Papers by yazeed Alghonaim
International Journal of Otolaryngology and Head & Neck Surgery, Dec 31, 2022
Nasal dermoid sinus cysts (NDSCs) are rare neoplasms in the median line of the nasofrontal area. ... more Nasal dermoid sinus cysts (NDSCs) are rare neoplasms in the median line of the nasofrontal area. Unlike other dermoid cysts, a NDSC can manifest as a cyst, sinus, or fistula, and may extend intracranially. Nasal dermoid cysts usually present at birth and are commonly diagnosed by 3 years of age. An incidentally detected nasal dermoid cyst in an adult patient is extremely rare. In this case, a 23-year-old female with a history of intermittent serous thick discharge from a pit in the nasal columella since early childhood. Examination of the nasal cavity showed mild septal deviation to the left side, dorsal hump, wide nasal bone, a small pit-sinus at the columella, over projected nose, and wide bulbous down rotated nasal tip. The findings were suggesting nasal dermoid cyst, so a magnetic resonance imaging (MRI) was done for the patient to confirm the diagnosis. The MRI findings showed that there are 3 small cysts at the nasal septum anteriorly with a small fistula connecting the anterior inferior 2 cysts with no involvement to the intracranial cerebrospinal fluid (CSF) space. During the surgery, an open rhinoplasty approach was used. The trans-columellar incision was made around the fistula, and the tract was identified using a lacrimal probe and methylene blue. The dissection around the tract was continued until the sac was identified in the area of the membranous septum, and it was removed and sent for histopathology. The surgery then continued in a regular full rhinoplasty fashion. In conclusion, dermoid cyst of the nasal septum is a rare congenital lesion, especially in adults. After a thorough history taking and physical examination, a preoperative high-resolution axial and coronal CT and/or MRI is essential for diagnostic and operative planning. The treatment of choice for nasal dermoid cysts is complete surgical excision with clear margins. Surgical strategies usually depend on the location and extent of the lesion. Recurrence is uncommon and often easily managed.
The Cleft Palate-Craniofacial Journal, Sep 1, 2015
Velopharyngeal dysfunction (VPD) can be secondary to anatomic, neurologic, or functional maldevel... more Velopharyngeal dysfunction (VPD) can be secondary to anatomic, neurologic, or functional maldevelopment in the pediatric population. We present a case of transient VPD after the removal of a voluminous oropharyngeal hairy polyp in a newborn with an intact palate. This report sensitizes physicians, speech-language pathologists, and occupational therapists not only to the repercussions of oropharyngeal congenital masses, such as hairy polyps, on the feeding mechanisms of a newborn but also to the possibility of conservative management.
Laryngoscope, Oct 16, 2018
Objectives/Hypothesis: Treatment of non-squamous cell carcinoma sinonasal malignancies (NSCCSMs) ... more Objectives/Hypothesis: Treatment of non-squamous cell carcinoma sinonasal malignancies (NSCCSMs) typically involves surgery and radiotherapy (RT), but optimal sequencing remains controversial. Study Design: Retrospective chart review. Methods: Patients with NSCCSM treated with combined surgery and RT between 2000 and 2011 were identified. Margin control, overall survival, disease-free survival, local recurrence-free survival, and regional recurrence-free survival were compared between neoadjuvant and adjuvant RT groups. Results: Eight-four patients were included (23 neoadjuvant and 61 adjuvant RT). A higher proportion of patients receiving neoadjuvant RT achieved negative/close resection margins compared to those receiving adjuvant RT (83% vs. 41%, P = .003). Multivariable analysis also showed that neoadjuvant RT was associated with an 81% decreased odds of positive margins odds ratio: 0.19, 95% confidence interval: 0.05-0.77, P = .02). Conclusions: Neoadjuvant RT may be associated with improved margin status among patients with NSCCSM treated with surgery and RT. Future prospective studies with larger, more homogeneous populations are needed to clarify optimal treatment strategies.
