Papers by Iqbal Hussain Udaipurwala
Pakistan Journal of Medical & Dental Sciences
Background
Adenoid hypertrophy is much more common in children than in adults though the conditi... more Background
Adenoid hypertrophy is much more common in children than in adults though the condition may persist into adult age and because of its subtle and nonspecific symptoms is often overlooked so that it is easy to be misdiagnosed.
Case Presentation
A 26-year-old male resident of a remote village in Balochistan presented with complaints of nasal obstruction, snoring, and earache, without any complication like epistaxis or cranial nerve involvement. Nasal endoscopy showed nasopharyngeal mass and imaging demonstrated a soft tissue lesion with isodense. The patient underwent an adenoidectomy and the histopathological diagnosis of the excised tissue was of adenoid hypertrophy.
Conclusion
This case illustrates the consideration of adenoid hypertrophy for the differential diagnosis of adult nasal symptoms to achieve proper treatment with symptom resolution
Journal of Bahria University Medical and Dental College, Dec 1, 2017
Swimming and other water sports are the important
human activities to keep them physically fit a... more Swimming and other water sports are the important
human activities to keep them physically fit and vigorous.
Pakistan has a population of over 183 million1 and
millions of people are involved in swimming and other
water sports activities in Pakistan. This trends is
increasing tremendously in the recent past. There are
many reasons for this increasing trend but following are
the top most factors:
· Increasing urbanization.
· Increasing obesity and thus more people are
involved in such activities.
· Increasing facilities for swimming and water
sports.
Journal of Bahria University Medical and Dental College, Dec 10, 2014
Reconstruction of the defect created after total laryngo-pharyngo-esophagectomy has been one of t... more Reconstruction of the defect created after total laryngo-pharyngo-esophagectomy has been one of the challenging task for the head and neck surgeons. There is a lot of debate among the different workers regarding the best method for such reconstruction. Many believe that gastric pull up is still one of the best option in such cases. We are presenting a case of 50 years old lady with extensive squamous cell carcinoma of the hypopharynx which was also involving the larynx and the cervical esophagus. Total laryngo-pharyngo-esophagectomy was done as a primary treatment. For reconstruction of the defect gastric pull up operation was done. Post-operative recovery was uneventful with no major complication. Adjuvant radiation therapy was also given post-operatively. During the follow up period of 6 months, patient was completely alright with almost normal oral feeding and no recurrence of the disease.
The Journal of Laryngology & Otology, 1995
Cranial fasciitis is a rare variant of nodular fasciitis. It is a benign condition with features ... more Cranial fasciitis is a rare variant of nodular fasciitis. It is a benign condition with features resembling sarcoma, seen principally in young males. It involves the skull bones and grows at a rapid pace. Accurate diagnosis and surgical excision is the key to management. Prognosis is good with recurrence rare. By 1992, 17 cases had been reported in the literature. The present case is the first reported in pakinstan.It presented as post auricular mass.
American Journal of Clinical Oncology, 2009
Objective: To evaluate the possible risk factors associated with recurrence of stomal recurrence ... more Objective: To evaluate the possible risk factors associated with recurrence of stomal recurrence after total laryngectomy that may be used as evidence of the efficacy of select preventive procedures. Methods: Various clinicopathologic factors of 548 patients who underwent total laryngectomy for laryngeal cancer at our hospital between January 1995 and December 2004 were reviewed. Univariate and multivariate logistic regression models were constructed to evaluate the risk factors for odds ratio (OR) and statistical significance. Results: Recurrence of stomal recurrence was observed in 48 cases and the median time to recurrence was 9.1 months. Univariate analysis showed that primary location (P ϭ 0.000), T-stage (P ϭ 0.000), preoperative tracheotomy (P ϭ 0.001), and positive surgical margin (P ϭ 0.000) were significant factors associated with stomal recurrence. Preoperative tracheotomy had no effect on the incidence of stomal recurrence in the T3 or T4 subgroups. Multivariate analysis showed that T-stage (OR ϭ 1.687; P ϭ 0.049), primary location (OR ϭ 2.387; P ϭ 0.012), and surgical margin (OR ϭ 2.278; P ϭ 0.020) were independent predictive factors for stomal recurrence. Conclusions: The prognosis of patients with stomal recurrence after laryngectomy is very poor. Identification of patients with high-risk factors is essential for offering more selective treatments to prevent their evolution.
