Power assisted adenoidectomy in palatal abnormalities.

The aim of this work was to study the short-term effects of power- assisted complete and superior adenoidectomy on velopharyngeal closure in patients with palatal abnormalities in order to detect which procedure is more able to avoid the post-adenoidectomy velopharyngeal insufficiency. Thirty patients with different palatal abnormalities participated in this study. The patients were divided into two groups: Group 1 [16 patients] was treated with power-assisted complete adenoidectomy, while group 2 [14 patients] was treated with endoscopic power-assisted superior adenoidectomy. All patients experienced a complete resolution of their nasal obstruction and/or otitis media. Four patients of group 1 developed permanent velopharyngeal insufficiency as evidenced by fiberoptic examination and nasometric studies. The other 10 patients and the whole of group 2 did not develop velopharyngeal insufficiency

Bone cement in ossiculoplasty

This study included 30 patients having conductive hearing loss secondary to chronic otitis media with ossicular discontinuity. Biocompatible polymethylmethacrylate [PMMA] bone cement was used as a locally manufactured prosthesis for ossicular reconstruction in the forms of PORP and TORP. In ears with intact stapes superstructure, PORP was used [18 cases]; while, in ears with absent stapes superstructure, a similar TORP was used [12 cases]. The postoperative mean air-bone gap gain was 20 dB at the speech frequencies of 500 Hz-1000 Hz, 2000 Hz-4000 Hz in 22 cases. An extrusion of the prosthesis occurred in two cases. It was concluded that this locally made prosthesis is efficient in closing air-bone gap as well as cost- effective