https://www.banglajol.info/index.php/BJO/issue/feedBangladesh Journal of Otorhinolaryngology2023-09-18T03:43:54+00:00Dr. Ahmmad Taousatlincoln74@gmail.comOpen Journal SystemsOfficial journal of the Society of Otorhinolaryngologists & Head Neck Surgeons of Bangladesh. <br />BJO is now accepting online submissions. Register with the journal to use the 5 step online submission process.<br />BJO is indexed in BanglaJOL, AsiaJOL, Hinari WHO, <a title="DOAJ" href="https://doaj.org/toc/1728-8835?source=%7B%22query%22%3A%7B%22filtered%22%3A%7B%22filter%22%3A%7B%22bool%22%3A%7B%22must%22%3A%5B%7B%22term%22%3A%7B%22index.issn.exact%22%3A%221728-8835%22%7D%7D%2C%7B%22term%22%3A%7B%22_type%22%3A%22article%22%7D%7D%5D%7D%7D%2C%22query%22%3A%7B%22match_all%22%3A%7B%7D%7D%7D%7D%2C%22from%22%3A0%2C%22size%22%3A100%7D" target="_blank">DOAJ</a>, PRORCH.https://www.banglajol.info/index.php/BJO/article/view/68564The Arts of Scientific Paper2023-09-02T07:12:09+00:00Ahmmad Taousatlincoln@yahoo.com<p>Abstract not available</p> <p>Bangladesh J Otorhinolaryngol 2023; 29(1): 01-04</p>2023-09-18T00:00:00+00:00Copyright (c) 2023 Bangladesh Journal of Otorhinolaryngologyhttps://www.banglajol.info/index.php/BJO/article/view/68071Prevalence of Recurrence in Early Tongue Cancer T1 or T2 with or Without Neck Dissection2023-08-06T07:02:35+00:00Md Momin Uddinmominkallol36@gmail.comSayed Farhan Ali Razibmominkallol36@gmail.comMd Monsur Alammominkallol36@gmail.comMd Ali Azadmominkallol36@gmail.com<p><strong>Background:</strong> Patients with T1 T2 N0 mouth or tongue cancer that has been confirmed by a doctor may choose to have a neck dissection. Some say that nodal return of a T1 original tumor is well controlled, while others say that salvage is more often the exception than the rule.</p> <p><strong>Objective:</strong> To determine the likelihood of recurrence in T1 or T2 early tongue carcinoma with or without neck dissection.</p> <p><strong>Methods:</strong> The prospective cross-sectional clinical study was conducted from March 2021 to March 2023 at the Department of ENT and Head Neck Surgery, Combined Military Hospital, Dhaka. All 100 patients who presented with clinically determined T1 and T2 disease, as defined by the American Joint Committee on Cancer (AJCC), were treated at the Department of Otolaryngology of the Combined Military Hospital in Dhaka and underwent primary surgical resection of the tumor with or without neck dissection. The study eliminated cases of cancer involving the base of the tongue or recurring oral tongue cancer.</p> <p><strong>Results:</strong> In the neck dissection group, 3(6%) experienced local recurrence, 2(4%) experienced regional recurrence, and 1 (2%) experienced both (local and regional recurrence). There will be no dissection. 10(20%) Local recurrence, 3 (6%), Regional recurrence, and 1 (2% combined local and regional recurrence). Recurrence was 4(8%) in the neck dissection group and 14(28%) in the no dissection group.</p> <p><strong>Conclusion:</strong> In this study, the overall recurrence rate was 8% in neck dissection and 28% in no neck dissection. The overall recurrence rate in the no neck dissection group was significantly greater than in the neck dissection group.</p> <p>Bangladesh J Otorhinolaryngol 2023; 29(1): 5-10</p>2023-09-18T00:00:00+00:00Copyright (c) 2023 Bangladesh Journal of Otorhinolaryngologyhttps://www.banglajol.info/index.php/BJO/article/view/68075Pathophysiological Effect of Enlarged Adenoid on Middle Ear in Children2023-08-06T07:25:46+00:00Mohammad Shahjahan Sarkershahjahansarker735@gmail.comABM Delowar Hossainshahjahansarker735@gmail.comMashuque Mahmudshahjahansarker735@gmail.comMahmudul Hasanshahjahansarker735@gmail.comMohammad Anamul Haqueshahjahansarker735@gmail.comMani Lal Aichshahjahansarker735@gmail.com<p><strong>Objective: </strong>To identify the incidence of otitis media with effusion (OME) in children with enlarged adenoid.