ABSTRACT
Objective: To observe the various aspects of allergic fungal rhinosinusitis [APRS]
Study Design: Prospective Study
Place and Duration of Study: This study was conducted at Department of Head and Neck Surgery, Civil Hospital Quetta and Chaudhary Rehmat Ali Memorial Trust Hospital, Lahore from 1[st] January 2015 to 30[th] June 2015
Materials and Methods: Sixty seven patients suffering from chronic rhinosinusitis with polyps were included in this study
They were assessed clinically, computed tomography and histopathologic and mycologic monitoring. Depending on the presence or absence of allergic mucin and mycelial elements in the sinus, the patients were studied for different parameters
Results: The mean age of 36.4 years with ranged from 14 to 51 and male to female ratio was 1.6:1. Out of these presumed 67 APRS patients, 8 had positive fungal cultures. Remaining 59 patients with EM either had negative fungal cultures and these patients were thought to have insufficient evidence for a pathologic diagnosis of APRS
Conclusion: For the diagnosis of APRS, the detection of fungal elements and allergic mucin should be considered
ABSTRACT
To objective of this study was to describe the aetiology of epistaxis. Retrospective, descriptive study. This study was carried out at the Department of Otorhinolaryngology and Head and Neck Surgery, Bolan Medical Complex Hospital, Quetta from December 2011 to December 2013. This study included 87 patients of epistaxis of the afore-said period. Medical records of patients were reviewed retrospectively and results were analyzed. The mean age of the patients was 26.70 +/- 18.10 [SD] years and male to female ratio was 2:1.Trauma [32.18%] was the commonest cause of epistaxis, followed by idiopathic group [22.99%] and hypertension [14.94%]. Other causes were nasal and nasopharyngeal tumours [10.34%], inflammatory diseases of nose and sinuses [8.05%], blood dyscrasias [6.90%] and miscellaneous causes [4.60%] which included one case of aspirin induced epistaxis, one case of hereditary hemorrhagic telangiectasia, one patient of typhoid fever and one case of liver cirrhosis. Nasal trauma is the most common cause of epistaxis. Idiopathic group is the second in which exact cause of epistaxis is not known, followed by hypertension, while other causes are rare
ABSTRACT
To study the effect of oral and intranasal topical corticosteroids on nasal, polyp recurrence after intranasal polypectomy. Perspective, comparative. This study was conducted out in ENT and Head and Neck Surgery Department, Bolan Medical Complex Hospital, Quetta, from March 2010 to March 2013. Sixty four patients of both sexes with diagnosis of ethmoidal nasal polyp underwent intranasal polypectomy. Then patients were divided into two groups, Group-A and Group-B. There were 32 patients in each group. In group-A the patients received oral and intranasal topical steroids postoperatively while in group-B patients did not receive oral and intranasal topical steroids. Both groups were followed-up for any recurrence of polyps at interval of 3, 6 and 12 months. Recurrence rates in group-A were 6.25%, 12.5% and 21.87%, while the recurrence rates in group-B were 12.5%, 28.12% and 43.75% at interval of 3, 6 and 12 months. A postoperative short course of oral steroids followed by topical nasal steroid spray after intranasal polypectomy can reduce the recurrence rate of ethmoidal nasal polyps significantly