Manar Abukaraki, Nojood Altaleb, F. Al-Quran, Enas Al Zuoid, Saeda Al Dajaa
{"title":"Membrane Sweeping : Does It Enhance the Onset of Labour ?","authors":"Manar Abukaraki, Nojood Altaleb, F. Al-Quran, Enas Al Zuoid, Saeda Al Dajaa","doi":"10.5742/MEIM.2015.92735","DOIUrl":"https://doi.org/10.5742/MEIM.2015.92735","url":null,"abstract":"","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126730248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Helvaci, R. Davran, L. Altınay, M. Acipayam, I. Fansa, C. Lale, Ümit Halici, Hanifi Bayaroğulları
Objectives: To evaluate the two different methods of port catheterization and evaluation of patient comfort with an objective scale. Background: Port catheters are essential in long term drug administrations such as chemotherapy or intravenous alimentation. Methods: Forty-six patients were port-catheterized between 01.05.2013 31.10.2013 in our clinic. Group 1 (n=21) consisted of non-aided catheter procedures and Group 2 (n=25) consisted of ultrasonography aided catheter application procedures. The patients were asked to evaluate the in-procedural pain, the duration of the procedure, their comfort in the procedure and mark it on a visual analogue scale. The scale was a 10 cm length straight line on plain paper numbered 1 at one end and 10 at the other end representing minimum and maximum values. Results: The mean age of the patient population was 53.85 years (ranged between 13 and 80 years) and consisted of 25 (54.3%) males and 21 (45.7%) females. The catheter placement sites are as follows respectively (Group 1/Group 2): right internal jugular vein 20 / 22, left internal jugular vein 0 / 3 and right basilic vein 1 / 0. A statistically significant difference was found in the operation length, puncture count, pain score and comfort score data of the groups. Operation length, puncture count and pain score were lower and comfort score was higher in Group 2 (p values respectively 0,001; 0,003; 0,031; 0,047). Conclusion: Visually aided port catheterization is less risky and more comfortable for both the surgeon and
{"title":"Comparative Results of the Two Methods of Port Catheter Application and Evaluation of Patient Comfort with Visual Analogue Scale","authors":"M. Helvaci, R. Davran, L. Altınay, M. Acipayam, I. Fansa, C. Lale, Ümit Halici, Hanifi Bayaroğulları","doi":"10.5742/MEIM.2015.92734","DOIUrl":"https://doi.org/10.5742/MEIM.2015.92734","url":null,"abstract":"Objectives: To evaluate the two different methods of port catheterization and evaluation of patient comfort with an objective scale. Background: Port catheters are essential in long term drug administrations such as chemotherapy or intravenous alimentation. Methods: Forty-six patients were port-catheterized between 01.05.2013 31.10.2013 in our clinic. Group 1 (n=21) consisted of non-aided catheter procedures and Group 2 (n=25) consisted of ultrasonography aided catheter application procedures. The patients were asked to evaluate the in-procedural pain, the duration of the procedure, their comfort in the procedure and mark it on a visual analogue scale. The scale was a 10 cm length straight line on plain paper numbered 1 at one end and 10 at the other end representing minimum and maximum values. Results: The mean age of the patient population was 53.85 years (ranged between 13 and 80 years) and consisted of 25 (54.3%) males and 21 (45.7%) females. The catheter placement sites are as follows respectively (Group 1/Group 2): right internal jugular vein 20 / 22, left internal jugular vein 0 / 3 and right basilic vein 1 / 0. A statistically significant difference was found in the operation length, puncture count, pain score and comfort score data of the groups. Operation length, puncture count and pain score were lower and comfort score was higher in Group 2 (p values respectively 0,001; 0,003; 0,031; 0,047). Conclusion: Visually aided port catheterization is less risky and more comfortable for both the surgeon and","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"141 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127645106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Motivating People to Take Appropriate Family Planning Measures","authors":"A. Abyad","doi":"10.5742/MEIM.2015.92737","DOIUrl":"https://doi.org/10.5742/MEIM.2015.92737","url":null,"abstract":"","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128619369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Karaki, Njoud Al-Taleb, F. Al-Quran, Ayyed Ashamaseen, Rema Khlaif Al-Omosh
