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Article
Incidence of Post-Tonsillectomy Bleeding in Al Hilla General Teaching Hospital

Authors: Safaa Sahib Naji --- Harith Fathi Hameed --- Lateef Hussain Alwan
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 4 Pages: 791 -800
Publisher: Babylon University جامعة بابل

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Abstract

This is a prospective study of 606 tonsillectomies patients, which were performed in the theatre of ENT department of Al-Hilla General Teaching Hospital, in the period between July 2012 to July 2014 , to estimate the age– specific incidences of post-tonsillectomy bleedings.We collected a number of patients less than 15 years old (1-14) (pediatric group) and another number of 15 years and more patients (adult group) who did tonsillectomyOur study demonstrates: the incidence of post tonsillectomy bleedings ,bleeding rates according to time, age, sex, and indications and fatality.We found he following : *post – tonsillectomy bleeding occurred more often in adult group than in pediatric group (3.8% vs. 1.5%) . *reactionary bleeding (24hours postoperatively) was more common in adult than pediatric group (81.8% vs. 60%). *post – tonsillectomy reactionary bleedings more common in males than females (2-1) while secondary is equal (1-1).post – tonsillectomy bleedings are more common in patients who have a history of chronic and recurrent infections . *fatality nil.

Keywords

ENT --- Ear --- Nose --- Throat --- Post-Tonsillectomy.


Article
Incidence of Recurrent Nasal Polyposis After Endoscopic Polypectomy

Authors: Harith Fathi Hameed --- Lateef Hussien Alwan --- Safaa Sahib Naji
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 4 Pages: 801 -809
Publisher: Babylon University جامعة بابل

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Abstract

This a prospective study done to provide reference information about the incidence of recurrent nasal polyposis and associated risk factors among 30 patients operated on by means of Endoscopic Sinus Surgery between Jan. 2012 –Jan 2014. These patients presented in otorhinolaryngology dept. in Hilla General Teaching Hospital presented with symptoms and signs of sinonasal polyposis not responding to medical treatment, the diagnosis confirmed by history taken, clinical examination which involved: anterior and posterior rhinoscopy, flexible and rigid nasoendoscopy, with radiological examinations as plain X-ray films and CT- scan of nose &paranasal sinuses (mainly coronal view) taken to all patients to see middle meatal complex. Then the patients underwent polypectomy by means of Endoscopic Sinus Surgery, after that follow-up done during mean period of 12 months (range 3 months – 24 months) included: regular flexible & rigid nasoendoscopy. In our study we estimated the incidence of recurrent nasal polyposis after Endoscopic Sinus Surgery which was 30% and highlighted the risk factors affected this incidence as: age (mostly affected patients at 4th& 5th decade 66.67%), gender (males more than females 3.5:1), presence of some conditions (allergic rhinitis in 33.33%,allergic fungal sinusitis in 22.22%,childhood asthma in 22.22%, eczema in 11.11%, aspirin intolerance in 11.11%, and Samter's triad in 11.11%), previous nasal surgery(simple polypectomy) in 44.44%, and polyp extension as extensive polyposis in 77.78% .


Article
Prevalence of Normal Anatomical Variations in the Region of Paranasal Sinuses in Patients with Chronic Rhinosinusitis

Author: Hasanein Hamid Hadi, Hasanein Ahmed Al‑Bayati, Safaa Sahib Naji Al‑Gazali1
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2018 Volume: 15 Issue: 3 Pages: 243-250
Publisher: Babylon University جامعة بابل

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Abstract

Background: Knowledge of the anatomical relationships and the anatomical variations in paranasal sinus region is critical for surgeonsperforming endoscopic sinus surgery. It helps surgeons to avoid the potential complications of sinus surgery and to improve success ofmanagement strategies. Objective: The objective of this study was to show how prevalent are the anatomic variations in the region of theparanasal sinuses and nasal cavity in patients with chronic rhinosinusitis. Materials and Methods: A cross‑sectional study was conducted fromJanuary 2018 to July 2018 at Al‑Hilla general teaching hospital. We collected data of 75 patients (who have met the clinical criteria of chronicrhinosinusitis) subjected to computed tomography (CT) of the paranasal sinuses. CT was performed using SIEMENS SOMATOM DefinitionAS and Philips machines. Direct coronal scans (1 mm in thickness) were made, from the anterior wall of the frontal sinus to the posterior wallof the sphenoid sinus with axial and sagittal reconstruction images. Results: Anatomical variations found in 69 patients of a total 75 patientswith age range from 18 to 60 years with 92%. Among these, nasal septal deviation was the most common (seen in 54/75 patients = 72%)followed by the Agger nasi cells in 52 patients (69%), concha bullosa in 31 patients (41.3%), Haller cells in 28 patients (37%), and Onodi cellsin 18 patients (24%). Conclusion: Sinonasal anatomical variations are common findings in patients with chronic rhinosinusitis. Providinginformation on these anatomical variations will improve the success of endoscopic sinus surgery.

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