scholarly journals SURGICAL COMPLICATIONS OF PARAPHARYNGEAL SCHWANNOMA: OUR EXPERIENCE

2020 ◽  
pp. 1-3
Author(s):  
Debabrata Das ◽  
Pritha Ghosh ◽  
Riya Das ◽  
Tanmoy Sarkar
Keyword(s):  
Neurological Complication ◽  
Tertiary Care ◽  
Surgical Excision ◽  
Neurological Complications ◽  
Neck Mass ◽  
Female Ratio ◽  
Transcervical Approach ◽  
Medical College ◽  
Male Female Ratio

Introduction– Tumors of parapharyngeal space are rare. Schwannomas, originating either from Schwann cells or fibroblasts supporting the nerve, are one of the benign neurological tumors occurring in this space. Surgical excision is the mainstay of its management. Transcervical approach is carried out for most of the parapharyngeal schwannomas. This article aims to study the clinical and radiological presentation of parapharyngeal schwannoma and also to study post-operative neurological outcome. Materials and methods – A retrospective study was conducted from June 2018 to November 2019 (1.5 years) at the Department of Otolaryngology, in a tertiary care medical college & hospital. A total of 7 cases of parapharyngeal schwannoma were selected; the clinical, radiological presentation was studied. Post-operative complications were studied within a follow up period of 8 months. Results – The mean age of presentation was 44 years. Male: Female ratio was 5:2. Five patients (71.4%) presented with left sided lesions whereas 2 patients (28.6%) were with right sided lesions. The most common presentation was an asymptomatic palpable neck mass in 4 patients (57.1%). 4 patients (57.1%) had mass arising from vagus nerve, 2 patients (28.6%) had mass arising from sympathetic trunk and one patient (14.3%) had mass arising from hypoglossal nerve. 4 patients (57.1%) had neurological complication in immediate post-operative period, out of which 3 patients (42.8%) improved within 8 months follow up. Conclusion – Most of the parapharyngeal schwannoma presents with asymptomatic slow growing neck and/or oropharyngeal mass. Progressive growth can result in dysphagia. Surgical excision may accompany neurological complications. Outcome of neurological sequelae depends on preserving the anatomical integrity of the nerve from which the tumor arises.

scholarly journals A study of clinical profile of renal involvement in diabetic patients in correlation with diabetes complication at tertiary care center, Gujarat, India

2020 ◽  
Vol 7 (4) ◽  
pp. 630
Author(s):  
Virendra Kosamiya ◽  
Niyati Gosai
Keyword(s):  
Diabetic Patient ◽  
Microvascular Complications ◽  
Care Center ◽  
Renal Involvement ◽  
Tertiary Care ◽  
General Medicine ◽  
Diabetic Patients ◽  
Female Ratio ◽  
Medical College ◽  
Male Female Ratio

Background: The chronic complications of diabetes are broadly divided into microvascular and macrovascular, with the former having much higher prevalence than latter. Microvascular complications include neuropathy, nephropathy and retinopathy. Objectives of the study was to assess the clinical and biochemical profile of renal involvement in diabetic patient and complications due to diabetes mellites.Methods: This was a hospital based prospective study done in which total of 250 cases attended and admitted at general medicine department, Government Medical College, Sir. T. Hospital, Bhavnagar. Study included Diabetic patient having age - >12 years, Both Gender and Patient who gives consent for study.Results: Almost 54.8% having age between 41-60 years, Male: female ratio 0.87:1 and 44.0% were to ‘obese 2’ Body mass index (BMI) category. Around 22.4% participants have retinopathy, 30.0% have anemia, 62.4% have HTN and 26.8% have Ischemic Heart Disease (IHD). Almost 59.6% participants have S. creatinine level was 1.3 to 4 mg/dL and 43.6% have stage 5 of Chronic Kidney Disease (CKD).Conclusions: Incidence of DM Nephropathy increase with age. With increasing numbers of years of diagnosed DM, the chances of DM Nephropathy are increased and as the duration of DM as well as duration of uncontrolled glycemia increases GFR decreases and DM Nephropathy progresses. HbA1c is a useful marker to account for the glycemic control over the past months, and hence the better indicator to the development as well as progression of DM Nephropathy.

