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Papers by Sharafat Ali Khan

Research paper thumbnail of Intracapsular Thyroidectomy: Our Experience at a Tertiary Care Hospital

Journal of Saidu Medical College, Swat, Dec 31, 1969

Research paper thumbnail of Bacteriological Study of Discharging Ear in Patients of Active Mucosal Chronic Otitis Media Attending a Tertiary Care Hospital

Background: Chronic otitis media (COM) is one of the most commonly encountered diseases in the ot... more Background: Chronic otitis media (COM) is one of the most commonly encountered diseases in the otolaryngology practice. Active mucosal COM is one of the four types of COM. Active mucosal chronic otitis media is a longstanding infection of a part or whole of mucoperiosteal lining of middle ear cleft characterized by ear discharge and a permanent perforation. This is more prevalent in the underdeveloped countries and having potential complications. It is a disease well known for its recurrence and persistence despite treatment. The main contributing factor is improper use of antibiotics. So the knowledge of local pattern of infection is essential for efficacious treatment. Objective: To identify the microbes involved in active mucosal COM and their antimicrobial sensitivity against the commonly used antibiotics. Material & Methods: This was a Cross sectional study, conducted in ENT Department, Saidu Teaching Hospital Saidu Sharif Swat, KPK Pakistan from January 15th, 2018 to July 16...

Research paper thumbnail of Evaluation of aetiology and efficacy of management protocol of epistaxis

Journal of Ayub Medical College, Abbottabad : JAMC

Epistaxis is one of the commonest medical emergencies. It affects all age groups and both sexes. ... more Epistaxis is one of the commonest medical emergencies. It affects all age groups and both sexes. The cause may be local or systemic but in majority it is spontaneous and idiopathic. Trauma is considered to be a major aetiological factor. Various treatment protocols are utilized to control epistaxis derpending upon the type, severity and cause of bleeding. This descriptive study was designed to evaluate the aetiology and efficacy of management protocol of epistaxis in a tertiary care setting. 313 patients underwent prospective evaluation by consultant and non-consultant doctors with considerable experience in Ear, Nose & Throat (ENT) emergencies management. Standard principles were followed in the management. This study demonstrated a bimodal distribution with incidence peaks in below 25 years…

Research paper thumbnail of Tragal Pointer as a Surgical Landmark for the Identification of Facial Nerve Trunk in Parotidectomy: Our Experience

BACKGROUND: Facial nerve paralysis is a major complication of parotid surgery, widely reported. K... more BACKGROUND: Facial nerve paralysis is a major complication of parotid surgery, widely reported. Knowledge of the key landmarks of the facial nerve trunk is essential for safe and effective surgical intervention in the region of the parotid gland. In current practice, wide ranges of landmarks are used to identify the facial nerve trunk; however, there is much debate in the literature about the safety and reliability of each of these landmarks. The present study aim was therefore to evaluate the tragal pointer as a surgical landmark for identification of facial nerve trunk. OBJECTIVE: To evaluate the tragal pointer as a surgical landmark for identification of facial nerve trunk. MATERIAL AND METHODS: This Cross sectional observational study was conducted in ENT Department, Saidu Teaching Hospital Saidu Sharif Swat, KPK Pakistan from January 2014 to July 2016. Thirty Patients having parotid lump, aged 10 to 70 years were admitted through OPD and operated after examination, relevant inv...

Research paper thumbnail of Analysis of Modified Radical Mastoidectomies Cavity Results in a Tertiary Care Hospital

Journal of Saidu Medical College, Swat, 1969

Background: Discharging Modified Radical Mastoidectomy cavity is a troublesome and frustrating pr... more Background: Discharging Modified Radical Mastoidectomy cavity is a troublesome and frustrating problem both for the operating surgeon and patient. Etiology of discharging MRM cavity is multifactorial. Knowing and addressing the etiological factors at the time of surgery is important to provide dry and safe ear to the patient. Objective: To evaluate the post-operative status of mastoid cavity after modified radical mastoidectomy.Material and Methods: This prospective Cross sectional study was conducted among 450 patients who came for open mastoidectomies in ENT Department, Saidu Group of Teaching Hospitals, Saidu Sharif Swat, Khyber Pakhtunkhwa, Pakistan. The study duration was from January 16, 2012 to December 09, 2019. Patients were postoperatively followed according to protocol and evaluated for residual cholestetoma and post mastoidectomy cavity status. The evaluation was conducted with endoscope and microscope. Data was obtained on pro-forma and SPSS 22 was used for analysis.Res...

