scholarly journals Relationship between social factors and frequency of chronic suppurative otitis media and its extracranial complication

2014 ◽  
Vol 19 (2) ◽  
pp. 104-109
Author(s):  
Md Harun-Ar-Rashid Talukder ◽  
Md Monwar Hossain
Keyword(s):  
Social Factors ◽  
Clinical Presentation ◽  
Lower Class ◽  
Neck Surgery ◽  
College Hospital ◽  
Cross Sectional ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Presentation Methods ◽  
Extracranial Complications

Objectives: To determine the relationship between social factors and frequency of CSOM & its extracranial complications and their clinical presentation. Methods: This cross-sectional study was carried out in the Department of Otolaryngology Head and Neck Surgery, Sir Salimullah Medical College & Mitford Hospital and Dhaka Medical College Hospital from 1st July 2009 to 30th June 2010. Results: In this study male (59%), lower class people (57%), age 11-20 years, resident in rural area (66%) and less educated patients were more affected. Having bath in the pond and/or river suffers more. Clinical presentation of CSOM and complication were aural discharge (100%), hearing impairment (94%), post auricular swelling (45%), pain in the ear (21%), postauricular discharge (27%), tinnitus (11%), vertigo (9%), headache (07%) and mass in the EAC (12%). Here found aural discharge mostly malodorous and scanty, attic perforation and cholesteatoma. Post auricular abscess most common (47%) extracranial complication and labyrinthitis is the lowest (3%). Atticoantral variety was more common (89%). Conclusion: Lower class people of rulal area, children and less educated personals were affected more with CSOM and its extracranial complications. So proper awareness among all level of people including medical practitioners can enhance prompt diagnosis and treatment and reduce the complication. DOI: http://dx.doi.org/10.3329/bjo.v19i2.17633 Bangladesh J Otorhinolaryngol 2013; 19(2): 104-109

scholarly journals Frequency of Extracranial Complications of Chronic Suppurative Otitis Media

2016 ◽  
Vol 34 (1) ◽  
pp. 3-8
Author(s):  
Md Harun Ar Rashid Talukder ◽  
Md Monwar Hossain ◽  
Md Tariqul Islam ◽  
Mohammad Idrish Ali ◽  
Mujibur Rahman ◽  
...  
Keyword(s):  
Epidemiological Data ◽  
Lower Class ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Suppurative Otitis Media ◽  
Medical Practitioners ◽  
Medical College ◽  
Extracranial Complications

Objectives: To see the way of presentation of extracranial complication, relationship between socio-economic conditions and extracranial complication of chronic suppuration otitis media.Methods: This is a cross-sectional study carried out in Department of Otolaryngology Head and Neck Surgery, Sir Salimullah Medical College & Mitford Hospital and Dhaka Medical College Hospital from 1st July 2009 to 30th June 2010. The diagnosis was made by detailed history, clinical examination & investigation. Analyzed data was presented by various tables.Results: In this study male (59%), lower class people (57%), age 11-20 years, rural (66%) and less educated patients were more affected. Having bath in the ponds and rivers suffers more. Clinical presentation of CSOM with complications were aural discharge (100%), hearing impairment (94%), post auricular swelling (15%), pain in the ear (21%), postauricular discharge (27%) and mass in the EAC (12%). Here found aural discharge mostly malodorous and scanty, attic perforation and cholesteatoma. Post auricular abscess most common (47%) extracranial complication and labyrinthitis was the lowest (3%). Atticoantral variety was more common (89%) than that of tubotympanic disease (11%).Conclusion: From the review of the series we found the frequency & types of extracranial complications arising from CSOM and known the current epidemiological data. It can produce awareness among all level of medical practitioners and enhance prompt diagnosis and treatment.J Bangladesh Coll Phys Surg 2016; 34(1): 3-8

scholarly journals Clinicopathological study on CSOM: a comparison between tubotympanic and atticoantral variety

