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  • 1
    Online Resource
    Online Resource
    Evaluation of Post-Hemithyroidectomy hypothyroidism
    Bangladesh Academy of Sciences ; 2020
    In:  Bangladesh Journal of Otorhinolaryngology Vol. 26, No. 2 ( 2020-12-09), p. 95-101
    Details
    In: Bangladesh Journal of Otorhinolaryngology, Bangladesh Academy of Sciences, Vol. 26, No. 2 ( 2020-12-09), p. 95-101
    Abstract: Objective: To evaluate the incidence of post-hemithyroidectomy hypothyroidism and identify possible risk factors that indicates which patients require thyroid function monitoring after surgery. Methods: A prospective study of patients with benign, non-toxic thyroid disease undergoing hemithyroidectomy between January 2017 and July 2019 in the Department of Otolaryngology and Head-Neck Surgery, Sir Salimullah Medical College Mitford Hospital, Dhaka. All patients were in euthyroid state preoperatively.Thyroid specimens were examined for pathological diagnosis and thyroid function was evaluated again six weeks after surgery. Results: All had normal preoperative thyroid function. Six weeks after surgery, 10 (22.22%) of the cases developed hypothyroidism (6.66% overt or symptomatic hypothyroidism and 15.56% subclinical hypothyroidism). The mean preoperative TSH level was significantly higher in the hypothyroid group than in the euthyroid group (2.1±1.1 vs 1.3±0.7mIU/L, p 〈 0.01).Seven of patients with preoperative thyroid stimulating hormone (TSH) level more than or equal to 2 mIU/L developed hypothyroidism in comparison to only 3 of those with preoperative TSH 〈 2 mIU/L (odds ratio 11.3). Conclusion: Ten (22.22%) patients in the present study developed hypothyroidism after hemithyroidectomy. Preoperative TSH more than or equal 2 mIU/L, elevation of thyroid antibodies and thyroiditiswarrant post-operative close TSH monitoring. Awareness of such risk factors for post-operative hypothyroidism would improve patients care and reduce complications. Bangladesh J Otorhinolaryngol; October 2020; 26(2): 95-101
    Type of Medium: Online Resource
    ISSN: 2304-6244 , 1728-8835
    URL: Article
    DOI: 10.3329/bjo.v26i2.50608
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2020
    detail.hit.zdb_id: 2573889-6
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  • 2
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    Relationship between feeding practices and morbidity pattern of children under two years of age in a community setting at Mymensingh
    Bangladesh Academy of Sciences ; 2018
    In:  Community Based Medical Journal Vol. 7, No. 1 ( 2018-02-12), p. 10-15
    Details
    In: Community Based Medical Journal, Bangladesh Academy of Sciences, Vol. 7, No. 1 ( 2018-02-12), p. 10-15
    Abstract: This descriptive cross-sectional study was performed in the department of Pediatrics, Mymensingh Medical College Hospital to assess the feeding practices and their relationship with the morbidity pattern of children under two years of age. For this study four hundred (400) children from eight different Upazilla Health Complexes (UHC) of Mymensingh district were enrolled and UHCs were selected randomly. Mothers with their children under two years of age who gave voluntary, informed, written consent were included and very sick children, motherless children, handicapped children were excluded from the study. Immediately after registration, detailed history was taken from child's mother using a preset questionnaire and clinical examination (anthropometry and bipedal edema) was done. Among them, 214 children (53.5%) were male and 186 children (47.5%) were female and M: F=1.2:1. Regarding morbidity pattern, 17.3% had acute respiratory tract infection (ARI), 12.7% had acute watery diarrhea (AWD), 2.2% had dysentery, and 9.5% children had more than one disease. In exclusive breast feeding (EBF), acute respiratory tract infection was 10.24% where as in partial breast feeding it was 23.24% and acute watery diarrhea in exclusive breast-fed baby was 6.6% but in partial breast-fed baby it was 17.29%. Morbidity were more in children who started complementary feeding with luta, barley, suji and cow's milk with suji than with khichuri and mixed family diet. CBMJ 2018 January: Vol. 07 No. 01 P: 10-15
    Type of Medium: Online Resource
    ISSN: 2408-848X , 2226-9290
    URL: Article
    DOI: 10.3329/cbmj.v7i1.54799
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2018
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  • 3
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    Lingual Thyroid Gland: A Case Report
    Bangladesh Academy of Sciences ; 2020
    In:  Faridpur Medical College Journal Vol. 14, No. 2 ( 2020-07-14), p. 107-109
    Details
    In: Faridpur Medical College Journal, Bangladesh Academy of Sciences, Vol. 14, No. 2 ( 2020-07-14), p. 107-109