Annals of Saudi Medicine, Nov 1, 2009
Mobius syndrome is a rare condition of unclear origin, characterized by a unilateral or bilateral... more Mobius syndrome is a rare condition of unclear origin, characterized by a unilateral or bilateral congenital facial weakness with impairment of ocular abduction, which is frequently associated with limb anomalies. Poland described a condition in which there was unilateral absence of pectoralis major muscle and ipsilateral syndactyly. The combination of Poland-Mobius syndrome is rare, with an estimated prevalence 1:500 000. We describe a case of Poland-Mobius syndrome in association with congenital bilateral vocal fold immobility. To our knowldge, this is the first report of such an association between Poland-Mobius syndrome and congenital bilateral vocal fold immobility.
Cureus
Rhinoplasty and revision rhinoplasty are facial cosmetic operations that have potentially profoun... more Rhinoplasty and revision rhinoplasty are facial cosmetic operations that have potentially profound psychological implications for an individual. In recent years, rhinoplasty has increased internationally because of body dysmorphic disorders but also social media influence. As with any surgery, rhinoplasty carries risks, and the aim of this study was to explore female high school students' interest in rhinoplasty and their awareness about its postoperative complications in Riyadh, Saudi Arabia. We employed a cross-sectional design for the study, which included 413 female high school students aged 14 to 17 years. Participants signed a consent form, and data were collected through an online survey from September to November 2022. A validated questionnaire tested for reliability was used. The level of knowledge and interest in rhinoplasty was compared with the socio-demographic characteristics of the female students using the chi-squared test. A p-value of 0.05 was considered statistically significant. A total of 413 female high school students responded to our survey, and 135 completed questionnaires were received. Nearly half (48.7%) of the students were happy about the current form of their nose. Among the students, 74.3% would not consider undergoing rhinoplasty, and the most common reason was satisfaction with their nose (69.4%). Those who did intend to undergo rhinoplasty (25.7%) were primarily interested in improving their appearance (74.5%). The total mean knowledge score was 6.01 (SD 3.27) out of 12 points, with 61.7% classified as having poor knowledge levels, and the rest (38.3%) were considered as having good awareness. In our perception, the number of teenagers wanting rhinoplasty is increasing. Questions about their knowledge level, attitude, and perspective regarding the procedure should be important considerations for the surgeon.
Cureus
Alar base retraction may result in disharmony of nose structures. Although correction of this ret... more Alar base retraction may result in disharmony of nose structures. Although correction of this retraction may play an important role in patient satisfaction, there is a limited number of studies on alar base retraction correction. The aim of this study was to manage alar base retraction with minimal undesirable results. Six patients underwent correction of alar base retraction using dissection of the levator labii alaque nasi muscle with or sometimes without alar rim grafting. Assessment of the defect was done using preoperative and postoperative frontal view photographs of each patient. Comparing the preoperative and postoperative photographs shows a significant improvement in the nasal base asymmetry, and all six patients have aesthetically satisfying results after a 12-month follow-up period. In conclusion, nasal base retraction is a well-known deformity that has been an area of focus in the rhinoplasty field and management of this defect has very promising results.
International Archives of Otorhinolaryngology
Introduction The Eustachian Tube Dysfunction Patient Questionnaire (ETDQ-7) scale is used to asse... more Introduction The Eustachian Tube Dysfunction Patient Questionnaire (ETDQ-7) scale is used to assess the effectiveness of the treatment and to determine the severity of the eustachian tube dysfunction (ETD). There is currently no validated Arabic version of the ETDQ-7. Objectives The aim of the present study is to test the validity and the reliability of a translated Arabic version of the ETDQ-7. Methods A multicenter prospective validation study was conducted in Riyadh, Saudi Arabia. The ETDQ-7 was adapted and translated into Arabic using a standard validation methodology. Fifty-one patients diagnosed with Eustachian tube dysfunction and 45 healthy individuals were enrolled in the study. The known-groups method was used in the validity analysis. The test-retest method, item-total score correlation, and internal consistency analysis were used for the reliability analyses. Result The overall internal consistency of the Arabic ETDQ items was measured using Cronbach α (Cronbach α = 0.80...
