causes of deafness and hearing impairment in cohorts at the Ida Rieu school, Karachi

This is a case control cohort study of comparable age, gender, socioeconomic and other multidirectional variables. The study was carried out in 334 children during the period between March and August 97, at the Ida Rieu Ear Institute in Karachi. The methodology comprised of collecting data based on a questionnaire filled by the parents. Clinical examination involved routine physical and thorough ENT examination. All subjects were evaluated through pure tone audiometry. The findings are comparable to the results of a previous study conducted in this school during the year 1991-93. In this study majority of children [76.64%] had profound hearing loss. Consanguinity, communicable diseases and ototoxicity seem to be the dominating factors

Nasopharyngeal angiofibroma: experience at civil hospital Karachi

Juvenile nasopharyngeal angiofibroma [JNA] is a common clinical entity seen in adolescent males in our country. JNA is although benign histologically but the clinical course and behaviour is comparable to malignant lesions. Surgical ablation has remained the treatment of choice. Our current approach in its management include computerized tomographic scan, digital subtraction angiography, super selective embolization and excision through lateral rhinotomy and medial maxillectomy approach. Presented here is our recent experience with 25 patients of nasopharyngeal angiofibroma treated surgically at the ENT Department, Civil Hospital, Karachi