2012 ◽  
Vol 18 (2) ◽  
pp. 138-144 ◽  
Author(s):  
Phub Tshering ◽  
Md. Abul Hasnat Joarder ◽  
M Alamgir Chowdhury ◽  
Kanu Lal Saha
Keyword(s):  
Hearing Loss ◽  
Neck Surgery ◽  
College Hospital ◽  
Cross Sectional ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Intracranial Complications ◽  
Group A ◽  
Group B ◽  
Medical University

Introduction: This study aimed to compare the clinico-pathological features of the tubotympanic and atticoantral variety of chronic suppurative otitis media (CSOM).Methods: This was a cross sectional observational study conducted in the department of Otolaryngology – Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU) and Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh. The study was done over a period of six months and a total of 60 cases were selected. In group A 30 cases of CSOM tubotympanic variety were included while in group B 30 cases of atticoantral variety of CSOM were selected. The two groups were compared with regard to their clinical presentations, the type and degree of hearing loss and their associated complications by taking a detailed history followed by clinical examination and doing the relevant investigations.Results: In group A, the patients presented with a profuse non smelly discharge. All had a central perforation and majority had mild conductive hearing loss. There were no associated complications. In group B, the aural discharge were foul smelling and scanty. The perforations were 66% in the attic while 33.3% had marginal perforations. The hearing loss was mainly conductive in nature but in group B it’s more severe in degree and also there were more associated severe to profound sensori-neural hearing loss. There were also associated extracranial and intracranial complications in group B patients.Conclusion: The atticoantral variety of CSOM is associated with a foul smelling scanty discharge with severe hearing loss and complications than the tubotympanic variety of CSOM. Therefore early detection becomes essential especially in the primary care setting for appropriate referral to higher centers for better management DOI:http://dx.doi.org/10.3329/bjo.v18i2.11991 Bangladesh J Otorhinolaryngol 2012; 18(2): 138-144

scholarly journals Presentation of sinonasal carcinoma

2014 ◽  
Vol 19 (2) ◽  
pp. 99-103
Author(s):  
Md Momenul Haque ◽  
Mohammad Idrish Ali ◽  
Md Harun-Ar-Rashid ◽  
Md Tariqul Islam ◽  
Mujibur Rahman ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Economic Condition ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Medical College ◽  
Sinonasal Carcinoma ◽  
Age Limits

Objective: To observe the pattern of clinical presentation according to site of origin of sinonasal carcinoma. Methods: This cross-sectional study was done in the Department of Otolaryngology-Head and Neck Surgery, BSMMU and Dhaka Medical College Hospital, Dhaka during the period from January 2008 to December 2009. Patients of sinonasal carcinoma were evaluated by detailed history, clinical examination and relevant investigations. Results: The present study included 40 patients of sinonasal malignancy bearing age limits of 4 years to 75 years with mean age 48.29. Male and female ratio was 2.6:1. Most patients (77.5%) came from rural area and illiterate (40%) and most of them were farmers (40%), having poor socio-economic condition (50%). About 35% of them were smokers and more than one other personal habit. Majority patients presented with multiple sinuses involvements (72.5%) and among single sinus involvement maxillary sinus was most common (63.63%), followed by nasal cavity (27.27%) and ethmoidal sinus (9.09%) as primary site. Conclusion: Though carcinoma of the nose and paranasal sinuses is relatively uncommon, it is not uncommon in our country. This disease generally presents in an advanced stage. Overall prognosis was directly related to diseases stages. DOI: http://dx.doi.org/10.3329/bjo.v19i2.17632 Bangladesh J Otorhinolaryngol 2013; 19(2): 99-103

scholarly journals Hearing Loss In Chronic Suppurative Otitis Media (CSOM)

2020 ◽  
Vol 23 (1) ◽  
pp. 59-66
Author(s):  
Muhammad Rafiqul Islam ◽  
Mohammad Abdullah ◽  
ABM Luthful Kabir ◽  
Syed Sanaul Islam ◽  
Mohammad Harun Or Rashid
Keyword(s):  
Hearing Loss ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Number Of Patients ◽  
Hearing Assessment ◽  
Conductive Hearing

