Intratympanic gentamicin in unilateral Meniere's Disease: Titration therapy

Twenty five patients disabled by episodic vertigo attacks of unilateral Meniere's disease were treated with administration of gentamicin intratympanically in a titration treatment protocol where one injection every two weeks was given, terminating the therapy when sufficient effect was observed as evidenced by the patient report or audiologically. Vertigo was completely eliminated in 72% with additional 20% of substantial control and only 8% limited control. Hearing was unchanged in 44%, improved in 32% and worse in 24% of patients. Intratympanic gentamicin titration therapy is safe, easily performed as an outpatient procedure with only topical anesthesia

Conchomeatoplosty technique for open casvity mastoidectomy

A Concho-meatoplasty technique is described which has proved successful in creation of a wide meatus when it is used in tympanoplasty with open cavity mastoidectomy. The technique is described in details and the results are mentioned with a discussion of the technique in accordance to the otologic surgery literature

Clinico - pathological study of cervical lymphadenopathy in children with recurrent tonsilitis

50 child patients with the diagnosis of recurrent tonsillitis associated with cervical lymphadenopathy were the subject of the current study. The diagnosis was achieved after full general, ENT and local examination combined with full investigations to exclude other causes of lymphadenopathy. In the first group of 20 children, combined tonsillectomy and excisional lymph node biopsy was performed in one setting. In the second group of 30 children, only tonsillectomy was performed. Histopathological study of the tonsillar and lymph node sections was performed and the findings were discussed in accordance to the relevant literature. After one year follow up of the children in the second group 92% showed marked improvement in their lymph node enlargement