Hearing loss among schoolchildren in developing countries is reported to be a significant health problem. Data on child hearing loss in South Sinai, a remote governorate of Egypt, are lacking. Middle ear diseases and hearing impairment were assessed among 453 primary-school children aged 7-10 years in South Sinai (906 ears). Otoscopic examination, tympanometry and pure tone audiometry (PTA) were done. Ear disease was found in 27.5% of the ears examined. The commonest cause was secretory otitis media (10.8%), followed by occluded earwax (9.5%). Mild and moderate hearing loss affected 8.5% of the sample, while sensorineural hearing loss affected 2.4%; only 0.4% had moderate and severe hearing loss. Hearing impairment affects 19.3% of this age group in South Sinai. None of the children with hearing impairment had been previously diagnosed or was receiving treatment and support. Hearing and middle ear screening at schools is recommended for early detection and management of middle ear and hearing problems. 1Paediatrics Department, National Research Centre, Cairo, Egypt (Correspondence to G. Yamamah: Yamamahg@hotmail.com RÉSUMÉ La perte d'audition chez les écoliers de pays en développement est décrite comme un problème de santé important, mais les données sur la perte d'audition chez l'enfant au Sud Sinaï, un gouvernorat égyptien reculé, sont rares. Les affections de l'oreille moyenne et les déficiences auditives ont été évaluées chez 453 écoliers âgés de 7 à 10 ans au Sud Sinaï (soit 906 oreilles examinées). Un examen otoscopique, une tympanométrie et une audiométrie tonale ont été réalisés. Des affections de l'oreille ont été observées chez 27,5 % des oreilles examinées. La cause la plus fréquente était une otite sécrétoire (10,8 %), suivie par un bouchon de cérumen (9,5 %). Les pertes de l'audition légères à modérées touchaient 8,5 % des enfants de l'échantillon, alors qu'une surdité neurosensorielle affectait 2,4 % d'entre eux. Seul 0,4 % des enfants souffrait de pertes auditives modérées à sévères. Les déficiences auditives concernaient 19,3 % de ce groupe d'âge au Sud Sinaï, mais aucun des enfants en présentant une n'avait auparavant reçu un diagnostic, un traitement, ni même un appui approprié. Un examen de l'audition et de l'oreille moyenne dans les écoles est recommandé, pour permettre un dépistage et une prise en charge précoces de ces affections.
Idiopathic intracranial hypertension (IIH) is a neurological condition characterized by increased intracranial pressure without an underlying intracranial pathology. This condition is rarely encountered in men and it predominantly affects obese women of childbearing age. We present an interesting case of IIH in a male patient who presented with acute severe vision loss over 2 weeks and was successfully treated via surgery. Although IIH is less common in men than in women, men are more likely to develop vision loss, which is usually severe and less likely to respond to medical treatment. Therefore, surgical intervention might be considered early in the treatment of men with rapidly progressive visual loss. Further prospective studies are needed to evaluate the role of early surgical intervention in comparison to medical treatment in this group of patients.
Background The endoscopic transnasal approach (ETA) has proven to be of great value in the resection of midline skull base meningiomas when compared with traditional approaches. Our objective was to assess tumor consistency in relation to surgical outcomes for midline meningiomas (MMs) resected using ETA. Methods Radiological preoperative features, including the tumor to cerebellar peduncle T2-weighted magnetic resonance imaging (MRI) ratio (TCTI), were evaluated. The intraoperative consistency assessment was performed by the surgeon, which determined if the tumor was soft (resectable by suction) or firm (required a cavitation ultrasonic aspirator). Surgical resection and postoperative complications were evaluated in relation to tumor consistency. Results Twenty patients were evaluated; 6 were classified as firm and 14 were classified as soft. The mean TCTI ratio was 1.7 and the median was 1.7 (range: 1.3–2.4). Three firm tumors had a ratio of <1.6. All soft tumors had a ratio of ≥1.6 with three outliers. Additionally, 66.7% of patients with firm tumors had complications compared with 35.7% of patients with soft tumors. Only 33.3% of firm tumors underwent gross total resection (GTR) in comparison to 79.0% of tumors with a soft consistency. Conclusion In our analysis, we found that tumor consistency was significantly related to short-term surgical outcomes in MMs resected using the ETA. The TCTI ratio was found to be the most reliable predictor with a sensitivity of 76.9% and a specificity of 40.0%. Our findings suggest that traditional cranial approaches should be considered as the first surgical option for managing firm MMs.
Objectives: To examine the predictors of pediatric ventriculoperitoneal)VP(shunt malfunction in a university hospital. Methods: A retrospective cohort was conducted. Patients under 18 years old who underwent VP shunt revision at least once between 2016 and 2019 were included. Data were stratified based on age, gender, diagnosis, type of valve, valve position, cause of revision, and part revised. Results: A total of 45 patients)64% males and 36% females(were included in this study. Eighty-two revision surgeries were identified. The most common revised part was the entire shunt system. The most Original Article common type of valve which required revision was the low-pressure valve)15.5%(. Since a p-value of less than 0.05 was considered significant, no significant differences among the 4 groups for different points. Conclusions: Younger age at initial VP shunt insertion is associated with a higher rate of shunt malfunction. Valve mechanical failures followed by infections are the most common causes for the first 3 revisions. A prospective multi-center study to confirm the current findings is recommended.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.