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Papers by fatma anjum

Research paper thumbnail of Role of hypertension in epistaxis

International Journal of Surgery Science, 2021

Background: The aim of the study was to study the role of hypertension in patients hospitalized f... more Background: The aim of the study was to study the role of hypertension in patients hospitalized for serious epistaxis. Methodology: This is a retrospective study conducted over duration of 2 years from August 2014 to July 2016 over 140 patients hospitalized for serious epistaxis. Epistaxis was classified into serious and severe type. The following parameters were recorded: age, gender, blood pressure recordings, patients in whom blood pressure is difficult to control, duration of hospital stay, history of hypertension, severity of epistaxis, including medical and/or surgical management, medications affecting clotting. Results: Mean age of our patients was 52 years, 55% of the patients had a history of hypertension. There was no statistically significant difference between patients with a history of epistaxis in the two groups (with or without a history of hypertension). There was no statistical significance between blood pressure recordings on admission between the two groups. The s...

Research paper thumbnail of Role of hypertension in epistaxis

International Journal of Surgery Science , 2021

Background: The aim of the study was to study the role of hypertension in patients hospitalized f... more Background: The aim of the study was to study the role of hypertension in patients hospitalized for serious epistaxis. Methodology: This is a retrospective study conducted over duration of 2 years from August 2014 to July 2016 over 140 patients hospitalized for serious epistaxis. Epistaxis was classified into serious and severe type. The following parameters were recorded: age, gender, blood pressure recordings, patients in whom blood pressure is difficult to control, duration of hospital stay, history of hypertension, severity of epistaxis, including medical and/or surgical management, medications affecting clotting. Results: Mean age of our patients was 52 years, 55% of the patients had a history of hypertension. There was no statistically significant difference between patients with a history of epistaxis in the two groups (with or without a history of hypertension). There was no statistical significance between blood pressure recordings on admission between the two groups. The severity of hypertension was also not associated with severe epistaxis versus serious epistaxis. Conclusion: Hypertension does not appear to be causal factor of serious epistaxis.

Research paper thumbnail of A discussion on strategic considerations, effective safety measures and procedural deliberations in otorhinolaryngology practice and surgery during COVID-19: an integrative approach

International Journal of Otorhinolaryngology and Head and Neck Surgery

Background: Coronavirus disease of 2019 (COVID-19) has made an imperishable haunting mark worldwi... more Background: Coronavirus disease of 2019 (COVID-19) has made an imperishable haunting mark worldwide, and has changed in many aspects the way medicine had been practiced till now. This study is intended to highlight the approach that was followed in the department of ear, nose, and throat (ENT) learning from the existing available guidelines to provide safe routine and emergency ENT care to all the patients irrespective of the COVID status. Objectives of the study were to highlight the changes, challenges, triage and safety recommendations associated with patient management during the ongoing pandemic.Methods: This study conducted between 25th March 2020 to 15th September 2020 constitutes of following points covering various aspects of patient management such as education about personal protective equipment, the 3-station triage system starting from the patient’s entry in the hospital, general working and precautions at the ENT outpatient department (OPD) registration counter, medica...

Research paper thumbnail of Tubercular otitis media: demystifying its nuances and an update on the tenets of emerging perspectives

International Journal of Otorhinolaryngology and Head and Neck Surgery, 2020

Background: Tuberculous otitis media (TOM), a rare cause of chronic otitis media, is easily confu... more Background: Tuberculous otitis media (TOM), a rare cause of chronic otitis media, is easily confused with nonspecific chronic otitis media owing to its unexpectedly changing and variable presentation, low suspicion and low prevalence which causes difficulty in its early diagnosis. The purpose of this study was to analyze its changing clinical pattern and to formulate an acceptable management protocol. Methods: This retrospective observational, descriptive study included 457 cases of Chronic otitis media who were operated between January 2017 to July 2020 in a tertiary care center. Histo-pathological examination of tissue from the middle ear and mastoid were sent and positive results were corroborated retrospectively to the clinical findings. Results: Diagnosis of TOM was established post-operatively in five cases (1.09%) with a positive histopathology report in four out of five cases and by polymerase chain reaction (PCR) in one case. Three cases (60%) presented with facial palsy an...

