scholarly journals Clinicopathological study of sinonasal masses

1970 ◽  
Vol 16 (1) ◽  
pp. 15-22 ◽  
Author(s):  
Abu HenaMohammad Parvez Humayun ◽  
AHM Zahurul Huq ◽  
SM Tarequddin Ahmed ◽  
Md Shah Kamal ◽  
Kyaw Khin U ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Malignant Lesion ◽  
Malignant Tumour ◽  
Neck Surgery ◽  
Female Ratio ◽  
Medical College ◽  
Male To Female ◽  
Study Setting ◽  
Head Neck Surgery ◽  
Head Neck

Objective: To observe the incidence, clinical presentation and to perform comparative studyof different sinonasal masses. Study design: Prospective study. Setting: Department ofotolaryngology and Head-Neck Surgery & ENT OPD of Chittagong Medical College Hospital.Patients & methods: 50 patients are included in this study (39 male & 11 female) between theages of 3 years and 80 years who were treated between August 2006 to January 2007. Studybased on history, clinical, radiological, laboratory and histopathological examination. Results:Mean age for male was 35.12 years and for female was 22.63 years. Male to female ratio was3.5:1. Highest frequency was noted in second decade. Most of patient (78%) were from poorclass. Frequency of inflammatory nasal masses were more in second decade, benign tumourin fourth and fifth decade, malignant tumour in second decade (OAN & NHL) and fifth andsecond decades (others). Rhinosporidiosis were most frequent inflammatory nasal masses.Nasal obstruction was the commonest and orbitus symptoms were less frequent symptoms.But orbital symptoms were more prevalent in malignant lesion. Conclusion: sinonasal massesare found in all age group. Rhinosporidiosis are appearing to be the commonest nasal masses.The prevalence of nasal polyp is also high. Among the malignant sinonasal masses thepercentage of squamous cell carcinoma is high.DOI: 10.3329/bjo.v16i1.5776Bangladesh J Otorhinolaryngol 2010; 16(1): 15-22

scholarly journals Congenital Anomalies Presenting as Head-Neck Swellings: A Study of 50 Cases

2020 ◽  
Vol 23 (2) ◽  
pp. 171-179
Author(s):  
Md Zahidul Islam ◽  
Md Abdur Rahman ◽  
Md Sirajul Islam Mahfuz
Keyword(s):  
Dermoid Cyst ◽  
Branchial Arch ◽  
Medical College Hospital ◽  
Sex Distribution ◽  
Thyroglossal Cyst ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Male To Female ◽  
Head Neck

Purpose: To analyse the prevalence, distribution and presentation of different congenital head-neck lesions with their age, sex, site and side predilection. Methods: 50 patients of head-neck congenital swelling was selected from january/2013 upto december/2013 in the OPD of otorhino-laryngology, head and neck deptt. of Dhaka medical college hospital under a specific prospective study protocol. Results: The most frequent swelling was thyroglossal cyst(42%), followed by branchial arch anomalies (18%),dermoid cyst(14%),pre-auricular sinus(14%),lymphangioma(8%) and haemangioma(4%).Amongst the cervical swellings the sequential preponderence was thyroglossal cyst(52%),branchial arch anomalies(23%),dermoid cyst(13%), lymphangioma(10%) and haemangioma (2%).The majority of branchial arch anomalies(100%) were of second arch. The majority of patients were of first(52%) and second(30%) decade and the male to female ratio for thyroglossal cysts was 1:1.1.The majority of lesions were painless swelling and all were surgically excised. Conclusion: The overall frequency and age-sex distribution of congenital head-neck swellings as well as site, nature and type specific predominance of some of them in OPD of Dhaka medical college hospital are almost similar to international findings. Bangladesh J Otorhinolaryngol; October 2017; 23(2): 171-179

scholarly journals Hypocalcaemic Tetany After Total Thyroidectomy

2016 ◽  
Vol 10 (2) ◽  
pp. 59-62
Author(s):  
Nripendra Nath Biswas ◽  
Wazir Ahmed Chaudhury ◽  
Jahangir Alam Khan ◽  
Akhil Chandra Biswas ◽  
Khan Mohammad Arif ◽  
...  
Keyword(s):  
Total Thyroidectomy ◽  
Thyroid Function Test ◽  
Neck Surgery ◽  
Time Interval ◽  
College Hospital ◽  
Medical College ◽  
Post Operative Period ◽  
Function Test ◽  
Head Neck Surgery ◽  
Head Neck

