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Article
Laryngeal Carcinoma: Prognostic Index and Evaluation of Treatment Results

Authors: Ali Hassan Al-Timimi --- Safa Sahib Naji
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2006 Volume: 3 Issue: 1-2 Pages: 81-87
Publisher: Babylon University جامعة بابل

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Abstract

Carcinoma of the larynx Constitutes 1.5% of all cancers and 25% of head and neck cancer. It is etiologically related to tobacco smoking, alcohol overuse, nutritional deficiency, human papilloma virus infection and environmental pollution. The aims of the present research was to study the Prognostic Index in Laryngeal carcinoma including age, sex, clinical manifestation, histological types, and to evaluation and correlated with treatment results . 165 consecutive patients with laryngeal carcinoma who were diagnosed, treated, and / or followed at Hilla hospitals during the period (1990-2004) were studied. The total number of patient diagnosed with laryngeal Carcinoma were 165 during the fourteen years period, 129(78%)patients were males 36 (22%) were females . M: F ratio was 3.58:1. 52% of patients were between 50 and 60 years of age. There were 3 patients with carcinoma insitu (2%), (13%) in stage1, (35%) in stage 2,(35%) in stage 3 and (15%) stage 4 . Of 165 patients, 102 (62%) were treated surgically followed by radiotherapy (group 1), 35 patients (21%) treated surgically followed by Radiotherapy and chemotherapy (group 2), and 28 patients (17%) were treated by surgery & conservative treatment (group 3). For patient in group (1) the one year survival rate was 68%, the 3 year survival rate was 38% and the 5 year survival rate was 15%, for group 2 the survival rate was 48%, 30% and 14% respectively, and for group 3 the survival rate was 28%, 10% and 4% respectively. We concluded that Laryngeal carcinoma in Babylon occurred at younger age group than the western reported studies and had low one , three & five years survival rate . Further studies are needed to confirm the risk factors involved in laryngeal carcinoma and to improve the health education toward its early detection and treatment.

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Article
Evaluation of Throat Trauma & its Methods of Management in Babylon Province

Authors: Maitham Lafta Witwit --- Safa Sahib Naji Sultan
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2006 Volume: 3 Issue: 1-2 Pages: 145-149
Publisher: Babylon University جامعة بابل

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Abstract

Prospective study of patients with direct external throat injuries(upper aerodigastive tract) injuries, received by emergency & surgical department of Hilla general teaching hospital in the last (4) years (from march 2001 to March 2005). 100 case recorded with following criteria of this type of injury as cervical surgical emphysema, dysphonia and/ or stridor , dysphagia , neck pain or tenderness & haemoptysis . Those patients average age was 35 year . 75% were men . Mechanisms of injuries were gunshot wounds 47% , motor vehicle accident 33% . Clinical picture 90% had neck Pain and / or tenderness , 75% had Hoarseness of voice and / or stridor . Priority of management depend on air way ( stable or unstable ) and type of injury . Medical treatment control 50% of Patient , mostly those with stable air way .Early surgical intervention to deal with air way obstruction is needed in most of unstable type . The failure of management mostly due to : 1. Absence of social education who to deal with this type of injuries at time and place of accident . 2. Absence of portable X-ray device & theater near emergency room 3. Shortage in respiratory care unit staff & equipments . 4. Massive accident .

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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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