Bangladesh Journal of Otorhinolaryngology最新文献

{"title":"Study of Prevalence of Concha Bullosa, Nasal Septal Deviation and Sinusitis based on CT Findings","authors":"S. Ahmmed, N. I. Khan, Z. Hossain, Khairul Islam Mridha, Anower Parvez Bhuiyan, Kazi Gias Uddin Ahmed","doi":"10.3329/bjo.v26i1.47948","DOIUrl":"https://doi.org/10.3329/bjo.v26i1.47948","url":null,"abstract":"The anatomical variations and pathological conditions of the sinonasal area can be easily identified using computed tomography (CT) scan. The study was done to observe the prevalence of concha bullosa (CB) and nasal septal deviation (DNS) in sinusitis patients. 135 CT scan of nose and paranasal (PNS) sinuses were taken and reviewed retrospectively for the presence of concha bullosa, nasal septal deviation and sinusitis in the department of Otolaryngology, Head and Neck Surgery, Border Guard Hospital, Dhaka from March 2019 to January 2020. Out of 135 patients, CT scan of nose and PNS revealed 74.81% patients exhibited some sinus disease, 68.14% nasal septal deviation and 42.22% had concha bullosa. In this study, we have done a retrospective analysis of the CT scan of PNS in order to assess the prevalence CB, DNS and sinusitis.","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45672308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinicopathological Study of Carcinoma Larynx","authors":"M. N. Uddin, Abu Hena Mohammad Parvez Humayun, Muhammad Bipul Islam, Masudur Rahaman","doi":"10.3329/bjo.v26i1.47951","DOIUrl":"https://doi.org/10.3329/bjo.v26i1.47951","url":null,"abstract":"Setting: Department of otolaryngology and Head-Neck surgery, Rajshahi Medical College Hospital, Rajshahi. Methods: 80 patients were included in this study during a period of July 2006 to June 2007. Study based on history, clinical, radiological, laboratory and histopathological examination. The larynx is divided for purpose of tumour classification into three regionsSupraglottic, Glottic and Subglottic. Results: The age ranges from 25 to 85 years. The overall male to female ratio 93.75:6.25. Laryngeal carcinoma shows significant association with low socioeconomic and education group. The commonest symptoms of laryngeal carcinoma was change of voice 100%(20) in case of glottic carcinoma and 90%(54)in cases of supraglottic carcinoma.Other common symptoms were difficulty of swallowing, respiratory distress, cough, neck swelling, haemoptysis, neck pain. Palpable cervical lymph node was present in 50% (40) cases Conclusion: Predominant histological type was squamous cell carcinoma 97.5%(78), undifferentiated carcinoma 1.25%(1), adenocarcinoma 1.25%(1). Symptoms of presentation has a significant association with site of involvement. The symptoms of presentation of supraglottic carcinoma occurred more frequently at the advanced stage.","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/bjo.v26i1.47951","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43877736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Clinical Study on Etiological Factors and Management of Epistaxis at a Tertiary Level Hospital","authors":"R. Islam, Mohammad Asraful Islam, A. R. E. Mahbub, A. Chowdhury, N. Islam, Affa Khan","doi":"10.3329/bjo.v26i1.47953","DOIUrl":"https://doi.org/10.3329/bjo.v26i1.47953","url":null,"abstract":"Background: Epistaxis is a common otolaryngological emergency worldwide affecting up to 60% of the population in their lifetime. This study was conducted to describe the etiological profile and treatment outcome of epistaxis at Dhaka Medical College Hospital, a tertiary care hospital in BANGLADESH. Objective: The study is carried out with an objective to evaluate on etiological profile and management of epistaxis. Methods: This cross sectional study was conducted among the emergency and admitted patient with epistaxis at Dhaka Medical College Hospital from 1 November 2013 to 30 April 2014. Results: During the period under study, a total 104 patients were studied. The etiology of the cause of epistaxis was grouped into traumatic and nontraumatic. Among them 46 (44.23%) patient were in traumatic epistaxis and 58 (55.77%) patient were in non traumatic epistaxis. Male were affected more frequently than female in this study. There were 74 (71.15%) male and 30 (28.85%) females with a male female ratio of 2.47:1 Majority of the patients in this study were in 2 decade (21.15%) followed by 6 decade (19.23%) and 3 decade (17.31%). Among the 104 patients with epistaxis 78 (75%) were urban habitat and 26 (25%) were rural habitat. Significantly more patients were from urban resident. Regarding etiology and sex distribution there were no significant differences between urban and rural habitat. The present study shows that the most common cause of epistaxis was trauma (44.23%) followed by idiopathic (25%) and hypertension (17.31%). Local pain (41.31%), nasal obstruction (13.04%), 1 Medical Officer, National Institute of ENT, Tejgaon, Dhaka. 