Hypocalcaemic tetany is one the commonest complication after total thyroidectomy. It may cause significant morbidity. Early detection and treatment have better out come. The main objective of the study is to find the incidence of hypcalcaemic tetany in post operative period after total thyroidectomy and average interval period of hypocalcaemia following surgery. This was an observational study conducted in the department of Otolaryngology & head-Neck Surgery Sylhet M.A.G. Osmani Medical College Hospital during 1st January 2006 to 31st December 2007. Pre-operative routine investigation, Thyroid Function test, Ultrasonography thyroid gland and cytological evaluation by FNAC were done in all patients. Ten patient developed hypocalcaemia after surgery. Among them only one suffered from permanent hypocalcaemia. Most of the patient developed symptoms about 48 hours after surgery. The Incidence and time interval of development of hypocalcaemic tetany after total thyroidectomy found in the series fully coincides with the results of other researchers globally.Faridpur Med. Coll. J. Jul 2015;10(2): 59-62

Evaluation of Post-Hemithyroidectomy hypothyroidism

2020 ◽  
Vol 26 (2) ◽  
pp. 95-101
Author(s):  
SM Abdul Awual ◽  
Syeda Marufa Hasan ◽  
Suhel Al Muzahid Reza ◽  
Md Shahriar Islam ◽  
Utpaul Kumar Sarkar ◽  
...  
Keyword(s):  
Risk Factors ◽  
Thyroid Function ◽  
Neck Surgery ◽  
Thyroid Stimulating Hormone ◽  
Thyroid Antibodies ◽  
Medical College ◽  
The Mean ◽  
A Prospective Study ◽  
Head Neck Surgery ◽  
Head Neck

Objective: To evaluate the incidence of post-hemithyroidectomy hypothyroidism and identify possible risk factors that indicates which patients require thyroid function monitoring after surgery. Methods: A prospective study of patients with benign, non-toxic thyroid disease undergoing hemithyroidectomy between January 2017 and July 2019 in the Department of Otolaryngology and Head-Neck Surgery, Sir Salimullah Medical College Mitford Hospital, Dhaka. All patients were in euthyroid state preoperatively.Thyroid specimens were examined for pathological diagnosis and thyroid function was evaluated again six weeks after surgery. Results: All had normal preoperative thyroid function. Six weeks after surgery, 10 (22.22%) of the cases developed hypothyroidism (6.66% overt or symptomatic hypothyroidism and 15.56% subclinical hypothyroidism). The mean preoperative TSH level was significantly higher in the hypothyroid group than in the euthyroid group (2.1±1.1 vs 1.3±0.7mIU/L, p<0.01).Seven of patients with preoperative thyroid stimulating hormone (TSH) level more than or equal to 2 mIU/L developed hypothyroidism in comparison to only 3 of those with preoperative TSH <2 mIU/L (odds ratio 11.3). Conclusion: Ten (22.22%) patients in the present study developed hypothyroidism after hemithyroidectomy. Preoperative TSH more than or equal 2 mIU/L, elevation of thyroid antibodies and thyroiditiswarrant post-operative close TSH monitoring. Awareness of such risk factors for post-operative hypothyroidism would improve patients care and reduce complications. Bangladesh J Otorhinolaryngol; October 2020; 26(2): 95-101

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 Nasolabial Cyst: A Sporadic Disease Entity

2020 ◽  
pp. 13-18
Author(s):  
Delwar AHM
Keyword(s):  
Retrospective Study ◽  
Neck Surgery ◽  
Disease Entity ◽  
Medical College ◽  
Different Types ◽  
Sporadic Disease ◽  
The Right ◽  
Head Neck Surgery ◽  
Tissue Origin ◽  
Head Neck

Background: The formation of the maxilla is associated with the fusion of different types of embryological elements. If any primitive ectodermalcells buried in the embryonic fusion, there is a formation of a cyst. Nasolabial or nasoalveolar cyst is one of them. It is a rare and non-odontogenic, soft tissue origin occurs beneath the alar nasal. Methods: It is a cohort retrospective study of 09 cases in the Department of Otolaryngology and Head-Neck Surgery, Cumilla Medical College, and Cumilla Medical Centre, Bangladesh, from 01 July 2016 to 31 June 2019. Result: Incidence of the nasolabial cyst, out of total routine ENT operations was 0.13%. Of them, the female was 07(77.78%), the male 02(22.22%), 10-30 years were 02(22.22%), 31-50 years 05(55.56%), and 51 years and above 02(22.22%) in which lower age was 20 years, highest 55, mean 40.78, and the standard deviation 6.43. The laterality exhibited only unilateral, in which the right side was 06(66.67%) and left 03(33.33%).

