Background: Nasolabial cysts are rare, non-odontogenic, soft-tissue cysts that develop between the upper lip and nasal vestibule with an overall incidence of 0.7% out of all maxillofacial cysts. The predominant presentation of a nasolabial cyst is a painless localized swelling with varying degrees of nasal obstruction. Several treatment modalities have described in the management of the nasolabial cyst. In this paper, we present a case of a nasolabial cyst in a 44 years old man with discussions of the treatment modalities in the lights of the literature. Case presentation: We present a case of a nasolabial cyst in a 44-year-old man that slowly increased in size through a period of 3 years, with associated mild pain and nasal obstruction. It had caused a mass effect upon the maxilla, resulting in scalloping. The cyst was excised entirely with no evidence of recurrence at the two months follow up. Conclusions: The nasolabial cyst is a rare soft-tissue cyst. Complete surgical excision using an open approach performed to our case, which considered with the complete endoscopic removal of the best treatment for the nasolabial cysts with a rare recurrence rate.

Endoscopic sinus surgery (ESS) is now the most often utilized surgical procedure for treating chronic sinonasal disorders. Therefore, anatomical knowledge of its variations is required to avoid serious postoperative complications. Thus, careful preoperative examination for patients with a paranasal sinus CT scan is necessary. Our study aims to evaluate Keros types and their incidence by evaluating the olfactory fossa (OF) depth according to the Keros classification on paranasal sinus CT scans in the Qassim region. MethodsA cross-sectional study was conducted between January 2018 and January 2021 on 148 patients with an average age of 32.59 ± 6.1 who had a non-enhanced paranasal sinus CT scan evaluated by a consultant radiologist using the PACS (picture archiving and communication system) software. Statistical analysis was performed using the statistical software package SPSS version 25 (IBM Corp., Armonk, NY). The chi-square test was used to analyze the relationship between findings and patient characteristics. Also, a p-value of < 0.05 was kept in mind to indicate statistical significance. ResultsThe average depth of the right olfactory fossa (OF) was 5.1 mm with a standard deviation of 1.756 while it was 5.28 on the left side with a standard deviation of 1.66. According to the Keros classification, out of a total of 296 OF, type 1 was found in 84 (28.4%), type 2 in 188 (63.5%), and type 3 in 24 (8.1%). Consequently, the majority of cases were of type 2. Also, we found that type 2 was the most common on both sides in males, whereas, in females, type 2 was the most common on the left side and type 1 on the right side. ConclusionThe study of the Keros classification is significantly important to evaluate the anatomy of the anterior skull base and give the surgeon knowledge about the depth of the olfactory fossa. Thus, a preoperative CT scan of the paranasal sinus is critical to ensure that the surgical approach is properly planned and possible surgical complications related to the anatomy of this area can be prevented. Our study showed that Keros type II is the most common, followed by type I and then type III.

Background: Nasal decongestant drugs are widely used as potent vasoconstrictive agents to reduce congestion of nasal and ocular mucous membranes in disease such as allergic rhinitis. These drugs are easily accessible to the people over the counter without prescription. The ease in access may lead the population in believing that the drugs are risk free and free from side effects. The purpose of this study was to determine the level of awareness of the people in Unaizah Al-Qassim province in Saudi Arabia on the use of nasal decongestants ad their side effects. Methodology: After gaining the Institutional Review Board (IRB) approval, the study was a questionnaire-based cross-sectional study conducted on the people Unaizah Al-Qassim province in Saudi Arabia. It was explorative in nature as such a study has never been done in Unaizah before and hence descriptive statistics was mainly used to establish significance and reference. The questionnaires assessed the demographical characteristics of the population, participants’ history on the usage of nasal decongestants, health condition of the participants, and knowledge on nasal congestion and use nasal decongestants. Results: Out of 385 participants, 54% were male and 46% are female. With regards to age, majority of the participants were between the age of 20 and 40 years 56%, followed by 40--60 years old (33%). 79% of the participants had acquired a baccalaureus level in education. When assessed on the usage of nasal decongestants, 32.5% currently use the decongestants, 64.4% have ever used the drugs now and in the past. In terms of knowledge of the drugs, 16.6% of the participants are aware of the side effects, 25.2% are aware of the medically recommended period to use the drugs, 21.3% have heard of the nasal congestion addiction, and 21.6% are aware of the medication that may cause nasal congestion. Conclusion: The study established that the level of awareness on the use nasal decongestants and the side effects is not significant. There needs to be a sensitization campaign to educate the population on the use of nasal decongestants.

