Research
Metallic Dental Burr as an Iatrogenic Foreign Body in Maxillary Sinus – A Case Report
The foreign body in the maxillary sinus is quite a rare incidence. It may found in the case of maxillofacial trauma causing displacement of the tooth into maxillary sinus. The metallic foreign body may happen in case of gunshot injury and bullet, or pellet may retain in the maxillary sinus. Very rarely metallic foreign body like a dental burr may get lodged into maxillary sinus during dental procedure. If it happens ENT surgeon may be called upon to deal the foreign body. In this article we will describe a case that was referred to the ENT department, Khulna Medical College Hospital for removal of a dental burr retained in maxillary sinus. The accident happened in Dental department of the same hospital. We reviewed the options for the removal of the foreign body. There are two accepted approaches open and endoscopic for management of such cases. We successfully removed the foreign body through open approach.
Outcome Assessment in Case of Severe COVID-19 Patients Treated with Remdesivir
Background: A sudden outbreak of a novel coronavirus disease (covid-19) pandemic has thrown challenges in searching out a truly effective drug or vaccine to minimize the heavy toll of mortality and morbidity worldwide. But still, now humanity is lagging in finding such an agent that can be labelled as absolutely efficacious. Methods: We conducted a prospective observational cohorttrial of injectable Remdesivir in the case of hospitalized patients presenting with features of respiratory tract infection and diagnosed as COVID-19 pneumonia by RT-PCR for COVID-19 test and categorized as severe COVID-19 cases as per national guidelines criteria. Patients were treated with injectable Remdesivir (200mg on day 1, followed by 100 mg daily for up to 05 additional days) along with other standard treatment protocols. The primary outcome of the study was the time to recovery, defined by improvement in clinical and laboratory parameters whether discharge from the hospital or not (hospitalization for infection-control purposes only).
