The present study includes evaluation 60 ears of 30 nasal patients admitted to department of Otolaryngology and Head-Neck Surgery at Banghabandhu Sheikh Mujib Medical University. Each patient underwent nasal surgery followed by anterior nasal packing for 48 hours. All patients were investigated by tympanometry prior to surgery, 2nd post operative day before pack removal and on 7th post operative day 5 days after pack removal. This study shows that nasal packing result in Eustachian tube dysfunction and negative middle ear pressure which is reversible in nature.
Bangladesh J Otorhinolaryngol; April 2017; 23(1): 27-31
The larynx is the most common site for primary tumour of the head and neck region. It represents world wide approximately 1-2% of all cancers. A cross sectional study of 154 cases of laryngeal carcinoma was carried out in the in-patient department of Bangabandhu Sheikh Mujib Medical University and Dhaka Medical College during the period of two years with an aim to find out the frequency of site and subsite involvement of carcinoma of the larynx. The age range is 33-80 years and the over all male to female ratio is 29.8:1. Smoking and chewing habit are the most important associated factors. Majority of growths are found to be exophytic and most of the patients present at advanced stage. The commonest site of laryngeal carcinoma is supraglottic region and occurrence of supraglottic carcinoma than glottic carcinoma is statistically highly significant.
Background. Schwannoma is a benign nerve sheath tumor. It was first identified by Virchow in 1908. These tumors can emerge from any nerve covered with a Schwann cell sheath, including the cranial nerves (with the exception of the optic and olfactory nerves), the spinal nerves, and the autonomous nervous system (Harada H, Omura K and Maeda A, 2001). Case Presentation. A 28-year-old male farmer presented with a swelling at the right side of the base of tongue extending into the oral tongue. It was identified incidentally by his newly married wife while he was yawning. It was asymptomatic. The patient had no difficulty in chewing, swallowing, or phonation and also no sensory or taste abnormalities. The tongue movements were normal. Conclusions. Diagnosis of schwannoma should be considered for a smooth, painless, firm swelling in the tongue. A schwannoma of the tongue may grow large enough before producing any symptom. Around 25–40% of schwannoma happen within the head and neck region, and among these, 1-12% occurs in the oral cavity, most regularly the tongue or mouth floor. Schwannoma of the tongue does not show any age or sex predisposition. It usually presents as a painless lump in the tongue, but when it grows larger than 3.0 cm, it may produce dysphagia, pain, or discomfort and change in the quality of voice. Here, we report a case of large (
4
cm
×
3
cm
) asymptomatic schwannoma of the tongue in a 28-year-old male patient and review the literature available during the last 61 years.
An epsilometer-test method was used to determine MIC values of several antibiotics against 29 Helicobacter pylori isolated from gastric antrum of dyspepsia patients. Isolates with resistance towards antibiotics were 6.9%-65.5% but these were tetracycline-sensitive. Eight isolates showed multi-resistance towards two antimicrobial agents. The high resistance strains towards metronidazole is alarming.
Tonsillectomy is the most frequently performed surgical procedure in Otolaryngological practice. We included 110 patients and divided into antibiotic group and placebo group, and followed up upto 7th POD. Parameters of observation were pain, fever, nausea & vomiting, reactionary & secondary haemorrhage, duration of hospital stay and return to normal diet. The result of this study showed that post operative pain and return to normal diet improved in antibiotic treated group than those who received placebo, but there is no statistically significant difference between two groups in respect of fever, nausea & vomiting, reactionary & secondary haemorrhage and duration of hospital stay.
Bangladesh J Otorhinolaryngol; October 2017; 23(2): 153-158
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