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  1. Article: Acute Upper Airway Obstruction Due to Massive Cervical Subcutaneous Emphysema: A Case Report.

    Hammoud, Rani / Emam, Fatima / Mohamed, Suzan / Abdulkarim, Hassanin

    Cureus

    2023  Volume 15, Issue 1, Page(s) e34420

    Abstract: With upper airway obstruction being an emergency, a high index of suspicion and proper and timely treatment planning are crucial to the patient's life. Spontaneous esophageal perforation, also known as Boerhaave syndrome, has been observed to cause ... ...

    Abstract With upper airway obstruction being an emergency, a high index of suspicion and proper and timely treatment planning are crucial to the patient's life. Spontaneous esophageal perforation, also known as Boerhaave syndrome, has been observed to cause subcutaneous emphysema; however, airway compromise secondary to subcutaneous emphysema is extremely rare when there is no associated broncho-tracheal injury. Here, we present a case of esophageal perforation complicated with cervical emphysema that led to acute airway obstruction requiring invasive ventilation.
    Language English
    Publishing date 2023-01-30
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.34420
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Preoperative Predictors in Chronic Suppurative Otitis Media for Ossicular Chain Discontinuity: A Cross-Sectional Study.

    Sheikh, Rashid / Haidar, Hassan / Abdulkarim, Hassanin / Aslam, Waqar / Larem, Aisha / Alsaadi, Ali / Alqahtani, Abdulsalam

    Audiology & neuro-otology

    2016  Volume 21, Issue 4, Page(s) 231–236

    Abstract: Objective: Ossicular discontinuity may result from chronic suppurative otitis media and is usually detected intraoperatively. Our objective is to determine whether a preoperative audiogram can preoperatively predict the presence or absence of ossicular ... ...

    Abstract Objective: Ossicular discontinuity may result from chronic suppurative otitis media and is usually detected intraoperatively. Our objective is to determine whether a preoperative audiogram can preoperatively predict the presence or absence of ossicular discontinuity.
    Methods: A cross-sectional study was prospectively run on our patients, aged 12-75 years, ultimately operated on for chronic suppurative otitis media. Preoperative audiograms were analyzed to measure frequency-specific air-bone gap (ABG) cutoff values. Intraoperatively, ossicular chain integrity was carefully checked. Logistic regression analysis was done to obtain a predictive model.
    Results: A total of 270 patients (306 ears) were included. Frequency-specific ABG cutoff values can predict ossicular discontinuity, namely: high ABGs at 1,000 Hz (>27.5 dB) and 2,000 Hz (>17.5 dB) are the most reliable variables associated with ossicular discontinuity.
    Conclusion: Preoperative audiograms can predict the presence of ossicular discontinuity in chronic suppurative otitis media. Large ABGs at both 1,000 and 2,000 Hz can predict ossicular discontinuity with a great degree of certainty.
    MeSH term(s) Adult ; Audiometry, Pure-Tone ; Bone Conduction ; Chronic Disease ; Cross-Sectional Studies ; Ear Ossicles/physiopathology ; Ear, Middle ; Female ; Hearing Loss, Conductive/physiopathology ; Humans ; Logistic Models ; Male ; Middle Aged ; Otitis Media, Suppurative/physiopathology ; Otitis Media, Suppurative/surgery ; Preoperative Period ; Prognosis ; Tympanic Membrane Perforation/physiopathology ; Tympanic Membrane Perforation/surgery ; Tympanoplasty ; Young Adult
    Language English
    Publishing date 2016-08-05
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 1314086-3
    ISSN 1421-9700 ; 1420-3030
    ISSN (online) 1421-9700
    ISSN 1420-3030
    DOI 10.1159/000447045
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The benefit of trans-attic endoscopic control of ossicular prosthesis after cholesteatoma surgery.

    Haidar, Hassan / Abu Rajab Altamimi, Zaid / Larem, Aisha / Aslam, Waqar / Elsaadi, Ali / Abdulkarim, Hassanin / Al Duhirat, Emad / Mahmood, Ashraf Nabeel / Alqahtani, Abdulsalam

    The Laryngoscope

    2019  Volume 129, Issue 12, Page(s) 2754–2759

    Abstract: Objective: To show the efficiency of using transmastoid atticotomy (TMA) endoscopy on the outcome of ossiculoplasty in patients with cholesteatoma. TMA is often performed as part of the surgical management of patients with middle ear cholesteatoma ... ...

