ABSTRACT
Background: Clinicians use Maximum Phonatory Time (MPT) as one of tool to verify the glottic efficiency objectively. Impairment of vocal fold mucosa integrity due to lesions results in alteration in MPT. The aim of current study was to compare MPT in young adults with vocal fold lesions and age and sex matched normal subjects.Methods: This study was conducted in the Department of ENT & Head and Neck surgery of Government Medical College Srinagar on 41 adult patients with benign vocal fold lesions and 41 healthy subjects matched for age and sex for a period of 2 years from April 2017- April 2019. The aerodynamic measure was measured as maximum phonation time in seconds and the results were analysed statistically. Both patients and controls were explained the procedure. Results: Mean MPT in seconds in males with vocal fold lesion was 14.42 seconds with SD of 5.62 seconds and in females was 10.81 seconds with SD of 3.44 seconds. Coefficients of variation (CV) was 0.35 and 0.21 respectively. In control group it was 18.15 seconds with SD of 5.88 in males and in females it was 15.72 seconds with a SD of 6.21. Mean difference between patients and controls in males and females was 3.8 and 4.9 respectively. P-Value in males and females was 0.053 and 0.003 respectively.Conclusion: Vocal cord lesions decrease MPT in both sexes even in young adults.
ABSTRACT
Background: Foreign Body ingestion is a common event most often seen in children from 6 months to 6 years of age. In adults, foreign bodies are usually ingested accidentally along with food. This happens more commonly in persons with certain pathological changes of the gastrointestinal tract mostly in elderly. Children ingest foreign bodies because of their natural tendency of tasting everything and putting things in mouth along with weak reflexes. Methods: This study was conducted in the department of ENT SMHS Hospital Govt. Medical College Srinagar, a tertiary care center in Kashmir. All those patients were included in this study who reported directly to our emergency department or were referred from peripheral hospitals with history of ingested foreign bodies. Results: The foreign bodies most commonly ingested were fishbones and chicken bones, coins, button batteries, ear rings, nails, screws and meat bolus. Conclusion: The clinical approach to the problem depends on the type of material ingested and on the patient’s symptoms and physical findings. In children mostly coin and button batteries were ingested however in adults fish bone, chicken and meat bones were among the commonly ingested foreign bodies observed in our study.