scholarly journals Prevalence of Metastatic Neck Nodes

2020 ◽  
Vol 25 (2) ◽  
pp. 102-107
Author(s):  
Md Momin Uddin ◽  
Samia Quadir ◽  
Sabiha Quadir ◽  
Kazi Shameemus Salam ◽  
Debabrota Roy ◽  
...  

Background: Head and neck cancers include cancers of the lips, mouth, nasal cavity, paranasal sinuses, pharynx and larynx. Most of these cancers are squamous cell carcinomas (SCCs). The presence of metastatic cervical lymphadenopathy is of particular importance as with every single nodal metastasis, survival of the patient is reduced by one half. Objective: To see the prevalence of metastatic neck node. Methods: The prospective cross-sectional clinical study was carried out in the Department of ENT and Head Neck Surgery, Combined Military Hospital, Dhaka during March’2018 to March, 2019. All 100 patients were included in this study and were treated at the Department of Otolaryngology of Combined Military Hospital, Dhaka. Results: Total 26 cases were found parotid among them 8(30.8%) in metastatic neck node and 18(69.2%) in without metastatic neck node. Total 10 cases were found paranasal sinuses among them 1(10.0%) in metastatic neck node and 9(90.0%) in without metastatic neck node. Which were statistically significant (p<0.05) between two groups. Conclusion: In this study observed that majority of metastatic neck node were found pyriform fossa, supraglottic larynx, base of tongue which were 68.2%, 68%, 77.8% respectively. In oral cavity and parotid site also found 48.1% and 30.8% metastatic neck node. Bangladesh J Otorhinolaryngol; October 2019; 25(2): 102-107

2020 ◽  
Vol 23 (2) ◽  
pp. 109-114
Author(s):  
Md Hasan Zafar ◽  
Md Mozharul Islam ◽  
Md Manjur Rahim ◽  
Ahmmad Taous ◽  
Md Khalid Asad ◽  
...  

Aims: To find out the occurrence of lymph node metastasis, level of neck node involvement and the pattern of clinical presentation of patients suffering from laryngeal carcinoma. Methods: A cross-sectional study on 90 cases of laryngeal carcinoma was carried out in the inpatient department of Otolaryngology- Head and neck surgery of Dhaka Medical College Hospital, Dhaka during a period of two years. Smoking and chewing betel leaf and tobacco are the most important predisposing factors. Results: Most of the cases presented with more than one symptom. Change of voice was the commonest symptom. Cervical lymphadenopathy are significantly associated with supraglottic carcinoma. Level IV and level III is the commonest level of the lymph node involvement in laryngeal carcinoma. Bangladesh J Otorhinolaryngol; October 2017; 23(2): 109-114


2018 ◽  
Vol 25 ◽  
pp. 26-29
Author(s):  
Subrata Ghosh ◽  
Milon Kumar Chowdhury ◽  
Ashik Iqbal ◽  
Monowar Hussain ◽  
Belayat Hussain Siddique

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


2020 ◽  
Vol 24 (1) ◽  
pp. 29-36
Author(s):  
Md Afzal Karim ◽  
Md Mostafizur Rahman ◽  
Fatema Nihar ◽  
Ahmmad Taous ◽  
Sheikh Mohammad Rafiqul Hossain ◽  
...  

Background: Chronic suppurative otitis media is a disease that is known worldwide and that is more common in developing countries. Many techniques are available for operating the disease. Objectives: To compare outcome between Inside-out & Outside-in mastoidectomy. Methods: A cross-sectional study was conducted to compare outcome between Inside-Out & Outside-in mastoidectomy. Period of study was from July’ 2010 to March, 2012 in the Department of Otolaryngology and Head-Neck Surgery, BSMMU- Dhaka Result: majority of the patient were found dry mastoid cavity 13(68.42%) and rest were wet mastoid cavity 6 (31.58%).On the other hand in outside–in mastoidectomy dry mastoid cavity were 80.6% and wet were 19.4%. In inside-out mastoidectomy, among 8 attic cholesteatoma cases 5(62.50%) had gained hearing (average 6.66 dB) and 3(37.50%) had no gain or loss of hearing (average 3.89dB); among 11 entire mastoid bowl cholesteatoma cases 3(27.27%) had gained of hearing (average 6.11dB) and 8(72.73%) had no gain or loss of hearing (average 6.87dB) Bangladesh J Otorhinolaryngol; April 2018; 24(1): 29-36


