RESUMEN
Presented herein is the experience in the management of aspirated foreign bodies over a period of 2 years [January 2002 to January 2004] at the Otorhinolaryngology Department, Dubai Hospital, United Arab Emirates. This retrospective study was undertaken on 53 children [from 6 months to 14 years] referred for management of aspirated foreign body. Forty-four patients 'were under 5 years of age with a male predominance. Forty patients presented with a definite history of foreign body aspiration. Diagnostic bronchos copy preceded by ventilation perfusion study was done for 13 patients in whom the history was doubtful Clinical examination of chest revealed 10 cases with normal findings and 43 cases with signs of bronchial obstruction. Plain x-ray of the chest revealed normal findings in 11 cases, radio-opaque foreign body in 7 cases and changes due to bronchial obstruction in 42 cases. All patients underwent rigid bronchos copy under general anaesthesia. Foreign bodies were successfully seen and removed in 40 patients. No foreign body was seen in 13 patients. The most common aspirated foreign body was peanut in 13 cases, followed by watermelon seed in 10 cases
RESUMEN
The objective of this prospective study is to present our experience in the management of enlarged adenoids in adults over a period of 4 years, January 2000 to January 2004. This was carried out at the Otorhinolaryngology Department, Dubai Hospital, UAE. This study was performed on 45 cases of enlarged adenoid, aged between 18-55 years [average age of 33 years] including 27 males and 18 females. Cases were selected after failure of medical treatment to improve patients' symptoms and after histopathological and CT exclusion of malignancy. Thirty-four patients presented with persistent nasal symptoms and 26 with persistent aural symptoms. Nasal endoscopy, nasopharyngoscopy, ear examination, plain x-ray, and CT nasopharynx were performed on all patients. Adenoidectomy using Illman's adenoid curette under endoscopic video-monitoring control was done, and all excised material was sent for histopathological examination. Nasal symptoms subsided within a week after surgery and associated sinusitis improved in all cases without need for sinus surgery. Middle ear ventilation improved in 15 cases and only 4 cases required ventilation tubes [grommets and T-tubes]. Histopathology revealed non-specific inflammation in all cases. The operative time and bleeding is less than conventional adenoidectomy. Adenoidectomy using lllman 's adenoid curette under endoscopic video monitoring control is less likely to cause complications than conventional adenoidectomy
RESUMEN
The objective of this prospective study is to evaluate the safety and efficacy of radio frequency for reduction of inferior turbinate volume. This was carried out at ENT Department, Dubai Hospital, United Arab Emirates, over a period of one year, April 2003 to April 2004. This study was performed on 35 patients reporting chronic nasal obstruction secondary to inferior turbinate hypertrophy, aged between 18 - 60 years, including 24 males and 11 females. Using bipolar bayonet needle about 4 cm of the needle was inserted along the inferior turbinate at a power setting of 60 watt for a period of 20 second to deliver radiofrequency energy. The procedure was done under local anaesthesia, patients used a visual analog scale [VAS] to grade nasal obstruction preoperatively and at 1 week and 8 week after surgery. Mean nasal obstruction VAS graded by the patient improved on the right side from 73% preoperatively to 42% at one week to 12% at 8 weeks and on the left side from 68% preoperatively to 35% at one week to 9% at 8 week. 42 [60%] of nasal passages were improved at 1 week and all nasal passages improved at 8 weeks. Mild pain, no bleeding and no crustation experienced postoperatively. Radiofrequency reduction for inferior turbinate is an effective and safe modality for reducing symptoms of nasal obstruction. Long term follow up with objective means to assess nasal obstruction is recommended to confirm efficacy and safety of radiofrequency reduction for inferior turbinate