{"title":"Undiagnosed Left Renal Artery Aneurysm Causing Maternal and Fetal Death in Late Pregnancy : A Case Report","authors":"M. Karaki, Njoud Al-Taleb, F. Al-Quran, Ayyed Ashamaseen, Rema Khlaif Al-Omosh","doi":"10.5742/MEIM.2015.92736","DOIUrl":"https://doi.org/10.5742/MEIM.2015.92736","url":null,"abstract":"","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117030674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. M. Haddad, Sultan K. Al Sureehein, Ghaith Abu Alsamen, Khaled M. Alnadi, Wafa S. Alsyoof
Objective: To assess adherence rates to inhaler therapy in bronchial asthma patients, and to find out the most common causes of non-adherence. Method: prospective study of 295 patients diagnosed to have bronchial asthma in King Hussein Medical Center (KHMC) in the period between March 2014 and January 2015. Patients were followed up for 15 weeks, after which adherence to their inhaler therapy was assessed, and the causes of nonadherence were investigated. Results: It was found that 138 patients from the 295 patients included in our study were non-adherent to their inhaler therapy, which equals 47% of the patients in this study. The most common cause for non-adherence was the patients’ fear that using inhalers would be habit forming, and would be associated with a social stigma. This cause accounted for 46% of the causes for non-adherence in our study group. Conclusion: Non-adherence rates to inhaler therapy in bronchial asthma were shown to be significant in our study. The fact that the most common causes for non-adherence in our study were found to be due to non-drug related causes, and mainly caused by poor patient understanding of their condition and treatment, makes patient’s education very important, and emphasizes the significance of doctorpatient communication to answer all the questions that might cause non-adherence to inhalers.
{"title":"Poor Adherence to Inhaler Therapy in Patients with Bronchial Asthma : Rates and Causes","authors":"R. M. Haddad, Sultan K. Al Sureehein, Ghaith Abu Alsamen, Khaled M. Alnadi, Wafa S. Alsyoof","doi":"10.5742/MEIM.2015.92654","DOIUrl":"https://doi.org/10.5742/MEIM.2015.92654","url":null,"abstract":"Objective: To assess adherence rates to inhaler therapy in bronchial asthma patients, and to find out the most common causes of non-adherence. Method: prospective study of 295 patients diagnosed to have bronchial asthma in King Hussein Medical Center (KHMC) in the period between March 2014 and January 2015. Patients were followed up for 15 weeks, after which adherence to their inhaler therapy was assessed, and the causes of nonadherence were investigated. Results: It was found that 138 patients from the 295 patients included in our study were non-adherent to their inhaler therapy, which equals 47% of the patients in this study. The most common cause for non-adherence was the patients’ fear that using inhalers would be habit forming, and would be associated with a social stigma. This cause accounted for 46% of the causes for non-adherence in our study group. Conclusion: Non-adherence rates to inhaler therapy in bronchial asthma were shown to be significant in our study. The fact that the most common causes for non-adherence in our study were found to be due to non-drug related causes, and mainly caused by poor patient understanding of their condition and treatment, makes patient’s education very important, and emphasizes the significance of doctorpatient communication to answer all the questions that might cause non-adherence to inhalers.","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122239045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This paper reviews aspects of virus mutation and spread generally as well as providing a review of the major viruses affecting people in the MENA and MESA regions.