2 Medical Officer, Dept. of Otolaryngology and Head-Neck Surgery, BSMMU, Dhaka. 3 Resident Surgeon (ENT), Dept. of Otolaryngology and Head-Neck Surgery, DMCH, Dhaka. 4 Assistant Registrar, Dept. of Otolaryngology and Head-Neck Surgery, DMCH, Dhaka. 5 Assistant Prof.(ENT), National Institute Of Ophthalmology & Hospital, Dhaka 6 Professor of ENT and Line Director Medical Education & Health Manpower Development, DGHS, Dhaka. 7 Professor & Ex-Head, Dept. of Otolaryngology and Head-Neck Surgery, DMCH, Dhaka. Address of Correspondence: Dr. Rashedul Islam, Medical Officer, National Institute of ENT, Tejgaon, Dhaka. Mob:+88-01718033316, E-mail: irashedul2532@gmail.com Introduction: Epistaxis, active bleeding from the nose, is a common ear, nose and throat emergency and can be severe or even fatal. The causes can be from local or systemic illness. Epistaxis is classified as anterior or posterior on the basis of the primary bleeding site. Haemorrhage is most commonly anterior, originating from the nasal septum. A common source of anterior epistaxis is the kiesselbach’s plexus, an anastomotic network of vessels on the anterior portion of the nasal septum. Epistaxis occurs in up to 60% of general population at some point in their life time. About 6% of these people will seek medical attention. Usually it is spontaneous and stops by itse","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46955457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pulse Oximetry is Essential in Home Management of Elderly COVID-19 Patients","authors":"Md. Abdullah Yousuf Al Harun, M. M. Hossain, M. A. Bari, Nazmul Ahsan Siddiqi Rubel, M. E. Karim, N. Siddiquee, M. D. Hossain, F. Sultana, A. Taous, A. Islam, S. Khatun, Ahmed Haque, Mohammad Maksuf Ul Haque, K. Murshed, S. Atiqullah, Abu Thaher Mohammad Mahfuzul Hoque, M. Abdullah","doi":"10.3329/bjo.v26i1.47954","DOIUrl":"https://doi.org/10.3329/bjo.v26i1.47954","url":null,"abstract":"Background: Coronavirus disease 2019 (COVID-19) caused by Severe Acute Respiratory Syndrome Corona Virus-2 (SARS-CoV-2) is in Pandemic form and has affected people of 215 countries. It produces symptoms like fever, cough, shortness of breath, sore throat, headache, loss of taste, smell or appetite and many other rare symptoms. But the most important symptom is shortness of breath due to hypoxia. In a normal individual oxygen saturation (SpO2) is at least 95% and patient feels shortness of breath when SpO2 falls below 90% with some exception. SARS-CoV-2, a newly emergent coronavirus has the peculiarity to produce silent hypoxia, meaning SpO2< 90% or less like 80%, 70%, 60% without shortness of breath. Silent hypoxia can be diagnosed by monitoring SpO2 with pulse oximeter. For management of COVID-19, early symptoms like fever & cough, SpO2 should be monitored by pulse oximeter, followed by immediate correction of hypoxia by O2 supplementation and prophylactic oral or injectable anticoagulant to prevent thromboembolism and thus death rate can be reduced. \u0000Case summary: A 72-year-old man presented with the complaints of fever and headache followed by cough, fatigue, anorexia, loss of taste and appetite in next few days but no shortness of breath. The patient was clinically diagnosed as a case of COVID-19 & positive result of Real time-Polymerase Chain Reaction (RT-PCR) test confirmed the diagnosis. From the first day, SpO2 was regularly monitored with pulse oximeter and SpO2 on day 1, it was 96-98%. On day 8, SpO2 fell to 89-93%, pulse 96/min, respiratory rate>30/min, temperature 101o F, taste sensation was reduced. According to sign and symptoms, the patient was diagnosed as COVID-19 with severe pneumonia. Management was started at home with continuous monitoring, lying in prone position for 5-6 hours/day, supplemental oxygenation to maintain level of SpO2 between 94-96%, injectable anticoagulant enoxaparin to prevent venous thromboembolism (VTE) and disseminated intravascular coagulation (DIC) was given. Prophylactic antibiotics and symptomatic treatment were