PubMed Health⌕ Search

Biomedical subjects

R Shahab

Publications and source records attributed to R Shahab.

8 recordsLinked to original sources
PubMed2005

How we do it: a series of 114 primary pharyngeal space neoplasms.

Primary parapharyngeal space tumours are exceedingly rare. We present a series of 114 parapharyngeal space tumours, the second largest in the literature. The most frequent benign tumours were pleomorphic adenoma (34) and paraganglioma (33); the commonest malignancies were of salivary gland origin (12). The 5- and 10-year survival for benign tumours was 100%. The 5- and 10-year survival for malignancies was 93% and 57% respectively. The importance of long-term follow-up is evidently crucial.

Adenoma, Pleomorphic↗
PubMed2005

Look before you pack: key point in epistaxis management.

We report a patient with epistaxis who used cotton wool to pack his nose before reaching the hospital, and underwent further packing in the accident and emergency department, which probably pushed the cottonwool further back. This led to the formation of foreign body granuloma inside the nasal cavity. It is difficult to examine the nose without proper equipment and experience, and the examination is more difficult in the presence of active bleeding to find a foreign body such as cotton wool. Hence, it is important to ask the patient about any temporary pack they have used in the nose and to look for and remove it before inserting a proper pack. It is also important for trainees to have a better understanding of the different levels of management of epistaxis. Hence, we propose the term "epistaxis management ladder" for easy understanding of the treatment of epistaxis.

Epistaxis↗
PubMed2004

A safe and cost-effective method of removal of obstructed pharyngeal foreign body in the accident and emergency department.

Foreign body obstruction at the level of the cricopharynx is not an uncommon presentation in the accident and emergency department. If this is visualised with a fibro-optic endoscope, it can be safely removed in the emergency department with the help of short acting inhalational anaesthesitic agents such as sevoflurane. This method is safe and effective and also saves valuable operating theatre resources.

Aged↗
PubMed2001

Infrared transtympanic temperature measurement and otitis media with effusion.

Body temperature is an important clinical measurement. It can be estimated by sublingual, rectal, axillary or skin measurement. Pulmonary artery temperature measurement is the gold standard in the research setting, but is obviously inapplicable for routine clinical use. Infrared estimation of core temperature at the tympanic membrane has been proposed as an effective and accurate method. We investigate whether the common condition of childhood otitis media with effusion (OME) interferes with this mode of body temperature measurement. Ninety-five children undergoing grommet tube insertion were assessed preoperatively by axillary and transtympanic routes. The presence or absence of middle ear fluid was noted at the time of surgery. Analysis of the data showed no influence of OME on the measurement of body temperature by the transtympanic route compared with axillary measurement.

Axilla↗
PubMed2001

Role of a home care team in paediatric day-case tonsillectomy.

The feasibility of paediatric day-case tonsillectomy (PDCT) depends on its safety and acceptance by parents and patients. The purpose of our retrospective study of paediatric day-case tonsillectomy was to review the role of the home care team (HCT) in improving the safety and acceptance of the procedure. Between January 1997 and June 1999, 352 consecutive children underwent day-case tonsillectomy. The notes and HCT assessment sheets were reviewed for telephone calls made by HCT or by parents, home visit by HCT, types of complication and their outcome. The primary haemorrhage rate was 0.6 per cent. The effective day-case rate was 97 per cent. The unplanned admission rate was three per cent. The HCT visited about 25 per cent of patients at home. We conclude that paediatric day-case tonsillectomy is associated with high morbidity and considerable parental anxiety that can be dealt with by timely reassurance, support and advice by a dedicated HCT.

Adenoidectomy↗
PubMed2001

Isolated hypoglossal nerve palsy due to internal carotid artery dissection.

A case of an isolated hypoglossal nerve palsy is reported. The differential diagnosis is discussed, in the context of the requirement for careful scrutiny of the entire course of the hypoglossal nerve on imaging, to detect underlying pathology remote from the tongue, and to avoid unnecessary invasive diagnostic procedures prompted by the appearance of a 'pseudomass' of the weak tongue both clinically and radiologically.

Carotid Artery, Internal, Dissection↗