BACKGROUNDAllergic rhinitis (AR) is a common inflammation of the nasal mucosa in response to allergen exposure. We translated and validated the Score for Allergic Rhinitis (SFAR) into an Arabic version so that the disease can be studied in an Arabic population.OBJECTIVESSFAR is a non-invasive self-administered tool that evaluates eight items related to AR. This study aimed to translate and culturally adapt the SFAR questionnaire into Arabic, and assess the validity, consistency, and reliability of the translated version in an Arabic-speaking population of patients with suspected AR.STUDY DESIGNCross-sectional.SETTINGTertiary care hospital in Riyadh.PARTICIPANTS AND METHODSThe Arabic version of the SFAR was administered to patients with suspected AR and control participants.MAIN OUTCOME MEASUREComparison of the AR and control groups to determine the test-retest reliability and internal consistency of the instrument.RESULTSThe AR (n=173) and control (n=75) groups had significantly different Arabic SFAR scores (P<.0001). The instrument provided satisfactory internal consistency (Cronbach’s alpha value of 0.7). The test-retest reliability was excellent for the total Arabic SFAR score (r =0.836, P<.0001).CONCLUSIONThese findings demonstrate that the Arabic version of the SFAR is a valid tool that can be used to screen Arabic speakers with suspected AR.LIMITATIONSThe absence of objective allergy testing

HighlightsTrigger wrist in children and teenagers is extremely rare.We present an unusual case caused by a ganglion.Differential diagnosis and classification are discussed.

The purpose of this study is to determine the average values of the angular nasal anthropometric variables in Arabian women seeking rhinoplasty and compare them with the normal values. A total of 150 female patients, who underwent rhinoplasty between January 2018 and November 2021, were enrolled in this study. The exclusion criteria were a history of nasal trauma, previous rhinoplasty, and a cleft nose. Data were obtained from standardized digital photographic images. Lateral and basal views were analyzed using landmarks defined by a single observer and measurements were performed using Adobe Photoshop Software SC6. All data were analyzed using SPSS version 21 software (IBM) and compared with the normal values obtained from a previous study. All facial angles, except for the nasofrontal angles, were significantly different between the surgical and nonsurgical normal groups. The values (means ± SDs) in the surgical group were as follows: nasofacial angle, 29.7 ± 3.4 degrees; nasofrontal angle, 146.2 ± 2.8 degrees; glabella-nasal angle, 169.8 ± 5.8 degrees; nasolabial angle, 113.5 ± 11 degrees; nasomental angle, 130.6 ± 6 degrees; nasal tip angle, 102.3 ± 8 degrees; ala-slope angle, 95.4 ± 13.6 degrees. The nose characteristics of Arabian women seeking rhinoplasty were as follows: (1) shallow radix, (2) under the projected tip, and (3) normal tip rotation. Surgical planning is important upon consideration of any procedure or modification of the nose among Arabian women.

The supernumerary nostril is a congenital accessory nostril, which is considered to be one of the rarest congenital nasal anomalies with an unknown etiology. We present the first case of a supernumerary nostril in an adult Saudi patient, which is the first such isolated case to be reported among the Middle Eastern Arab countries. An 18-year-old Saudi woman presented to the facial plastic clinic of King Fahad Medical City, Riyadh, with a complaint of an additional small left nasal opening since birth. She underwent circumferential surgical excision of the accessory nostril and its entire tract, following which the overlying skin was sutured. The patient appeared fine postoperatively with a satisfactory nasal appearance. In conclusion, patients with supernumerary nostrils should be thoroughly assessed to eliminate the presence of any other associated congenital anomalies. Early diagnosis and surgical management can facilitate a better reconstructive outcome.