Introduction: Rhinosporidiosis is one of the common tropical diseases in ENT practice in this subcontinent having the affinity for the mucosa of upper respiratory tract -chiefly the nose & nasopharynx. Though this chronic granulomatous disease is quite common in this subcontinent but its distribution is not even.

A cross sectional study was conducted at the Department of Otolaryngology and Head-Neck surgery, Dhaka Medical College Hospital, Dhaka during the period of July 2005 to June 2007 to determine whether chronic suppurative otitis media (CSOM) can cause sensorineural hearing loss (SNHL) and to note its degree and its relation to duration of disease. 130 patients with unilateral CSOM were included in the study age ranging from 11 to 50 years after exclusion of other possible causes of SNHL such as meningitis, head injury, previous ear surgery, and chronic noise exposure. The use of unilateral CSOM cases provided a contralateral ear to serve as a control thus excluded common variables, such as presbycusis, parenteral ototoxic medications, metabolic disorders, and the effect of sex or genetics. Bone conduction threshold elevation between diseased and control ear was considered as the indicator of inner ear damage. In this series, CSOM is seen to be associated with sensorineural hearing loss. The study showed a bone conduction threshold elevation from 4.1dB to 10.7dB across frequency ranges. Significant threshold elevation was observed in relation to the disease duration. The average bone conduction loss at 4 kHz was higher than the average at the speech frequency range. This study suggests that CSOM can cause significant bone conduction threshold elevation and it should be considered when managing this problem. Early detection and prompt treatment may limit this potential handicap. Key words: CSOM; Sensorineural hearing loss; Bone conduction DOI: 10.3329/bjo.v15i2.5060 Bangladesh J Otorhinolaryngol 2009; 15(2): 69-74

Abstract

Introduction: Ludwig‘s angina is a rapidly progressive, potentially fulminant cellulitis involving the sub-lingual, submental and sub-mandibular spaces. It typically originates from an infected or recently extracted tooth, most commonly the lower second and third molars. Besides, poor nutritional status, lack of proper medical supports are still major predisposing factors in developing Ludwig‘s angina in countries like Bangladesh. Aim: Our study aimed to observe etiological factors, clinical presentations, causative agents and treatment response. Method: We carried out a cross sectional study among 26 patients with Ludwig‘s angina admitted in the department of ENT and Head-neck surgery in Mitford Hospital from January- December-2012. Results: In this study we found that males are predominantly affected than females (22 males and 4 females, ratio-5.5:1) with odontogenic infection (15, 57%) as source. We found history of recent tooth extraction in 5 cases (19.2%) & organism was isolated from pus culture, Klebsiella in 5 cases (19.2%) out of 13 cases. In this study we found tooth cleaning habit of patients by tooth brush18 cases (69.2%). We elicited underlying systemic disease mainly Diabetes Mellitus in 4 cases (15.3%) and Chronic renal failure in some of our cases but could not reach in a conclusion as to whether systemic illness predisposes to Ludwig‘ angina. Conclusion: Our study suggests that prompt and thorough clinical evaluation and definitive care will considerably improve patient condition and reduce morbidity and mortality. DOI: http://dx.doi.org/10.3329/bjo.v20i1.22010 Bangladesh J Otorhinolaryngol; April 2014; 20(1): 5-7

not available Bangladesh J Otorhinolaryngol; April 2017; 23(1): 1-3