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Biomedical subjects

B S Goh

Publications and source records attributed to B S Goh.

8 recordsLinked to original sources
PubMed2006

Parotid abscess: a five-year review--clinical presentation, diagnosis and management.

Parotid abscess is an uncommon complication of suppurative infection of the parotid gland parenchyma, commonly bacterial or viral. Ductal ectasis, primary parenchymal involvement, or infection of the intraparotid or periparotid lymph nodes can result in abscess formation. Parotid abscess may arise from ductal ectasis, primary parenchymal involvement, or infection of the subcapsular lymph nodes. The operative records for all the patients who underwent surgeries in the Department of Otorhinolaryngology, Head and Neck Surgery of the National University Hospital, Kuala Lumpur, Malaysia between January 2001 and December 2005 were retrospectively reviewed. Our case series comprises 15 patients, with 10 males and five females with a median age at presentation of 51 years old. Diabetes mellitus is a significant comorbid factor, with six patients being diabetics. Among the diabetics, two patients presented with facial nerve palsy and one of them also died due to overwhelming septicaemia. Here, we discuss the presenting symptoms, predisposing factors, investigations, microbiology and complications of this condition.

Abscess↗
PubMed2006

Internal auditory canal stenosis in congenital sensorineural hearing loss.

OBJECTIVE: Sensorineural hearing loss (SNHL) due to internal auditory canal (IAC) stenosis with hypoplasia of the cochleovestibular nerve is a rare disorder. The diagnosis of the IAC stenosis requires both high resolution computed tomography scan (HRCT) and magnetic resonance imaging (MRI). METHODS: A retrospective review over 6 years in an academic tertiary referral center was performed. RESULTS: Six patients with congenital SNHL were diagnosed with congenital IAC stenosis. Four had unilateral and two had bilateral IAC stenosis after imaging. MRI showed hypoplastic vestibulocochlear nerve in all cases. CONCLUSIONS: This paper highlights the importance of imaging in diagnosing IAC stenosis and detecting the presence of cochleovestibular nerve in cases of congenital SNHL.

Child↗
PubMed2006

Paediatric tracheostomy in Hospital University Kebangsaan Malaysia - a changing trend.

Indication for pediatric tracheostomy has changed. Upper airway obstruction secondary to infectious disorders is no longer the commonest indication. The aim of this study was to establish data on indications, outcome and complications of pediatric tracheostomy. A retrospective analysis of pediatric tracheostomies carried out between March 2002 to March 2004 was done. Eighteen patients were identified. The commonest indication was prolonged ventilation (94.5%) followed by pulmonary toilet (5.5%). None was performed for upper airway obstruction. Postoperative complications were encountered in six patients (33.3%), the commonest being accidental decannulation notably in children less than six years of age. Twelve patients (66.6%) were successfully decannulated. The mortality rate was 16.6%. All death were non tracheostomy related. The commonest indication for tracheostomy was prolonged ventilation and tracheostomy in children is relatively safe despite complications.

Adolescent↗
PubMed2002

Endoscopic repair of spontaneous cerebro-spinal fluid rhinorrhoea: a report of 3 cases.

Three cases of spontaneous Cerebrospinal Fluid (CSF) rhinorrhea were managed at the National University Hospital, Kuala Lumpur. Case 1 had bilateral leak secondary to empty sella syndrome and the rest two cases had unilateral leak. Four transnasal endoscopic approaches were performed on these three cases since March 1999. The role of intrathecal Sodium Fluorescein is highlighted in localising the CSF fistula. Case 3 required postoperative lumbar drain as an adjunct. No recurrent leak was noted on post operative follow up in Case 2 and 3 ranging from nine to thirty two months. A recurrent left leak at six months was noted in Case 1 which could likely be due to her sudden bout of cough attacks and patient refused further surgical intervention.

Cerebrospinal Fluid Rhinorrhea↗
PubMed1977

Stability in a class of discrete time models of interacting populations.

Effective Lyapunov and Lyapunov-like functions for a class of discrete time models of interacting populations are presented. These functions are constructed on the biologically meaningful principle that a viable population must absorb energy from external sources when its density is low and it must dissipate energy to the environment when its density is high. These functions can be used to establish that a discrete time model is globally stable or that its solutions are ultimately confined to an acceptable region of the state space. The latter is especially interesting when the model has chaotic solutions. These methods are applied to a single species model and a model of competition between two species.

Ecology↗
PubMed1977

Stability in Gilpin and Ayala's models of competition.

Simple and effective conditions for global stability in a class of models for m competing species are given. A numerical method is used to establish a large finite region of attraction for the feasible equilibrium in Gilpin and Ayala's model of two competing Drosophila populations.

Animals↗