Objective: To determine the frequency of symptomatic nasal septal deviation in patients with sinusitis. Study Design: Cross-Sectional Study. Setting: Department of Otolaryngology and Plastic Surgery, Jinnah Hospital & Burn Center Lahore. Period: 1st January, 2019 to 31st December, 2019. Material & Methods: A total of 165 cases who fulfill the inclusion criteria were enrolled from ENT & Plastic Surgery OPD of Jinnah Hospital & Burn Center, Lahore. After the informed consent, clinical and CT scan examination was done with 16-slice MDCT scanner in all the cases. The images were retrieved in external hard drives. The nasal septum was evaluated for presence of deviated nasal septum. Data was entered and analyzed using SPSS v23.0 and was stratified for age and gender. Chi-square test was applied for post stratification. A p-value ≤0.05 was considered as significant. Results: Among 165 patients there were 109(66.1 percent) males and 56 (33.9%) females. The average mean age was 37.3± 12.3 years.121 (73.3%) patients out of 165 had deviated nasal septum (DNS) associated with sinusitis. Conclusion: Nasal septal deviation is a very common condition in our country and is significantly associated with sinusitis. This study highlights the prevalence of deviated nasal septum and its accompanying symptoms that need to be considered during the clinical and radiological evaluation of patient.
Objective: To determine the hemostatic and hemodynamic effects of two different doses of epinephrine during endoscopic sinus surgery. Study Design: Randomized Control Trial. Setting: Department of Otolaryngology, Teaching Hospital, D. G. Khan Medical College, Dera Ghazi Khan. Period: 1st January, 2020 to 31st December, 2020. Material & Methods: A randomized control trail was done at ENT Department, Teaching Hospital Dera Ghazi Khan. 96 subjects were included and divided into two groups. Group-A patients received lidocaine hydrochloride, 2%, with 1:100,000 epinephrine while group-B patients received lidocaine, 2%, with 1:200,000 epinephrine. Data were collected through a structured proforma and analyzed using SPSS version 22.0. Numerical variables presented as mean and standard deviation and qualitative variables as frequency and percentages were calculated. Independent sample t test was used to compare the quantitative variables between both groups. Chi-square test was used to estimate the association between qualitative variables. P-value <0.05 was considered significant. Results: Among 30 patients of Group-A, 60.4% were males, mean age was 39.73+10.736 years and the mean blood loss was 202.58+12.218 ml. In Group-B, 64.6% were males, mean age was 39.35+11.421 years and the mean blood loss was 176.90+5.846 ml. In Group-A, mean heart rate at 0 minute, and 5 minutes was 76.54+1.786, and 76.65+1.296 while in Group-B was 75.50+2.568, and 73.88+1.886, respectively. In Group-A, mean SBP at 0, and 5 minutes was 108.17+3.191, and 107.17+2.234 while in Group-B was 106.25+3.795, and 103.56+1.821, respectively. Conclusion: Lidocaine hydrochloride 2% with epinephrine dose of 1:200,000 is more effective during endoscopic sinus surgery than epinephrine dose of 1:100,000 with Lidocaine hydrochloride 2%.
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