ABSTRACT
To study the clinical profile of angiofibroma, various conventional surgical approaches and the outcome of surgery. Prospective, analytical study. This study was conducted at the Department of Otorhinolaryngology and Head and Neck Surgery, Bolan Medical Complex Hospital, Quetta from January2008 to December2012. This study included 31 patients of juvenile nasopharyngeal angiofibroma over a period of 5 years. All patients were treated by conventional surgical approaches following Fisch staging system. Twenty one [21] patients were operated by lateral rhinotomy approach, Three [3] patients by transpalatal approach, five [5] patients by Weber-Fergusson approach and two [2] by Mid-facial degloving approach. The patients were followed up for a period of three [3] years for any recurrence. All patients were male with mean age 15.61 +/- 2.64 years. The patients presented with recurrent epistaxis, nasal obstruction and nasopharyngeal mass apart from other symptoms and signs. Majority of the patients [80.64%] came with stage II and IIIA disease. Lateral rhinotomy approach was used in majority of cases [67.74%]. Recurrence was observed in 5 cases [16.12%]. Recurrence rate was less [one out of 2leases] with lateral rhinotomy approach in comparison with other approaches. In transpalatal route recurrence was observed in two [2] cases out of three [3] cases, while in Weber-Fergusson approach it was one out of five [5] and in Mid-facial degloving it was one out of two [2] cases. Juvenile nasopharyngeal angiofibroma is a disease of male adolescents. The patient most commonly presents with recurrent epistaxis and nasal blockage with nasopharyngeal mass. Surgery is the treatment of choice. Lateral rhinotomy approach gives an excellent exposure for most of these tumours with less chance of recurrence
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
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