scholarly journals Efficacy and Safety Profile of Extended Release Tolterodine in Symptomatic Overactive Bladder

2018 ◽  
Vol 17 (1) ◽  
pp. 34-37
Author(s):  
Md Mofizur Rahman ◽  
AKM Anwarul Islam ◽  
Hasan Md Abdur Rouf ◽  
SAMS Golam Kibria
Keyword(s):  
Overactive Bladder ◽  
Medical Condition ◽  
Receptor Subtypes ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Male Female Ratio ◽  
Tolterodine Er ◽  
Scale Data

Background: Overactive Bladder (OAB) is a debilitating medical condition having the symptoms of urinary frequency and urgency with or without urge incontinence. Tolterodine was the first drug developed specifically for the treatment of OAB. It is a competitive muscarinic antagonist that exhibits similar affinities for muscarinic receptor subtypes M1 to M3. Tolterodine may be a more target specific drug that possesses stronger selectivity for the urinary bladder than for the salivary glands. In a pilot study in healthy volunteers, tolterodine was well-tolerated and showed greater function than on salivation. Objectives: To study the efficacy of tolterodine (ER) in relieving symptoms of overactive bladder with its adverse effects to determine the safety of the drug. Methods: This study was conducted at the Department of Urology, Chittagong Medical College Hospital, Chittagong, Bangladesh, from March, 2014 to June, 2015. Purposive sampling was done. Bladder diary was used for evaluating the symptoms of the patient during baseline and 08 weeks follow up. Perceived level of benefit of the patients was assessed and graded using Likert scale. Data analysis was conducted by SPSS version-21. Results: Out of 80 patients, 19 (23.75%) were male and 62 (76.25%) were female with a male: female ratio 1:3.2. The study revealed that the most of the patients, 48 (60.0%) were subjected to much benefit followed by 23 (28.75%) patients experienced little benefit and 09 (11.25%) patients with no benefit from the treatment. Conclusion: With mild form of side effects tolterodine showed a significant level of efficacy on overactive bladder. Chatt Maa Shi Hosp Med Coll J; Vol.17 (1); Jan 2018; Page 34-37

scholarly journals Aggressive angiomyxoma of the vulva: a case report in a Brazilian patient

2019 ◽  
Vol 5 (2) ◽  
pp. 54-57
Author(s):  
Antonio Chambo Filho ◽  
◽  
Emmanuel Nasser Vargas Araujo de Assis ◽  
Flávia de Sousa Freitas Scherre ◽  
Luciene Lage da Motta ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Surgical Excision ◽  
Aggressive Angiomyxoma ◽  
Female Ratio ◽  
Brazilian Patient ◽  
Male Female Ratio ◽  
Aggressive Tumor ◽  
The Right

Aggressive angiomyxoma is a locally aggressive tumor of mesenchymal origin. The condition predominantly affects females, with a male/female ratio of 6:1. Most cases occur during the reproductive years, with a peak between the third and fourth decades of life. The symptoms are non-specific, and the principal differential diagnosis is with Bartholin’s cysts or abscesses. The treatment of choice is surgical excision of the lesion, including evaluation of the margins. This case report refers to a 41-year old patient with an insidiously growing lesion on the right vestibular area measuring approximately 9 x 5 x 5 cm, associated with dyspareunia. Surgical excision was successful, and there have been no signs of tumor recurrence in the six months of follow-up. Differential diagnosis in cases of vulvar lesions is of the utmost importance. A detailed vulvar examination is essential to ensure early diagnosis and to reduce the rate of underdiagnosed cases of aggressive angiomyxoma

Çocuklarda Brankiyal Yarık Anomalileri

2021 ◽  
Author(s):  
Orkhan Farzaliyev ◽  
Özlem Boybeyi Türer ◽  
Tutku Soyer ◽  
Feridun Tanyel
Keyword(s):  
Physical Examination ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
Neck Mass ◽  
Fistula Tract ◽  
Radiological Findings ◽  
Recurrence Rates ◽  
Submandibular Region ◽  
Female Ratio ◽  
Male Female Ratio

