Browsing by Author "Pradhan, Sujan"
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Publication Knowledge, Attitude, and Practice Regarding Ear Care among PreClinical Medical Students of Tertiary Care Teaching Hospital: ACross-sectional Study(Nepal APF Hospital, 2026) Adhikari, Arun; Piya, Sama; Pradhan, SujanAbstract: Introduction: The ear has an inherent self-cleansing mechanism, and inappropriate ear-care practices can predispose individuals to preventable ear diseases. Despite undergoing basic medical education, misconceptions and unsafe behaviors related to ear care may persist among medical students. Therefore, this study was conducted to find out the knowledge, attitude, and practices related to ear care, among pre-clinical medical students at a Medical College and Teaching Hospital. Methods: After the ethical clearance from the Institutional Review Comitte of the respective medical college (Reference no.15102025/17). A descriptive, cross-sectional study was conducted over one month, from October 1 to October 31, 2025, using a convenience sampling method. Data were collected using a semi-structured questionnaire distributed via Google Forms. Responses were compiled in Microsoft Excel and analyzed using descriptive statistical methods, including frequencies and percentages. Results: Among 200 students, 176 (88.00%) were aware of the harmful effects of loud noise on hearing, and they supported early ENT consultation for sudden hearing loss. Regular ear check-ups were considered important by 184 (92.00%) students, and 172 (86.00%) supported neonatal hearing screening. Safe practices were reflected by 152 (76.00%) students, and avoidance of self-medication with ear drops and instillation of oil into the ear was opted by 160 (80.00%) students. However, certain risky behaviors persisted, including prolonged use of headsets at high volume and forceful nose blowing during colds by 88 (44.00%) and 56 (28.00%) students, respectively. Conclusions: Pre-clinical medical students exhibited satisfactory knowledge and attitude towards ear care, though the gap between knowledge and practice remains, particularly concerning noise exposure.Publication Use of Solid Monoblock Rib cartilage Graft for Augmentation Rhinoplasty in Tertiary Care Centre: A Prospective Study(Institute of Medicine, 2025) Mahato, Nain Bahadur; Pradhan, Sujan; Neupane, Prajwol; Neupane, Shristi; Pradhan, RosiAbstract Introduction Autologous rib cartilage is commonly used graft material for major dorsal augmentation, especially in asian rhinoplasty, however, concern persists regarding warping and donor-site morbidity. This study aims to evaluate the aesthetic satisfaction and complications associated with autologous rib cartilage grafts in augmentation rhinoplasty. Methods This prospective observational study was conducted at the Department of Ear, Nose, and Throat of Kathmandu Medical College from April 2023 to March 2025. Fifty-six patients aged between 18 to 50 years with severe saddle nose deformity either due to congenital or traumatic nasal malformations were included. Patients with nasal polyposis or granulomatous diseases were excluded. Primary outcome was evaluated by using Rhinoplasty Outcome Evaluation (ROE) score (0-24 scale) pre, 6 months and 1 year postoperatively. Secondary outcome included complication rates. Results A total of 56 patients (mean age 31.63 ± 5.68 years; 53.6% female) were included, with congenital abnormalities constituting of 80.4%. Mean ROE scores improved from 8.13 ± 1.74 preoperatively to 18.02 ± 1.22 at 6 months and 18.40 ± 2.15 at 1 year postoperatively (p<0.001). Graft-related complications were warping occurring in 2 cases (3.57%) and graft displacement in 1 case (1.79%). Donor-site morbidity included hypertrophic scar in 2 cases (3.57%) and persistent donor-site pain in 1 case (1.79%). No infections, graft extrusions, or pneumothorax were observed. Conclusion By using solid autologous costal cartilage graft, good patient satisfaction, and minimal donor-site complications can be achieved. Keywords: costal cartilage, graft survival, patient-reported outcomes, rhinoplasty