Anual report book of ent ii

2018
Year Book and Annual
Report 2018
ENT, HEAD & NECK SURGERY UNIT-II
PGMI/AMEER UD DIN MEDICAL COLLEGE.
LAHORE GENERAL HOSPITAL, LAHORE

ENT, HEAD & NECK SURGERY UNIT-II PGMI/AMEER UD DIN MEDICAL COLLEGE.
2018
Year Book and Annual Report 2018 | 1
Dr. Asif Hayat Malik
PGR (DLO)
Format Editor Of The Year Book 2018

2018
Contents
➢ Mission statement 3
➢ Contributors 4
➢ Prelude 5
➢ Forward 7
➢ Faculty and Staff 8
➢ Clinical Services – Statistics 18
Emergency Patient Care - 2018 19
OPD Patient Care – 2018 21
Major Surgical Procedures – 2018 22
Minor Surgical Procedures – 2018 23
➢ Academic Activities 24
➢ Pictorial Journey of the ENT Unit-II 29

2018

2018
Contributors to the 1st edition of year book
Dr. Tahir Rashid
Professor of ENT Unit II
Dr. Muhammad Dawood Saleem
Assistant Professor
Dr. Aamer Ayub Awan
Assistant Professor
Registrar:
Dr. Masoom Jan
Residents:
Dr. Maqsood Ahmed
Dr. Sohail Qadir
Dr. Muddassar Ranjha
Dr. Asif Hayat Malik
Dr. Ishfaq Ahmed
Dr. Muhammad Yaqoob
Dr. Ahmed Rao
Dr. Malik Adnan
Dr. Mehak Saif
Dr. Aamir Mehmood
Dr. Abdul Ghafoor
We wish to thank all doctors of the unit, who directly, or indirectly contribute
to the prepration of this book.

2018
Prelude
Welcome to the yearbook and annual report of ENT Unit-II for the year 2018.
The idea is to give a clear objective view of patient data and workload of the past
year, multiple academic events that are held in the unit, and small pictorial sampling of the
unit activities, a review of academic activities, publications and presentations from the unit
and some major achievements.
ENT department is an important department of LGH/PGMI/AMC imparting training
to undergraduate (MBBS) and post graduate students of ENT (FCPS, MS, DLO.MCPS) in
addition to providing medical care to patients suffering from ENT diseases.
ENT department consists of two units each headed by Professors and supporting
staff comprising of Associate professors, Assistant professors, Senior registrar, medical
officers, house officers and trained technologist (audiology).
The total strength of beds in ENT unit II is 20. The outdoor attendance on the
average is 380 patients per day. Patients suffering from ENT diseases visit the Department.
A sizeable number of these patients suffer from ear diseases leading to hearing problems
requiring hearing assessment.
An audiology section has been established in the department to assess the hearing
loss caused by ENT diseases. Battery of tests like PTA (pure tone audiometry), BERA and
tympanometry are conducted in the audiology department. 10 to 15 patients daily visit the
audiology section for assessment of hearing caused by ENT diseases and due to other causes
like age, metabolize diseases etc.
What will not be included in this report are details of the almost daily academic
“routine” teaching activities held in the unit for undergraduates and postgrads. Neither will
chronological details of numerous social get together of the unit for some festivities be
printed. Our unit is the hub academic and social events, vibrant and alive, active at the local,
college, nursing and community level. A very active training and assessment program of PG
training is in place for the very beginning with tests on regular basis.

2018
Prelude
Finally, this publication is intended to the higher authorities in health department of Punjab,
the honourable members of the Board of Management of PGMI/AMC, to the Academic
Council members of PGMI/AMC with whom we work in close collaboration as a large
professional family, to the Professors of ENT around the country to share our experience
and for posterity and record, once we are gone and replaced by far more able and visionary
young doctors.
I am special thankful to Dr. Asif Hayat Malik, our final year resident of DLO, the
format editor of this 1st edition of the year book. If this book is beautiful to look at, we owe
it to him.
Prof: Tahir Rashid
MBBS, MCPS (ORL), FCPS (PAK)
FICS (USA), FEBORL-NHS (EU)

