Juvenile nasopharyngeal angiofibroma (JNA) is an uncommon tumor constitutingless than 1% of all h... more Juvenile nasopharyngeal angiofibroma (JNA) is an uncommon tumor constitutingless than 1% of all head & neck tumors. Tumor has an aggressive local behavior if left untreated.Surgery is the mainstay of treatment with no common consensus on a single approach. Tumourstage and surgical approaches are the major determinants of tumour recurrence. Objectives:To evaluate the influence of stage of tumor in recurrence in nasopharyngeal angiofibroma.Study Design: Descriptive study. Setting: Department of ENT and Head and Neck Surgery,PIMS, Islamabad and Ayub medical institution, Abbottabad. Period: Jan 2010 to Jan 2014.Materials and Methods: Consisting of 34 diagnosed cases of nasopharyngeal angiofibroma.CT-scan was done in all patients and were treated surgically except one patient who wasirradiated. All patients were followed up for one year. Results: Among 34 patients, 24 patientswere classified as stage III, 4 were in stage II and 5 were in stage IVa and one in stage IVb. 17.6%(6/34) of pat...
Background: Chronic otitis media is perforation of tympanic membrane with infection. It is mostly... more Background: Chronic otitis media is perforation of tympanic membrane with infection. It is mostly seen in underdeveloped countries. Culture and sensitivity reports show that the major pathogens responsible for chronic otitis media are pseudomonas aeruginosa and staphylococcus aureus. Objective: To ascertain the sensitivity of Pseudomonas Aeruginosa in chronic otitis media which will help in the selection of antibiotics in resistant cases of chronic otitis media. Materials and Method: This prospective cross sectional study including 150 patients was carried at PNS Shifa Hospital, Karachi from 20/04/2017 to 05/01/2018.Pus sample/swab was collected via pre-packed sterile cotton sticks for bacteriology and sent to consultant microbiologist for culture and sensitivity. Laboratory reports of the bacterial spectrum and their sensitivity to antibiotics were reviewed and data entered in the proforma was analyzed. Results: After processing 36.6% pseudomonas aeruginosa infections were sensitiv...
Hearing is decreased in later age is due to aging and is normally seen in most of the elderly peo... more Hearing is decreased in later age is due to aging and is normally seen in most of the elderly people all over the world. Objectives: To ascertain the degree of hearing in elders in relation to age, pattern and extent of hearing weakness in old age so that interventional strategies can be planned to improve their wellbeing. Study Design: Cross Sectional Study. Setting: ENT Outdoor Clinic of Akbar Niazi Teaching Hospital of Islamabad Medical and Dental College, Bhara Kahu, Islamabad. Period: December 2017 to October 2018. Material & Methods: 200 patients were part of the study with age > 50 years and no past history of drug therapy. Data was gathered by detailed clinical history, clinical examination and audiometric findings. Result: 57% patients were found with normal hearing and 43% had variable degree of hearing deterioration. Highest number of hearing weakness was found in 9th decade. Most of hearing deterioration was found in both the ears and that of sensorineural in type. Co...
Annals of Tropical Medicine and Public Health, 2013
Background: Moraxella catarrhalis ( M. catarrhalis ) is a common pathogen in the human upper resp... more Background: Moraxella catarrhalis ( M. catarrhalis ) is a common pathogen in the human upper respiratory tract. This microbe is also implicated in chronic lower respiratory tract infections as well as conjunctivitis, sinusitis, meningitis, otitis media, osteomyelitis, endocarditis, etc. Objectives: This study was carried out to know various facets of M. catarrhalis infection among adults with bronchopulmonary infections and the related antibiotic susceptibility pattern. Materials and Methods: A hospital-based study was carried out among adult participants with history of respiratory tract infection admitted to a tertiary care teaching hospital in Karnataka during the period of May 2007 to April 2010. A total of 912 early morning sputum samples were collected, processed with standard procedures, and analyzed. Results: Out of all the sputum samples, M. catarrhalis was the third most important pathogen (16.01%). Most of these M. catarrhalis isolates were sourced from participants with bronchopneumonia (31.51%), followed by chronic bronchitis (25.34%), bronchiectasis (25.34%), and bronchial asthma (17.81%). M. catarrhalis infection was predominantly noted among males (78.08%) and in older age group (22.60%), i.e., 61-70 years. All strains of M. catarrhalis were sensitive to tetracycline, co-trimoxazole, chloramphenicol, and gentamicin; 75.34% were resistant to penicillin, ampicillin, and amoxycillin. Surprisingly, all strains were resistant to erythromycin; 37 (25.34%) were beta-lactamase positive. Conclusions: M. catarrhalis is one of the emerging pathogens in bronchopulmonary infections, and the beta-lactamase-producing strains imply its ability for antibiotic resistance.
