A RETROGRADE STUDY OF MYIASIS IN A TERTIARY CARE CENTRE

Myiasis in head and neck region is a rare occurrence and is usually found in tropical countries like India. Poor hygiene, unsanitary living conditions, mental retardation, neglected wounds, diabetes mellitus and old age along with a warm and humid climate lay down a conducive environment for the larva of dipterous fly to infest humans. Maggots due to their tissue destructive properties can affect many regions in otolaryngorhinology like nasal cavity, ears, oral cavity, tracheostomy site ostoma, PNS, the skin and ulcerative lesions of head and neck. The burden of the disease lies in the fact that the complications range from minor tissue destruction, perforation of either the tympanic membrane, palate or septum, vertigo, angioedema to severe neurological manifestations, intracranial extension or rarely even death. Objective: To assess the commonly affected age group and gender infested by myiasis, it’s seasonal trend, socioeconomic status of the affected patients and the relationship of myiasis infestation with various predisposing factors. Methodology: Retrograde study was conducted on 95 patients of department of otorhinolaryngology. The study was done from January 2015 to October 2018 by collecting data of 3 years 10 months time interval and results tabulated. Ethical clearance was sort and patients consent obtained. Result: The most commonly affected age group was found to be elderly, in the 7th decade of life (56.84%). Females were more commonly affected than males consisting of 55 out of 95 cases (57.89%), with a male female ratio of 1:1.4. Majority of cases presented in the months of October-January, with a peak in November (32/95). Nasal myiasis was found to be more common (69 cases) in comparison to aural and oral cavity myiasis. The most common predisposing factor was found to be Atrophic Rhinitis in 66.7% cases. Conclusion : With awareness and improved personal hygiene a devastating disease like myiasis is easily preventable and curable.

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Oral cancer profile in a tertiary care center

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20171191 ◽

2017 ◽

Vol 3 (2) ◽

pp. 343

Author(s):

Nitin Arora ◽

Jai Lal Davessar ◽

Jyoti Singh

Keyword(s):

Risk Factor ◽

Oral Cancer ◽

Oral Cavity ◽

Head And Neck ◽

Tertiary Care ◽

Head And Neck Cancers ◽

Age Group ◽

Common Site ◽

Oral Cancers ◽

Age And Sex

Background: Head and neck cancers constitute around 5-50% of all cancers worldwide. Head and Neck Cancers constitute about 30% of all cancers that are found in India. It is the 8th most common cancer in the world. Oral cancer forms a major public health issue in India due to its rising incidence, especially in women and in younger age group. The purpose of our study was to evaluate, the epidemiologic profile of patients with oral cancer, its incidence according to age and sex, site distribution, risk factors involved and clinical stage at presentation.Methods: It is a prospective study done from January 2014 to November 2014, in a total of 100 patients in age group 21 to 70 years, irrespective of gender, with a proven malignancy confined to the oral cavity. Patients were observed for the age and sex distribution, tumour staging, location and metastasis, commonly associated risk factor and most common site. Results: Oral cavity cancers were more common in males, than females. It is most prevalent in age group of 51-60 years. Oral tongue is the most common site. Betel nut chewing is the most significant risk factor associated with oral cavity cancer.T1 and T2 is the most the most common primary T stage. Neck metastasis occurs most commonly at N2 stage. Most common neck node level involved is level 2.Conclusions: Oral cancers presents at advanced stage and age. It has also been seen in younger generations, which is due to increasing use of tobacco, its related products and alcohol. We see patient’s reports at advanced age and stage, which is increasing the morbidity and mortality related to oral cancers. Hence, today there is great need to create awareness about oral cancers. Preventive strategies must be designed in order to lessen the burden of Oral cancers.

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Profile of head and neck neoplasms at a tertiary care centre in North India: two years pilot study (2018-2019)

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20202221 ◽

2020 ◽

Vol 6 (6) ◽

pp. 1175

Author(s):

Manish Munjal ◽

Porshia Rishi ◽

Nitika Tuli ◽

Harjinder Singh ◽

Shivam Talwar ◽

...

