RESUMO
To evaluate the incidence of postoperative tonsillectomy hemorrhage [PTH] and to identify the possible risk factors associated with its occurrence. A Retrospective Study. Two private hospitals: Mahayel Hospital and Saudi German Hospital. Four hundred seventy-seven patients had tonsillectomy or adenotonsillectomy from January 2008 to December 2013. All PTH incidents were identified. A data collection sheet was constructed by the author, which included patient's age, sex, and day of postoperative bleeding evaluation. Result: Two hundred eighty-eight [60.4%] were children and 189 [39.6%] were adults. Two hundred forty-two [50.7%] were males. The indication for tonsillectomy in 394 [82.6%] was recurrent tonsillitis and in 83 [17.4%] was obstructive sleep apnea. Twenty-nine [6.1%] patients had PTH, 8 [27.6%] had primary PTH and 21 [72.4%] had secondary. The incidence of PTH was significantly higher among adult patients than children [9%, 4.2%, respectively, p=0.031] and among patients with recurrent tonsillitis than those with obstructive sleep apnea [7.1%, 1.2%, respectively, p=0.041]. There were no statistically significant differences in timing of PTH [primary or secondary] according to patients' characteristics. The incidence of PTH in our study is not high. Risk factors include older age and preoperative recurrent tonsillitis. PTH occurs mainly 24 hours postoperatively. Awareness of these risk factors should help improve patient care and outcomes
RESUMO
To determine the effectiveness of myringotomy and grommet insertion [MGI] in patients with otitis media and effusion [OME], who failed medical treatment. Mahayel Private Hospital, Aseer Region, Saudi Arabia. Retrospective study. Records of eighty-six children [50 boys and 36 girls], aged 1-12 years, who had MGI for chronic OME between January 2005 and December 2010 were reviewed. Patients' data included: presenting complaints, indications for MGI, ear examination, hearing threshold and tympanometry. The age ranged from 1 to 12 years, 62 [72.1%] were less than 6 years old. Hearing and academic performance improved after grommet insertion. The study revealed that OME occurred mostly in preschool age. Hearing loss was noticed in 64 [74.4%], impaired social interaction in 37 [43%], difficulty in learning in 15 [17.4%] and delayed speech in 11 [12.8%]. The leading presenting complaint is hearing loss. MGI is indicated if medical treatment failed. Hearing threshold improves significantly postoperatively
RESUMO
To compare the usefulness of prophylactic augmentin compared with amoxicillin in patients undergoing tympanoplasty. This study was conducted in 3 hospitals namely Aseer Central Hospital, Saudi German Hospital and Al-Namas Hospital in Aseer Region. This study included 32 CSOM patients without any complications. They were randomized into 2 groups, Group A [n=16], who received intravenous 1.2 mg augmentin after the induction of the anesthesia followed by 7 days oral augmentin in a doses of Ig Bid or Group B [n=16] who received amoxicillin 500 mg thrice a day for one week. The clinical success was significantly higher among patients who received augmentin [Group A] compared with those who received amoxicillin [Group B] in preventing the postoperative infection [p=0.033]. Among patients in Group A, 15 cases [93.7%] had successful take of graft compared with 10 cases [62.5%] in group B. The use of prophylactic augmentin antibiotic is more effective in preventing early post-tympanoplasty infection compared with amoxicillin