Adenoid cystic carcinoma of larynx.

This case report presents the clinical picture, diagnostic methodology, and surgical treatment of a 30 years old female patient, who presented with hoarseness of voice and difficulty in breathing. Direct laryngoscopy showed mass in right side of subglottic region, and biopsy-proven adenoid cystic carcinoma. Total laryngectomy was performed and patient was discharged three weeks postoperatively and doing well.

Frequency of intra cranial complications in Chronic Otitis Media.

Background: Chronic Otitis Media can lead to intracranial complications, which were more common in pre-antibiotic era as compared to the present antibiotic era. Patients of Chronic Otitis Media with intracranial complications usually present very late due to ignorance and lack of primary health care. The aim of this study was to investigate, the frequency, mortality and morbidity of intracranial complications of chronic otitis media admitted in Ear Nose and Throat Unit of Lady Reading Hospital Peshawar.

Ear nose and throat injuries in children.

Background: This study was carried out to determine types and mechanisms of injuries encountered in Ear, Nose and Throat (ENT) regions of children at two localities of NWFP province of Pakistan.

Methods: This study was carried out at ENT departments of DHQ Hospital, Swabi and Khyber Teaching Hospital, Peshawar, Pakistan from June 2001 to June 2003. Children up to age 15 years presenting in emergency with ENT injuries or reporting at OPDs were included in the study.

Actinomycosis in neck glands.

A middle aged woman presented with right submandibular swelling, fever off and on and anemia. Excisional biopsy of the gland showed Actinomycosis. It is a rare disease in the neck.

Changes in fibrinogen level in liver cirrhosis.

Background: Liver cirrhosis causes significant morbidity and mortality in our country, however early diagnosis prevents complications and carries good prognosis. Estimation of fibrinogen level may be helpful in preventing bleeding tendencies.

Methods: Plasma fibrinogen level of 82 confirmed liver cirrhosis in 18-60 years age admitted patients of Khyber Teaching Hospital were determined and compared with normal controls, to establish it as a marker for diagnosis in cirrhosis liver and prognosis.