    Abstract: Ectopic thyroid tissue can be found anywhere between the foramen cecum and the normal position of the thyroidgland. Although very uncommon, it is most often found in the region of the foramen cecum, in patients in whom thegland fails to descend. It may present with symptoms of dysphagia, upper airway obstruction, or even hemorrhage atany time from infancy through adulthood. We present the case of a twelve-year-old male child with a midline cervicalmass clinically presented with high dysphagia suffering for one year. Dysphagia worsened over the past two monthsand was accompanied by increasing in nocturnal dyspnoea and recent onset of sleep apnea. Elements in the diagnosticand therapeutic evaluation are described with attention to the clinical findings, laboratory tests, and radiographicimaging studies employed in confirming the diagnosis and planning appropriate treatment. The natural history of thecondition is reviewed and a treatment strategy is outlined that focuses on the use of suppressive doses of thyroidhormone as the initial therapy. Surgical excision of the gland is reserved for more advanced cases of glandenlargement resulting in airway compromise, severe dysphagia that limits oral intake, or ongoing hemorrhage. Faridpur Med. Coll. J. Jul 2019;14(2): 107-109
    Type of Medium: Online Resource
    ISSN: 2079-3553
    URL: Article
    DOI: 10.3329/fmcj.v14i2.48190
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2020
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  • 4
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    Dyslipidaemia in Schizophrenia
    Bangladesh Academy of Sciences ; 2021
    In:  Anwer Khan Modern Medical College Journal Vol. 13, No. 1 ( 2021-12-28), p. 8-13
    Details
    In: Anwer Khan Modern Medical College Journal, Bangladesh Academy of Sciences, Vol. 13, No. 1 ( 2021-12-28), p. 8-13
    Abstract: Background: Lipid neurochemistry is an important focus in schizophrenia research. Disorder of fatty acid metabolism within the brain tissue play an important role in the pathophysiology of schizophrenia. Material & Methods: To evaluate the association of dyslipidaemia with Schizophrenia and compare the serum lipid profile with healthy individuals, a cross sectional analytical study was conducted between July 2011 and June 2012 in the Department of Biochemistry, Dhaka Medical College, following approval of a protocol. As per criteria, total 100 cases were included in this study and divided into two groups: Group-I (Diagnosed cases of schizophrenia) and Group-II (Healthy individuals). Written informed consent was taken from all cases. Serum lipid profile (Total Cholesterol, Triglycerides, HDL and LDL) was estimated from both groups by enzymatic determination. Result: Fasting serum triglyceride (p 〈 0.03), HDL cholesterol (p 〈 0.001) and LDL cholesterol (p 〈 0.001) between the groups are significantly related. In group-I mean serum HDL cholesterol is reduced, but LDL cholesterol and Triglyceride were elevated in comparison with group-II. No significant relationship was observed in fasting serum total cholesterol in between groups (p 〉 0.05). Result indicates strong association between schizophrenia and dyslipidaemia. That association would increase the risk of developing coronary heart disease in those patients with schizophrenia compared with healthy individual. AKMMC J 2022; 13(1) : 8-13
    Type of Medium: Online Resource
    ISSN: 2304-5701 , 2221-836X
    URL: Article
    DOI: 10.3329/akmmcj.v13i1.64715
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2021
    detail.hit.zdb_id: 2701650-X
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  • 5
    Online Resource
    Online Resource
    Pattern of Thyroid Swelling – A Histopathological Study
    Bangladesh Academy of Sciences ; 2022
    In:  Sir Salimullah Medical College Journal Vol. 30, No. 1 ( 2022-04-27), p. 75-82
    Details
    In: Sir Salimullah Medical College Journal, Bangladesh Academy of Sciences, Vol. 30, No. 1 ( 2022-04-27), p. 75-82
    Abstract: Background: This is a cross sectional study. The purpose of the study was to determine the histopathological pattern in Thyroid swellings. The study was done in the department of Otolaryngology and Head-Neck Surgery, Sir Salimullah Medical College Mitford Hospital, Dhaka from December 2015 to December 2016. Fifty patients of Thyroid swelling were studied by detailed history, clinical examination, thyroid hormone assay, ultrasonography, Thyroid scan, FNAC and Histopathological examination. Results: In this study it was found that Goitre is predominant in female. Among the 50 cases nodular colloid goitre was found in 25 cases in FNAC suspicious cell for malignancy in 2 cases, follicular neoplasm in 11 cases & malignancy in 11 cases. Histopathology reports were obtained in all cases. Histopatholgical findings of the swelling shows that 42.0% of the swelling are Nodular colloidal goiter and 24.0% tumor are follicular adenoma and thyroiditis was found in 8 % cases. Among malignancy papillary carcinoma was in 20% cases while folicullar carcinoma and medullary carcinoma was 4% and 2% respectively. No case of anaplastic carcinoma and lymphoma was found. Proportion of papillary carcinoma was highest in the age group 30 years and below and proportion of follicular carcinoma was highest in age group above 50 years patients while nodular colloidal goiter was highest in age group 31 to 50 years patients.Thyroiditis was highest in the age group 31 to 50 year’s patients and follicular adenoma was highest in the age group above 50 years patients. Proportion of follicular carcinoma (25.0%) and medullary carcinoma (12.5%) was higher in male patients than female. On the other hand proportion of nodular colloidal goiter (40.5%), thyroiditis (9.5%), papillary carcinoma (21.4%) and follicular adenoma (26.2%) was higher in female patients than male. Conclusion: Clinical evaluation of goiter should be thorough, and use all means especially histopathologic study of the specimens to arrive at a definitive diagnosis as thyroid carcinoma is not uncommon. Sir Salimullah Med Coll J 2022; 30: 75-82
