[Allergic rhinitis]

Allergic rhinitis is a daily problem to which are confronted principally general practitioner, paediatrician, ear, nose and throat specialist and allergologist. Also, this subject is still always alife because allergy seems in a constant progression in our society. To clarify diagnostic and therapeutic criteria of this affection. We have realized a literature review concerning physiopathology, clinical symptoms, the position of preclinical investigations and finally therapeutic modality of allergic rhinitis. Appropriated treatment of allergic rhinitis should be general it requires a knowledge and better comprehension of the disease and optimum prevention, if it is possible, of allergic symptoms

Acute otomastoiditis in children, About 44 cases

Acute mastoiditis with osteitis is secondary to bacteria involving mastoid cavities. Describe the epidemiologic aspects. Between 1990 and 2003, we listed 44 files of children hospitalized for acute mastoiditis. The treatment was in any case medical associated to a surgical treatment in 30 cases. The age of our patients was consisted between 2 months and 14 years with an average is 2 years. The sex ratio of patient was 1.1. 29 patients didn't have any antecedents particular O.R.L, 8 patients were followed for otitis middle chronic and 7 had an cholesteatomateuse. The auricular old-fashioned swelling was the most frequent functional sign. A scanner has been achieved in 13 cases. The treatment was medico-surgical in 30 cases is 68.8% and an only antibiotherapie in 14 cases is 31.8%

[ odontogenic maxillary sinusitis: about 31 cases]

The odontogenic maxillary sinusitis is the consequence of the distribution of an inflammatory or infectious process of a tooth in sinus mucous membranes. The purpose of our work is to study epidemiological profile, clinical and radiological characteristics allowing the diagnosis of this pathology as well as the various therapeutic strategies adopted. We report a retrospective study of 31 observations of odontogenic maxillary sinusitis brought together in the service of ORL and of CMF of Rabta hospital over a period of 12 years. In our series, the frequency of this pathology was considered at 42,5% among the group of all maxillary sinusitis brought together during the same period, the average age was of 38 years with a sex ratio of 1,04. The dental antecedents are obvious in 80% of cases, the iatrogenie was found in 64% of cases. Dental causes were dominated buy para-apical cysts [29%], and the movement of the dough canalaire [23%] especially in fongic forms of sinusitis

Les kystes hydatiques cervico-faciaux a propos de 9 cas

The hydatic cyst is a frequent pathology in Tunisia. In most cases, it affects the liver and the lungs. The cervico-facial location doesn't exceed 1%. We report 9 cases of cervico-facial hydatic cysts over a period of 16 years in our department. The diagnosis is rarely set up preoperatively in spite of the elements of orientation given by ultrasound. Serology is rarely positive in such locations. The treatment is surgical [Cystectomy Pericystectomy - wide resection] in order to avoid spontaneous evolution which often brings out complications