RESUMO
Objective: To determine incidence and characteristics of traumatic Tympanic Membrane perforation in a tertiary care hospital
Methods: This descriptive cross sectional study was conducted at the Department of ENT, MTI/LRH, Peshawar from August to December 2017. After well informed consent a detailed history was taken; thorough examination of ENT was carried out. Pure Tone Audiometry [PTA] of all included patients was performed by same senior audiometrician. The data were collected on predesigned proforma and were analyzed using SPSS [16 version
Results: This study included 48 patients; Male 34, Female 14 with Male: Female ratio of 2.24:1. The mean age was 26.75 +/- SD 9.88 Years. Majority of the patients [24, 50 percent] were in 3rd decade of life. The commonest cause of perforation of tympanic membrane was slap [35, 72.9 percent]. Perforation of the Tympanic membrane was found more on left side [24, 50 percent], involving anterio-inferior site [18, 37.5 percent], while medium sized perforation was frequent finding [27, 56.2 percent]. Single perforation was commonest observation [45, 93.8 percent], conductive hearing loss was the most common finding [38, 79.2 percent], and mild degree hearing loss was commonest [24, 50 percent]
Conclusion: Traumatic tympanic membrane perforation is common in young male. Slap was the commonest cause of traumatic perforation affecting left ear more than right ear. Inferior quadrant of the tympanic membrane was commonly involved and mild degree and conductive type of hearing loss was common
RESUMO
OBJECTIVE: To determine the clinical features, diagnosis and complications of total laryngectomy at a tertiary care hospital
MATERIAL AND METHODS: This descriptive prospective study was conducted at the department of ENT, Head and Neck Surgery, PGMI/ LRH Peshawar from Janurary 2001 to December 2010. All patients were thoroughly evaluated and disease was staged according to TNM. After informed consent total laryngectomy was performed in all patients followed by chemoradiotherapy
RESULTS: A total of 26 patients underwent total laryngectomies for histologically confirmed laryngeal cancers. The age of the patients ranged from 38-72 years with mean age of 57.34 +S.D 9.6 years. Hoarseness was the commonest [100%] presenting feature. According to TNM staging system 15 patients [57.69%] had stage III and 11 patients [42.30%] had stage IV carcinoma larynx. There was wound infection in 6 patients [23.07%] and 4 patients [15.38%] developed pharyngocutanous fistula
CONCLUSION: The commonest presentation of laryngeal carcinoma was hoarseness, so any smoker patient having age greater than 40 years with persistent hoarseness must be investigated for laryngeal carcinoma
RESUMO
OBJECTIVE: To determine the diagnostic value of fine needle aspiration cytology in the diagnosis of solid solitary thyroid nodule
STUDY DESIGN: This was cross-sectional comparative study
PLACE AND DURATION OF STUDY: This study was conducted at the Department of Ear, Nose, Throat, Head and Neck surgery, Post Graduate Medical Institute, Lady reading Hospital, Peshawar. The duration of the study was one year from June 17, 2010 to June 16, 2011
METHODOLOGY: The sample size was 82 patients with solid solitary thyroid nodule, fulfilling the inclusion criteria. After taking detailed history and thorough examination, relevant investigations were performed. Informed consent was taken from all the patients and Fine needle aspirations were carried out in all cases and compared with open biopsies taking as gold standard
RESULTS: Our study included 82 cases consisting of 57 female and 25 male, with female: male ratio of 2.28
1.The age of the patients was ranged from 16-65 years with mean age of 42.56 + S.D 11.60 years. The FNAC diagnostic accuracy was 82.92% along with a sensitivity of 88.09% and specificity 77.50%. The positive predictive value was 80.43% that supports our hypothesis
CONCLUSION: FNAC is a primary diagnostic tool for solitary thyroid nodule because it is simple, safe, quick, reliable, minimally invasive, and cost effective
RESUMO
Background: Chronic suppurative otitis media [CSOM] is choronic inflammation of middle ear, which represents with recurrent ear discharge and is prevalent worldwide
Objective: To determine the etiological profile and sensitivity spectrum of microorganisms of chronic suppurative otitis media in a tertiary care hospital
Material and Methods: This descriptive study was conducted at outpatient department, Ear, Nose, Throat, Head and Neck Surgery, Postgraduate Medical Institute Lady Reading Hospital Peshawar from June 20 10 to June 2011. This study included 285 patients who had discharging ears more than 3 months. The swabs were plated on Mac Conkey agar, Blood agar and Chocolate agar and incubated for 24 to 48 hours at 37[degree]C. Identification of bacterial strains was done by colonial morphology on selective and differential medium. Minimal inhibitory concentrations [MIC] of these antibiotics were monitored according to the guideline of National Committee for Clinical Laboratory Standards [NCCLS]. The data was analyzed using the SPSS version 17
Results: This study included 285 cases constituting 184 male and 101 female, with male: female ratio of 1.8:1. The age of the patients ranged from 08-46 years with mean age of 39.91 +/- S.D 15.27 years. In majority of patients [73.68%] single organism was isolated. Among the isolates Pseudomonas aeruginosa was the commonest [46.31%]. The antibiotic susceptibility profile of the bacterial isolates revealed that ciprofloxacin had highest sensitivity against pathogens isolated from CSOM
Conclusion: It is concluded that Pseudomonas aeruginosa is the commonest etiological agent in chronic suppurative otitis media in our set up and ciprofloxacin is the antimicrobial agent with highest sensitivity