scholarly journals Comparative study of hearing level pre and post ossiculoplasty in Aseer Central Hospital, Saudi Arabia

Author(s):  
Abdullah Assiri ◽  
Ali M. Al-Qannass ◽  
Tawfiq A. Khurayzi ◽  
Talat E. Alardi

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Achieving successful hearing outcomes following ossiculoplasty in patients with middle ear diseases depend on several factors. Unfortunately, the literature is confusing concerning the middle ear factors and types of pathologic process that are most important in predicting hearing outcome. The objective of the study was to investigate the improvement or deterioration of hearing after ossiculoplasty and identify the possible prognostic factors.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">Between January, 2012 and December, 2014, 30 ossiculoplasties were performed and followed up by the first author with the help of other authors in Otolaryngology department, Aseer Ceneral hospital, Abha, Kingdom of Saudi Arabia. The patients were followed up at 6 months, 9 months after the operation and then on a yearly basis. Postoperative hearing outcomes were considered successful if the postoperative air-bone gap was within 20 dB while it was considered not successful if it exceeds 20 dB.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The study included 30patients. Their age ranged between 18 and 61 years with a mean of 37.4±10.7 years. Sixty percent of them (n=18) were females and forty percent (n=12) were males. Pre-operative PTA was 37.83±8.97 dB and it decreased to 23.0±12.57 dB postoperatively. This difference was statistically significant (p&lt;0.001) with an average change in ABG of 150 dB across the 30 patients. The successful rate was 50%. the only factor proved to be significantly associated with successful ossiculoplasty was the male gender as 75% of makes compared to 33.3% of females patients reported postoperative air-bone gap within 20 dB, p=0.030. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Successful rate of ossiculoplasty in Asser central hospital is within the globally reported rates. However, further larger prospective study is recommended for better understanding of predictive factors for hearing improvement after ossiculoplasty that may contribute to the surgeon’s judgment and the information given to patients.</span></p>

2010 ◽  
Vol 124 (5) ◽  
pp. 490-494 ◽  
Author(s):  
S-E Stangerup ◽  
M Tos ◽  
J Thomsen ◽  
P Caye-Thomasen

AbstractAims:This study aimed to evaluate the predictive value of both hearing level (at various frequencies) and speech discrimination for forecasting hearing outcome after a period of observation, in patients with vestibular schwannoma.Subjects:Over a 33-year period, 1144 patients with vestibular schwannoma were allocated to ‘wait and scan’ management, with annual magnetic resonance imaging and audiological examination. Two complete pure tone and speech discrimination audiograms were available for 932 patients.Results:The predictive value of initial hearing level better than 10 dB for forecasting hearing outcome after observation increased from 59 per cent at 250 Hz to 94 percent at 4000 Hz. At diagnosis, hearing level of 10 dB or better at 4000 Hz was found in only 18 of the 932 VS ears, while good speech discrimination was found in 159 patients (17 per cent). Of the latter patients, 138 maintained good hearing after observation.Conclusion:In vestibular schwannoma patients, good high frequency hearing and good speech discrimination at diagnosis are useful tools in predicting good hearing after observation.


2016 ◽  
Vol 10 (2) ◽  
pp. 167-172 ◽  
Author(s):  
Gasim I. Gasim ◽  
Imad R. Musa ◽  
Taha Yassin

Author(s):  
Raghunath Shanbag ◽  
J. S. Arunkumar ◽  
M. Sarath Chand ◽  
Santosh S. Garag

<p class="abstract"><strong>Background:</strong> Tympanic membrane perforation in chronic otitis media exposes the middle ear mucosa to exogenous source of infection and also produces conductive hearing loss. To overcome this problem various surgical techniques of tympanoplasty using different graft materials have been tried with varying degrees of success rate. The purpose of this study was to compare anterior tucking and cartilage support tympanoplasty with respect to graft uptake and hearing outcome.</p><p class="abstract"><strong>Methods:</strong> This prospective study comprised of 50 consecutive patients with chronic otitis media of tubo tympanic type during October 2015 to September 2017, which were divided into two groups. Group A (25 patients) underwent type 1 tympanoplasty with anterior tucking method, Group B (25 patients) underwent type 1 tympanoplasty with cartilage support. The primary result was measured in view of graft uptake &amp; hearing capacity outcome at 6 months post operatively by performing pure tone audiometry.  </p><p class="abstract"><strong>Results:</strong> In anterior tucking tympanoplasty group out of 25 patients, the graft uptake was good in 22 patients and 23 patients showed good improvement in hearing, while in cartilage support tympanoplasty group all the 25 patients the graft uptake was good and all showed good hearing improvement postoperatively. In our study both the groups have significant hearing improvement and in cartilage support tympanoplasty results were better.</p><p class="abstract"><strong>Conclusions:</strong> The aim of tympanoplasty is to treat middle ear and tympanic membrane defects. In this study we subjected the patients for anterior tucking and cartilage support tympanoplasty for two different groups respectively and both methods showed significant hearing improvement.</p>


2018 ◽  
Vol 4 (3) ◽  
pp. 492-496
Author(s):  
Yousef Ahmed Alomi ◽  
Hussam Saad Almalki ◽  
Aisha Omar Fallatah ◽  
Awatif Faraj Alshammari ◽  
Nesreen Al-Shubbar

The national total parental nutrition program with an emphasis on pediatrics started before several ago at Ministry of health hospitals In Kingdom of Saudi Arabia. The program covered several regions and consisted from the foundation of Intravenous Admixture and preparation of pediatric parenteral nutrition to administration and follow up of patients outcomes. In addition to the prior system, the new initiative project with the standardized formulation of pediatric’s parenteral nutrition is the complementary project of the parental nutrition for pediatrics. The project initiated to prevent drug-related problems of parental nutrition, improve patient clinical outcome and reduce the unnecessary economic burden on the healthcare system. It is the new system in the Middle East and Gulf counties in additional to Saudi Arabia. The initiatives are the systemic implementation of standardized pediatrics formulation using management project tools of starting new idea until finding in the ground.


2018 ◽  
Vol 4 (3) ◽  
pp. 483-487
Author(s):  
Yousef Ahmed Alomi ◽  
Hussam Saad Almalki ◽  
Aisha Omar Fallatah ◽  
Awatif Faraj Alshammari ◽  
Nahedh Rashed Alotaibi

The general administration of pharmaceutical care started potential pharmacy practice program. The program is part of accreditation professional’s process of national and international regulations. The adult’s parenteral nutrition was one of the critical programs. The most healthcare professionals are not familiar with the new system. The new initiatives system adult’s standardized concentration formulation of total parental nutrition as complementary to the previous one. The new formulation consisted of all parental nutrition requirements based on national and international standards. The new system can be converted as computerized physician orders. The new initiatives may implement as project management model over one year or less than that’s. The new system prevents nutrition-related problems, and medication errors, and improve clinical outcomes of the adults’ population in the Kingdom of Saudi Arabia.


2019 ◽  
Vol 16 (4) ◽  
pp. 503-512
Author(s):  
Simeon S. Magliveras

Filipinos are a major part of the workforce in the Kingdom of Saudi Arabia with a population of almost one million. This article investigates the effects of gender segregation on Filipino workers and how they navigate their lives through systems imposed on them. In particular, it examines the Kafala system (administrative sponsoring system) used for recruiting migrant workers for GCC countries. This article suggests that contrary beliefs about gender segregation and dress codes, Filipinas found it empowering. However, this article also concludes that gender segregation and dress codes also lead to isolation and loneliness. In addition, it is concluded that the fate and contentment of the overseas Filipino workers are directly dependent on who sponsors them.


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