1.Gradual Recovery from Bilateral Severe Sensorineural Hearing Loss post Motor Vehicle Accident
Ali Ango Yaroko ; Behzad Shahrjerdi ; Mohd Khairi Md Daud
The Medical Journal of Malaysia 2013;68(2):181-182
Sensorineural hearing loss following trauma is a common
finding in daily clinical practice and usually associated with a poor prognosis. Our case illustrates a patient who was involved in motor vehicle accident sustaining bilateral
severe to profound sensorineural hearing loss but
subsequently recovered fully after two years. Unless there is clear trauma to the cochlea or auditory nerve, a substantial duration of follow up is needed in the treatment of such cases.
2.The association of allergy and chronic suppurative otitis media: A study in a tropical country
Mohd Khairi Md Daud ; Behzad Shahrjerdi ; Ramiza Ramza Ramli ; Normastura Abd Rahman
The Medical Journal of Malaysia 2019;74(3):205-208
Objective: Chronic suppurative otitis media (CSOM) usually
begins as a spontaneous perforation of tympanic membrane
due to an acute infection of the middle ear. This study was
aimed to evaluate the association between allergy and
CSOM.
Methods: A case-control study was carried out among
patients with CSOM (cases) and controls were those with no
ear pathology. The presence of CSOM was made through a
medical history and otoscopic examination. Allergen testing
was done by the skin prick test.
Results: In all 124 subjects were recruited in this study with
equal number of the cases and controls. The commonest
positive reaction in the skin prick test in both groups was to
house dust mites. Among CSOM cases, half (50%) of them
had an allergy to Blomia tropicalis and 48.4% to
Dermatophagoides while in the control group, 27.4% to
Dermatophagoides and 25.8% to B. tropicalis. There were
significant associations between CSOM and allergy to B.
tropicalis (p=0.005), Dermatophagoides (p=0.016) and Felis
domesticus (p=0.040). The prevalence of allergy at 95%
confidence interval (95%CI) in CSOM and control groups
were demonstrated as 59.7% (95%CI: 47.5, 71.9) and 30.6 %
(95%CI: 19.1, 42.1) respectively. There was a significant
association between allergy and CSOM (p=0.001).
Conclusion: Indoor allergens are the most prevalent in our
environment and therefore good control may difficult to
achieve. The hypersensitivity states of the subject are likely
to have a role in the pathogenesis of CSOM especially in the
tropical countries where allergy occurs perennially.