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Article
Efficacy of Povidone Iodine in Treatment of Active Chronic Suppurative Otitis Media

Author: Ahmed M. Al-Abbasi
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2006 Volume: 3 Issue: 1-2 Pages: 132-136
Publisher: Babylon University جامعة بابل

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Abstract

This is a double-blind prospective study done in Basarah, in the period from the 1st of February to the 31st of October 2005. Fourty- eight patients with active chronic suppurative otitis media were included in this study, full history ,otological examination, ear swab for culture were done as well as pure tone audiometry performed before and 2 weeks after treatment. All the studied patients treated systemically by appropriate dose of amoxicillin. The commonest isolated organism was staphylococcus aureus (25%), followed by pseudomonas aeroginosa and streptococcus pneumoniae (18.7%) for each. Povidone iodine (betadine) 5%solution, neomycine dexamethason (neodexone) drops and normal saline 9% were used as local therapy (ear drops) randomly for the three equally divided groups of patients. The use of povidone iodine ear drops associated with 81% complete improvement compared with 69% improvement by neomycin –dexamethason drops and only 25% for normal saline drops, the interesting fact that improvement by the use of povidone iodine occurred earlier than the use of neomycin – dexamethason and normal saline ear drops. No complication was detected as a result of treatment by any of the above treatment.

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Article
Otolaryngological Manifestations of Gastro-Oesophageal Reflux Disease

Author: Ahmed M. Al-Abbasi
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2003 Volume: 9 Issue: 1 Pages: 3-9
Publisher: Basrah University جامعة البصرة

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Abstract

Gastro-oesphageal reflux disease (GORD) is a multifactorial process whose importance lies in its ubiquity, diverse clinical presentation and potential morbidity. GORD is the most common disease affecting the oesophagus, the major indication for antacid consumption, and probably the most prevalent condition originating from gastrointestinal tract. This report is highlight of selected topics discussed the otolaryngological aspects of GORD, which were raised in recent years, the topics discussed included: manifestations, investigations and treatment of these GORD related ENT problems

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Article
COMPARATIVE STUDY OF DIFFERENT MODALITIES OF ‎MEDICAL TREATMENT OF CHRONIC SUPPURATIVE ‎OTITIES MEDIA

Author: Ahmed M. Al-Abbasi ‎
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2004 Volume: 10 Issue: 2 Pages: 85-91
Publisher: Basrah University جامعة البصرة

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Abstract

‎ Active chronic suppurative otitis media poses a management problem. Different types of ‎treatment strategy were tried for 136 patients, 36 patients received systemic antibiotics, 26 ‎patients received local antibiotics, 42 patients combined local and systemic, and the last ‎group (32 patients) received no antibiotics. The majority of patients had moderate size ‎tympanic membrane perforation (59%). Eighty-two patients had severe (active) symptoms ‎‎(60%). The commonest types of bacteria isolated were streptococcus pneumoniae and ‎staphylococcus aureus (29%, 21% respectively). It is found that, the best type of treatment ‎was the local antibiotic therapy (84% improvement), followed by combined antibiotic therapy ‎‎(local and systemic) which equal to 83% improvement. There was no benefit of using ‎systemic antibiotics without aural toilet (5% improvement). It is important to mention that the ‎use of antibiotic/ steroid ear drop gave good improvement result (95%), in comparison with ‎the use of antibiotic ear drop (50%). ‎

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Article
SEPTORHINOPLASTY PATIENTS, ARE THEY SATISFIED?

Author: Ahmed M Al-Abbasi
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2018 Volume: 24 Issue: 1 Pages: 3-8
Publisher: Basrah University جامعة البصرة