Research paper thumbnail of A discussion on strategic considerations, effective safety measures and procedural deliberations in otorhinolaryngology practice and surgery during COVID-19: an integrative approach

International Journal of Otorhinolaryngology and Head and Neck Surgery

Background: Coronavirus disease of 2019 (COVID-19) has made an imperishable haunting mark worldwi... more Background: Coronavirus disease of 2019 (COVID-19) has made an imperishable haunting mark worldwide, and has changed in many aspects the way medicine had been practiced till now. This study is intended to highlight the approach that was followed in the department of ear, nose, and throat (ENT) learning from the existing available guidelines to provide safe routine and emergency ENT care to all the patients irrespective of the COVID status. Objectives of the study were to highlight the changes, challenges, triage and safety recommendations associated with patient management during the ongoing pandemic.Methods: This study conducted between 25th March 2020 to 15th September 2020 constitutes of following points covering various aspects of patient management such as education about personal protective equipment, the 3-station triage system starting from the patient’s entry in the hospital, general working and precautions at the ENT outpatient department (OPD) registration counter, medica...

Research paper thumbnail of A prospective study on pattern of microbes in chronic suppurative otitis media

International Journal of Otorhinolaryngology and Head and Neck Surgery

Background: Chronic suppurative otitis media (CSOM) is a common chronic ear disease causing serio... more Background: Chronic suppurative otitis media (CSOM) is a common chronic ear disease causing serious local damage and complications. Irrational use of antibiotics for its management has led to the emergence of multidrug-resistant strains. This study was conducted to find out the microbial profile and their antimicrobial sensitivity patterns in CSOM patients in Garhwal belt.Methods: A total number of 100 patients of clinically diagnosed CSOM were enrolled over the duration of 1 year. Ear discharge was collected using sterile swabs and processed for the identification of aerobes, anaerobes and fungal isolates. Antimicrobial susceptibility testing of the isolates was performed. Results: Maximum incidence of CSOM was observed in patients of 10–20 years age group with female preponderance. Decreased hearing was the main associated symptom. Out of 100 swabs, microbial growth was obtained in 88 samples amongst which 61 had monomicrobial growth while 39 had polymicrobial growth. Pseudomonas...

Research paper thumbnail of Role of hypertension in epistaxis

International Journal of Surgery Science, 2021

Background: The aim of the study was to study the role of hypertension in patients hospitalized f... more Background: The aim of the study was to study the role of hypertension in patients hospitalized for serious epistaxis. Methodology: This is a retrospective study conducted over duration of 2 years from August 2014 to July 2016 over 140 patients hospitalized for serious epistaxis. Epistaxis was classified into serious and severe type. The following parameters were recorded: age, gender, blood pressure recordings, patients in whom blood pressure is difficult to control, duration of hospital stay, history of hypertension, severity of epistaxis, including medical and/or surgical management, medications affecting clotting. Results: Mean age of our patients was 52 years, 55% of the patients had a history of hypertension. There was no statistically significant difference between patients with a history of epistaxis in the two groups (with or without a history of hypertension). There was no statistical significance between blood pressure recordings on admission between the two groups. The s...

Research paper thumbnail of Role of hypertension in epistaxis

International Journal of Surgery Science , 2021

Background: The aim of the study was to study the role of hypertension in patients hospitalized f... more Background: The aim of the study was to study the role of hypertension in patients hospitalized for serious epistaxis. Methodology: This is a retrospective study conducted over duration of 2 years from August 2014 to July 2016 over 140 patients hospitalized for serious epistaxis. Epistaxis was classified into serious and severe type. The following parameters were recorded: age, gender, blood pressure recordings, patients in whom blood pressure is difficult to control, duration of hospital stay, history of hypertension, severity of epistaxis, including medical and/or surgical management, medications affecting clotting. Results: Mean age of our patients was 52 years, 55% of the patients had a history of hypertension. There was no statistically significant difference between patients with a history of epistaxis in the two groups (with or without a history of hypertension). There was no statistical significance between blood pressure recordings on admission between the two groups. The severity of hypertension was also not associated with severe epistaxis versus serious epistaxis. Conclusion: Hypertension does not appear to be causal factor of serious epistaxis.

