Culture sensitivity pattern in patients of chronic suppurative ottitis media

To compare the nasal obstruction following submucosal resection of inferior turbinate versus total inferior turbinectomy in patients with enlarged inferior turbinate. Randomized control trial CMH Rawalpindi from June 2007 to November 2007. Sixty patients of both gender clinically diagnosed to have inferior turbinate hypertrophy with history of nasal obstruction, not responding to medical treatment, having age >12 years with no history of previous nasal surgery were selected by convenience sampling. Thirty patients were treated by total inferior turbinectomy and thirty cases were treated by submucosal resection of inferior turbinate and results in terms of relief of nasal obstruction based on VAS [Visual Analogue Score] were observed with follow-up carried out at three weeks. Out of 30 cases managed by total inferior turbinectomy 83% cases showed marked improvement, and 17% had mild improvement in nasal obstruction 3 weeks after surgery. Among patients managed by submucosal resection 80% had marked, 17% had mild and 3% had no improvement of nasal obstruction. Submucosal resection of inferior turbinates and total inferior turbinectomy are almost equally effective for relief of nasal obstruction in patients with hypertrophic turbinate

Tonsillitis and its management with special reference to post tonsillectomy follow-up

To assess the improvement in symptomatology of patients suffering from chronic tonsillitis after undergoing tonsillectomy. The study design was comparative. This study was conducted at ENT department CMH Rawalpindi., from June 2002 to December 2003. One hundred patients of ages 5 to 30 of either sex with history of definite recurrent attacks of acute tonsillitis [minimum six per year] were selected for the study. All patients underwent tonsillectomy, performed by dissection method. The patients were followed up during 12 months period. Out of the 100 cases, 99 showed improvement. The mean number of episodes of sore throat and fever in the pre op cases was 9.19. Post operatively this reduced to 2.61 [P-value < 0.05]. There was marked improvement in the symptomatology following tonsillectomy