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To assess the safety, time consumption and presumed postoperative complications of posterior repositioning in cases with bilateral anterior displaced sigmoid sinus (ADSS) having cochlear implant surgery. Cases with bilateral ADSS were included. A cortical bone chip was harvested. Sinus plate was drilled thin and removed, ADSS was repositioned posteriorly and secured by the bone chips. The procedure was completed using the standard posterior tympanotomy (PT) technique. Follow up was done both clinically and by computed tomography (CT). Out of 632 cases operated upon in more than 7 years, only 7 cases had Bilateral ADSS (1.1%) of which 5 were females (71.45%). The average age was 8.2 ± 12 (6 children and an adult). No intraoperative bleeding was encountered in any of the 7 cases. The average operative time was 103.6 ± 9.7 min. No minor nor major complications were detected in all 7 cases. To keep the advantages of PT, repositioning of ADSS in bilateral cases can be done safely with a reasonable increase in the average operative time.

Purpose The aim was to analyze demographic and perioperative data of patients who underwent cochlear implantation (CI) at the Hearing and Speech Institute in the period between November 2019 and January 2020. Materials and methods Files of all patients undergoing CI in the period between November 2019 and January 2020 were collected used a specially designed checklist to record demographic, preoperative, operative, and early postoperative data. Data were recorded and analyzed using proper statistical analysis. Results Of 80 files reviewed, the data of 73 files were included. Average age was 4.3 ± 3.3 years, and 41 (56.2%) of them were males. Positive consanguinity was seen in 37 (50.7%) cases, positive family history was seen in 29 (39.73%), 13 (17.8%) cases had wide vestibular aqueduct, four (5.5%) cases had auditory neuropathy, and two (2.74%) cases had intracochlear anomalies. The average operative time was 85 ± 24 min. A total of 66 (90.4%) right ears were operated on. Difference in the operative time between wide vestibular aqueduct cases and normal cases was insignificant, whereas difference between right vs left ear operative time was significant. Early complications were reported in seven (9.6%) cases, and majority were partial facial palsy (5.5%). Conclusion Condensed CI work is possible in suitable environment of team discipline and adequate equipment, with comparable performance and outcome. In addition, it provides favorable conditions for training new surgeons.

Purpose To evaluate the effect of dried amniotic membrane grafting on healing of radical cavity after canal wall-down procedure. Patients and methods A total of 24 cases were included. All had canal wall-down surgery done with the use of dried amniotic membrane at the end of procedure to line the radical cavity. According to the course of healing, cases were divided into four groups regarding wideness and dryness of cavity. Results were statistically analyzed. Results Among the 24 patients in the postoperative follow-up period of 6 months, only three (12.5%) patients needed revision meatoplasty for having narrow and wet cavities. Sixteen (66.7%) patients achieved the optimum goal of wide and dry cavity. Two (8.3%) patients had dry but narrow cavities. Three (12.5%) patients had wide but wet cavity, with recurrence of cholesteatoma. Conclusion Dried amniotic membrane graft can be used safely to line the radical cavity. Further comparative studies are needed to evaluate efficacy among other materials used to achieve safe and dry cavities.

Background Proper eradication of allergic fungal sinusitis (AFS) depends on three factors: first is proper preoperative evaluation and mapping via computed tomography and MRI. Second is the availability of adequate surgical tools in experienced hands. Third is the proper postoperative endoscopic follow-up to detect and remove recurrence if possible. Aim To evaluate the role of inferior turbinectomy (IT) and partial middle turbinectomy (PMT) in patients with AFS managed by endoscopic sinus surgery (ESS) for the prevention of recurrence and adequate management of residual disease (postoperative salvage). Patients and methods A prospective, comparative, randomized study conducted from March 2016 to April 2018. In all, 28 patients suffering from AFS were included. All patients have been presented and managed at the Department of Otolaryngology, Hearing and Speech Institute. Patients have been randomized into two groups of 14 patients each (groups A and B). The patients in group A have undergone ESS only, while the patients in group B have undergone ESS plus bilateral IT and PMT. Regular follow-up visits were done every 2 months for at least 6 months for both groups. Results In group A, there was difficulty in proper assessment in 11 patients out of 14. Recurrence occurred in five patients who showed rigorous assessment, which was managed via ESS adding to the maneuver bilateral IT and PMT. In group B, only two patients were difficult out of the 14. Recurrence occurred in two patients only and was managed easily in the outpatient office. No significant complications were detected in both groups. Conclusion IT and PMT may be considered as essential steps in the surgery for AFS as they play a role in lowering the recurrence rate and facilitating better, more comfortable, and more effective postoperative management of recurrence if happened.