Keyword(s):

Oral Cancer ◽

Oral Cavity ◽

Head And Neck ◽

Salivary Glands ◽

Head And Neck Neoplasms ◽

Tertiary Care ◽

Neck Surgery ◽

North India ◽

Tertiary Care Centre ◽

Female Ratio

Background: In India 53,251 New Head and neck cancer cases are diagnosed every year. Oral cancer is the predominant subsite among both benign and malignant lesions.Methods: A retrospective study of cases with head and neck neoplastic lesions was conducted in department of otolaryngology, head and neck surgery, Dayanand Medical College and Hospital Ludhiana during for a period of 2 years (January 2018 to December 2019). Demographic, gender profile of the patients was studied. Results: Incidence of oral cancer was 21.5% followed by salivary glands 18.9%. among head and neck neoplasms over a period of 2 years (January 2018 to December 2019). The overall male to female ratio was 1:1.25, among benign was 1:1 and among malignant was 1:1.3.Conclusions: Commonest subsite of benign lesions was - oral cavity followed by salivary glands and larynx. Most common malignant subsite was oral cavity followed by larynx and thyroid. Male patients outnumbered the female. Mean age of presentation varied according to subsite.

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Issues of geriatric otolaryngologic emergency have not been widely applied despite increase in geriatric population. (Preprint)

10.2196/preprints.13383 ◽

2019 ◽

Author(s):

Waheed Atilade Adegbiji ◽

Shuaib Kayode Aremu ◽

AbdulAkeem Adebayo Aluko

Keyword(s):

Foreign Body ◽

Head And Neck ◽

Clinical Features ◽

University Teaching ◽

Age Group ◽

Geriatric Population ◽

Female Ratio ◽

Common Diagnosis ◽

Foreign Body Impaction ◽

Nose And Throat

BACKGROUND Issues of geriatric otolaryngologic emergency have not been widely applied despite increase in geriatric population. OBJECTIVE This study aimed at determining prevalence, sociodemographic features, aetiology, clinical features, Complications and sources ofreferral of geriatric otorhinolaryngological, head and neck emergency in our center. METHODS This was a prospective hospital based study of geriatric otorhinolaryngology emergency in the Ear, Nose and Throat Department of Ekiti State University Teaching Hospital. The study was carried out between October 2016 and September 2018. Data were obtained by using pretested interviewers questionnaire.All data were collated and analyzed using SPSS version 18.0. The data were expressed by frequency table, percentage, bar charts and pie charts. RESULTS Geriatric otorhinolaryngology, head and neck emergency accounted for 5.3%. Major prevalence age group was 43.9% in the age group (60-64). There were 38.6% males with male to female ratio of 1:1.5. The main aetiology of geriatric otorhinolaryngology emergency was 29.5% trauma/road traffic accident/foreign body impaction and 25.8% tumour. Main anatomical distribution of geriatric otorhinolaryngology emergency were 38.6% throat diseases and 31.1% ear diseases. The most frequent clinical features were pain in 27.3%, hearing loss in 21.2%, tinnitus in 15.9%, bleeding in 14.4%, difficulty breathing in 12.9% and discharge in 11.4%. Common diagnosis in this study were 15.9% sinonasal tumour, 14.4% upper aerodigestive foreign body impaction, 10.6% earwax impaction and 19.8% otitis externa. Acute presentation (<13 weeks) occurred in 1 week in 74.2% and 2-13 weeks In 19.7%. Commonest time of presentation was daytime in 65.9%. Major sources of referral were 43.2% general practitioner and 31.1% casualty officers. Presentation of geriatric otorhinolaryngology emergency were mainly ear, nose and throat clinic in 59.8% with accident and emergency in 28.8%. Commonest associated comorbid illnesses among the geriatric patients were 18.2% hypertension, 14.4% arthritis and 9.8% diabetes mellitus. CONCLUSIONS Geriatric otorhinolaryngological emergency are common pathology with associated with comorbid illnesses. Detailed clinical assessment are mandatory for effective management outcome.