Journal of Bahria University Medical and Dental College
The journal of Bahria University Medical and Dental College, Apr 1, 2022
Journal of Bahria University Medical and Dental College, Jun 2, 2014
Pakistan has a population of over 183 million and it is the world's sixth-most-populous count... more Pakistan has a population of over 183 million and it is the world's sixth-most-populous country1.Karachi is the biggest and most populous metropolitan city of Pakistan with an estimated population of over 23.5 million people as reported in 2013. The approximate area of Karachi is 3,527 square km (1,362 square mile) resulting in a density of more than 6,000 people per square kilometer (15,500 per square mile
PAFMJ, 2021
Objective: To find out the occurrence and psychosocial risk factors of post-traumatic stress diso... more Objective: To find out the occurrence and psychosocial risk factors of post-traumatic stress disorder in COVID-19 polymerase chain reaction (PCR) positive patients presented to ENT and neurology clinics of a tertiary care hospital. Study Design: Cross-sectional study. Place and Duration of Study: Creek General Hospital, Karachi, Pakistan, from Sep to Dec 2020. Methodology: Total 60 patients with positive COVID-19 PCR test were included. After taking written and informed consent, they were evaluated using a semi-structured questionnaire. Questionnaire comprises of four main parts; first part includes demographic data, second part includes information about the course of COVID-19 in patient and other members of family, third part comprised of reasons of anxiety during COVID-19 and fourth part consist of Impact of Event Scale-revised (IES-R). Data was entered and analyzed through SPSS-23. Results: Out of total 60 patients, 36 (60%) had post COVID stress disorder. Females were affected ...
Journal of Bahria University Medical and Dental College, Sep 14, 2016
Objective: To compare the efficacy of finger glove and ribbon gauze as nasal packing material aft... more Objective: To compare the efficacy of finger glove and ribbon gauze as nasal packing material after septal surgery by assessing the two parameters of bleeding and pain. Materials and Methods: This cross sectional comparative study was conducted at
Journal of Bahria University Medical and Dental College, 2018
Objective: The purpose of this study is to assess the efficacy of Transient Evoked Otoacoustic Em... more Objective: The purpose of this study is to assess the efficacy of Transient Evoked Otoacoustic Emission (TEOAE) as screening test for auditory function in neonates. Study Design: A cross-sectional study Place and Duration of Study: This study was conducted at United Medical and Dental College, Creek General Hospital, Karachi, from July 2106 to May 2017. A total number of 120 newborn babies were screened for hearing loss before discharge from hospital but 20 were lost for follow up and 100 cases were included in this study. Method: TEOAE was done in all neonates born during this period at 3rd day after birth. Those who were found to have hearing loss, TEOAE was repeated at the end of 1st week and again in 6th week after birth. BERA was done in those cases who showed hearing loss on TEOAE on all three occasions. All the 100 cases were followed up regularly for more than one year for appearance of any sign or symptom related with hearing loss or speech development failure. Result: Out ...
Journal of the Liaquat University of Medical and Health Sciences, 2014
OBJECTIVE: This study was conducted with the objective to find out whether suction cleaning of th... more OBJECTIVE: This study was conducted with the objective to find out whether suction cleaning of the external auditory canal in cases of otomycosisis helpful or not. STUDY DESIGN: Prospective, randomized comparative study PLACE AND DURATION OF STUDY: This multi-center study conducted at the departments of ENT, head & neck surgery of Liaquat University Hospital, Hyderabad, Sheikh Zayed Hospital, Rahim Yar Khan and Zubaida Medical Centre, Karachi. The study was conducted from March 2013 to February 2014 for a period of one year. PATIENT AND METHODS: A total of 200 patients were included in this study. These patients were serially divided into two groups A and B. Both groups received topical antifungal solution of 1% clotrimazole, 3 to 4 drops three time per day..In group A at the time of first consultation suction cleaning of the fungal debris was also done while in group B only above mentioned treatment was given without suction cleaning of the external auditory canal. All these patien...
