No abstract

BACKGROUNDTuberculosis has been a major case of suffering and death since time immemorial. Thought to be one of the oldest human diseases, the history of Tuberculosis is at least as old as mankind. The aim of this study is to identify the relationship between erythrocyte sedimentation rate and time to sputum smear conversion in active pulmonary/laryngeal tuberculosis. The study on Relationship between ESR and time to sputum smear conversion in active pulmonary tuberculosis/laryngeal tuberculosis was conducted among 50 patients who attended as outpatients at Meenakshi Hospital, Avadi, Chennai -600055.

Hoarseness of voice is a common clinical condition often encountered in ENT practice. The management of this condition is to treat the cause. The Clinical Study on aetiopathogenesis of hoarseness of voice was conducted among 50 patients in the Department of ENT, Chengalpattu Medical College, Chengalpattu, Tamil Nadu, S. India, during the period from June 2015 to Dec 2015. The present study was conducted to categorise the various diseases of the larynx causing hoarseness directly or indirectly. Evaluation of the recent trends in the age, incidence, sex ratio and occupational factors. All the patients were asked detailed history, past history and both general and ENT examination were conducted to find the cause of hoarseness of voice clinically using a standard proforma. All the relevant investigations were done after obtaining written consent from the patients. The observation and results are depicted in the form of Tabular column, Histograms and Pie chart. In our study, malignancy of larynx and laryngopharynx was the commonest ethology and paralysis of vocal cord was the least in the semi-urban based medical college. Under benign glottic conditions, vocal cord polyp was the commonest. There is male preponderance (68%) in our study. Age Group 21 -50 (64%) are predominantly affected. Among laryngeal malignancies, glottic malignancy was common (50%) and histologically well-differentiated squamous cell carcinoma. In hypopharyngeal malignancies, pyriform fossa malignancy (90%) was commonest and histologically poorly differentiated squamous cell carcinoma. Left recurrent laryngeal nerve was commonly affected (75%) with male preponderance. KEYWORDSHoarseness of Voice, Aetiopathogenesis and Clinical Study. HOW TO CITE THIS ARTICLE:Siddhartharaj MK, Haridas PV. The demographic and clinical study of hoarseness of voice.

BACKGROUNDENT problems are common in Paediatric population.The main objective of this study is to determine the prevalence of common ENT problems in a paediatric age group in a semiurban based medical college hospital (Chengalpattu Medical College and Hospital, Chengalpattu, Tamilnadu).

BACKGROUND Sinusitis is a leading health care problem believed to be increasing in both incidence and prevalence. Various articles have been published on sinusitis and its treatment. However, its importance is diminished by the fact that sinusitis is variously defined.The main objective of this study is to define the clinical signs and symptoms of chronic bacterial sinusitis and to grade the severity of presentation of each clinical feature correlating with radiological and endoscopic and microbiological features. MATERIALS AND METHODSThis prospective study was conducted in a tertiary health care centre over a three-month period; 80 patients were chosen, 40 with nasal symptoms as their main complaint with or without headache as experimental group and 40 patients with headache as their main complaint without nasal symptoms as the control group. They were subjected to detailed clinical examination, radiological, endoscopic and microbiological examinations. RESULTSNasal obstruction, discharge and headache form the major symptoms while hyperaemia, deviated septum with hypertrophied inferior turbinates form the major signs in the case group. Diagnostic nasal endoscopy correlated well with clinical findings, while x-ray of the sinuses was found to be abnormal in all cases. CONCLUSIONA proper and detailed clinical evaluation with x-ray of the paranasal sinuses and endoscopy should form the mainstay in diagnosing chronic bacterial sinusitis. CT scan should be added if we are planning for surgery and for cases not responding to initial medical management due to radiological risk and cause factor.