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Article
The role of amoxicillin in preventing post-tonsillectomy complications
دور الأموكسيسيلين في منع مضاعفات ما بعد استئصال اللوزتين

Authors: Moyaser A. Yaseen --- Hassan H. Ameen
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2013 Volume: 17 Issue: 1 Pages: 280-285
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Tonsillectomy is defined as the surgical excision of the palatine tonsils. This single blind prospective study of (200) patients underwent tonsillectomy in Al- Rizgary Teaching Hospital-Erbil- Iraq from February 2006 through June 2006.The main aim of this study is to evaluate the effect of post-tonsillectomy amoxicillin in preventing infection and secondary haemorrhage. Methods: Our patient’s ages ranged from 2.5 years-55 years and were randomly divided postoperatively into two equal groups. The first group received amoxicillin antibiotic with analgesic paracetamol up to one week postoperatively. The second group received only paracetamol for one week. All tonsillectomy surgeries were done by cold knife dissection method. Results: In the first group no one developed complications neither postoperative infection nor secondary hemorrhage , whereas in the second group who received only paracetamol, 4 patients (4%) had features of infections post operatively with another 2 patients (2%) developed secondary hemorrhage controlled conservatively. Conclusion: The above results showed no significant effect of post-tonsillectomy antibiotic to prevent infection or delayed bleeding.


Article
Management of acute otitis externa using aural wick versus local drops
معالجة التهاب الأذن الوسطى الحاد باستخدام الفتيل السمعي مقابل القطرات المحلية

Authors: Moyaser A. Yaseen --- Shilan N. Qader
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2012 Volume: 16 Issue: 3 Pages: 187-193
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objectives: Acute otitis externa is one the commonest otological disease. In this study we aimed to evaluate its types and the possible predisposing factors as well as comparing the effectiveness between local wick and local drops in treating acute otitis externa. Methods: A prospective analysis of 100 patients complained of acute otitis externa was performed in the department of Otolaryngology at Rizgary Teaching Hospital in Hawler between August 2005 to January 2006. Male patients were 45%, and the rest 55% were females. Patients were classified into two groups; 50 patients received topical application of cream using aural wick, and the second group of 50 patients treated by topical ear drops. Results: The commonest predisposing factors were water entrance to the affected ear during bathing and swimming (51%). On culturing, bacteria were found in 64% of patients and fungi in 11%. Topical application using aural wick showed 100% response, whereas only 60% of those received topical ear drops had an immediate response. Conclusion: Acute diffuse otitis externa is the most frequent type. Pseudomonas aeruginosa is the commonest bacterial growth. Aspergillous species is the commonest caused of fungal growth. Response to aural wick treatment is much better than aural drops.


Article
TREATMENT OF ACUTE OTITIS MEDIA IN CHILDREN (SYSTEMIC ANTIBIOTIC AND TOPICAL NASAL DECONGESTANT VERSUS SYSTEMIC ANTIBIOTIC ALONE)
علاج التهاب الاذن الوسطى الحاد في الاطفال ( استعمال المضادات الحيوية و مضادات الاحتقان الانفية مقابل المضادات الحيوية فقط)

Authors: MOYASER A. YASEEN --- EDREES M. HUSSAIN
Journal: Duhok Medical Journal مجلة دهوك الطبية ISSN: eISSN: 20717334/ pISSN: 20717326 Year: 2018 Volume: 12 Issue: 1 Pages: 96-105
Publisher: University of Dohuk جامعة دهوك

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Abstract

ABSTRACTBackground: decongestants whether systemic or topical nasal are widely used in thetreatment of acute otitis media but there is still controversy about their effectiveness. The aimof this study is to evaluate the effectiveness of topical nasal decongestants in the treatment ofacute otitis media and their role in the resolution of middle ear effusion after acute otitismedia attack.Subject and Methods: The current study involved 100 children ranging from 4-12 years ofboth sexes with acute otitis media that need antibiotics in treatment and the study done inRizgary teaching hospital in Erbil during the period of 2015-2017. Patients subsequentlydivided into two groups for treatment. Group A treated with oral co-amoxiclav, oralparacetamol, and topical nasal xylometazoline drop. Group B treated with the same antibioticbut without topical nasal xylometazoline drop. The children are followed up three months by5 visits; in the first and second follow up visits the children are examined clinically for theimprovement in the signs and symptoms of acute infection. In the last three visits the childrenare followed up for the resolution of middle ear effusion by otoscopic examination andtympanometry test. Pure Tone Audiometry (PTA) test done for children in the first and fifthvisits, to know the hearing gain between the two visits and the difference between group Aand group B.Results: The mean age + SD of the children were 7.26 + 2.4 years, ranging from 4 to 12years. The median was 7 years. 58% of the patients were boys and 42% were girls.In the first visit, we found better results in group A that was near significant for pain relief(p=0.067). During subsequent visits we found good resolution in both groups with nonsignificant better results in group A.Conclusions: there is no significant benefit from the use of topical nasal decongestant in thetreatment of AOM.

