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  Access statistics : Table of Contents
   2016| July-December  | Volume 18 | Issue 2  
    Online since January 6, 2020

 
 
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ORIGINAL ARTICLES
Common Allergens noticed in patients with allergic rhinitis and asthma at a tertiary care centre in Western Saudi Arabia
AJ Aburiziza, O Marglani, SA Raza, MJ Gazzaz, I Herzallah, D Rednah
July-December 2016, 18(2):37-41
DOI:10.4103/1319-8491.275261  
Introduction and Objectives: Skin testing has been performed over decades to diagnose allergic disorders in clinical practice. Its safety has been well established. Skin prick test (SPT) is usually done by placing and testing for multiple allergen extracts on the skin preferably forearm. SPT was done to know IgE sensitization in patients with Allergic rhinitis and Asthma, attending allergy clinic during a one-year period. Design and Setting: A retrospective chart review was done and an Institutional Review Board approval was obtained. Patients and Methods: In this study skin prick test was performed using 24 allergen extracts on one hundred and twelve patients (112) with Allergic Rhinitis and Asthma at a tertiary care centre, Mecca Saudi Arabia between June 2012-July 2013. Results: Eighty two (73.2%) patients had a positive skin prick test. Dust mite Dermatophagoides Pteronyssinus (DP), Dermatophagoides Farinae (DF) were the most common allergens and Mimosa was the least. Conclusion: The Skin prick test is cost effective, most convenient and easy to perform test in diagnosing IgE mediated allergy.
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Psychometric properties of the arabic Tinetti Assessment Battery of gait and balance (TAB)
Murad O Al-Momani
July-December 2016, 18(2):42-48
DOI:10.4103/1319-8491.275262  
Objective: To investigate the accuracy of translating and adapting the Tinetti Assessment Battery for gait and balance (TAB) from English into Arabic and to assess the psychometric properties of the Arabic version. Method: A forward-backward translation process was used to translate the measure. Two hundred and twenty-one nursing home residents participated in this study. Participants were assessed using the translated Arabic and the original English versions of the TAB. Results: Cronbach alpha for the Arabic version (n = 221) of the TAB was 0.97. Test-retest reliability of the Arabic version (n = 25) ranged from 0.75-1.00 (0.94). The percent agreement for each of the Arabic and English items (n = 25), using Kappa statistics, ranged from 0.75 to 1.0 (total 0.89). Construct validity of the Arabic version (n=221) was tested using factor analysis. Two factors were rotated using a Varimax rotation procedure. The factors’ classification and the items’ distribution related to these factors were very similar to the English version of the TAB. Only 2 items of the 17 items had different distribution than the original version. Conclusions: The Arabic version of the TAB has very good psychometric properties and can be utilized with confidence with Arabic population.
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The use of OSATS like tools for the comprehensive assessment of technical skills for otolaryngology procedures
Osama Marglani
July-December 2016, 18(2):49-52
DOI:10.4103/1319-8491.275263  
Introduction: It has always been difficult to objectively evaluate the competency of otolaryngology surgical residents. Recently introduced objective structured evaluation of technical skills (OSAT) is increasingly being used for assessment of operative skills. Not much data is available to demonstrate its efficacy in otolaryngology residents. The aim of this study was to review the available literature published on OSATS as a tool for objective evaluation of otolaryngology residents to provide a comprehensive overview of these tools to be utilized by both surgical educators and residents in the field, and to point out the various deficiencies in order to develop and validate tools in certain fields of the otolaryngology procedures for future research. Material and Methods: In order to confirm the validity of OSAT as reliable evaluation tool, We have reviewed the ten recently published studies in the literature using OSAT as a tool for evaluation of various otolaryngological procedures. We identified three intended uses for the OSATS, namely surgical skill evaluation, progress and divide them into procedure specific and global rating of a particular surgical field and program evaluation. Results: All these studies demonstrate OSAT can be instrumental in evaluating otolaryngology curriculum, in addition to assessing the level of competence in residents. These studies further demonstrate improving OSAT score in residences as they progress in their surgical residencies, confirming the reliability of this tool we also found a lack of some procedure specific tools that can be helpful and is imperative to develop and validate in the future. Conclusion: Assessment of surgical skills using OSAT program has the potential to be used as a reliable tool for allowing adequate monitoring of resident’s progress and should be implemented as part of resident evaluation in otolaryngology program. Although many tools have been developed, still further refinements of the available tools and development of more procedure specific tools are necessary.