    Type of Medium: Online Resource
    ISSN: 1813-0437
    URL: Article
    DOI: 10.3329/ssmcj.v30i1.59393
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2022
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  • 6
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    A Comparative Study of Coblation versus Dissection Tonsillectomy
    Bangladesh Academy of Sciences ; 2020
    In:  Bangladesh Journal of Otorhinolaryngology Vol. 26, No. 2 ( 2020-12-09), p. 121-127
    Details
    In: Bangladesh Journal of Otorhinolaryngology, Bangladesh Academy of Sciences, Vol. 26, No. 2 ( 2020-12-09), p. 121-127
    Abstract: Objectives: To compare the efficacy of coblation tonsillectomy and dissection tonsillectomy regarding the duration of surgery, amount of intraoperative bleeding, postoperative pain, recovery time and complications. Methods: 50 patients aged 5-30 years with chronic tonsillitis who underwent tonsillectomy operation were randomly divided into two groups. One group underwent coblation tonsillectomy while other group with dissection tonsillectomy. Chronic tonsillitis patients with adenoid hypertrophy and Otitis media with effusion were excluded by diagnostic nasal endoscopy, imaging and audiometry. All patient were examined regularly after surgery for 10 days to assess the postoperative morbidity and efficacy of both coblation and dissection methods. Duration of surgery, amount of intraoperative bleeding, recovery time, postoperative pain & requirement of analgesics, time required to regain normal diet & activityand complication were assessed. Result: Comparing the coblation tonsillectomy to cold dissection group the mean duration of surgery was 9.7 versus 18.4 minutes, the amount of intra operative bleeding 10.62 versus 28.72 milliliter. The difference on the postoperative pain scale, requirement of analgesics, condition of the tonsillar fossa, time required to regain normal diet & activity between two groups were statistically significant. Conclusion: In our study patient underwent coblation tonsillectomy providing a near bloodless field, minimum operating time, less postoperative pain, quicker return to normal diet, normal activity and less use of analgesics than patients underwent dissection tonsillectomy. Postoperative morbidity and complications were lower as compared to conventional cold dissection technique. Bangladesh J Otorhinolaryngol; October 2020; 26(2): 121-127
    Type of Medium: Online Resource
    ISSN: 2304-6244 , 1728-8835
    URL: Article
    DOI: 10.3329/bjo.v26i2.50613
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2020
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  • 7
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    Online Resource
    Auricular Perichondritis: Clinical Search in a District Level Hospital
    Bangladesh Academy of Sciences ; 2023
    In:  Bangladesh Journal of Otorhinolaryngology Vol. 28, No. 2 ( 2023-03-02), p. 165-170
    Details
    In: Bangladesh Journal of Otorhinolaryngology, Bangladesh Academy of Sciences, Vol. 28, No. 2 ( 2023-03-02), p. 165-170
    Abstract: Background: Perichondritis refers to an inflammation of the perichondrium, a layer of connective tissue which surrounds cartilage. Auricular perichondritis, the commonest form, involves the pinna due to infection of a traumatic or surgical wound or the deep spread of superficial inflammation. This type of disease often leads to residual deformity, and its incidence in our experience seems to be increasing. Objectives: The present study was conducted to determine the predisposing factors, pathogenic organisms, interventions and residual deformities of the disease in a peripheral medical college hospital. Methods: This was a prospective study which was conducted in the Department of Otolaryngology – Head & Neck Surgery, Pabna Medical College Hospital, Pabna from January 2017 to June 2018. Follow up was for six months ending with assessment of pinna deformity. Data was analyzed using SPSS for windows version 22. Results: Patients were from 15- 75 years of age (range 60 years) with male predominance and peak in the fourth decade of life. The most common predisposing factors were trauma from motor vehicle accidents (30%) followed by high ear piercing (22%). Pseudomonas aeruginosa (48%) followed by Staphylococcus aureus (20%) were the most common organisms. Patients were treated with intravenous antibiotics but 76% also required surgical intervention. 68% developed residual deformities of the pinna with 50% being total and 18% being partial. Conclusion: Auricular perichondritis is a frightening disease which requires early management. As Pseudomonas aeruginosa is the most common organism, antipseudomonal antibiotics should be started as early as possible. Despite medical and surgical intervention, residual deformities may ensue. Bangladesh J Otorhinolaryngol 2022; 28(2): 165-170    
    Type of Medium: Online Resource
    ISSN: 2304-6244 , 1728-8835
    URL: Article
    DOI: 10.3329/bjo.v28i2.64520
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2023
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