Thyroglossal duct cyst carcinoma

Thyroglossal duct cyst carcinoma in a rare condition. Only around 250 cases of malignant thyroglossal cyst have been reported as far. We report a 45 years old women presenting with a painless swelling in the midline in the upper part of front of neck for 1 yr. This swelling moves with deglutition, multilobulated moves up on protrusion of tongue. FNAC revealed cystic lesion compatible with thyroglossal duct cyst. Ultrasonogram revealed mass is separated from thyroid gland. Patient underwent sistnmk's operation and tissue was sent for histopathological examination and report reveled papillary carcinoma of thyroglossal duct cyst

Metastatic neck node - a clinical study of 60 cases

Metastatic neck node is not uncommon in the otolaryngology department of a tertiary level hospital. Ignorance, illiteracy, delay in seeking medical advice and poor orientation of our general practitioners regarding management causes these patients to suffer from marked morbidity and mortality. It is a prospective study with random selection of sixty (60) cases of metastatic neck node admitted in the otolaryngology department of BSMMU and Dhaka Medical College Hospital during a period extending from September, 2002 to August, 2003. Here 53(88.33%) cases of metastatic neck nodes having a known primary in the head neck region and in other seven (11.67%) cases primary site of malignancy could not be detected. The commonest site of known primary was supraglottic larynx. Highest number 19 (31.67%) of presentation was seen in 5th decade. Male incidence 47 (78.33%) was more compared to female 13 (21.67%). Keywords: Neck gland, Metastatic neck node, Unknown primary.DOI: 10.3329/bjo.v15i1.4307 Bangladesh J of Otorhinolaryngology 2009; 15(1): 26-30</jats:p

Metastatic neck node- a clinical study of 60 cases

Metastatic neck node is not uncommon in the otolaryngology department of a tertiary level hospital. Ignorance, illiteracy, delay in seeking medical advice and poor orientation of our general practitioners regarding management causes these patients to suffer from marked morbidity and mortality. It is a prospective study with random selection of sixty (60) cases of metastatic neck node admitted in the otolaryngology department of BSMMU and Dhaka Medical College Hospital during a period extending from September, 2002 to August, 2003. Here 53(88.33%) cases of metastatic neck nodes having a known primary in the head neck region and in other seven (11.67%) cases primary site of malignancy could not be detected. The commonest site of known primary was supraglottic larynx. Highest number 19(31.67%) of presentation was seen in 5th decade. Male incidence 47(78.33%) was more compared to female 13(21.67%)

Clinicopathological Study of Parapharyngeal Space Tumor

Objective: To see the mode of presentation, diagnosis and management of parapharyngeal space tumours.&#x0D; Study design: Cross sectional study.&#x0D; Setting: Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.&#x0D; Methods: The condition being relatively rare, it was difficult to find good number of fresh cases. We have studied all cases of parapharyngeal space tumour attending in the Bangabandhu Sheikh Mujib Medical University from January 2010 to March 2011.&#x0D; Result: Parapharyngeal space tumours are rare head and neck neoplasms.The third decade of life showed greatest incidence. The main presenting complaint’s were painless neck swelling (73%). The highest number of pathology were attached to the deep lobe of parotid gland (pleomorphic adenoma-27%) and then neurofibroma (20%). Of all cases 77% were benign. Their accurate diagnosis and management is challenging.&#x0D; Bangladesh J Otorhinolaryngol; April 2017; 23(1): 41-46</jats:p

Laryngo-Tracheal Scleroma- A Case Report

Scleroma is a granulomatous condition of the nose and other parts of the respiratory tract, usually primarily affects the nose and the nasopharynx (Rhinoscleroma). But rarely they also occur in the larynx (secondary to rhinoscleroma or primary laryngeal affection). This is endemic in Eastern Europe, North Africa, Southern Asia and Central America. In Bangladesh this is almost clinically unknown but theoretically possible. Presented case of laryngo-tracheal scleroma is possibly the first ever reported one from Bangladesh. The main presentation of this patient was laryngeal obstruction simulating malignancy and finally demanded tracheostomy. Only post surgical histopathology report could reveal the diagnosis. Key words: Scleroma, Laryngeal scleroma. DOI: 10.3329/jbcps.v27i1.4244 J Bangladesh Coll Phys Surg 2009; 27: 49-51</jats:p

