Introduction: Nepal army has been organizing free medical camp in various parts of Nepal since many years.e free medical camp is committed to improve global health care in rural parts of Nepal. is study was conducted to describe the demographic and ENT-HNS diseases among the patients attending medical camps in two rural parts of far western region of Nepal (Humla-Simikot and Muggu-Talcha) . Methods: Retrospective studies of all the patients attending ENT-HNS clinic of Simikot and Talcha medical camp from October 12th to October 16th 2011 were evaluated. Each patient was assessed by consultant ENT-Head and Neck surgeon. Only adult age group patient were included in the study. e disease was divided into four group i.e otology (ear disease), rhinology (nose disease), head and neck (throat disease) and normal nding groups. Results: Total numbers of 213 patients were analyzed in Simikot and 167 patients in Talcha. Among them otology group were 80 patients (37.5%), rhinology 57patients (26.7%), head and neck 55patients (25.82%) and 21 patients (9.85%) had normal ndings in Simikot. Similarly in Talcha the patients were 84(50.29%) in otology, 22(13.17%) in rhinology, 49(29.34%) in head and neck and12 (7.1%) with normal ndings respectively. Conclusions: Chronic otitis media (CSOM) is the most common ENT problems in both the rural areas. One of the major causes of hearing loss is CSOM so improvement of socioeconomic status and health care facilities will also be helpful in reducing the prevalence of CSOM.

Nepalese Journal of ENT Head and Neck Surgery, Vol. 3 Issue 1 (Jan-June 2012) Page 5-6 DOI: http://dx.doi.org/10.3126/njenthns.v3i1.8178

Introducti on: Voice disorder is a common conditi on encountered in ENT-HNS clinic. This study was conducted to analyze the prevalence, presentati on and to assess the management of pati ents with voice disorders at Shree Birendra Hospital. Method:A prospecti ve study of all the pati ents with voice disorders att ending in ENT-HNS outpati ent department of Shree Birendra Hospital from November 15 th 2010 to May 15 th 2011 were evaluated both clinically and with fi bro opti c laryngoscope. Each pati ent was assessed by consultant ENT-Head and Neck surgeon and speech therapist. Pati ent with psychological disorders and those without fi bro opti c laryngoscope fi ndings were excluded in the study. Results:Total numbers of 120 pati ents were analyzed. There were 88(73%) females and 32 (27%) males. Most common voice disorder was habitual dysphonia among 70 pati ents (58.3%) followed by true vocal cord nodule in 20 pati ents (16.6%). Majority of the pati ents (79.16%) with voice disorders were managed by speech therapy and only 25 (21%) pati ents required surgical interventi on.Conclusion:Voice disorders are frequent occurrence and most of these can be treated with voice therapy alone. Only few require surgical interventi on.

Nepalese Journal of ENT Head and Neck Surgery, Vol. 3 Issue 1 (Jan-June 2012) Page 9-10 DOI: http://dx.doi.org/10.3126/njenthns.v3i1.8180

Introduction: Melioidosis is potentially fatal type of infectious disease caused by soil saprophytes Burkholderia pseudomallei. It is endemic to Southeast Asia and Northern Australia. We report the case of Cerebral Melioidosis which was consequences of acute otitis media. Patient was treated with Ceftazidime and Meropenem, despite of that patient died. To the best of our knowledge, this is the first case of cerebral melioidosis from Nepal.