Subject(s)
Postoperative Complications , Refraction, Ocular/physiology , Retinal Detachment/surgery , Vitrectomy/adverse effects , Astigmatism/etiology , Humans , Myopia/etiology , Postoperative Complications/etiology , Retinal Detachment/rehabilitation , Retrospective Studies , Visual Acuity/physiology , Vitrectomy/rehabilitationABSTRACT
Disease-specific quality of life (QOL) measures have enhanced the capacity of outcome measures to evaluate subtle changes and differences between groups. As many of the QOL measures have been developed in English, they require translation to ensure their usefulness in a multi-cultural and/or international society. Published guidelines provide formal methods to achieve cross-culturally comparable versions of a QOL tool. The aim of this study was to adapt the head and neck specific module of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-H&N 35 questionnaire) into Moroccan Arabic and to determine its psychometric properties. After translation, back translation and pretesting of the pre-final version, the translated version was submitted to a committee of professionals composed by otolaryngologists and epidemiologists. The psychometric properties were tested in patients with ENT cancer. Internal consistency was tested using Cronbach's alpha and the test-retest reliability using interclass correlation coefficients. Construct validity was assessed by examining item convergent and divergent validity. It was also tested using Spearman's correlation between QLQ-H&N 35 scales and EQ-5D. The study was conducted in 120 patients. The Moroccan version was internally reliable, Cronbach's α ranged from 0.71 for "trouble with social contact" to 0.94 for "senses impairment", indicating good internal consistency. Test-retest reliability was assessed using the intra-class correlation coefficient, which ranged from 0.64 for "speech trouble" to 0.89 for "physical activities". The instrument demonstrated a good construct and concomitant validity. We have developed a semantically equivalent translation with cultural adaptation of EORTC QLQ-H&N 35 questionnaire. The assessment of its measurement properties showed that it is quite reliable and a valid measure of the effect of cancer on the quality of life in Moroccan patients.
Subject(s)
Arabs , Head and Neck Neoplasms/ethnology , Head and Neck Neoplasms/psychology , Quality of Life , Adult , Aged , Cross-Cultural Comparison , Female , Humans , Male , Middle Aged , Morocco , Psychometrics , Reproducibility of Results , Surveys and Questionnaires , TranslationsABSTRACT
Middle turbinate primary mucocele in a child masquerading as a nasal tumour. INTRODUCTION: Nasal obstruction in children is a very common complaint in daily ENT consultations. The common cold, rhinosinusitis, allergic rhinitis, hypertrophy and inflammation of the adenoid pad are very common causes of nasal obstruction, but there are numerous other causes for which the clinician must be aware. METHODOLOGY: The authors report a very unusual case of a primary mucocele of the middle turbinate of a 7-year-old girl masquerading as a nasal tumour. RESULTS: The mucocele was successfully marsupialized surgically using an endonasal endoscopic approach. The authors report the case, imaging, and review the pertinent literature. CONCLUSION: Clinicians must be aware of less common aetiologies of nasal obstruction in order to orientate the diagnostic work-up and to propose adequate management.
Subject(s)
Bone Diseases/diagnosis , Mucocele/diagnosis , Nose Neoplasms/diagnosis , Turbinates , Child , Diagnosis, Differential , Female , HumansABSTRACT
Solitary extramedullary plasmacytoma of the thyroid gland is an uncommon condition. Up to date, its clinical pathological features are not fully understood. We present a case of an extramedullary nonmucosal plasmacytoma of the thyroid gland which is the first case with regional metastatic lymph nodes. This condition requires a scrupulous survey to rule out a metastatic multiple myeloma. Although localized forms management is still controversial, authors require combined approach for regional metastatic forms. The prognosis is favorable compared to solitary bone plasmacytomas or multiple myeloma.