</p> <p><strong>Methodology: </strong>This is a cross sectional observational study was carried out at Department of Otolaryngology and Head Neck surgery of Sir Salimullah Medical College Mitford Hospital, Dhaka from July 2014 to June 2016. One Hundred and Fifty (150) children with enlarged adenoid were included in this study. All patients were subjected for history, local physical examination, evaluation of adenoid size by X ray of nasopharynx lateral view. Pure tone audiometry & tympanometry were done in all patients. Informations were recorded in a specially designed data collection sheet.</p> <p><strong>Result: </strong>Among 150 children with enlarged adenoid 30(20%) patient had OME, majority of patients (60%) were age group 7-9 years. Male were predominant (60%) than female (40%). Among 150 patients grade- I was 16%, grade II- was 26%, grade-III was 54% and grade IV was 4%.According to the grading of enlarged adenoid cases , grade I, grade II , grade III and grade IV had 8.33%,15.38% ,23.46% and 50% cases had OME respectively. Hearing loss was in 33(22%) children. According to tympanometry, type A curve was in 118(78.67%) children, type B 26(17.33%) and type C 6(4%) children.</p> <p><strong>Conclusion: </strong>Enlarged adenoid is associated with otitis media with effusion. Incidence of Otitis media with effusion increases with the proportion of severity of nasopharyngeal obstruction by enlarged adenoid.</p> <p>Bangladesh J Otorhinolaryngol 2023; 29(1): 11-16</p>2023-09-18T00:00:00+00:00Copyright (c) 2023 Bangladesh Journal of Otorhinolaryngologyhttps://www.banglajol.info/index.php/BJO/article/view/68128Comparative Study of Temporalis Fascial Graft Medial or Lateral to Handle of Malleus in Tympanoplasty2023-08-09T04:56:33+00:00Timir Kumar Debnathdebnathtimir56@gmail.comAslam Hazaridebnathtimir56@gmail.comShahinur Arefeendebnathtimir56@gmail.comWakilur Rahmandebnathtimir56@gmail.comA K Dattadebnathtimir56@gmail.comAbdus Samaddebnathtimir56@gmail.com<p><strong>Objective:</strong> To asses and compare the hearing outcome and healing of Temporalis fascia graft in both groups by placing the graft medial (underlay technique) or lateral to the handle of malleus (over- underlay technique).</p> <p><strong>Method:</strong> This retrospective study conducted for a period January,2018 to December 2019- Two years period in Specialized ENT Hospital (SENTH) of SAHIC (Society for assistance to hearing impaired Children), Dhaka. It includes 104 patients, Group-A 59 patients (Underlay technique) and Group-B 45 patients (Over-underlay technique).</p> <p><strong>Result:</strong> Graft success rate overall 84.62%, Group-A- 84.75% (Medial to malleus) and Group-B- 84.44% (lateral to malleus). Pre- and post- operative air- bone gap of two groups were compared.</p> <p><strong>Conclusion:</strong> Both techniques (medial or lateral to malleus handle) has a high rate of success for the closure of TM perforation with significant improvement in air-bone gap.</p> <p>Bangladesh J Otorhinolaryngol 2023; 29(1): 17-23</p>2023-09-18T00:00:00+00:00Copyright (c) 2023 Bangladesh Journal of Otorhinolaryngologyhttps://www.banglajol.info/index.php/BJO/article/view/68129A Comparative Study of Fiberoptic Laryngoscopy (FOL) and Indirect Laryngoscopy in the Diagnosis of Patients with Vocal Cord Lesions2023-08-09T05:14:51+00:00Mohammad Nazrul Islamdrnazrul.sbmc.ns@gmail.comDipankar Lodhdrnazrul.sbmc.ns@gmail.comMd Shahriar Islamdrnazrul.sbmc.ns@gmail.comMd Arifuzzamandrnazrul.sbmc.ns@gmail.comBashudev Kumar Sahadrnazrul.sbmc.ns@gmail.comMd Shah Alamdrnazrul.sbmc.ns@gmail.com<p><strong>Background</strong>: Change of voice is one of the common complaints in ENT practice and hoarseness of voice is the commonest symptom of changed voice quality. Hoarseness is invariably the earliest manifestation of conditions directly or indirectly affecting the voice apparatus. Though most common causes of hoarseness are benign and vocal abuse is the commonest among them, but we should always investigate for more sinister pathology like malignancy. The aim of this study was to compare the diagnostic yields of fibreoptic laryngoscopy (FOL) with that of indirect laryngoscopy in the diagnosis of vocal cord lesions.