CT evaluation of the paranasal sinuses in symptomatic patients for endoscopic surgery

CT scanning of 50 patients with clinical diagnosis of chronic sinusitis were studied. Abnormal CT was found in 86% of cases. The commonest sinus affected was the maxillary antrum [64%] followed by the anterior ethmoids [58%]. Mucosal thickening was the commonest abnormality found. Concha bullosa was the commonest anatomical variant [32%] which may contribute to middle meatal obstruction and sinus infection. Direct coronal CT can readily demonstrate inflammatory disease of the paranasal sinuses and ostiomeatal complex and it provides guidance for therapeutic endoscopic instrumentation and it can establish the extent of surgery. CT and endoscopy are therefore complementary in diagnosis and treatment of the nasal cavity and paranasal sinuses

Chronic suppurative otitis media in adults

The incidence of chronic discharging ear in Egypt is high. It is the every day problem in ENT clinics. In this study chronic suppurative otitis media constitiuted 12.94% of the total examined 2875 adult patients presenting with different ENT problems. Bilateral disease and abnormalities in the contralateral ears are frequent. Repeated follow up of these patients for life is recommended to detect early complication. Nasal and sinus diseases were detected in 70.43% and pharyngeal diseases in 27.4% of patients with chronic discharging ear. Poor eustachean tube function is thus considered the cause of such high incidence of discharging ear

Correlation between aural and nasopharyngeal bacteria in chronic suppurative otitis media

Bacteriological studies of aerobic bacteria isolated from the middle ear and the nasopharynx were carried out on 50 patients with chronic suppurative otitis media. Correlation between aural and nasopharyngeal pathogenic bacteria was found in 29.2% of these ares. These results indicated that the eustachean tube plays an important role as a source of infection to the middle ear and also in maintaining a continued inflammation

Bacteriological study of atrophic rhinitis

In this work, swabs from the nasal vestibules and the middle meatus were obtained, from 20 patients with primary and secondary atrophic rhinitis [10 cases each] in addition to 10 normal control subjects, and were studied for the aerobic and anaerobic bacterial flora. Our results indicate the difference between the bacterial flora of the nasal vestibules and middle meatus in the normal control subjects when compared with either the primary cases of atrophic rhinitis or the secondary ones. Moreover, the bacterial flora were also different in the latter two cases when compared with each other