2018
Foreword
Otorhinolaryngology (ENT) is a vast field which covers all the diseases of
Ear, Nose, Throat and related region like Head & Neck, Anterior and Lateral
Skull base.
ENT has evolved from basic to more complicated advanced procedures
like endoscopic sinus, skull base and ear surgeries. Learning of these
complicated ENT procedures demands full dedication and training in a good
centre.
Our unit is doing its best efforts to provide excellent care to the patients
and at the same time training the under graduates and post graduates in an
efficient way.
Dr Muhammad Dawood Saleem
Assistant Professor
MBBS, FCPS

2018
Professor Muhammad Tayyab
Principal PGMI / AMC, Lahore
MBBS, FRCOG(UK), FRCS(Edin), MRCP(Ireland),
FCPS(Pak), FCPS(Bangladesh), MCPS(HPE)

2018
Faculty & Staff
Prof. Muhammad Tayyab-Principal PGMI/AMC, Lahore
Prof. Muhammad Tayyab, was Best Graduate of Nishtar Medical College, Multan, in
the 1st batch with Bahauddin Zakariya University, for session 1977-1981, getting 8 Gold, and
3 Silver medals, including distintion in Anatomy and Obstetrics & Gynecology.
After joining govt service in 1985, he trained in Obs/Gyn initially at Services Hospital,
Lahore, with Prof. Rashid Latif Khan, and Prof. Farrukh Zaman, from 1988-1991, then in
London & Birmingham, United Kingdom from 1992 to end of 1995. During these years, he
passed all examinaions in first attempt, FCPS in 1991, MRCOG from London, MRCP in
Obs/Gyn from Dublin, Ireland and FRCS in Gynecological Surgery from Edinburgh.
He began his career as Assestant Professor in Obs/Gyn in Govt of Punjab from Dec.
1995. He was AP in AIMC for 3 years (1998-2001). He joined Rawalpindi Medical College,
Holy Family Hospital as Professor in Dec. 2004, at which time he also had just completed his
training as Medical Educationest, given MCPS (HPE).
For the year 2005, for UHS, he was awarded the prestigious “Best University
Teacher”of the year award by ‘Higher Education Commission’Pakistan in a ceremony in HEC,
Islamabad in 2007. For 6 consecutive years till 2009, he was elected unopposed member of
Pakistan committee of Royal College of Obstetrics & Gyneocologists, UK.
For Feb 2011 to Feb 2015, he was elected Dean of the Faculty of Obstetrics &
Gynecology of CPSP after a landslide victory from all over Pakistan.
He was Director, Medical Education, and incharge Faculty Development program in
AIMC, and he was a member board of Studies in Medicine at UHS, & Lead Faculty in Medical
Education at CPSP.
He has presented & published widely both at country & international level. His
passion is teaching, both undergraduates as well as postgraduates. His courses for PGs are
havily applied for from all over the country.

2018
Professor Tahir Rashid
Head of ENT Unit-II
MBBS, MCPS (ORL), FCPS (PAK)
FICS (USA), FEBROL-NHS (EU)

2018
Faculty & Staff
Professor Dr. Tahir Rashid
Prof: Dr.Tahir Rashid Graduated from Allama Iqbal Medical College, Lahore, and
session 1984-89. After joining government service in 1992, he worked initially in a Basic
Health Unit of district Lahore for 2 years.
After passing FCPS part I ENT in 1994, he was trained in ENT, Head & Neck surgery at
Post Graduate Medical Institute / Lahore General Hospital under kind supervision of Prof:
Israr Ahmed. He passed MCPS in Otorhinolaryngology in the year 2000 and FCPS in the year
2001.
Postgraduate career began with senior registrar and then Assistant Professor in the
Post Graduate Medical Institute / LGH till 2006, when he got chance to serve in one of the
best institution, King Faisal Specialist Hospital & Research Centre, Riyadh KSA. There he got
chance to work with world’s eminent professionals in the field of otorhinolaryngology and
head & neck surgery. That experience made him confident in head and neck surgery. During
that stay he visited various centres in Europe and Middle East for educational courses
conferences. He presented his papers in Europe (Spain) and Vienna.
He passed his European board examination (FEBORL-NHS) fellow of European board
of otorhinolaryngology head & neck surgery in the year 2010.
In the year 2011 he came back to Pakistan an served as Assistant then Associate
Professor of ENT in Fatima Jinnah Medical University till 2017. Later on transfer, served
Khuwaja Muhammad Safdar Medical College (KMSMC) for 1 year and organised Medicare
there in 2018.
Now working as Professor of ENT, Head & Neck surgery at PGMI/AMC/LGH since 15th
August 2018.
He has fifteen (15) publications in his credit and has attended about 25 international
and local conferences. He has presented many papers in conferences both in Pakistan and
internationally.

