In the past, cochlear implantation was a contraindicated procedure in profoundly deaf patients with radical mastoid cavities. This was due to high risk of infection spread into the cochlea with possible destruction of the remainder surviving cochlear neural elements. We report on King Abdulaziz University Hospital, Riyadh, Saudi Arabia experience in managing, two postlingual profoundly deaf patients (both male and adult) with radical mastoid cavities due to chronic cholesteatomatous otitis media by cochlear implantation. Two different open techniques were used, cochlear implantation with (in the first patient) and without (in the second patient) obliteration of the pre-existing mastoid cavity. One patient (first) suffered infection of mastoid cavity with extrusion of electrode, 55 months post-implantation. The infection could not be controlled without explantation, so the patient was explanted. The other (second) patient suffered facial nerve twitching, ear discharge and later failure of the implant as proved by integrity testing, 22 months post-implantation. The infection subsided after explantation. We recommend regular clinical and audiological follow-up of such patients in the same cochlear implantation center to avoid any complications which may lead to implant failure or electrode extrusion. This is also useful to discover and treat early any potential recurrent infection or cholesteatoma. High-resolution computed tomography scan of temporal bone is a good tool in the follow-up of patient with post-implantation complications or those implanted with closed blind sac technique which may be a better alternative technique than the open technique.

Purpose: To record language and auditory skills development before and after cochlear implantation (CI) in children with auditory neuropathy (AN), and to determine the outcome after cochlear implant in patients with AN in comparison to patients with sensorineural hearing loss (SNHL). Material and Methods: Cases Included in this study were divided into two groups. Group I: includes, 13 children diagnosed with AN, 7 of them were subjected to CI. Group II: included 14 cases of SNHL, of them 10 patients were subjected to cochlear implant. For all cases language therapy was given regularly for 6 months pre-operatively and 6 months post-operatively. Auditory Skills Checklist (ASC) and The Arabic language test (receptive, expressive and total language Quotients) were used to monitor the progress concerning auditory skills and language development. Results: There was significant improvement in SNHL group and AN group after cochlear implantation regarding auditory skills (AS) and language development and almost the same outcome was obtained in both groups. Conclusions: Cases with AN improved markedly after cochlear implantation and no differences were noticed in outcome between SNHL & AN groups.

Introduction: Cervical lymphadenopathy is a common presentation with diverse etiologies. Lymphoma with all its subtypes is considered to be one of the common pathologies that cause lymphadenopathy especially in the neck.Lymphoma is one of the commonest malignancies all over the globe., and is considered as one of the second commonest malignancy in Saudi Arabia. Aim: To report the incidence of lymphoma in cervical lymphadenopathy at a single institution (King Abdulaziz University Hospital, Jeddah) over a 6 years period (2006 – 2011). Design: A retrospective study was conducted. Approval from the ethic committee for research was obtained. Due to the diversity of different software for the data base, all the following nomenclatures were considered potential cases: cervical lymph node biopsy, lymphadenopathy, lymph node biopsy, neck node biopsy, neck dissection, true cut neck biopsy and lymphadenectomy. Results: There were 271 cases of cervical lymph node biopsies, 86 of which were diagnosed as lymphoma. Conclusion: This incidence showed that lymphoma should be on top of the differential diagnosis list for both genders and cross all age groups.

Lipomas are benign tumors that are considered the most common subcutaneous tumor. It is a tumor of mature fatty cells that can be classified according to its morphology, location and other features. It can affect all age groups. Areas of the head and neck are commonly involved with lipomas. Children are rarely involved and the involvement of parotid gland in children is extremely rare. Here we report a case of a simple lipoma in the deep lobe of the parotid gland in a two-year-old boy. It was managed by total parotidectomy. Follow up for one year shows no recurrence.

We present a case of lipoma arising in the middle ear of 6 years old girl with down syndrome with severe speech and language difficulties. A CT Scan and MRI of temporal bone revealed abnormal soft tissue mass in the left tympanic cavity and malformation of right inner ear. Left middle ear exploration, revealed an encapsulated lump of fatty tissue filling the anterior middle ear space confirmed by histologic studies as lipoma