2015 ◽  
Vol 20 (2) ◽  
pp. 75-79
Author(s):  
Mohammad Mostafizur Rahman ◽  
Mohammad Idrish Ali ◽  
Md Abdul Karim ◽  
Mohammad Shaharior Arafat ◽  
Mohammad Hanif ◽  
...  

Objectives: To determine the frequency of thyroid carcinoma in clinically or sonogragraphically multinodular goitre in patients undergoing thyroidectomy Setting: This is a cross sectional study was carried out at the Department of Otolaryngology and Head-Neck Surgery, Bangabandhu Sheikh Mujib Medical University during the period from January 2012 to June 2012. Methods: This study includes all the patients admitted in Otolaryngology and Head-Neck surgery department of Bangabandhu Sheikh Mujib Medical University having diagnosis of multinodular goitre & underwent thyroidectomy. All patients with non-toxic multinodular goitre (clinically or sonographically) irrespective of age , sex was be included . Results: Out of 50 patients, 41 patients (82%) were female, and 9 patients (18%) were male with a female to male ratio 4.5: 1. This shows female preponderance of multinodular goitre. Out of 50 patients, 5 patients had histologicaly proven thyroid malignancy (4 females and 1 male). In this study overall incidence of carcinoma in multinodular goitre was 10% and female to male ratio 4:1 with the incidence in female was 9.75% and in male 11.11. The incidence of malignancy under 21 years was 50% and above 21 years was 8.33%. Regarding the types of malignancy in this series, papillary carcinoma was the most common variety (80%) followed by follicular carcinoma (20%). DOI: http://dx.doi.org/10.3329/bjo.v20i2.22022 Bangladesh J Otorhinolaryngol; October 2014; 20(2): 75-79


2014 ◽  
Vol 19 (2) ◽  
pp. 119-123
Author(s):  
Md Tariqul Islam ◽  
Md Harun-Ar-Rashid ◽  
Mohammad Idrish Ali ◽  
Md Momenul Haque

Objective: To assess the rate of graft take and hearing improvement after myringoplasty. Methods: This cross sectional study was carried out among sixty (60) patients those who were admitted into the Department of Otolaryngology & Head-Neck Surgery, Dhaka Medical College Hospital and BSMMU with their descriptive history, clinical finding’s, pre and postoperative hearing assessment by PTA during the period of June’ 2006 to December’2006. Results: Sixty cases were diagnosed as CSOM (tubo-tympanic) disease and underwent myringoplasty. The lowest and highest age of the patient’s at presentation was 15 and 45 years respectively with a mean age of 27 years. The overall success rate was 80% (48 out of 60). The surgical failure was 20% (12 out of 60) and those were graft failure, re-perforation & anterior blunting at the last visit. Graft failure occurred during the first 8 weeks in 3 cases out of the 12 cases. Conclusion: Myringoplasty is a valid treatment modality for tubo-tympanic type of CSOM. DOI: http://dx.doi.org/10.3329/bjo.v19i2.17635 Bangladesh J Otorhinolaryngol 2013; 19(2): 119-123


2021 ◽  
Vol 28 (2) ◽  
pp. 159-163
Author(s):  
Chowdhury Md Mushfiqur Rahman ◽  
Rajat Shuvra Das ◽  
Khundkar Alamin Rumi ◽  
Kazi Monisur Rahman