本文综述了病毒变异和传播的各个方面，并对中东和北非地区影响人类的主要病毒进行了综述。
{"title":"Virology Vigilance : An Update on MERS and Viral Mutation and Epidemiology for Family Doctors","authors":"Lesley Pocock, M. Rezaeian","doi":"10.5742/MEIM.2015.92656","DOIUrl":"https://doi.org/10.5742/MEIM.2015.92656","url":null,"abstract":"This paper reviews aspects of virus mutation and spread generally as well as providing a review of the major viruses affecting people in the MENA and MESA regions.","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124553066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Helvaci, C. Gokce, S. Akkucuk, R. Davran, M. Uğur, Alihan Ozcan
Objective : Background: We tried to understand whether or not there are some positive correlations between leg ulcers and severity of sickle cell diseases (SCDs). Methods: All patients with SCDs were taken into the study. Results: The study included 346 patients with the SCDs (175 males). There were 50 cases (14.4%) with leg ulcers. Interestingly, the male ratio was significantly higher in patients with leg ulcers (74.0% versus 46.6%, p<0.001). Additionally, mean ages of the patients with leg ulcers were significantly higher than the patients without (35.0 versus 28.5 years, p<0.000). Prevalence of associated thalassemia minor was similar in both groups (64.0% versus 66.5%, respectively, p>0.05). On the other hand, smoking was significantly higher in patients with leg ulcers (28.0% versus 11.8%, p<0.05). Although the mean white blood cell and platelet counts of the peripheric blood were similar in both groups (p>0.05 for both), the mean hematocrit value was significantly lower in patients with leg ulcers (21.7% versus 24.0%, p= 0.002). On the other hand, although the painful crises per year, priapism, pulmonary hypertension, chronic obstructive pulmonary disease, coronary heart disease, rheumatic heart disease, and avascular necrosis of bones were all higher in patients with leg ulcers, the differences were only significant for digital clubbing, chronic renal disease, and stroke (p<0.05 for all). Conclusion: SCDs are chronic destructive processes on capillaries initiating at birth, and terminate with early organ failures in life. Probably leg ulcers are found among the terminal consequences of the inflammatory processes that may indicate shortened survival.
{"title":"Leg Ulcers in Severity of Sickle Cell Diseases","authors":"M. Helvaci, C. Gokce, S. Akkucuk, R. Davran, M. Uğur, Alihan Ozcan","doi":"10.5742/MEIM.2015.92655","DOIUrl":"https://doi.org/10.5742/MEIM.2015.92655","url":null,"abstract":"Objective : Background: We tried to understand whether or not there are some positive correlations between leg ulcers and severity of sickle cell diseases (SCDs). Methods: All patients with SCDs were taken into the study. Results: The study included 346 patients with the SCDs (175 males). There were 50 cases (14.4%) with leg ulcers. Interestingly, the male ratio was significantly higher in patients with leg ulcers (74.0% versus 46.6%, p<0.001). Additionally, mean ages of the patients with leg ulcers were significantly higher than the patients without (35.0 versus 28.5 years, p<0.000). Prevalence of associated thalassemia minor was similar in both groups (64.0% versus 66.5%, respectively, p>0.05). On the other hand, smoking was significantly higher in patients with leg ulcers (28.0% versus 11.8%, p<0.05). Although the mean white blood cell and platelet counts of the peripheric blood were similar in both groups (p>0.05 for both), the mean hematocrit value was significantly lower in patients with leg ulcers (21.7% versus 24.0%, p= 0.002). On the other hand, although the painful crises per year, priapism, pulmonary hypertension, chronic obstructive pulmonary disease, coronary heart disease, rheumatic heart disease, and avascular necrosis of bones were all higher in patients with leg ulcers, the differences were only significant for digital clubbing, chronic renal disease, and stroke (p<0.05 for all). Conclusion: SCDs are chronic destructive processes on capillaries initiating at birth, and terminate with early organ failures in life. Probably leg ulcers are found among the terminal consequences of the inflammatory processes that may indicate shortened survival.","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125634561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Travel medicine concerns the in depth evaluation of multiple and different environmental and personal factors impacting on travellers’ health. Those with the disease of multiple sclerosis (MS) however, require different and more intensive health needs to improve their quality of life whilst travelling. MS is chronic, progressive and disabling. Therefore, it is crucial to understand the symptoms experienced by travellers with MS in order to enhance quality therapeutic care provided by carers and the traveller. Travelling patients affected by MS need to be very cautious whilst travelling. This includes minimising their exposure to heat, having a healthy nutrient based diet and limiting their alcohol consumption. Due to the rapid change of environmental conditions whilst travelling, patients need to avoid situations of stress that may lead to later depression and as a result, the experience of fatigue. Therefore, patients should have a clear understanding of their needs and the risk factors associated with MS. They should also not try to push the boundaries of their health or energy capacity as such things lead to the exacerbation of MS symptoms. Above all, before travelling or intending to travel, patients should seek consultation with a physician to understand the conditions that they may experience while travelling and co-evaluate them with their health, needs, requirements and preparations. In regards to this, all travel agents have facilities for MS patient use. The government also has established and implemented policies for MS travelling patients, safeguarding their overall health and wellbeing.
