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Laser Cordectomy due to bilateral vocal cord palsy

Dr M R Islam

Bilateral vocal cord palsy is an uncommon finding, but can occur after neck surgery or rarely due to a growth in the larynx, pharynx, mediastinum or in thyroid malignancy. It causes severe respiratory distress and stridor and may even cause death of the patient. Hence, early diagnosis and treatment is essential to save the life of the patient.

A 65 year old female patient came to the outpatient department with severe respiratory distress, dysphagia, and progressive difficulty in speech for past 12 months. Her condition became so severe during last 3 months that she could not lie on the bed at night and had to spend her nights in sitting position or standing upright. She had a history of stroke one year back.

On clinical examina...

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Effect of Spinal Radiation in a young child with advanced radiation technique

Dr Sharif Ahmed, Dr Rashid Un Nabi, Dr Ashim Kumar Sengupta, Karthick Raj Mani, Anisuzzaman Bhuiyan, Md Faruk Hossain, Anamul Haque

Spinal gangliogliomas are rare, comprising 1.1% of all spinal cord neoplasms. They are more frequent in children, representing 15% of intramedullary neoplasms in the paediatric age group. The prsesentation of intramedullary tumours depends on their size and location. The most common presenting symptoms include back/neck pain, radicular pain, weakness, paraesthesia, gait disturbance and bowel and bladder dysfunction. Brown-Sequard syndrome may occur. An uncommon presentation is acute headache due to subarachnoid haemorrhage. In children, progressive scoliosis may be seen. Motor regression and frequent falls may be the presenting fe...

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Radicular cyst removal under GA

Dr Nazrul Islam

A patient aged 28 years came with the complaint of a large facial swelling with pain. His X-ray revealed a large radiolucent area around an old root canal treated tooth with distal root displacement of both lower canines and incisors. Aspiration of the lesion showed cystic fluid and a clinical diagnosis of a radicular cyst of the jaw was made.

Radicular cysts are usually slow growing and asymptomatic, unless infected or has clinical signs like swelling and teeth displacement. Radiological appearance shows well defined rediolucent area with clear margin and adjacent teeth maybe displaced but don’t have root resorption. Clinical aspiration may show cystic fluid which will show cholesterol crystal when dried on a gauge. Treatment o...

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A Case Report on Osteochondromas or Osteocartilaginous Exostoses: Common Benign Tumors of the Bones

Dr A H M Rezaul Haque, Dr Masum Billah

The majority of osteochondroma is symptomless and is found incidentally. The tumors take the form of cartilage-capped bony projections or outgrowth on the surface of bones (exostoses). It is characterized as a type of overgrowth that can occur in any bone where cartilage forms bone. These tumors most commonly affect long bones in the leg, pelvis, or scapula (shoulder blade). Development of osteochondroma takes place during skeletal growth between the ages of 13 and 15 and ceases when the growth plate fuses at puberty. Osteochondromas occur in 3% of the general population and represent 35% of all benign tumors and 8% of all...

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Removal of any abnormal bony growth around the large joint or long bone is urgent- A Case report

 

Dr.A.H.M Rezaul Haque, Dr. Masum Billah

Aneurysm /pseudo-aneurysm or nerve compression may developed at anywhere in the course of neurovascular supply (mostly along the long bone or around large joints) due to injury of the vascular wall by any abnormal bony growth or exostosis.It is rational to do operation after closure of epiphysis. But in popliteal space it should be done as early as possible, waiting for closure of epiphysis may create new complications (Transformation of carcinoma or cosmetic purpose). So, early detection and management can be beneficial for the patients.

Case history: A 14 years 3 months old young boy was admitted in UHL through OPD-1 as a known case of osteochondroma/bony growthon lower 1/3

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