Age and sex distribution and types of foreign body esophagus - mode of presentation, risk factors involved, management and complications

To find out the age and sex distribution, type of foreign bodies, their mode of presentation, site of impaction, risk factors involved. Experimental study. This study was carried out in the ENT Department, Nishtar Hospital, Multan from January 2012 to December 2012. A total of 100 cases presented with history of FB ingestion were included. Male patients with FB ingestion were 67% and female were 33%. Male to female ratio was 2:1. Patient's age ranges from 6 months to 70 years. Most of the patients were below the age of 10 years. Majority of the patients belonged to lower socio-economic group and also from the rural areas. In total review of nature of foreign body, regardless of age, coin was the commonest F.B [76%]. In the present study rigid oesophagoscopy was done for removal of all F.B. When diagnosis is delayed, or presentation is late, complication rate increases. Do not let foreign body to pass down spontaneously after 24 hour, after that it should be urgently removed under GA without further delay

Hypogonadotrophic short statured with anosmia: kallmann's syndrome

Short stature with loss of secondary sex characters can occur due to genetic disorders. One of them is Kallmann's syndrome. The condition has been noted to be present in families. It is associated with anosmia and hypogonadism. We are presenting a case of young boy who was short statured and had anosmia with multiple hormonal deficiencies

Outcome of nasal septal surgery at Nishtar hospital, Multan

To determine the outcome of nasal septal surgery. This descriptive case series study was carried out in the Department of ENT, Nishtar Hospital, Multan from April 2007 to October 2007. A total 100 patients were included in the study. All patients subjected to nasal septal surgery were examined after operation for a specific period of time for relief of nasal obstruction and for development of any kind of complication like nasal bleeding, nasal septal perforation, nasal adhesions and primary kind of internal nasal deformity. In nasal septal surgery, septoplasty was done in 30 cases and SMR was performed in 70 cases. Postoperative intra-nasal splints were used in 20 cases for 10 days. Anterior nasal packing was done in all cases, which was removed after 48 hours of surgery. Follow up observations and findings were included in the study and recorded on a follow up proforma till one month of duration. The incidence of complications was septal perforation in 6 cases, nasal adhesions in 15 cases and recurrence of symptoms in 4 cases. Nasal septal surgery is an effective way of relieving obstruction in respiration through nose. SMR still is a main surgical procedure being used in relieving nasal obstruction but the rate of complication is higher with it as compared to septoplasty

Comparison of X-ray findings with the results of proof puncture in patients with maxillary sinus disease

Radiographs of para nasal sinuses are frequently taken in patients with obvious nasal pathology to rule out concomitant sinus disease. To compare the X-ray findings with the result of proof puncture in patients with maxillary sinus disease. This study was carried out in the ENT Department, Nishtar Hospital, Multan with the symptoms and signs of sinunasal disease during the period from October 2008 to August 2009. These patients underwent detailed history and thorough clinical examination. Symptoms suggestive of sinus disease included nasal and post nasal discharge, nasal obstruction, cough, sore throat and headache. Out of 80 patients, 48 [60%] were male and 32 [40%] were female. As regards age, 7 [8.7%] patients were between the age of 10-19 years, 34 [42.5%] were between 20-29 years, 25 [3 1.3%] patients were between 30-39 years of age. Whereas 11 [13.7%] patients were between the age of 40-49 and only three patients were above 50 years. The radiological findings were compared with results of antral lavage. In cases of air fluid level and opaque sinus, antral lavage is mostly positive