1.Primary middle ear tuberculosis mimicking cholesteatoma
Mohd Khairi Md Daud ; Azliana Aziz
Malaysian Family Physician 2020;15(1):44-46
Tuberculous granuloma in the middle ear is an unusual entity. Herein, we report a case with short
presentation of otitis media with mastoid abscess but with a CT scan showing widespread bone
destruction. Te cause was determined to be middle ear tuberculosis. Awareness of this entity is
important, as it may cause a delay in referral to an otorhinolaryngology specialist and, subsequently,
a delay in initiating treatment. Terefore, it should be considered in the diferential diagnosis,
especially when the usual treatment fails to produce the desired result.
2.Congenital Mastoid Cholesteatoma Presenting as a Mass
Khairunnisak Misron ; Mohd Khairi Md Daud
The Medical Journal of Malaysia 2014;69(6):279-280
Cholesteatoma is one of the common disorders encountered
by the otorhinolaryngologist. However, there are few cases
with an atypical clinical presentation and computed
tomography scan findings which make cholesteatoma
difficult to diagnose. We report a rare case of congenital
mastoid cholesteatoma that presented as a mass
obstructing the external auditory canal. The disease was
successfully treated with a mastoidectomy and
histopathological examination confirmed the diagnosis of
cholesteatoma. Clinicians should consider congenital
mastoid cholesteatoma in the differential diagnosis of
patients with a mass in the external auditory canal. The
diagnosis is likely to be made based on surgical and
histopathological findings.
3.Cholesteatoma manisfesting as an external auditory canal polyp
Adil Sami ADAL RAZAQ ; Mohd Khairi MD DAUD
Brunei International Medical Journal 2012;8(2):99-101
Cholesteatoma is a serious disease of the ear. It is defined as a benign skin lesion that grows in the middle ear cleft. The most commonly affected sites are the middle ear cavity and mastoid bone. It can also develop in the petrous apex. It can manifest with a wide range of symptoms ranging from persistent ear discharge to hearing loss. The treatment is almost always surgical excision. We report a rare case of middle ear cholesteatoma that presented as an aural polyp arising from the posterior wall of the external auditory canal.
Cholesteatoma
;
Complications
;
Polyps
5.Clinical Characteristic of Vertigo in Children
Rosdan Salim ; Basheer Lawal ; Mohd Khairi Md Daud
The Medical Journal of Malaysia 2015;70(4):220-223
Objective: To review the clinical characteristic of vertigo in
children
Method: A retrospective observational study was done on
children who presented to a specialised vertigo clinic over
period of six years. The patients’ case notes were retrieved
from the medical record unit and reviewed. All patients were
seen by an otologist who thoroughly took down history,
completed ear, nose, throat and neurological examination.
Result: Seven different causes were identified in 21 patients
(86%) while no diagnosis was reached in three patients
(12.5%). The most common cause of giddiness was
childhood paroxysmal vertigo (33%) followed by benign
paroxysmal positional vertigo (16.6%) and sensorineural
hearing loss (12.5%). Other causes include chronic
suppurative otitis media and anxiety disorder each
accounting for 8.3%, one case of cholesteatoma and another
case of ear wax each accounting for 4.1%.
Conclusion: It is not uncommon for the children to be affected
by vertigo. Management of vertigo in children should include
a detailed history, clinical examination, audiological and
neurological evaluation. Imaging should be performed in
selected patients. The main cause of vertigo in our series is
CPV. The outcome of most of the patients is good.
Vertigo
;
Child
6.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.
7.Myxoid Neurofibromas of the External Ear Canal: A Case Report
Maryam Yousefi Koosha ; Mohd Khairi Md Daud ; Asmah Hanim Hamdan
The Medical Journal of Malaysia 2015;70(2):102-103
Myxoid neurofibroma is benign tumours of perineural cell
origin that arise from elements in the peripheral nervous
system. We report a case of a 60-year-old female patient
presented with history of right ear mass which was slowly
growing. Her primary complaint was cosmetic deformity but
hearing loss was also present. The mass was excised and
histologically revealed a myxoid neurofibroma. To the
authors’ knowledge, this is the first time that a myxoid
neurofibroma arising from external auditory canal is
reported. It should be included in the differential diagnosis
of a mass originating from this location.