{"title":"Travel Medicine : A Case of Multiple Sclerosis","authors":"H. Ayyoub","doi":"10.5742/MEIM.2015.92658","DOIUrl":"https://doi.org/10.5742/MEIM.2015.92658","url":null,"abstract":"Travel medicine concerns the in depth evaluation of multiple and different environmental and personal factors impacting on travellers’ health. Those with the disease of multiple sclerosis (MS) however, require different and more intensive health needs to improve their quality of life whilst travelling. MS is chronic, progressive and disabling. Therefore, it is crucial to understand the symptoms experienced by travellers with MS in order to enhance quality therapeutic care provided by carers and the traveller. Travelling patients affected by MS need to be very cautious whilst travelling. This includes minimising their exposure to heat, having a healthy nutrient based diet and limiting their alcohol consumption. Due to the rapid change of environmental conditions whilst travelling, patients need to avoid situations of stress that may lead to later depression and as a result, the experience of fatigue. Therefore, patients should have a clear understanding of their needs and the risk factors associated with MS. They should also not try to push the boundaries of their health or energy capacity as such things lead to the exacerbation of MS symptoms. Above all, before travelling or intending to travel, patients should seek consultation with a physician to understand the conditions that they may experience while travelling and co-evaluate them with their health, needs, requirements and preparations. In regards to this, all travel agents have facilities for MS patient use. The government also has established and implemented policies for MS travelling patients, safeguarding their overall health and wellbeing.","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129220137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: To assess pregnancy course and perinatal bleeding in women with severe autoimmune thrombocytopenic purpura. Material and methods: We collected data of 38 pregnancies in 24 women, who were on treatment for autoimmune thrombocytopenic purpura early in pregnancy. Indication for treatment was platelets count 50.000/mm3 or less. We looked for premature rupture of membranes, premature delivery, intrauterine growth restriction and significant blood loss at delivery. Those women were the study group, (group 1). The same variables were looked for in 100 healthy pregnancies taken as control (group 2). Data was compared between the two groups. Information was obtained prospectively from the woman’s follow up visits at maternal medicine clinic, King Hussein Medical Center as well as data gathered from women with previous pregnancies complicated by autoimmune thrombocytopenia. Women who had thrombocytopenia secondary to other conditions such as systemic lupus, bone marrow diseases and other causes, were not included in the study. Results: The study group 1 had nine premature ruptures of membranes in 38 pregnancies, whereas only ten women ruptured their membranes out of 100 in control group 2 with an odds ratio 2.9. Four women had significant blood loss at delivery in group 1 and eight women in group 2 which presents marginal increase for group 1 (odds ratio 1.3). No increase in growth restricted babies nor in premature delivery was noticed. Conclusion: Pregnant women with autoimmune thrombocytopenic purpura on treatment, have significant higher risk to rupture their membranes prematurely. No increase in growth restricted babies and premature deliveries. With good care they can deliver safely with minimum hazard of bleeding.
