Dr. Afshan Jesmin Alim, Dr. Lubna Shirin, Dr. Mohammed Shahjahan Kabir
Glob Acad J Med Sci, 2023; 5(6): 271-276
DOI : 10.36348/gajms.2023.v05i06.001
Background: Osteometric dimensions of the femoral bone have significant clinical and anthropological implications. However, there is a lack of comprehensive data on these dimensions specific to the Bangladeshi population. This study aims to fill this research gap by analyzing the osteometric dimensions of the lower end of the femoral bone among a sample set in Bangladesh. Methods: This cross-sectional observational study was conducted in three medical colleges in Dhaka, Bangladesh. A total of 50 dried femurs were collected based on specific inclusion and exclusion criteria. Osteometric measurements, including bicondylar width, medial and lateral condylar depths, intercondylar notch width, and intercondylar notch depth, were obtained using digital sliding calipers. Result: The study revealed notable differences in osteometric measurements between right and left femurs. For instance, 39.29% of right femurs had below-average Femoral Bicondylar Width (<65 mm) compared to 13.64% of left femurs. The mean Femur Medial Condylar Width was 31.05 mm with a standard deviation of 1.74 mm. Conclusion: The study provides valuable, region-specific osteometric data that has both clinical and anthropological implications. The findings are particularly important for the preparation of prosthetics and other supporting structures, which can be highly beneficial for both patients and medical practitioners.
Nijimbere Macédoine , Mpira Marien Yves, Son Moussa, Thiombiano Abdoulaziz, Arafaou Dicko, Zalikatou Abdoulkrim, Boumzebra Drissi
Glob Acad J Med Sci, 2023; 5(6): 277-279
DOI : 10.36348/gajms.2023.v05i06.002
The presence of aortic regurgitation (AR) in the setting of the ventricular septal defect (VSD) has always been a management challenge. A 21-year-old male patient presented to the Cardiovascular surgery department with a restrictive perimembranous VSD with severe aortic regurgitation (AR). VSD was first diagnosed at 3 years of age. The surgical correction was decided when he was symptomatic of severe aortic regurgitation. Trans-aortic approach was performed to close the ventricular septal defect and correct the aortic regurgitation simultaneously. Surgical management was followed by a complete heart block.
Dr. Md. Faysol Alam, Dr. Anwara Khatun, Dr. A. H. M. Rashid-E-Mahbub, Dr. Md. Atiqur Rahman, Dr. K.M. Shakila Sultana
Glob Acad J Med Sci, 2023; 5(6): 280-285
DOI : 10.36348/gajms.2023.v05i06.003
Background: Otitis media with effusion (OME), sometimes referred to as secretory or severe otitis media, is among the most common conditions in children. An estimated 80% of all children have had at least 1 episode of OME by the age of 10 years, with a peak of prevalence in the first 2 years of life. Objectives: The aim of the study was to evaluate the effects of COVID-19 on otitis media with effusion in a tertiary care hospital. Methods: This cross-section observational study Rangpur Medical College & Hospital Rangpur, Bangladesh. The duration of the period from July 2021 to July 2022. A total of 80 children, Age <6 months or >12 years with Otomicroscopic evidence of tympanosclerosis, choesteatoma, eardrum perforation, or complete stenosis or atresia of the external auditory canal were included in the study. Severely ill children and not willing to participate were excluded. After collection, the data were checked and cleaned, followed by editing, compiling, coding and categorizing according to the objectives and variable to detect errors and to maintain consistency, relevancy and quality control. Statistical evaluation of the results used to be obtained via the use of a window-based computer software program devised with Statistical Packages for Social Sciences (SPSS- 24). Results: Before pandemic 9.52% of the respondents had <3 years of age, 23.80% were 3-7 years, 57.14% were 7-10 years and 10% had 10-12 years of age. During pandemic 11.42% of the respondents had <3 years of age, 19.04% were 3-7 years, 61.90% were 7-10 years and 7.62% had 10-12 years of age. No significant difference in mean age before and during pandemic. Before pandemic 65% of the respondents were male and 35% were female. During pandemic 40% of the respondents were male and 60% were female. Before pandemic 28.57% respondents were underweight, 57.14% were in normal range and 14.28% were overweight. During pandemic 26.67% were underweight, 55.23% were in normal range and 18% were overweight. The prevalence of OME was 40.6% before pandemic and 2.3% during pandemic. Children with chronic OME had a higher rate of disease resolution during pandemic (95%) than those examined before pandemic (5%, P \.001). Conclusion: The findings of our study, in our opinion, have important clinical implications, implying that keeping children at home for as little as 2 months may allow for the resolution of most cases with severe and refractory OME. This method, while possibly advantageous for all age groups, should be given special consideration for young children, who are the most susceptible to otitis.
B. Nshimirimana, A. Jaifi, M.S.K. Hattab, D. Ndelafei, Z. Aziz, N. Mansouri-Hattab
Glob Acad J Med Sci, 2023; 5(6): 286-290
DOI : 10.36348/gajms.2023.v05i06.004
Chondrolysis is a rare pathology that can complicate rhinophyma surgery. The resulting defect poses more complex repair challenges. We report a case of chondrolysis of the nasal cartilages as a sequel to rhinophyma treatment. Our objective was, based on this case and literature data, to present our therapeutic approach. This concerned a 65-year-old patient, presented with a voluminous rhinophyma evolving for 15 years, causing not only aesthetic impairment but also nasal obstruction. The excision was performed in one piece with an electric scalpel, hemostasis achieved using a bipolar coagulating forceps while preserving the nasal cartilages. The excision site was left for directed healing. Postoperative outcomes for our patient were marked by transfixing apexo-alar nasal substance losses following chondrolysis of the nasal cartilages. Faced with this defect, a repair surgery was undertaken not only to fill the substance loss but also to restore an appearance as normal and aesthetic as possible, ensuring functional reconstruction.
