| Abstract: |
In this study 10 normal volunteers and 30 cardiac patients wereexamined by various MR sequences with ECG gating. Cardiac anatomyand structure including the left ventricle were studied in differentimaging planes in our normal volunteers. Axial, coronal and sagittalplanes orthogonal to the thorax were performed firstly. They give wideview of cardiac position and anatomy in relation to the surroundingparacardiac structures. These planes have important disadvantages,First, major cardiac axis, notably those of the left ventricle and septa, donot lie in planes orthogonal to the thorax and are not optimallydisplayed by these views. Second, orthogonal images are not strictlycomparable from patient to patient, because they don’t take into accountvariability in the orientation of the heart in the chest due to such factorsas body habitus and the position of the diaphragm.The image planes of the heart that we used are the long and shortaxes planes. They displayed the major and minor axes of the leftventricle and show accurate results in left ventricular mass and functionevaluation.Regarding neonatal outcome of studied groups, patients with a negative amniotic fluid culture but positive PCR (group 2) had a significantly higher rate of adverse outcome including low gestational age at birth, low birth weight, and significant neonatal morbidity than those with a negative amniotic fluid culture and negative PCR (group 1). However, no differences were found between patients with a negative culture but positive PCR (group 2) and those with a positive amniotic fluid culture regardless the results of PCR (group 3).SUMMARYPreterm premature rupture of membrane occurs in 3% of pregnancies and is responsible for approximately one-third of all preterm births.Preterm PROM is an important cause of perinatal morbidity and mortality.Recent studies suggest an association between Intrauterine infection and both preterm delivery and morbidity of preterm infant. U. Urealyticum is the microorganism most frequently isolated from amniotic fluid of women with preterm labour and PROM.U. urealyticum has been implicated in the genesis of clinical chorioamnioitis, puerperal endometritis, neonatal sepsis and bronchopulmonary dysplasia (chronic lung disease).U. urealyticum isolation in clinical specimens remains a challenge, microbial culture for this organism require special culture conditions and results are generally not availably in time for clinical management decisions.Recently PCR has became an optimal method for the rapid detection of U. urealyticum in clinical specimen.The aim of our study was to determine the frequency and clinical significance for the detection of U. urealyticum in patients with preterm premature rupture of membranes.Our study included 100 patients with preterm premature rupture of membranes with gestational age less than 35 weeks and singleton gestation.Patients participated in our study underwent full history taking and clinical examination.Amniotic fluid was collected by transabdominal amniocentesis guided by ultrasonography and was immediately examined for WBC,s count and sent for microbiologic culture. An aliquot of fluid was stored at -70°C for PCR examination.According to the results of amniotic fluid cultures and PCR for U. urealyticum patients divided into 3 groups:o Group 1: (n.=59) Those with a negative amniotic fluid culture and a negative PCR assay.o Group 2 (n.=15): Those with a negative amniotic fluid culture but a positive PCR for Ureaplasma urealyticum.o Group 3 (n.=26): Those with a positive amniotic fluid culture for microorganisms regardless of the results of PCR.Regarding maternal age of the studied groups, There was no significant differences in the mean age at amniocentesis among the 3 group of patients.The difference in the gestational age at amniocentesis among the 3 groups of patients was not statistically significant, however patients with a positive amniotic fluid culture regardless PCR (group 3) showed the lowest mean gestational age at amniocentesis among the 3 studied groups.Patients with a negative amniotic fluid culture but a positive PCR (group 2) had a significantly higher amniotic fluid white blood cell count than those with a negative amniotic fluid culture and a negative PCR. However, there was no significant difference in the amniotic fluid white blood cell count between patients with a negative amniotic fluid culture but positive PCR and those with a positive amniotic fluid culture.The three studied groups regarding clinical chorioamnionitis revealed no statistically significant difference.Regarding neonatal outcome of studied groups, patients with a negative amniotic fluid culture but positive PCR (group 2) had a significantly higher rate of adverse outcome including low gestational age at birth, low birth weight, and significant neonatal morbidity than those with a negative amniotic fluid culture and negative PCR (group 1). However, no differences were found between patients with a negative culture but positive PCR (group 2) and those with a positive amniotic fluid culture regardless the results of PCR (group 3).SUMMARYPreterm premature rupture of membrane occurs in 3% of pregnancies and is responsible for approximately one-third of all preterm births.Preterm PROM is an important cause of perinatal morbidity and mortality.Recent studies suggest an association between Intrauterine infection and both preterm delivery and morbidity of preterm infant. U. Urealyticum is the microorganism most frequently isolated from amniotic fluid of women with preterm labour and PROM.U. urealyticum has been implicated in the genesis of clinical chorioamnioitis, puerperal endometritis, neonatal sepsis and bronchopulmonary dysplasia (chronic lung disease).U. urealyticum isolation in clinical specimens remains a challenge, microbial culture for this organism require special culture conditions and results are generally not availably in time for clinical management decisions.Recently PCR has became an optimal method for the rapid detection of U. urealyticum in clinical specimen.The aim of our study was to determine the frequency and clinical significance for the detection of U. urealyticum in patients with preterm premature rupture of membranes.Our study included 100 patients with preterm premature rupture of membranes with gestational age less than 35 weeks and singleton gestation.Patients participated in our study underwent full history taking and clinical examination.Amniotic fluid was collected by transabdominal amniocentesis guided by ultrasonography and was immediately examined for WBC,s count and sent for microbiologic culture. An aliquot of fluid was stored at -70°C for PCR examination.According to the results of amniotic fluid cultures and PCR for U. urealyticum patients divided into 3 groups:o Group 1: (n.