</p> <p><strong>Objectives: </strong>To compare fibreoptic laryngoscopy (FOL) and indirect laryngoscopy in the diagnosis of vocal cord lesions as the cause of voice change.</p> <p><strong>Methods: </strong>This is a cross-sectional study which has been conducted in the Department of ENT and Head Neck Surgery, SSMC Mitford Hospital with a sample size of 87 cases for a period of six months from 10th February’ 2020 to 9th August’ 2020. The patients with vocal cord lesions were selected according to the eligibility criteria by purposive sampling.</p> <p><strong>Results : </strong>On indirect laryngoscopic examinations, 29.89% were vocal cord polyp, 16.09% suspected vocal cord neoplasm, 14.94% vocal cord edema, 11.49% vocal cord nodule, 5.74% vocal cord palsy and 2.61 were ulcerative lesion of vocal cords whereas poor view were in 18.39% cases. On fibreoptic laryngoscopy (FOL), 29.89% were vocal cord polyp, 19.54% suspected vocal cord neoplasm, 17.24% vocal cord edema, 16.09% vocal cord nodule, 8.04% vocal cord palsy and 6.90% were ulcerative lesion of vocal cord. 2.30% revealed normal study. Study showed that fibreoptic laryngoscopic examination is superior to indirect laryngoscopy in diagnosing vocal cord lesions.</p> <p><strong>Conclusion : </strong>Fibreoptic laryngoscopy (FOL) is significantly superior to indirect laryngoscopy in the diagnosis of vocal cord lesions. Indirect laryngoscopy sometimes may miss to diagnose a sinister disease like malignancy.</p> <p>Bangladesh J Otorhinolaryngol 2023; 29(1): 24-31</p>2023-09-18T00:00:00+00:00Copyright (c) 2023 Bangladesh Journal of Otorhinolaryngologyhttps://www.banglajol.info/index.php/BJO/article/view/68130Repair of Surgical Defect by Pectoralis Major Flap Versus Free Radial Forearm Flap in Buccal Carcinoma: Assessment of Quality of Life2023-08-09T05:32:28+00:00Mohammad Abdul Hamiddr.abdul.hamid81@gmail.comBelayat Hossain Siddiqueedr.abdul.hamid81@gmail.comMd Mosleh Uddindr.abdul.hamid81@gmail.comSyed Farhan Ali Razibdr.abdul.hamid81@gmail.comShah Soheldr.abdul.hamid81@gmail.comArif Mahmud Jeweldr.abdul.hamid81@gmail.com<p><strong>Background: </strong>Soft tissue reconstruction of the oral cavity is the most critical factor in achieving a successful functional result. Malignant lesions occurring in the buccal area are usually treated with primary surgical and/or radiotherapy of the head and neck region. Depending on the location and size of the buccal tumor, radical surgical treatment often affects all oral function such as speech, swallowing, chewing, oral rehabilitation, nutrition and appearance. To maximize postoperative function, flap repair is currently the preferred method for reconstruction of buccal defects after major surgery. Among the flaps most commonly used are pedicle pectoralis major myocutaneous flap and the free radial forearm fasciocutaneous flap. The choice of the best reconstructive option is still controversial.</p> <p><strong>Objective: </strong>To find out the quality of life after repair of surgical defect by pectoralis major flap versus free radial forearm flap in buccal carcinoma.</p> <p><strong>Methods: </strong>This prospective study was conducted in the department Otolaryngology- Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka from September 2017 to August 2019. A total number of 44 cases of buccal carcinoma patient who had the inclusion criteria were enrolled as a study sample. These subjects were selected from the Department of Otolaryngology-Head & Neck Surgery, Department of Oral & Maxillofacial Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, National Institute of ENT, Tejgaon, Dhaka. Comparison of nominal or ordinal variables between patients who have undergone surgery with either the RFFF or PMMF were analyzed using a chi-square test. The UW-QOL scores were compared for each domain using the nonparametric Mann-Whitney test. P-value < .05 was accepted as the level of significance.