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Peshāwar, Pakistan

Zakirullah,Khyber Teaching Hospital Peshawar
Journal of Postgraduate Medical Institute | Year: 2012

Objective: To report the frequency of the types of maxillary tumours and the resulting post-surgical defects based on Aramany classification. Study design, duration and setting: This descriptive study was done during the period of 5 years (2005-11) at the Otorhinolaryngology & Head and Neck Surgery Unit, Khyber Teaching Hospital Peshawar. Methodology: A pre-structured proforma was used for data collection. Data recorded included patients' age, gender, type of maxillary tumour, type of maxillectomy and approach for resection, Post-surgical defect based on Aramany classification for acquired maxillary defects, neck dissection, radiotherapy, and prosthetic rehabilitation. Data were computed for descriptive statistics including frequencies, percentages and mean values. Results: Patients (n=53) had a male to female ratio of 1.7. Some 26.4% patients belonged to the age group of 31-40 years. Maxillectomy was done for inverted papilloma, a benign tumour in 1.9% patients as compared to malignant squamous cell carcinoma in 66% patients. Maxillary resection for fibrous dysplasia was done in 3.8% patients who were relatively younger.. Maxillectomy in all cases was performed using Weber-Fergusson incision approach. Surgical resection resulted in Armanay class I defect in 73.58% patients. In 92.5% patients a surgical obturator was provided to patients at the time of maxillectomy. Conclusion: Maxillectomy was mainly performed for resecting malignant tumours using Weber-Fergusson incision with the fitting of immediate surgical obturator. The resulting defect was mainly Aramany Class I defects. Source

Gul S.,Rehman Medical Institute | Naeem M.,Khyber Medical College Peshawar | Khan M.Z.I.,Khyber Teaching Hospital Peshawar | Adil M.,Khyber Teaching Hospital Peshawar | And 4 more authors.
Journal of Postgraduate Medical Institute | Year: 2013

Objective: The purpose of the study was to find MRI findings in patients with Prolactin levels above 1000mIU/L. Methodology: This Retrospective study was conducted in Radiology Department, Rehman Medical Institute, Peshawar, from December 2009 to October 2012. A total of 86 patients, aged 16-48 years with high Prolactin levels, were screened with MRI for pituitary gland abnormalities. Only new undiagnosed patients were considered for the study. Children and patients with known causes for hyperprolactinaemia were excluded. Results: The most common abnormality on MRI was microadenoma (n=34, 39.5%) followed by macroadenoma (n=14, 16.3%). 12(7%) cases of complete/partial empty sella syndrome were seen. Macroadenoma was more common in males (n=6 out of 14, 42.3%) while microadenoma was more common in females (n=32 out of 72, 44.4%). Conclusion: Majority of Patients had an abnormal MRI finding, showing that MRI screening should be recommended for Prolactin levels above 1000mIU/L. Microadenoma was the most common abnormality, having higher incidence in female patients. Source

Khalil Z.H.,Khyber Medical College Peshawar | Naeem M.,Khyber Medical College Peshawar | Adil M.,Khyber Teaching Hospital Peshawar | Khan M.Z.I.,Khyber Teaching Hospital Peshawar | And 2 more authors.
Journal of Postgraduate Medical Institute | Year: 2013

Objective: This study was undertaken to describe the unnatural deaths and their causes in Peshawar and its suburbs. Methodology: This descriptive study was conducted at the Department of Forensic Medicine and Toxicology, Khyber Medical College, Peshawar. Autopsy data from January 2009 to April 2012 was analyzed and only those cases were selected for the study where the cause of death was unnatural i.e., homicide, suicide, accidental or undetermined. Results: Of a total of 3,265 autopsies due to unnatural causes during 40 months period, 2,839 (87%) were males and 426 (13%) were females. There were 2,856 cases of homicide - 2,475 (87%) were males and 381(13%) were females, 317 were accidental deaths - 281 (89%) males and 36 females (11%), 66 were suicide cases - 61 (92%) males and 5 females (8%) and 26 were undetermined deaths - 22 males (85%) and 4 (15%) females. Most victims were aged 20-40 years. Most common cause of death was firearm - 2370 cases, blunt trauma 279 cases and bomb blast/explosives 167 cases. Conclusion: The rate of unnatural deaths in Peshawar is very high. Autopsies done during the study period were a lot more than previous years. Homicide is the most common manner of death with firearms being the most common weapon used. Strict laws should be implemented to limit illegal weapons. Surveillance must be increased in all parts of the city to reduce the loss of precious human lives. Source

Khan Q.A.,Khyber Teaching Hospital Peshawar | Iqbal H.,Khyber Teaching Hospital Peshawar | Rehman H.U.,Khyber Teaching Hospital Peshawar
Pakistan Paediatric Journal | Year: 2011

Objective: To document the number, disease pattern and outcome of patients admitted to Neonatal Unit. Study Design: Descriptive study. Place and Duration of Study: The study was conducted in the Neonatal Unit of Department of Child Health, Peshawar, Pakistan from 1st January 2 009 to 31st December 2009. Material and Methods: The data of all Neonatal admission was recorded and analyzed for age, weight, sex, duration of stay, cause of admission and outcome. Results: A total of 3203 neonates were admitted from 01-01-2009 to 31-12-2009. Out of these 2142 (66.87%) were male and 1061 (33.1%). were females. Full term babies were 20414 (75.43%) and premature low birth weight were 787 (24.57%) of the total admissions. Neonatal jaundice, neonatal sepsis, prematurity/ low birth weight and birth asphyxia (HIE) were the main causes of neonatal admissions to the SCBU. Neonatal jaundice accounted 799 (24.9%) of the total admission to the unit. Neonatal infections were the next most common cause of admission 790 (24.66%), followed by birth asphaxia contributed 676 (24.7%). Other causes responsible for admission to our neonatal unit were infants of diabetic mother 14 (0.43%) congenital heart diseases 12 (0.37%), meningitis 18 (0.56%), pneumonia 50 (1.56%), dysmorphic features 10 (0.31%), congenital hypothyroidism 02 (0.31%), surgical cases 25 (0.78%) Criglar Najar syndrome 02 (0.06 %). Out of total admission 2717(84.82%) were discharged. and 473(14%) expired. There were 292(9.1%) males and 181(5.6%) female. The common cause of death was birth asphyxia 148 (21.89%) and prematurity 141 (17.9%), while sepsis 126 (15.4%) and jaundice 47 (5.88% were the other common causes. Most of the babies 1909 (59.6%) were referred from KTH obstetric ward labor room and operation theatre while 509(15.8%) were referred from other hospitals / private maternity and 785 (24.5%) were referred from other hospitals/private maternity homes and 785 (24.5%) were home deliveries. Discharge on will was 31 (0.96%) and leave against medical advice was in 16 (0.49%). Large number of the babies i.e. 1420 (44.2%) were admitted in first 24 hours of birth. Conclusion: Birth asphyxia, Low birth weight (LBW), neonatal sepsis were the major causes of neonatal admission. Source

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