http://hdl.handle.net/123456789/2222 Search the Channel search http://repository.ksu.edu.sa/jspui/simple-search http://hdl.handle.net/123456789/8862 Title: Acute mastoiditis and its complications a problem still with us<br/><br/>Authors: El-Sayed, Yousry; Al-Serhany, Awad<br/><br/>Abstract: Although it is generally accepted thai aculc niasruicJilis is an uncommon disease, there is evidence thai it may be on ihe increase, although serious complications are still relatively frequent. The aim of the present study was to evaluate Ihe causes and the clinical course of 24 cases of acute mastoiditis treated over a 10-year period.Eighteen eases were the sequel of aculc otitis media, while six cases developed as a complication of cholesteatoma. There were nine cases with intralcmporal complications: eight subperiosteal abscesses and one facial nerve paralysis. Two more patients had intracranial complications: a cerebellar abscess and meningitis. Ten patients recovered with conservative therapy consisting of intravenous antimicrobial therapy, combined with myringotomy in some cases. Fourteen patients were (rested surgically by-cortical (n=8) or modified radical mastoidectomy (n=6). All patients recovered following treatment.The paper discusses the_ different approaches used in the management of (his disorder.<br/><br/>Description: Yuusry H-Sayed F R C$. Associate Professor and ConsultantA wad Al-SeihanyM.D. Aslant Processor and ConsultantDepartment or Otorhino-iiyngology King Abdel-A/i/ Hi iveisily Hosoual POBox 245. Riyadh 11411 Saudi Arabia Tel: 468 2142 Fax: 477 TI48E-mail: F35NU02®KSU.EDU.SA http://hdl.handle.net/123456789/7348 Title: Haemoptysis in an adult with a vallecular cyst: a rare presentation<br/><br/>Authors: Alsaleh, Saad A.; Al-Ammar, Ahmed Y.<br/><br/>Abstract: Haemoptysis in an adult is frightening for both patient and clinician andwarrants prompt evaluation and diagnosis. We report a case of a vallecularcyst (VC) in a thirty years old male presenting with haemoptysis, the secondcase in literature with such presentation. CO2 laser dissection of the VC afterneedle decompression was done with no complications or recurrence in a 2months follow-up. VC have conflicting opinions in Classification, evaluation,and management. In this report, these opinions are reviewed and discussed.<br/><br/>Description: Otolaryngology Department, King Abdulaziz University Hospital, King SaudUniversity, Riyadh, Saudi Arabia. http://hdl.handle.net/123456789/6659 Title: Conductive hearing loss: investigation of possible inner ear origin in three cases studies<br/><br/>Authors: Al Muhaimeed, Hamad; El Sayed, Yousry; Rabah, Abdulrahman; Al-Essa, Abdulrahman<br/><br/>Abstract: This is a report of three cases of mixed hearing loss that resulted from inner ear disorders. Two cases were unilateral and the third was bilateral. The diagnosis was based on the findings of normal middle and external ears in association with the absence of round window reflexes. The contralateral stapedial reflex was present in the two unilateral cases. This is the first documentation of conductive deafness due to inner ear abnormality. This diagnosis should be considered in cases of conductive hearing loss if the middle and external ears are normal. More studies are needed to establish the pathophysiology of this entity.<br/><br/>Description: Copyright © Royal Society of Medicine Press Limited 2002. Published online by Cambridge University Press 08 Mar 2006; From the Department of Otorhinolaryngology, King Abdul Aziz University Hospital, King Saud University, Riyadh, Saudi Arabia. http://hdl.handle.net/123456789/5138 Title: Effect of use of mitomycin C on the outcome of choanal atresia repair<br/><br/>Authors: Al-Ammar, Ahmed Y.<br/><br/>Abstract: OBJECTIVE: To investigate the effectiveness of topical mitomycin C (MMC) on outcome of endoscopic repair of choanal atresia (CA) in cases that had never had this operation and when nasal stent was not used. METHODS: Endoscopic repair of CA was performed in 20 children at King Abdul-Aziz University Hospital, Riyadh, Kingdom of Saudi Arabia between January 1999 and October 2005. Intra-operative application of topical MMC (0.4 mg/mL for 4 minutes) was carried out in 13 children, and 7 children did not receive MMC. The follow-up period ranged between 9 months and 6 years. The association between the 2 categorical variables was investigated using Fisher's exact test. RESULTS: Sixty-nine percent of the cases receiving MMC had a successful outcome compared with 57% of non-MMC cases, however, the difference was not statistically significant (p=0.230). In unilateral CA, 70% of those who received MMC had a successful outcome compared with 60% of those who did not; again the difference was not statistically significant (p=0.566). Successful outcome was considered when the posterior choana was patent during the successive follow up, without the need for revision surgeries. CONCLUSION: We did not demonstrate a statistically significant difference between the percentages of children treated with MMC versus no-MMC who remained patent after surgery.