surgical outcome following functional endoscopic sinus surgery in term of mucociliary transport

In patients who develop sinusitis and must undergo nasal and sinus procedures, it is important to recognize the changes that occur within the mucociliary apparatus. Mucociliary transport has been assessed pre and post functional endoscopic sinus surgery [FESS] using saccharin method. The mean preoperative saccharin transport time [STT] in two groups of patients: Group II [bilaterally diseased, n = 40] and Group III [unilaterally diseased, n = 20] was 43.9 and 45.8 minutes, respectively, which were significantly longer than that of controls [Group I, n =20] i.e. 15.75 minutes. They were reduced insignificantly two months following FESS and reduced significantly four and six months following FESS. The results suggested that the impairment of mucociliary transport in chronic paranasal sinusitis may be significantly improved following FESS

Staged Tympanoplasty: syears experience

This study has reported data of 155 staged tympanoplasty cases. Staging has been done for 105 cholesteatoma cases and 50 cases with advanced mucosal disease. The results showed closure of air-bone gap to 20 dB or less in more than 60% of patients. These encouraging results, despite the small number of cases, are in favor of staging tympanoplasty for the management of patients with chronic supportive otitis media. Staging allows establishment of a good middle ear space and gives a chance to remove possible cholesteatoma remnants or recurrence. The preserved ossicles of the patient were used as an autograft for ossicular reconstruction. This is more economical and as effective as other expensive plastipore or more recently used gold prostheses

Role of the haller's cell in chronic maxillary sinusitis

This study aimed to investigate the anatomical variations [such as Haller's cell], which encroach on the osteomeatal complex area and whether they are more prevalent in a symptomatic group than in a control group. The study also aimed to detect whether the prevalence of Haller's cell seen on CT poses a technical problem as regards the surgeon and whether the Haller's cell has a role in chronic maxillary sinusitis. A detailed analysis of coronal and axial CT scans of the paranasal sinuses was obtained from forty patients scanned for intraorbital disease [control group] along with one hundred patients with chronic rhinosinusitis diagnosed on the basis of their history and outpatient endoscopy and confirmed by radiology and surgery [sinus group]. Identification of the anatomic variation and mucosal abnormalities with special attention directed to Haller's cells was made. The results showed a significant prevalence of the Haller's cells [14%] in sinus group versus the control group [7.5%]. In those patients with Haller's cells, osteomeatal narrowing was 85.7% and 0% in sinus and control groups, respectively. While, maxillary sinus mucosal abnormalities were 85.7% and 33.3% in sinus and control groups, respectively