ahmed adhab mayan alzubaidi

The Role of Multi-Detector-Computed Tomography in Staging of Laryngeal Cancer *Ahmed Adhab Alzubiadi Department Of Surgery, University Of Kufa, Najaf, Iraq *Corresponding Author: Ahmed Adhab Alzubiadi Department Of Surgery, University Of Kufa, Najaf, Iraq Email:[email protected] Published on: 2020-02-11 Abstract Background: An accurate staging of laryngeal carcinoma is vital to decide the treatment options. Imaging plays integral part in staging of laryngeal cancer with computed tomography (CT) being among the most used modalities.With advance in CT manufacturing and widespread use of multidetector CT (MDCT), more accurate and dependable clinical application would be expected. Objective: To evaluate the role of MDCT in the staging of laryngeal cancer and to compare the efficacy of MDCT in assessing laryngeal cancer with respect to clinical and histopathological TNMstaging. Patients and methods: Twenty-four patients with endoscopically proven laryngeal carcinoma underwent MDCT examination during the period between February 2013 and October 2013at CT unit of Middle Euphrates Neurocenter in Al-Sadder Medical city, Al-Najaf city. Clinical and histopathological records of all patients were reviewed and compared with MDCT findings. Results: Twenty-four patients were included, with male to female ratio of 3:1 (18 males, 6 females) with mean age of 62.58±12.98 years. Fifty percent (12) of cases were at TNM stage 3, while stage 2 and stage 4 constituted 25% (6 cases) for each equally. There was statistically significant relation between stage of the tumor and volume. Male gender had statistically significant association with higher TNM stage while clinical presentation had not. Conclusion: MDCT has a crucial role in estimation of the TNM stage of laryngeal carcinoma.The TNM stage of the laryngeal carcinoma tends to be upgraded when following MDCT findings are present:heterogenous density of the mass, presence of cartilage destruction, presence of anterior commissure involvement and larger volume of the mass. However, presence of extra laryngeal extension on MDCT may have no significant relation to a higher TNM stage. Keywords Laryngeal carcinoma; Multiple detector computed tomography; Density of the mass, Cartilage invasion Introduction Laryngeal carcinoma is the eleventh-most common form of cancer among men worldwide and is the second-most common malignancy of the head and neck [1]. The assessment of the laryngeal tumor is based upon inspection and palpation, when possible, and by both indirect mirror examination and direct endoscopy [2,3]. Examination under anesthesia should be performed to best assess the extent of the tumor, to look for synchronous primary tumors, and to take biopsies [2]. Imaging studies, including computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET), may augment the physical exam and evaluation, particularly for assessing the degree of local invasion, involvement of regional lymph nodes, and the presence of distant metastases and second primary malignancies [4]. Ideally, imaging should take place prior to biopsy, which may distort anatomy and create a false positive finding on PET scanning [4,5]. Multiple detector computed tomography or (MDCT) scanning is a rapid, painless diagnostic procedure that combines the use of computers and X-rays. Multiple images are acquired in a sequence by a rotating x-ray tube. The patient is lie still on a table for approximately 5 to 15 min, depending on the area of concern being covered. Images are acquired by the detectors that pick up the X-ray that passes through patient body. The images are reconstructed for the assessment. For Head and Neck cancers, it is particularly useful in upstaging cancers that have deeper local invasion or infiltration into adjacent structures that is difficult to detect on physical examination [6]. About us Scholars Literature is an international open-access journal publisher with a vision to provide quality editorial services to academic researchers, industrial professionals and committed to disseminate top-notch scholarly research and latest information in diverse fields of Science, Technology, and Medicine We are committed to provide the best possible service to our journal authors, reviewers, editors and strive to reach top among the list of high impact factor journals that are available worldwide Contact us newsletter Latest updates and our agenda make you easy to catch us on time. Here you can access the journal updates, scientific innovations, activities and the blueprint for all our events

