This is a cross sectional study done in I.C.U & Dept. of otolaryngology - Head & Neck Surgery, B.S.M.M.U, Dhaka and Dhaka Medical College Hospital during the period of 1st March, 2003 to 30th August, 2003. 60 cases of tracheostomies, were included in this study, among them 30 cases of elective tracheostomies and 30 cases of emergency tracheostomies. In this study mean age of elective tracheostomy was 40.46 years & mean age of emergency tracheostomy was 50.50 years. Here Male was predominant both in elective (M:F= 6.5:1) and emergency tracheostomy (9:1). The common indications of elective tracheostomy were ICSOL (26.67%) & Head injury (26.67%) where as commonest indication of emergency tracheostomy was laryngeal carcinoma (53.33%). The frequency of complication for elective tracheostomy was 9.99% and emergency tracheostomy 33.35%. Here complications were 3.33 times more common in cases of emergency tracheostomy then elective tracheostomy. Key-words: Tracheostomy, elective and emergency.  DOI: 10.3329/bjo.v14i2.3282 Bangladesh J of Otorhinolaryngology 2008; 14(2) : 57-62

Deafness prevention should focus mainly on chronic suppurative otitis media, otitis media with effusion, and impacted ear wax prevention, integrated within the primary healthcare system and addressing the equity issue.

Abstract:Objectives: To find out the presentation of supraglottic carcinoma of larynx.Methods: Fifty cases of supraglottic carcinoma were selected from the in-patient department of Otolaryngology and Head-Neck surgery of Bangabandhu Sheikh Mujib Medical University and Dhaka Medical College Hospital, Dhaka, during March, 2009 to August, 2009 (Stage III and Stage IV).

When we age, not only our aches and pains worsen, our skin wrinkles, teeth fall out, and our hair disappears, voices show sign of age as well. Few of us just think about how important it is until it stops functioning properly. In advanced age, we loose some of the fine coordination that we had in younger years, we loose muscle mass, our mucous membrane become thin and dry. Aging affect two main aspects of vocal fold anatomy and function. First, much like muscles elsewhere in the body, muscles of the vocal fold loses bulk (atrophy). Second, the flexible tissues which are responsible for vocal fold vibration during voicing (i.e. superficial lamina propria) become thinner, stiffer and less pliable. Together these changes sometimes results in voice which is percieved as sounding 'old'. The aging and upper aerodigestive tract:The phonatory organ is composed of the resonator (larynx), the articulator (supraglottic structures) and the compressor (lungs). Age related changes in any one or all of these structures can have a direct impact on voice quality and general comfort level (direct factors). 1

Background: Regional metastases to the cervical lymph node is common in laryngeal carcinoma and this is also the most important prognostic factor of the disease. Objective: The purpose of the present study was to see the frequency of cervical metastases related to the sites of laryngeal carcinoma and also to see the relation between primary site and level of metastatic node as well as the relation between T and N stage of the tumour. Methodology: This cross sectional study was done in the Department of Otolaryngology and Head-Neck Surgery at Bangabandhu Sheikh Mujib Medical University, Dhaka and Specialized ENT Hospital of SAHIC, Dhaka from April 2009 to March 2010. A total number of 50 patients who were histopathologically proven laryngeal carcinoma at any age with both sexes were included in this study. General physical examination and ENT examination was done thoroughly. Direct laryngoscopy was done under general anaesthesia to assess the site, size, and extension of the tumour as well as for staging and biopsy. Results: A total number of 60% laryngeal carcinoma patients presented with regional metastases to the cervical nodes. Highest cases among laryngeal carcinoma were supraglottic carcinoma (72.0%) which also showed the highest rate of lymph node metastases (72.2%). Most frequently involved levels of the neck were level II (56.7%) and level III (33.3%). It was also observed that the rate of regional metastases was increasing with the advancing T-stage of the disease. Conclusion: Regional metastases is a useful prognostic indicator of the laryngeal carcinoma. So, early detection of the disease has a great importance on the management of the disease.