Objectives: To evaluate the type and degree of hearing loss in CSOM and also to find out any relationship between the hearing loss and disease duration. Methods: This was a cross sectional study which was carried out in the departments of Otolaryngology and Head-Neck Surgery of BSMMU and Dhaka Medical College Hospital during the period of July’2011 to December’2011. A total 80 cases of CSOM were collected. Patient below the age of 5 years and patients above the age of 50 years were excluded from this study. The diagnosis of CSOM was established on the basis of clinical examination- otoscopy and tunning fork test. Pure tone audiogram (PTA) was done for hearing assessment. Thus, 80 cases of CSOM were collected with their PTA reports of 117 ears. Results: The study included 80 patients of CSOM, of them 60 were with tubo-tympanic type and 20 were with attico-antral disease. Highest number of patients was in 2nd decade in both type of disease. 44.79% of ears of tubo-tympanic type were associated with mild (26-40 dB) hearing loss and 42.85% attico-antral variety was with moderate (41-55 dB) hearing loss. Conductive type of hearing loss was common in both types of disease. 98% of ears in tubotympanic and 81% of ears in attico-antral disease had conductive hearing loss. Mixed type (2.08%) of hearing loss was found in tubo-tympanic disease. Attico-antral disease was also associated with mixed (14.28%) and SNHL (4.76%). Conclusion: The above study revealed that hearing loss in CSOM is mostly conductive in nature rarely sensorineural in type. Bangladesh J Otorhinolaryngol; April 2017; 23(1): 59-66

scholarly journals Pattern of clinical presentation of hypopharyngeal carcinoma

2014 ◽  
Vol 19 (2) ◽  
pp. 87-93
Author(s):  
Narayan Prosad Sanyal ◽  
Mohyammad Idrish Ali ◽  
Md Ahsanul Habib ◽  
Md Morshed Alam ◽  
Masroor Rahman ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Posterior Pharyngeal Wall ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Hypopharyngeal Carcinoma ◽  
College Hospital ◽  
Cross Sectional ◽  
Pharyngeal Wall ◽  
Female Ratio ◽  
Medical College

Objectives: To determine the pattern of clinical presentation of hypopharyngeal carcinoma and pattern of metastases. Methods: This was a cross sectional study with 60 patients. Study was carried out in the Department of Otolaryngology and Head Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka Medical College Hospital and Mitford Hospital during the period of July 2005 to June 2007. This diagnosis was made by detailed history clinical examination and relevant investigation. Analyzed data and presented by various tables, graphs and figures. Result: In this study majority of the patients were within 51-60 years, male female ratio was 7.5:1, majority was smoker (91.66%), 58% patients had habit of tea, 88.32% of the patients chewed betel, Majority of the patients (81.16%) had presented with progressive dysphagia 76.66% and hoarseness of voice (60%), There was neck swelling in 53.3% and haemoptysis in 25% of patients. 63.33% patients had ulcerative lesion, 40% normal laryngeal movements, 63.33% were adequate airway, 65% patient had cervical lympadenopathy. Primary lesion was 75% in pyriform fossa, 20% in post cricoid region and 5% in posterior pharyngeal wall. 46.66% were T3 stage, 53.33% N1 and 48.71% were level IV nodal involvement. Conclusion: Hypophayngeal carcinoma usually presents in advanced state. DOI: http://dx.doi.org/10.3329/bjo.v19i2.17630 Bangladesh J Otorhinolaryngol 2013; 19(2): 87-93

scholarly journals Pattern and Causes of Hearing Loss Among the Patients Attending in an ENT OPD

2014 ◽  
Vol 5 (2) ◽  
pp. 9-13 ◽  
Author(s):  
SMG Rabbani ◽  
MA Chowdhury ◽  
AM Shumon ◽  
N Yasmeen ◽  
M Rashid ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Mixed Type ◽  
Disease Process ◽  
Neck Surgery ◽  
College Hospital ◽  
Cross Sectional ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Impaired People ◽  
The Right

