Objectives We describe a rare case of huge middle ear capillary hemangioma extending to the attic... more Objectives We describe a rare case of huge middle ear capillary hemangioma extending to the attic, which was entirely removed by the endoscopic transcanal approach. Case report A 40-year old female presented with a long-standing history of right-sided, intermittent mild to severe otalgia with mild hearing loss. Examination revealed reddish, non-pulsatile, retrotympanic mass occupying complete mesotympanum. High-resolution CT scan and MRI revealed soft tissue mass occupying mesotympanum and epitympanum with differential diagnosis of glomus tympanicum. Total endoscopic transcanal excision of the mass was done under general anesthesia followed by augmented type III tragal cartilage palisades tympanoplasty. Formal histopathological examination revealed middle ear capillary hemangioma. There were no postoperative complications noted. Conclusion The middle ear capillary hemangioma is a very rare entity and should be considered as one of the differential diagnoses of vascular tumors of the...
Introduction: Epistaxis is a common otolaryngological emergency but most of the cases are idiopat... more Introduction: Epistaxis is a common otolaryngological emergency but most of the cases are idiopathic. This study was done to assess clinical profile in patients with idiopathic epistaxis. Methods: Patients presenting in ENT outpatient department or emergency with epistaxis and no definite cause were selected. Patients demographic data, present and past history was recorded. All patients underwent anterior rhinoscopy and rigid nasal endoscopy. Results: There were 142 patients with epistaxis without definite cause. Age ranged from 11 to 84 years with mean 32.8 years. Approximately two-third were male. Bleeding from right side was seen in 64 (45.0%) patients. Past history of bleeding was given by 79 (55.6%) patients and out of them 60 (75.9) % had bleeding from same side. Presentation was mostly in months of January to March. Bleeding point was seen in 65 patients. Most of them (37/65) was in Little’s area. Deviated nasal septum was seen in 102 patients. More than half of patients wi...
Nepalese Journal of ENT Head and Neck Surgery, 2012
Nepalese Journal of ENT Head and Neck Surgery Vol.2 No.1 Issue 1 (Jan-Jun 2011) 2-4 DOI: http://d... more Nepalese Journal of ENT Head and Neck Surgery Vol.2 No.1 Issue 1 (Jan-Jun 2011) 2-4 DOI: http://dx.doi.org/10.3126/njenthns.v2i1.6767
Introdução: A Otite Média com Efusão é uma das causas da impotência auditiva que pode ser tratada... more Introdução: A Otite Média com Efusão é uma das causas da impotência auditiva que pode ser tratada simplesmente com a miringotomia ou sem a inserção do tubo de ventilação. Objetivo: Este estudo tem o objetivo de avaliar os diferentes tipos de fluidos após a miringotomia em Otite Média com Efusão; avaliar o exame de timpanograma de pacientes que são submetidos à miringotomia; correlacionar o fluído de miringotomia e o timpanograma pré-operatório em crianças portadoras de Otite Média com Efusão. Método: Um estudo retrospectivo em crianças menores de 12 anos portadoras de Otite Média com Efusão foi realizado na seção de otorrinolaringologia na escola da T.U. em Katmandu entre outubro de 2005 e setembro de 2007. Todos os pacientes que foram submetidos à miringotomia foram avaliados pelo exame timpanométrico e este foi comparado com os tipos de fluidos durante a cirurgia. O resultado foi estatisticamente analisado através do teste Qui-Quadrado. Resultados: A faixa etária dos pacientes era...
Objectives: Oral submucous fibrosis (OSMF) is an insidious precancerous disease mostly seen in th... more Objectives: Oral submucous fibrosis (OSMF) is an insidious precancerous disease mostly seen in the Southeast Asia. This paper aims to study on clinical profile of patients with OSMF Material and Methods: This cross sectional study was done in department of ENT and HNS, Nepalgunj Medical College and Teaching Hospital. In outpatient department patients with OSMF were ask to fill up a questionnaire that included identification of patient, occupation, their symptoms and habit of taking betel quid or paan, gutkha, etc. Oral cavity was examined and lesion along with its extent and severity was noted. Intra lesional steroid and antioxidant and physiotherapy were main stay of treatment. Results: There were total 136 patients (98 male and 38 female) from 15th Dec 2013 to 15th Jan 2015. Age of patient ranged from 16 years to 53 years and average being 25.6years. Most common preparation taken was gutkha 131(96.3%) followed by betel nut, betel quid etc. Only 24(17.6%) were taking these preparat...