also given. \u0000Results: According to this case report, patient’s SpO2 was monitored by pulse oximeter on first day; on day 08, SpO2 fell to 89-93% & on day 10, further dropped to 85-88% which indicated severe pneumonia but there was no complaint of breathlessness as it was silent hypoxia. Sometimes the patient spent 30 minutes or more in toilet and SpO2 used to fall to 82-83% without any subjective shortness of breath but with only mild heaviness of chest and cough. Therefore SpO2 monitoring by pulse oximeter is essential in early diagnosis of silent hypoxia. Correction of hypoxia by supplemental oxygenation and prevention of VTE and DIC by using anticoagulant was the mainstay of treatment and patient had significant improvement on day 14. The patient was managed completely at home except X-ray being done in a hospital. \u0000Conclusion: Fall of SpO2 in COVID-19 i.e. hypoxia (usually present as short","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/bjo.v26i1.47954","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45272625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Video Head Impulse Test (vHIT) and Vestibular Evoked Myogenic Potential (VEMP) Test for Assessment of Vertigo: Our Initial Experience","authors":"A. Raquib, A. Harun, M. Matin, Dhiman Pramanik, M. Hafiz","doi":"10.3329/bjo.v26i1.47946","DOIUrl":"https://doi.org/10.3329/bjo.v26i1.47946","url":null,"abstract":"Introduction: Loss of balance causes the sensation of vertigo. Balance is maintained by vestibular afferent from labyrinth, eyes and proprioceptors and their central integration. For diagnosis of vertigo, along with history different vestibulometric tests can be done to identify the specific anatomical part that is involved. Material and methods: A cross sectional study was done among 82 patients who did video Head Impulse Test (vHIT) and among 75 patients who did Vestibular Evoked Myogenic Potential (VEMP) test at AudiovestibularCentre(AVC) at Bangladesh ENT Hospital Ltd. during the period from April 2018 to September 2019. Results: Age range of the sample was 16 to 80 years. Among the 82 patients who did vHIT 62(75.6%) had abnormality in either Semi Circular Canal. Among 75 patients who did VEMP 27(36%) were detected to have abnormality in either in saccule or utricle. Conclusion: For diagnosis of cause of vertigo the appropriate test for individual part of vestibule is essential. vHIT and VEMP are two tests which are complementary to each other in explaining common peripheral causes of vertigo.","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43455241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hearing Outcome of Stapes Surgery in NIENT, Bangladesh","authors":"Z. Sarkar, Ahm Ferdows Nur, U. Dutta, M. Islam, Debabrota Roy, SM Shafi Wahid, M. A. Bhuiyan","doi":"10.3329/bjo.v26i1.47950","DOIUrl":"https://doi.org/10.3329/bjo.v26i1.47950","url":null,"abstract":"Objective: The aim of this study was to evaluate hearing outcome after stapedotomy in patients with Otosclerosis . Methods: This cross sectional study was carried out from July 2017 to January 2019 in National Institute of ENT, Unit V. About 22 patients with Otosclerosis were included in this study. Diagnosis of Otosclerosis was based on the history, medical status with Otoscopy, Tuning fork tests and Audiometric tests. We compiled data on the pre and post operative air-bone gap (ABG) at 0.5, 1, 2 KHZ. The ABG was Calculated using AC and BC thresholds on the same audiogram. Post operative hearing gain was then Calculated from the ABG before the operation minus the ABG of the last follow up examination . Results: In this study most of the cases were age group 14-30 years (72.7%), female (54.5%). Most common symptoms was progressive hearing loss, tinnitus (77.8%).The average preoperative hearing loss in this study was (AC) was 48.31±7.68. The average post opt. hearing (AC) at follow up was 28.95±10.30 with an average hearing gain of 15.40±8.53 dB which was significant. The average pre-operative ABG was 28.99 dB ± 8.10. The average post opt. ABG was analyzed at 1 follow up showed ABG 13.18±8.09 dB which was found to be significant. Conclusion: Stapedotomy is an effective surgical procedure for the treatment of otosclerosis which leads to improvement in patient’s quality of life. A favorable hearing outcome can be obtained by the combination of experienced hands with minimal surgical trauma and appropriate surgical technique. Key wards: Otosclerosis, hearing outcome, stapes