Frequency and effective treatment of ulcers and sinuses in cases of tuberculous cervical lymphadenitis

To investigate the frequency and effective treatment of ulcers and sinuses in cases of tuberculous cervical lymphadenitis [TCL]. Design: Observational cross-sectional study. Place and Duration of Study: Department of ENT, Head and Neck Surgery of Tribhuvan University Teaching Hospital [TUTH], Kathmandu, Nepal, during the period of two years from March, 2000 to February, 2002. Patients and A hundred cases of histopathologically confirmed cases of tuberculous cervical lymphadenitis of more than six weeks of duration were included in the study. Overall frequency of the complication as well as the efficacy of treatment regime was considered. Out of 100 patients, 8 [8%] were found to develop ulcers and/or sinuses during the process of development of TCL which were effectively treated [100% cure rate]. Mode of treatment was surgical excision of ulcers/sinuses along with affected underlying lymph nodes, followed by short course of anti-tubercular chemotherapy. Not a single case recurred during their follow-up period. In this series there was a low frequency of formation of ulcers/sinuses during the process of development of TCL. Surgical excision of ulcers/sinuses along with affected underlying lymph nodes, followed by short course of anti-tubercular chemotherapy is the effective methods of their treatment

experience with sistrunk's operation at Kathmandu

Thyroglossal anomalies are one of the commonest congenital anomalies. The treatment of choice is Sistrunk's operation. The purpose of this study is to describe demographic and clinical profile of the patients presented with these anomalies, findings during Sistrunk's operation and outcome of this procedure post-operatively. This is a descriptive study includes 32 patients who underwent Sistrunk's operation from April 2001 to June 2004 in the Department of ENT and Head and Neck Surgery, Tribhuvan University Teaching Hospital [TUTH] Kathmandu Nepal. Majority of the patients presented in the 1 [st] and 2[nd] decade of life. Most of them were males [75%] and majority were presented with midline neck swelling [87.50%]. Five patients developed continuous/ recurrent discharge following some sort of surgical procedures performed in other hospital of Nepal. The commonest site of lesion was infrahyoid [72%]. None of them had recurrence till the end of this study