{"title":"Pregnancies Complicated by Severe Autoimmune Thrombocytopenic Purpura","authors":"A. Gharaibeh, Tareq Irtaimeh","doi":"10.5742/MEIM.2015.92645","DOIUrl":"https://doi.org/10.5742/MEIM.2015.92645","url":null,"abstract":"Objectives: To assess pregnancy course and perinatal bleeding in women with severe autoimmune thrombocytopenic purpura. Material and methods: We collected data of 38 pregnancies in 24 women, who were on treatment for autoimmune thrombocytopenic purpura early in pregnancy. Indication for treatment was platelets count 50.000/mm3 or less. We looked for premature rupture of membranes, premature delivery, intrauterine growth restriction and significant blood loss at delivery. Those women were the study group, (group 1). The same variables were looked for in 100 healthy pregnancies taken as control (group 2). Data was compared between the two groups. Information was obtained prospectively from the woman’s follow up visits at maternal medicine clinic, King Hussein Medical Center as well as data gathered from women with previous pregnancies complicated by autoimmune thrombocytopenia. Women who had thrombocytopenia secondary to other conditions such as systemic lupus, bone marrow diseases and other causes, were not included in the study. Results: The study group 1 had nine premature ruptures of membranes in 38 pregnancies, whereas only ten women ruptured their membranes out of 100 in control group 2 with an odds ratio 2.9. Four women had significant blood loss at delivery in group 1 and eight women in group 2 which presents marginal increase for group 1 (odds ratio 1.3). No increase in growth restricted babies nor in premature delivery was noticed. Conclusion: Pregnant women with autoimmune thrombocytopenic purpura on treatment, have significant higher risk to rupture their membranes prematurely. No increase in growth restricted babies and premature deliveries. With good care they can deliver safely with minimum hazard of bleeding.","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"418 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126704379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective : The aim of this study was to evaluate the common radiological features in initial and post operative follow up imaging of patients proved to have antrochoanal polyposis, and who were treated surgically, and to evaluate post operative clinical improvement of this sample. Methods : A total number of 54 patients ages between 12 and 46 years, with mean age of 21.3 years, who proved to have ACP investigated by CT-Scan during a 3 year period (between May 2009 and February 2012) were retrospectively evaluated and follow up imaging CT-Scan was performed for this group of patients. The main presenting clinical symptom of the selected patients was nasal obstruction. We selected a coronal sinus CT-Scan as referral imaging modality for this study and according to which we made our calculations and conclusions. Results : Unilateral polyposis was found in 38 patients (70.4%) and bilateral in 16 patients ( 29.6%). All patients were operated on by Functional Endoscopic Sinus Surgery (FESS). The patients were followed up by CT-Scan axial and coronal views at 4-6 weeks post operatively and only in 7 patients we recorded a post operative inflammatory finding of which in 2 patients the diagnosis was recurrent antrochoanal polyp. Conclusion : We conclude that CT-Scan was very accurate in diagnosing antrochoanal polyp in pre and post operative assessment and the recurrence of this disease was very minimal according to follow up clinical and imaging results. The Functional Endoscopic Sinus Surgery (FESS) was very effective in preservation of normal antral mucosa with minimal complications in post operative follow up.
{"title":"Imaging of Antrochoanal Polyposis","authors":"S. Roud, M. Rawashdeh, Bdewi M. Awamleh","doi":"10.5742/MEIM.2015.92643","DOIUrl":"https://doi.org/10.5742/MEIM.2015.92643","url":null,"abstract":"Objective : The aim of this study was to evaluate the common radiological features in initial and post operative follow up imaging of patients proved to have antrochoanal polyposis, and who were treated surgically, and to evaluate post operative clinical improvement of this sample. Methods : A total number of 54 patients ages between 12 and 46 years, with mean age of 21.3 years, who proved to have ACP investigated by CT-Scan during a 3 year period (between May 2009 and February 2012) were retrospectively evaluated and follow up imaging CT-Scan was performed for this group of patients. The main presenting clinical symptom of the selected patients was nasal obstruction. We selected a coronal sinus CT-Scan as referral imaging modality for this study and according to which we made our calculations and conclusions. Results : Unilateral polyposis was found in 38 patients (70.4%) and bilateral in 16 patients ( 29.6%). All patients were operated on by Functional Endoscopic Sinus Surgery (FESS). The patients were followed up by CT-Scan axial and coronal views at 4-6 weeks post operatively and only in 7 patients we recorded a post operative inflammatory finding of which in 2 patients the diagnosis was recurrent antrochoanal polyp. Conclusion : We conclude that CT-Scan was very accurate in diagnosing antrochoanal polyp in pre and post operative assessment and the recurrence of this disease was very minimal according to follow up clinical and imaging results. The Functional Endoscopic Sinus Surgery (FESS) was very effective in preservation of normal antral mucosa with minimal complications in post operative follow up.","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122026127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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