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Objective: To determine the frequency of malignancy in patients presented with Parotid swelling. Material and Methods: This study was conducted in Otolaryngology department, Khyber Teaching Hospital, Peshawar, Pakistan from January 2018 to December 2019. One-twenty six Patients of age 18 to 68 years with Parotid swelling were included. Patients with history of Parotid surgery and inflammatory conditions were excluded. Results: Out of 126 patients, males were 76 (60.31%) and females 50 (39.69%). Malignancy in male patients was 20 (15.87%) as compared to females which was 13 (10.32%). Conclusion: Malignancy was found in 10-15% of patients who presented with Parotid swelling which necessitates biopsy in all such patients. [ABSTRACT FROM AUTHOR]

Objective: To find out presenting complaints of mucormycosis in the nose and paranasal sinuses and its treatment Material and Methods: This case series was conducted in the Department of ENT, Khyber Teaching Hospital, Peshawar, and Abaseen Medical Centre Peshawar, Pakistan, from May 2020 to March 2021. A total of 12 patients were included. Among them, 08 patients were admitted in Khyber Teaching Hospital, and 04 patients were treated at Abaseen Hospital, Peshawar. In addition, literature was reviewed, and results compiled. Results: Among 12 cases, 3 (25%) were females, and 9 (75%) were males. The age range was 55 to 80 years. All patients were diabetic Type 2. At the time of presentation, 35% of patients presented with uncontrolled diabetes mellitus in whom immediate medical opinion was sought. Before doing surgery, their blood glucose levels was within normal limits. In 83.3 % of cases, there was complete nasal obstruction, while in 17%, there was partial nasal obstruction. There were right maxillary sinusitis in 8 (66.6%) cases, and in 4 (33.33%) patients, there was left maxillary sinusitis. In 2 Patients, all of the paranasal sinuses were involved except frontal sinuses. Nearly all the patients had severe headache as well. Conclusion: Mucormycosis was commonly seen in elderly diabetic patients, mostly involving the nose and paranasal sinuses. [ABSTRACT FROM AUTHOR]

Objectives: To compare the operative time and postoperative outcomes in thyroid surgeries using ultrasonic cutting with conventional diathermy dissection. Material and Methods: This prospective study was conducted in Abaseen Hospital, Peshawar, Pakistan from April 2018 to December 2018. Ethical approval was taken from the hospital administration. After taking informed consents from the patients, these were divided into two groups by lottery system. The patients operated with Ultrasonic Cutting device (UCD) were labelled as Group A and Conventional Diathermy dissection (CDD) as Group B. The operative time and outcome of thyroid surgeries were assessed and compared between the two groups. Results: Total of 4 males and 15 females underwent thyroid surgeries during the study period with age ranging from 25 to 70 years, the operative time in Ultrasonic Cutting device (UCD)was less than Conventional Diathermy dissection (CDD) group (100.15 minutes vs 150 minutes p=0.06).The cumulative mean amount of drain was found to be less in UCD group, the difference was statistically significant (80.5 ml vs 133.05 ml p=0.00018).The drain was removed earlier in UCD group, this comparison was also statistically significant (2.5 days in UCD group vs 3.02 days in CDD group, p=0.00007).The mean pain score was fond to be statistically significant on all the postoperative days in UCD group. Conclusion: Less operative time, reduce postoperative pain and minimal complications were recorded in patients who undergone thyroid surgery by Ultrasonic Cutting Scalpel than Conventional method. [ABSTRACT FROM AUTHOR]

Objectives: To determine the patient management factors and patient outcomes in pediatric patients of foreign bodies in nose. Methodology: This descriptive study was performed in ENT Department, Khyber Teaching Hospital, Peshawar from February, 2006 to January, 2007. Two hundred fifty seven cases of foreign bodies in nose in patients upto 12 years of age were included. Personal data, clinical features, investigations, management details and complications were recorded on a pre-designed proforma. In younger non cooperative cases foreign bodies were removed under general anesthesia, while in cooperative children it was removed without anesthesia by using suction, use of forceps and foreign body hook. Results: Among 257 cases of foreign bodies in nose 48.46% were between 4 to 8 years, with male preponderance i.e. 63%. Unilateral and bilateral presentations were seen in 95% and 5% cases respectively. Most common foreign body types were plastic beads, pearls, pieces of sponge and small round objects. There were two cases of alkaline battery lodged in the nose. General anesthesia had high success rate. Conclusion: Round shape foreign bodies and younger children are associated with poor outcome with removal attempts made under direct visualization. These cases should be referred directly to otolaryngologists for removal under general anesthesia. [ABSTRACT FROM AUTHOR]