Juvenile nasopharyngeal angiofibroma (JNA) is an uncommon tumor constitutingless than 1% of all h... more Juvenile nasopharyngeal angiofibroma (JNA) is an uncommon tumor constitutingless than 1% of all head & neck tumors. Tumor has an aggressive local behavior if left untreated.Surgery is the mainstay of treatment with no common consensus on a single approach. Tumourstage and surgical approaches are the major determinants of tumour recurrence. Objectives:To evaluate the influence of stage of tumor in recurrence in nasopharyngeal angiofibroma.Study Design: Descriptive study. Setting: Department of ENT and Head and Neck Surgery,PIMS, Islamabad and Ayub medical institution, Abbottabad. Period: Jan 2010 to Jan 2014.Materials and Methods: Consisting of 34 diagnosed cases of nasopharyngeal angiofibroma.CT-scan was done in all patients and were treated surgically except one patient who wasirradiated. All patients were followed up for one year. Results: Among 34 patients, 24 patientswere classified as stage III, 4 were in stage II and 5 were in stage IVa and one in stage IVb. 17.6%(6/34) of pat...
Background: Chronic otitis media is perforation of tympanic membrane with infection. It is mostly... more Background: Chronic otitis media is perforation of tympanic membrane with infection. It is mostly seen in underdeveloped countries. Culture and sensitivity reports show that the major pathogens responsible for chronic otitis media are pseudomonas aeruginosa and staphylococcus aureus. Objective: To ascertain the sensitivity of Pseudomonas Aeruginosa in chronic otitis media which will help in the selection of antibiotics in resistant cases of chronic otitis media. Materials and Method: This prospective cross sectional study including 150 patients was carried at PNS Shifa Hospital, Karachi from 20/04/2017 to 05/01/2018.Pus sample/swab was collected via pre-packed sterile cotton sticks for bacteriology and sent to consultant microbiologist for culture and sensitivity. Laboratory reports of the bacterial spectrum and their sensitivity to antibiotics were reviewed and data entered in the proforma was analyzed. Results: After processing 36.6% pseudomonas aeruginosa infections were sensitiv...
Hearing is decreased in later age is due to aging and is normally seen in most of the elderly peo... more Hearing is decreased in later age is due to aging and is normally seen in most of the elderly people all over the world. Objectives: To ascertain the degree of hearing in elders in relation to age, pattern and extent of hearing weakness in old age so that interventional strategies can be planned to improve their wellbeing. Study Design: Cross Sectional Study. Setting: ENT Outdoor Clinic of Akbar Niazi Teaching Hospital of Islamabad Medical and Dental College, Bhara Kahu, Islamabad. Period: December 2017 to October 2018. Material & Methods: 200 patients were part of the study with age > 50 years and no past history of drug therapy. Data was gathered by detailed clinical history, clinical examination and audiometric findings. Result: 57% patients were found with normal hearing and 43% had variable degree of hearing deterioration. Highest number of hearing weakness was found in 9th decade. Most of hearing deterioration was found in both the ears and that of sensorineural in type. Co...
Annals of Tropical Medicine and Public Health, 2013
Background: Moraxella catarrhalis ( M. catarrhalis ) is a common pathogen in the human upper resp... more Background: Moraxella catarrhalis ( M. catarrhalis ) is a common pathogen in the human upper respiratory tract. This microbe is also implicated in chronic lower respiratory tract infections as well as conjunctivitis, sinusitis, meningitis, otitis media, osteomyelitis, endocarditis, etc. Objectives: This study was carried out to know various facets of M. catarrhalis infection among adults with bronchopulmonary infections and the related antibiotic susceptibility pattern. Materials and Methods: A hospital-based study was carried out among adult participants with history of respiratory tract infection admitted to a tertiary care teaching hospital in Karnataka during the period of May 2007 to April 2010. A total of 912 early morning sputum samples were collected, processed with standard procedures, and analyzed. Results: Out of all the sputum samples, M. catarrhalis was the third most important pathogen (16.01%). Most of these M. catarrhalis isolates were sourced from participants with bronchopneumonia (31.51%), followed by chronic bronchitis (25.34%), bronchiectasis (25.34%), and bronchial asthma (17.81%). M. catarrhalis infection was predominantly noted among males (78.08%) and in older age group (22.60%), i.e., 61-70 years. All strains of M. catarrhalis were sensitive to tetracycline, co-trimoxazole, chloramphenicol, and gentamicin; 75.34% were resistant to penicillin, ampicillin, and amoxycillin. Surprisingly, all strains were resistant to erythromycin; 37 (25.34%) were beta-lactamase positive. Conclusions: M. catarrhalis is one of the emerging pathogens in bronchopulmonary infections, and the beta-lactamase-producing strains imply its ability for antibiotic resistance.
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