The Correlation of Vitamin D3 Level and Lund Mackay Score in Patients with Chronic Rhinosinusitis Ahmad Ahdab Alzubaidi, Published on: 2020-06-05 Abstract Background: Recently many studies have been highlighted the potential impact of impaired VD3 status in the body as it is a major fighter of inflammation, with a critical role in prevention and treatment of asthma, and a major role in chronic rhinosinusitis. In this study we evaluate relation between vitamin D3 level & LundMackay score system in patients with chronic rhinosinusitis. Patients & Methods: 34 patients (24 males and 10 females) with chronic rhinosinusitis were enrolled in the study. All patients did a CT scan of nose and paranasal sinuses with assessment of their serum vitamin D3 level. Results: Vitamin D3 level is seem to be independent on age of the patients & significant negative correlation between Lund-Mackay score & serum vitamin D3 level, no significant correlation was found between Lund-Mackay score & age & gender of the patients. Conclusion: There is an inverse relationship between level 25 hydroxyvitamin D3 and severity of mucosal disease in chronic rhinosinusitis patients. About us Scholars Literature is an international open-access journal publisher with a vision to provide quality editorial services to academic researchers, industrial professionals and committed to disseminate top-notch scholarly research and latest information in diverse fields of Science, Technology, and Medicine We are committed to provide the best possible service to our journal authors, reviewers, editors and strive to reach top among the list of high impact factor journals that are available worldwide Contact us newsletter Latest updates and our agenda make you easy to catch us on time. Here you can access the journal updates, scientific innovations, activities and the blueprint for all our events

Abstract Background: The main goals and key points of endoscopic sinus surgery are providing a sufficient drainage and ventilation for the diseased paranasal sinus groups. Method: A total of 44 patients (males 22 & 22 females) were included in this study, all of them complaining of chronic rhinosinsitis with or without polyposis not responding to maximal medical treatment and were assigned for ESS. Patients were classified into three groups; Group A: ESS with bolgarization, Group B: ESS with suture medialization of middle turbinate, Group C: ESS without medialization Postoperatively, patients were followed up with subjective (nasal obstruction, nasal discharge, headache, fascial pressure and smell disturbance) and objective (endoscopic evaluation of middle meatal MM patency) parameters in 2 weeks, I month, 3 months, 6 months and 1 year. Result: There improvement in nasal obstruction was reported by patients in all the three groups. Improvement in other symptoms was significantly higher in group A as compared to other groups. MM patency was evaluated by endoscopy and showed improvement of 100% in group B. 1Department of Surgery, College of Medicine, Kufa University, Najaf, Iraq, 2Ghazi Alhariri hospital, Baghdad, Iraq; 3Specialist Otolaryngologists, Teaching Hospital, Najaf, Iraq

Cerebrospinal fluid rhinorrhea occur when there is communication between skull base and the nasal cavity. Nowadays endoscopic endonasal repair of CSF rhinorrhea become the preferred surgical intervention. Setting:ENT department at Ghazi AL Hariri Hospital for specialised surgeries, Medical City, Baghdad, Iraq. Aim: To assess the effectiveness of fascia lata as sealing graft in the endoscopic endonasal repair of CSF rhinorrhea. Patients and Method: Fifteen patients present to our department with possible clinical diagnosis of CSF rhinorrhea. The patients submitted to full history, examination including nasal endoscopy, radiological investigation (CT and MRI) of the nose and paranasal sinuses and skull base and CSF analysis. Operative technique was endoscopic endonasal repair using fascia lata graft .With monthly follow-up. Results: Successful rate noted in 93% of the patients .No recurrence of meningitis attacks among those who reported meningitis on their presenting illness. Conclusion: Endoscopic endonasal repair of CSF rhinorrhea has less operative and postoperative complication. Fascia lata graft offers a good choice for the

Abstract: A cross-sectional study was conducted in AL- Sadir medical city in AL Najaf-Iraq, during the period between July 2011 to March 2012, 35 patients aged 1 to 45 years with nasal bone fracture who underwent physical examination Aim: To evaluate the sensitivity of ultrasound in the diagnosis of nasal bone fracture in comparison with conventional X ray sensitivity. Aim of study: to evaluate the sensitivity of ultrasound in the diagnosis of nasal bone fracture versus sensitivity of X-ray. Patient & method: these patients were examined by conventional lateral nasal bone radiography followed by sonography without knowing the result of x-ray report and physical examination. Results: In this study a 35 patients who had nasal bone fracture according to physical examination were investigated by sonography and radiography.Of these patients, 30 were men and 5 were women, with mean age of patients was 18.63 years. The current study revealed an x ray sensitivity approaching 60% , specificity was 86.7%. respectively. While the results showed that ultrasonography sensitivity was 80% , specificity was 6.7%.compared with clinical examination. The present study showed comparison of both tests that ultrasonography sensitivity was 80% , specificity was 6.7%، while x-ray was 60%, 86.7% .Also the results showed patients gender distribution of the nasal bone fracture with female and male percentage of 14.3% and 85.7% respectively. The results showed depending on trauma type domestic , RTA, and direct, the percentage rate was 34.3%, 11.4% and 54.3 % respectively. Also the results showed