Background: Emergency tracheostomy is the commonest surgical intervention performed as lifesaving procedure by ENT surgeons on patients in emergency room of ENT and ICU. Several operative and postoperative complications have been reported after tracheostomy including fatal hemorrhage. Massive subcutaneous neck emphysema occurred because ventilation started at the time when the hemorrhage was not completely managed and the tracheal tube was not fully secured. Objective: This study was conducted to compare haemorrhage and surgical emphysema as complication of emergency tracheostomy among patients admitted in Department of ENT and Head-Neck Surgery in Dhaka Medical College & Hospital. Methods and Materials: This was a Cross Sectional Study conducted in the ENT and Head- Neck Surgery Department, Dhaka Medical College Hospital from July 2015 to June 2016. A total of 90 patients were included who fulfilled the selection criteria. Non probability convenient sampling was used to collect data. Statistical analysis was done by SPSS version 21. Results: Mean± SD of the study subjects was 49.84±17.4 years with most patients belonged to 40-79 years age group. 28.9% patients had habit of smoking and betel nut chewing. (48.9%) patients suffered from Ca larynx. Out of 90 tracheostomy patients, 40(44.4%) patients had had different complications including haemorrhage (13.3%), surgical emphysema (10%), haemorrhage with surgical emphysema (6.7%), tube blockage (3.3%), wound infection (3.3%) and injury to local tissue (2.2%). Haemorrhage occurs from anterior jugular vein, middle thyroid veins and thyroid gland and included peroperative haemorrhage (7.8%), immediate post- operative haemorrhage, <24 hours, (4.43%) and late post-operative haemorrhage (1.2%). Conclusion: In this study, haemorrhage followed by surgical emphysema and haemorrhage with surgical emphysema were found as major complications following emergency tracheostomy, J Dhaka Medical College, Vol. 28, No.2, October, 2019, Page 159-163


2019 ◽  
Vol 24 (2) ◽  
pp. 156-161
Author(s):  
Md Abdus Sattar ◽  
Md Mosleh Uddin ◽  
Kazi Shameemus Salam ◽  
Syed Farhan Ali Razib ◽  
Md Momin Uddin ◽  
...  

Setting: Study was conducted in the Department of Otolaryngology and Head-Neck surgery of Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh from 2006 to 2017. Objectives: To find out the frequency, risk factors, and its effect on the management of pharyngocutaneous fistula (PCF). Methods: Observational, Cross Sectional study. Number of laryngectomized patients 249. Results: Total PCF developed 48 (19.27%). Irradiated patients with multiple co-morbidities had more chance to develop PCF. Conclusion: High incidence of pharyngocutaneous fistula mostly due to advanced stage of disease, various levels of surgical expertise and post irradiated patients with multiple comorbidities.  Bangladesh J of Otorhinolaryngology; October 2018; 24(2): 156-161


2020 ◽  
Vol 22 (1) ◽  
pp. 9-14
Author(s):  
Abm Luthful Kabir ◽  
Md Delwar Hossain ◽  
Ashim Kumar Biswas ◽  
Mesbah Uddin Ahmed ◽  
Dhiman Pramanik

Objectives: To assess the ossicular changes in cholesteatoma both in children and in adults. Methods: This was a cross sectional comparative study which was carried out in the departments of Otolaryngology and Head-Neck Surgery of Bangabandhu Sheikh Mujib Medical University and Shaheed Suhrawardy Medical College Hospital during the period of January 2014 to December 2014. A total number of 55 patients having cholesteatoma were included in this study. Patients were divided into two groups according to their age. Age belonged to 18 years and more than 18 years were considered as group I (n=29) and group II (n=26) respectively. All patients were undergone Tympanomastoidectomy and all intraoperative findings were recorded. The two groups were compared with regard to extension of disease and status of ossicular chain. Results: In this study majority of patients were within 11-18 years in children group and within 19-30 years in adults group. Most of the children were male and female predominant in adult group. Extension of disease was significantly higher in children group. Ossicular erosion was also more frequent in children group. Conclusion: Extension of cholesteatoma and ossicular erosion was significantly higher in children group. Bangladesh J Otorhinolaryngol; April 2016; 22(1): 9-14


1985 ◽  
Vol 7 (5) ◽  
pp. 437-442
Author(s):  
P. A. Levine

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