scholarly journals Perichondritis of the Pinna: A Real Compulsion of Hospital Linger

2020 ◽  
pp. 1-10
Author(s):  
Delwar AHM
Keyword(s):  
Retrospective Study ◽  
Standard Deviation ◽  
Otitis Externa ◽  
Neck Surgery ◽  
Medical Centre ◽  
Auricular Cartilage ◽  
Medical College ◽  
Ear Piercing ◽  
Head Neck Surgery ◽  
Head Neck

Background: Perichondritis of pinna is relentless, deadly cellulitis of the auricular cartilage, which may lead to necrosis. As a result, shrinkage and deformity of the pinna may occur. Different etiological factors, including self-trauma by high ear piercing for beauty and fashion, accident, assault, infections, progressive otitis externa, and allergy, are mentionable. Methods: It is a cohort retrospective study of 63 cases in the Department of Otolaryngology and Head-Neck Surgery, Cumilla Medical College, and Cumilla Medical Centre, Bangladesh, from 01 July 2016 to 31 June 2019. Results: The incidence of perichondritis among ENT casualty was 0.86%. Off 63, the male was 33 (52.38%), and the female 30 (47.62%), children were 27 (42.86%), and adult 36 (57.14%), in which lowest age 02 years, highest 76, mean age 21.952, and the standard deviation 16.676, diabetic 08 (12.70%), smoker 09(14.29%), and all were unilateral.

scholarly journals Spongstan with Nasopharyngeal Pack: New Ordinary Procedure Manage the Adenoidectomy Bleeding

2020 ◽  
pp. 1-6
Author(s):  
Dr. A H M Delwar
Keyword(s):  
Demographic Data ◽  
Tertiary Care ◽  
Neck Surgery ◽  
Bleeding Complications ◽  
College Hospital ◽  
Medical College ◽  
Tertiary Care Hospitals ◽  
Study Setting ◽  
Head Neck Surgery ◽  
Demographic Data Collection

Objective: To find out the frequency, prevalence, and epidemiological aspects of the adenoidectomy bleeding and share the new ordinary procedure to manage it by spongstan with the nasopharyngeal pack. Study Design: Cohort retrospective study. Setting: Academic tertiary care hospitals. Subject and Methods: A total of 23 adenoidectomy children’s demographic data collection and analyzed who suffered from complications of bleeding in the department of Otolaryngology and Head-Neck Surgery, Comilla Medical College Hospital, and Comilla Medical Centre, concerned Clinic of Central Medical College from 01 July 2016 to 31 June 2019. Results: Incidence of adenoidectomy bleeding among total operative patients was 0.32%, adenoidectomy-Tonsillectomy patients 2.66%, and the yearly prevalence of 33.35%. Off them, the male was 09 (39.17%), and the female 14 (60.87%), 11-15 years children have highest bleeding complications was 17 (73.91%), commonest presenting features was nasal obstruction (91.30%), mouth breathing (82.61%), and hearing loss (78.26%).

Clinicopathological Study of Carcinoma Larynx

2020 ◽  
Vol 26 (1) ◽  
pp. 37-40
Author(s):  
Mohammad Nazim Uddin ◽  
Abu Hena Mohammad Parvez Humayun ◽  
Muhammad Bipul Islam ◽  
Md Masudur Rahaman
Keyword(s):  
Laryngeal Carcinoma ◽  
Histopathological Examination ◽  
Neck Surgery ◽  
Undifferentiated Carcinoma ◽  
Glottic Carcinoma ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Carcinoma Larynx ◽  
Education Group