Research paper thumbnail of Per Operative Extent of Disease in Chronic Suppurative Otitis Media (CSOM) Squamosal Type and Ossicular Chain Status based on“ChOLE”and “EAONO/JOS”Classification

Journal of Saidu Medical College, Swat, 2020

Background: Otitis media is infection of middle ear, with tympanic membrane perforation the term ... more Background: Otitis media is infection of middle ear, with tympanic membrane perforation the term huge or massive is used when ithas extension. Similarly, if there is bone erosion, then it is considered to be of severe type. The draw back in this scenario is thatcomparison for outcome cannot be carried out and hence objective learning is not possible due to absence of uniform classification.The European Academy of Otology and Neurotology and the Japanese Otological Society has recently introduced a classificationsystem grounded on cholesteatoma extension and its complications and similarly another is ChOLE-classification. In this studyboth staging system have been used primarily for extension of disease and ossicular chain status.Objective: To evaluate the intraoperative extent of disease and to analyze the nature of ossicular erosion in patients of squamosaltype of CSOM based on ChOLE and EAONO/JOS Classification.Material and Methods: This Retrospective chart review study was conduc...

Research paper thumbnail of Chikungunya Threat in Dengue Hit Areas

Journal of Saidu Medical College, Swat, Oct 8, 2018

The global tricky behavior of weather has taken recorded. Unprecedentedly, just one year after al... more The global tricky behavior of weather has taken recorded. Unprecedentedly, just one year after along Pakistan, as well as other Asian countries, the major outbreak in Lahore, another massive leading to substantial climate changes. With outbreak (6,000 confirmed cases with 48 deaths) every passing year, summers are getting harsher, was recorded in the northern part of Pakistan i.e. 9

Research paper thumbnail of An experience of 42 cases of bronchoscopy at Saidu Group of Teaching Hospitals, Swat

Journal of Ayub Medical College, Abbottabad : JAMC

The objectives of our study were to find out the frequency in terms of age and sex of the patient... more The objectives of our study were to find out the frequency in terms of age and sex of the patients, type and site of foreign bodies, clinical manifestations and management with rigid ventilating bronchoscope. It was a descriptive study carried out in the department of otolaryngology and head and neck surgery at Saidu Teaching Hospital swat, and was conducted from March 2005 to March 2006. A total of 42 cases collected from March 2005 to March 2006, admitted through casualty, OPD and referred by pediatric unit. All of them subjected to bronchoscopy as an emergency as well as an elective procedure. A total of 42 cases were included in the study. In 37 cases (88.09%) foreign bodies were removed successfully, while 4 cases (9.52%) were having no foreign body, only mucous plug was removed. One patient (2.32%) died due to cardiac arrest.

Research paper thumbnail of Intracapsular Thyroidectomy: Our Experience at a Tertiary Care Hospital

Journal of Saidu Medical College, Swat, Dec 31, 1969

Research paper thumbnail of Bacteriological Study of Discharging Ear in Patients of Active Mucosal Chronic Otitis Media Attending a Tertiary Care Hospital

Background: Chronic otitis media (COM) is one of the most commonly encountered diseases in the ot... more Background: Chronic otitis media (COM) is one of the most commonly encountered diseases in the otolaryngology practice. Active mucosal COM is one of the four types of COM. Active mucosal chronic otitis media is a longstanding infection of a part or whole of mucoperiosteal lining of middle ear cleft characterized by ear discharge and a permanent perforation. This is more prevalent in the underdeveloped countries and having potential complications. It is a disease well known for its recurrence and persistence despite treatment. The main contributing factor is improper use of antibiotics. So the knowledge of local pattern of infection is essential for efficacious treatment. Objective: To identify the microbes involved in active mucosal COM and their antimicrobial sensitivity against the commonly used antibiotics. Material & Methods: This was a Cross sectional study, conducted in ENT Department, Saidu Teaching Hospital Saidu Sharif Swat, KPK Pakistan from January 15th, 2018 to July 16...

Research paper thumbnail of Evaluation of aetiology and efficacy of management protocol of epistaxis

Journal of Ayub Medical College, Abbottabad : JAMC

Epistaxis is one of the commonest medical emergencies. It affects all age groups and both sexes. ... more Epistaxis is one of the commonest medical emergencies. It affects all age groups and both sexes. The cause may be local or systemic but in majority it is spontaneous and idiopathic. Trauma is considered to be a major aetiological factor. Various treatment protocols are utilized to control epistaxis derpending upon the type, severity and cause of bleeding. This descriptive study was designed to evaluate the aetiology and efficacy of management protocol of epistaxis in a tertiary care setting. 313 patients underwent prospective evaluation by consultant and non-consultant doctors with considerable experience in Ear, Nose & Throat (ENT) emergencies management. Standard principles were followed in the management. This study demonstrated a bimodal distribution with incidence peaks in below 25 years…

Research paper thumbnail of Tragal Pointer as a Surgical Landmark for the Identification of Facial Nerve Trunk in Parotidectomy: Our Experience