This cross sectional prospective study was carried out in the Department of Otolaryngology- Head & Neck Surgery, Tairunessa Memorial Medical College Hospital (TMMCH), Boardbazar, Gazipur, Bangladesh in a period of 12 months from 01.01.2012 to 31.12.2012 among those complaining hearing loss attending in ENT OPD. The aim of the study was to find out pattern and causes of hearing loss. Two hundred cases of hearing impaired people were taken and the data were collected by interviewing the cases as per questionnaire from history, examinations & investigation reports. The commonest type of hearing loss was conductive type. In the right ear 114 cases (63.33%) of conductive type of deafness, 36 cases (20%) of mixed type of deafness and 30 cases (16.67%) of sensorineural type of deafness. In the left ear 106 cases (61.62%) of conductive type of deafness, 40 cases (23.25%) of mixed type of deafness and 26 cases (15.13%) of sensorineural type of deafness. This study showed that females (58%) were mostly affected than males (42%) and garments workers (45%) were commonest group of people. From this study we got both ears were involved by disease process in 76% of the patients and only right ear was 14% and only left ear was 10%. The commonest cause of hearing loss is chronic suppurative otitis media. The ear diseases are common in our country but its diagnosis is usually delayed, till then certain amount of hearing loss has occurred. So awareness, early diagnosis and proper treatment are needed to improve the situation. DOI: http://dx.doi.org/10.3329/akmmcj.v5i2.21125 Anwer Khan Modern Medical College Journal Vol. 5, No. 2: July 2014, Pages 9-13

scholarly journals Clinical presentation and complication of chronic suppurative otitis media with cholesteatoma in a rural setting

Mediscope ◽  
2017 ◽  
Vol 4 (2) ◽  
pp. 25-28
Author(s):  
MS Islam ◽  
MA Gafur ◽  
L Noor ◽  
MR Islam
Keyword(s):  
Otitis Media ◽  
Clinical Presentation ◽  
Chronic Suppurative Otitis Media ◽  
Rural Setting ◽  
College Hospital ◽  
Suppurative Otitis Media ◽  
Intracranial Complication ◽  
Medical College ◽  
The Right ◽  
Almost All

To study the clinical presentations of chronic suppurative otitis media (CSOM) with cholesteatoma and its complication, 96 patients with CSOM from ENT department of a medical college hospital during January 2011 to January 2014 were included in this study. The highest number of cases belonged to the age group of 11-20 years (55.2%), and the number of males and females was 67.2% and 32.8%, respectively. Almost all the patients presented with multiple symptoms. The most common symptoms were discharge from ear(s) (100.0%), hearing impairment (83.3%), earache (15.6%), fleshy mass in ear(s), etc. Of the patients, 67.9% cases were without complication, 26.1% with extracranial complication and 6.3% with intracranial complication. All the cases had a perforation either in the posterior superior marginal (66.5%) or in the attic region (33.5%). Most of the patients were having unilateral CSOM with cholesteatoma, in the right side (64.3%), left side (35.7%), and a few (4.2%) bilateral involvement. Although 83.3% of the patients complained of deafness, audiometric tests were done in 93.7% of the patients excluding 6.4% who had intracranial complication. All of them (93.7% tested) had developed deafness; mild deafness (20.0%), moderate deafness (77.8%), and severe deafness (2.2%). In conclusion, the pattern of clinical presentation and complication of CSOM with cholesteatoma in rural setting may be similar with the pattern involving urban population and early diagnosis of CSOM with cholesteatoma by taking proper history and clinical examination, and timely surgical intervention may be helpful to eradicate the disease and prevent complications.Mediscope Vol. 4, No. 2: Jul 2017, Page 25-28

scholarly journals Postoperative complications and its management after total laryngectomy

2014 ◽  
Vol 19 (2) ◽  
pp. 82-86 ◽  
Author(s):  
Kazi Atikuzzaman ◽  
Khabir Uddin Ahmed ◽  
Mahmudul Hassan
Keyword(s):  
Wound Infection ◽  
Total Laryngectomy ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Pharyngocutaneous Fistula ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Carcinoma Larynx ◽  
Male Patients

