Objectives: To study the prevalence of dysphagia and its epidemiology, among patients admitted to the otorhinolaryngology department, Sohag University Hospital along a year, measure the approximate size of the problem in our community, and review the different modalities of treatments given. Study design: A case series study. Methods: This study included all patients with dysphagia who had been admitted in our department, between 1 st of May 2012 and 30 th of April 2013. All patients had been submitted to a thorough history taking of dysphagia, complete ENT and neurologic examination. Investigations included water swallow test, radiologic, endoscopic and laboratory ones. Results: Among 1861 patients, 346 patients had dysphagia (18.6%). with a mean age of ±25.8 years. The largest age group was below 10 years, Foreign Body swallowing was the main cause in 218 patients (63%), and number of surgically treated patients was 69% of total. Conclusions: Dysphagia represents a main complaint in a significant number of patients admitted to ENT department allover a year. A large number of our patients required tube feeding or gastrostomy, reflecting the increasing underlying chronic and advanced pathologies.
Introduction:The location of the natural ostium of the sphenoid sinus in the surgical field has been variably reported according to different standard points. However because of the more severe pathological changes, massive polyps in nasal cavities and altered anatomic reference points, revision endoscopic sinus surgery often challenges surgeon`s skill and experience. Through endoscopic sinus surgeries in our department, we noticed a constant relationship between middle meatal antrostomy and site of sphenoid face.Objectives: To establish a novel approach to sphenoid sinus using middle meatal antrostomy as a landmark in difficult cases of endoscopic sinus surgery with lost landmarks or revision ones.
Study design: A prospective studyPatients and methods: Fifteen patients (6 males, 9 females), with mean age of 37.7 years, have been operated with endoscopic sinus surgery for different pathologies. After finishing middle meatal antrostomy and sphenoidotomy, we drew an imaginary line between point at most posteroinferior margin of antrostomy (flush with posterior wall of maxillary sinus), directed superiomedially to posterior part of septum and touching superior limit of sphenoid face. Results: On the images recorded after operation, we measured the angle between this line and the horizontal; it ranged between 40-45º, with a mean of 41.5º. This line had a mean length of 17.1 mm. The anterior wall of sphenoid was always below this line.
Conclusion:A reference point on middle meatal antrostomy can be used as constant landmark to identify face of sphenoid sinus. This is mostly helpful in difficult cases of endoscopic sinus surgery.
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