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Abstract

SEPTORHINOPLASTY PATIENTS, ARE THEY SATISFIED? Ahmed M Al-Abbasi MB,ChB, FICMS, FRCS, Professor of Otorhinolaryngology, Dean, College of Medicine, Basrah University, Basrah, IRAQ. Abstract Patient satisfaction after septorhinoplasty (SR) is very important topic, few studies took this issue in consideration and up to my knowledge, no study has been performed in our country in this regard. The aim is to evaluate patient satisfaction following septorhinoplasty performed in the Department of Otolaryngology in Basrah General Hospital, Iraq. This retrospective study included 210 patients underwent SR in the period between 2008 and 2013. All surgeries were carried out by same surgeon (author). Patients were asked to fill an outcome assessment questionnaire form at any time after 9-12 months postoperatively, either by themselves or by the assistance of the ENT resident doctors. This form is specific for postoperative satisfaction evaluation. Most of the patients were females (126, 60%) and 84(40%) were males. It is found that 90(43.8%) and 80(38%) patients were completely and very satisfied with appearance of their noses respectively. In regard to nasal breathing, 112(53%) patients were very satisfied. Family and friends satisfaction with appearance of patient's noses was complete in 89(42.3%) patients and very satisfied in 87(41.4%) patients. The majority of the studied patients (204 out of 210), stated that new appearance of their noses never limits their social and professional activity. Fifty-nine (28%) patients were not confident that their nasal appearance is best possible. Seventy-three (34.7%) patients stated that second surgery to change nasal appearance was not needed, also 138(65.7%) need no further operation to change or improve nasal breathing. In conclusion, SR performed in Basrah General Hospital resulted in a good level of patients' satisfaction


Article
8- TONSILLECTOMY FOR THE TREATMENT OF HALITOSISY!

Authors: Zahra Kadum Saeed --- Ahmed M Al-Abbasi
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2008 Volume: 14 Issue: 1 Pages: 37-41
Publisher: Basrah University جامعة البصرة

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Abstract

This study aimed to investigate the tonsils as an origin of halitosis and to assess the efficacy oftonsillectomy for the treatment of oral bad breath caused by chronic tonsillitis. After excludingdental, periodontal, sinonasal, oral, pulmonary, and gastroenterological diseases as the origin ofhalitosis, fourty-four patients with halitosis caused by chronic tonsillitis which proved by positiveFinkelstein's tonsil smelling test (pressing the tonsils and smelling the squeezed discharge),were included in the study. All patients were treated by tonsillectomy. Subjective and objectivepostoperative assessment was based on self-and-family report and clinical assessment.Patients were reviewed after 4 and 8 weeks postoperatively. Complete improvement of halitosisoccurred in 31 patients (70.4%) after 4 weeks, this value increased to 35 patients (79.5%) in thesecond review after 8 weeks. It is concluded that tonsillectomy is significantly effectiveprocedure for the treatment of halitosis caused by chronic tonsillitis.

Keywords

TONSILLECTOMY --- HALITOSIS


Article
6-DISCHARGING EAR (OTORRHEA), A CLINICO-MICROBIOLOGICAL STUDY

Authors: AHMED M AL-ABBASI --- ZAHRA KADUM SAEED
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2008 Volume: 14 Issue: 2 Pages: 25
Publisher: Basrah University جامعة البصرة

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Abstract

This study aimed to assess the causes of otorrhea and causative organisms. A prospective clinicomicrobiologicalstudy of 153 discharging ears of 148 patients in Basrah General Hospital during 2years period. This study showed that most commonly affected age group was below 10 years (44patients=30%), the most common type of otorrhea was the purulent (127 ears=86%), the mostcommon cause of purulent otorrhea was chronic otitis media (77 ears=61% of purulent dischargingears). Staph. aureus was the commonly isolated organism from purulent discharging ears (39 ears). Itis concluded that otoscopic and otomicroscpic examination plus carefully and accurately taken swabsfor cultures are essential for accurate diagnosis and precise treatment in all cases of ear discharge.

Keywords

OTORRHEA


Article
Facts of Bird Flu

Authors: Ahmed M. Al-Abbasi --- Safa Sahib Naji Sultan --- Maitham Lafta Witwit
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2006 Volume: 3 Issue: 3-4 Pages: 171-181
Publisher: Babylon University جامعة بابل

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Abstract

Every day, millions of billions of virus particles are silently replicating, swapping genes, mutating and evolving in waterfowl. Occasionally, an otherwise mild avian influenza virus changes to become a highly pathogenic virus that can infect, kill and start epidemics in domestic poultry. In 1997, the H5N1-type avian virus emerged in Hong Kong by gene-swapping between bird viruses, not in itself a particularly unusual event. But for the first time, this new virus began to infect and cause illness in humans. Subsequently the virus continued to evolve by acquiring different genes from other bird viruses and ignited epidemics among domestic poultry and ducks throughout the world. This activity of reviewing articles, try to throw some lights on this greatly important subject aiming to prepare the health authorities to girds for the bird flu battle, discussing: history, pathology, epidemiology, transmission, clinical features, investigation, treatment, and prevention of the disease