2018
Faculty & Staff
Dr Muhammad Dawood Saleem
Assistant Professor
MBBS, FCPS
Assistant Professor:
Dr Muhammad Dawood Saleem graduated from Punjab
Medical College, Faisalabad in 2011, completed his house job
from Allied Hospital Faisalabad in 2012. He did his FCPS in
2016 after completing his training from Services Hospital,
Lahore. He has joined ENT unit II LGH as Assistant Professor in
February 2017. He has special interest in Endoscopic ENT
procedures like Functional Endoscopic sinus Surgery (FESS)
and Endoscopic DCR. He has published 4 research papers in
his tenure as Assistant Professor.

2018
Faculty & Staff
Dr Aamer Ayub Awan
Assistant Professor
MBBS, FCPS
Assistant Professor:
Dr. Aamer Ayub Awan graduated from Nishter Medical
College, Multan in 1996. He has done house job from Mayo
Hospital in 1997. He has done FCPS part I in ENT in 1999 and
started postgraduate training at Jinnah hospital Lahore. He
cleared FCPS in 2012. He has been selected through PPSC as
Senior Registrar and posted at Lahore General Hospital. He
worked as Assistant Professor on OPS basis and now promoted
as regular AP. He has special interest in Mastoid and
Endoscopic Sinus Surgery. He has presented two research
papers and two papers are in progress.

2018
Faculty Staff
Postgraduate Trainees:
Dr. Maqsood Ahmed Dr. Masoom Jan
Senior Medical Officer PGR (MS)
SMO/PGR FCPS Registrar
Dr Asif Hayat Malik Dr. Sohail Qadir
PGR (DLO) PGR (MS)
Format Editor of Book

2018
Faculty Staff
Dr Ishfaq Ahmed Dr. Muddassar Hussain
PGR (MS) PGR (DLO)
Dr. Aamir Mehmood Dr Ahmed Rao
PGR (DLO) PGR(DLO)

2018
Dr Mehak Saif Dr Muhammad Yaqoob
PGR(MCPS) APMO/PGR (MCPS)
Dr. Abdul Ghafoor Dr Malik Adnan Akbar
PGR (MS) PGR (MS)

2018
House Surgeons:
Dr Amina Dr Sidra
Dr Ali Yahya Dr Aadil Khan

2018
CLINICAL SERVICES STATISTICS

2018
Clinical Services Statistics
The ENT unit II is contributing sufficiently to provide all kind of patient care services
including outpatient, inpatient, emergency and liaison facilities.
Emergency Patient Care:
Our unit provides all the necessary emergency services to ENT patients. About 7062
patients were treated in the year 2018 in ENT emergency. In addition to this, patient
needing collaboration care, are being managed in liaison with other departments of the
hospital. The graph bellow shows monthly trend for patients being managed in emergency
during year 2018.
475 460
590 580 591
620
638
693 684 698
534
498
0
100
200
300
400
500
600
700
800
Month Wise Patients in Emergency (2018)
January
February
March
April
May
June
Jully
August
September
October
November
December

2018
The graph bellow represents the monthly %age distribution of patients taken care of
at emergency during 2018. We found that maximum numbers of patients (9.88%) were
managed during October fallowed by 9.81 % in August. Minimum number of patients were
seen during February (6.51%) followed by January 6.71%.
The fallowing graph represents %age of different ENT emergencies managed during 2018.
January
7% February
6%
March
8%
April
8%
May
8%
June
9%Jully
9%
August
10%
September
10%
October
10%
November
8%
December
7%
Month Wise %age of Patients Seen in
Emergency (2018)
16%
14%
22%
26%
5%
17%
%age of Different ENT Emergencies Managed
During 2018
Epistaxis
Trauma
Foriegn Body Removal
Earache
Emergency Tracheostomy
Others

