ABSTRACT
Objective: The aim of the study is to find out the aetiological and predisposing factors of sinonasal fungal infection, its comparison with other countries and its treatment in our set up
Study Design: It is a cross-sectional [observational study]
Methodology: This study was carried out in the Department of Ear Nose and Throat at Shaikh Zayed Postgraduate Medical Institute, Lahore from April 2011 to October 2012
Results: A total of 30 patients were included in this study with signs and symptoms suggestive of chronic sinusitis, chronic sinusitis with systemic diseases, with long term medication and with complications over a period of six months 30 patients were included in the study. Sixteen were male [53.3%] and 14 female [46.7%] patients. The age range was from 13 years to 60 years. Mean age was 35 years. Fungal cultures were positive in 94% of patients. Twelve patients had aspergillosis and 16 patients had mucormycosis. Common underlying systemic diseases included uncontrolled diabetes, hepatitis, renal failure and patients on long term steroids
Conclusion: Dust pollution, humidity and poor ventilation are the common predisposing factors for fungal sinusitis especially allergic and non-invasine types. Mucormycosis is the commonest agent in fulminant type
ABSTRACT
Otitis media with effusion is a pathological condition of the middle ear in which sterile effusion is presented behind the non-perforated Tympanic Membrane. This prospective study was conducted during period from July 2007 to June 2011. One hundred and sixty children of age group between one to ten years were included in study. After starting the treatment for Allergic Rhinitis they were followed up at the intervals of 1, 2, 4, 12 weeks, 6 month and one year. Detailed ENT examination along with tuning fork tests, pure tone Audiometry and Tympanometry were performed on every visit. In suspected cases of having effusion we performed Myringotomy and Grommet insertion for confirmation of diagnosis and to resolve the effusion. We found that allergic rhinitis leading to upper respiratory tract infection was a prime factor as the cause for Otitis media with effusion. myringotomy and Grommet insertion causes aeration and drying of fluid
ABSTRACT
Back Ground: stridor is always terrifying entity and presentation of such patient in clinic is Dire emergency. Majority of these cases are dealt with empirical medicines like steroids and antihistamines, but sometimgs patients need surgical intervention like Tracheostomy or Endotracheal intubation to save the life. Paradoxical Vocal Fold motion is a relatively uncommon in routine Otolaryngological practice. So it can be easily confused with Bronchial Asthma or upper air way obstruction like Laryngeal oedema. Due to rare occyrrence and requirement of special diagnostic fiber optic instruments, the final diagnosis can be difficult. Management of paradoxical Vocal Fold Motion is discussed in this original article. Common mistake which is being done by many Otolaryngologists is treatment with Steroids which may worsen the disease. The aim of this study is to increase the awareness about Paradoxical Vocal Fold Motion regarding management with review of literature
Aim: aim of study is to document the etiological factors and treatment modalities of patients presenting with inspiratory stridor in Paradoxical vocal card motion
Setting and design: retrospective study in two teaching Hospitals
Material and methods: records of patients presenting with inspiratory stridor at outpatient and in emergency between 2007 and 2010 were analyzed
Results: paradoxical vocal fold motion constitutes 77% of inspiratory stridors. Male to female ratio was 1:2.4. Among the etiological factors were sinusitits, allergic Rhinitis, Gastro esophageal reflux disease, Psychogenic and exposure to irritants. Conservative treatment was sufficient in all of these cases, none of these patients required intubation or tracheostomy