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Background: Obstructive sleep apnea (OSA) which is a very common form of sleep-disorder with associated health risks has been associated with much more insidious conditions, like hypertension, heart disease, diabetes, stroke and even daytime somnolence. But we have not enough research-based information regarding the co-relation between BMI and severity of obstructive sleep apnea. Aim of the Study: The aim of this study was to assess the co-relation between BMI and severity of obstructive sleep apnea. Methods: This was an observational study which was conducted in the Department of Otolaryngology &, Head Neck Surgery, Bashundara Ad-Din Medical College and Hospital, Bangladesh during the period from January 2121 to December 2021. A total of 57 patients with obstructive sleep apnea (OSA) were included as the subjects. The ethical committee of the mentioned hospital approved this study. All demographic data along with BMI and the severity of OSA of the participants were recorded and analyzed. Data were processed and analyzed by using MS Office and SPSS version 23 programs as per need. Results: In this study, in analyzing the correlation between BMI and severity of OSA as per patient’s diagnosis and titration based on two nights’ study, we observed that, there was not any significant correlation of BMI of the patients with mild, moderate or even severe stage OSA. In comparing the mild, moderate and severe cases of OSA with their mean BMI values 30.66±6.23, 28.47±6.78 and 30.43±4.32 and the P values were found as 0.755, 0.554 and 0.454 respectively. Conclusion: According to the findings of this study we can conclude that, there is not any significant correlation of patient’s BMI with their mild, moderate or even severe conditions of obstructive sleep apnea.

Objective: To see the efficacy of surgery (FESS) and quality of life of the patient after Functional Endoscopic Sinus Surgery (FESS) for chronic rhinosinusiotis. Methods: It was a prospective type of study carried out Otolaryngology and Head-Neck Surgery Department of BIRDEM Hospital and Shaheed Suhrawardy Hospital, Dhaka from July 2009 to June 2010. Total 60 (sixty) patients were included in this study. Results: In this study, 22(36.67%) patients were operated for Ethmoidal polyp, 19(31.67%) for chronic rhinosinusitis, 9(15%) for Antrochoanal polyp, 6(10%) for Rhinosporidiosis and 4(6.67%) for Inverted papilloma. Per operative difficulties were gross DNS 07 (11.67%), unusual bleeding 6(10%), concha bullosa 5(8.33%). Post operative complications were periorbital echymoses (10%), Synechiae (1.67%), Epiphora (1.67%), infection(1.67%). Complete relief of symptoms were noted in 81.67% cases. Majority of patients 46(76.67%) were released from the hospital on 2nd post operative day. Conclusion: Instead of some limitations, outcome of functional endoscopic sinus surgery is rapidly flourishing, highly effective, less time consuming, less hospital stay & less expensive. Bangladesh J Otorhinolaryngol; October 2017; 23(2): 122-126

Objective: to determine the success rate of underlay technique of myringoplasty regarding rate of graft take, complications and hearing improvement. Methods: This Cross sectional study was done in the department of ENT & Head-Neck Surgery, Dhaka Medical College Hospital & Shaheed Suhrawardy Medical college Hospital, Dhaka from July 2012 to December 2012. Sixty(60) patients who underwent myringoplasties were included in the study. All myringoplasty were performed by a postaural approach using autologous temporalis fascia and underlay technique. Results: The total success rate (graft uptake) was 88.3% and of the successful cases an overall hearing improvement was achieved in 73.58% of cases. The mean audiological improvement in air conduction threshold was 13.24 dB & mean closure of the air bone gap was 11.64 dB. The mean values of hearing gain of small perforations and subtotal perforations have shown significant difference.The mean values of hearing gain between posterior perforation and subtotal perforation have shown significant difference. Conclusion: Underlay myringoplasty is an effective technique of repairing the tympanic membrane perforation due to high rate of graft take and marked hearing improvement. Bangladesh J Otorhinolaryngol; October 2016; 22(2): 84-89

Objective: To find out relation between enlarged adenoid and otitis media with effusion (OME), degree of hearing loss in OME cases with the size of the adenoids and degree of pressure changes in middle ear in OME cases with the size of adenoids. Method: This Prospective Study was carried out Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka and Specialized ENT Hospital of SAHIC, Mohakhali, Dhaka from September 2010 to March 2011 (7 months). Randomly selected 50 children (Age below 12 years) with enlarged adenoid in outdoor & indoor. Patient with sensorineural hearing loss and conductive hearing loss with other than enlarged Adenoids are exclude in this study. Result: In this study, 58% had hearing loss in which 38% were mild and 20% were moderate loss. 54% of ears had negative pressure. 22 cases of severe adenoids of which 72.72% had OME.10 out of 16 OME with severe adenoids cases having hearing loss were in 26-40 db range and middle ear pressure is -201 to -400 dapa. Conclusion: Early diagnosis and treatment of enlarged adenoids should be aparciated to decrease the incidence, morbidity and complications of otitis media with effusion. Bangladesh J Otorhinolaryngol; April 2016; 22(1): 48-52

Objective: To assess degree, type and cause of hearing loss in children under 12 years of age in preschool for hearing impaired children. Methods: This cross sectional study was carried out in children of integrated preschool for hearing impaired children (IPSHIC) of SAHIC, Mohakhali, Dhaka, from September 2010 to March 2011. 50 deaf children were included with age 3-12 years and clinically detected hearing impairment. Data were collected by detailed history, clinical examination and audiometric findings and result were expressed in table form. Results: Most of the children presented with bilateral profound hearing loss and majority of patients presented with sensorineural type of hearing loss. Family history positive in 36% cases and consanguineous marriage were found in 34%.Commonest causes of deafness was infection. Conclusion: Early detection with universal neonatal screening should be practiced in our country and early rehabilitation reveals better out come. Bangladesh J Otorhinolaryngol; April 2016; 22(1): 36-39

Background: Age related hearing loss is a natural process in elderly population all over the world. Objectives : To determine the hearing level of elderly patients in relation to age, sex, socioeconomic condition and to determine the pattern and extent of hearing loss in old age. Method: This cross sectional study was carried out at out patient department of Specialized ENT Hospital of SAHIC, Mohakhali, Dhaka, from October 2012 to March 2013. 200 patients were included with age > 50 years and who have no past history of drug therapy. Data were collected by detailed history, clinical examination and audiometric findings and result were expressed in table form. Result: 57% patients were found with normal hearing and 43% had variable degree of hearing impairment. Highest number of hearing impairment was found in 9th decade. Most of hearing loss were found to be bilateral and sensorineural in type. Conclusion : A good number of elderly people in our country is suffering from some degree of hearing loss, which are mostly sensorineural in type. The prevalence and severity of hearing loss increases with increasing age. Bangladesh J Otorhinolaryngol; October 2015; 21 (2): 80-84