الخلفية والأهداف: مضادات الاحتقان سواء" عن طريق الفم والانف تستعمل بشكل واسع في علاج الالتهاب اللأذن الوسطى لكن هناك جدال حول تأثيرها .لتقيم تأثيرمضادات الاحتقان الانفية في علاج الالتهاب اللأذن الوسطى الحاد ودورها في ازالة تدفق الاذن الوسطى بعد الالتهاب.طرق البحث: هذه الدراسة تضمنت اخذ 100 طفل ممن اعمارهم تتراوح بين (4-12)سنةومن كلتا الجنسينو يعانون من الالتهاب اللأذن الوسطى الحاد ويحتاجون للمضادات الحيوية لغرض العلاج.تمت هذه الدراسة في مستشفى الرزكاري في اربيل بين (2015-2017), ثم تم تقسيم هؤلاء المرضى الى مجموعتين لغرض العلاج , المجموعة (أ) تم معالجتهم بمضادات الحيوية عن طريق الفم و مضادات الاحتقان الانفية.المجموعة (ب) تم معالجتهم بنفس المضاد الحيوي باستثناء مضاد الاحتقان الانفي.ثم تابعنا المرضى في خمس زيارات لمدة ثلاثة أشهر، وخلال المتابعات فحصنا المرضى سريريا لمراقبة التحسن في اعراض وعلامات الالتهاب وكذلك لمراقبة تحسن في تدفق الاذن الوسطى باستخدام جهاز الاوتوسكوب وتخطيط السمع.النتائج: معدل العمر كان ( ٧.٢٦± ٢.٤ )سنة ،متوسط العمر كان سبع سنوات، ٥٨٪ ذكور و ٤٢٪ اناث. تبين في الزيارة الاولى من المجموعة(أ) تحسن كبير في الالم ولكن لم يكن مهما احصائي (٠.٠٦٧p = ). خلال الزيارات اللاحقة لم يكن هناك اختلاف ملحوض في التحسن بين المجموعتين.الاستنتاجات: لم نلاحظ دور مهم لمضادات الاحتقان الانفية في علاج الالتهاب اللأذن الوسطى الحاد.


Article
A comparative study between coblation and bipolar electrocautery tonsillectomy in children

Authors: Hemin Ibrahim Saeed --- Abdulkhaliq Emin --- Moyaser A. Yaseen --- Ammar M. Saleh
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2019 Volume: 23 Issue: 1 Pages: 81-89
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Tonsillectomy with or without adenoidectomy is an operation done frequently in all otolaryngology departments all over the world. Many new surgical techniques found over the last few decades to decrease the morbidity of this surgery. This study aimed to compare intraoperative efficiency and postoperative recovery between coblation and bipolar electrocautery tonsillectomy. Methods: This prospective study was carried out on 60 patients that underwent tonsillectomy over six months from 1(st) August 2014 to 31(st) January 2015 in Rizgary Teaching Hospital, Erbil city. They patients equally divided into two groups; coblation tonsillectomy (30 patients) and bipolar electrocautery tonsillectomy (30 patients). Their age ranged between 2.5-12 years. The operative time and intraoperative blood loss were recorded for each patient and compared. The parents were given a pain diary to record the level of pain each morning for ten days. Also, they were asked to report any complication like bleeding.Results: There was no statistically significant difference in the mean operation time between the coblation group and bipolar electrocautery group (6.89 min vs. 7.83 min, P = 0.11). The mean intraoperative blood loss was statistically lower for the bipolar electrocautery group versus the coblation group (1.43 ml vs. 15.37 ml, P <0.001). There was a statistically significant difference in the daily pain scores between the two groups in which the coblation group was associated with lower mean pain score. No episodes of primary or secondary hemorrhage were recorded.Conclusion: Bipolar electrocautery tonsillectomy offers the same operative speed, less intraoperative blood loss, more postoperative pain scores when compared with coblation tonsillectomy.

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