Cut throat injury: one year study

To evaluate the cause and pattern of cut throat injury. Prospective study. This study was conducted in Abbasi Shaheed Hospital and Karachi Medical and Dental College from 01.09.2012 to 31.08.2013. Total number of patients with cut throat were 42 patients, in which 33 were selected in this study. During this period, those patients who came in emergency room in Abbasi Shaheed Hospital with cut throat injury were included in this study. In this study male were 24 patients [72.72%] and female were 9 [27.27%]. Male female ratio was 2.66:1. Maximum incidence of age was between 21-30-years 9 cases [27.27%]. Accidental cause was the main cause of cut throat with 19 patients 57.57%. In 9 [27.27%] cases of suicidal, 7 [77.77%] patients was history of psychiatric illness. Zone II was the commonest site which was 20 cases [60.60%] Skin and soft tissue is the commonest structure involved which was 20 cases [60.60%]. 26 patients [78.78%] were discharge from ward after treatment. Proper assessment the cause and accurate treatment may prevent complication

Pathological findings of chronic supparative otitis media in tertiary care hospital

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

Pattern of ossicular damage in chronic supparative otitis media

The aim of this study is to determine pattern of ossicular damage in chronic supparative otitis media. Prospective study. This study and was conducted in Karachi and Medical and Dental College and Abbasi Shaheed Hospital during the period of October 2006 to October 2010. 288 patients were selected in this study and intra-operative findings of ossicles were noted. Total numbers of patients was 288, in which female was slight domination with 54.1%. Maximum incidence was noted between the ages of 16-30 years of age which was 180 patients. 209 patients presented with central perforation. 140 cases had no ossicles damages of ossicles damage. Ossicles damage can be prevented by early diagnosis and proper management

Comparison of three different ceruminolytic agents [soda-bicarbonate, almond oil and normal saline] with respect to their efficacy

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

Post tonsillectomy quality of life in adults

Objective: to determine the health related quality of life benefits derived from tonsillectomy in adult patients of chronic or recurrent tonsillitis

Patients and methods: a cross sectional study of 85 adult patients carried out in ENT department of Abbasi Shaheed Hospital, Karachi from January 2010 to February 2011 with the written and informed consent of patients. All were of age 18 years or greater and of either sex with the diagnosis of chronic tonsillitis or recurrent tonsillitis. There complete correspondence addresses with phone numbers were noted and they all were called back again after a lapse of 6-months post-operation to fill in the questionnaire, Glasgow Benefit Inventory [GBI]. Analysis of data was done by SPSS version 11.0

Result: good scores were noted on the Glasgow Benefit Inventory. Total score was +45.29 [p-value <0.0001]. The subscale scoring was general subscale score +44.10 [p-value <0.0001]; social subscale score, no change i.e. 0 and physical health subscale score +79.62 [p-value <0.0001]

Conclusion: the result thus proves that post-tonsillectomy the HRQOL is improved and the procedure of tonsillectomy is beneficial in terms of improved quality of life

Clinical profile of patients with presenting hoarseness

To describe the causes of voice disorder [hoarseness] among general population attending E.N.T department in Abbasi Shaheed Hospital. It is the descriptive study of 100 patients, who enrolled from out patient department and admitted in E.N.T department of Abbasi Shaheed Hospital. The data was collected as per the specially designed Performa. This study was done in Abbasi Shaheed Hospital, Karachi. Most of the patient with hoarseness 38 [38%] were observed between 5-15 years followed by 16-24 years old 26 [26%] patients. The most common cause of hoarseness was vocal cord nodules 35 patients [35%] followed by acute laryngitis, 22 patients [22%] and chronic non specific laryngitis 14 patients [14%]. Hoarseness due to carcinoma of larynx, 13 patients [13%]