To determine the incidence of tuberculous lymphadenitis in enlarged neck nodes.Continuous prospective study is carried out department otorhinolaryngology head & surgery, Kathmandu Medical College, Kathmandu, during two years, from January 2006 to 2008. The included a group 155 patients with cervical lymphadenopathy. Each patient underwent detail clinical Ear, Nose and Throat (ENT) examination battery investigations which Fine Needle Aspiration Cytology (FNAC) nodes, Montoux's test, blood...

Background and Objective: To determine the incidence types of various thyroid malignancies in multi-nodular goiter.Material methods: This is a retrospective study, conducted Department ENT Head Neck Surgery, National Academy Medical Sciences Bir Hospital Kathmandu Alka Pvt. Ltd Lalitpur. The study period was 3 years from 11 January 2011 to 10 2014. population consisted 100 patients who were diagnosed as multinodular nodule.Result: highest frequency 50 (50%) 31-40 years. Among total cases, 28...

Background: Hypotension and bradycardia after conduction of spinal anaesthesia are common side effects because sympathetic blockade. Efforts to prevent these complications have been attempted like preloading with crystalloids, colloids or use vasopressors. The role volume haemodynamic changes associated has recently questioned. Objective: objective the study was investigate preload on patient's hemodynamic. Materials methods: A Quasi- experimental design used conduct study. Taking written...

INTRODUCTION:
 
 Endoscopic sinus surgery is an upcoming branch in rhinological practice but with some major risks since it has to play around the skull base area. Lateral lamella of cribriform plate thinnest area base. Thus this study undertaken evaluate height lateral and depth olfactory fossae by help computed tomographic images.
 METHODS:
 Computed 50 patients was done Advanced Imaging Diagnostic center, Kathmandu Medical College. Coronal sections at centre...

Introduction: Post dural puncture headache occurs as the cerebrospinal fluid leaks out from breach that needle has made in dura. The incidence of Dural Puncture Headache (PDPH) is a common complication after spinal anesthesia. objective our study to find PDPH patients undergoing surgery under anesthesia Dhulikhel Hospital. Methods: 120 who underwent were selected for study. Questionnaire was used assess post 24 hours surgery. Headache, if present frontal or occipital areas which increased...

Noise-induced hearing loss is a type of sensorineural caused by long-term exposure to loud noise. This study provides insight into problems the general population faces. The aimed find out prevalence noise-induced among patients needing pure tone audiometry evaluation in tertiary care centre.A descriptive cross-sectional was conducted from 1 January 2021 30 July requiring outpatient Department Otorhinolaryngology centre. after ethical approval Institutional Review Committee (Reference...

This research paper investigates the contribution of sectoral credit to economic growth Nepal. Utilizing a dataset covering quarterly time series data from Fiscal Year 2010/11 quarter 1 2022/23 2, study employs an empirical approach examine relationship between allocation and gross domestic product (GDP). The analysis focuses on three key sectors: agriculture, service, industry. results indicate significant findings in both long run short run. In run, agricultural sector exhibits negative...

Background: The option for dissection and haemostasis during thyroid surgery include either the modern ultrasonic technology (Harmonic Focus™) or conventional technique using knot ties, monopolar bipolar electrocautery. Comparison between surgical outcomes of open hemithyroidectomy these two modalities was done.Objective: To compare Harmonic Focus™ (HS) with Conventional (CT) in hemithyoidectomy.Method: Twenty consecutive patients undergoing benign solitary nodule ≤ 3 cm were randomly...

Introduction: Post dural puncture headache occurs as the cerebrospinal fluid leaks out from breach that needle has made in dura. The incidence of Dural Puncture Headache (PDPH) is a common complication after spinal anesthesia. objective our study to find PDPH patients undergoing surgery under anesthesia Dhulikhel Hospital. Methods: 120 who underwent were selected for study. Questionnaire was used assess post 24 hours surgery. Headache, if present frontal or occipital areas which increased...

