Background According to the World Health Organization (WHO), hearing loss (HL) has a significant disease burden with a global prevalence as high a 5% with an expected exponential rise in the coming years. HL has medical, social, and psychological implications on one’s health. A significant proportion of HL cases might be the result of preventable conditions, especially among the young. Aim To estimate the pattern of HL and its correlates among adolescent, adult, and elderly populations in the southern regions of Saudi Arabia. Methodology A retrospective observational study was carried out between May 2018 and April 2019 across four different ENT clinics located across Saudi Arabia. We included all patients who had a clinical diagnosis of conductive, sensorineural, or mixed HL with varying degrees of severity tested via Pure Tone Audiometer (PTA). Results We included 332 cases with HL, ages ranged from 14 to 62 years old with a mean age of 45.2 ±12.6 years. HL was bilateral in 72% of the cases and was associated with tinnitus in 43.1% of cases. Sensorineural HL was the predominant pattern of HL among the elderly and conductive pattern was more common among the young. Causes such as infections, congenital causes, and age-related damage were among the key causes of HL. Conclusion Our study showed that HL might be more prevalent among the Saudi population than previously reported. Sensorineural HL is most common among the elderly. However, conductive HL following ear infections is the main cause of HL among young. Therefore, there is a need for significant improvement in public health surrounding ear health to prevent reversible causes of HL, especially among the young.
Background Open rhinoplasty, including the transcolumellar approach, is commonly performed as it has fewer side effects and provides superior anatomical control to the surgeons compared to closed rhinoplasty. However, the postoperative scar outcomes, such as scar appearance, vary depending on the type of suture used in wound closure, and the optimal suture type is not firmly established. Objective To compare the impact of catgut versus polypropylene sutures on the postoperative transcolumellar scar outcomes and patient satisfaction following open rhinoplasty. Methods This retrospective cohort study, including 100 patients who underwent transcolumellar open rhinoplasty, was conducted at otolaryngology department of King Abdulaziz University Hospital, Riyadh, KSA. The patients were divided into two groups: the propylene suture group (group 1), which included 15 males and 35 females with a mean age of 31.5 years and underwent surgery using propylene sutures, and the catgut suture group (group 2), which included 10 males and 40 females with a mean age of 30.5 years and underwent surgery using catgut sutures. The postoperative transcolumellar scar outcomes, as determined by visual analogue scale (VAS) and Stony Brook Scar Evaluation Scale (SBSES) scores, and patient satisfaction, as assessed using a self-assessment scale, were compared between groups.
Objectives: Rhinoplasty is a popular cosmetic surgery, but many patients remain dissatisfied with the outcome of primary rhinoplasty. Revision rhinoplasty is a complex procedure but can yield successful outcomes for patients. This study aims to analyse the success rates, complications, and patient satisfaction of revision rhinoplasty through a comprehensive review of existing literature and statistical analysis of relevant data. Methods: A thorough review of the existing literature on revision rhinoplasty was conducted using various online databases, including PubMed and Google Scholar. Studies published between 2000 and 2022 were included in this review. Data was extracted from these studies and analysed to evaluate the success rates, complications, and patient satisfaction of revision rhinoplasty. Statistical analysis was conducted using SPSS software. Results: The analysis of 24 studies showed that the success rate of revision rhinoplasty was around 70- 80%, which is significantly lower than that of primary rhinoplasty. The most common complications of revision rhinoplasty were bleeding, infection, and nasal obstruction. However, these complications were generally minor and could be managed effectively. Patient satisfaction rates with revision rhinoplasty were high, with most patients reporting improvement in their nasal appearance and function. Conclusions: The results of this study suggest that revision rhinoplasty can lead to significant improvements in both nasal function and aesthetics, despite a lower success rate than primary rhinoplasty
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