Setting: Department of otolaryngology and Head-Neck surgery, Rajshahi Medical College Hospital, Rajshahi. Methods: 80 patients were included in this study during a period of July 2006 to June 2007. Study based on history, clinical, radiological, laboratory and histopathological examination. The larynx is divided for purpose of tumour classification into three regions- Supraglottic, Glottic and Subglottic. Results: The age ranges from 25 to 85 years. The overall male to female ratio 93.75:6.25. Laryngeal carcinoma shows significant association with low socioeconomic and education group. The commonest symptoms of laryngeal carcinoma was change of voice 100%(20) in case of glottic carcinoma and 90%(54)in cases of supraglottic carcinoma.Other common symptoms were difficulty of swallowing, respiratory distress, cough, neck swelling, haemoptysis, neck pain. Palpable cervical lymph node was present in 50% (40) cases Conclusion: Predominant histological type was squamous cell carcinoma 97.5%(78), undifferentiated carcinoma 1.25%(1), adenocarcinoma 1.25%(1). Symptoms of presentation has a significant association with site of involvement. The symptoms of presentation of supraglottic carcinoma occurred more frequently at the advanced stage. Bangladesh J Otorhinolaryngol; April 2020; 26(1): 37-40

scholarly journals Performance of CT Scan in diagnosis of Sinonasal mass

2019 ◽  
Vol 24 (2) ◽  
pp. 149-155
Author(s):  
Lodh Dipankar ◽  
Islam Nazmul ◽  
Talukder Debesh ◽  
Majumder Rita ◽  
Arafat Shahriar ◽  
...  
Keyword(s):  
Ct Scan ◽  
Histopathological Examination ◽  
Malignant Tumour ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Medical College ◽  
Sinonasal Mass ◽  
Histopathological Results

Objective: To establish CT scan as a sensitive modality in the diagnosis of sinonasal mass by correlating with the findings of histopathological examination Methods: This cross sectional study was conducted in Dhaka Medical College Hospital (DMCH) from 01/07/2013 to 30/06/2014. A total of 32 cases were studied. Results: In this study male and female ratio was 1.4:1. So, the incidence of sinonasal mass slightly higher in male (59.3%) compared to the female (40.6%). Incidence of malignant tumour was found more in age group above 60 years. Out of 32 patients, 6 patients (18.7%) were diagnosed histopathologically as infective, 7 patients (21.8%) were benign and 19 patients (59%) had malignant sinonasal mass. Conclusion: Computed tomography (CT) scan examination of the sinonasal mass correlate well in most of the cases with histopathological results. It is therefore can be concluded that CT examination of nose and paranasal sinuses is a useful modality in the evaluation of sinonasal mass.  Bangladesh J of Otorhinolaryngology; October 2018; 24(2): 149-155

scholarly journals Tracheostomy in head-neck malignancy

1970 ◽  
Vol 16 (2) ◽  
pp. 120-125
Author(s):  
Mohammad Ashequr Rahman Bhuiyan ◽  
Md Shazibur Rashid ◽  
Md Kamruzzaman ◽  
Mohammed Shafiqul Islam ◽  
Khabir Uddin Ahmed
Keyword(s):  
Economic Status ◽  
Neck Region ◽  
Neck Surgery ◽  
Head Neck Cancer ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Neck Malignancy ◽  
Surgical Emphysema ◽  
Head Neck

Objectives: To find out the frequency ,indications and effects of tracheostomy in head-neck malignancy.Methods: Total 100 cases of head-neck malignancy that needed tracheostomy were studied in the department of Otolaryngology and Head-Neck surgery of Dhaka Medical College Hospital and Begum Khaleda Zia Medical College and Shahid Sohrawardi Hospital, Dhaka.Results: The mean age of the subjects was 53.60 years. Out of 100 cases male were 86 and female were 14 with male to female ratio 6.14:1. The highest number of the subjects were related to cultivation and majority of the subjects came from poor socio-economic status. Malignancy in head-neck region is multifactorial disease. Regarding habits 71% were smoker, 21% were habituated with chewing betel nut and leaf. Only 2% were alcoholic. In 93% tracheostomy was done on an emergency basis and rest 7% was elective. Carcinoma of larynx was the most frequent indication (65%), which was followed by carcinoma pyriform fossa (28%), carcinoma base of the tongue (3%), carcinoma tonsil 2% and carcinoma thyroid gland 2%. The rate of complications was 41%. Surgical emphysema was the commonest complications (19%), which were followed by haemorrhage (7%), wound infection (4%), tube displacement (3%), tube blockage (3%), crusting (2%), stomal stenosis and subglottic stenosis (1%). No fatality was found in this study.Conclusion: The rate of complication of tracheostomy is high in patients of head-neck malignancy with respiratory distress. Key words: Tracheostomy; Head Neck Cancer. DOI: 10.3329/bjo.v16i2.6847Bangladesh J Otorhinolaryngol 2010; 16(2): 120-125

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