ABSTRACT
The objective of this work was to study the effect of pneumococcal polysaccharide vaccine in children with recurrent otitis media after tympanostomy tube insertion. One hundred and fifty infants and children with history of recurrent acute otitis media [at least two episodes in the last six months or five episodes during the past year] were presented with otitis media with effusion in the Outpatient Clinic of Pediatric and Otolaryngology Departments proved by tympanometry. They were subjected to tympanostomy and fluid of type removed at surgery was subjected to culture and sensitivity. Culture and sensitivity from the samples taken by tympanocentesis revealed 35% Streptococcus pneumoniae, 20% Hemophiliac influenza, 5% Marseille Naturalisrn and the rest showed no growth
Subject(s)
Humans , Male , Female , Recurrence , Middle Ear Ventilation , Pneumococcal Vaccines , Child , Treatment Outcome , Otitis MediaABSTRACT
In this study, the distances and areas in cephalometry were measured before and after surgery in order to evaluate the preoperative predictability and usefulness of uvulopalatopharyngoplasty and/or midline laser glossectomy [MLG] for the preoperative assessment and evaluation of the surgical treatment. Egyptian adult patients with disturbed respiration in sleep observed at Snoring Center in Kasr El- Aini Hospital and Saudi patients with the same problem observed at Saudi German Hospital were tested. Cephalometry revealed morphological abnormalities in the skull and the measurements of soft tissue in oropharynx provided useful anatomical data to the space of the upper airway in each patient before operation. The areas of the soft palate, the whole tongue and the lower half of the tongue were significantly enlarged and the lengths of MPH, SPL and PNS-H were longer in the apnea group than in the snoring group. In MLG patients, an increase in the area of the oral and pharyngeal cavities and a decrease in the area of the upper half of the tongue were observed