Diagnostic value of fine needle aspiration cytology in parotid tumors

To evaluate the usefulness and accuracy of fine needle aspiration cytology in the diagnosis of parotid gland tumors. We reviewed files of all patients who underwent parotidectomy for various parotid pathologies at Aga Khan University Hospital. Study design included a comparison between results of preoperative FNAC with final histopathological diagnosis. Galen and Ganbino method was used to calculate sensitivity and specificity of FNAC. Among 50 patients reviewed, there was one false positive and 3 false negative results reported on FNAC. This gives a sensitivity of FNAC for reporting malignancy to be 74% and specificity to rule out malignancy 97%. No significant complications were reported while performing the procedure. FNAC is a safe and effective modality in diagnosis and treatment planning of patients with parotid tumors

Sub-Mucous resection/septoplasty in control of epistaxis

To manage cases of Epistaxis not responding to routine treatment, just a step before the ligation of Internal maxillary/External carotid artery. A retrospective study of 525 admission in ENT Department over eight years [1983 to 1990]]. King Fahad Hospital Hofuf, Kingdom of Saudi Arabia. 525 patients admitted in ENT Department. Successful management of cases without complications. 11 cases were cured out of 525 admissions for epistaxis by this method. Consider Sub-Mucous Resection [SMR]/Septoplasty before ligation of blood vessels in cases of epistaxis not responding to routine treatment

Day care surgery in otolaryngology in a tertiary hospital setting

The vast majority of the patients population presenting with otolaryngologiocal problems has been treated effectively and efficiently in day care programme in the west. This practice has been lacking in Pakistan. A prospective study was undertaken the patient compliance, the severity of postoperative problems, patients education, training of the staff, the overall efficacy of the unit for Day care surgery. Prospective data of 104 patients is presented who were treated successfully with various ailments of otolaryngology in the day care surgery unit of the Aga Khan University Hospital, Karachi. All the patients had successful outcome except for one where over night observation was felt necessary for severe pain following tonsillectomy