1.The routine histopathological examination of tonsillectomy specimens at Hospital Universiti Sains Malaysia – A retrospective study and its implication.
Irfan Mohamad ; Shahid Hassan ; Rosdan Salim
Malaysian Journal of Medical Sciences 2007;14(1):53-55
Tonsillectomy is performed for several indications, the two commonest in practice are infective (chronic tonsillitis) and obstructive symptoms such as sleep apnea. The objective of this study is to determine the necessity of routinely performed histopathological examination of fonsillectomy specimens. In this paper, a retrospective evaluation of 480 specimens from 241 patient who had undergone tonsillectomies in Hospital Universiti Sains Malaysia between January 2004 and October 2005 was done. It was found that 462 (96.25 %) were reactive lymphoid hyperplasia and 18 (3.75 %) were follicular hyperplasia. None of them were found to be malignant. The result of this study indicates that routine histopathological examination of tonsillectomy specimens are unnecessary and results only in added cost and a loss of man hours.
Tonsillectomy
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Retrospective Studies
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Malaysia
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Hospitals
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Carbon ion
2.The routine histopathological examination of tonsillectomy specimens at Hospital Universiti Sains Malaysia- Retrospective study and its implication
Irfan Mohamad ; Shahid Hassan ; Rosdan Salim
Malaysian Journal of Medical Sciences 2007;14(2):19-21
Tonsillectomy is performed for several indications, the two commonest in practice are infective ( chronic tonsillitis ) and obstructive symptoms such as sleep apnea.
The objective of this study is to determine the necessity of routinely performed histopathological examination of specimens post-tonsillectomy . In this paper, a
retrospective evaluation of 480 specimens from 241 patient who has undergone tonsillectomies in Hospital Universiti Sains Malaysia between January 2004 and
October 2005 was done. It was found that 462 ( 96.25 % ) were reactive lymphoid hyperplasia and 18 ( 3.75 % ) were follicular hyperplasia. None of them were
found malignant. The result of this study indicate that routine histopathological examination of tonsillectomy specimens are unnecessary and results only in added
cost and a loss of man hours.
4.Antifungal Effect of Malaysian Neem Leaf Extract on Selected Fungal Species Causing Otomycosis in In-Vitro Culture Medium
Puvan Arul Arumugam ; Irfan Mohamad ; Rosdan Salim ; Zeehaida Mohamed
Malaysian Journal of Medicine and Health Sciences 2015;11(2):69-84
Azadirachta indica (neem) has been used for a long time in agricultural and alternative medicine. Neem
had been proved effective against certain fungi that could infect human body. This pilot study aims to
demonstrate the antifungal effect of Malaysian neem leaf extracts on the pathogenic fungi in otomycosis,
Aspergillus niger and Candida albicans. This is a laboratory-controlled prospective study conducted at
Universiti Sains Malaysia. The powder form of Malaysian neem leaf was prepared. Ethanol and aqueous
extracts of the neem leaf was diluted with sterile water to establish five different concentrations of 50 g/
ml, 25 g/ml, 12.5 g/ml, 6.25 g/ml and 3.125g/ml. The extract was tested on Sabouraud Dextrose Agar
suspended with Candida albicans and Aspergillus niger respectively. Well diffusion method was used
and zone of inhibition was measured. Growth of the fungi was inhibited in both alcohol and aqueous
extract concentrations. The minimum inhibitory concentration (MIC) of Malaysian neem aqueous extract
against Candida albicans was 11.91 g/ml, neem ethanol extract against Candida albicans was 5.16 g/
ml, neem aqueous extract against Aspergillus niger was 7.73 g/ml and neem ethanol extract against
Aspergillus niger was 9.25 g/ml. Statistical analysis showed that the antifungal activity of Candida
albicans is better in alcohol neem than aqueous extract (p<0.001) but aqueous neem extract is better than
alcohol extract (p<0.001) for Aspergillus niger.Malaysian neem has significant antifungal effect towards
Aspergillus niger, best in aqueous extract and towards Candida albicans, was best in alcohol extract.
Azadirachta
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
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Child
6.Sudden sensorineural hearing loss: A missed opportunity for treatment
Ahmad Hafiz Ali ; Zulkiflee bin Salahuddin ; Rosdan Salim
Malaysian Family Physician 2018;13(3):29-31
Sudden sensorineural hearing loss (SSNHL) is an otology emergency and carries significant
morbidity if the diagnosis is missed. It can present to any specialty but in our local setting the
patient usually presents to primary care as it is easily accessible. We present a case of SSNHL
that was initially presented to a primary care centre and the patient was reassured without any
investigation being carried out. SSNHL has many causes thus making diagnosis difficult. However,
with knowledge of its possible, a diagnosis can be made and appropriate management can be
advocated to the patient. Hence, we discuss the three main causes of SSNHL, while emphasizing
the immune system-mediated mechanism as the main cause in this case.
7.Earlier Peak Latencies May Not Fully Reflect the Robustness of Cervical Vestibular Evoked Myogenic Potential to CE-Chirp Stimulus
Mohd Normani ZAKARIA ; Athar Mazen Rasmi ABDALLATIF ; Wan Najibah Wan MOHAMAD ; Rosdan SALIM ; Ahmad Aidil Arafat DZULKARNAIN
Journal of Audiology & Otology 2022;26(2):108-109
8.The Test-Retest Reliability of Subjective Visual Horizontal Testing:Comparisons between Solid and Dotted Line Images
Mohd Normani ZAKARIA ; Nor Haniza Abdul WAHAT ; Zuraida ZAINUN ; Nurul Syarida Mohd SAKERI ; Rosdan SALIM
Journal of Audiology & Otology 2020;24(2):107-111
The present study aimed to determine the test-retest reliability of subjective visual horizontal(SVH) testing when tested with solid and dotted line images. In this repeated measures study,36 healthy young Malaysian adults (mean age=23.3±2.3 years, 17 males and 19 females)were enrolled. All of them were healthy and had no hearing, vestibular, balance, or vision problems.The SVH angles were recorded from each participant in an upright body position using acomputerized device. They were asked to report their horizontality perception for solid and dottedline images (in the presence of a static black background). After 1 week, the SVH procedurewas repeated. The test-retest reliability of SVH was found to be good for both solid line[intraclass correlation (ICC)=0.80] and dotted line (ICC=0.78). As revealed by Bland-Altmanplots, for each visual image, the agreements of SVH between the two sessions were within theclinically accepted criteria (±2°). The SVH testing was found to be temporally reliable, which canbe clinically beneficial. Both solid and dotted lines in the SVH testing are reliable to be usedamong young adults. J Audiol Otol 2020;24(2):107-111
9.Synchronous Occurrence of Bilateral Malignant Otitis Externa: Report of a Rare Case
Nur Adillah LAMRY ; Khairunnisak MISRON ; Tengku Mohamed Izam TENGKU KAMALDEN ; Azliana AZIZ ; Rosdan SALIM
Korean Journal of Family Medicine 2021;42(6):483-486
Malignant otitis externa (MOE) is a rare and potentially life-threatening disease of the ear and temporal bone. Bilateral simultaneous MOE is extremely rare. Due to bilaterally symmetrical facial nerve palsy, it can easily be missed at the initial presentation, causing delay in management. Here, we report a case of bilateral MOE managed aggressively with regular ear toileting, ear packing with a ribbon gauze soaked with topical antimicrobials, and long-term intravenous and oral antibiotics. The patient showed good improvement in pain control, facial nerve status, and ear findings.