Usage of homograft bone in stapedectomy KHMC experience

The objective of this study is to show the efficacy, safety and feasibility of Twenty subjects [12 males, 8 females] with a mean age of 32.6 years [age range15-47 years] presented with unilateral 3 [15%] or bilateral 17 [85%] conductive hearing losses and were diagnosed as having otosclerosis. Stapedectomy was performed on each. in each case a homograft bone, prepared and sculptured at the Hough Ear Institute in Oklahoma, USA by the author, was then used as a prosthetic device to replace the diseased ossicle after its removal. The donated homograft bone proved to be safe with no transmission of disease: long lasting without infection, rejection, or resorption; and a good transmitter of sound with good closure of the air-bone gap. Of the 20 cases, 11 had complete closure of the air-bone gap [55%], 7 had closure air bone gap within 10 dB [35%] and 2 showed no improvement [10%]. Homograft human bone is the most logical choice for ossicular reconstruction because it is the closest transplantation material to the host histologically. Current fixatives and storage materials remove the immunogenicity and so do away with the host versus graft reaction

Olfactory neuroblastoma: a case report

A 15-year-old male patient with a history of nasal obstruction, recurrent epistaxis, proptosis and loss of vision in his right eye. The diagnostic workup [clinical, endoscopic, radiological and histopathological] confirms the diagnosis of nasal olfactory neuroblastoma

Healthy born versus high risk born infants with otitis media with effusion-KHMC experience

to assess the frequency of unilateral and bilateral otitis media with effusion [OME] in healthy and high risk infants. between October 1995 and May 2001, 200 healthy newborn infants [group I] and 150 high risk infants [group II], aged 0-2 years were investigated in otolaryngology and audiology department at King Hussein Medical Center [KHMC]. in order to determine otitis media with effusion [OME], otoscopy and tympanometry were performed at 3 monthly intervals begining at term date. during the first months of life, OME frequency increased rapidly in both groups, but did not differ significantly. However, from the age of 6 months on, OME frequency rates for group II became significantly higher compared with group I [p<0.05]. The peak of OME occurrence was observed around the age of 11 months [60% in group II versus 49% in group I]. Although gradually decreasing frequency were noted in both groups with aging, the differences between group I and group II remained, at least up to 24 months. OME is a very common, age dependent disorder during infancy, especially in high risk infants. Peak prevalence of OME was found in the second half of the first year of life

Office myringotomy-KHMC experience

to describe myringotomy and pressure equalization tube [PET] insertion using topical lidocaine anesthesia at the out patient ENT clinic. between July 2000 and August 2002, 82 patients with mean age of 22.2 years [range 12 -74 yrs] presented with unilateral or bilateral conductive hearing loss, due to serous otitis media, of 2.5 months duration [range 0.3- 9 months] myringotomy was performed using myringotomy knife followed by PET insertion in 155 ears. Aerosol spray containing lidocaine base 5.05 gm and cetrimide B.P 0.35 gm applied to the tympanic membrane was used as a topical anesthetic PET was successfully inserted in all cases [100%] pain at the time of procedure was described as "absent" in patients [71%], "present but tolerable" in [25%], and "severe" in [4%]. office myringotomy with PET tube insertion using topical anesthesia in this age group is feasible, effective, short, safe and well tolerated

Bell's Palsy in north of Jordan

A prospective study was carried out at Prince Rashid Ben Al- Hassan Military Hospital in north of Jordan to assess the incidence and the clinical profile of idiopathic facial nerve paralysis. [Bell's palsy] over the period of two years. Eighty-six patients, inhabitants of Irbid Governorate, 40 males and 46 females, in whom the diagnosis of Bell's palsy was established constituted the study population. Basic data related to the age, sex, time of onset and side of paralysis. Associated conditions and duration of clinical improvement were recorded. The mean age of the patients was 32 years, females were affected more than males. There was also an approximately equal side distribution Right: Left 39:47. Eleven patients [12.7%] had history of recurrence of Bell's palsy, ipsilateral in six patients, contralateral in three and undetermined in two. The mean duration after which clinical improvement occurred was 11 weeks. Complete improvement occurred in 84.8% and no improvement in 2.3%. 67% of cases occurred in the period between October to April [cold season] with a peak frequency during January [16.2%]. Identified associated clinical disorders or presumed predisposing factors were diabetes mellitus [5.8%], history of exposure to cold [44/%], and history of upper respiratory tract infection [5.8%]. Bell's palsy is not an infrequent clinical disorder. The prognosis is relatively good and very few patients are left with severe deficit