Original Article Comparative study of FNAC and histopathology in the diagnosis of thyroid swelling

The objective of this study was to determine the efficacy of fine needle aspiration cytology in diagnosis and management of thyroid swelling. The study evaluated the predictive value of Pre operative fine needle aspiration cytology (FNAC) in surgical decision making, by comparing this (FNAC) with the post operative histopathological diagnosis. Ninety patients who underwent thyroidectomy between Jan-2007 to Dec-2008 were analysed in the department of Otolaryngology and Head-Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka. All the patients underwent pre operative FNAC were included in this study. FNAC was accurate in 85 (94.44%) patients. Failure were mainly noted in cases of follicular neoplasm (lesion). Our result indicates that FNAC is helpful in the diagnosis and surgical planning of thyroid swelling. However, histopathological analysis is still remaining essential to distinguish follicular adenoma from follicular carcinoma

Comparative Study of Hearing Status after Modified Radical Mastoidectomy with and Without Reconstruction

Objective: To compare the hearing status after modified radical mastoidectomy with and without reconstruction.&#x0D; Materials and Methods: This was a cross sectional observational study which was carried out in the departments of Otolaryngology and Head-Neck surgery of Bangabondhu Sheikh Mujib Medical University Dhaka Medical College during the period of April’2012 to September ’2012. A Total 30 patients of CSOM (Atico-antral variety) underwent modified radical mastoidectomy (MRM) with or without reconstruction were included in this study. Patients were divided into two groups according to operative procedure. Patient underwent MRM without reconstruction belonged to group I (n=15) and with reconstruction was considered as group II(n=15). Patients were examined thoroughly and preoperative hearing level was assessed by pure tone audiometry one week before operation. Both groups of patients were operated by general anesthesia under microscope with post auricular approach. In group II, temporalis fascia and cartilage were taken as graft materials after doing modified radical mastoidectomy. Post operative patients were followed up at regular intervals. Pure tone audiogram (PTA) was done after 8 weeks and hearing assessment was compared by closure of air bone gap.&#x0D; Results: In this study majority of patients were within 11-20 years and most of patients were male. Closure of air-bone gap was higher in patients underwent MRM with reconstruction.&#x0D; Conclusion: Reconstruction following MRM causes better hearing gain and also improves the quality of life.&#x0D; Bangladesh J Otorhinolaryngol; April 2019; 25(1): 41-46</jats:p

Pediatric Differentiated Thyroid Carcinoma: Outcome in Response to Initial Treatment

Introduction: Though the differentiated thyroid carcinoma in children is a common pediatric endocrine malignancy, its prognosis is excellent with a proper initial treatment.&#x0D; Objectives: This is to evaluate the initial treatment patern for a good prognosis with longterm outcome in pediatric DTC patients.&#x0D; Methods: This study is a prospective one done in BSMMU during a period of 10 years in 52 post-operative pediatric DTC patients after excluding the follow-up missing patients. These patients are yet in a regular follow-up were outcome evaluated with clinical, pathological &amp; imaging studies.&#x0D; Results: All the patients got initial treatment of total thyroidectomy. About half of the group had undergone neck dissection along with total thyroidectomy. Forty six patients had taken 131-I therapy. The survival is 100%.&#x0D; Conclusion: The life expectancy for children with DTC is excellent. However, many patients experience adverse effects from thyroid surgery, resulting in life long complications.&#x0D;  Bangladesh J of Otorhinolaryngology; October 2018; 24(2): 143-148</jats:p

Pattern of Neck Node Metastasis in Laryngeal Carcinoma

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.&#x0D; Objective: To detect the rate and level of cervical lymph node metastasis in laryngeal carcinoma&#x0D; 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&#x0D; 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.&#x0D; 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&#x0D;  Bangladesh J of Otorhinolaryngology; October 2018; 24(2): 115-124</jats:p

Prevalence of Metastatic Neck Nodes

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.&#x0D; Objective: To see the prevalence of metastatic neck node.&#x0D; 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.&#x0D; 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&lt;0.05) between two groups.&#x0D; 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.&#x0D; Bangladesh J Otorhinolaryngol; October 2019; 25(2): 102-107</jats:p