Journal Issue: Volume: 12, No. 2, (2021)
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Volume
Number
Issue Date
2021
Journal Title
Journal ISSN
2091-0843
Journal Volume
Articles
Tissue eosinophilia in chronic rhinosinusitis with diffuse bilateral nasal polyps
(Society of Otolaryngologists of Nepal, 2021) Pantha, Tridip; Gautam, Dipendra; R, Mulmi
Abstract:
Background: Inflammatory disease of the nose and paranasal sinuses with diffuse polypoid changes are common findings. The eosinophilic infiltration of the polypoid tissue and eosinophil driven inflammation are one of the endotypes of chronic rhinosinusitis (CRS).
Objective: The study was aimed to investigate the presence of tissue eosinophilia in patients with diffuse bilateral nasal polyps.
Method: It was a descriptive cross-sectional study on 51 patients who underwent Functional Endoscopic Sinus Surgery (FESS) for CRS. Sino-nasal outcome test (SNOT-22) questionnaire and CT scan scores were recorded. Histopathological examination of the polypoid tissue was done and the number of eosinophils per high power field (HPF) was also recorded.
Result: Fifty-one patients were included in the current study, of whom 26 were females and 25 were males. The majority of patients (n=37, 72.5%) had tissue eosinophilia counts > 10 per HPF. The mean CT score in patients with tissue eosinophilia > 10 per HPF was 18.35 (SD 4.08), which was significantly higher than the mean CT score in patients with tissue eosinophilia ≤ 10 per HPF (mean CT score = 12.24, SD 2.67). Similarly, the mean Sino-Nasal outcome Test-22 (SNOT-22) score in patients with tissue eosinophilia >10 was 71.25 (SD 5.84), which was significantly higher than the mean SNOT-22 score in patients with tissue eosinophilia ≤10 (mean SNOT-22 score = 57.85, SD 4.49).
Conclusion: There was a significant positive correlation between tissue eosinophil count and both SNOT-22 score and CT score.
Keywords: Diffuse nasal polyp, Eosinophilic Chronic Rhinosinusitis, SNOT-22, Tissue eosinophilia.
Knowledge about first aid management of epistaxis among patients visiting otolaryngology outpatient of tertiary care center
(Society of Otolaryngologists of Nepal, 2021) Amatya, Paras Raj; Shrestha, Sumnima; Chettri, Shyam Thapa; Paudel, Deepak; Mahato, Rahul; Gajurel, Pravid
Abstract:
Objective: To determine the level of knowledge about first aid management of epistaxis among patients visiting outpatient department of ENT at tertiary care center of eastern Nepal and to explore the relationship between knowledge and different socio-demographic variables.
Method: A descriptive, hospital based cross-sectional study was conducted on 384 respondents aged 16 years or above visiting ENT OPD, BPKIHS using consecutive non-probability sampling. Pre-testing of the questionnaire was done in Chitwan medical college, Bharatpur, Nepal. The respondents were interviewed with semi structured interview schedule consisting of 6 questions related to first aid management of epistaxis. Each correct answer was allotted one point, and the total summation of the discrete scores of the different items was calculated. A score of less than 4 was considered poor knowledge, while a score of 5 or more was considered good knowledge.
Result: Most of the respondents (88%) had poor overall knowledge. Less than half people knew about correct body posture and only a third knew that nose should be pinched. Only 13.5% people knew correct head position. 15% respondents with secondary or higher education and about 30% of people engaged in medical education/profession had good knowledge. The level of knowledge was found to significantly associated with level of education (p=0.047) and medical profession/education (p=0.00). It was not associated with age, sex and previous exposure to epistaxis.
Conclusion: The knowledge about first aid management of epistaxis in general population is poor it is not adequate even in the people engaged in medical education or profession.
Keywords: Epistaxis, First aid, Knowledge.
Outcome of septoplasty in adult population: a study from western Nepal
(Society of Otolaryngologists of Nepal, 2021) Koirala, Krishna
Abstract:
Introduction: Septoplasty is one of the commonest otorhinolaryngology related surgery performed worldwide to correct the deviated nasal septum. This surgery is performed to offer qualitative and quantitative advantage to patients with nasal obstruction who present with deviated nasal septum. Although more than 50% of population have deviated nasal septum, very few of them require definitive surgery for clearance of symptoms.
Aims and objectives: The aim of the present study was to analyze the outcome of septoplasty surgeries performed in three years in adults of 18 years or more in terms of nasal obstruction, headache, postnasal drip, mouth breathing and difficulty in sleep.
Materials and methods: Cross sectional analysis of patients who had undergone septoplasty surgery in a tertiary care center performed by the author over a period of three years from 1st January 2015 to 31st December 2017.
Results: Age of patients in this study ranged from 18 to 48 years with the mean age of 21.61± 6.06 years. Maximum number of patients were within the age group of 21-30 years (63.6%). There was statistically significant improvement in terms of nasal obstruction, postnasal drip and mouth breathing with a p value of less than 0.001. Headache and difficulty in sleep were not improved statistically.
Conclusion: In patients with deviated nasal septum, septoplasty results in significant improvement in reduction of symptoms of nasal obstruction, postnasal drip and mouth breathing.
Keywords: Deviated nasal septum, Mouth breathing, Nasal obstruction, Postnasal drip Septoplasty
Brachial plexus schwannoma
(Society of Otolaryngologists of Nepal, 2021) KC, Sarita; Mahaseth, Rajeev; Dutta, Vijay Bhushan; Bista, Ranishma
Abstract:
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, MRI
Variant type of preauricular sinus with post auricular abscess
(Society of Otolaryngologists of Nepal, 2021) Devkota, Subhash; Karki, Susmin; Dutta, Heempali; Neupane, Yogesh
Abstract:
An 11-year-old female presented with the history of painful post auricular fluctuant swelling of left ear. On examination there was a small pit present at the crus of the helix of the left ear. Patient had a variant type of preauricular sinus in which the sinus tract extended beyond the external auditory canal and opened into the post auricular area. Excision of tract along with granulation tissue and cartilage was performed.
Keywords: Preauricular sinus, post auricular abscess, variant