Outcome of classical and reversal stapedotomy in otosclerosis

Classical and reversal stapedotomy both are exclusively done in otosclerosis but definite information regarding surgical advances, postoperative results, complications and information about how and in which patients these surgical techniques should exclusively be used are a source of continuous discussions. This prospective observational study was conducted in the Department of Otolaryngology-Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbagh, Dhaka from July 2019 to December 2020 o compare the outcomes of classical and reversal stapedotomy in patients with otosclerosis. Total 28 cases of otosclerosis who underwent stapedotomy were divided in to two groups i.e. Group A (classical stapedotomy) & Group B (reversal stapedotomy) with 14 patients in each group. All patients were followed up post-operatively up to 3 months with Pure-tone audiometry (PTA). There is no significant difference between classical and reversal stapedotomy approach in terms of hearing improvement and complications. Chorda tympani injury was the main complication in both the groups. Regarding hearing gain and complications there was no significant difference between classical and reversal stapedotomy approach. BSMMU J 2022; 15(2): 121-12

Vitamin D status in association with Type 2 Diabetes Mellitus and related disorders in the Bangladeshis of East London

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Columellar sinus: A rare congenital isolated sinus

Midline congenital malformation of the nose is a very rare presentation and it's midline situation seems curious and is very difficult to explain on the basis of the present day conception of the embryology of the nose. The prevalence of lower lip sinuses has been estimated to be about 0.001 % of the general population. Upper lip sinuses are even more uncommon. We herein report a case of a 13 years old girl having congenital sinus affecting the upper part of the columella

Columellar sinus: A rare congenital isolated sinus

Midline congenital malformation of the nose is a very rare presentation and it's midline situation seems curious and is very difficult to explain on the basis of the present day conception of the embryology of the nose. The prevalence of lower lip sinuses has been estimated to be about 0.001 % of the general population. Upper lip sinuses are even more uncommon. We herein report a case of a 13 years old girl having congenital sinus affecting the upper part of the columella

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%)

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

Prevalence of preeclampsia and its associated risk factors in Rajshahi region, Bangladesh

Background: Although preeclampsia claims lives of 70,000 mothers and 500,000 newborns each year, in Bangladesh the comprehensive data-sets are not well-documented. We studied the prevalence of preeclampsia, its trend and the associated risk factors in Rajshahi, Bangladesh. Methods: Using a cross-sectional longitudinal design, 90 women hospitalized with preeclampsia in 7 hospitals of Rajshahi, Bangladesh were considered in the study, of which Rajshahi medical college hospital (RMCH) is a tertiary referral hospital. The data were collected by interviewing the patients, physical examinations and analyzing patients’ pathological profile. For statistical analyses, SPSS software was employed.     Results: During the five years (2013-2017), RMCH admitted pregnant mothers for delivery or with obstructed complications had increased from 11,523 to 17,201, leading to an increase in preeclamptic patients from 407 to 435. Its prevalence rate (3.21%) was found to be decreased linearly with time. The preeclamptic patients were of 16-40 years, averaging 25.90±0.65 years. The youngest (£20 years) preeclamptic mothers (24%) were at high risk of preeclampsia. The obese (40%) and overweight (29%) preeclamptic mothers experienced severe oedema, headache, vomiting, lower abdominal pain and hyperacidity. About three-fourths of the concerned patients were of lower socio-economic class, of which the majority was below education level 10. The majority were from joint families (58%) who took less than 2.2 L of drinking water per day. Conclusions: The average prevalence preeclampsia rate was 3.21% that was found to decrease linearly with time. The youngest but obese (BMI of ³30 kg/m2) mothers were vulnerable for preeclampsia. Other risk factors include lower socio-economic class, less education, white complexion, joint family type and taking less amount of fluid.