Background: Acute otitis externa, a common painful clinical condition is managed by aural packing... more Background: Acute otitis externa, a common painful clinical condition is managed by aural packing to reduce edema and pain. Pack usually contains 10% Ichthalmmol Glycerine (IG) or commercially prepared steroid with antibiotic cream. The aim of study is to compare the clinical efficacy of 10% IG pack with steroid-antibiotic pack in relieving pain in cases of acute otitis externa. Materials and Methods: A prospective randomized clinical trial was carried out in 106 patients at Ganesh Man Singh Memorial Academy (GMSMA) of ENT and Head Neck studies, Institute of Medicine. Pain was assessed by Wong -Baker Scale in d"12years child and Numerical Rating Scale (NRS) in patients more than 12years of age on the day of presentation and subsequent visits till tragal tenderness disappeared. Results: Age ranged from 1 to 75 years (mean 20.08 years) out of which 46 (43.4%) were females and 60 (56.6%) were males. Average duration of pain at presentation was 3.9 days (range1-15days). Average num...
Objective: The aim of this study was to determine pattern of facial bones fracture in western reg... more Objective: The aim of this study was to determine pattern of facial bones fracture in western region of Nepal.Material and Methods: A descriptive cross sectional study was carried out in department of ENT, Nepalgunj medical college, Nepalgunj. Records from emergency department, inpatient ward and OPD of ENT and dental department of last 3 years (Jan 2012 to Dec 2014) were enrolled in the study and entered into proforma. Comparison was done between mode of injury, demography and types of injuries. Data was analyzed using SPSS 17 software.Results: Out of included 626 cases, there were 410 male patients and 216 female patients. Age ranged from 3 to 68 years with average age being 32.4 years. Most of the male patients sustained trauma due to road traffic accidents (51.7%) followed by physical assault (23.9%). In female also same mode of injuries were common with higher proportion due to physical assault. Majority of cases were from Midwestern Terai region (35.4%). There were 288(46.0%)...
Objective: The main objective of the study was to identify various geriatric otolaryngological p... more Objective: The main objective of the study was to identify various geriatric otolaryngological problems in mid western part of Nepal.Materials and methods: A cross-sectional descriptive hospital based study was done from 1st January 2014 to 1st September 2014 among the all patients 60 years or above visiting the outpatient department of ENT/Emergency department of Nepalgunj Medical College. Data collection was done via interviewing with semi structured Performa with questionnaire. Data was entered in SPSS 17th version and exercised the analysis.Results: Among the total 866 geriatric population, female were 450 while 416 were male. Age ranged from 60 to 96 with average age of 70.3 years. Maximum numbers of elderly were of 60-70 years. Farming was the most common occupation in past. Sixty one percent (289) were smokers or tobacco chewer and 23% (106) consumed alcohol regularly. Majority of elderly had Hypertension as main co morbid condition. Decreased hearing was major complaint (82...
Background and Objectives: This study was aimed to provide baseline information on infant feeding... more Background and Objectives: This study was aimed to provide baseline information on infant feeding knowledge, practices and hindering factors for proper feedings.Material and Methods: Among the 185 women with less than one year child coming on immunization clinic of health post of Chisapani Village Development Committee, infant feeding knowledge, practices were assessed by interviewing with semi structured questionnaire and focus group discussion.Results: Male children were more exclusively breastfed (33%) than female (27%) and exclusive breast feeding was lower in fifth and sixth month of age. All of them were aware that the baby should be fed only breast milk for 6 months, but the exclusive breastfeeding practice was found only in a very few mothers. Most of them had fed solid food after 3 months.Conclusion: Knowledge and practices on infant feeding do not go along despite the adequacy of knowledge due to the hindering factors like poverty, working mother, lack of support from fami...
The cause is basically eustachain tube dysfunction and nasopharyngeal disproportion. Nasopharynge... more The cause is basically eustachain tube dysfunction and nasopharyngeal disproportion. Nasopharyngeal disproportion is due to craniofacial abnormality and adenoid hypertrophy. Disease peak at age of 2 years and 5 years (1,2). OME can be De novo or following an episode of acute otitis ...
International Journal of Pediatric Otorhinolaryngology Extra, 2011
... Rishi Bhatta Corresponding Author Contact Information , a , E-mail The Corresponding Author a... more ... Rishi Bhatta Corresponding Author Contact Information , a , E-mail The Corresponding Author and Karuna Shrestha a. a Department of ENT, Nepalgunj Medical College, Kohalpur, Nepal. ... 65 (1978), pp. 59. [3] JJ Phillips and P. Patil, Swallowed foreign bodies, J. Laryngol. Otol. ...
