Background Dacrocystorhinostomy (DCR) is an operation used to treat nasolacrimal duct obstruction. Essentially there are two approaches: external and endoscopic. Several modalities in endoscopic DCR; all aiming improve success rate, reduce complications, shorten operative time. Both kerrison punch drill widely DCR with non-conclusive knowledge about differences details as well on the outcome. The aim of this study compare between powered (drill) non-powered (kerrison punch) clarify...

Abstract Background Head and neck oncologists are often confronted with the difficult challenge of balancing cancer cure preservation function when deciding patient's best treatment protocol. This task is especially in base tongue. The purpose this manuscript to describe beavertail modification radial forearm‐free flap tongue reconstruction. Methods Thirty‐one consecutive patients treated for primary surgery were followed prospectively. technique described. Swallowing speech assessed...

Radioactive iodine 131 ((131)I) therapy has long been used in the treatment of differentiated thyroid cancers (DTC). While salivary and lacrimal glandular complications secondary to (131)I are well documented, there is little literature addressing nasolacrimal duct obstruction (NLDO). We aimed evaluate frequency therapy-acquired NLDO, its correlation doses, surgical outcome this rare side effect.From 2000-2012, a retrospective review 864 among 1,192 patients with confirmed DTC who were...

Background Assessing surgical competency in otolaryngology is challenging, and residency programs are now responsible for ensuring the of their graduates. Therefore, more objective assessment tools being incorporated into evaluation process. Objective structured technical skills (OSATSs) have been developed multiple procedures. These include tonsillectomy, endoscopic sinus surgery, thyroidectomy, mastoidectomy, direct laryngoscopy, rigid bronchoscopy. The purpose this study was to develop...

Salivary ductal carcinoma (SDC) of parotid gland is a rare and aggressive entity; accounting for 1-3 % all malignant salivary tumors, 0.2 epithelial neoplasms, 0.5 carcinomas, 1.1 carcinomas. Here in we aimed to evaluate the clinico-pathological features treatment outcomes SDC Saudi population.Among 38 patients with malignancies, who were treated two major tertiary care referral cancer centers between December 2007 2014, seven cases (18.4 %) found have SDC, which investigated...

Fibrous dysplasia (FD) and aneurysmal bone cyst (ABC) are uncommon benign intraosseous lesions. Simultaneous occurrence of both lesions is extremely rare. We present an example concomitant FD ABC in a 7 year-old with left eye blindness discharge one month duration. Physical examination revealed proptotic bulging the hard palate. CT MRI consistent that involved sphenoid ethmoidal bones bilaterally. Incomplete combined endonasalcranial resection was performed. The patient presented five months...

Identification and preservation of the marginal mandibular nerve (MMN) remains an important step in otolaryngology procedures. Current publications place MMN at least 1 cm below mandible. This study will evaluate accuracy method determining surgical location this branch facial vivo.MMN were examined 52 consecutive patients. Using a validated landmarking scheme, distances measured from inferior edge mandible lowest point nerve. A comparison 33 nerves pairs was undertaken. Effect patient's age...

Papillary Microcarcinoma (PMC) of thyroid is a rare type differentiated cancer (DTC), which according to the World Health Organization measures 1.0 cm or less. The gold standard treatment PMC still controversy. Our aim was contribute in resolving debate on therapeutic choices surgical and adjuvant I-131 (RAI) PMC.From 2000 2012, 326 patients were found have retrospectively reviewed for clinicopathological characteristics, outcomes prognostic factors.Mean age cohort 42.6 years (range: 18-76)...

BACKGROUND:Thyroglossal duct cysts are the most common congenital neck cysts. They typically present in childhood and early adulthood, average a size of 2–4 cm, but can also later adult life. CASE REPORT:We case 36-year-old female patient with very large midline mass, reaching mandible superiorly. Patient history physical examination, as well computed tomography scan her neck, confirmed diagnosis thyroglossal cyst. She underwent Sistrunk procedure for cyst excision, specimen was sent...