Search Browse Feedback About عربي Submit Advanced Search Fulltext Early complications after tracheastomy Laith Ali Mahmood (F.I.B.M.S.) *, Ahmed Athab AL-Zubaidi(F.I.B.M.S.) ** KUFA MEDICAL JOURNAL مجلة الكوفة الطبية ISSN: 1993517X Year: 2012 Volume: 15 Issue: 1 Pages: 139-146 Publisher: University of Kufa جامعة الكوفة Abstract Having a tracheostomy is considered to be a safe and straightforward procedure, but as with many surgical procedures it does carry a risk of complications.Aim: To evaluate tracheostomy early complications at Medical City Complex, Baghdad. Patients and methods: A prospective study of (125) consecutive tracheostomies that were performed during one year period from May 2006 through May 2007 in Medical City, Baghdad.Results: Ninety three patients (74.4%) were males. Thirty seven patients (29.6%) were in their third decade. Complications developed in fifty three patients (42.4%); wound infection was the commonest in twenty three patients (43.4%), followed by subcutaneous emphysema in fourteen patients (26.4%) and haemorrhage in ten patients (18.8%). One tracheostomy related death was encountered (0.8% of the total no. of patients). The complication rate was significantly higher in urgent tracheostomies (50.6%) than elective procedures (26.1%) and in those performed with local anaesthesia (48.3%) compared to (25%) under general anaesthesia.Conclusions: Most of early complications were due to the urgency of the procedure and inadequate postoperative nursing care. Wound infection was the commonest complications. تعتبر عملية تفويه الرغامي من العمليات الأمنة , ولكنها تحمل كأي عملية جراحية أخرى خطورة حصول المظاعفات.الهدف من الدراسة: تقييم المظاعفات المبكرة الحاصلة بعد عمليات تفويه الرغامي التي أجريت في مستشفيات مجمع مدينة الطب في بغداد .المرضى والطرق: دراسة منظورة ل (125) عملية تفويه رغامي متتابعة أجريت خلال فترة عام واحد من أيار 2006 وحتى أيار 2007 في مستشفيات مجمع مدينة الطب في بغدادالنتائج:33 مريضا(74,4%) كانوا ذكورا. 37 مريضا( 29,6%) من مرضى هذه الدراسة كانوا في العقد الثالث من العمر. حصلت المضاعفات عند 53 مريضا(42,4%).ألتهاب الجرح الجرثومي كانت الأكثر شيوعا وحدثت في 23 مريضا 43,4%),تبعها النفاخ تحت الجلد في 14 مريضا(26,2%) والنزف في عشرة مرضى(18,8%).سجلت حالة وفاة واحدة متعلقة بعملية تفويه الرغامي(0,8%).معدل المظاعفات كان مرتفعا بصورة ملحوظة في حالة العمليات الطارئة(50,6%) عن ماهو عليه في العمليات الباردة(26,1%) , وفي العمليات التي أجريت تحت التخدير الموضعي (48,3%) مقارنة بتلك المجراة تحت التخدير العام (25%).الأستنتاجات: أغلب المضاعفات المبكرة لعملية تفويه الرغامي كانت عائدة الى الطبيعة الطارئة للعملية والعناية التمريضية غير المناسبة بعد العملية. ألتهابات الجروح الجرثومية كانت هي الأكثر شيوعا بين هذه المظاعفات Keywords Tracheostomy --- urgent --- early complications IASJ is provided by Ministry of Higher Education & Scientific Research of Iraq ©2020 SemperTool

become member of American academy of otolaryngology which is the biggest otolaryngology association in the world .

attending a mini fellowship in rhinoplasty at July 2019 in Alexandra university in Egypt under supervision of professor host Foda

presenting a lecture in rhino world which is the biggest rhinology conference that held in USA at June 2019