Background: Ear, nose, and throat infections are serious public health concerns affecting patients of all ages. They can affect hearing difficulties, speech, phonation, breathing, swallowing, smell, taste, and other respiratory tract infections. This study aimed to determine the pattern of otolaryngological head and neck diseases seen at Qassim University outpatient clinics, Saudi Arabia. Methodology: This descriptive retrospective study was conducted in outpatient clinics at Qassim University, Saudi Arabia. This study involved 2,596 patients treated by otolaryngologists from January 2018 to December 2020. The data were extracted from patients\&apos; digital files, and all analyzed statistically using Statistical Package for the Social Sciences version 21. Results: This study included 2,596 patients (64% male, 36% female) with a mean age of 34.5 years (range: 1-90 years). Nose diseases were most frequently seen (47.7%), followed by ear diseases (38.2%). Allergic rhinitis (AR) was the most commonly treated nose problem (20.1%). In the multivariate regression model, deviated nasal septum was more likely to be seen in men than women. Moreover, the presence of a deviated nasal septum, hearing loss, tinnitus, vertigo, rhinitis, and laryngitis were more likely to be associated with an older age group (&gt;35 years). Conclusion: The prevalence of ear nose throat diseases was higher in men than in women. The most commonly treated age group was 18-30 years. More studies on AR and other disorders need to be conducted to determine local risk factors. Healthcare managers and medical educators are advised to review these data to provide excellent care and education.

Background: Chronic rhinosinusitis is one of the most prevalent chronic diseases worldwide, affecting all age groups. It is a condition leading to a significant decrease in the quality of life of patients, and requires a specific treatment approach. This study aims to assess the prevalence, quality of life and risk factors of chronic rhinosinusitis in order to develop and promote public health, wellbeing and awareness. Methodology: This is a cross-sectional study which was conducted in the Kingdom of Saudi Arabia, from August to October 2021. We collected the data using a validated, self-administrated online sinonasal outcome test (SNOT-22) questionnaire in Arabic. The questionnaire was distributed through social media and aimed to assess the prevalence and risk factors of chronic rhinosinusitis in the Kingdom of Saudi Arabia in 2021. Results: In the current study, we collected data from 4963 individuals in Saudi Arabia who responded to to our questionnaire. Participants had a mean age of 31.99 (SD=11.59) years old, 62.0% were females and 92.9% were Saudis. Among the total sample, the prevalence of chronic rhinosinusitis (CRS) was 22.5%. The prevalence of CRS was significantly lower in patients aged between 18-29 years old (19.4%) compared with the 30-49 age group (27.1%) and 50-69 age group (23.2%) (P=0.000). Moreover, we found that the prevalence of CRS was significantly higher among females (24.0% vs 20.2%, P=0.002) and among Saudis compared to non-Saudis (22.9% vs 17.6%, P=0.022). Furthermore, there was a significant reduction in the quality of life among patients with CRS where the mean score of SNOT-22 was 44.04 (SD=25.38) compared with 26.82 (SD=26.35) in non-patients. Conclusion: The current study revealed a high prevalence of CRS among individuals in Saudi Arabia especially among older females, those with chronic conditions and those who had been exposed to different risk factors such as smoking. Moreover, CRS was found to have a significantly negative impact on the quality of life for those participants diagnosed with the condition. Keywords: Quality of life, chronic sinusitis, adults, Saudi Arabia