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Sialoendoscopy: A retrospective review of our outcomes
Hesham Yousif Ali, Shilpa Prabhu, Muneera Alkhalifa
July-December 2016, 18(2):53-57
DOI:10.4103/1319-8491.275264  
Sialopathologies are among the most interesting cases an otorhinolaryngologist frequently deals with. Sialendoscopy is an image-guided minimally invasive technology utilizing miniature endoscopes and variety of instruments suited to deal with salivary gland pathologies in incision less manner. It can be applied in diagnostic and interventional manner. In our current study we aim to review the different type of pathologies encountered in our practice and the overall outcome for the different sialendoscopic interventional modalities utilized. Setting: Retrospective observational study. Materials and Methods: All the traceable medical records of patients who underwent sialendoscopy between March 2008 and October 2015 were reviewed and data were analyzed in respect to demographic nature of cases, salivary glands affected, type of pathologies encountered, treatment modalities used and operative details. Results: Thirty-four glands in 33 patients who underwent sialoendoscopy were reviewed with 1.7:1 female to male ratio, mean age was found to be 43 years (7-81 years). Average stone size 5.7mm. In our series, diagnostic and therapeutic outcomes were quite satisfactory with success rates of 97% and 82.3% respectively. Laser sialo- lithotripsy was used successfully in 5 cases (14.7%) while combined approach was successfully utilized in 9 cases (26.5%). Minor complications encountered in 15% of cases included basket impaction in 2 cases (5.9%) and postoperative infection in 3 cases (8.8%). Single case of major complication airway obstruction (2.9%) encountered early in adopting the technology. All complications were managed successful with no long lasting morbidity. Conclusion: Sialoendoscopy is an effective and safe minimal invasive technique than can be utilized for diagnostic and therapeutic purposes.
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CLINICAL CASES
Nasolabial cyst: A case report
Al Abdullah Al Musleh, Ali Alshahrani
July-December 2016, 18(2):65-67
DOI:10.4103/1319-8491.275266  
Nasolabial cyst is a rare non-odontogenic, soft- tissue cyst arising in the maxillofacial tissues. The patient usually presents with a slowly enlarging asymptomatic swelling, alar nose elevation, and upper lip projection. We report a nasolabial cyst in a 56 -year-old man and discuss the diagnosis, differential diagnosis, and treatment in the light of the literature.
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ORIGINAL ARTICLES
The added value of endoscopic dacrocystorhinostomy performed by the otolaryngologist: A tertiary care experience
Osama A Marglani
July-December 2016, 18(2):58-61
DOI:10.4103/1319-8491.275265  
Introduction: Dacryocystorhinostomy (DCR) is the preferred treatment for lacrimal duct blockage. Endoscopic DCR has been practiced increasingly in recent years as it avoids a facial scar and can be performed as a day procedure. Recent improvements in endonasal surgical technique led to success rates of up to 90 per cent. However, the endonasal approach often requires concomitant procedures along with DCR for optimal outcome. This includes procedures like septoplasty, turbinoplasty etc. Aims and Objective: The aim was to assess the added value of endoscopic DCR performed by otolarygologist surgeons in terms of simultaneous intranasal procedures for optimal outcome which cannot be performed by oculoplastic surgeons. Design of Study: Retrospective tertiary care study. Materials and Methods: we retrospectively studied the demographic, clinical, and surgical data of 87 endoscopic DCR cases performed over the last 3 years. Complication rates in the patients who had simultaneous procedures were documented. Results: The rates of simultaneous nasal procedures (septoplasty, turbinectomy, and polypectomy) were 21.8%. No complications were noted. Conclusions: A significant proportion of patients undergoing endoscopic DCR may req uire ancillary endonasal procedures that is performed by the otolaryngologist at the same operative setting with minimal complications for optimal outcome and to decrease the recurrences
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ABSTRACTS
Abstracts from the 6th emirates rhinology & otology congress Dubai, 2016

July-December 2016, 18(2):68-100
DOI:10.4103/1319-8491.275267  
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