Browsing by Author "Dongol, Kripa"
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Publication Prevalence of Foreign Body Aspiration in Children in a Tertiary Care Hospital(Nepal Medical Association, 2021) Dongol, Kripa; Neupane, Yogesh; Dutta, Heempali Das; Gyawali, Bigyan Raj; Kharel, BijayaAbstract: Introduction: Foreign body aspiration is a common problem in children with signifi cant mortality and morbidity. This study aims to determine the prevalence of foreign body aspiration in children in a tertiary care hospital of Nepal. Methods: A descriptive cross-sectional study was conducted at Tribhuvan University Teaching Hospital from April 2010 to March 2016 after obtaining ethical approval from Institutional Review Committee (Reference number- 08(6-11)E277/78). All children of age up to 15 years with suspected foreign body aspiration were included. The data was collected from the medical record section and entered in Microsoft Excel. The descriptive statistical analysis was performed. Results: A total of 26,294 patients were included in the study. The prevalence of foreign body aspiration in children was found to be 98 (0.37%). On rigid bronchoscopy, 82 patients (83.6%) were confirmed to have a foreign body in the airway. The peak incidence of foreign body aspiration was seen in patients of age group one to two years. The commonest foreign body in the airway was a peanut. Conclusions: The prevalence of foreign body aspiration in children was low, which is similar to other studies. Foreign body aspiration may lead to dreadful complications. Therefore, both the clinicians and the public need to be cautious about it.Publication Pyogenic Granuloma of External Auditory Canal: A Case Report(Institute of Medicine, 2023) Karki, Utsav R; Dongol, Kripa; Pradhananga, Rabindra B; Shah, Bikash KABSTRACT The external auditory canal is an atypical location for pyogenic granuloma (PG) to originate. We report a case of PG in a 15-year-old boy's external auditory canal. He experienced reduced hearing and occasional blood-tinged ear discharge for 8 months. Examination revealed a pinkish-soft mass occluding the canal lumen. Pure tone audiogram showed 42 dB moderate conductive hearing loss in the right ear. High-resolution computed tomography showed a well-defined, homogenously enhancing soft tissue density lesion in the canal. The mass was completely excised, and post-operative histopathology confirmed the diagnosis of PG. No recurrence was observed during the six-month follow-up period. PG should be considered in the differential diagnosis of external auditory canal lesions. Keywords: External auditory canal, lobular capillary hemangioma, pyogenic granulomaPublication Tracheostomy among Children Admitted in the Pediatric Intensive Care Unit of a Tertiary Care Centre(Nepal Medical Association, 2023) Bathwal, Rahul; Dongol, Kripa; Dutta, Heempali; Neupane, YogeshAbstract Introduction: Tracheostomy is commonly performed for upper airway obstruction, prolonged mechanical ventilation and tracheo-bronchial toileting. Pediatric tracheostomy differs from adult tracheostomy in terms of surgical procedure, post-operative care and recovery. The tracheostomized patients may either be decannulated, discharged with tube-in-situ or the patient may expire. The aim of this study was to find out the prevalence of tracheostomy in patients admitted to the Pediatric intensive care unit of a tertiary care centre. Methods: A descriptive cross-sectional study was performed among children admitted to the Pediatric intensive care unit of a tertiary care centre from 1 May 2017 to 31 August 2022 after obtaining ethical approval from the Institutional Review Committee. A convenience sampling method was used. The point estimate was calculated at 95% Confidence Interval. Results: Among 1472 patients, tracheostomy was done in 65 (4.41%) (3.37-5.47, 95% Confidence Interval). A total of 33 (50.76%) underwent tracheostomy for prolonged ventilation whereas 32 (49.23%) were tracheostomized for airway obstruction. Among them, 41 (63.07%) patients were successfully decannulated, 9 (13.84%) were discharged with tracheostomy tubes in situ whereas 15 (23.07%) patients deceased. The most common complication was tracheostomy tube blockage reported in 5 (7.69%). Conclusions: The prevalence of tracheostomy among the children of the pediatric intensive care unit was found to be lower than in other studies.