Thyroid malignancy, the most diagnosed cancer of endocrine system, represents 2% all malignancies worldwide. The increasing incidence thyroid has been linked to sensitivity modern diagnostic methods which overdiagnosis small tumors.Assess distribution and trends in among thyroidectomy patients.Descriptive, based on medical record review.Two tertiary care centers Riyadh.We included patients who underwent surgery from January 1, 2004 December 31, 2016 ranged age 9-90 years regardless initial...

Introduction: The aim of this study was to evaluate the treatment outcomes differentiated thyroid cancer in Saudi patients aged above 60 years. Materials and methods: Comparative analysis performed 252 46–60 years (Group A) 118 B), who had thyroidectomy, radioactive iodine-131, thyroid-stimulating hormone suppression therapy between July 2000 December 2012. Different clinicopathological features, treatment, complications, disease-free survival, overall survival rates were compared. Results:...

To evaluate the use of Hemostatic Fibrin Glue in parotidectomy without surgical drains.Prospective cohort study 10 patients undergoing parotidectomy. Surgery as a one day admission drains was planned. The complication and duration hospital stay were obtained.Parotidectomy undertaken by surgeon. Prior to wound closure, skin flap bed approximated using Tisseel tissue sealant. Data regarding incidence any obtained. Patients followed assess outcome document complications. mean follow-up period 8...

Fibular free flap (FFF) bone has thick cortical surrounding a fatty marrow. The cortex sufficient density for dental implantation, but the marrow limits stock. A novel technique was devised to increase density: bone-impacted fibular (BIFFF). purpose of this study to: (1) describe BIFFF technique; (2) evaluate BIFFF; and (3) stability/success implants placed in BIFFFs.Patients undergoing maxillary/mandibular reconstruction with FFFs were prospectively enrolled from 1998 2008. Two cohorts...

Skull base metastasis from differentiated thyroid carcinoma, including papillary and follicular is a rare manifestation. Herein, we present three cases of skull carcinoma. The mean age the patients was 68.6 (65-74) years, interval between initial diagnosis 56.3 (28-89) months. Cranial nerve palsies were seen in all patients. Intensity modulated radiation therapy to deliver 6,000-6,600 cGy given patients, addition partial resection one patient. At time last follow-up, metastases well controlled.

Increased body mass index is known to be associated with the high prevalence of differentiated thyroid cancers; however data on its impact survival outcome after thyroidectomy and adjuvant therapy scanty.We aimed evaluate overall disease free rates in patients cancers.Between 2000 2011, 209 cancers (papillary, follicular, hurthle cell) were treated followed by radioactive iodine-131 thyroid-stimulating hormone suppression. Based index, divided into five groups; (a) <18.5kg/m2 (underweight);...

Age is an important prognostic factor in differentiated thyroid cancer (DTC). Our aim was to evaluate differences clinicopathological features and treatment outcomes among children adult patients with DTC.We studied 27 (below 18 years) DTC treated during the period 2000-2012 were compared (a) 78 adults aged 19-25 years (b) 52 26-30 same terms of their long term outcomes. Locoregional recurrence (LRR), locoregional control (LRC), distant metastasis (DM), (DMC), disease free survival (DFS)...

To compare the analgesic efficacy of hydrogen peroxide (H2O2) mouth rinse with control for post-tonsillectomy pain management.Double-blinded, prospective, randomized, controlled clinical trial.Thirty-seven patients from 5 to 14 years old undergoing electrocautery tonsillectomy were randomized either H2O2 or water (control) group. For days, recorded levels twice daily using a visual analogue scale. Analgesic uses, as well any complications, also noted by patients.Thirty-seven completed study,...

Both chemical and physical stimuli can influence the fate of precursor cell populations. Therefore, impact they have on promoting unwanted differentiation events must be understood to improve yield purity therapeutic cells for regenerative medicine approaches. Capillary shear forces, similar those encountered during processing, upon production As stress promote osteogenic in adhered bone marrow-derived stromal cells, we sought determine whether same is true populations muscle-derived (MDPCs)...