Nepalese Journal of ENT Head and Neck Surgery, 2014
DOI: http://dx.doi.org/10.3126/njenthns.v3i2.10151 Nepalese Journal of Head and Neck Surgery Vol.... more DOI: http://dx.doi.org/10.3126/njenthns.v3i2.10151 Nepalese Journal of Head and Neck Surgery Vol.3(2) 2012: 2-4
Objectives We describe a rare case of huge middle ear capillary hemangioma extending to the attic... more Objectives We describe a rare case of huge middle ear capillary hemangioma extending to the attic, which was entirely removed by the endoscopic transcanal approach. Case report A 40-year old female presented with a long-standing history of right-sided, intermittent mild to severe otalgia with mild hearing loss. Examination revealed reddish, non-pulsatile, retrotympanic mass occupying complete mesotympanum. High-resolution CT scan and MRI revealed soft tissue mass occupying mesotympanum and epitympanum with differential diagnosis of glomus tympanicum. Total endoscopic transcanal excision of the mass was done under general anesthesia followed by augmented type III tragal cartilage palisades tympanoplasty. Formal histopathological examination revealed middle ear capillary hemangioma. There were no postoperative complications noted. Conclusion The middle ear capillary hemangioma is a very rare entity and should be considered as one of the differential diagnoses of vascular tumors of the...
Introduction: Epistaxis is a common otolaryngological emergency but most of the cases are idiopat... more Introduction: Epistaxis is a common otolaryngological emergency but most of the cases are idiopathic. This study was done to assess clinical profile in patients with idiopathic epistaxis. Methods: Patients presenting in ENT outpatient department or emergency with epistaxis and no definite cause were selected. Patients demographic data, present and past history was recorded. All patients underwent anterior rhinoscopy and rigid nasal endoscopy. Results: There were 142 patients with epistaxis without definite cause. Age ranged from 11 to 84 years with mean 32.8 years. Approximately two-third were male. Bleeding from right side was seen in 64 (45.0%) patients. Past history of bleeding was given by 79 (55.6%) patients and out of them 60 (75.9) % had bleeding from same side. Presentation was mostly in months of January to March. Bleeding point was seen in 65 patients. Most of them (37/65) was in Little’s area. Deviated nasal septum was seen in 102 patients. More than half of patients wi...
Nepalese Journal of ENT Head and Neck Surgery, 2012
Nepalese Journal of ENT Head and Neck Surgery Vol.2 No.1 Issue 1 (Jan-Jun 2011) 2-4 DOI: http://d... more Nepalese Journal of ENT Head and Neck Surgery Vol.2 No.1 Issue 1 (Jan-Jun 2011) 2-4 DOI: http://dx.doi.org/10.3126/njenthns.v2i1.6767
Introdução: A Otite Média com Efusão é uma das causas da impotência auditiva que pode ser tratada... more Introdução: A Otite Média com Efusão é uma das causas da impotência auditiva que pode ser tratada simplesmente com a miringotomia ou sem a inserção do tubo de ventilação. Objetivo: Este estudo tem o objetivo de avaliar os diferentes tipos de fluidos após a miringotomia em Otite Média com Efusão; avaliar o exame de timpanograma de pacientes que são submetidos à miringotomia; correlacionar o fluído de miringotomia e o timpanograma pré-operatório em crianças portadoras de Otite Média com Efusão. Método: Um estudo retrospectivo em crianças menores de 12 anos portadoras de Otite Média com Efusão foi realizado na seção de otorrinolaringologia na escola da T.U. em Katmandu entre outubro de 2005 e setembro de 2007. Todos os pacientes que foram submetidos à miringotomia foram avaliados pelo exame timpanométrico e este foi comparado com os tipos de fluidos durante a cirurgia. O resultado foi estatisticamente analisado através do teste Qui-Quadrado. Resultados: A faixa etária dos pacientes era...
Objectives: Oral submucous fibrosis (OSMF) is an insidious precancerous disease mostly seen in th... more Objectives: Oral submucous fibrosis (OSMF) is an insidious precancerous disease mostly seen in the Southeast Asia. This paper aims to study on clinical profile of patients with OSMF Material and Methods: This cross sectional study was done in department of ENT and HNS, Nepalgunj Medical College and Teaching Hospital. In outpatient department patients with OSMF were ask to fill up a questionnaire that included identification of patient, occupation, their symptoms and habit of taking betel quid or paan, gutkha, etc. Oral cavity was examined and lesion along with its extent and severity was noted. Intra lesional steroid and antioxidant and physiotherapy were main stay of treatment. Results: There were total 136 patients (98 male and 38 female) from 15th Dec 2013 to 15th Jan 2015. Age of patient ranged from 16 years to 53 years and average being 25.6years. Most common preparation taken was gutkha 131(96.3%) followed by betel nut, betel quid etc. Only 24(17.6%) were taking these preparat...