Objectives: To find out the pattern of complications, frequency, risk factors and the management after total laryngectomy. Methods: It was a cross sectional study done in the Department of Otolaryngology & Head- Neck Surgery, Shaheed Suhrawardy Medical College Hospital, Dhaka from July 2007 to Dec 2009. 15 patients undergoing total laryngectomy for histologically proven Carcinoma larynx were included in this study. Patients were reviewed after surgery and any complication that occurred was recorded. The presentation, diagnosis and management of these complications were discussed after total laryngectomy. Results: There were 15 male patients, 3 non radiated cases and 12 post irradiated cases. Age of patients ranged from 35-75 years. Complications included wound infection (04), pharyngocutaneous fistula (03), flap necrosis (01), pharyngeal stenosis (01), stomal stenosis (01) and stomal recurrence (01). Conclusions: Wound infection and pharyngocutaneous fistula are most common complications after total laryngectomy. Preoperative radiotherapy is an important risk factor for development of pharyngocutaneous fistula in total laryngectomy patients. DOI: http://dx.doi.org/10.3329/bjo.v19i2.16366 Bangladesh J Otorhinolaryngol 2013; 19(2): 82-86

Complications of Parotid Surgery – A Study of 30 Cases

2015 ◽  
Vol 21 (1) ◽  
pp. 23-27 ◽  
Author(s):  
Ashim Kumar Biswas ◽  
Nasima Akhtar ◽  
Timir Kumar Debnath ◽  
Anita Sarkar ◽  
Kazi Sameemus Salam
Keyword(s):  
Facial Nerve ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Benign Tumors ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Superficial Lobe ◽  
Marginal Mandibular Nerve ◽  
Parotid Surgery

Objectives: To find out the complication of parotid surgery and association of nerve injury with the type of disease pathology and type of parotid surgery.Methods: This cross-sectional study on 30 cases was carried out in the Department of Otolaryngology-Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University & Dhaka Medical College Hospital, Dhaka from September 2011 to September 2012. After taking history, clinical examination and investigation (FNAC, CT-scan) diagnosis was confirmed by histopathological examination.Results: In this study, lowest age was 14 years and highest age 65 years, male to female ration was 1.1:1. 83.33% cases were benign and 16.67% cases were malignant. Most of benign tumors was pleomorphic adenoma (80%). 88% cases involved in superficial lobe. Temporary facial nerve paresis was the most common postoperative complication (29.97%); 6.6% cases develoved permanent facial palsy and hypoesthesia of ear was 26.04%. Most patient regained normal facial nerve function within 6 months from the onset.Conclusion: Marginal mandibular nerve is the most common branch of facial nerve injury.Bangladesh J Otorhinolaryngol; April 2015; 21(1): 23-27

Tracheostomy in Intensive Care Unit: Indications, Benefits and Complications

2015 ◽  
Vol 21 (1) ◽  
pp. 28-32
Author(s):  
Muddassir Mahmud ◽  
Md Abul Hossain ◽  
Md Zakaria Sarkar ◽  
HS Mubarak Hossain ◽  
Md Obaidul Islam ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Endotracheal Intubation ◽  
Cervical Spinal Cord ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Cord Injury

Objectives: To see the common indications of tracheostomy in ICU in this country, to compare the benefits over endotracheal intubation and to find out the pattern of complication of tracheostomy in the ICU to enrich the ideas for minimizing the complications.Methods: This is a cross sectional study was carried out at the Department of Otolaryngology and Head-Neck Surgery and Intensive Care Unit of Bangabandhu Sheikh Mujib Medical University & Dhaka Medical college Hospital, Dhaka from October 2012 to march 2013.This study includes all ICU patients, irrespective of age and sex, whose tracheostomy has done after admission in Intensive Care Unit.Results: The study revealed that the commonest indication of tracheostomy in the ICU was head injury with history of RTA (27.5%), followed by post operative case of Intracranial space occupying lesion (25%). Next common indications were Guillain-Barre syndrome (15%), cerebrovascular accident (12.5%), Maxillofacial trauma (5%), RTA with cervical spinal cord injury (5%), and post operative pneumonia (5%)., Regarding benefits of tracheostomy over endotracheal intubation in ICU we found that 100% patient had greater comfort.The rate of complication of tracheostomy in ICU was 10% in this study. Surgical emphysema was the commonest complications (5%) followed by haemorrhage(2.5%) and tube displacement(2.5%).Bangladesh J Otorhinolaryngol; April 2015; 21(1): 28-32

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