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Article
Three Years Videolaryngoscopic Experience in Basrah

Authors: Ahmed M. Al-Abbasi --- Safa Sahib Naji Sultan --- Maitham Lafta Witwit
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2006 Volume: 3 Issue: 3-4 Pages: 230-235
Publisher: Babylon University جامعة بابل

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Abstract

Videolaryngoscopic findings for patients referred for various reasons in Basrah during the three years period (2002-2004) were reported, diagnosed, and analyzed. 1668 persons were examined, 611 of them were normal, and the remaining 1057 patients had various remarkable abnormalities that included in this study from them 467 were males , and 581 females ,the age range from (5-88) years. The commonest videolaryngoscopic findings were chronic non-specific laryngitis (253 patients = 24%), followed by acute laryngitis (223 patients = 21%), while vocal cord nodules and polyps comprises 16% and 9% of patients respectively. Laryngeal tumors comprises 7.8% of patients and 60% of them had glottic tumors, laryngeal tumors predominantly affected males (85% of cases). Their was distinct higher incidence of acute and chronic non-specific laryngitis during cold whether, while the presentation of patients with vocal cord nodules usually at hot and moderately hot months.

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Article
INDICATIONS OF TRACHEOSTOMY IN BASRAH

Authors: Ahmed M Al-Abbasi --- Duraid A Al-Tameemi --- Ali A Al-Kaabi
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2018 Volume: 24 Issue: 2 Pages: 3-7
Publisher: Basrah University جامعة البصرة

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Abstract

Abstract This retrospective study aimed to determine the main indications of tracheostomy in four main hospitals in Basrah centre. The study included 89 patients who were submitted to tracheostomy during a 2 year period and data was reviewed from the medical records. Patients were 70 males (78.66%) and 19 females (21.34%). The age of the patients ranged from 1-75 years with mean age of 44.367±13.18 years. Open surgical tracheostomy was performed in all patients, 89.89% of them were submitted to surgery as elective procedure and 94.39% were operated upon under general anesthesia. The main indications of tracheostomy in this study is the need for prolonged ventilation (61.80%) mostly caused by head injury, followed by upper aero-digestive tumor (19.1%) and lastly cranio-cervical trauma (8.89%). In conclusion, the commonest indication of tracheostomy in Basrah is the need for prolonged ventilation.

Keywords

tracheostomy --- ventilation


Article
COLUMELLAR STRUT GRAFT IN TIP RHINOPLASTY, IS IT OF BENEFIT?

Authors: Ahmed M Al-Abbasi --- Muhanad Abass A Zahra --- Haider K Saeed
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2019 Volume: 25 Issue: 1 Pages: 16-21
Publisher: Basrah University جامعة البصرة

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Abstract

Abstract Strut graft is an important, commonly used method to increase nasal tip projection and rotation. This study discuss its benefit by prospective analysis of a group of patients in which strut graft was used and compare it with a control group using digitalized photographs. The aim of this study is to evaluate the benefit of columellar strut graft and its effect on nasal projection and rotation using digital images. Thirty two patients were treated with external rhinoplasty. Using their photographs, we analyzed the projection and rotation of the nose before and after operation. The patients were classified into two groups: group A included 18 patients who have strut and group B included 14 patients without strut. The analysis of the photos of the two groups was done with a computer program. By using Goode method, nasal tip projection decreases from 0.63 to 0.62 for patients using the strut, while in patients without strut nasal tip projection decreases from 0.64 to 0.61. Nasal tip rotation slightly increased in patients with strut graft from 99 to 99.5 degrees, while in those without the graft, nasal tip rotation markedly increased from 95 to 103 degrees. In conclusion, external rhinoplasty decreases nasal tip projection and the use of strut graft is unnecessary in increasing nasal tip projection but it helps in preserving the projection and slightly increasing nasal tip rotation. Keywords: Rhinoplasty, Graft, Strut, Columella, Nasal, Projection, Rotation

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