INTRODUCTION: Objective: A retrospective study was planned to evaluate the clinical and radiological findings of childhood branchial anomalies together with the subclasses of the anomaly and to discuss the surgical results. Method: The medical records of the patients managed for branchial cleft anomaly between 2014 and 2019 were examined. Demographic features, clinical and radiological findings, surgical managements and outcomes were recorded. Results: Eighteen cases were included in the study. Median age of the cases was 5 years (1-14). Male/female ratio was 9/9. The complaints were discharge from the BC (n=13, 72%) and painless neck mass (n=3, 17%). The BC was at right side in 8 (44%), left side in 9 (%50) and bilateral in 1 case (6%). Physical examination revealed the presence of a fistula, and its orifice in 14 cases and cystic lesion was palpable in 4 cases. Ultrasound was performed in 9 cases (50%) and cyst could be detected in 3 of them. All cases were operated and step-ladder incision was used in 8 cases. The fistula tract was ended near to pharynx in 2, near to pretonsillar fossa in 10, submandibular region in 5, and external auditory tract in 1 case. Histopathological examination revealed inflammation in 2 cases and cartilage in 1 case. Stratified ciliary columnar and stratified squamous cell epithelium was detected in samples. Conclusion: Physical examination is the most important diagnostic method. The management is surgery and excision of whole lesion is important in preventing recurrences. Although using methylene blue is a guiding technique in surgical excision of tracts, the effect of its use on surgical outcome and recurrence rates is still debatable.

HISTOPATHOLOGICAL SPECTRUM OF GALLBLADDER DISEASES IN A TERTIARY CARE CENTER – A RETROSPECTIVE STUDY

2021 ◽  
pp. 34-36
Author(s):  
Kanimozhi. S ◽  
Veera Raghavan. G ◽  
Sofiya. C ◽  
Pushpa. B
Keyword(s):  
Retrospective Study ◽  
Care Center ◽  
Gallbladder Disease ◽  
Tertiary Care ◽  
Lifestyle Changes ◽  
Parasitic Infections ◽  
Female Ratio ◽  
Gallbladder Diseases ◽  
Medical College ◽  
Male Female Ratio

BACKGROUND: Gallbladder disease is known to affect a substantial number of people throughout the world. In India, the disease prevalence is on the rise, largely attributable to dietary & lifestyle changes, thus causing a signicant disease burden. The purpose of this study is to evaluate the varied histological manifestations of gallbladder pathology and their association with cholelithiasis. MATERIALS & METHODS: This retrospective study was conducted in the department of pathology, Kilpauk medical college from January 2018 to December 2018. The clinical data and the histopathological changes were evaluated. RESULTS: Of the 156 cases which were studied, 120 cases (77%) had gallstones. The mean age was 47 years. Females had a slight preponderance for gallbladder diseases with the Male: Female ratio being 1:2. 138 cases (89.8%) were diagnosed as chronic cholecystitis. 3 cases were diagnosed to have invasive malignancies. CONCLUSION: A diverse spectrum of diseases affect the gallbladder encompassing inammatory conditions, parasitic infections, pseudoneoplastic lesions and neoplasms. Routine cholecystectomy specimens should be evaluated meticulously as incidental ndings and diagnosis can be transformative.

scholarly journals Clinicopathological Study on Hypopharyngeal Carcinoma in Dhaka Medical College Hospital

2016 ◽  
Vol 21 (2) ◽  
pp. 85-89
Author(s):  
Md Nazmul Islam ◽  
Dipankar Lodh ◽  
Mohammad Mamun Siddiqui ◽  
AF Mohiuddin Khan ◽  
Kazi Meherunnesa
Keyword(s):  
Neck Surgery ◽  
Cross Sectional Study ◽  
Neck Mass ◽  
Medical College Hospital ◽  
Hypopharyngeal Carcinoma ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Medical College ◽  
Male Female Ratio

