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Biomedical subjects

O el-Silimy

Publications and source records attributed to O el-Silimy.

10 recordsLinked to original sources
PubMed1996

Combined endonasal and percutaneous endoscopic approach to Pott's puffy tumour.

The most favourable management of frontal sinus disease and its complications involves the choice of the least invasive operative technique likely to eradicate the disease process. With the introduction of endonasal endoscopic surgery, examination of the frontal recess and removal of obstructive ethmoidal cells or diseased mucosa becomes feasible. Percutaneous frontal sinus endoscopy facilitates sinus irrigation, thorough inspection of the frontal sinus, removal of diseased mucosa within the frontal sinus, and evacuation of subperiosteal abscesses. Six cases of Pott's puffy tumour secondary to frontal sinusitis treated by combined endonasal and percutaneous endoscopic surgery are presented. CT scan is diagnostic for associated complication and underlying pathology. Complications are minimal. Combined endonasal and percutaneous endoscopic surgery is a good approach which can be carried out for the treatment of frontal sinus diseases and its complications.

Adult↗
PubMed1995

The place of endonasal endoscopy in the treatment of orbital cellulitis.

Orbital cellulitis secondary to acute sinusitis is uncommon, dangerous, and can lead to blindness and death. The ethmoid is the predominantly involved sinus. Management policy consists of early drainage of the affected sinus combined with systemic antibiotic therapy. If no improvement is achieved within the first 48 h, exploration of the fronto-ethmoidal region is mandatory. Endonasal endoscopic surgery facilitates early drainage of the affected sinus, eradication of the disease from the fronto-ethmoidal region, and drainage of the subperiosteal abscess. Sixteen cases of orbital cellulitis were treated successfully by endonasal endoscopic surgery with no complications.

Adolescent↗
PubMed1993

The value of sonography in the management of cystic neck lesions.

Eight cases of cystic neck lesion of differing causes in whom sonography was carried out as part of investigation are described. These are thyroid cyst with haemorrhage, thyroglossal cyst, branchial cyst, cystic hygroma, parotid abscess of the neck secondary to malignant external otitis, cystic degeneration of a recurrent malignancy in the neck, sebaceous cyst and a cold abscess. They showed that sonography is better than clinical judgement in obtaining a diagnosis. Therefore, we recommend that ultrasound should be performed in all neck lesions prior to needle aspiration or open excisional biopsy.

Abscess↗
PubMed1993

Inferior turbinate resection: the need for a nasal pack.

A random prospective study of 180 patients with chronic nasal obstruction who underwent inferior turbinate resection as a part of a multinasal surgical procedure is presented. The aim of our study was to examine the influence of nasal pack on the incidence of post-operative haemorrhage following inferior turbinate resection. The haemorrhage rate in Group 1 (no nasal pack), Group 2 (nasal pack retained for 24 hours) and Group 3 (nasal pack retained for 48 hours) was 11.7, 8.3 and 0 per cent respectively. We recommend that a nasal pack should be retained for 48 hours following inferior turbinate resection.

Adolescent↗
PubMed1993

Endonasal endoscopy and posterior epistaxis.

The availability of a comprehensive range of endonasal telescopes facilitates systematic examination of the nasal cavity. Epistaxis is normally divided into anterior and posterior. Posterior epistaxis is diagnosed when anterior rhinoscopy fails to visualize anterior-located bleeding points. With the aid of endonasal endoscopy the exact location of bleeding points can be identified and diathermy applied under direct vision. Twenty-seven cases of the so-called posterior epistaxis were treated successfully by endonasal endoscopy. The technique is particularly useful during acute nose bleeds, it shortens hospital stay, and reduces the discomfort inflicted by the presence of nasal packing. The need for blood transfusion is reduced by using endonasal endoscopy in the acute stage of epistaxis.

Adult↗
PubMed1992

Malignant external otitis: management policy.

Malignant external otitis is a progressive pseudomonal infection of the external auditory canal and adjacent structures. In the literature there is no unified policy regarding the management of malignant external otitis. The development of an effective nuclear scanning method and antibiotics active against Pseudomonas aeruginosa have helped in formulating our management policy. A review of four years personal experience with this condition is presented. All of our cases were cured from the disease with no fatality. Gallium citrate scans showed that antipseudomonal treatment should continue for up to three months.

4-Quinolones↗
PubMed1992

A clinico-pathological classification of laryngeal paraganglioma.

A case of metastatic laryngeal paraganglioma is presented. We have reviewed the current world literature on this entity and thereby identified two apparently distinct types of this rare lesion (type I and type II). The histopathological features are unhelpful in discriminating these two types and this is instead based on clinico-epidemiological differences. The latter are annotated and discussed with respect to prognosis and management. A true estimate of the frequence of type II (potentially malignant) awaits the utilization of the recent improvements in diagnostic techniques.

Female↗
PubMed1986

Swimming with a mastoid cavity: what are the risks?

The authors have found no studies and little guidance in the literature on the advisability of people swimming with a modified radical mastoid cavity. Two groups of such outpatients were therefore followed up at 2-monthly intervals for 6 months. One group of 56 patients swam (81% without ear protection) and the other group of 55 patients maintained their ears quite dry. Swimming did not increase the incidence of an infected mastoid cavity. The most important risk of swimming was vertigo which occurred in 5% of swimmers.

Adolescent↗