Nasal packing in cosmetic and functional nasal surgery

To evaluate the routine use of nasal packing after cosmetic and functional nasal surgery. Prospective collection from 2005 to 2006 at King Abdulaziz University Hospital in Riyadh for 54 patients post-septorhinoplasty with and without submucous diathermy or lateralization of inferior turbinate were evaluated for efficacy and complications of nasal packing which kept for different duration. All 54 patients had septoplasty, 21 with rhinoplasty, 12 with SMD, and 24 patients had inferior turbinate lateralization. Eight cm slim Merocel packed in 67 nasal cavity sides, 8 cm regular Merocel packed in 24 sides and 10 cm regular Merocel packed in 6 sides. Thirty-seven patients had the pack for 6 hours then removed and 17 patients had it for 24 hours. Forty-one patients with no significant discomfort, 13 patients with mild to moderate discomfort. Septorhinoplasty and SMD or lateralization of inferior turbinate can be managed without packing or any other hemostatic measures

Adult-onset otitis media with effusion

This study was conducted to analyze the data concerning adult-onset otitis media with effusion [OME] in order to configure its clinical profile, etiology, diagnostic approaches, and therapeutic management. Design: A retrospective study. Materials and Sevety seven consecutive cases [105 ears] of OME were seen.All the patients were older than 16 years. Initial symptoms, physical examination, operative findings, underlying diseases, and therapy were analyzed. Hearing impairment [94.8.3%] was the most prevalent initial symptom, followed by ear stuffiness [54.5%]. The condition was bilateral in 39 patients [50.6%] and unilateral in 28 patients [49.4%]. Both mucoid and serous effusion occurred with predominance of the former. The most common two associated etiological conditions were sinusitis [22.2%] and nasopharyngeal malignancy [11.1%]. Other factors included adenoid, allergy, and nasopharyngitis. No etiological factor was detected in 10 patients [13%]. Sinusitis and nasopharyngeal carcinoma were the main associated etiologic factors OME in adults. In addition to treatment of sinusitis, nasopharyngeal check-up is mandatory in the management of adults with OME