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Otolaryngology-Head & neck surgery

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Otolaryngology-Head & neck surgery

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04/12/2024

Midline neck swelling ( Dermoid) excision.

30/11/2024

Graft materials used in myringoplasty.
1),Temporalis fascia
2)Tragal cartilage
3)Tragal perichondrium
4) Dura
5) vein
6) Fat

25/11/2024

Weber-Fergusson incision
The facial incision starts as a lateral rhinotomy incision, and is continued towards the filtrum and extended down to the lip in the midline.

20/08/2024

Rhinosporidiosis

17/07/2023

Guess what?

18/06/2023

Rhinoplasty is surgery that changes the shape of the nose. The reason for rhinoplasty may be to change the appearance of the nose, improve breathing or both.

This Patients was suffering from external nasal deformity and Breathing difficulties.

Deformities was corrected by external Rhinoplasty. where conchal cartilage was taken for correction of bridge of the nose. After septoplasty Septal cartilage was taken for tip correction.
Lateral osteotomy was done on both side.

Surgeon : Asst prof Dr Mushfiqur Rahman sir
Dept of ENT & HNS
Enam medical College and Hospital

11/06/2023

VARICELLA ZOSTER VIRUS (VZV) INFECTION (RAMSAY HUNT SYNDROME)

The mechanism of disease is reactivation of the latent VZV virus in the geniculate ganglion.

CF:
The onset of palsy is usually preceded by pain which may persist and be excruciating.

In a small proportion of patients, the facial palsy is accompanied by labyrinthine symptoms including tinnitus, vertigo and a sensorineural hearing loss.

Diagnosis
is clinical but may be confirmed by rising titres of antibodies to VZV.
PCR to detect VZV in ear exudates is more sensitive than VZV PCR performed on tears or blood mononuclear cells and may be positive before the development of vesicles.

Regarding management,
. Most advocate a combination of steroids and antiviral agents, but for a longer period of time, 2–3 weeks.
The recommended regime is prednisone 1 mg/kg/day for 5 days followed by a 10-day taper, as well as intravenous acyclovir (250 mg three times daily), or oral acyclovir (800 mg five times daily). The combination of steroids and acyclovir are seems to reduce otalgia, vertigo and post-herpetic neuralgia.

The prognosis for Ramsay Hunt is worse than idiopathic facial palsy. Persistent weakness is observed in 30–50% of patients and only 10% recover completely after complete loss of function without treatment.

Photo credit: Asst prof Dr Mushfiqur Rahman sir

10/06/2023

Remnant tonsillitis.
Remnants of the tonsil that were not completely removed during a previous tonsillectomy.

The tonsillar tissue remaining after partial tonsillectomy in children has a remarkable tendency to grow back, related to a diet abundant in sugar and numerous upper respiratory tract infections. Tonsillar regrowth was age related and occurred most frequently in individuals older than 7 years.

CF:
*Red, swollen tonsils
*White or yellow coating or patches on the tonsils
*Sore throat
*Difficult or painful swallowing
*Fever
*Enlarged, tender glands (lymph nodes) in the neck
*A scratchy, muffled or throaty voice
*Bad breath
*Stomachache
*Neck pain or stiff neck
*Headache

Treatment : It was concluded that surgery of tonsillar remnants by monopolar coagulation was a better and safe technique

Photo credit : Prof. Dr. Kazi Atikuzzaman sir

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