A Cross-Sectional Study was carried out from July 2006 to June 2007 at Department of Otolaryngology and Head-Neck Surgery of Dhaka Medical College Hospital, Dhaka. Data was collected from 150 patients with histologically diagnosed Hypopharyngeal carcinoma. Results of this study showed that hypopharyngeal carcinoma affects more in fifth (36.7%) and sixth (27.4%) decades of life. It was found that male were highly predominant to develop hypopharyngeal carcinoma and male female ratio was 9:1. People with lower educational level were found to be affected more by hypopharyngeal carcinoma. In this study 86 percent patients had history of smoking. Mean duration of smoking was 38.0±23.6 years. This study found that the key symptoms of hypopharyngeal carcinoma was dysphagia, pain and neck mass. In this study 83.5 percent patients presented with palpable lymph node and most (76.6%) of them were in level II. Pyriform fossa was found to be the commonest site (83.3%). In this study all malignancy in hypopharynx was histopathologically squamous cell carcinomaBangladesh J Otorhinolaryngol; October 2015; 21(2): 85-89

scholarly journals Evaluation of level of satisfaction among indoor patients attending in a tertiary care hospital of Rajnandgaon (C.G.), India

2018 ◽  
Vol 5 (4) ◽  
pp. 1428
Author(s):  
Nirmal Verma ◽  
Nitin Kamble ◽  
Dhiraj Bhawnani ◽  
Kiran Makade ◽  
Monika Dengani ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Cost Effective ◽  
Professional Services ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Patient’S Satisfaction ◽  
Medical College ◽  
Male Female Ratio

Background: Patient expression is an important source of information in screening for problems and developing an effective plan of action for quality improvement in health care organizations. Assessing satisfaction has been mandatory for quality control of any hospital, which has resulted in an increasing number of projects devoted to the concept of satisfaction and determinant of patient satisfaction.Methods: The present Cross sectional Observational Hospital based study was conducted in Government Medical College Hospital, Rajnandgaon (C.G.) India during April 2016 to September 2016. A sample of 200 patients was taken who were admitted in different Indoor Patients Department of Clinical departments. Patients were selected according to inclusion and exclusion criteria. The information from the patients on various aspects of patient’s satisfaction like admission procedure, communication with staff, physical care, test and operation help availability, cleanliness, privacy related issues and overall satisfaction was obtained by interview with patients based on the semi structured questionnaire proforma.Results: In the present study, among IPD patient Male: Female ratio was 3:2 approx. Helpfulness of person at registration desk was ranked very good by 93% subject. Wheelchair was available for most of the patients (95%) but its availability when needed was ranked very good by 76% patients only. Majority of patient were satisfied with the behavior of the lab technician (89%), availability of lab results on given time (81%).Conclusions: This study shows that patients admitted in the various wards of hospital were satisfied with the quality of professional services by doctors, nursing and paramedical staff but problem lies with the availability of basic amenities. Overall present study shows that assessing satisfaction of patients is simple, easy and cost effective way for evaluating the hospital services.

scholarly journals The clinical study and management of lateral neck masses

2017 ◽  
Vol 4 (3) ◽  
pp. 1071
Author(s):  
Amol Vasantrao Deshpande ◽  
Amit Narayan Pothare
Keyword(s):  
Radical Neck Dissection ◽  
Neck Mass ◽  
Lateral Neck ◽  
Female Ratio ◽  
Medical College ◽  
Neck Masses ◽  
Male Female Ratio ◽  
Neck Anatomy ◽  
Malignant Lesions ◽  
Diagnostic Modalities

Background: Tumors of neck are especially interesting to surgeons because of complex neck anatomy and difficult differential diagnosis. The aim is to study different type of lateral neck masses excluding thyroid and salivary swellings, there relation with age and se, there clinical features, presentation, and complications, diagnostic modalities and treatment according to the diagnosis and miscellaneous and rare lumps in the neck.Methods: The study was conducted at Shri Vasantrao Naik Government Medical College, Yavatmal, Maharashtra, India from January 2012 to December 2015. In cases of tubercular lympahdenopathy, patients are treated with antitubercular chemotherapy regime DOT’s. In cases of malignant secondaries in neck, patients were offered radical neck dissection, radical radiotherapy or neoadjuvant chemotherapy followed by neck dissection.Results: Total 228 patients are studied. 74.56% were benign and 25.44% were malignant. Most common age group affected was 11-20 years. Malignant lesions were more common after 50 years. Male female ratio was nearly equal. Most common lesion overall was tubercular lymphadenopathy followed by malignant lymph nodes.Conclusions: Lymphadenopathy predominated lateral neck swellings of which tubercular lymphadenopathy found to be commonest followed by malignant secondries. Tubercular infections are common during 1st and 2nd decade, while malignant lesions after 5th decade. FNAC was most common and most effective investigation. Treatment varies according to the cause of lateral neck mass.

