Browsing by Author "Dutta, Heempali Das"
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Publication Burden of chronic otitis media- mucosal type and the impact of its surgical management in the quality of life of patients in a tertiary hospital(Society of Otolaryngologists of Nepal, 2020) Rayamajhi, Pabina; Aggarwal, Poonam; Dutta, Heempali Das; Tripathi, Prashant; Kharel, Bijaya; Pradhananga, Rabindra Bhakta; Neupane, Yogesh; Dongol, KripaAbstract: Objective: The objective of this study was to assess the burden of COM-mucosal disease and analyse the general and disease-specific quality of life (QOL) in patients after myringoplasty. Materials and Methods: The study was conducted in the department of ENT and Head & Neck Surgery (HNS) from 1st December 2019 to 1st June 2020. The data was collected from the initial three months of the mentioned duration. For the assessment of the burden of COM-mucosal disease in the department all the patients visiting with the aforementioned diagnosis was recorded and compared with the total patient visit in the department in the three months duration. Sixty patients were included in the study for the QOL assessment after myringoplasty. Patients who had undergone myringoplasty filled the quality-of-life questionnaires. The means of the pre and postoperative values were compared and the benefit in their quality of life evaluated. Results: The prevalence of COM-mucosal disease among the total new patients visited in the outpatient department of the hospital was 5.4%. Diseasespecific QOL in patients with COM improved after myringoplasty in all the scales of the questionnaire. All the activity/lifestyles scores, medical help scores and symptom scores showed statistically significant improvement after surgery. Conclusion: There is a high burden of the COM-mucosal disease. Myringoplasty did lead to a significant improvement of disease-specific QOL in patients with COM- mucosal type. Keywords: COM- mucosal, Myringoplasty, Quality of life (QOL)Publication Comparison of Cognition between Elderly with Sensorineural Hearing Loss and Normal Hearing for Age(Institute of Medicine, 2022) Gurung, Bikash; Rayamajhi, Pabina; Dutta, Heempali DasABSTRACT Introduction: Age related hearing loss starts at mid to late adulthood. With ageing, cognitive ability also declines. The aims of this study were to assess, compare and correlate cognition of elderly people having bilateral moderate to profound sensorineural hearing loss with the population of normal hearing for age. Methods: This observational analytical study included 25 elderly participants between 55 to 75 years of age in each group; Hearing loss Group with moderate to profound sensorineural hearing loss and Normal hearing Group with normal hearing. Based on pure tone audiometry, hearing loss was classified into moderate (41-60 dB), severe (61-80 dB) and profound (81 and above). Cognition status was assessed using a Nepali version of Mini-mental state examination and classified into no cognitive impairment, mild cognitive impairment and severe cognitive impairment. Comparison and correlation of the cognitive impairment was done between the groups. Results: In Hearing loss Group, 8 (32%) participants and in Normal Hearing Group, 3 (12%) participants had mild cognitive impairment. Means of total Mini-mental state examination scores between the two groups had statistically significant difference (p=0.02) but no significant correlation (Kendall tau b =0.20) between age related hearing loss and cognitive impairment was found. Conclusion: Though cognitive impairment was found more in participants with age related hearing loss, there was no correlation between age related hearing loss and cognitive impairment. Keywords: Age-related hearing loss, cognitive impairment, mini-mental state examinationPublication Effectiveness of doxycycline sclerotherapy in pediatric head and neck lymphangiomas(Society of Otolaryngologists of Nepal, 2020) Dutta, Heempali Das; Neupane, Yogesh; Gyawali, Bigyan RajAbstract: Objective: To assess the effectiveness of intralesional Doxycyline sclerotherapy in pediatric head and neck lymphangioma. Materials & Methods: It was a retrospective chart review of the children who underwent Doxycycline sclerotherapy of lymphangioma of head and neck region over a period of 2 years between August 2017 to July 2019 at the Department of ENT & HNS, Tribhuvan University Teaching Hospital, Kathmandu Nepal.Medical records were reviewed and evaluated for following variables like age, sex, history, examination findings including site of lesion, ultrasonographic findings, number of injection, dose of Doxycycline and any side effectsnoted and the final outcome of sclerotherapy. Results: There was complete resolution of the macrocysticlesion infourcases (12.5%) after two sessions of Doxycycline sclerotherapy. The partial resolution of lymphangioma occurred in 20 cases (62.5%) with mixed type of lymphangioma whereas, in eight cases (25%), there was no response observed even after six sessions of sclerotherapy. Minor side effects like local site erythema and swelling were observed in 20 cases. Secondary infection was seen in eight cases. Eight patients developed fever after injection which was resolved within 24 hours. Conclusion: Doxycycline sclerotherapy is safe and effective in the treatment of head and neck lymphangioma in the pediatric population. Keywords: COVID-19 pandemic, Online class, Postgraduate studentPublication Effectiveness of doxycycline sclerotherapy in pediatric head and neck lymphangiomas(Society of Otolaryngologists of Nepal, 2020) Dutta, Heempali Das; Neupane, Yogesh; Gyawali, Bigyan RajAbstract: Objective: To assess the effectiveness of intralesional Doxycyline sclerotherapy in pediatric head and neck lymphangioma. Materials & Methods: It was a retrospective chart review of the children who underwent Doxycycline sclerotherapy of lymphangioma of head and neck region over a period of 2 years between August 2017 to July 2019 at the Department of ENT & HNS, Tribhuvan University Teaching Hospital, Kathmandu Nepal.Medical records were reviewed and evaluated for following variables like age, sex, history, examination findings including site of lesion, ultrasonographic findings, number of injection, dose of Doxycycline and any side effectsnoted and the final outcome of sclerotherapy. Results: There was complete resolution of the macrocysticlesion infourcases (12.5%) after two sessions of Doxycycline sclerotherapy. The partial resolution of lymphangioma occurred in 20 cases (62.5%) with mixed type of lymphangioma whereas, in eight cases (25%), there was no response observed even after six sessions of sclerotherapy. Minor side effects like local site erythema and swelling were observed in 20 cases. Secondary infection was seen in eight cases. Eight patients developed fever after injection which was resolved within 24 hours. Conclusion: Doxycycline sclerotherapy is safe and effective in the treatment of head and neck lymphangioma in the pediatric population. Keywords: COVID-19 pandemic, Online class, Postgraduate studentPublication 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.