ABSTRACT
The aim of the present study is to compare the surgical and audiological results of temporalis fascia versus conchal cartilage in myringoplasty. A randomized prospective study concerned with 40 patients for whom myringoplasty have been done. These patients were collected from the Out Patient Department of ENT at Al-Jamhory Teaching Hospital, Mosul/IRAQ from January 2009 to January 2012. Patients were randomly assigned into two groups; in the first group temporalis fascia graft was used [18 patient] whileconchal cartilage graft was used in the second group [22 patients]. Our study included 40 patients, 23 males and 17 females. The average age of our patients is 28.4 years with a range from 13- 55 years. Surgical success rates for the first and second groups are 77.78% and 95.45%, respectively. There is19.4 dB improvement in mean hearing threshold in fascia group, compared to 15.2 dB improvement in cartilage group, giving an average of 17 dB improvement in mean hearing threshold of the total series. There was no significant difference neither in surgical success rate nor in hearing gain between the two groups
Subject(s)
Humans , Male , Female , Cartilage , Fascia , Prospective StudiesABSTRACT
Although a physical examination is regarded as the gold standard for diagnosis of nasal bone fracture, adequate imagingg of a nasal fracture is often required beacuse of the legal sonsequences that can result from the injury's cause.Tha aim of the present study is to compare the validity of ultrasonography versus plain lateral X-ray view of nasal bone in diagnosing different classes of nasal bone fracture.This randomized clinical trial study included 117 patients presented with trauma to nose who consulted otolaryngology department at AAlijamhory teaching hospital, Mousl, Iraq for the period from august 2008 to may 2009.the results of plain lateral x-ray view and ultrasonography of the nasal bone were compared with the clinical findings after oedema has sbsided completely which is the gold standard for evaluating the results, moreover, accuracy rate, senstivity, specificity, positive, predicitive values of both plain lateral x-ray view and ultra sonography was calculated.The axxuracy rate sentivity, specificity, positive and negative predective values of plain lateral x-ray view in diagnosing nasal bone fracture were 76.6%, 81.8%, 62.5%, 85.7% and 55.5% respectively.Moreover the accuracy rate, senstivity, positive and negative predicitive values if ultra sonography in diagnosing nasal bone fracture were 96.6%, 97.9%, 90.0%, 97.9% and 90.9% respectively.The use of ultrasounography in the diagnosis of different classes of nasal bone fracture was found to be superior to plain lateral xray view in accuracy rate, senstivity, specifity, positive predictive and negative predective values
ABSTRACT
The aim of this study is to evaluate serum vitamin A levels in patients with rhinitis. A case control study concerned with 48 patients with rhinitis who underwent serum vitamin A evaluation and compared with the corresponding results of 100 apparently healthy persons as a control group. The study was carried out in Department of ENT in Al-Salam Teaching Hospital in Mosul, from April 2001 to June 2004. Vitamin A evaluation was performed in Department of Biochemistry in Mosul Medical College. The parameters analyzed included age, sex, clinical diagnosis and vitamin A measurement. The average age was 25 years with a range of 3-52 years. It was found that patients with rhinitis had significantly lower serum vitamin A levels than the control subjects. The levels were 0.292 +/- 0.099 [SD] micro mol/liter versus 0.886 +/- 0.199 [SD] micro mol/ liter, respectively. These findings prompted us to suggest a hypothesis that in rhinitis and possibly in other respiratory tract infections, a general derangement in vitamin A handling exists