2018
Outpatient Department Statistics:
Tuesday, Wednesday and Saturday are the OPD days for our unit. ENT OPDs are
allocated to specific consultants, senior registrar and postgraduate trainees. All Kind of ENT
patients are managed by our team devotedly. Patients came from various areas of Lahore
city as well as from other smaller territories like, Okara, Minwali, Pattoki, Sheikhupura,
Gujranwala, Hafiz abad and Sialkot etc.
Graf below shows month wise percentage of patient seen in OPD department.
0
1000
2000
3000
4000
5000
6000
7000
5121 5035
5786 5981 6342 6769 6880 6973
6538 6788
6245 5689
Month Wise Patients Seen on OPD 2018
January
7% February
7%
March
8%
April
8%
May
9%
June
9%
Jully
9%
August
9%
September
9%
October
9%
November
8%
December
8%
Month Wise %age of OPD Patients in 2018

2018
Inpatient Department:
Situated at 2nd floor of Lahore General Hospital, ENT unit II is a 20 bedded unit. The
unit is further divided into Male ward, Female ward and an isolation room. In addition to
these a room is available to examine and do minor procedures and dressing. An assistant
Professor along with senior registrar and post graduate trainees are responsible for a
particular ward. The graph below represents the major procedures conducted during the
year 2018
0 20 40 60 80 100 120
Tonsillectomy
Adenotonsillectomy
MUA
Septoplasty
Septorhinoplasty
Mastoid Exploration
D/L Biopsy
Endoscopic DCR
Total Thyroidectomy
Juvenile Nasopharyngeal Angiofibroma(JNA)…
Cricotracheal reconstruction
Total Laryngectomy & Neck Dissection
FESS(Functional Endoscopic Sinus Surgery)
Superficial Parotidectomy
Sistrunk Operation
Excision of pleomorphic adenoma parotid
Microlaryngeal Surgery
Mid facial degloving
Myringotomy
Endoscopic Medial Maxillectomy
Thyroplasty
112
25
39
50
15
35
30
3
3
10
3
3
75
2
1
3
15
3
5
3
1
Major Surgical Procedures 2018

2018
The graph bellow represents minor surgical procedures conducted during the year
2018.
0 100 200 300 400 500 600
Flexible Nasal Endoscopy
FODL
Rigid Nasal Endoscopy
EUM
Dermoid cyst removal
Retention cyst removal
Keloid Excision
Local Biopsies
AgNO3 Cautery for epistaxis
189
578
413
545
50
67
23
30
10
Minor Surgical Procedures 2018

2018
ACADEMICS

2018
Academic Activities
There is a CPSP approved supervisor in the unit. The training objectives are set so
that at the end of residency, every trainee should be able to give safe care to the
patient and become an independent specialist. During two to five year training of
different programs, a trainee has to complete the elective rotations of total six
months as well. Trainees perform their duties in emergency, indoor, OPD and as
allocated.
Daily morning meeting starts at 9 am sharp after the round, which includes
discussion on cases managed in last 24 hours. Ward rounds are regularly performed
by postgraduate trainees, senior registrar and assistant professor. Every Tuesday,
Wednesday and Saturday, grand teaching ward rounds are performed by Professor
Dr. Tahir Rashid and it is mandatory for all staff members to attend. These rounds
focus upon the presentation, diagnosis, treatment and management of diagnostic
dilemmas. Clinical skills of trainees are observed and improvements are suggested
where needed. During training period, every resident is given equal opportunity to
learn various surgical procedures as suggested by CPSP and UHS. Vigilant record of
surgical procedures is kept to ensure adequate training for every postgraduate
resident. Trainees are encouraged to participate at various workshops, courses,
conferences and seminars. Training for DLO and MCPS are also being done in the
unit.
Morning presentations are given in routine on various controversial clinical
problems. Residents are urged to participate in such sessions actively. The unit has
excellent audio-visual facilities. Computer and internet facilities are also available in
the unit free access for the residents. Trainees are well guided to accomplish their
research work in time as recommended by CPSP and UHS.

