ABSTRACT
The aim of this study was to find out the pattern of extracranial complications of CSOM cases who attended to the department of ENTD, Mymensingh Medical College Hospital during the period from July'1999 to June' 2001. Different types of extracranial complications of CSOM were presented here. A total of 100 cases, diagnosed clinically and radiologically were included in the study of which 66 were male and 34 were female giving a male to female ratio of 1.94 : 1 (p < 0.05). Majority cases (53) were in the age group of 11- 20 years followed by the age group of below 10 years where there were 30 cases. Majority (64) cases came from low socio-economic class. The number of different types of extracranial complications of CSOM were as follows: mastoid abscess 57, discharging sinuses 28, purulent labyrinthitis 07, Bezold's abscess 04, fascial nerve paralysis 03 and zygomatic abscess 01. In all cases of CSOM Cholesteatoma were detected. In 14 cases, Cholesteatoma were associated with granulation tissue/polyp. Modified radical mastoidectomy were performed in all cases. On analyzing the findings of the present study it was observed that mastoid abscess were the predominant extracranial complications of CSOM, affecting mostly the male population of 11 - 20 years age group coming from low socio-economic class.
Subject(s)
Adolescent , Adult , Bacterial Infections/etiology , Child , Child, Preschool , Chronic Disease , Female , Humans , Infant , Infant, Newborn , Labyrinthitis/etiology , Male , Mastoiditis/etiology , Middle Aged , Otitis Media, Suppurative/complications , Paranasal Sinus Diseases/etiology , Prospective StudiesABSTRACT
DCR allows an abstracted lacrimal drainage system to be drained into the nasal fossa. Since the development of endonasal endoscopic surgical technique, the endonasal approach presents it self as an alternative choice to the conventional external approach as in the former skin scar can be avoided. We performed DCR of 50 cases in endonasal endoscopic approach in Mymensingh Medical Collage Hospital. The age range of patient was found between 7 to 35 years, average 21 & male female ratio was 1:1.5 with follow up to 2.10 years with high success rate. Associated nasal disease correction septoplasty was done in 7 cases. In each & every case silicon tube was introduced & removed after 3 to 6 months. The only complication was periorbital injury in 5 cases, punctal tear in 2 cases and granuloma formation in 2 cases. Overall success rate was 86%.
Subject(s)
Adolescent , Adult , Bangladesh , Child , Dacryocystorhinostomy , Endoscopy , Female , Humans , Lacrimal Duct Obstruction/surgery , Male , Treatment OutcomeABSTRACT
The carrier rate of Group A Streptococcus (GAS) was studied amongst 932 children from 1+ upto 12 years of age in three major racial groups in the foothills of the Darjeeling district of West Bengal. It was altogether 13 per cent and was found to be evenly distributed in the three ethnic groups as Gurkhas: 11 per cent, Rajbanshis: 15 per cent and Cosmopolitans: 13 per cent, but the incidence of Rheumatic fever and/or Rheumatic heart diseases were unnoticed among the Gurkha children who also had significant low ASO titres.
Subject(s)
Carrier State/ethnology , Chi-Square Distribution , Child , Child, Preschool , Female , Humans , India/epidemiology , Infant , Latex Fixation Tests , Male , Prospective Studies , Streptococcal Infections/ethnology , Streptococcus pyogenes/isolation & purificationABSTRACT
Fifty one strains of Salmonella typhi were isolated during the recent outbreak of enteric fever in and around Calcutta. Forty strains were multidrug resistant including Chloramphenicol. Minimum inhibitory concentrations (MIC) of Chloramphenicol was between 200 mcg per ml and 500 mcg per ml. All these strains were sensitive to Cephalexine, Gentamicin, Furazolidine and Ciproflexacin. Widal test was done in all the cases but the result was inconclusive.