ABSTRACT
Objective: to compare efficacy and discomfort caused by maxillary antrum packing with Foley's catheter versus BIPP gauze packing after Caldwell-Luc surgery
Methodology: this Quasi experimental study was carried out at two centres CMH Kharian and PAF Hospital Faisal, Karachi from June 2012 to June 2014. A total of 46 patients who underwent Caldwell-Luc surgery were included in the study. The cases were divided in two groups of 23 each. In Group A patients, maxillary antrum was packed with Foley's catheter after Caldwell-Luc surgery and in Group B patients, packing was done with BIPP gauze. Results in terms of efficacy and discomfort were observed. Efficacy was assessed by control of bleeding and subjective discomfort was assessed based on VAS [Visual Analogue Scale]
Results: in Group A average age of patients was 36.30[SD+13.52] and in Group B average age of patients was 39.65 [SD+13.84]. There were 56.52% males in Group A and in Group B there were 60.86% males. Whilst the pack was in situ, average pain score in Group A [Foley's catheter pack group] was 4.09 [SD+0.73] and in Group B, average pain score was 4.17[SD+0.83]. On removal of pack, pain caused by BIPP gauze was significantly higher i.e average pain score of Group B was 7.30 [SD+1.10], however that of Group A was 5.13 [SD+1.32] [p<0.001]. There was no case of bleeding after pack removal which showed that both types of packing are equally effective
Conclusion: maxillary antrum/antral packing with Foley's catheter is equally effective as compared to BIPP gauze packing and causes significantly less pain on removal as compared to BIPP gauze pack after Caldwell-Luc surgery
ABSTRACT
To compare the nasal patency following sub mucosal diathermy [SMD] of inferior turbinate and inferior turbinectomy [IT]. Randomized controlled trial. Department of ENT Combined Military Hospital Rawalpindi. Study was completed in one year from 15[th] September 2009 to 15[th] September 2010. Total 160 patients with symptomatic inferior turbinate hypertrophy were included in the study. Patients were randomly divided into two groups of 80 each using random numbers table. Group A underwent submucosal diathermy [SMD] of inferior turbinate where as Group B underwent inferior turbinectomy [IT]. Post-operative nasal patency was judged after 03 weeks by visual analog scale [VAS]. Both the groups are comparable with respect to age and gender. Post-operative nasal patency is significantly better in group B as compared to group A. IT is a more effective method to improve nasal patency as compared to SMD in case of inferior turbinate hypertrophy
Subject(s)
Humans , Male , Female , Turbinates , DiathermyABSTRACT
Across-sectional study was conducted to explore general practitioners' [GPs] knowledge regarding the major therapeutic use and adverse effects of drug[s] they prescribe. Three drugs namely tablet Montelukast Sodium, tablet Somatriptan and inhaler Fluticasone Propionate were selected from the list of drugs approved by the Ministry of Health in Pakistan. GPs who had prescribed at least one of the three were inquired about the cost, therapeutic use and one common adverse effect. For each question, one correct option and three distracting options were given. Two hundred and ninety four responses of 131 GPs were included in the final analysis. The correct options for therapeutic use and adverse effect were identified by 61.2% [n = 180] and 40.8% [n = 120] respectively. A statistically significant [p < 0.01] deficit of knowledge regarding adverse effects was observed for those GPs who identified pharmaceutical advertisements as their primary source of information for new drugs and those who were less experienced
ABSTRACT
OBJECTIVE: To study the type and severity of ear injuries in blast victims
STUDY DESIGN: An observational study conducted in the department of ENT, Combined Military Hospital, Rawalpindi from January 2007 to September 2009
PATIENTS AND METHODS: 62 blast victims who were brought to ENT department CMH Rawalpindi without previous history of ear disease in this duration were studied for type and severity of ear injuries. All cases underwent clinical examination of ear including otoscopy. Pure tone audiometry [PTA] was performed in all the cases
RESULTS: Out of 62 patients, 80.6 %[ 50] were male and 19.4 %[ 12] female. Age group varied from 13 to 60 years
Tympanic membrane rupture was the commonest finding present in 64.5%[40] individuals,17.7% [11] had perforation of right TM and 22.6%[14] had left TM perforation. Bilateral TM perforation was present in 24.2% [15] cases. Laceration of pinna was found in 11.2 %[ 7] patients and hemotympanum was present in 9.65% [6] cases [Fig: 1]. 79% [49] patients had hearing loss greater than 25 dB, out of which 22 were bilateral and 27 cases had unilateral involvement. So total of 71 ears were having hearing loss. 73.2% [52] had mixed hearing loss, 15.5% [11] pure conductive and 11.3% [8] pure sensorineural losses [Fig: 2]
CONCLUSION: Tympanic membrane perforation was the commonest injury followed by laceration pinna and hemotympanum. Hearing loss was seen in 79% patients of whom mixed type of loss was the commonest
ABSTRACT
To compare pressure splintage by coat buttons versus simple pressure dressing in management of haematoma pinna in terms of re-accumulation, perichondritis and cosmetic deformity. Randomized clinical trial. Department of ENT, Combined Military Hospital, Rawalpindi from October 2007 to February 2009. Sixty patients of haematoma pinna, of less than one month duration, were selected and randomly allocated to the button splintage and the pressure dressing groups. There was significantly less re-accumulation of haematoma in patients in whom pressure splintage was performed by coat buttons [3.33%] as compared to simple pressure dressing [26.66%]. There was no difference in perichondritis [3.33%] in both the groups, while difference in cosmetic deformity [16.66%] in button group and [33.33%] in dressing group was not statistically significant. pressure splintage by coat buttons is more effective than simple pressure dressing in preventing re-accumulation of haematoma pinna