Tag: Sylhet

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ssnimcj.2026.11.1.10

Shaheed Syed Nazrul Islam Medical College Journal
Volume 11, Issue 1
January, 2026

Postoperative Complications of Mastoid Surgery: A Hospital-Based Cross-Sectional Study
Mahdee SN,1 Efa SS,2 Kali F,3 *Nurunnabi M4

Abstract
Background: Mastoid surgery is a common procedure in otolaryngology, but postoperative complications can occur, affecting patient outcomes. Evaluating the incidence and clinical profile of these complications is essential for improving surgical care.
Objective: This study aimed to evaluate the incidence and types of complications following mastoidectomy.
Methods: A hospital-based cross-sectional study was conducted in the Department of Otolaryngology and Head-Neck Surgery at Sylhet MAG Osmani Medical College Hospital, Sylhet, from December 2014 to May 2015. All patients undergoing mastoid surgery during the study period were included using purposive sampling, excluding those with previous mastoid surgery, pre-existing middle ear complications, or unwillingness to participate. Mastoid surgeries included cortical, modified radical and radical mastoidectomies.
Results: Postoperative complications occurred in 7 patients (14%). Complications were more frequent in younger patients, with a mean age of 16.8±10.9 years. Minor complications (71.4%) were more common than major complications (28.6%). Modified radical mastoidectomy was the most performed procedure (84%), followed by radical (12%) and cortical mastoidectomy (4%). Complications were highest after radical mastoidectomy (33.3%). Specific complications included wound infection/gap (8%), meatal stenosis (4%), and major complications such as facial nerve paralysis, meningitis, and minor dural injury (2% each). Follow-up showed that most patients were complication-free at 1 week (88%), while 3-month follow-up indicated dry cavities (14%), discharging cavities (20%), and meatal stenosis (4%), with 64% lost to follow-up.
Conclusion: Postoperative complications after mastoidectomy were relatively low and mostly minor. Younger patients and more extensive surgeries had higher complication rates, emphasizing the need for careful monitoring and follow-up.

[Shaheed Syed Nazrul Islam Med Col J 2026, Jan; 11 (1):68-74]
DOI: https://www.doi.org/10.69699/ssnimcj.2026.11.1.10

Keywords: Postoperative complications, radical mastoidectomy, modified radical mastoidectomy, Sylhet, Bangladesh. 

  1. Dr. Syed Nafi Mahdee, Assistant Professor, Department of Otolaryngology and Head-Neck Surgery, Sylhet MAG Osmani Medical College Hospital, Sylhet, Bangladesh.
  2. Dr. Syeda Sumaiya Efa, Deputy Director, Program & Research, BADAS TB Initiative Diabetic Association of Bangladesh.
  3. Dr. Fatema Kali, Assistant Professor, Department of Anaesthesia, Analgesia and Palliative Care, National Institute of Ophthalmology and Hospital, Dhaka, Bangladesh.      
  4. *Dr. Mohammad Nurunnabi, Assistant Professor, Department of Community Medicine and Public Health, Sylhet Women’s Medical College, Sylhet, Bangladesh. nur.somch@gmail.com

 *For correspondence

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ssnimcj2024v9i2a5

Original Contribution

Analysis of Road Traffic Accident Deaths at a Medical College Mortuary in Sylhet

 

*Rahman MF,1 Poly TB,2 Uddin NM,3 Nurunnabi M4

 

  1. Md. Fahmidur Rahman, Assistant Professor, Department of Forensic Medicine and Toxicology, North East Medical College, Sylhet 3100, Bangladesh
  2. Tahmina Begum Poly, Registrar, Department of Obstetrics and Gynaecology, North East Medical College, Sylhet 3100, Bangladesh.
  3. NM Minhaz Uddin, Lecturer, Department of Forensic Medicine and Toxicology, Sylhet MAG Osmani Medical College, Sylhet 3100, Bangladesh.
  4. *Dr. Mohammad Nurunnabi, Assistant Professor, Department of Community Medicine and Public Health, Sylhet Women’s Medical College, Sylhet 3100, Bangladesh. somch@gmail.com

 

*For correspondence

Abstract

Background: Road traffic accidents (RTA) are a widespread global crisis, causing millions of deaths and innumerable injuries each year. It has become more prevalent and deadly as civilization progressed. This study aimed to analyse deaths caused by road traffic accident in Sylhet district.

Methods: A retrospective study, based on autopsy records, was conducted to analyze deaths resulting from road traffic accidents at the mortuary of the Department of Forensic Medicine and Toxicology at Sylhet MAG Osmani Medical College. A total of 301 autopsies were performed from January 2016 to December 2018 at this facility.

Results: The majority of victims, accounting for 48.6%, were adults aged 20-49. Additionally, the death rate was notably higher among individuals aged 60 and older, at 19.6%.The incidence of deaths was higher among males, accounting for 66.1%. Injuries to the skull and scalp region were the most prevalent, occurring in 85.4% of cases, followed by injuries to the brain and spinal cord, which were observed in 76.1% of cases. The most prevalent types of injuries were bruising (92.4%) and abrasions (86.7%). The most common cause of death according to postmortem findings was haemorrhage and shock (91.4%), followed by skull injuries (77.4%) and brain injuries (62.8%).

Conclusion: Addressing these common causes through education, enforcement of traffic laws, infrastructure improvements, and vehicle safety measures can help reduce the number of RTA deaths.

[Shaheed Syed Nazrul Islam Med Col J 2024, Jul; 9 (2):72-78]

DOI: https://doi.org/10.69699/ssnimcj2024v9i2a5

 

Keywords: Road traffic accidents, deaths, Sylhet, Bangladesh.

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