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Clinical retrospective analysis of 15 cases of choanal atresia-Our experience

World Journal of Otorhinolaryngology-Head and Neck Surgery 2019年第4期5卷 188-192页

作者： segana hasan abdul cader Fahim Ahmed Shah Nair Reghunandanan Department of ENT Sur HospitalSouth Sharqiya RegionSurSultanate of Oman

Objective: Choanal atresia is a rare congenital disorder due to failed recanalization of the nasal fossae during fetal *** article focuses on our experience in dealing with choanal atresia and its *** we discuss the varied clinical symptoms that the patients presented with,the clinical tests and investigations that were specific in diagnosing this condition and surgical management of these cases with endoscopic transnasal choanaplasty with stenting and follow up topical Mitomycin C *** and methods: This is a retrospective study based on computerized medical record review of the patients born in Department of ENT of Sur Hospital between 2002 and *** patients were assessed with detailed history,presentation of clinical symptoms and all underwent nasal endoscopy and CT scans for assessing the atretic *** patients underwent transnasal endoscopic choanaplasty under general anesthesia using microdebrider and stented using endotracheal *** patients were regularly followed up for review with nasal endoscopy after discharge between 4th and 7th postoperative *** parents were educated on nursing care and the stent was removed in 4 weeks,all patients had Mitomycin C applied to the neochoana and were on regular follow up for a year with no ***: Fifteen patient records were analyzed,10 females and 5 males,ages varying from newboms up to 14 years *** to bilateral choanal atresia was 4:1 ratio and female-male showed 2:1 *** malformation was predominant in both sexes in unilateral *** imperforation (bone-membranous) was the most frequently observed type,followed by bone *** commonest symptom during diagnosis was rhinorrhea and the least one was respiratory *** of cases were diagnosed by CT scans of *** 10% patients presented with cardiac *** had restenosis in one year follow ***: Neonates with acute respiratory insuff

关键词： Choanal atresia Congenital Stent

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Clinico-pathological profile and comparative study of conservative versus surgical deroofing as an effective technique in management of pseudocyst of pinna

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2018年第4期4卷 234-239页

作者： segana hasan abdul cader Fahim Ahmed Shah S.K.G.Reghunandanan Nair Department of ENT Sur HospitalSouth Sharqiya Region.SurOman

Background and objectives:An auricular pseudocyst is not uncommon in routine ENT clinical practice,it occurs when fluid accumulates between the intracartilaginous spaces of the *** treatment modalities have been proposed such as incision and drainage of the cyst,simple needle aspiration,tight bandaging with dental rolls,however recurrence and cosmetic problems are still noted in some *** aim of this article was to discuss our experience of surgical treatment of intractable auricular pseudocysts with marsupialisation,deroofing and anterior cartilage leaflet removal along with compression suture *** and methods:Twenty patients were included in the study conducted at ENT department,Sur Ministry of Health Hospital between January 2012 and January 2014 after prior consent and ethical *** following trauma and other pinna conditions like relapsing polychondritis were excluded from our *** clinical appearances were noted and all patients underwent surgical deroofing with removal of anterior cartilage leaflet and compression suture therapy using buttons for two *** and observations:There were 8 males and 12 females out of the 20 and right sided pinna(n Z 14)involvement in the region of the scaphoid fossa(n Z 12)was more than the triangular fossa(n Z 3)or conchal bowl involvement(n Z 5).Mostly patients between 30 and 40 years of age were affected(Mean age of 37 years and standard deviation of 8).The overall success rate with deroofing and compression suture therapy was 98%.Conclusions:Auricular pseudocysts are not an uncommon condition affecting middle aged patients without identifiable *** modalities may be the first choice of treatment for auricular pseudocysts although varied recurrence and failure rates have been published in the ***,the deroofing surgical technique with anterior cartilage leaflet removal with compression suture therapy is a reliable and easy procedure which can achie

关键词： Pinna Pseudocyst Surgical deroofing Perichondritis

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Tracheostomy colonisation and microbiological isolates of patients in intensive care units-a retrospective study

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2020年第1期6卷 49-52页

作者： segana hasan abdul cader Fahim Ahmed Shah S.K.G.Reghunandanan Nair Department of ENT Sur HospitalSouth Sharqiya RegionSurSultanate of Oman

Objective: To find out the type of bacteria colonising the tracheostomy tube and to determine the antibiotic sensitivity pattern and resistance in patients who have had tracheostomy in intensive care unit (ICU) set up and to initiate proper empirical treatment in such patients. Methods: The study was a retrospective review of patients who underwent tracheostomy at Ministry of Health, Sur Hospital, Oman January 2005 and December 2015. The Hospital has 4 bedded pediatric intensive care unit (PICU) and 10 bedded adult ICU which is headed by consultant anaesthetists, consultant physicians, ICU trained nurses and respiratory therapists. All patients who required mechanical ventilation and were therefore subject to an orotracheal intubation and those who underwent a conventional tracheostomy were considered for inclusion. Patients who had been intubated in other hospitals or ICUs, other airways infection issues were excluded from this study. Data’s were collected from computer based hospital management system, operation theatre and registers in Medical records department and entered in a preformed questionnaire before thorough analysis. The specimens for swab was obtained from the cut tracheostomy tube tips and the samples were sent to microbiology laboratory for isolation of the organism and obtain an antibiogram to know the susceptibility and resistance to antibiotics. Data were analyzed by Statistical Package for Social Sciences (SPSS, version 16, Chicago, Inc) and the values are reported as number (%). The commonest isolated organism wasPseudomonas followed byAcinetobacter. Results: During the ten year retrospective study, there were 108 patients included in our study with 56 males and 51 females. Fourteen different microorganisms were isolated during our study which includedPseudomonas aeruginosa (n= 39),Acinetobacter baumanii (n= 28),Klebsiella (n= 10) and coagulase negative staphylococcus (n= 6). The most commonest organisms in both genders wasPseudomonas aeruginos

关键词： Tracheostomy Intubation Antibiogram Antibiotics

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