</p> <p><strong>Results: </strong>In this study 40 out of 44 patients were completed UW-QOL questionnaires. The median age was 52 (range 40-65years), the male-female ratio was 1.44:1. All were habituated in either smoking or betel leaf/ nut or alcohol. Most of them were illiterate to the primary level of education and suffering from stage- iii tumor. All these variables were statistically insignificant except gender. Patients reconstructed with RFFF felt better in shoulder domains than PMMF but felt worse appearance domains and these were statistically significant in both 3 months and 6 months postoperatively<strong>.</strong></p> <p><strong>Conclusion: </strong>The study result had shown that reconstruction of the defect after buccal cancer resection using either RFFF or PMMF significantly influences patient’s quality of life. This study will provide valuable information for surgeons who will decide reconstruction modalities for buccal cancer and also will help the patients getting a better outcome.</p> <p>Bangladesh J Otorhinolaryngol 2023; 29(1): 32-38</p>2023-09-18T00:00:00+00:00Copyright (c) 2023 Bangladesh Journal of Otorhinolaryngologyhttps://www.banglajol.info/index.php/BJO/article/view/68132A Case of Familial Hypocalciuric Hypercalcemia2023-08-09T05:46:54+00:00Muhammad Rasedul Hasan Bulbulmrhasansbmc@gmail.comMohammed Abdus Sattarmrhasansbmc@gmail.com<p><strong>Background: </strong>Primary hyperparathyroidism (PHPT) is a common endocrine disorder that is the leading benign cause of hypercalcemia. It may occur due to autonomous hypersecretion of parathyroid hormone (PTH), independently of serum calcium levels. Familial hypocalciuric hypercalcemia (FHH) is a group of autosomal dominant rare genetic diseases only affecting the regulation of calcium metabolism. It is usually caused by one of many heterozygous missense mutations in the calcium-sensing receptor (CaSR) gene, which could up-regulate the set point of parathyroid cells. When the CaSR receptor is inactivated, PTH is not suppressed despite relatively high calcium, which makes FHH similar to PHPT. We present a unique case of concomitant FHH and suspected parathyroid adenoma.</p> <p><strong>Case summary: </strong>A 10-year-old girl with symptomatic severe hypercalcemia, high PTH, and genetically diagnosed as FHH was referred to the department of otolaryngologyhead and neck surgery due to surgical excision of suspected parathyroid adenoma. Her biochemical evaluation showed elevated serum calcium and PTH. The calcium– creatinine clearance ratio was >0.01 (0.16). Her parathyroid scintigraphy showed negative for parathyroid adenoma, but the ultrasonography of the neck revealed an enlarged right inferior parathyroid gland. She underwent surgical excision of both the right superior and inferior parathyroid glands. However, the patient’s serum calcium and parathyroid hormone increased in the postoperative period, and her symptoms remained unchanged.</p> <p><strong>Conclusion: </strong>The correct diagnosis of the underlying cause of hypercalcemia is essential to ensure the proper treatment. Patients with FHH should avoid operative treatment, and PHPT should be differentiated to determine whether surgery should include parathyroidectomy with the removal of suspected parathyroid adenoma.</p> <p>Bangladesh J Otorhinolaryngol 2023; 29(1): 39-44</p>2023-09-18T00:00:00+00:00Copyright (c) 2023 Bangladesh Journal of Otorhinolaryngologyhttps://www.banglajol.info/index.php/BJO/article/view/68135Papillary Thyroid Carcinoma with Tracheal Invasion 2023-08-09T06:16:59+00:00Md Atiqur Rahmanatiqurbsmmu@gmail.comMohammed Abdus Sattar atiqurbsmmu@gmail.com<p>Papillary thyroid carcinoma (PTC) is commonly associated with praising survivaland less recurrence rate compared with other malignancy. The prognosis of PTC depends on age, sex, size of tumor, lymphadenopathy, and extrathyroidal extension. PTC which invade upper aerodigestive tract (ADT) is more aggressive tumor that signify the patients at a greater risk of recurrence and death.</p> <p>Bangladesh J Otorhinolaryngol 2023; 29(1): 45-48</p>2023-09-18T00:00:00+00:00Copyright (c) 2023 Bangladesh Journal of Otorhinolaryngology