<p class="abstract"><strong><span lang="EN-US">Background: </span></strong>The purpose of this study was to evaluate the ethmoid roof on computerized tomography of nose and paranasal sinuses of Kashmiri people and distribute them on basis of KEROS classification.</p><p class="abstract"><strong><span lang="EN-US">Methods: </span></strong>Cross sectional descriptive study, the randomly selected paranasal sinus computed tomography (PNS CT) scans coronal cuts .Total of One hundred PNS CT scans done at the SMHS Hospital from April 2015 to September 2015 were reviewed, and selected for study. The bilateral heights of the lateral lamellae of the cribriform plate were obtained, independently coded, and classified according to keros.</p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>The mean height of the lateral lamella among Kashmir’s was seen to be 5.08mm and 29% of patient’s CT PNS were classified as Keros I, 61% were classified as Keros II and 10% were classified as Keros III. There was significant difference in the distribution of Keros classification between the right and left lateral lamella. There was no significant difference in the height of the lateral lamella (t-test: p=0.98 on right side & p =0.89 on left side) and the distribution of Keros classification (Fisher’s Exact test: p = 0.823) among younger (1-14 year) and older (>14 year) Kashmiri age groups. There is significant difference in the height (t-test: p=0.03 on right side and p=0.03 on left side) and the distribution of Keros classification is statistically insignificant (Fishers Exact Test: p=0.11) between Kashmiri females and males.</p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>Preoperative assessment of ethmoid roof anatomy and keros level is mandatory for alerting the surgeon of the potential iatrogenic injury during endoscopic sinus surgeries to minimize the grave complications during ESS.</p>
Background: FNAC has become an established investigation in the diagnosis of accessible and palpable lesions. Most of the intra-abdominal masses are non-palpable and even if they are palpable, the idea of their size and shape and the extent of the lesion is not possible. Therefore, various imaging modalities like ultra-sonography, computed tomography and fluoroscopy are used as a guide for fine needle aspiration nowadays. Objectives of this study were to assess the utility of image guided fine needle aspiration cytology in the diagnosis of non-palpable intra-abdominal lesions. To study the cytomorphological features of these lesions. To evaluate the sensitivity, specificity and diagnostic accuracy of image guided fine needle aspiration cytology of these lesions.Methods: A prospective study of percutaneous aspiration biopsy of intra-abdominal masses, to evaluate its utility was undertaken in the department of pathology, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Kashmir. FNA was performed in 183 patients.Results: Adequate cell sample was obtained in majority of the cases (83.6%). Majority of the abdominal masses were arising from the liver (65%). Location of abdominal masses also included those arising from pancreas (12.02%), kidneys (7.65%), lymph nodes (7.65%), Gall bladder (6%) omental deposits (1.09%) and adrenal gland (0.54%). Majority of US guided FNA was done in liver masses. Overall sensitivity, specificity and diagnostic accuracy of image guided FNAC of intra-abdominal and retroperitoneal masses of the study was 100%, 100% and 93.54%, respectively.Conclusions: There is lack of awareness regarding dog bite and its management among the rural population.
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