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Karachi, Pakistan

Baloch M.A.,Section Ootlaryngology | Awan M.S.,Section Ootlaryngology | Nabeel H.,Section Ootlaryngology
Journal of the Pakistan Medical Association | Year: 2012

Objective: To review the role of angioembolization in the control of intractable epistaxis at our institution. Methods: A retrospective review of the charts of the patients between Jan 2001 to June 2010 at Aga Khan University Hospital, Karachi was done. All patients who underwent angioembolization for intractable epistaxis were included in the study. Patients with nasal or nasopharyngeal mass were excluded. Data was analyzed by using SPSS version 16. Results: Total numbers of the patients were 16. Fourteen (87.5%) patients were male and 2(12.5%) were female with mean age 51.2 ± 12.922 years (range 26-71 years). In 11(68.75%) patients there were no associated risk factors for epistaxis, 3(18.75%) patients had uncontrolled hypertension, 1(6.25%) patient had road traffic accident and 1(6.25%) patient had bleeding after nasal surgery. All patients were initially treated by anterior and posterior nasal packing for 48 to 72 hours. Angioembolization successfully controlled epistaxis in all 16 (100%) patients initially. However, in 2(12.5%) cases embolization had to be repeated; in 1 patient on the same day and in another patient after one month of initial procedure. The average length of stay after angioembolization was 1.9 ± 0.854 days. No major or permanent complication was observed. Two (12.5%) patients developed minor complications (1 patient experienced facial pain for 7 days and another patient developed haematoma at the site of femoral artery). Conclusion: Angioembolization is a safe and effective treatment option for intractable epistaxis.

Baloch M.A.,Section Ootlaryngology | Akhtar S.,Section Ootlaryngology | Ikram M.,Section Ootlaryngology | Humayun H.N.,Section Ootlaryngology
Journal of the Pakistan Medical Association | Year: 2012

Objective: To compare the antibiotic therapy with the absence of antibiotic therapy in reducing posttonsillectomy morbidities Methods: The quasi-experimental study was conducted at the Aga Khan University Hospital, Karachi, from November 2006 to September 2007. It involved 60 patients fulfilling the criteria for recurrent tonsillitis who were divided in two groups based on the different practice of two sets of surgeons. In one group antibiotics were used, while in the other group, no antibiotic was given. Patients filled a questionnaire about pain, post-operative bleeding, day of normal diet intake, day of normal activity and any consultation received during the first postoperative week. The data collected was analyzed using SPSS version 16. Results: There were 60 patients who were divided in two groups of 30 each on the basis of purposive sampling technique. Mean age was 21.43 ± 8.3 years. Of the total, 55% were male and 45% were female. Post-operative pain was comparable between the two groups. Four patients had secondary haemorrhage - three in the antibiotic group, and one in the non-antibiotic group. Mean day of normal activities and normal diet intake was almost the same in both groups. Unscheduled hospital visits were 6.9% in the antibiotic group, and 3.3% in the nonantibiotic group. Conclusion: The study showed that antibiotics did not have any significant impact in reducing the posttonsillectomy morbidities.

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