BACKGROUND: Facial nerve paralysis is a major complication of parotid surgery, widely reported. K... more BACKGROUND: Facial nerve paralysis is a major complication of parotid surgery, widely reported. Knowledge of the key landmarks of the facial nerve trunk is essential for safe and effective surgical intervention in the region of the parotid gland. In current practice, wide ranges of landmarks are used to identify the facial nerve trunk; however, there is much debate in the literature about the safety and reliability of each of these landmarks. The present study aim was therefore to evaluate the tragal pointer as a surgical landmark for identification of facial nerve trunk. OBJECTIVE: To evaluate the tragal pointer as a surgical landmark for identification of facial nerve trunk. MATERIAL AND METHODS: This Cross sectional observational study was conducted in ENT Department, Saidu Teaching Hospital Saidu Sharif Swat, KPK Pakistan from January 2014 to July 2016. Thirty Patients having parotid lump, aged 10 to 70 years were admitted through OPD and operated after examination, relevant inv...

Research paper thumbnail of Analysis of Modified Radical Mastoidectomies Cavity Results in a Tertiary Care Hospital

Journal of Saidu Medical College, Swat, 1969

Background: Discharging Modified Radical Mastoidectomy cavity is a troublesome and frustrating pr... more Background: Discharging Modified Radical Mastoidectomy cavity is a troublesome and frustrating problem both for the operating surgeon and patient. Etiology of discharging MRM cavity is multifactorial. Knowing and addressing the etiological factors at the time of surgery is important to provide dry and safe ear to the patient. Objective: To evaluate the post-operative status of mastoid cavity after modified radical mastoidectomy.Material and Methods: This prospective Cross sectional study was conducted among 450 patients who came for open mastoidectomies in ENT Department, Saidu Group of Teaching Hospitals, Saidu Sharif Swat, Khyber Pakhtunkhwa, Pakistan. The study duration was from January 16, 2012 to December 09, 2019. Patients were postoperatively followed according to protocol and evaluated for residual cholestetoma and post mastoidectomy cavity status. The evaluation was conducted with endoscope and microscope. Data was obtained on pro-forma and SPSS 22 was used for analysis.Res...

Research paper thumbnail of Per Operative Extent of Disease in Chronic Suppurative Otitis Media (CSOM) Squamosal Type and Ossicular Chain Status based on“ChOLE”and “EAONO/JOS”Classification

Journal of Saidu Medical College, Swat, 2020

Background: Otitis media is infection of middle ear, with tympanic membrane perforation the term ... more Background: Otitis media is infection of middle ear, with tympanic membrane perforation the term huge or massive is used when ithas extension. Similarly, if there is bone erosion, then it is considered to be of severe type. The draw back in this scenario is thatcomparison for outcome cannot be carried out and hence objective learning is not possible due to absence of uniform classification.The European Academy of Otology and Neurotology and the Japanese Otological Society has recently introduced a classificationsystem grounded on cholesteatoma extension and its complications and similarly another is ChOLE-classification. In this studyboth staging system have been used primarily for extension of disease and ossicular chain status.Objective: To evaluate the intraoperative extent of disease and to analyze the nature of ossicular erosion in patients of squamosaltype of CSOM based on ChOLE and EAONO/JOS Classification.Material and Methods: This Retrospective chart review study was conduc...

Research paper thumbnail of Chikungunya Threat in Dengue Hit Areas

Journal of Saidu Medical College, Swat, Oct 8, 2018

The global tricky behavior of weather has taken recorded. Unprecedentedly, just one year after al... more The global tricky behavior of weather has taken recorded. Unprecedentedly, just one year after along Pakistan, as well as other Asian countries, the major outbreak in Lahore, another massive leading to substantial climate changes. With outbreak (6,000 confirmed cases with 48 deaths) every passing year, summers are getting harsher, was recorded in the northern part of Pakistan i.e. 9

Research paper thumbnail of An experience of 42 cases of bronchoscopy at Saidu Group of Teaching Hospitals, Swat

Journal of Ayub Medical College, Abbottabad : JAMC

The objectives of our study were to find out the frequency in terms of age and sex of the patient... more The objectives of our study were to find out the frequency in terms of age and sex of the patients, type and site of foreign bodies, clinical manifestations and management with rigid ventilating bronchoscope. It was a descriptive study carried out in the department of otolaryngology and head and neck surgery at Saidu Teaching Hospital swat, and was conducted from March 2005 to March 2006. A total of 42 cases collected from March 2005 to March 2006, admitted through casualty, OPD and referred by pediatric unit. All of them subjected to bronchoscopy as an emergency as well as an elective procedure. A total of 42 cases were included in the study. In 37 cases (88.09%) foreign bodies were removed successfully, while 4 cases (9.52%) were having no foreign body, only mucous plug was removed. One patient (2.32%) died due to cardiac arrest.