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Epidemiological Profile of the Head- Neck Pathologies in a Peripheral Referral Institute

Bengal Journal of Otolaryngology and Head Neck Surgery ◽

10.47210/bjohns.2019.v27i2.237 ◽

2019 ◽

Vol 27 (2) ◽

pp. 113-120

Author(s):

Sabyasachi Ghosh ◽

Tarak Nath Saha ◽

Indranil Sen

Keyword(s):

Head And Neck ◽

Histopathological Examination ◽

Neck Region ◽

Head And Neck Cancers ◽

Base Line ◽

Age Group ◽

Female Ratio ◽

Male Female Ratio ◽

Epidemiological Profile ◽

Head Neck

Introduction Head and neck lesions encompass a multitude of disorders which can be broadly classified into two groups: Benign and Malignant. Overall 57.5% of global head and neck cancers comes from Asia itself and India alone constitutes 30% of it. Therefore, it is of prime essence that need based and coordinated research for understanding the threats to the nation from chronic diseases such as head and neck cancers and ways to defy such threats should gain the utmost importance. The present study attempts to present the epidemiological profile of the patients attending a peripheral referral institute of this state with head-neck pathologies and has undergone a histopathological examination of their lesions within a period of three years period (2016-18) based on the histopathological evidences. Materials and Methods The accumulated data regarding the aforesaid patients as per records of the histopathological reports available in the Department of Pathology was used as the primary material and the interrelation of different epidemiological parameters were studied using the statistical methods Results Six hundred and eighty seven cases from the head and neck region were analysed during this three-year period. Age range was from 3 years to 96 years with maximum cases in the age group of 20-29 years (16.1%). The Male: Female ratio in our study was 1.34:1 (Males 394, Females 293). In this study, 38.8% benign, 32.46% malignant, 25.32% inflammatory and 3.3% congenital cases were recorded. Maximum number of benign lesions was in the age group of 10-39 years. Malignancies were noted to be higher in ages 40 years and above. Squamous cell carcinoma was the most common malignancy observed. Conclusion Specific data obtained like this from histopathological records is helpful in evaluating patterns of head and neck lesions and augment the base line data of institute and the region.

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Clinical profile of malignancies of groin region in our area: a combined retrospective and prospective study

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20211341 ◽

2021 ◽

Vol 9 (4) ◽

pp. 1005

Author(s):

Arshad Bashir ◽

Shabir Hussain Rather ◽

Showket Ali Bhat ◽

Naveed Nabi ◽

Muzzafar Zaman

Keyword(s):

Squamous Cell ◽

Minimal Invasive Surgery ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Minimal Invasive ◽

Squamous Cell Carcinomas ◽

Care Hospital ◽

Age Group ◽

Predisposing Factor ◽

Management Protocol

Background: This study involved various malignancies affecting the groin area in all age group of patients and both genders. The aim of the study was to study the various types of malignancies affecting groin, viz. primary or metastatic, and to project their clinical profile.Methods: In this observational study, a total of 145 patients of groin malignancies were studied in department of General and Minimal Invasive Surgery and allied specialties in a tertiary care hospital. The study was retrospective from January 2005 to April 2012 and prospective from May 2012 till 2014. Results: Out of the total of 145 cases almost 95% were metastatic in the groin and primary groin cancers constituted only 4.9% of the cases. Out of 138 tumors that were metastatic in the groin 108 were squamous cell carcinomas followed by malignant melanoma in 28 cases. Most common predisposing factor for development of groin malignancy was use of kangri in our area.Conclusions: Most of the groin malignancies are metastatic to groin and primary cancers at groin are very rare. Kangri use in our part of the world, is the most important predisposing factor leading to squamous cell carcinoma. The management protocol followed in order to treat groin malignancy is surgery of the primary lesion and block dissection of groin.

