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1.
Medical Journal of Cairo University [The]. 2005; 73 (Supp. 2): 1-6
em Inglês | IMEMR | ID: emr-121189

RESUMO

The objective of this study was to evaluate the use of intratympanic instillation of gentamicin in 40 patients with unilateral Meniere's disease [MD] who become eligible for the evaluation of treatment efficacy according to the guidelines set by the American Academy of Otolaryngology-Head and Neck Surgery [AAO-HNS]. An initial ventilation tube was inserted in the affected ear, followed by a weekly instillation of 40 mg of gentamicin until symptoms disappear. Objective evaluation using caloric and videonystagmography [VNG] was used for follow up. Vertigo control was achieved in 78% of the patients. A predetermined maximum of four instillation sessions was set to prevent the sensorineural hearing loss. The follow up period was 18 months. Intratympanic instillation of gentamicin seems to produce an adequate vertigo control with few side effects and is a good alternative to surgical treatment


Assuntos
Humanos , Masculino , Feminino , Gentamicinas , Injeções Intralinfáticas , Injeções Intralesionais , Resultado do Tratamento , Vertigem , Seguimentos
2.
Medical Journal of Cairo University [The]. 2005; 73 (Supp. 2): 7-12
em Inglês | IMEMR | ID: emr-121190

RESUMO

This work was conducted on 40 patients with persistent sinonasal polyposis, despite a one-month trial of medical treatment. The patients were randomly assigned into two equal groups: Group A included 20 patients subjected to conventional FESS, while group B included 20 patients had their polyps removed by the use of microdebrider. Both groups were compared according to certain parameters including the intraoperative time, amount of blood loss, postoperative complication, postoperative healing and relief of symptoms. Microdebrider assisted FESS was found to decrease the intraoperative complications, has better postoperative healing and relief of symptoms


Assuntos
Humanos , Masculino , Feminino , Complicações Intraoperatórias , Complicações Pós-Operatórias , Endoscopia , Estudos Prospectivos
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