Research paper thumbnail of A discussion on strategic considerations, effective safety measures and procedural deliberations in otorhinolaryngology practice and surgery during COVID-19: an integrative approach

International Journal of Otorhinolaryngology and Head and Neck Surgery

Background: Coronavirus disease of 2019 (COVID-19) has made an imperishable haunting mark worldwi... more Background: Coronavirus disease of 2019 (COVID-19) has made an imperishable haunting mark worldwide, and has changed in many aspects the way medicine had been practiced till now. This study is intended to highlight the approach that was followed in the department of ear, nose, and throat (ENT) learning from the existing available guidelines to provide safe routine and emergency ENT care to all the patients irrespective of the COVID status. Objectives of the study were to highlight the changes, challenges, triage and safety recommendations associated with patient management during the ongoing pandemic.Methods: This study conducted between 25th March 2020 to 15th September 2020 constitutes of following points covering various aspects of patient management such as education about personal protective equipment, the 3-station triage system starting from the patient’s entry in the hospital, general working and precautions at the ENT outpatient department (OPD) registration counter, medica...

Research paper thumbnail of Tubercular otitis media: demystifying its nuances and an update on the tenets of emerging perspectives

International Journal of Otorhinolaryngology and Head and Neck Surgery, 2020

Background: Tuberculous otitis media (TOM), a rare cause of chronic otitis media, is easily confu... more Background: Tuberculous otitis media (TOM), a rare cause of chronic otitis media, is easily confused with nonspecific chronic otitis media owing to its unexpectedly changing and variable presentation, low suspicion and low prevalence which causes difficulty in its early diagnosis. The purpose of this study was to analyze its changing clinical pattern and to formulate an acceptable management protocol. Methods: This retrospective observational, descriptive study included 457 cases of Chronic otitis media who were operated between January 2017 to July 2020 in a tertiary care center. Histo-pathological examination of tissue from the middle ear and mastoid were sent and positive results were corroborated retrospectively to the clinical findings. Results: Diagnosis of TOM was established post-operatively in five cases (1.09%) with a positive histopathology report in four out of five cases and by polymerase chain reaction (PCR) in one case. Three cases (60%) presented with facial palsy an...

Research paper thumbnail of A discussion on strategic considerations, effective safety measures and procedural deliberations in otorhinolaryngology practice and surgery during COVID-19: an integrative approach

International Journal of Otorhinolaryngology and Head and Neck Surgery

Background: Coronavirus disease of 2019 (COVID-19) has made an imperishable haunting mark worldwi... more Background: Coronavirus disease of 2019 (COVID-19) has made an imperishable haunting mark worldwide, and has changed in many aspects the way medicine had been practiced till now. This study is intended to highlight the approach that was followed in the department of ear, nose, and throat (ENT) learning from the existing available guidelines to provide safe routine and emergency ENT care to all the patients irrespective of the COVID status. Objectives of the study were to highlight the changes, challenges, triage and safety recommendations associated with patient management during the ongoing pandemic.Methods: This study conducted between 25th March 2020 to 15th September 2020 constitutes of following points covering various aspects of patient management such as education about personal protective equipment, the 3-station triage system starting from the patient’s entry in the hospital, general working and precautions at the ENT outpatient department (OPD) registration counter, medica...

Research paper thumbnail of A prospective study on pattern of microbes in chronic suppurative otitis media

International Journal of Otorhinolaryngology and Head and Neck Surgery

Background: Chronic suppurative otitis media (CSOM) is a common chronic ear disease causing serio... more Background: Chronic suppurative otitis media (CSOM) is a common chronic ear disease causing serious local damage and complications. Irrational use of antibiotics for its management has led to the emergence of multidrug-resistant strains. This study was conducted to find out the microbial profile and their antimicrobial sensitivity patterns in CSOM patients in Garhwal belt.Methods: A total number of 100 patients of clinically diagnosed CSOM were enrolled over the duration of 1 year. Ear discharge was collected using sterile swabs and processed for the identification of aerobes, anaerobes and fungal isolates. Antimicrobial susceptibility testing of the isolates was performed. Results: Maximum incidence of CSOM was observed in patients of 10–20 years age group with female preponderance. Decreased hearing was the main associated symptom. Out of 100 swabs, microbial growth was obtained in 88 samples amongst which 61 had monomicrobial growth while 39 had polymicrobial growth. Pseudomonas...