1.Evaluation with acoustic rhinometry of patients undergoing sinonasal surgery.
The Medical Journal of Malaysia 2003;58(5):723-728
The purpose of this study is to evaluate the use of Acoustic Rhinometry in assessing surgical outcomes in sinonasal surgery. This prospective study was carried out from January till December 2001. A group of 44 patients who presented with nasal obstruction due to various rhinologic abnormality were examined with acoustic rhinometry pre and post-operatively. They were examined with acoustic rhinometry pre and post decongestion with cocaine and adrenaline. A highly significant correlation existed between minimal cross sectional area (MCA) and the subjective feeling of nasal problem, pre and post surgery. Thus MCA is a valuable parameter to express objectively the nasal patency. The mucovascular component of the nasal cavity plays a major role in the nasal patency as determined in the pre and post-decongestion acoustic rhinometry measurement. Acoustic rhinometry is a good tool to evaluate the nasal patency in cases where sinonasal surgery is considered in correcting the abnormality as well as for the post-operative evaluation.
Nasal Obstruction/diagnosis
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Nasal Obstruction/*surgery
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*Rhinometry, Acoustic
2.Two Cases of Congenital Vallecular Cyst: A Reminder of the Potentially Fatal Cause of Upper Airway Obstruction in Infants
Azian Abd. Aziz ; Ahmad Fadzil Abdullah ; Raja Ahmad RL Ahmad
Malaysian Journal of Medical Sciences 2010;17(3):68-73
Vallecular cyst, a benign yet rare laryngeal lesion, may cause stridor and even life-threatening
upper airway obstruction in infants. It can cause apnoea and poor feeding habits, thus reducing the
chance of survival. Although laryngomalacia remains the most common cause of stridor in this age
group, awareness and a high level of suspicion for this condition can help lead to early management
and intervention. Direct laryngoscopy is accepted as the gold standard for diagnostic purposes, and
marsupialisation of the cyst is the preferred treatment. We describe 2 cases of vallecular cysts in
infants admitted to our hospital where timely diagnoses led to appropriate treatment.
3.Bilateral Vocal Cord Palsy as the Sole Presentation of Acquired Syphilis
Zamzil Amin Asha’ari ; Mohd Sayuti Razali ; Raja Ahmad RL Ahmad
Malaysian Journal of Medical Sciences 2010;17(2):56-60
Bilateral vocal cord palsy is almost always caused by neck surgery, particularly surgery of
the thyroid. We report a case of bilateral vocal cord palsy requiring emergency surgery to relieve
the airway obstruction as the sole presentation of acquired syphilis. As the incidence of syphilis
worldwide is rising, this unusual presentation may give clinicians a different perspective on the
disease.