profile of retrospective three dimensional CT reconstructed reformat of some congenital paranasal sinus anomalies

Gathered data from spiral axial and coronal computed tomography examination of some congenital paranasal sinus anomalies were constructed to retrospective three dimensional [3D] reconstructions. These data covered congenital anomalies in both the anterior and posterior groups of the paranasal sinuses. The findings were found to be valuable in diagnosing the congenital lesions and its extent, whether hypo-developed or overdeveloped. Moreover, applying this up-to-date technology of three dimensional computed tomography will help in the endoscopic diagnosis and management of sinus lesions, in particular, and in other related diseases in general as well as allocating blood vessels in cases of congenital sinus anomalies

Underlay allograft myringoplasty

Temporalis fascia, taken from other patients during tympanoplasties, was used as allograft for closure of dry central small and medium sized [7 x 7 mm or less] tympanic membrane perforations via a transcanal underlay technique. Fifty-eight myringoplasties were done under local anesthesia except for three received general anesthesia. Assessment of outcome was judged by two criteria; graft take and hearing gain. Forty-six were successful with total graft take, while twelve failed with a partial take in 15.52% and total no take in 5.17%. No significant influence of sex, age, duration of perforation and discharge free period was found. There was inverse linear relationship between perforation size and success rate. Posterior and central perforations showed better success rates than anterior perforations. Improvement air conduction thresholds was achieved in 69.57% of successful myringoplasties with closure of air-bone gap within 10 dB in 52%. Postoperative bone conduction thresholds were slightly altered

Inferior turbinectomy anterior versus partial longitudinal and submucous resections

Various surgical techniques of inferior turbinectomy: submucous resection > partial longitudinal turbinectomy and anterior turbinectomy have been used for treatment of enlarged inferior turbinates. All procedures proved to be effective to relieve nasal obstruction due to enlarged inferior turbinates. However, anterior turbinectomy is technically easier and has low chances of post-operative bleeding and with minimal complications. Submucous resection is technically difficult. Partial longitudinal turbinectomy has the higher post-operative bleeding and is not suitable in localities with low humidity otherwise atrophic rhinitis may develop