Biomedical subjects

H Kubba

Publications and source records attributed to H Kubba.

23 records · Page 2Linked to original sources

PubMed1998

Stapler failure in pharyngeal diverticulectomy: a suggested modification in surgical technique.

The use of a mechanical stapling device during excision of a pharyngeal pouch is now becoming more common, and has many advantages including less contamination of the wound by pharyngeal contents and a shorter operating time. The manufacturers recommend dividing the neck of the pouch flush with the stapler before removing the stapler. We report a case where the stapler failed, leaving a larger defect in the pharyngeal wall necessitating a hand sutured closure. We recommend a change in practice: an artery forcep is applied across the pouch distal to the stapler, the stapler is then removed and the staple line inspected before dividing the pouch.

Aged↗

PubMed1998

Necrotizing fasciitis following gall-bladder perforation.

Necrotizing fasciitis continues to carry a very high mortality and prolonged morbidity. Gallstones have previously not been reported as a cause of this condition. We report a patient who presented with gallbladder perforation leading to necrotizing fasciitis of the anterior abdominal wall. The only organism isolated was Escherichia Coli, cultured from necrotic issue.

Abdominal Muscles↗

PubMedDate not supplied

The effect of head position on the distribution of drops within the nose.

Nose drops are commonly prescribed in the United Kingdom, yet clinicians vary considerably in the instructions they give on how to instill them. This is important because how they are used affects how well they work. In this study, a visual assessment of the intranasal distribution of drops was made using endoscopic examination after the instillation of betamethasone drops containing methylene blue. Drops instilled with the head tipped back were found along the nasal floor and in the nasopharynx, with none visible in the middle meatus or elsewhere on the lateral nasal wall. Drops instilled in Mygind's position or in the praying-to-Mecca position were found predominantly in the middle meatus and on the middle and inferior turbinates. No difference was seen between these two positions in the distribution of drops achieved, and this is likely to lead to similar clinical efficacy. Because Mygind's position is much more comfortable for patients, it should be recommended by all doctors prescribing nose drops.

Administration, Intranasal↗

PubMedDate not supplied

Epiphora: the role of rhinitis.

Inflammation in the nasal mucosa may lead to epiphora by causing edema around the orifice of the nasolacrimal duct. We present and discuss three cases where simple treatment of rhinitis led to the resolution of the presenting symptom of epiphora, avoiding the need for surgery. A randomized prospective trial of topical nasal corticosteroids in the management of epiphora associated with rhinitis is in progress.

Administration, Topical↗

PubMedDate not supplied

Is day case tonsillectomy suitable for children in Cumbria?

Day case tonsillectomy has been advocated as a means of reducing health-care costs associated with in-patient care. The authors studied 74 consecutive children undergoing conventional overnight stay tonsillectomy using a parental questionnaire and a retrospective case note review. Medical exclusion criteria for day surgery were present in 21 per cent, and social exclusion criteria in 82 per cent. Overall, only 16 per cent of children satisfied all the criteria for suitability. On the day of surgery, 29 per cent of children were reported as having poorly controlled pain and 31 per cent as having nausea and vomiting, such that unplanned admission would have been likely had they been done as day cases. In total 63 per cent of parents were unhappy or very unhappy with the possibility of same day discharge. The authors do not plan to introduce day case tonsillectomy in Cumbria.

Adolescent↗