    Abstract Objective: To show the efficiency of using transmastoid atticotomy (TMA) endoscopy on the outcome of ossiculoplasty in patients with cholesteatoma. TMA is often performed as part of the surgical management of patients with middle ear cholesteatoma extending to the epitympanum. TMA can also be used as an access for endoscopic view to confirm the right alignment and stability of the ossicular prosthesis because the reconstruction of the tympanic membrane will obscure the visualization of the prosthesis.
    Methods: A retrospective study was done at a tertiary referral institute, including 133 ears with cholesteatoma that underwent canal wall-up tympanomastoidectomy (CWU) with ossicular reconstruction using titanium prosthesis between August 2013 and August 2015. Post packing of the ear canal and position, stability, and axis of the prosthesis were checked using endoscope positioned in the attic through TMA. A postoperative pure-tone average air-bone gap (ABG) of 20 dB or less was considered as a successful hearing result. Results are compared with historical control groups.
    Results: Of the 133 ears, 88 patients underwent reconstruction with partial ossicular replacement prosthesis (PORP), whereas the rest (45 patients) had total ossicular replacement prosthesis (TORP). A postoperative ABG ≤ 20 dB was obtained in 77.4% of all the patients (79.5% for PORP; 73.3% for TORP).
    Conclusion: Endoscopic assessment of the ossicular prosthesis via the attic, after repositioning of the tympanomeatal flap and packing the ear canal, decreases the risk of immediate ossiculoplasty failure and improves the functional outcome after ossicular chain reconstruction in cholesteatoma surgery.
    Level of evidence: 4 Laryngoscope, 129:2754-2759, 2019.
    MeSH term(s) Adolescent ; Adult ; Aged ; Child ; Cholesteatoma, Middle Ear/diagnosis ; Cholesteatoma, Middle Ear/physiopathology ; Cholesteatoma, Middle Ear/surgery ; Endoscopy/methods ; Female ; Follow-Up Studies ; Hearing/physiology ; Hearing Tests ; Humans ; Male ; Mastoid/diagnostic imaging ; Mastoid/surgery ; Middle Aged ; Ossicular Prosthesis ; Postoperative Period ; Retrospective Studies ; Surgical Flaps ; Treatment Outcome ; Tympanoplasty/methods ; Young Adult
    Language English
    Publishing date 2019-01-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80180-x
    ISSN 1531-4995 ; 0023-852X
    ISSN (online) 1531-4995
    ISSN 0023-852X
    DOI 10.1002/lary.27848
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Chemical Closure of Tympanic Membrane Perforation: Call for Caution.

    Aslam, Waqar / Abou Nukta, Lena / Haidar, Hassan / Alsaadi, Ali / Abdulkarim, Hassanin / Larem, Aisha / Alqahtani, Abdulsalam

    The journal of international advanced otology

    2016  Volume 12, Issue 2, Page(s) 210–212

    Abstract: Chemical closure of tympanic membrane perforation is a commonly practiced office-based otological procedure, which is labeled to be effective and safe. In this paper, we report a case of a young lady with disastrous complications following an attempt of ... ...

    Abstract Chemical closure of tympanic membrane perforation is a commonly practiced office-based otological procedure, which is labeled to be effective and safe. In this paper, we report a case of a young lady with disastrous complications following an attempt of chemical cauterization of her perforated tympanic membrane.
    MeSH term(s) Adult ; Anti-Infective Agents, Local/adverse effects ; Facial Paralysis/etiology ; Female ; Hearing Loss, Sensorineural/etiology ; Humans ; Silver Nitrate/adverse effects ; Tympanic Membrane Perforation/therapy ; Tympanoplasty/adverse effects ; Tympanoplasty/methods
    Chemical Substances Anti-Infective Agents, Local ; Silver Nitrate (95IT3W8JZE)
    Language English
    Publishing date 2016-08
    Publishing country Turkey
    Document type Case Reports ; Journal Article
    ISSN 1308-7649
    ISSN 1308-7649
    DOI 10.5152/iao.2015.1816
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Tympanoplasty in adhesive otitis media: A descriptive study.

    Larem, Aisha / Haidar, Hassan / Alsaadi, Ali / Abdulkarim, Hassanin / Abdulraheem, Maryam / Sheta, Sally / Ganesan, Shanmugam / Elhakeem, Amr / Alqahtani, Abdulsalam

    The Laryngoscope

    2016  Volume 126, Issue 12, Page(s) 2804–2810

    Abstract: Objectives/hypothesis: There is no consensus among clinicians regarding the best treatment strategy for adhesive otitis media (AdOM). It is common practice to only intervene in the presence of recurrent infections or significant conductive hearing loss. ...