Nijimbere Macédoine, Mpira Yves Marien, Thiombiano Abdoulaz, Son Moussa, Arafaou Dicko, Zalikatou Abdoulkrim, Zalle Issaka, El Mardouli Mouhcine, Zahira Zouizra, Elhaouati Rachid, Boumzebra Drissi
Glob Acad J Med Sci, 2023; 5(6): 291-297
DOI : 10.36348/gajms.2023.v05i06.005
Background: In myocardial revascularisation procedures, the underutilisation of the right internal mammary artery remains a concern. This study aimed to compare outcomes between using the right internal mammary artery (RIMA) and the great saphenous vein (GSV) as secondary conduits in Coronary Artery Bypass Grafting (CABG), focusing on early and mid-term postoperative results. Methods: A retrospective analysis of 270 patients who underwent CABG between November 2015 and January 2023 at Mohamed VI University Hospital was conducted. Patients were divided into RIMA and GSV groups for comparative analysis. Results: There were no significant differences in the preoperative characteristics of the study population. Patients in the RIMA group had lower cardiopulmonary bypass time and aortic cross-clamping time (110.70±34.08 vs 127.45±31.17: p<0.00 and 77.67±26.31 vs 82.93±23.66: p<0.00, respectively). The use of GSV was associated with more significant bleeding compared to RIMA (570.46±403.66 vs 761.40±647: p<0.00). However, there were no significant differences in the occurrence of deep sternal wound infection (3.24% vs 4.31%: p=0.8945) between the two groups. Regarding early mortality rates, there was no significant difference observed (5.19% vs 2.58%: p=0.4458). Mid-term results showed no difference in the recurrence of angina and dyspnea between the groups. Conclusion: The study indicated that RIMA used as a secondary graft in CABG wasn't linked to sternal wound infection or bleeding, suggesting its superiority as a graft choice. The findings aligned with prior research, advocating for the benefits of employing RIMA in myocardial revascularization.
B. Nshimirimana, A.D.C. Opango, Y. Bennaoui, D. Ndelafei, S. Fawzi, N. Mansouri-Hattab
Glob Acad J Med Sci, 2023; 5(6): 298-302
DOI : 10.36348/gajms.2023.v05i06.006
Mucoceles are progressive growths of encapsulated mucus capable of eroding and destroying adjacent bone structures and compressing neighboring organs. They are caused by the presence of mucous cells from the sinus membrane in an undrained space. These mucoceles can become infected, leading to the formation of a mucopyocele. They may manifest many years after the initial trauma to the facial bones, especially those involving the frontal sinuses. The discovery is either fortuitous or secondary to imaging: Computed tomography (CT), magnetic resonance imaging, carried out during an etiological assessment of symptoms such as frontal pain, proptosis, diplopia, nasal obstruction, rhinorrhea. Rarely, purulent discharge through a frontal cutaneous fistula may be the initial sign of a frontal sinus mucocele or mucopyocele. We report a case of mucopyocele of the frontal sinus presenting in the form of purulent discharge at the frontal level following a neglected frontal fracture and present our therapeutic approach.
Top Editors
Dr Akhtar Ali
Associate Editorial Board
MBBS, MD (Pharmacology) Senior Medical Officer District Hospital Baran, District- Baran (Rajasthan) 325205, India Email: drakhtar06@gmail.com
Dr Hozifa Mohammed Ali
Associate Editorial Board
Teaching Assistant, Department of Surgery, Alzaeim Al azhari University, Khartoum, Sudan Email: hozifa.m.ali@gmail.com
Dr. Tej Nath Nepal
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Chie Medical Officer, Gedu Hospital, Ministry of Health, Royal Government of Bhutan Email: tnnepal@health.gov.bt
Dr. M. Shabnum
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Assistant Professor, Department of Microbiology, Narayana Medical College, Nellore-524003, Andhra Pradesh, India Email: shabnummusaddiq@gmail.com
Dr Anslem Ajugwo
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Department of Medical Laboratory Science, Madonna University Nigeria E-mail:slemjugwo@yahoo.com
Dr. Devika Singh
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Senior Resident, Department of Dentistry, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India Email: devsika@yahoo.co.in
Dr. Nkporbu A.K. (AmbP)
Associate Editorial Board
Consultant Neuropsychiatrist/Mental Health Physician, Dept. of Neuropsychiatry/Mental Health, University of Port Harcourt Teaching Hospital, Nigeria Email: nakpigi2008@yahoo.com
Dr. Serkan Yazici
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Dermatology and Venereology, Uludag University School of Medicine, Özlüce, Görükle Kampüsü, 16059 Nilüfer/Bursa, Turkey Email: serkanyazici@uludag.edu.tr
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Consultant Orthopaedic Surgeon, Arathana Hospital, Pollachi, Tamil Nadu, India Email: anilthambu91@yahoo.com
Tariq Dhiyab Al-Saadi
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Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital- McGill University, Montreal, Canada Email: t.dhiyab@hotmail.com
Mohammed Ahamed Ahamed Abuelnour
Editor-in-Chief
Assistant Professor of Anatomy, College of Medicine, Dar-Al Uloom University, Kingdom of Saudi Arabia (KSA) Email: abuelnour88@yahoo.com
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