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Article
Relieving Symptoms of Chronic Sinusitis in Children

Author: Hussein M. Hassan
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2007 Volume: 49 Issue: 1 Pages: 13-16
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: To determine the efficacy of adenoidectomy in relieving symptoms of chronic sinusitisin children.Patients and methods :A prospective study carried out on 35 patients who underwent adenoidectomyor Adeno-tonsillectomy between May 2004 and October 2005.The patient ages ranged from 3 to 12years.Five patients were unavailable for follow-up and did not complete the study so they are excludedfrom. The pre-operative symptoms were Rhinorrohea, Nasal congestion, Headache, Postnasaldrainage, Cough, Halitosis and Irritability.Also recorded was Mouth breathing, Fever and Frequent antibiotic use. Telephone interviews with thepatient's caregivers were conducted to collect information following the surgery regarding the presenceof the same symptoms as well as an estimate of overall improvement. Follow-up ranged from 5 monthsto 1 year.Results :The most frequently reported symptoms before surgery were Rhinorrhoea, Nasal congestion,Mouth breathing, and Frequent antibiotic use. (26, 28, 24, 30 patients respectively). These numbersdecreased following surgery to (11, 12, 6, 24 patients respectively)Complete or near complete symptom resolution was reported in 18 (60%) patients. Some improvementwas reported in 6 (20%) patients. Minimal or no improvement was reported in another 6 (20%) patients.Conclusion In the majority of cases, symptoms of chronic sinusitis in children are relieved byadenoidectomy.


Article
The Use Of Adjuvant Therapies For Tonsillectomy

Author: Hussein M. Hassan
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2006 Volume: 48 Issue: 4 Pages: 357-362
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: The aim was to ascertain the current practice of adjuvant therapy for tonsillectomy and to determine whether it is evidence based.
Methods: A questionnaire answers were obtained from sixty otolaryngologists in Baghdad.
Results: There was no any enthusiasm for routine intra-operative local anaesthesia.
Paracetamol (Acetaminophen) is prescribed by nearly all surgeons for postoperative analgesia, and the current literature supports its efficacy and safety.
Further, some practitioners combine paracetamol with NSAIDs, and/or Tramadol-Opioids. Evidence to support the additional use of these agents is, however non existent or limited.
For the use of antibiotics, we found some of the otolaryngologists do use a course of few days of pre-operative antibiotics and almost all of them do give postoperative antibiotics for seven-ten days.
Some aspects of tonsillectomy care are uniform and evidence based. Others are heterogenous and suffer from lack of adequate data in the literature.


Article
The Use Of Foley Catheters In Epistaxis. A QuestionOf Informed Consent

Author: Hussein M. Hassan
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2006 Volume: 48 Issue: 3 Pages: 233-235
Publisher: Baghdad University جامعة بغداد

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Abstract

Background The Medicines and Health care products Regulatory Agency stated in 2003 that doctors should endeavor to avoid using products in treatments not covered by their product license. Foley catheters are commonly used in the management of epistaxis although their product license does not cover this.
Aims : To study the extent of the use of these catheters and the knowledge that otolaryngologists had of their legal status.
Method : By undertaking a questionnaire survey of some Otolaryngologists in Baghdad
Results : Most members appear to use Foley catheters in the management of epistaxis; however most of them are not aware that the product is not licensed for this purpose. Because of this lack of knowledge, only few obtain verbal consent for treatment with this device and none of the surveyed members obtain written consent from patients. Conclusion :In the era of increasing litigation, documentation of informed consent could be considered mandatory to protect us from possible legal action, and this needs to be known by all practicing Otolaryngologists.

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