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Epidemiology of fractures in indoor patients at a tertiary care centre in India: a study of 3000 cases

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20214958 ◽

2021 ◽

Vol 8 (1) ◽

pp. 39

Author(s):

Mohan M. Desai ◽

Deven R. Kuruwa ◽

Easwar Elango ◽

Roshan Wade

Keyword(s):

Road Traffic ◽

Tertiary Care ◽

Age Groups ◽

Control Measures ◽

Age Group ◽

Care Centre ◽

Tertiary Care Centre ◽

Treatment Protocols ◽

Female Ratio ◽

Femur Fractures

Background: Implementing appropriate fracture control measures and treatment protocols is crucial to maximizing health and development gains. This requires an in depth understanding of age-specific, sex-specific and cause-specific injury patterns at the national and subnational levels. No such study on fracture epidemiology has been undertaken in the Indian population.Methods: Study was conducted in a tertiary care centre (KEM hospital, Mumbai) which is one of the highest volume trauma centres in the country. Data of 3000 patients was obtained from the medical records department for the year 2016-2019. Patients were segregated with respect to their genders and into three age groups. Etiology of fracture was noted, and fractures classified according to the anatomical area. Whether the patient received conservative or operative management was also recorded.Results: 43.83% of the fractures occurred in 18-50 years age group. 41.33% in the above 50 group and only 14.73% in the below 18 age group. Overall male to female ratio was 1.4: 1. Vehicular accident was the most common mode of injury (47.07%) followed by fall from height (21.03%). Proximal femur fractures were the most common accounting for 19.57% of all fractures followed by forearm (10.53%), tibia diaphysis (8.10%). Talus was the least common. 81.07% cases were managed operatively and 18.93% conserved.Conclusions: Our study highlights that Indian epidemiology is unique from our Western counterparts. Population affected is much younger, old age males are affected more than females. Lower limb fractures are more prevalent and road traffic accidents are responsible for almost half the fractures.

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Tinea pedis: a clinico mycological study

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20173917 ◽

2017 ◽

Vol 3 (3) ◽

pp. 323

Author(s):

Balakrishnan Thenmozhi Priya ◽

Chellam Janaki

Keyword(s):

Tinea Pedis ◽

Tertiary Care ◽

General Distribution ◽

Care Hospital ◽

Age Group ◽

Female Ratio ◽

Clinical Presentations ◽

Male Female Ratio ◽

Complete Physical Examination ◽

Local Examination

Background: To study the varied clinical presentations, the predominant etiological agent and incidence of tinea pedis in relation to sex, age group, occupation and aggravating factors among the patients. Also an attempt was made to know if any significant association is there with blood group and the occurrence of tinea pedis.Methods: A study was conducted among 75 patients who attended Mycology clinic in tertiary care hospital. Detailed history was taken along with complete physical examination and local examination. All cases of tinea pedis were first confirmed by KOH examination. Isolation of the agent was done in Modified SDA medium with cycloheximide. Differentiation of the species was done by culturing on corn meal agar.Results: Prevalence of tinea pedis infection was more common among males with male: female ratio of 2.26:1. The 21- 30 years age group was commonly affected by tinea pedis. The distribution of blood groups reflected the general distribution pattern of the population. Culture positivity was recorded in 81.3%.Conclusions: More incidences of bilateral involvement and recurrent episodes were noted among the shoe wearing population than in the non-shoe wearing population. Any patients diagnosed with tinea pedis should be screened for diabetes as implied by the outcome of the study. Infected toe nails may be the site of primary infection and fungal disease can spread to other body areas from these primary sites. Trichophyton rubrum happened to be the chief isolate.

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A study on clinical characteristics of herpes zoster in a tertiary care center

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20170081 ◽

2017 ◽

Vol 3 (1) ◽

pp. 79

Author(s):

Rachana R. ◽

Shivaswamy K. N. ◽

Anuradha H. V.

