scholarly journals Incidence and Outcome of Second Branchial Cleft Anomalies: A Three Years Experience and Appreciation

2020 ◽  
pp. 1-7
Author(s):  
Delwar AHM
Keyword(s):  
Young Adults ◽  
Retrospective Study ◽  
Neck Surgery ◽  
Inborn Errors ◽  
Medical College ◽  
Branchial Cleft Anomalies ◽  
Teenagers And Young Adults ◽  
Branchial Cleft ◽  
Head Neck Surgery ◽  
Head Neck

Background: Second branchial cleft anomalies are remarkable of all other inborn errors of branchial apparatus. As a congenital, it may be presented at birth but usually manifests in early teenagers and young adults. Like all other inborn errors, it is better to correct earlier before suffering from any complications. Methods: It is a cohort retrospective study of 15 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: Incidence of anomalies among routine ENT operations was 0.21%. Of 15, the cyst was 04(26.27%), sinus was 10(66.66%), the fistula was 1(6.67%), children were 09(60%), the adult was 6(40%), and young adult and an early teenager were 07(46.66%), male was 11(75.33%), and females were 04(26.27%), bilateral were 2(13.33%), unilateral was 13(86.67%) in which right was 10(76.33%), and left was 03(23.08%), painful cyst with abscess was 01(6.67%), the painless cyst was 03(20%), sinus with the mucoid fluid discharge was 07(46.68%), painful sinus with mucopurulent discharge and skin-excoriation was 03(20%), painful fistula with mucopurulent discharge and skin-excoriation was 01(6.67%), post-operative wound infection was 2(13.33%). Recurrence and the branchio-oto-renal syndrome were absent in our study.

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 Adenoids with Glue Ear: Incidence, Management and Outcome

2020 ◽  
pp. 1-8
Author(s):  
Delwar AHM
Keyword(s):  
Hearing Loss ◽  
Retrospective Study ◽  
Social Behavior ◽  
Middle Ear ◽  
Otitis Media With Effusion ◽  
Neck Surgery ◽  
Medical College ◽  
Glue Ear ◽  
Head Neck Surgery ◽  
Head Neck

Background: In the 17th and 18th centuries, Santorini and Wilhem Mayer described the adenoids. Enlarged adenoid or adenoids is a common disorder in children, not only compromise the natural pathway of breathing, but it also obstructs the nasopharyngeal opening of Eustachian tubes. As a result, retention of fluid in the middle ear cavity and the development of glue ear or otitis media with effusion (OME). If it happens, the children present with hearing loss, delayed speech and language, poor social behavior, and may with difficulties of balance. Methods: It is a cohort retrospective study of 251 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: Incidence of adenoids with glue ear, out of total ENT routine operations was 3.54%, and adenoidectomy-tonsillectomy operations were 29.05%. Of them, the male was 102(40.64%), the female was 149(59.36%), 3-5 years were 83(33.07%), 6-10 years 107(42.63%), and 11-15 years 61(24.30%).

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 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 Complete Second Branchial Fistula: A Study of Four Cases

2013 ◽  
Vol 4 (3) ◽  
pp. 129-132 ◽  
Author(s):  
KJ Shinde
Keyword(s):  
Recurrent Infection ◽  
Neck Surgery ◽  
Skin Surface ◽  
Age Group ◽  
Persistent Symptom ◽  
Complete Excision ◽  
Medical College ◽  
Branchial Cleft ◽  
Branchial Fistula ◽  
Head Neck

ABSTRACT Objective Complete branchial cleft fistulae are rare anomalies of branchial cleft apparatus. Incomplete fistulae are more common to occur which may not be symptomatic at all and neglected as it do not give rise to recurrent infection. W hile complete brancial fistula gives persistent symptom of discharge from the fistula. This is a report of four cases of complete branchial fistulae which were diagnosed and treated surgically in a span of 2 years in the Department of ENT, Head and Neck Surgery, Rural Medical College and Pravara Rural Hospital, Loni. The main objective of this report is the use of fistulogram for the diagnosis and complete excision of fistula including the both inner and outer ends of fistulae. Case report Four cases were reported in the age group between 11 and 22 years who presented with an intermittent mucoid discharge from an external opening in the neck since birth with right to left ratio being 4:1 and male:female ratio being 1:1 and were diagnosed to have a second branchial cleft fistula. A preoperative fistulogram revealed the tracts up to the tonsillar fossa with connection over the skin surface in the neck. Complete excision of the tracts were done by a two-step or step ladder neck incision. Conclusion Though second branchial fistulae are common, complete fistulae are rare with its complete excision. The report also stresses on the importance of a preoperative fistulogram for the preoperative diagnosis and correct complete surgical treatment. How to cite this article Shinde KJ. Complete Second Branchial Fistula: A Study of Four Cases. Int J Head Neck Surg 2013;4(3):129-132.

scholarly journals The outcomes of myringoplasty

2014 ◽  
Vol 19 (2) ◽  
pp. 119-123
Author(s):  
Md Tariqul Islam ◽  
Md Harun-Ar-Rashid ◽  
Mohammad Idrish Ali ◽  
Md Momenul Haque
Keyword(s):  
Graft Failure ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Surgical Failure ◽  
Hearing Assessment ◽  
Head Neck Surgery ◽  
Head Neck

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

scholarly journals Parotidectomy, complications and management: our experience

2020 ◽  
Vol 6 (9) ◽  
pp. 1617
Author(s):  
Pranabashish Banerjee ◽  
B. Sikdar ◽  
Gautam Das ◽  
Arijit Das ◽  
Arunava Ghosh
Keyword(s):  
Facial Nerve ◽  
Neck Surgery ◽  
Medical College ◽  
Neck Tumors ◽  
Parotid Surgery ◽  
Different Types ◽  
Head Neck Surgery ◽  
Total Parotidectomy ◽  
Head Neck ◽  
North Bengal

<p><strong>Background:</strong> Salivary gland neoplasms constitute 0.3% of all malignancies and 2%-6.5% of the head-and-neck tumors. Considering the unique anatomy of the gland and its intricate relationship with the facial nerve, significant complications may arise which can result in varying degrees of morbidity.</p><p><strong>Methods:</strong> We present here our experience of Parotid surgery done at two institutes, NRS medical College in Kolkata and North Bengal medical College and Hospital in the Darjeling district from 2013 to 2019 in the department of ENT and Head neck Surgery. Patients were subjected to superficial parotidectomy, total conservative and total parotidectomy depending upon the preoperative FNAC report.</p><p><strong>Results:</strong> 47 patients were subjected to different types of parotidectomies.  Pleomorphic adenoma was the most common pathology encountered and facial nerve palsy was the most common post-operative complication in our series, followed by GAN injury, flap necrosis and Frey’s syndrome.</p><p><strong>Conclusions:</strong> This demographic study will help future parotid surgeons to understand various complications encountered during the surgery and management of those aforesaid complications, improving surgical outcome.</p>

scholarly journals Comparative Study Between Haemorrhage and Surgical Emphysema as Complication of Emergency Tracheostomy

2021 ◽  
Vol 28 (2) ◽  
pp. 159-163
Author(s):  
Chowdhury Md Mushfiqur Rahman ◽  
Rajat Shuvra Das ◽  
Khundkar Alamin Rumi ◽  
Kazi Monisur Rahman
Keyword(s):  
Neck Surgery ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Emergency Tracheostomy ◽  
Fatal Hemorrhage ◽  
Surgical Emphysema ◽  
Head Neck Surgery ◽  
Head Neck

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

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