    Abstract Objectives/hypothesis: There is no consensus among clinicians regarding the best treatment strategy for adhesive otitis media (AdOM). It is common practice to only intervene in the presence of recurrent infections or significant conductive hearing loss. In an attempt to provide evidence regarding the efficacy and safety of surgical intervention, we have analyzed the long-term outcome of tympanoplasty for AdOM .
    Study design: Prospective study.
    Methods: From January 2013 to April 2014, 57 patients with AdOM (60 ears) who fit our criteria for tympanoplasty were recruited and underwent tympanoplasty using tragal cartilage combined with transtympanic ventilation tube and cortical mastoidectomy. Otorrhea control, graft uptake, hearing level changes, and complications were evaluated within a 3-year period of follow-up.
    Results: Otorrhea was controlled in 94% of the ears. Tympanic membrane healing was achieved in all ears except one ear, which had myringitis. Overall there was significant improvement in hearing. Whereas the mean preoperative air-bone gap (ABG) was 30.4 ± 4.0 dB, postoperative mean ABG was 8.6 ± 6.9 dB at 1 year. Closure of ABG to within 20 dB was achieved in 46 ears (83.6%). One ear showed a drop in bone conduction level by 25 dB. No iatrogenic cholesteatoma was detected in any of the cases.
    Conclusion: This study demonstrated that tympanoplasty has favorable outcomes in AdOM . Risks of iatrogenic sensorineural hearing loss or cholesteatoma formation are negligible.
    Level of evidence: 4. Laryngoscope, 126:2804-2810, 2016.
    MeSH term(s) Adolescent ; Adult ; Aged ; Chronic Disease ; Ear, Middle/pathology ; Female ; Hearing Loss, Conductive/etiology ; Hearing Loss, Conductive/surgery ; Humans ; Male ; Middle Aged ; Middle Ear Ventilation ; Otitis Media/complications ; Otitis Media/surgery ; Prospective Studies ; Tissue Adhesions/surgery ; Treatment Outcome ; Tympanic Membrane/pathology ; Tympanic Membrane/surgery ; Tympanoplasty/adverse effects ; Tympanoplasty/methods
    Language English
    Publishing date 2016-12
    Publishing country United States
    Document type Clinical Trial ; Journal Article
    ZDB-ID 80180-x
    ISSN 1531-4995 ; 0023-852X
    ISSN (online) 1531-4995
    ISSN 0023-852X
    DOI 10.1002/lary.25987
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Preoperative Predictors in Chronic Suppurative Otitis Media for Ossicular Chain Discontinuity: A Cross-Sectional Study

    Sheikh, Rashid / Haidar, Hassan / Abdulkarim, Hassanin / Aslam, Waqar / Larem, Aisha / Alsaadi, Ali / Alqahtani, Abdulsalam

    Audiology and Neurotology

    2016  Volume 21, Issue 4, Page(s) 231–236

    Abstract: Objective: Ossicular discontinuity may result from chronic suppurative otitis media and is usually detected intraoperatively. Our objective is to determine whether a preoperative audiogram can preoperatively predict the presence or absence of ossicular ... ...

    Institution Department of Otorhinolaryngology, Head and Neck Surgery, Hamad Medical Corporation, and Weill Cornell Medical College, Doha, Qatar
    Abstract Objective: Ossicular discontinuity may result from chronic suppurative otitis media and is usually detected intraoperatively. Our objective is to determine whether a preoperative audiogram can preoperatively predict the presence or absence of ossicular discontinuity. Methods: A cross-sectional study was prospectively run on our patients, aged 12-75 years, ultimately operated on for chronic suppurative otitis media. Preoperative audiograms were analyzed to measure frequency-specific air-bone gap (ABG) cutoff values. Intraoperatively, ossicular chain integrity was carefully checked. Logistic regression analysis was done to obtain a predictive model. Results: A total of 270 patients (306 ears) were included. Frequency-specific ABG cutoff values can predict ossicular discontinuity, namely: high ABGs at 1,000 Hz (>27.5 dB) and 2,000 Hz (>17.5 dB) are the most reliable variables associated with ossicular discontinuity. Conclusion: Preoperative audiograms can predict the presence of ossicular discontinuity in chronic suppurative otitis media. Large ABGs at both 1,000 and 2,000 Hz can predict ossicular discontinuity with a great degree of certainty.
    Keywords Otitis media ; Audiogram ; Hearing loss ; Tympanoplasty ; Ear ossicles
    Language English
    Publishing date 2016-08-05
    Publisher S. Karger AG
    Publishing place Basel, Switzerland
    Document type Article
    Note Original Paper
    ZDB-ID 2188925-9
    ISSN 1421-9700 ; 1420-3030
    ISSN (online) 1421-9700
    ISSN 1420-3030
    DOI 10.1159/000447045
    Database Karger publisher's database

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