To determine the various etiological factors, clinical presentation and outcome of traumatic perforation of tympanic membrane (TM) in a rural area of Bangladesh. A retrospective study of 210 cases of traumatic perforation of TM in upazilla health complex, Nangalkot and Muradnagar, Comilla, Bangladesh within the period of March 2013 to February 2014. The study showed middle age people of 20-39 years age group were mostly affected (61.89%), where males are more than females at the ratio of 1.18:1. Domestic violence was a major factor (50%) and husbands are only culprit for 35.13% of housewives and slap was the major mode of injury (52.86%) affecting the left ear mostly (70.95%). Spontaneous healing rate was very satisfactory and it was 88% within 03 months in our study. Traumatic perforation of TM is a common type of injury in rural areas. Unnecessary surgical intervention or unskilled handling should be discouraged. Early appearance and watchful treatment reduces the morbidity.

Abstract:Background: Nasal foreign bodies are a frequent accident to otolaryngologist especially in young children. They are generally harmless and can be managed easily in outpatient department but may become life threatening if it is overlooked or attempt at removal by unskilled hand.

<p class="abstract"><strong>Background:</strong> Thyroglossal duct cyst (TGDC) is the cyst in the cervical midline that arises from the embryonic remnant of the thryroglossal duct. It is most common congenital abnormality in the head and neck region which may present at any age particularly occur in children. The definitive treatment is surgical excision of the cyst and tract.</p><p class="abstract"><strong>Methods:</strong> It is a cohort retrospective study of 26 cases in the Department of Otorhinolaryngology and Head-Neck surgery, Comilla Medical College Hospital, Bangladesh from 01 July 2016 to 31 June 2019.  </p><p class="abstract"><strong>Results:</strong> Incidence of TGDC was 0.02% out of total outdoor patient and 0.94% in total indoor routine operation. All patient was operated by Sistrunk’s procedure and recurrent 2 (7.69%) cases were operated by modified or extended Sistrunk’s procedure without complications afterwards. Of them female was 14 (53.85%), male was 12 (46.15%), children were 22 (84.61%), adult were 4 (15.35%). Infrahyoid was 21 (80.76%), surahyoid was 5 (19.24%). The patient presented as painful abscess were 10 (38.46%) and fistula were 3(11.51%), painless cyst was 8 (30.77%) and fistula were 5 (19.24%).</p><p class="abstract"><strong>Conclusions:</strong> TGDC is common congenital anomaly. It has a various type of presenting feature. Sistrunk’s procedure is gold standard surgical treatment procedure. But recurrence cases need modified or extended Sistrunk’s procedure to minimize the postoperative complication and manage the patient’s hope and requirements.</p>

Ear foreign body is a common ENT

Objectives: To find out the patterns of cervical lymph node metastasis in oral cavity carcinoma. Methods: This is across sectional study which was carried out in the department of Otolaryngology & Head Neck Surgery Dhaka Medical College Hospital (DMCH), Sir Salimullah Medical College Hospital (SSMC), Bangabandhu Sheikh Mujib Medical University (BSMMU) and National Institute of Cancer Research & Hospital (NICRH) from July 2013 to December 2014.Total 96 cases were included in this study. Data were collected by detail history, clinical examination, relevant investigation and result were processed manually and analyzed with the help of SPSS. Results: In this study 72 (75%) patients presented with clinically palpable neck nodes and 24 (25%) presented without neck node. Among 24 cases 7 cases was radiologically positive neck node. Out of 96 cases stage III was the highest (50.96%) followed by stage IV (27.01%), stage II (13.52%) and stage I (8.32%). That is 23 (23.92%) patients present with early stage and 73 (76.18%) patients present in late or advanced stage. Level l was the highest 49 (61.71%), followed by level all 35(44.1%), level lll 10 (12.6%). Conclusion: As cervical lymph node metastasis is a critical event for patients with squamous cell carcinoma of oral cavity, as this is the most reliable predictor of poor treatment outcomes. Thus for appropriate treatment it is very important to know this pattern of metastases. Bangladesh J Otorhinolaryngol; October 2020; 26(2): 102-108