Cureus, 2021
We report a case of antrochoanal polyp, which has unusual presentation according to the location ... more We report a case of antrochoanal polyp, which has unusual presentation according to the location of the polyp in a 15-year-female patient. The patient came complaining of nasal obstruction, headache, and postnasal drip for a two-week period. The antrochoanal polyp measured 2.5 x 2 cm in the left maxillary sinus and extended to the anterior part of the nasal cavity. CT imaging demonstrated a total opacified left maxillary sinus, maxillary ostium with widening of the left maxillary ostium by polypoid mucosal thickening suggesting an antrochoanal polyp obstructing the left anterior nasal cavity. This case is reported as there are not many articles in world literature describing an antrochoanal polyp presented in the anterior nasal cavity.
An in vivo study of a novel composite hyaluronic acid and gelatin hydrogel to improve healing of vocal fold scars in a rat model
Background: Patients with a nasal obstruction frequently present at the clinic. The obstruction i... more Background: Patients with a nasal obstruction frequently present at the clinic. The obstruction is managed by a septoplasty accompanied by an operation, a septorhinoplasty, to correct the nasal deformity. Objectives: The objective of the study was to compare allergic and non-allergic patients in terms of symptomatic improvement and patient satisfaction after a septorhinoplasty. Methods: A cross-sectional study was conducted at King Abdulaziz Medical City (KAMC) with patients who had a septorhinoplasty between June 2015 and June 2018. The data was collected using a globally accepted scale, namely the NOSE questionnaire. Results: The sample realized as 222 and 73.40% (n=163) were male, the mean age was 30.4 years. Nasal obstruction was the main complaint, which was reported by 78.80% (n=175) of the combined sample. Overall, for the non-allergic subgroup, the proportions of the categories of the NOSE score (normal, mild, moderate, severe and extreme) before and after surgery were: norm...
Cureus, 2021
Concha bullosa (CB) is defined as pneumatization and the presence of air cells within the nasal t... more Concha bullosa (CB) is defined as pneumatization and the presence of air cells within the nasal turbinates. Inferior concha bullosa (ICB) is a rare anatomical variation of the lateral nasal wall, with only a handful of case reports published in the literature to date. In this article, we present two additional cases of ICB and a review of the literature regarding this rare anatomical variation.
European Archives of Oto-Rhino-Laryngology, 2020
Purpose The aim of this study was to test a mucosal release method for decreasing the occurrence ... more Purpose The aim of this study was to test a mucosal release method for decreasing the occurrence of malodourous smells after septorhinoplasty by preventing formation of debris pockets after surgery. Methods This study included 50 adult patients from 18 to 45 years of age who underwent open septorhinoplasty from January to May 2019. Patients were divided into two groups. The first group had intradomal (transdomal) sutures without submucosal release, while the second group had mucosal release. All patients had scheduled post-op visits at 1, 2, 4, and 8 weeks and 6 months. The overall postoperative rate of malodorous smell in both mucosal release and non-mucosal release patients at 2 weeks, 8 weeks and 6 months was 43.1%, 31.4% and 5.9%, respectively. Patients 36-45 years of age had a higher rate of postoperative malodorous smell with 55.6% at 2 weeks, decreasing to 33.3% at 8 weeks, and to less than 1% at 6 months. At 2 weeks after surgery, only 20% of the mucosal release group reported a malodorous smell compared to 65.4% in the nonmucosal release group. The rate was 8% at 8 weeks, and less than 1% at 6 months in the mucosal release group compared to 53.8% at 8 weeks and 11.5% at 6 months in the non-mucosal release group. Conclusions Utilizing absorbable polydioxanone sutures and releasing the vestibular mucosa of the LLC significantly reduced the rate of postoperative malodorous smell for septorhinoplasty patients with intradomal (transdomal) single-dome suturing.
