RESUMO
To investigate the clinical characteristics of vertigo in Saudi patients seen in otology and neurotology clinic. A retrospective chart review was performed of all patients presented with vertigo from January 2008-December 2010 at otology/neurotology clinic at King Abdulaziz University Hospital Riyadh. The data reviewed was age, sex, characteristic of vertigo symptoms, duration of vertigo, provisional diagnosis and categories of vertigo. Patients with incomplete files were excluded. The data were analyzed using Microsoft excel. A total of 124 patients; 90[%72.6] women and 34[%27.4] men were incorporated in this study. Majority of the patients suffered from benign paroxysmal positional vertigo [39.5%] followed by Meniere's disease [27.4%] and Migraine associated vertigo [8.1%]. Peripheral causes were found in 73.4% of our cases while central etiology was seen only in 15.3% and 9.7% of unknown etiology. Peripheral vestibular disorders remain the main diagnostic category in our study group, the two most common etiologies were benign paroxysmal positional vertigo and Meniere's disease. Information obtained from this study may serve as a reference guideline for otolaryngologists in Saudi Arabia when dealing with dizzy patients
RESUMO
To evaluate the effectiveness of endoscopic excision of the antrochoanal polyp and its role in decreasing the recurrence rate. Retrospective. Medical records of thirty patients with antrochoanal polyp [ACP] diagnosed and treated at King Abdulaziz University Hospital [KAUH] in Riyadh between January 1996 and December 2002 were retrospectively studied. Factors such as gender, age, presenting complaints, findings, pathology, management and recurrence rates were included in this study. Out of thirty patients, 17 were male and their ages ranged from six to 45 years with a mean age of 17.37 years. Nasal obstruction was the most common presenting symptom. Endoscopic transnasal removal of ACP was performed in 25 patients as primary surgery. Revision endoscopic removal was done in three patients and two of those who had failure of revision surgery had combined transcanine and endonasal endoscopic removal. All candidates had follow up from nine to 42 months with mean average time of 24 months. Recurrence was confirmed in five patients [four of them after primary surgery and one patient after revision surgery]. However those who underwent combined approach had no recurrence. Endoscopic approach compared to previous modalities of treatment has the capability to ensure complete removal of the ACP and decrease its rate of recurrence. Its safety in children is considerable in capable hands. Power instrumentation with combined transcanine and middle meatal antrostomy approach is another way to deal with difficult cases and those with recurrence