Parapharyngeal Tumours: Our Experience in a Tertiary Care Hospital

2021 ◽  
Vol 28 (3) ◽  
pp. 266-272
Author(s):  
Debabrata Das ◽  
Arjuman Parveen ◽  
Apurba Sarkar ◽  
Sk Nawazur Rahaman
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Surgical Excision ◽  
Transoral Approach ◽  
Transoral Surgery ◽  
Care Hospital ◽  
Female Ratio ◽  
Transcervical Approach ◽  
Malignant Case ◽  
A Prospective Study

Introduction Tumours of parapharyngeal space are rare. Surgical excision is the mainstay of its management. However, approach to the space is rather difficult. The transcervical approach is most commonly practiced as opposed to the transoral approach, due to fear of complications. The present study aims to study the two approaches with respect to treatment outcomes and complications. Materials and Methods   A prospective study was conducted from July 2018 to December 2019 (1.5 years) at the Department of ENT in a tertiary care Hospital. A total of 10 cases of parapharyngeal tumours were selected; 5 of involving the prestyloid compartment underwent transoral surgery and the other 5 involving the post styloid compartment underwent transcervical surgery. The results of surgery and complications were studied. Results The mean age of presentation was 36.5 yrs. Male: Female ratio was 3:2. There were 9 benign and 1 malignant case in the study. The most common presentation was an asymptomatic oropharyngeal mass (80%). The most common pathological type was pleomorphic adenoma of the salivary gland (50%). Conclusion We found that the transoral approach is as effective as transcervical approach in surgical cureand contrary to the popular belief, it is associated with fewer complications.Hence, carefully selected cases can be safely managed by this approach.

CLINICAL FEATURES, INDICATIONS AND RESULT OF TRACHEOTOMY

2017 ◽  
pp. 50-55
Author(s):  
Duc Luu Ngo ◽  
Tu The Nguyen ◽  
Manh Hung Ho ◽  
Thanh Thai Le
Keyword(s):  
Clinical Features ◽  
University Hospital ◽  
Female Ratio ◽  
Tube Obstruction ◽  
Level Ii ◽  
Study Results ◽  
Male Female Ratio ◽  
Hospital Patients ◽  
Level I

Background: This study aims to survey some clinical features, indications and results of tracheotomy at Hue Central Hospital and Hue University Hospital. Patients and method: Studying on 77 patients who underwent tracheotomy at all of departments and designed as an prospective, descriptive and interventional study. Results: Male-female ratio was 4/1. Mean age was 49 years. Career: farmer 44.2%, worker 27.2%, officials 14.3%, student 7.8%, other jobs 6.5%. Respiratory condition before tracheotomy: underwent intubation 62.3%, didn’t undergo intubation 37.7%. Period of stay of endotracheal tube: 1-5 days 29.2%, 6-14 days 52.1%, >14 days 18.7%. Levels of dyspnea before tracheotomy: level I 41.4%, level II 48.3%, level III 0%, 10.3% of cases didn’t have dyspnea. Twenty cases (26%) were performed as an emergency while fifty seven (74%) as elective produces. Classic indications (37.7%) and modern indications (62.3%). On the bases of the site, we divided tracheostomy into three groups: high (0%), mid (25.3%) and low (74.7%). During follow-up, 44 complications occurred in 29 patients (37.7%). Tracheobronchitis 14.3%, tube obstruction 13%, subcutaneous empysema 10.4%, hemorrhage 5%, diffcult decannulation 5.2%, tube displacement 3.9%, canule watery past 2.6%, wound infection 1.3%. The final result after tracheotomy 3 months: there are 33 patients (42.9%) were successfully decannulated. In the 33 patients who were successfully decannulated: the duration of tracheotomy ranged from 1 day to 90 days, beautiful scar (51.5%), medium scar (36.4%), bad scar (12.1%). Conclusions: In tracheotomy male were more than female, adult were more than children. The main indication was morden indication. Tracheobronchitis and tube obstruction were more common than other complications. Key words: Tracheotomy

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