Bipolar electrofulguration with endoscopic approach in allergic hypertrophied turbinate

Background: Allergic hypertrophied turbinate, is managed by different treatment modalities, with variable outcome

Objective: To evaluate the result of bipolar electrofulguration with endoscopic approach in allergic hypertrophied turbinate

Patients and Methods: Study design: Descriptive, cross sectional study. Place: ENT department of Jaber AL - Ahmed Forces Hospital, Kuwait from 1[st] January 2008 to 31[st] December 2010. Fifty five cases of hypertrophy of Inferior turbinate were selected. Forty patients were females and 15 were males. They presented mainly with history of nasal blockage. Endoscopic bipolar diathermy was used to decrease the size of inferior turbinate. The variables included were nasal obstruction, post nasal drip, itching and sneezing. The patient were followed up on one, three and 6 month. The data was entered and analyzed by SPSS version 12

Results: Endoscopic bipolar diathermy showed good results after follow upto two six months duration. We found that 89% of the patients reported subjective improvement and 65% of the patients have objective improvement as well

Conclusion: Bipolar diathermy of inferior turbinate using zero degree endoscope is a good technique for excellent view of inferior turbinate. This procedure gives good results to the patients

Regurgitated presentation of extranasopharyngeal angiofibroma in emergency

OBJECTIVE: To add more knowledge about extra-nasopharyngeal angiofibroma presentation

STUDY DESIGN: Case Report

SETTING: ENT Department of Jaber AL Ahmed Armed Forces Hospital, Kuwait

PATIENT AND METHODS: An old man of 65 years presented in emergency department with regurgitated angiofibroma of right vallecular region. It was excised from its site of origin with no complications

RESULTS: Excision was complete and follow up showed no recurrence

CONCLUSION: Extra-nasopharyngeal angiofibroma is a very rare entity. Complete excision will result in no complication and recurrence

Permeatal approach for tympanoplasty: scar-less approach of external auditory canal integrity

OBJECTIVE: The objective of this study is to assess the outcome of permeatal approach of tympanoplasty

STUDY DESIGN: Descriptive Retrospective

SETTING: ENT Department of Jaber Al- Ahmed Forces Hospital, Kuwait

DURATION: From January 2010 to December 2012

PATIENTS AND METHODS: 50 cases of ear drum perforation of various sizes were included in this study. Ranging between the age of 21 years to 50 years including 21 females and 29 males .In all these cases permeatal approach used to graft the perforated tympanic membranes

RESULTS: Among 50 cases graft taken without any complication in 46 cases, 2 cases had residual perforation which healed spontaneously over period of time; in 2 cases revision tympanoplasty was done

CONCLUSION: Permeatal approach is safe and effective method of treating perforated tympanic membrane

Direct visual lateral osteotomies in open septorhinoplasty technique

Septorhinoplasty is done through closed [internal] and open [external] techniques. Lateral osteotomies are usually performed through percutaneous or intranasal intercartilagenous approaches. Prospective quasi-experimental study. This study was conducted at ENT department Jabbar Al Ahmad Armed Forces Hospital, Kuwait during Feb. 2005 to Feb. 2007. In this series we have performed lateral osteotomies in open technique of rhinoplasty under direct vision. This procedure gave satisfactory results after surgery. In cases where surgeon is adapting open technique for the correction of nasal deformity, this procedure of osteotomies under direct vision will give more confidence to surgeon due to its precise and continuous breaking of the bone