IntroductionAdeno-tonsillectomy is one of the most common procedures performed worldwide in pediatric age group. Antibiotics use after tonsillectomy is like any other surgical procedure; and it is thought that the antibiotic use may help to reduce post-operative morbidity. Giving antibiotics in tonsillectomy patients is a common practice for decades but recently there has been a paradigm shift towards not using the antibiotics, especially in the pediatric population. MethodsA prospective study was done on a cohort of 123 patients and they were divided into two groups on the basis of choice to receive or not to receive antibiotics after tonsillectomy, and these patients were followed in post-operative period to see any differences in the rate of complications. ResultsNo significant statistical correlation was found between age, gender or post-operative visits and postoperative complications in between the two groups. Half of the patients received antibiotics; however, the use of antibiotics did not show a significant decrease in post-operative complications. ConclusionRegular use of antibiotics in post-tonsillectomy patients should not be advised as the use of antibiotics do not prevent or reduce post-operative complications in tonsillectomy patients.
<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Till date, debate still exists among researchers regarding the use of magnetic resonance imaging (MRI) in all the cases presenting as asymmetrical sensorineural hearing loss (SNHL). The objective of the study was to investigate cost-effectiveness of MRI for evaluating patients with audiovestibular symptoms. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A retrospective study was carried out included all adult patients (>12 years) presenting over a 12 month period between November 2014 and October 2015 at Otolaryngology department clinic, Armed Forces Hospital. Khamis Mushait, Saudi Arabia with asymmetrical sensorineural hearing loss (sudden or progressive) and have underwent MRI of cerebellopontine angle and internal auditory meati for evaluation of audiovestibular symptoms. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The study included 52 patients with audiovestibular symptoms. Their mean age (±SD) was 46 (±13.9) years and almost two-thirds of them (65.4%) were males. Majority of them were presented with deafness (84.6%). Vertigo and tinnitus were presented in 38.5% and 53.8% of them, respectively. Over the studied 52 patients, MRI of cerebellopontine angle yielded no detectable lesion in any case. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">MRI was not cost-effective, so it is important that clinical and audiometric indications for MRI referral criteria should be reviewed and analyzed to ensure cost-effectiveness of MRI in detecting audiovestibular dysfunctions, particularly in situations with financial restraints and long waiting time.</span></p>
Introduction: Thyroglossal duct cyst is a well-recognized congenital midline neck swelling observed in early childhood and rarely in adults. It may reveal itself as a painless cyst, abscess, or as fistula. Several studies have been conducted across the world, but the literature is scarce on its presentation and complications in the Middle East. This indexing study aims to report a 10-year experience with thyroglossal duct cyst (TGDC) presentation, excision, and recurrence at a teaching hospital in Saudi Arabia (KSA). Methods: A retrospective chart review was conducted at the Armed Forces Hospital Southern Region, KSA from December 2008 to December 2018. Data were retrieved from the electronic medical record system of the hospital and validated with the histopathology records. A total of 48 patients diagnosed as TGDC, sinus or fistula were identified. Stata ver. 16.1 was used to analyze the data and results formulated using regression model and Pearson's chi-square test. Results: The majority of our patients were female (60.4%), and the most common presentation was a midline neck swelling which moved with tongue protrusion. Surgical excision via Complete Sistrunk procedure was the operation of choice in 60.5% followed by excision of the cyst with tract and sinus tract. Previous infection and surgical history contributed to complications in our patients, but no association of age or gender was observed. Patients presenting with infected and discharging cysts were found to be much more likely to develop a recurrence (9 patients). Cysts deep to the hyoid showed more recurrence [n = 7 (78%)] compared to superficial cysts [n = 2 (22%)] and posterior and multi-tract lesions also showed significant recurrence.
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