surgery.","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44185352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"White papilloma involving both vocal cords: A Case Report","authors":"Abirvab Naha, U. Dutta, P. G. Datta, A. Biswas, M. Chowdhury","doi":"10.3329/bjo.v26i1.47957","DOIUrl":"https://doi.org/10.3329/bjo.v26i1.47957","url":null,"abstract":"White papilloma are rare lesions that may occur at any site of mucosalined respiratory tract especially in vocal cords. Morphologically it appears villas looking, clinically & microscopically benign in most cases. We report a 70 years old male patient with white papilloma near anterior commissure involving both vocal cords found during indirect laryngoscopy. The lesion was completely resected with a unipolar coagulation device under direct laryngoscopy. Histopathological examination showed papilloma of vocal cords associated with Human papilloma virus(HPV) wart. To our knowledge this is the second reported case concomitant white papilloma with concomitant HPV in the vocal cords.","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43389619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obstructive Sleep Apnoea and Bangladesh Perspective","authors":"S. K. A. Mazumder","doi":"10.3329/bjo.v26i1.47945","DOIUrl":"https://doi.org/10.3329/bjo.v26i1.47945","url":null,"abstract":"Sleep medicine is a medical superspeciality devoted to the diagnosis and therapy of sleep disturbance and disorders. From the middle of 20 century research has provided increasing knowledge and answered many questions about sleep awake functioning. Disorders and disturbances of sleep are widespread and can have significant consequences for affected individuals as well as economic and other consequences for the society. sleep deprivation has also been a significant factor in dramatic accidents. The first sleep clinic in United states were established in 1970s.","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47500877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thyroidectomy without drain","authors":"Nikhil Chandra Shil, M. Chowdhury, S. Islam","doi":"10.3329/bjo.v26i1.47952","DOIUrl":"https://doi.org/10.3329/bjo.v26i1.47952","url":null,"abstract":"Aim: The aim of the study is to observe the result of thyroidectomy without keeping drain tube. Methods: This is a prospective study of a series of patients who underwent thyroidectomy without drain from January 2017 to December 2019. Presence of any post-operative complications like hematoma, seromas and hemorrhage were recorded. Results: Among 105 patients included in this study only one patient had post-operative hematoma. There was neither hemorrhage nor seroma in other any patients. Proper hemostasis was maintained during surgery of all these cases. Their post-operative recovery was good. Conclusion: Drainage is may not be required after thyroidectomy if proper and adequate hemostasis is ensured.","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/bjo.v26i1.47952","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48521980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Topographical Distribution of Carcinoma Larynx","authors":"Md Shahjad Selim, Md Mozharul Islam, Manjur Rahim, Md Hasan Zafar, Md Khalid Asad, Md Mizanur Rahman","doi":"10.3329/bjo.v24i1.45342","DOIUrl":"https://doi.org/10.3329/bjo.v24i1.45342","url":null,"abstract":"The larynx is the most common site for primary tumour of the head and neck region. It represents world wide approximately 1-2% of all cancers. A cross sectional study of 154 cases of laryngeal carcinoma was carried out in the in-patient department of Bangabandhu Sheikh Mujib Medical University and Dhaka Medical College during the period of two years with an aim to find out the frequency of site and subsite involvement of carcinoma of the larynx. The age range is 33-80 years and the over all male to female ratio is 29.8:1. Smoking and chewing habit are the most important associated factors. Majority of growths are found to be exophytic and most of the patients present at advanced stage. The commonest site of laryngeal carcinoma is supraglottic region and occurrence of supraglottic carcinoma than glottic carcinoma is statistically highly significant.","PeriodicalId":53915,"journal":{"name":"Bangladesh Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/bjo.v24i1.45342","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47165157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}