Cureus, 2021
Objective: In this study, we aimed to investigate the degree of nasal tip rotation three months a... more Objective: In this study, we aimed to investigate the degree of nasal tip rotation three months after rhinoplasty using columellar strut graft. Methods: Using photographs of 25 patients who underwent rhinoplasty, we prospectively analyzed nasal tip rotation before, during, and after three months of the surgery. Columellar strut graft was used for all patients for tip support. Standardized left profile images were taken. For evaluation of tip rotation, the nasolabial angle was measured. The results were statistically compared, and a p value less than 0.05 was considered statistically significant. Results: The mean preoperative nasolabial angle (NLA) for the entire group was 91.44°, and the directly postoperative angle measured 108.84°. The mean of postoperative nasolabial angles measured at threemonth follow-up was 97.2°. The preoperative, directly postoperative, and three-month postoperative nasolabial angles were all recorded. Conclusion: Considering the results of this study, a postoperative nasolabial angle is increased compared to preoperative angle. However, an occasional dropping of the angle might be seen in following months, which can be linked to several factors.
International Journal of Otolaryngology, 2020
Background. Allergic fungal rhinosinusitis is a noninvasive form of highly recurrent chronic rhin... more Background. Allergic fungal rhinosinusitis is a noninvasive form of highly recurrent chronic rhinosinusitis. Despite the advancement in medical and surgical strategies, recurrence in AFRS in general poses another challenging problem with reported incidence that eventually can reach more than 60%. Recognition and understanding the pattern of disease recurrence will lead to greater understanding of the disease response in our population. Method. A retrospective cohort study was performed in King Abdulaziz Medical City in Riyadh, Saudi Arabia. All patients diagnosed with chronic rhinosinusitis and underwent functional endoscopic sinus surgery from the period of January 2006 to December 2016 were reviewed. Results. 28 patients were found to have AFRS based on clinical, radiological, and microscopic examination suggestive of allergic fungal rhinosinusitis. Among these patients, 53% of them were female and 46% were male. The age ranged from 13 to 55 years, with a mean age of 31.57 years. ...
Cureus, 2019
Aesthetic procedures represent one of the most commonly performed procedures in the medical field... more Aesthetic procedures represent one of the most commonly performed procedures in the medical field. Such procedures have been growing in popularity. Social media is a term used to describe electronic platforms that promote the dissemination of information to targeted users. These platforms play a critical role in promoting aesthetic procedures. The objective of this study was to assess the impact of social media on aesthetic procedures among the female population in Riyadh, Saudi Arabia. A cross-sectional study was performed. A validated online questionnaire, consisting of 26 questions, was distributed among females visiting the facial plastic clinic at King Abdulaziz Medical City, in Riyadh, Saudi Arabia. Out of 1449 participants, 81% were aged between 25 and 34 years. The majority (78.8%) were aware of the complications that may follow aesthetic procedures. The decision to undergo such procedures was affected by the price in 77%. Overall, 97% thought that cosmetic specialized accounts on social media are helpful, yet 77.8% believed that such accounts do not provide sufficient information. The influence of social media upon participants was 68%; 31.9% claimed that social media had no influence. Instagram was the most influential application followed by Snapchat and then Twitter; 50% of the participants routinely apply Snapchat filters and 42% decided to undergo facial changes after applying Snapchat filters. Social media is an important source of information with Instagram being the most influential platform. Facial filters have led to an increase in the number of aesthetic procedures carried out.
Annals of Plastic Surgery, 2019
Background Rhinoplasty is a one of the most commonly performed facial surgery aiming at restoring... more Background Rhinoplasty is a one of the most commonly performed facial surgery aiming at restoring facial aesthetics and improving quality of life. Utility outcome scores are modern, and emerging tools are used to evaluate the burden of a health state on individuals. The study aims to evaluate the impact of living with nasal deformity among real patients and healthy individuals using utility outcome scores. Methods A cross-sectional study was conducted at Otolaryngology and Plastic Surgery clinics in a tertiary center. Healthy individuals were recruited from public facilities. A case scenario was developed to reflect an imaginary patient (Nora) with a functional and aesthetic nasal deformity and distributed to participants. Three utility outcomes scores were used: visual analog scale (VAS), time trade-off (TTO), and standard gambling (SG). Results A total of 407 adult participants were included. Most participants were female (52%). Healthy individuals comprised 71%, and actual patien...
