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Shady EFA, El-Mofty IAM, Hegazy ESA, Abdelhakam RB, Abdelsamie AM. Comparison between classic 'Fisch' and 'corner-tag' meatoplasty techniques after canal wall down tympanomastoidectomy. Am J Otolaryngol 2024; 45:104072. [PMID: 37801745 DOI: 10.1016/j.amjoto.2023.104072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 04/17/2023] [Accepted: 09/25/2023] [Indexed: 10/08/2023]
Abstract
PURPOSE To compare outcomes of two different methods of meatoplasty following Canal Wall-Down tympanomastoidectomy. METHODS A retrospective case review study of 48 patients with non-complicated unsafe chronic suppurative otitis media candidate for post-auricular canal wall-down tympanomastoidectomy via a post-auricular approach at Otolaryngology department, Benha university hospitals from January 2021 to January 2023, all were operated for the first time, and divided into 2 groups each of 24 patients. Group A submitted for classic 'Fisch', and group B 'Corner-Tag' meatoplasty. RESULTS The mean age was 28.88 ± 13.26 years in group A and 33.33 ± 16.04 years in group B. Only one patient (4.2 %) in each group developed wound infection and none in both groups developed perichondritis. Two patients (8.3 %) in group B compared to only one patient (4.2 %) in group A had granulations on the meatal incision. One patient (4.2 % of group A) needed revision meatoplasty. Group B needed more time for epithelization (mean 7.33 ± 0.96 weeks) than group A (mean 6.5 ± 0.88 weeks; P = 0.003*) also resulted in wider mean new meatus in group B (mean 10.50 ± 1.02 mm) than in group A (mean 9.63 ± 1.41 mm; P = 0.02*). CONCLUSION Both techniques had comparable post-operative complications. 'Corner-Tag' technique needed more time for healing and epithelization but gave a wider new meatal diameter than 'Fisch' meatoplasty after one year of follow-up.
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Affiliation(s)
- Eslam Farid Abu Shady
- Otorhinolaryngology Department, Faculty of Medicine, Benha University, Benha, Qalyubia, Egypt.
| | | | | | - Rehab Bassam Abdelhakam
- Otorhinolaryngology Department, Faculty of Medicine, Benha University, Benha, Qalyubia, Egypt
| | - Alaa Mohamed Abdelsamie
- Otorhinolaryngology Department, Faculty of Medicine, Benha University, Benha, Qalyubia, Egypt.
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Abdelsamie AM, Abdelazim HM, Elnems MG, Abdelhakam RB, Abdelalim AA. Covid-19-Related Acute Invasive Fungal Sinusitis: Clinical Features and Outcomes. Int Arch Otorhinolaryngol 2022; 26:e152-e157. [PMID: 35096173 PMCID: PMC8789489 DOI: 10.1055/s-0041-1740947] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Accepted: 10/17/2021] [Indexed: 12/12/2022] Open
Abstract
Abstract
Introduction There is a noticeable increase in the incidence of acute invasive fungal sinusitis which coincides with the ongoing coronavirus pandemic. It is a potentially-lethal fungal infection, with the most common form being the rhino-orbito-cerebral presentation.
Objectives The aim of the present study is to discuss the different epidemiological factors, risk factors, clinical presentations and outcomes of acute invasive fungal sinusitis which is noticeably related to the coronavirus disease 2019 (Covid-19) pandemic.
Methods The present cross-sectional cohort study included 22 adult patients who presented with Covid-19-related acute invasive fungal sinusitis. The diagnosis of acute invasive fungal sinusitis was confirmed by histopathological biopsy. All data, including demographics, risk factors, clinical findings, different lines of treatment and their outcomes, were recorded and analyzed.
Results All patients had diabetes mellitus (100%), and 17 (77.3%) had been submitted to systemic steroids. All patients (100%) had unilateral sinonasal disease. Proptosis was found in 15 patients (68.2%), ophthalmoplegia was observed in 12 patients (54.5%), and intracranial affection occurred in 10 patients (45.5%). A total of 20 patients (90.9%) received liposomal amphotericin B. Surgical debridement was performed in 18 patients (45.5%). Non-septated mycelia was present in 19 biopsies (86.4%), while 3 (13.6%)showed septated mycelia. Total improvement was achieved in 10 patients (45.5%), while the mortality rate was of 27.3% (6 out of 22 participants).
Conclusion Diabetes mellitus is the most common preexisting medical condition associated with Covid-19-related acute invasive fungal sinusitis. Systemic corticosteroid therapy is considered a predisposing factor. It is necessary to raise the level of awareness to diagnose this condition, especially in patients with Covid-19 infection or those who have recently recovered from it.
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Affiliation(s)
- Alaa Mohamed Abdelsamie
- Otorhinolaryngology department, Faculty of Medicine, Benha University, Benha, Egypt, Faculty of Medicine, Benha University, Qism Banha, Al Qalyubia Governorate, Banha, Egypt
| | - Hossam Mohamed Abdelazim
- Otorhinolaryngology department, Faculty of Medicine, Benha University, Benha, Egypt, Faculty of Medicine, Benha University, Qism Banha, Al Qalyubia Governorate, Banha, Egypt
| | - Mohamed Goda Elnems
- Otorhinolaryngology department, Faculty of Medicine, Benha University, Benha, Egypt, Faculty of Medicine, Benha University, Qism Banha, Al Qalyubia Governorate, Banha, Egypt
| | - Rehab Bassam Abdelhakam
- Otorhinolaryngology department, Faculty of Medicine, Benha University, Benha, Egypt, Faculty of Medicine, Benha University, Qism Banha, Al Qalyubia Governorate, Banha, Egypt
| | - Abdelrahman Ahmed Abdelalim
- Otorhinolaryngology department, Faculty of Medicine, Benha University, Benha, Egypt, Faculty of Medicine, Benha University, Qism Banha, Al Qalyubia Governorate, Banha, Egypt
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