Background: Acute otitis externa, a common painful clinical condition is managed by aural packing... more Background: Acute otitis externa, a common painful clinical condition is managed by aural packing to reduce edema and pain. Pack usually contains 10% Ichthalmmol Glycerine (IG) or commercially prepared steroid with antibiotic cream. The aim of study is to compare the clinical efficacy of 10% IG pack with steroid-antibiotic pack in relieving pain in cases of acute otitis externa. Materials and Methods: A prospective randomized clinical trial was carried out in 106 patients at Ganesh Man Singh Memorial Academy (GMSMA) of ENT and Head Neck studies, Institute of Medicine. Pain was assessed by Wong -Baker Scale in d"12years child and Numerical Rating Scale (NRS) in patients more than 12years of age on the day of presentation and subsequent visits till tragal tenderness disappeared. Results: Age ranged from 1 to 75 years (mean 20.08 years) out of which 46 (43.4%) were females and 60 (56.6%) were males. Average duration of pain at presentation was 3.9 days (range1-15days). Average num...
Objective: The aim of this study was to determine pattern of facial bones fracture in western reg... more Objective: The aim of this study was to determine pattern of facial bones fracture in western region of Nepal.Material and Methods: A descriptive cross sectional study was carried out in department of ENT, Nepalgunj medical college, Nepalgunj. Records from emergency department, inpatient ward and OPD of ENT and dental department of last 3 years (Jan 2012 to Dec 2014) were enrolled in the study and entered into proforma. Comparison was done between mode of injury, demography and types of injuries. Data was analyzed using SPSS 17 software.Results: Out of included 626 cases, there were 410 male patients and 216 female patients. Age ranged from 3 to 68 years with average age being 32.4 years. Most of the male patients sustained trauma due to road traffic accidents (51.7%) followed by physical assault (23.9%). In female also same mode of injuries were common with higher proportion due to physical assault. Majority of cases were from Midwestern Terai region (35.4%). There were 288(46.0%)...
Objective: The main objective of the study was to identify various geriatric otolaryngological p... more Objective: The main objective of the study was to identify various geriatric otolaryngological problems in mid western part of Nepal.Materials and methods: A cross-sectional descriptive hospital based study was done from 1st January 2014 to 1st September 2014 among the all patients 60 years or above visiting the outpatient department of ENT/Emergency department of Nepalgunj Medical College. Data collection was done via interviewing with semi structured Performa with questionnaire. Data was entered in SPSS 17th version and exercised the analysis.Results: Among the total 866 geriatric population, female were 450 while 416 were male. Age ranged from 60 to 96 with average age of 70.3 years. Maximum numbers of elderly were of 60-70 years. Farming was the most common occupation in past. Sixty one percent (289) were smokers or tobacco chewer and 23% (106) consumed alcohol regularly. Majority of elderly had Hypertension as main co morbid condition. Decreased hearing was major complaint (82...
Background and Objectives: This study was aimed to provide baseline information on infant feeding... more Background and Objectives: This study was aimed to provide baseline information on infant feeding knowledge, practices and hindering factors for proper feedings.Material and Methods: Among the 185 women with less than one year child coming on immunization clinic of health post of Chisapani Village Development Committee, infant feeding knowledge, practices were assessed by interviewing with semi structured questionnaire and focus group discussion.Results: Male children were more exclusively breastfed (33%) than female (27%) and exclusive breast feeding was lower in fifth and sixth month of age. All of them were aware that the baby should be fed only breast milk for 6 months, but the exclusive breastfeeding practice was found only in a very few mothers. Most of them had fed solid food after 3 months.Conclusion: Knowledge and practices on infant feeding do not go along despite the adequacy of knowledge due to the hindering factors like poverty, working mother, lack of support from fami...
The cause is basically eustachain tube dysfunction and nasopharyngeal disproportion. Nasopharynge... more The cause is basically eustachain tube dysfunction and nasopharyngeal disproportion. Nasopharyngeal disproportion is due to craniofacial abnormality and adenoid hypertrophy. Disease peak at age of 2 years and 5 years (1,2). OME can be De novo or following an episode of acute otitis ...
International Journal of Pediatric Otorhinolaryngology Extra, 2011
... Rishi Bhatta Corresponding Author Contact Information , a , E-mail The Corresponding Author a... more ... Rishi Bhatta Corresponding Author Contact Information , a , E-mail The Corresponding Author and Karuna Shrestha a. a Department of ENT, Nepalgunj Medical College, Kohalpur, Nepal. ... 65 (1978), pp. 59. [3] JJ Phillips and P. Patil, Swallowed foreign bodies, J. Laryngol. Otol. ...
Nepalese Journal of ENT Head and Neck Surgery, 2014
DOI: http://dx.doi.org/10.3126/njenthns.v3i2.10151 Nepalese Journal of Head and Neck Surgery Vol.... more DOI: http://dx.doi.org/10.3126/njenthns.v3i2.10151 Nepalese Journal of Head and Neck Surgery Vol.3(2) 2012: 2-4
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