Journal of Bahria University Medical and Dental College, 2021
Dysfunction of the sense of smell and taste may have severeimpact on quality of life and overall ... more Dysfunction of the sense of smell and taste may have severeimpact on quality of life and overall health. Detection ofbad smell in the local environment is a warning sign for aperson and a good smell is pleasurable in life. Similarlysense of taste is also very important for pleasure and toavoid intake of hazardous meal or drink. Unfortunately,knowledge about the smell and taste dysfunction is verylimited and little work has been conducted in this field.There is a long list of disorders and diseases that can affectand disturb olfactory and gustatory functions, ranging fromthe local to central neurological causes.
JPMA. The Journal of the Pakistan Medical Association, 1996
Fifty-one patients with established pulmonary tuberculosis underwent clinical evaluation and endo... more Fifty-one patients with established pulmonary tuberculosis underwent clinical evaluation and endoscopic examination of the larynx to determine the manifestations of laryngeal involvement. There were 46 males and 5 females (mean age 38 years). Fever, cough and haemoptysis were the prime pulmonary complaints while hoarseness, weak voice and episodic dyspnoea were the main laryngeal symptoms. Sites of laryngeal lesions included true vocal cords, arytenoids and false vocal cords. Oedema, pallor, ulcers, vocal cord immobility and thickening were the main laryngeal lesions observed. Twenty-four (47%) cases showed morphological changes in the larynx. The presentation pattern was consistent with the classical description and predilection for laryngeal involvement was not demonstrated.
JPMA. The Journal of the Pakistan Medical Association, 1994
Peroperative findings in 145 consecutive cases of chronic suppurative otitis media, operated at C... more Peroperative findings in 145 consecutive cases of chronic suppurative otitis media, operated at Civil Hospital, Karachi were recorded. The mean age was 24 years. More than half of the patients (51%) had subtotal perforations and majority had damage of more than one ossicle. Involvement of all the three ossicles was seen in 30 (40%) cases. The frequency of damaged malleus along with incus was higher than other series. Granulations and subtotal perforations were commoner and could account for it. Extensive cholesteatoma was present in 30 cases.
JBUMDC ISSN 2220-7562, 2011
Objective: To assess the role of thyroid scintigraphy with technetium 99m pertechnetate in patien... more Objective: To assess the role of thyroid scintigraphy with technetium 99m pertechnetate in patient undergoing thyroid surgery for thyroid swelling and whether this investigation helps in decision making for surgeons regarding management strategy.
Journal of Pakistan Medical Association, 1995
Sixty-eight cases of stage III and IV laryngeal cancer were analysed to detenmne the frequency an... more Sixty-eight cases of stage III and IV laryngeal cancer were analysed to detenmne the frequency and
management of post- operative pharyngocutaneous fistula (PCF). The overall incidence in our series is
8.9% (6 cases), In five patients PCF healed spontaneously without any surgical intervention while one
patient expired due to concomitant other medical illness. The longest time taken by the fistula to heal
by conservative treatment was 7 weeks, Retaining the NC tube for a longer period (14-16 days) and
adequate and appropriate antibiotic cover reduces the incidence of fistula formation (JPMA 45:130,
1995).
Journal of Bahria University Medical and Dental College
Over the past two decades, litigations as well as violence against the health care workers has fo... more Over the past two decades, litigations as well as violence against the health care workers has followed an exponentially incremental trend around the globe.1 Although doctor and also other medical staff is often considered as “angel” who belongs to a noble profession but still violence against them throughout the world is a matter of concern.2 This violence against them can be physical like assault but mostly in the psychological form like verbal threat, harassment, bullying, litigation etc.3 The current situation of Pakistan is not much different from the rest of the world
Pakistan Armed Forces Medical Journal, 2021
Objective: To find out the occurrence and psychosocial risk factors of post-traumatic stress diso... more Objective: To find out the occurrence and psychosocial risk factors of post-traumatic stress disorder in COVID-19 polymerase chain reaction (PCR) positive patients presented to ENT and neurology clinics of a tertiary care hospital.
Study Design: Cross-sectional study.
Place and Duration of Study: Creek General Hospital, Karachi, Pakistan, from Sep to Dec 2020.
Methodology: Total 60 patients with positive COVID-19 PCR test were included. After taking written and informed consent, they were evaluated using a semi-structured questionnaire. Questionnaire comprises of four main parts; first part includes demographic data, second part includes information about the course of COVID-19 in patient and other members of family, third part comprised of reasons of anxiety during COVID-19 and fourth part consist of Impact of Event Scale-revised (IES-R). Data was entered and analyzed through SPSS-23.
