ABSTRACT
Objectives: To see the clinico-pathological pattern of findings in the chronic supparative otitis media [CSOM] during surgery
Study Design: A prospective observational study
Place And Duration: This study was conducted in Karachi Medical and Dental College and Abbasi Shaheed Hospital during the period of October 2006 to October 2010
Methodology: For this study, 288 patients were selected. After complete history, examination and relevant investigations surgery was performed and intra-operative findings of middle ear cleft were noted
Results: Total number of patients selected were 288, in which female were dominating slightly with 54.1%. Maximum incidence was noted between the ages of 16-30 years of age in 180 patients [62.5%]. 140 cases [48.61%] had no ossicles damage while 148 cases[51.38%] had one or more ossicles damage. Granulation tissue found in 99 patients [34.37%], while cholesteatoma found in 77 patients [26.73%]
Conclusion: Pathological changes varies from simple mucosal edema to extensive destruction of the middle ear cleft
ABSTRACT
To compare the efficacy of three ceruminolytic agents for cerumen impaction with respect to its ease of complete removal via suctioning or probe. A comparative prospective study. This study was conducted carried out at the outpatient department of ENT, Abbasi Shaheed hospital, Karachi from November 2010 to March 2011. A comparative prospective study of 75 adult patients with cerumen impaction in either or both of the ears carried out at the outpatient department of ENT, Abbasi Shaheed hospital, Karachi. The study was done after taking the consent of the patients. All the adult patients of age 18 years or greater, of either sex with the symptoms in the ear[s] because of cerumen which was hard/dry and difficult to remove were included in the study. Those of age less than 18 years and not having any symptomatology because of the cerumen or with soft wax which was easy to clear were not included in the study. The study was carried out from November 2010 till March 2011. the patients with problematic, difficult to remove cerumen or cerumen impaction with symptoms were divided in to three groups: Groups A, Group B and Group c; all having equal number of cases that is 25 each. In group A they were given soda-bicarbonate in glycerin based ear drops; in group B almond oil and group C the normal saline for instillation in ear. The doses and timings for drops were equal in all the group and it was 3 drops in the affected ear every 6-hourly for 1-week. They were councilled that the dose should not be missed and they have to lay down for 5 minutes so that drops are absorbed and does not come out of the ear. After one week they were called in the OPD, was compared with completeness of removal of impacted cerumen for the three groups. Ease and completeness of cerumen removal was 80% in group A, followed by 60% for group C and 20% for group B. We found soda-glycerin to be superior to almond oil and normal saline as ceruminolytic agent
Subject(s)
Humans , Male , Female , Prospective Studies , Sodium Bicarbonate , Plant Oils , Cerumen , Sodium ChlorideABSTRACT
To find out etiology and species identification of dermatophytes causing tinea cruris. Prospective study.This study was conducted in the Department of Microbiology, Basic Medical Sciences Institute, Jinnah Postgraduate Medical Centre, Karachi from September 2000 to August, 2001. Ninety-five patients having skin infections [clinically suspected cases of tinea cruris] were examined. The skin scraping were taken from active border of the lesions and subjected to direct microscopy and culture on mycobiotic agar [Difco] for isolation of dermatophytes. Various special media were used for species identification. Tinea cruris was predominantly seen in adult [85.2%] than in adolescent [9.5%] and children [5.3%]. Out of 95 cases studied 83 [87.4%] were males and 12 [12.6%] were females. Tinea cruris was significantly found more in males [87.4%] than females [12.6%] [P < 0.001]. Regarding various species of dermatophytes, 38 [67.9%] cases were caused by Trichophyton rubrum, 14 [25%] by Epidermophyton floccosum and Trichophyton mentagrophytes 02 [3.5%]. Trichophyton violaceum and Trichophyton tonsurans accounted for the remaining 01 [1.8%] case respectively. Tinea cruris is a common problem of our population affecting predominantly male population. Different species like Trichophyton rubrum, Epidermophyton floccosum, Trichophyton mentagrophytes and Trichophyton violaceum and Trichophyton tonsurans is most commonly isolated from study group. It is proposed that a large sample size study with antifungal drugs sensitivity should be designed to get a more clear picture of dermatophytes involved in Tinea cruris
ABSTRACT
To find out the demographic distribution and species of dermatophytes causing tinea corporis in Karachi, Pakistan. Design: Prospective study. Place And Duration: This study was conducted in the Department of Microbiology, Basic Medical Sciences Institute, Jinnah Postgraduate Medical Centre, Karachi from September 2000 to August, 2001. Subjects and Ninety-nine patients having skin infections [clinically suspected cases of tinea corporis] were examined. The skin scraping were taken from active border of the lesions and subjected to direct microscopy and culture on mycobiotic agar [Difco] for isolation of dermatophytes. Various special media were used for species identification. Tinea corporis was generally predominantly seen in adult [74.8%] than in adolescent [14%] and children [11.1%]. Out of 99 cases 53 [53.5%] were males and 46 [46.5%] were females. Tinea corporis was relatively more common in males. 48 strains were recovered out of these 29 [60.4%] strains of Trichophyton rubrum, 09 [18.7%] strains of Epidermophyton [floccosum], 08 strains of Trichophyton violaecum and two strains of Trichophyton mentagrophytes. Tinea corporis was relatively more common in males. Trichophyton rubrum was the most frequently isolated dermatophytes. Species identification is necessary to prevent spread of infection and choice of appropriate antifungal agent