Keyword(s):

Herpes Zoster ◽

Clinical Characteristics ◽

Care Center ◽

Tertiary Care ◽

Age Groups ◽

Age Group ◽

Female Ratio ◽

Varicella Zoster ◽

Medical College ◽

Male To Female

Background: Herpes zoster (HZ), also known as shingles, derived from the Latin word Cingulum, for “girdle”. This is because a common presentation of HZ involves a unilateral rash that can wrap around the waist or torso like a girdle. HZ results due to reactivation of an earlier latent infection with the varicella zoster virus (VZV) in dorsal root ganglia. It occurs at all age groups, common over 60 years of age. It is estimated that in non-immune populations, approximately 15 cases per 1000 people occur per year. The objective of the study was to study the clinical characteristics in patients with uncomplicated herpes zoster.Methods: A total of 72 patients attending dermatology OPD at Ramaiah medical college between June 2013 to September 2014 were recruited after obtaining informed consent. A detailed history regarding onset of rash, pain, progression, duration and distribution of the lesions were recorded. Demographic information including age, sex, and any other co morbidities noted. Tzanck smear and serology for HIV was done where-ever necessary.Results: Of the 72 patients, females outnumbered males [M=35(48.61%), F=37 (51.39%)] with male to female ratio of 0.9 to 1. The mean age of presentation was 58±18 years. Majority of the patients (54%) were in the age group of 51 to 70 years followed by 31-50 years (25%). Least number of cases (9%) was in the age group of 21 to 30 years. Of the 72 subjects, thoracic involvement was noted in 30.6%, followed by lumbar (22%), and trigeminal (16%). Cervical (4%) and sacral (2%) involvement was the least. Conclusions: Herpes zoster commonly occurs in old age and the presenting symptom being pain and burning sensation. Thoracic dermatome is the commonest site. Immunocompromised states like diabetes, malignancy and HIV can increase the risk of developing herpes zoster.

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Histopathology of Polyps and Cancer of Colorectum: A ten years study from a tertiary care center

Journal of Gandaki Medical College-Nepal ◽

10.3126/jgmcn.v14i2.38385 ◽

2021 ◽

Vol 14 (2) ◽

pp. 100-106

Author(s):

Binita Goyal

Keyword(s):

Colorectal Cancer ◽

Care Center ◽

Correct Diagnosis ◽

Tertiary Care ◽

Older Age ◽

Histologic Grade ◽

Age Group ◽

Female Ratio ◽

Pathologic Stage ◽

Male Female Ratio

Introduction and objectives: Polyps and colorectal cancer have overlapping clinical presentation and may be difficult to diagnose on clinical grounds alone and close clinicopathological correlation is required for correct diagnosis and management. This study was aimed to see the spectrum of polyps and cancer in colorectum, see the percentage of colorectal cancer in younger individuals, see association between histologic grade and pathologic stage at presentation and compare site of tumor and pathologic stage at presentation in younger and older age group. Methods: This study was carried out on 138 consecutive cases of polyps and malignant lesions of colorectum during a time period of 10 years from January 2011 to December 2020. Results: Age of the patients ranged from 2 – 90 years with mean 45.1 years and a male female ratio 2:1. There were 58 (42.0%) cases of polyps and 80 (58.0%) cases of malignancies. 37 (46.3%) malignancy cases were seen in individuals ≤ 50 years of age. Most common site of involvement was rectum in 80 (58.0%) cases. Most common non-neoplastic polyp was retention polyp comprising 25 (67.6%) and most common neoplastic polyp was adenoma comprising of 18 (85.7%) cases. Most common malignancy was adenocarcinoma comprising 75 (93.8%) cases. Conclusion: Significant number of malignancies is seen in younger individuals stressing the need for suspicion and surveillance in this age group. Histologic grade is an important prognostic parameter and there is no difference in site of tumor and stage at presentation between younger and older age group.

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