Results: Out of total 60 patients, 36 (60%) had post COVID stress disorder. Females were affected more than the males (63% vs. 57%), above 50 years of age were affected more than below 50 years of age (81% vs 52%), singles were affected more than married (72% vs 38%) and lower socio-economic status were affected more than higher (65% vs 50%).
Conclusion: PTSD was observed as long-term psychiatric problem leading to significant morbidity and mortality in patients with COVID-19 infection.
Journal of Bahria University Medical and Dental College, 2021
Dysfunction of the sense of smell and taste may have severe
impact on quality of life and overall... more Dysfunction of the sense of smell and taste may have severe
impact on quality of life and overall health. Detection of
bad smell in the local environment is a warning sign for a
person and a good smell is pleasurable in life. Similarly
sense of taste is also very important for pleasure and to
avoid intake of hazardous meal or drink. Unfortunately,
knowledge about the smell and taste dysfunction is very
limited and little work has been conducted in this field.
There is a long list of disorders and diseases that can affect
and disturb olfactory and gustatory functions, ranging from
the local to central neurological causes. Virtually any disease
of the nose or paranasal sinuses can cause hyposmia or
anosmia, the common being chronic rhino-sinusitis, atrophic
rhinitis, nasal polypi, allergic rhinitis or neoplasia. The
neurological causes may include any pathology that can
affect olfactory nerves, olfactory bulb and their central
connections or the primary olfactory cortex. A new cause
in the list is COVID-19 infection for which medical fraternity
is thriving hard to unveil the underlying mechanisms
responsible for producing features.
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Papers by Iqbal Hussain Udaipurwala
Adenoid hypertrophy is much more common in children than in adults though the condition may persist into adult age and because of its subtle and nonspecific symptoms is often overlooked so that it is easy to be misdiagnosed.
Case Presentation
A 26-year-old male resident of a remote village in Balochistan presented with complaints of nasal obstruction, snoring, and earache, without any complication like epistaxis or cranial nerve involvement. Nasal endoscopy showed nasopharyngeal mass and imaging demonstrated a soft tissue lesion with isodense. The patient underwent an adenoidectomy and the histopathological diagnosis of the excised tissue was of adenoid hypertrophy.
Conclusion
This case illustrates the consideration of adenoid hypertrophy for the differential diagnosis of adult nasal symptoms to achieve proper treatment with symptom resolution
human activities to keep them physically fit and vigorous.
Pakistan has a population of over 183 million1 and
millions of people are involved in swimming and other
water sports activities in Pakistan. This trends is
increasing tremendously in the recent past. There are
many reasons for this increasing trend but following are
the top most factors:
· Increasing urbanization.
· Increasing obesity and thus more people are
involved in such activities.
· Increasing facilities for swimming and water
sports.
management of post- operative pharyngocutaneous fistula (PCF). The overall incidence in our series is
8.9% (6 cases), In five patients PCF healed spontaneously without any surgical intervention while one
patient expired due to concomitant other medical illness. The longest time taken by the fistula to heal
by conservative treatment was 7 weeks, Retaining the NC tube for a longer period (14-16 days) and
adequate and appropriate antibiotic cover reduces the incidence of fistula formation (JPMA 45:130,
1995).
Study Design: Cross-sectional study.
Place and Duration of Study: Creek General Hospital, Karachi, Pakistan, from Sep to Dec 2020.
Methodology: Total 60 patients with positive COVID-19 PCR test were included. After taking written and informed consent, they were evaluated using a semi-structured questionnaire. Questionnaire comprises of four main parts; first part includes demographic data, second part includes information about the course of COVID-19 in patient and other members of family, third part comprised of reasons of anxiety during COVID-19 and fourth part consist of Impact of Event Scale-revised (IES-R). Data was entered and analyzed through SPSS-23.
Results: Out of total 60 patients, 36 (60%) had post COVID stress disorder. Females were affected more than the males (63% vs. 57%), above 50 years of age were affected more than below 50 years of age (81% vs 52%), singles were affected more than married (72% vs 38%) and lower socio-economic status were affected more than higher (65% vs 50%).
Conclusion: PTSD was observed as long-term psychiatric problem leading to significant morbidity and mortality in patients with COVID-19 infection.
impact on quality of life and overall health. Detection of
bad smell in the local environment is a warning sign for a
person and a good smell is pleasurable in life. Similarly
sense of taste is also very important for pleasure and to
avoid intake of hazardous meal or drink. Unfortunately,
knowledge about the smell and taste dysfunction is very
limited and little work has been conducted in this field.
