Background: Thyroid gland is the largest gland of the body which secretes thyroid hormones named T3 & T4. Incidence of solitary thyroid nodule is common in Bangladesh. Objectives: To validate the ultrasonography evaluation of solitary thyroid nodule comparing with histopathological diagnosis. Methodology: This cross sectional study enrolled 75 patients of age range between 14 to 72 years during July 2016 to June 2018 and the study was carried out in the department of Radiology & Imaging of Ultrasonography evaluation was finally compared with histopathological diagnosis which was considered as gold standard. Results: Among 75 patients are included in this study the age ranged between 14 to 72 years. Majority of the patients 37 (49.3%) were found between 31 to 40 years. 65 (86.3%) were female & 10 (13.3%) were male. All patients were presents with thyroid swelling. In USG findings Microcalcifications were present 9 (12%) in benign & 5(6.7%) in malignant cases. Presence of Halo were in all benign cases 14 (18.7%). Comet tail sign were in 5 (6.7%) in benign & 3 (4%) in malignant cases. Histological nodular goiter were 57 (76%), Follicular adenoma 8 (10.7%), Thyroditis 5 (6.7%) and Papillary carcinoma 4 (5.3%), Follicular Carcinoma 1 (1.3%). Conclusion: This cross sectional study was carried out with an aim to determine the usefulness of ultrasonogram diagnosis of solitary thyroid nodule compared with histopathology findings. As the validity test results are higher, it can be concluded that the ultrasonogram is a useful diagnostic modality in the evaluation of solitary thyroid nodule. Bangladesh J Otorhinolaryngol; October 2019; 25(2): 76-84

Background: Head and neck cancers include cancers of the lips, mouth, nasal cavity, paranasal sinuses, pharynx and larynx. Most of these cancers are squamous cell carcinomas (SCCs). The presence of metastatic cervical lymphadenopathy is of particular importance as with every single nodal metastasis, survival of the patient is reduced by one half. Objective: To see the prevalence of metastatic neck node. Methods: The prospective cross-sectional clinical study was carried out in the Department of ENT and Head Neck Surgery, Combined Military Hospital, Dhaka during March’2018 to March, 2019. All 100 patients were included in this study and were treated at the Department of Otolaryngology of Combined Military Hospital, Dhaka. Results: Total 26 cases were found parotid among them 8(30.8%) in metastatic neck node and 18(69.2%) in without metastatic neck node. Total 10 cases were found paranasal sinuses among them 1(10.0%) in metastatic neck node and 9(90.0%) in without metastatic neck node. Which were statistically significant (p<0.05) between two groups. Conclusion: In this study observed that majority of metastatic neck node were found pyriform fossa, supraglottic larynx, base of tongue which were 68.2%, 68%, 77.8% respectively. In oral cavity and parotid site also found 48.1% and 30.8% metastatic neck node. Bangladesh J Otorhinolaryngol; October 2019; 25(2): 102-107

Introduction: Surgical outcome of spinal tumour varies depending on a number of factors such as: site of the tumour, compression within the spinal canal, the histological characteristics of the tumour, the neurological progression and initial response to corticosteroid therapy, patient’s age, comorbidity, tumour extension, involvement of neighboring structures and organs etc. Materials & Methods: The 35 patients with spinal tumour underwent surgery by our team in 10 years (January 2009 - December 2018) were reviewed retrospectively. Results: Analysis of the surgical outcome of our spinal tumour patients was done on different variables like age, sex, presenting symptoms, neuroimaging, comorbidities etc. The aim of surgery was decompression of the spinal cord, total removal of the tumour when possible and spinal stabilization when needed. Out of our 35 patients with spinal tumour, extradural tumour comprises 8, intradural extramedullary tumour 25 and intramedullary tumour 2. Conclusion: The aim of this study is to analyze the data to made conclusion for more effective strategy as per site, size, type, resectibility and histological variety to establish and effective treatment protocol and prevention of per-operative and post-operative complications. Intradural extramedullary tumour can be radically resected with no mortality and minimal peri-operative morbidity. But resection of intramedullary spinal tumour is difficult, hazardous and usually incomplete, so needs much more skilled and meticulous surgical hands. Medicine Today 2021 Vol.33(1): 38-41

Background: Cancer continues to be a major health problem despite advances in medical technology for its diagnosis and treatment. Cancer of the larynx is the eleventh most common cancer in the world. Carcinoma larynx is a multifactorial disease. Smoking, betel-nut, betel-leaf chewing habit and drinking alcohol are the most important factors associated with carcinoma larynx. Objective: To detect the rate and level of cervical lymph node metastasis in laryngeal carcinoma Methods: Detailed information was obtained in each cases according to protocol. Complete history was taken from accompanying attendants. Thorough clinical examination was done. All the information’s were recorded in the fixed protocol. Patients were randomly assigned to one of three groups by card sampling. Collected data were classified, edited, coded and entered into the computer for statistical analysis by using updated computerized program SPSS-19 Results: Out of 50 cases the mean average age was found 58.5±11.9 years with range from 39 to 78 years. Majority (70.0%) patients presented with supraglottic carcinoma followed by 13(26.0%) glottic carcinoma and 2(4.0%) subglottic carcinoma. More than three fourth (78.0%) patients had difficulty in swallowing followed by 17(34.0%) had hoarseness of voice, 12(24.0%) had discomfort in throat, 10(20.0%) had earache, 6(12.0%) had hemoptysis and 4(8.0%) had cough. Majority (42.0%) patients were found N0 followed by 15(30.0%) N1, 13(26.0%) N2 and 1(2.0%) N3 of neck node. Majority (42.0%) patients was found in stage T3 followed by 7(14.0%) in stage T1, 18(36.0%) in stage T2 and 4(8.0%) in stage T4. Majority (56.0%) patients was found in level-II of neck nodes followed by 12(24.0%) level III, 4(8.0%) level IV, 3(6.0%) level II+III, 2(4.0%) level III+IV and 1(2.0%) level III+IV+V of neck nodes. Conclusion: Laryngeal carcinoma is a common clinical entity in otolaryngology practice. Male were more predominant and the highest age group was 51-60 years. In our study most common Laryngeal carcinoma was supraglottic in nature. T3 was the commonest stage of involvement. Common clinical presentation was difficulty in swallowing and hoarseness of voice. N 0 and N1 was the most common pattern of neck node metastasis. In our series majority of them were in level II  Bangladesh J of Otorhinolaryngology; October 2018; 24(2): 115-124

Setting: Study was conducted in the Department of Otolaryngology and Head-Neck surgery of Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh from 2006 to 2017. Objectives: To find out the frequency, risk factors, and its effect on the management of pharyngocutaneous fistula (PCF). Methods: Observational, Cross Sectional study. Number of laryngectomized patients 249. Results: Total PCF developed 48 (19.27%). Irradiated patients with multiple co-morbidities had more chance to develop PCF. Conclusion: High incidence of pharyngocutaneous fistula mostly due to advanced stage of disease, various levels of surgical expertise and post irradiated patients with multiple comorbidities.  Bangladesh J of Otorhinolaryngology; October 2018; 24(2): 156-161