ABSTRACT
Background: Allergic hypertrophied turbinate, is managed by different treatment modalities, with variable outcome
Objective: To evaluate the result of bipolar electrofulguration with endoscopic approach in allergic hypertrophied turbinate
Patients and Methods: Study design: Descriptive, cross sectional study. Place: ENT department of Jaber AL - Ahmed Forces Hospital, Kuwait from 1[st] January 2008 to 31[st] December 2010. Fifty five cases of hypertrophy of Inferior turbinate were selected. Forty patients were females and 15 were males. They presented mainly with history of nasal blockage. Endoscopic bipolar diathermy was used to decrease the size of inferior turbinate. The variables included were nasal obstruction, post nasal drip, itching and sneezing. The patient were followed up on one, three and 6 month. The data was entered and analyzed by SPSS version 12
Results: Endoscopic bipolar diathermy showed good results after follow upto two six months duration. We found that 89% of the patients reported subjective improvement and 65% of the patients have objective improvement as well
Conclusion: Bipolar diathermy of inferior turbinate using zero degree endoscope is a good technique for excellent view of inferior turbinate. This procedure gives good results to the patients
ABSTRACT
Background: Nasal polyps are commonly seen in our routine ENT practice. Allergic Fungal Sinusitis [AFS] is also one of them
Objective: To determine the prevalence of allergic fungal sinusitis among patients with nasal polyps
Patients and Methods: This sectional study was conducted in Department of ENT, Sheikh Zayed Hospital, Rahim Yar Khan from 11[th] July, 2013 to 10[th] January 2014. This study included 84 patients with diagnosis of nasal polyps. All the patients were evaluated for the presence of allergic fungal sinusitis which was described as frequency and percentage. The data was collected in pre designed performa. The data was entered and analyzed by using SPSS version 16
Results: Allergic fungal sinusitis was detected in 9 [11%] patients. The mean age of the patients was 31 +/- 6 years, and all of the patients have, nasal obstruction, post nasal drip and sneezing
Conclusions: Allergic fungal sinusitis is seen commonly among patients with nasal polyps. So, every patient with nasal polyp should be evaluated for the presence of AFS
ABSTRACT
Background: Epistaxsis in one of the common condition faced in emergency
Objective: To evaluate the pattern of epistaxis, treatment, modalities and relation of epistaxis with blood groups
Patients and Methods: This retrospective the study was conducted at department of Ear, Nose, Throat, Head and Neck Surgery, Sheikh Zayed Medical College/Hospital, Rahim Yar Khan from 1[st] January to 31[st] December 2010. Patients with spontaneous severe epistaxis who require hospitalization for control were included in this study and those who were with obvious cause like trauma, rhinolith, foreign bodies, granulomatous condition, tumours, blood dyscrasia and age below one year were excluded from this study. Data regarding age, gender, mode of presentation, under lying cause, blood groups and treatment modalities of consecutive 160 admitted cases of epistaxis was collected and analyzed by manual method and with the help of SPSS version 19. Sixty patients were excluded from this study because of blood dyscrasia, granulumatous disease and tumours. Trauma was not included in this study. To determine the association of blood grouping with opistaxsis 100 controls were also included in the study
Results: Hypertension above 50 years was the most common cause. It was more common in male patients [72%] as compared to in female. Sixty patients [60%] were above 50 years, twenty [20%] patients were in between [30 to 49] years, nine patients [9%] were in between [10 to 29] years and seven patients [7%] were in between [01 to 09] years of age. Hypertension was observed in sixty [60%] patients, chronic rhino sinusitis in twenty [20%]. Eighty five patients [85%] were managed by anterior nasal pack and in fifteen patients [15%] posterior nasal packing was done. Blood group [O] distribution was present in [47%], while in control group it was 38%
Conclusion: In adult admitted patients, hypertension was the major cause when trauma, granulomatous disease and blood dyscrasia was excluded. Anterior nasal packing is still valuable in control of epistaxis. Patients with blood group O was found in majority of patients of epistaxis
ABSTRACT
Background: Emergency tracheostomy remains a vital life saving procedure in advanced upper airway obstructive pathologies and in various other clinical settings where urgent alternative air passage is needed. Ingestions of hair dye powder containing PPD for self harm purpose or accidentally, is emerging as its new indication especially in young female patients
Objective: To evaluate the demographic and etiological factors underlying emergency tracheostomies in consecutive one hundred patients presenting in a tertiary care hospital
Subjects and Methods: In this case descriptive study, records of one hundred consecutive cases of emergency tracheostomies were collected and analyzed from demographic and etiologically point of view, from 1[st] January, 2012 to 30[th] September, 2013 manually as well as by using SSPS version 17
Results: Etiologically we found thirty five [35%] cases of severe respiratory distress due to kala pathar ingestion, thirty [30%] cases due to advanced laryngopharyngeal growths, twenty one[21%] due to trauma of head neck region or for assisting ventilation, four [4%] due to foreign bodies in laryngotracheal region, four[4%] cases were due to acute pharyngolaryngeal edema due to corrosive in take, four[4%] cases were due to post thyroidectomy bilateral abductor paralysis, one [1%] case was due to laryngomalacia and one [1%] case was due to acute epiglottitis male to female ratio was 1 to 1.5
Conclusion: Upper air way obstruction secondary to kala pathar ingestion is emerging as a new indication for emergency tracheostomy secondly, late presentation of upper airodigestive tract tumors, along with head neck trauma, remains a dominant indication for emergency tracheostomy
ABSTRACT
Background: The incidence of maxillofacial skeleton fractures is rising sharply world wide, the main contributors being road side accidents, interpersonal violence and falls from heights. If not treated properly, such fractures may lead to life long functional and structural disability
Objective: This study was planned to determine demographics, clinical features, patterns of mandibular bone fractures, management, postoperative evaluation and regulatory aspects of causes of such fractures
Patients and methods: This was a descriptive study, based on data of 150 consecutive patients of facial skeleton fractures, from January 2008 to December 2009. Variables examined included demographic and clinical features, patterns of mandibular bone fractures and results of open and closed reduction of isolated mandibular fractures using surgical stainless steel wires. Patients were followed up for one year
Results: There were 135 [90%] male and 15 [10%] females, age ranged from 5-70 years [mean age was 25 years]. Most common causes were motor bike accidents [57%], and falls from different heights [16%]. Nasal bone was the most commonly fractured bone, seen in 112 [75%] patients, followed by mandible fractures in 80 patients. In s62, selected cases of mandibular fractures postoperative complication rate was higher in closed reduction than in open reduction cases with internal fixation [ORIF]
Conclusion: Long-term collection of epidemiological data regarding maxillofacial skeleton and management aspects of mandibular fractures are important for the evaluation of existing preventive measures and useful in the development of new methods of injury prevention and treatment