.

scholarly journals Clinical Presentation of Thyroglossal Cyst and its Management Study of Two Hundred Cases

2018 ◽  
Vol 25 ◽  
pp. 26-29
Author(s):  
Subrata Ghosh ◽  
Milon Kumar Chowdhury ◽  
Ashik Iqbal ◽  
Monowar Hussain ◽  
Belayat Hussain Siddique
Keyword(s):  
Clinical Presentation ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Thyroglossal Cyst ◽  
Cross Sectional ◽  
Female Ratio ◽  
Male Female Ratio ◽  
Complication Of Surgery ◽  
Head Neck Surgery ◽  
Head Neck

Objectives – To find out clinical presentation, management & Complication of surgery of Thyroglossal cyst.Methods – It was a cross sectional study done in the Department of Otolaryngology and Head-Neck Surgery, BSMMU, DMCH & RMCH, from January 2009 to June 2015. 200 Patients undergoing Sistrunk’s operation for cytologically proven Thyroglossal cyst were included in this study. Patients were reviewed after sugary and any complication that occurred were recorded. Results – Within 200 patients, most (34%) were in 1st decade, mean age19.17 years, male-female ratio 1.2 : 1, in 92.5% cases cyst in midline, Complication of surgical management in 8.5% cases and recurrence is 1.5% cases after Sistrunk’s operation.Conclusions – Thyroglossal cysts commonly present as midline neck swelling within 2nd decade of life and can be successfully treated with Sistrunk’s operation with minimal recurrence.TAJ 2012; 25: 26-29

scholarly journals Tympanoplasty Type-I using tragal perichondrium graft: Our experience

2019 ◽  
Vol 35 (4) ◽  
Author(s):  
Fazali Wahid ◽  
Sajid Rashid Nagra
Keyword(s):  
Tertiary Care ◽  
Case Series ◽  
Pure Tone Audiometry ◽  
Neck Surgery ◽  
Tympanic Membrane Perforation ◽  
P Value ◽  
Type I ◽  
Care Hospital ◽  
Female Ratio ◽  
Case Series Study

Objective: To determine the efficacy of tragal perichondrium graft used in tympanoplasty Type-I at a tertiary care hospital. Methods: This descriptive case-series study was performed at the department of E.N.T, Head and Neck Surgery, Medical Teaching Institution/Lady Reading Hospital (MTI/LRH), Peshawar, Pakistan from June 2017 to May 2018. After approved from IREB, a well informed consent was taken. Pure Tone Audiometry (PTA) was performed before surgery and post-operatively at three and six months interval. The mean ± SD Air-Bone Gap (ABG) was calculated in pre- and postoperative PTA. The data were analyzed using SPSS (version 20). Chi-square (X2) test of significance was used taking confidence interval at 95%. The p-value ≤0.05 was considered significant. Results: Total patients were 36; male 21 (58.3%), female 15(41.7%) with male: female ratio of 1.4:1. Mean ± SD age was 27.14 ± 7.49 years (Range 15 – 50Years). Tympanic membrane perforation was commonly found on right side 22 (61.1%), predominantly involving anterioinferior site 19 (52.8%) and medium sized perforation outnumbered 22 (61.1%). Mean pre-operative air-conduction of 49.72 dB was significantly reduced to 18.27 dB with pvalue of <0.05. Similarly the pre-operative mean air bone gap on PTA of 45.63 ± 8.35dB was also reduced to statistically significant level of 7.41 ± 3.51 dB on post-operative PTA with p-value of <.05. Graft was taken up well in 34 cases (94.4%). Conclusion: Tragal perichondrial graft is an effective grafting material used for tympanoplasty due to its possessing qualities. doi: https://doi.org/10.12669/pjms.35.4.421 How to cite this:Wahid FI, Nagra SR. Tympanoplasty type I using tragal perichondrium graft: Our experience. Pak J Med Sci. 2019;35(4):---------.  doi: https://doi.org/10.12669/pjms.35.4.421 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Outcomes of Root Canal Treatment: 2 Years Experience in Community Based Medical College, Bangladesh Hospital

2013 ◽  
Vol 2 (1) ◽  
pp. 29-33
Author(s):  
Mahbuba Hossen ◽  
Mazharul Alam Siddique ◽  
Nahid Binte Ansary
Keyword(s):  
Medical Journal ◽  
Retrospective Study ◽  
Success Rate ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Community Based ◽  
Female Ratio ◽  
Common Indication ◽  
Medical College ◽  
Male Female Ratio

This retrospective study was done in the Department of Dentistry, CBMC’B hospital from January’2009 to December’2010. 223 patients who underwent RCT were purposively selected. Male-female ratio was 1:1.4, mean age of patients were 28.4 years. Most common indication of RCT was gross caries 69.95%, common complications were fractured crown 11(57.89%), tenderness 5(26.32%), discharging sinus 2(10.53%). Over all success rate of RCT was 91.48%. DOI: http://dx.doi.org/10.3329/cbmj.v2i1.14178 Community Based Medical Journal Vol.2(1) 2013 29-33

scholarly journals A clinical study to determine the effects of adenoidectomy in cases of secretory otitis media in school going children

2020 ◽  
Vol 5 (8) ◽  
pp. 200-206
Author(s):  
Dr. B Krishna Santosh ◽  
◽  
Dr. K Krishna Sumanth ◽  
Dr. Panda Veeranjaneyulu ◽  
Dr. B Deepthi ◽  
...  
Keyword(s):  
Otitis Media ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Secretory Otitis Media ◽  
Female Ratio ◽  
Impedance Audiometry ◽  
Tube Obstruction ◽  
The Past ◽  
Male Female Ratio ◽  
Ear Effusion

Introduction: Secretory Otitis media (SOM) is the leading cause of hearing loss in children. Despitenumerous studies on the prevention and treatment of SOM during the past decades, itsmanagement remains challenging and controversial. A study was conducted to find the effect ofadenoidectomy in cases of SOM with hypertrophied adenoids and to determine the effect ofadenoidectomy on hearing as assessed by the pure tone and impedance audiometry. Material andMethods: Children aged 5 – 12 years, diagnosed as SOM with adenoid hypertrophy were included.The study was conducted from April 2019 to May 2020, in the department of ENT, GSL MedicalCollege. A detailed history and clinical examination were done. Investigations such as pure toneaudiogram, impedance audiometry, X-ray nasopharynx, and diagnostic nasal endoscopy were carriedout to confirm the diagnosis. Results: Out of the 50 participants, a maximum (60%) belonged tothe 5 – 7 years age group, the male-female ratio was 1.2. Hard of hearing was a common symptomin 66%, tonsillitis, and sinusitis in 36% and 18% respectively. On pure tone audiometry, the averagehearing loss was 24.95dB. Conclusion: Adenoidectomy in children having hypertrophied adenoidswith SOM, not only relieves Eustachian tube obstruction but also removes the source of infection.This leads to clearance of middle ear effusion and improvement in hearing postoperatively.

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