Otolaryngology Case Reports, 2019
Introduction: Aneurysmal bone cyst (ABC) is an expansible bone lesion that occurs usually in long... more Introduction: Aneurysmal bone cyst (ABC) is an expansible bone lesion that occurs usually in long bones. Rarely, it involves the head and neck regions. Case report: A 31-year-old woman who presented with epistaxis and right side nasal cavity mass. Radiologically, there was an expansible lytic anterior ethmoid lesion, which extended to right maxillary, frontal sinuses, and nasal cavity causing nasal septum deviation to the left side. Several biopsies were taken during functional endoscopic sinus surgery (FESS) and showed fibrous proliferation with new bone formation, giant cells, and hemorrhagic cysts, which are the characteristics of the aneurysmal bone cyst. Then, the patient underwent surgical excision of the mass. Conclusion: ABC is a rare disease in the head and neck and can be confused with other diagnoses on imaging. Therefore, the histopathological diagnosis is required. Regular follow up after the surgical excision using imaging is necessary considering previously reported recurrence rate.
International Journal of Surgery Case Reports, 2018
BACKGROUND: Ossifying fibroma is a rare benign fibro-osseous lesion seen in the bones of the head... more BACKGROUND: Ossifying fibroma is a rare benign fibro-osseous lesion seen in the bones of the head and neck area. It is mostly found in the mandible followed by the maxilla and rarely in the paranasal sinuses along with the orbit and skull bones. CASE PRESENTATION: A 30-year-old male patient presented with headache and incidental finding of a right ethmoidal sinus ossifying fibroma by paranasal-sinuses CT scan and MRI of the face. A flexible fiber-optic nasal endoscopy examination revealed a right side fullness. A non-contrasted CT scan of the paranasal sinus showed hyperdense lesion at the right ethmoid air cells. Functional endoscopic sinus surgery was performed and multiple nasal-mass biopsies were taken which showed fibro-osseous lesion most consistent with aggressive ossifying fibroma. Later, a near total resection of skull base tumor by endoscopic surgery was done and patient was discharged next day in a good condition. CONCLUSION: Ossifying fibroma is a rare lesion found in the head and neck area and it is unusual to be found in the paranasal sinuses. Thus crucial attention to the clinical, radiographical and histopathological examination should be taken for more accurate diagnosis and thus appropriate management.
The Laryngoscope, Jan 16, 2018
Treatment of non-squamous cell carcinoma sinonasal malignancies (NSCCSMs) typically involves surg... more Treatment of non-squamous cell carcinoma sinonasal malignancies (NSCCSMs) typically involves surgery and radiotherapy (RT), but optimal sequencing remains controversial. Retrospective chart review. Patients with NSCCSM treated with combined surgery and RT between 2000 and 2011 were identified. Margin control, overall survival, disease-free survival, local recurrence-free survival, and regional recurrence-free survival were compared between neoadjuvant and adjuvant RT groups. Eight-four patients were included (23 neoadjuvant and 61 adjuvant RT). A higher proportion of patients receiving neoadjuvant RT achieved negative/close resection margins compared to those receiving adjuvant RT (83% vs. 41%, P = .003). Multivariable analysis also showed that neoadjuvant RT was associated with an 81% decreased odds of positive margins odds ratio: 0.19, 95% confidence interval: 0.05-0.77, P = .02). Neoadjuvant RT may be associated with improved margin status among patients with NSCCSM treated with ...
Plastic Surgery Case Studies, 2016
Hyaluronic acid injection has become one of the most common dermal filler procedures performed by... more Hyaluronic acid injection has become one of the most common dermal filler procedures performed by clinicians worldwide. Although it is considered to be a very safe and successful treatment option, several complications have been reported from this type of filler injection. A case of bilateral lower-lip foreign body granuloma secondary to hyaluronic acid injection is presented. The granulomas were successfully resected and histopathology confirmed the diagnosis.
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Papers by yazeed Alghonaim