There is a long list of disorders and diseases that can affect
and disturb olfactory and gustatory functions, ranging from
the local to central neurological causes. Virtually any disease
of the nose or paranasal sinuses can cause hyposmia or
anosmia, the common being chronic rhino-sinusitis, atrophic
rhinitis, nasal polypi, allergic rhinitis or neoplasia. The
neurological causes may include any pathology that can
affect olfactory nerves, olfactory bulb and their central
connections or the primary olfactory cortex. A new cause
in the list is COVID-19 infection for which medical fraternity
is thriving hard to unveil the underlying mechanisms
responsible for producing features.
Adenoid hypertrophy is much more common in children than in adults though the condition may persist into adult age and because of its subtle and nonspecific symptoms is often overlooked so that it is easy to be misdiagnosed.
Case Presentation
A 26-year-old male resident of a remote village in Balochistan presented with complaints of nasal obstruction, snoring, and earache, without any complication like epistaxis or cranial nerve involvement. Nasal endoscopy showed nasopharyngeal mass and imaging demonstrated a soft tissue lesion with isodense. The patient underwent an adenoidectomy and the histopathological diagnosis of the excised tissue was of adenoid hypertrophy.
Conclusion
This case illustrates the consideration of adenoid hypertrophy for the differential diagnosis of adult nasal symptoms to achieve proper treatment with symptom resolution
human activities to keep them physically fit and vigorous.
Pakistan has a population of over 183 million1 and
millions of people are involved in swimming and other
water sports activities in Pakistan. This trends is
increasing tremendously in the recent past. There are
many reasons for this increasing trend but following are
the top most factors:
· Increasing urbanization.
· Increasing obesity and thus more people are
involved in such activities.
· Increasing facilities for swimming and water
sports.
management of post- operative pharyngocutaneous fistula (PCF). The overall incidence in our series is
8.9% (6 cases), In five patients PCF healed spontaneously without any surgical intervention while one
patient expired due to concomitant other medical illness. The longest time taken by the fistula to heal
by conservative treatment was 7 weeks, Retaining the NC tube for a longer period (14-16 days) and
adequate and appropriate antibiotic cover reduces the incidence of fistula formation (JPMA 45:130,
1995).
Study Design: Cross-sectional study.
Place and Duration of Study: Creek General Hospital, Karachi, Pakistan, from Sep to Dec 2020.
Methodology: Total 60 patients with positive COVID-19 PCR test were included. After taking written and informed consent, they were evaluated using a semi-structured questionnaire. Questionnaire comprises of four main parts; first part includes demographic data, second part includes information about the course of COVID-19 in patient and other members of family, third part comprised of reasons of anxiety during COVID-19 and fourth part consist of Impact of Event Scale-revised (IES-R). Data was entered and analyzed through SPSS-23.
Results: Out of total 60 patients, 36 (60%) had post COVID stress disorder. Females were affected more than the males (63% vs. 57%), above 50 years of age were affected more than below 50 years of age (81% vs 52%), singles were affected more than married (72% vs 38%) and lower socio-economic status were affected more than higher (65% vs 50%).
Conclusion: PTSD was observed as long-term psychiatric problem leading to significant morbidity and mortality in patients with COVID-19 infection.
impact on quality of life and overall health. Detection of
bad smell in the local environment is a warning sign for a
person and a good smell is pleasurable in life. Similarly
sense of taste is also very important for pleasure and to
avoid intake of hazardous meal or drink. Unfortunately,
knowledge about the smell and taste dysfunction is very
limited and little work has been conducted in this field.
There is a long list of disorders and diseases that can affect
and disturb olfactory and gustatory functions, ranging from
the local to central neurological causes. Virtually any disease
of the nose or paranasal sinuses can cause hyposmia or
anosmia, the common being chronic rhino-sinusitis, atrophic
rhinitis, nasal polypi, allergic rhinitis or neoplasia. The
neurological causes may include any pathology that can
affect olfactory nerves, olfactory bulb and their central
connections or the primary olfactory cortex. A new cause
in the list is COVID-19 infection for which medical fraternity
is thriving hard to unveil the underlying mechanisms
responsible for producing features.