Neurofibroma
8.Relapse of B-cell acute lymphoblastic leukaemia presenting as right aural polyp with facial and mandibular nerves palsy
Chew Shiun Chuen ; Mohd Khairi Md Daud ; Nur Asyilla Che Jalil ; Hilma Hazmi
The Medical Journal of Malaysia 2017;72(5):317-320
A patient presenting with an ear polyp is a common finding
in otorhinolaryngology practice. The common causes
include chronic otitis media and cholesteatoma. We report
an adult female patient with a history of acute leukaemia
presenting with chronic otitis media symptoms and right ear
polyp. She was subsequently diagnosed as relapse of B-cell
acute lymphoblastic leukaemia based on histopathological
examination. The presentation may be similar to an
inflammatory pathology of the middle ear, making it
misleading.
Leukemia
;
Polyps
9.Hamartomatous polyp of the tonsil: a case report
Wan Faiziah Wan Abdul Rahmana ; Nur Asyilla Che Jalila ; Irfan Mohamad ; Mohd Khairi Md Daud
Archives of Orofacial Sciences 2014;9(2):91-95
Hamartomatous polyps of the tonsil are very rare. They have been described using various terms such as a lymphangiomatous polyp, lymphangiectatic fibrous polyp, lipomatous polyp or pedunculated tonsil, thus the actual incidence is difficult to be quantified. We present a case of hamartomatous polyp of the palatine tonsil in a 30-year-old female presented with recurent tonsillitis. Histopathological examination of the resected tonsils showed features of chronic tonsilitis with incidental finding of hamartomatous polyp characterized by a polypoidal tissue covered by stratified squamous epithelium and composed of thin-walled blood vessels, lymphatic channels, fibrofatty tissues, seromucinous glands and striated muscle fibres. An unusual incidental histopathological finding of a rare condition has been discussed along with the review of literature.
Hamartoma
;
Polyps
;
Palatine Tonsil
10.Salivary parameters, dental caries experience and treatment needs of hearing-impaired children in a special school for deaf in Kelantan, Malaysia
Normastura Abd. Rahman ; Azizah Yusoff ; Mohd Khairi Md Daud ; Fatin Noor Kamaruzaman
Archives of Orofacial Sciences 2015;10(1):17-23
Dental caries is the main oral health problem in hearing-impaired (HI) children and remains the most
neglected need. The present study aimed to determine caries prevalence and treatment needs in HI children and
the association with salivary parameters. A cross-sectional study was conducted on 63 HI children aged between
7-14 years who attended a special school for the deaf. Clinical oral examination was done and salivary
parameters (resting flow rate and resting pH) were measured. Caries experience was charted using the index of
decay-filled teeth (dft) and Decay-Missing-Filled Teeth (DMFT) for primary and permanent dentition respectively.
Data were analysed using SPSS version 12.0. The mean age was 11.5 (SD 2.39) years and 53.8% were female.
Dental caries prevalence was 88.0% (95% Cl: 73.0, 100.0) in primary dentition and 85.0% (95% Cl: 73.0, 96.0) in
permanent dentition. The mean dft was 6.1 (SD 4.14) and the mean DMFT was 4.9 (SD 3.28). The mean resting
flow rate was 0.14 (SD 0.08) ml/min while mean pH was 6.8 (SD 0.79). Both pit and fissure sealants and
restorations were the highest (83.1%) treatment needs. Only 3.1% of the children did not require any treatment.
There were no significant association between both salivary flow rate and salivary pH with caries experience in
the primary (p=0.342, p=0.610 respectively) and permanent (p= 0.99, p=0.70 respectively) teeth. In conclusion,
children with HI have high caries prevalence and unmet need for dental treatments. Salivary pH and resting flow
rate of the children were not associated with their caries experience.
Dental caries