Temporalis fascia versus cartilage graft in myringoplasty

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

Identification of nasal bone fracture by ultrasonography versus plain lateral x-ray view

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

Modified surgical treatment of atrophic rhinitis

The aim of the study was to evaluate the role of alternate periods of surgical closure of the nostrils in treating patients with atrophic rhinitis. A descriptive study was conducted involving 11 patients clinically diagnosed as atrophic rhinitis who underwent surgical closure of the nostrils alternately. These patients were treated in the Department of ENT, Al-Jamhori Teaching Hospital, Mosul, Iraq during the period from April 1990 to December 2004. The parameters analyzed included age, sex, clinical presentation and residence. Moreover, evaluation of the result of alternative periodic surgical closure of the nostrils was evaluated. The study was conducted on 11 patients with atrophic rhinitis [10 females and 1 male]. The average age was 16.2 years with a range of 13.20 years. The peak age incidence was 18th year of life. The most frequent clinical presentation was nasal obstruction in spite of wide nasal cavities. There was improvement of symptoms with regeneration of the nasal mucosa in 10 [90.9%] patients. All of the patients accepted this operation as the other nostril was left open to allow for a relatively functional nasal airway. The results of this series suggest that this technique is useful in the treatment of atrophic rhinitis

Evaluation of serum vitamin a levels in patients with Rhinitis

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

Glant seborrheic keratosis of the auricle in a young male: a case report and review of the literature

Seborrheic keratoses are common, benign, pigmented, basal and keratinocytic proliferations occurring chiefly on the trunk in adults. This paper presents the case of a giant seborrheic keratosis on the auricle of 17 year old male. This lesion was successfully treated with complete surgical excision

Malignant hypopharngeal tumors: epidemiological study from the north of Iraq

The aim of the present study is to evaluate the epidemiology of malignant hypopharyngeal tumors in the northern provinces of Iraq. A retrospective study was conducted involving patients with malignant hypopharyngeal tumors that were classified according to the TNM staging system. The data were collected through reviewing the files of patients over 10 years. These patients were treated in the Oncology and Nuclear Medicine Hospital, Mosul, Iraq for the period from January 1991 to December 2000. The parameters analyzed included age, sex, tumor site, stage and histopathology of the lesion. The study included 44 patients with malignant hypopharyngeal tumors [28 males and 16 females; M: F= 1.7:1]. The average age was 52.3 years with a range of 28 to 80 years. Malignant hypopharyngeal tumors constituted 0.36% and 2.57% of all body and head and neck tumors respectively. The average age of the patients was 52.3 years. The peak age incidence was in the 4th decade of life in women and in the 6th decade in men. The pyriform fossa was more involved than other regions comprising 59% whereas the postcricoid and posterior pharyngeal wall were 36% and 5% respectively. Histological examination revealed that all hypopharyngeal tumors were squamous cell carcinoma. Overall, the incidence of nodal metastases at presentation was 36%. Malignant hypopharyngeal tumors are rare tumors in the north of Iraq occurring most often in men. The incidence of nodal metastases significantly increased with pyriform fossa tumors and with poorly differentiated squamous cell carcinoma

Middle ear effusion: tympanometry versus operative findings

To evaluate the role of tympanometry in predicting middle ear effusion by comparing results with the operative findings. A descriptive study concerned with 105 ears [57 patients] diagnosed as middle ear effusion by tympanometry; type B, flat curve; that underwent myringotomy operation [with or without ventilation tube insertion]. Department of ENT-Al-Salam Teaching Hospital/Mosul for the period [April 2003 to September 2004]. Tympanometry was performed in the Outpatient Clinic of Al-Jamhoori Teaching Hosptial. The study included 36 males and 21 females with a ratio of 1.7:1. The average age was 6 years with a range of 3-12 years. The parameters analyzed included age, sex and lympanometric results. Matching between the suspected ears for middle ear effusion; type B, flat curve; and the operative findings [fluid found in the middle ear at the time of myringotomy] was recorded. The diagnosis accuracy and examination success rate of tympanometry; type B, flat curve; in predicting middle ear effusion was 71.4 percent. Moreover, the sensitivity, specificity, positive and negative predictive values were 97.2 percent, 57.3 percent, 55.3 percent respectively. Thus, the positive likelihood ratio was 2.3. The accuracy rate of tympanometry in predicting middle ear effusion showed a fair validity for its exclusion. The use of pneumatic otoscopy and tympanometry together improves the accuracy of diagnosis