Objective: To describe our experience and outcome of transnasal endoscopic CSF leak repair in 400 patients. Materials and methods: It was a retrospective study of 400 cases operated over a period of 19 years. Results: 400 patients were reviewed. Of this, 62 % had spontaneous leaks and the rest of patients were found to have leak secondary to trauma. 6 cases were congenital. Age of the patients ...

Objective: To evaluate the effectiveness of endoscopic excision of the antrochoanal polyp and its role in decreasing the recurrence rate. Design: Retrospective M e t h o d s : Medical re c o rds of thirty patients with antrochoanal polyp (ACP) diagnosed and treated at King Abdulaziz University Hospital (KAUH) in Riyadh between January 1996 and December 2002 were retrospectively studied. Factors...

The endoscopically based endonasal and transnasal laser surgery is a surgical procedure, which offers the ENT-specialist a safe and effective method to cure or to improve a number of diseases of the upper and middle airways. Coagulative lasers are used in contact and noncontact mode. Their light is mainly absorbed by hemoglobin but rarely by water. The laser-tissue interaction is performed via ...

OBJECTIVE To evaluate the outcomes of a new surgical approach in children with acute sinusitis and medial orbital subperiosteal abscess. DESIGN Case series. SETTING Tertiary pediatric hospital. PATIENTS Eleven children aged 6 weeks to 13 years with orbital subperiosteal abscess and acute sinusitis who met indication for surgery by visual compromise and/or refractory course to medical ther...

Background: Chondrosarcomas are rare non-epithelial malignant tumours. Surgery is the primary treatment option for chondrosarcoma, with adjuvant therapy having a minor role. In cases of nasal chondrosarcoma, however, en bloc total removal by open approaches is often undesirable. Here we report a case of chondrosarcoma arising from the nasal septum, which was resected endoscopically. Case Report...

juvenile nasopharyngeal angiofibroma (jna) is a rare, benign and locally invasive tumor. massive bleeding because of vascularity of tumor and postoperative recurrence are potential problems of management. endonasal approach reduces the rate of postoperative recurrence, intraoperative bleeding, and complications of surgery, time of operation and duration of hospitalization. in this article, we r...

OBJECTIVES/HYPOTHESIS Although considered less invasive and therefore less morbid than laryngoscopy under general anesthesia, prior research shows that transnasal flexible endoscopic (TNFE) procedures are associated with a significant increase in heart rate and blood pressure. The purpose of this review was to identify the most stimulating portion of the procedure to potentially provide a targe...

Image-guided surgery represents a new technology with applicability to patients undergoing functional endoscopic sinus surgery for medically refractory rhinosinusitis. It also shows promise in helping to safely expand minimally invasive transnasal endoscopic techniques for nonrhinosinusitis diagnoses of the paranasal sinuses, orbits, and anterior skull base. This report discusses the applicatio...