Browsing by Author "KC, Sarita"
Now showing 1 - 4 of 4
Results Per Page
Sort Options
Publication Brachial plexus schwannoma(Society of Otolaryngologists of Nepal, 2021) KC, Sarita; Mahaseth, Rajeev; Dutta, Vijay Bhushan; Bista, RanishmaAbstract: Brachial plexus schwannoma is a rare entity representing only 5% of schwannoma. They create a great challenge to surgeons due to their rare occurrence and complex anatomical location. It is a benign nerve sheath tumor and the commonest presentation is painless slow growing supraclavicular firm swelling. Infiltration or pressure over the surrounding structure might give pain, paraethsia etc. One of the differential diagnosis of such swelling should be schwannoma. MRI is helpful in diagnosis since FNAC may damage the nerve and hemorrhage can give rise to pressure symptoms. Complete excision of the lesion along with preservation of the nerve is needed. Keywords: Brachial plexus schwannoma, excision, FNAC, MRIPublication Ent head and neck problems at referral rehabilitation center of Shree Birendra Hospital(Society of Otolaryngologists of Nepal, 2021) KC, Sarita; Puri, Lokesh; Mahaseth, Rajeev Kumar; Pradhan, BhawaniAbstract: Objectives: The objective of this study was to find out the burden of ENT-HNS problem of differently abled patients at a residential physical rehabilitation center in Nepal. Though people at a residential physical rehabilitation center have many medical problems alike general population, they are known to less emphasize them since the problems related to their primal condition, spinal cord injury (SCI), overshadows others. Materials and methods: This retrospective cross-sectional study was conducted at the department of Ear Nose Throat- Head and Neck Surgery, Shree Birendra Hospital. Recorded data were reviewed of clinical examination findings, pure tone audiometry, and speech and language evaluation of 22 residential differently abled patients and were analysed. Results: There were total 22 male patients with the mean age of 42 years (ranged 26 -74). Majority had spinal cord injury. Deviated nasal septum was the commonest ENT-HNS finding followed by hearing loss. Five of them (22.72%) had speech and language disorder. Conclusions: Patients of physical rehabilitation center have ENT-HNS related problems like DNS, hearing loss, speech and language disorders. However, these problems take less precedence compared to their primary and its associated conditions. Comprehensive check-up and treatment of ENT-HNS problems can contribute to enhance patients’ quality of life. Keywords: ENT-HNS problems, Physical rehabilitation center, Spinal cord injuryPublication Inflammatory nasal polyp (antrochoanal polyp) associated with cavernous hemangioma(Society of Otolaryngologists of Nepal, 2021) Shah, Nagendra Prasad; KC, SaritaAbstract: Sinonasal cavernous hemangioma, a very rare entity, though congenital appears in third to fourth decade of life and presents with unilateral nasal obstruction and recurrent epistaxis. Bleeding nasal lesion despite typical clinical and histological presentation of antrochoanal /inflammatory nasal polyp, coexisting cavernous hemangioma should be considered when the presenting symptom is epistaxis. Appropriate surgical modality based on the expertise and anticipation to completely remove the mass should be planned. Caldwell Luc surgery is appropriate to remove such lesion when endoscopic surgery cannot proceed due to bleeding. Keywords: Caldwell Luc surgery, cavernous hemangioma, inflammatory nasal polypPublication Long Term Results of Adult Tonsillectomy for Recurrent Tonsillitis at a Tertiary Referral Hospital in Nepal(Institute of Medicine, 2021) KC, Sarita; Dongol, Suman R; Bhattarai, Sriya; Mahaseth, Rajeev KABSTRACT Introduction: Chronic recurrent tonsillitis giving rise to frequent fever and disabling sore throat is the commonest indication for tonsillectomy in adults. The study aims to evaluate long term patients’ perceived improvement subjectively as well as parameters of sore throat, fever, and antibiotics use objectively after adult tonsillectomy. Methods: This retrospective cross sectional study was conducted at Department of ENT Head and Neck Surgery, Shree Birendra Hospital from January to May 2021. Preoperative data consisted of medical records of 81 adults who underwent tonsillectomy for recurrent tonsillitis between August 2012 and September 2013. Postoperative data on the same objective parameters were obtained by telephone during March 2021 after 7.5-8.5 years’ interval. In addition, patients were instructed to subjectively express improvement of symptoms after tonsillectomy compared to preoperative symptoms level. Subjective improvement was measured on a scale of 0% - 100%, 0% being no improvement at all to 100% for complete cure. Results: Out of 81 patients, 31 (38.27%) could be interviewed. Twenty-three were male and 8 were female. The age ranged from 18 to 65 and the mean age was 28.39. Of the 31 patients interviewed, the mean frequency of sore throat post tonsillectomy was reduced from 8.61 to 0.23 per year. Preoperatively, overall annual frequency of fever was 3.83, which decreased to 0.25 post tonsillectomy. Similarly, frequency of antibiotics intake was 5.27 per year, which decreased to 0.73 after tonsillectomy. The mean post tonsillectomy subjective improvement was 85.74%. Conclusion: The adult patients with recurrent tonsillitis had significant improvement in objective symptoms after tonsillectomy. More than half of the patients had complete subjective improvement in post tonsillectomy state. Keywords: Adult tonsillectomy, recurrent sore throat, subjective improvement