Palatine Tonsil ; Cysts

To determine the outcome of laser-assisted uvulopalatoplasty for the management of patients with snoring in Universiti Sains Malaysia Hospital (HUSM). A retrospective review of patients who underwent LAUP with or without tonsillectomy or adenoidectomy under general anaesthesia between December 2003 to December 2006. Data was obtained from admission and follow-up records in the otorhinolaryngology clinic of USM Hospital (HUSM). A total of nineteen patients underwent procedure for the treatment of snoring. Majority of these patients presented with symptoms of loud snoring and daytime somnolence. The main operations performed were LAUP with or without tonsillectomy or adenoidectomy. The justification for LAUP were overhanging and excessive uvula or soft palate, whereas for adenotonsillectomy were the hypertrophied adenoids and tonsils. On follow-up, most of the patients claimed improvement of snoring within the first 2 months post-operation. However, majority of them defaulted follow-up after that. One patient (AHI preoperatively was mild) was reviewed up to 8 months with no snoring. One patient (AHI was severe preoperatively and normal post operatively) remained in our follow-up was satisfied with the operation. Two patients continued to experience snoring post LAUP despite trial of non-surgical methods. The outcome of LAUP in our patients showed variable results. This showed that patient selection is very important to achieve good result in LAUP. Long-term follow-up is also essential to document the success for LAUP.

SUMMARY Introduction: The aim of this article was to review the types of psychological interventions for patients with tinnitus, professionals involved in giving the intervention, the effectiveness of each method of interventions and comparisons with non-psychological approaches in treating tinnitus. Materials and Methods: PubMed database searched. Results: Twenty one articles that employed randomized controlled trials design were included. Cognitive behavioural therapy (CBT) was the most common intervention conducted by the researchers. Clinical psychologists and trainee psychologists were the most professionals involved in the therapy. The length of therapy ranged from six weeks to three months. Discussion: Psychological interventions were more effective in reducing psychological impacts of tinnitus than non-psychological interventions such as the use of tinnitus maskers. Nevertheless, the combination of the treatments yielded more superior outcomes. Conclusion: A simplified version of psychological intervention that can be implemented by other clinical professionals should be developed to treat tinnitus holistically to overcome the shortage number of clinical psychologists.
Tinnitus ; Clinical Trial

No abstract available.
Tinnitus*

Introduction: Tinnitus is a common complaint amongpatients with ear diseases and can be serious if not treated.Recently, a Malay tinnitus questionnaire, known as the“Borang Evaluasi Soal selidik Tinnitus” (BEST) had beendeveloped and preliminarily validated among Malayspeakingpopulation. The aims of the present study were todetermine the test-retest reliability and responsiveness ofthe BEST questionnaire.Method: Forty-six Malay adults (aged 23-74 years) withtinnitus were enrolled. They were instructed to fill in theBEST questionnaire accordingly. After one week, 21 of themwere asked to fill in the questionnaire again. The other 25subjects underwent tinnitus intervention for three monthsand following this; the BEST was administered to themagain.Results: In the test-retest reliability task, the intraclasscorrelation values obtained were acceptably high (0.70-0.90).After the intervention, significant differences in the BESTresult were found in the mind domain, main domain andcomposite score (p<0.05) with moderate effect sizes (0.61-0.70).Conclusion: The test-retest reliability of the BEST was foundto be good. It also showed good responsiveness tointervention. The clinical usefulness of the BEST inassessing patients with tinnitus was further supported bythe present study.nnaire; reliability; responsiveness; effect size