Outcome of nasal septal surgery at Nishtar hospital, Multan

To determine the outcome of nasal septal surgery. This descriptive case series study was carried out in the Department of ENT, Nishtar Hospital, Multan from April 2007 to October 2007. A total 100 patients were included in the study. All patients subjected to nasal septal surgery were examined after operation for a specific period of time for relief of nasal obstruction and for development of any kind of complication like nasal bleeding, nasal septal perforation, nasal adhesions and primary kind of internal nasal deformity. In nasal septal surgery, septoplasty was done in 30 cases and SMR was performed in 70 cases. Postoperative intra-nasal splints were used in 20 cases for 10 days. Anterior nasal packing was done in all cases, which was removed after 48 hours of surgery. Follow up observations and findings were included in the study and recorded on a follow up proforma till one month of duration. The incidence of complications was septal perforation in 6 cases, nasal adhesions in 15 cases and recurrence of symptoms in 4 cases. Nasal septal surgery is an effective way of relieving obstruction in respiration through nose. SMR still is a main surgical procedure being used in relieving nasal obstruction but the rate of complication is higher with it as compared to septoplasty

Comparison of X-ray findings with the results of proof puncture in patients with maxillary sinus disease

Radiographs of para nasal sinuses are frequently taken in patients with obvious nasal pathology to rule out concomitant sinus disease. To compare the X-ray findings with the result of proof puncture in patients with maxillary sinus disease. This study was carried out in the ENT Department, Nishtar Hospital, Multan with the symptoms and signs of sinunasal disease during the period from October 2008 to August 2009. These patients underwent detailed history and thorough clinical examination. Symptoms suggestive of sinus disease included nasal and post nasal discharge, nasal obstruction, cough, sore throat and headache. Out of 80 patients, 48 [60%] were male and 32 [40%] were female. As regards age, 7 [8.7%] patients were between the age of 10-19 years, 34 [42.5%] were between 20-29 years, 25 [3 1.3%] patients were between 30-39 years of age. Whereas 11 [13.7%] patients were between the age of 40-49 and only three patients were above 50 years. The radiological findings were compared with results of antral lavage. In cases of air fluid level and opaque sinus, antral lavage is mostly positive

Factor XIII deficiency in Pakistan

Patients with undiagnosed haemostatic defects seen at the Aga Khan Hospital and Fatimid Blood Transfusion Centre during the period of 7 years [1985-1992] were screened with routine tests including bleeding time [BT], whole blood clotting time [CT], platelet count, activated partial thromboplastin time [APTT], prothrombin time [PT] and 5 molar urea test. Nine patients had a positive 5 molar urea test indicating factor XIII deficiency. Rest of the screening tests were normal in these patients. High incidence of consanguinity was observed in affected families. Clinical features included excessive bleeding from umbilical stump, bruising, post-traumatic bleeding, epistaxis, melaena and intracerebral bleeding. All the patients were treated with fresh frozen plasma and cryoprecipitate