Dapsone-induced optic atrophy (OA) is very rare at therapeutic doses. A 43-year-old gentleman on WHO-recommended multibacillary Multi-Drug Therapy (WHO MB-MDT) containing rifampicin, dapsone, and clofazimine, presented with bilateral gradual painless diminution of vision after 3 months medication. He denied any history trauma, headache, limb weakness, ataxia, diplopia, temporal pain , or weight loss. There was no sudden in family members. Fundus examination showed pale discs well-defined...

Introduction: Post dural puncture headache occurs as the cerebrospinal fluid leaks out from breach that needle has made in dura. The incidence of Dural Puncture Headache (PDPH) is a common complication after spinal anesthesia. objective our study to find PDPH patients undergoing surgery under anesthesia Dhulikhel Hospital. Methods: 120 who underwent were selected for study. Questionnaire was used assess post 24 hours surgery. Headache, if present frontal or occipital areas which increased...

Background: Successful management of vascular anomaly head and neck region are often challenging. As the surgical modality carries high complications bad aesthetic outcome, treatment paradigm for these lesions has been shifting towards non-invasive one. Because its sclerosing effect on endothelium, low cost easy availability intralesional Bleomycin injection can be an alternative.Objective: To determine efficacy safety sclerotherapy haemangioma slow flow malformation.Methods: Thirty-six...

Background: To ameliorate the intra and post-op morbidities associated with newer techniques for tonsillectomy like coblation has been introduced in recent past. This study was aimed to compare cold steel dissection technique regards its effectiveness safety.Methods: An observational comparative carried out 90 patients undergoing between July 2018 December 2019. Forty-five each group of were compared operative time, intraoperative blood loss, post-operative pain, bleeding return work....

Eagle's syndrome is a poorly understood clinical entity that has variable presentations like recurrent throat pain or foreign body sensation, dysphagia, facial pain. With confirmed diagnosis, surgical approach considered appropriate for its treatment. This study aims to find out the prevalence of trans-oral extra tonsillar styloidectomy among operated cases Department Otolaryngology-Head and Neck Surgery at tertiary care hospital.A descriptive cross-sectional was conducted 1,475 who...

In thyroid surgery, it is essential to identify and preserve recurrent laryngeal nerve avoid injury the which will lead paralysis or paresis. The meticulous dissection of important for careful identification preservation prevent post operative vocal cord paresis hoarseness.A single centre prospective, cross sectional study was conducted from May 2019 January 2021 in Department ENT Head Neck surgery Kathmandu Medical College Teaching Hospital. data on distance between superior parathyroid...

Aims: To see the maximum sensory level in supine and prone position after subarachnoid block patients undergoing Minipercutaneous Nephrolithotomy with two different volumes of local anaesthetic. Methods: Prospective randomized comparative study 500 for finding out extensiveness spread spinal anaesthesia using anaesthetic before keeping position. Patients were divided into groups: Group A (three ml hyperbaric Bupivacaine) B (four consisted 250 each. Spinal was performed sitting Sensory...

Lymphomas of the orbit and orbital adnexae are rare tumors, comprising only 1% all non-Hodgkin’s lymphoma. most common primary tumor in adults age 60 years older. Here we present a case 49 year male with left upper lid swelling since 1 who was diagnosed histopathologically as lymphoma region.

Posterosuperior retraction pockets involving pars tensa of a tympanic membrane is not an uncommonproblem particularly in pediatric population. This occurs as sequelae chronic otitis media with effusion.The management options include “wait and watch,” medical treatment surgery. But patients inwhom severe seems to be irreversible the should surgery at earliest. Weperformed cartilage reinforced tympanoplasty 29 ears 28 children who had grade III IVposterosuperior tensa. Their average...

Zuckerkandl tubercle is a prominent anatomical structure of the thyroid lobe. Identification and preservation recurrent laryngeal nerve parathyroid glands during surgery can be made easier through assessment their relationship with tubercle. This study aims to determine between superior in patients who underwent thyroidectomy tertiary care center.This descriptive cross-sectional was conducted at hospital Nepal following ethical clearance from Institutional Review Committee (Reference no:...