2018
Academic Activities
Written Test Taken from PG Trainees during 2018:
No. TEST TOPIC/CHAPTER DATE TAKEN
1 SEQ & MCQ TEST- 2 hrs January 15, 2018
2 SEQ & MCQ TEST- 2 hrs February 10, 2018
3 SEQ & MCQ TEST- 2 hrs March 22, 2018
4 SEQ & MCQ TEST- 2 hrs April 17, 2018
5 SEQ & MCQ TEST- 2 hrs May 12, 2018
6 SEQ & MCQ TEST- 2 hrs June 28, 2018
7 SEQ & MCQ TEST- 2 hrs July 19, 2018
8 SEQ & MCQ TEST- 2 hrs August 16, 2018
9 SEQ & MCQ TEST- 2 hrs September 14, 2018
10 SEQ & MCQ TEST- 2 hrs October 17, 2018
11 SEQ & MCQ TEST- 2 hrs November 14, 2018
12 SEQ & MCQ TEST- 2 hrs December 12, 2018
Training and Teaching of House Surgeons:
House Surgeons are regularly recruited in the unit. They are to work here for
minimum of three months. They contribute a lot to deliver the clinical services.
House Surgeons are taught about the practical of ENT according to the training
objectives especially designed for them. They have regular weekly interactive
sessions with the senior registrar and consultant.
Teaching of Undergraduate Students:
Being affiliated with Ameer ud Din Medical College, our unit is imparting its
maximum efforts for teaching of undergraduates. The academic schedule is formed
with special attention being paid to practical implementation of the subject.
Undergraduates are taught through formal lectures, bed side discussions, OPD
sessions and demonstration of surgical procedures in operation theatres. At the end
of ward rotation, students are assessed and given grades to be considered in their
fourth professional examinations. Regular feedback is taken from the student to
improve their teaching and training.

2018
Academic Activities
Statistical Meetings:
Statistics of the unit including from outpatient and inpatient department ae
presented and discussed on monthly basis. Presence of all the medical staff is
mandatory in this meeting.
Hands on Workshop on Phonation Surgery:
The unit has arranged Phono Surgery workshop in collaboration with ENT unit
I on November 22nd
2018. The Master Trainer of workshop was Dr Samit Majumdar a
consultant from U.K who shared his expertise in doing phonation surgeries.
Contributions in Conducting 28th
PSORL Conference 2018:
The unit has actively participated in the Leadership of Prof: Dr. Tahir Rashid by
conducting preconference phonation surgery workshop.
Participation at University of Health Sciences and PGMI:
The unit has its active participation in different programs of University of
Health Sciences and PGMI. Professor Tahir Rashid is an examiner for MBBS, DLO and
MS conducted by the University.

2018
Academic Activities
Research and publications:
Despite problems in doing research work due to lack of funding, the unit has
contributed well in research publications having practical implications. Fallowing
publications are at unit’s credit in the year 2017-18.
1. Muhammad Dawood Saleem, Bakht Aziz, Saima Andleeb. Effect of
Bilateral Neck Nasal Packing on Systemic blood pressure after
Septoplasty. Pakistan Journal of Medical & Health Sciences. Vol.11,
issue 4, Oct-Dec 2017
2. Bakht Aziz, Aamer Ayub Awan, Saima Andleeb, Muhammad Dawood
Saleem. Frequency of Aspergillosis infection with Nasal Polyps and
Proptosis. Pakistan Journal of Medical & Health Sciences. Vol.11, issue
4, Oct-Dec 2017
3. Tahir Rashid, Imran Saeed, Muhammad Riaz. Coblation Tonsillectomy
versus Cold Dissection Tonsillectomy. Journal of Fatima Jinnah Medical
University, Lahore – Pakistan. Vol. 12, Issue 1, January – March, 2018.
4. Tahir Rashid, Imran Saeed, Muhammad Riaz. OME in children with AR.
Journal of Fatima Jinnah Medical University, Lahore – Pakistan. Issue
Jan – March, 2018

2018
PICTURE GALLERY

2018

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