=59) Those with a negative amniotic fluid culture and a negative PCR assay.o Group 2 (n.=15): Those with a negative amniotic fluid culture but a positive PCR for Ureaplasma urealyticum.o Group 3 (n.=26): Those with a positive amniotic fluid culture for microorganisms regardless of the results of PCR.Regarding maternal age of the studied groups, There was no significant differences in the mean age at amniocentesis among the 3 group of patients.The difference in the gestational age at amniocentesis among the 3 groups of patients was not statistically significant, however patients with a positive amniotic fluid culture regardless PCR (group 3) showed the lowest mean gestational age at amniocentesis among the 3 studied groups.Patients with a negative amniotic fluid culture but a positive PCR (group 2) had a significantly higher amniotic fluid white blood cell count than those with a negative amniotic fluid culture and a negative PCR. However, there was no significant difference in the amniotic fluid white blood cell count between patients with a negative amniotic fluid culture but positive PCR and those with a positive amniotic fluid culture.The three studied groups regarding clinical chorioamnionitis revealed no statistically significant difference.Regarding neonatal outcome of studied groups, patients with a negative amniotic fluid culture but positive PCR (group 2) had a significantly higher rate of adverse outcome including low gestational age at birth, low birth weight, and significant neonatal morbidity than those with a negative amniotic fluid culture and negative PCR (group 1). However, no differences were found between patients with a negative culture but positive PCR (group 2) and those with a positive amniotic fluid culture regardless the results of PCR (group 3).SUMMARYPreterm premature rupture of membrane occurs in 3% of pregnancies and is responsible for approximately one-third of all preterm births.Preterm PROM is an important cause of perinatal morbidity and mortality.Recent studies suggest an association between Intrauterine infection and both preterm delivery and morbidity of preterm infant. U. Urealyticum is the microorganism most frequently isolated from amniotic fluid of women with preterm labour and PROM.U. urealyticum has been implicated in the genesis of clinical chorioamnioitis, puerperal endometritis, neonatal sepsis and bronchopulmonary dysplasia (chronic lung disease).U. urealyticum isolation in clinical specimens remains a challenge, microbial culture for this organism require special culture conditions and results are generally not availably in time for clinical management decisions.Recently PCR has became an optimal method for the rapid detection of U. urealyticum in clinical specimen.The aim of our study was to determine the frequency and clinical significance for the detection of U. urealyticum in patients with preterm premature rupture of membranes.Our study included 100 patients with preterm premature rupture of membranes with gestational age less than 35 weeks and singleton gestation.Patients participated in our study underwent full history taking and clinical examination.Amniotic fluid was collected by transabdominal amniocentesis guided by ultrasonography and was immediately examined for WBC,s count and sent for microbiologic culture. An aliquot of fluid was stored at -70°C for PCR examination.According to the results of amniotic fluid cultures and PCR for U. urealyticum patients divided into 3 groups:o Group 1: (n.=59) Those with a negative amniotic fluid culture and a negative PCR assay.o Group 2 (n.=15): Those with a negative amniotic fluid culture but a positive PCR for Ureaplasma urealyticum.o Group 3 (n.=26): Those with a positive amniotic fluid culture for microorganisms regardless of the results of PCR.Regarding maternal age of the studied groups, There was no significant differences in the mean age at amniocentesis among the 3 group of patients.The difference in the gestational age at amniocentesis among the 3 groups of patients was not statistically significant, however patients with a positive amniotic fluid culture regardless PCR (group 3) showed the lowest mean gestational age at amniocentesis among the 3 studied groups.Patients with a negative amniotic fluid culture but a positive PCR (group 2) had a significantly higher amniotic fluid white blood cell count than those with a negative amniotic fluid culture and a negative PCR. However, there was no significant difference in the amniotic fluid white blood cell count between patients with a negative amniotic fluid culture but positive PCR and those with a positive amniotic fluid culture.The three studied groups regarding clinical chorioamnionitis revealed no statistically significant difference.Regarding neonatal outcome of studied groups, patients with a negative amniotic fluid culture but positive PCR (group 2) had a significantly higher rate of adverse outcome including low gestational age at birth, low birth weight, and significant neonatal morbidity than those with a negative amniotic fluid culture and negative PCR (group 1). However, no differences were found between patients with a negative culture but positive PCR (group 2) and those with a positive amniotic fluid culture regardless the results of PCR (group 3).SUMMARYPreterm premature rupture of membrane occurs in 3% of pregnancies and is responsible for approximately one-third of all preterm births.Preterm PROM is an important cause of perinatal morbidity and mortality.Recent studies suggest an association between Intrauterine infection and both preterm delivery and morbidity of preterm infant. U. Urealyticum is the microorganism most frequently isolated from amniotic fluid of women with preterm labour and PROM.U. urealyticum has been implicated in the genesis of clinical chorioamnioitis, puerperal endometritis, neonatal sepsis and bronchopulmonary dysplasia (chronic lung disease).U. urealyticum isolation in clinical specimens remains a challenge, microbial culture for this organism require special culture conditions and results are generally not availably in time for clinical management decisions.Recently PCR has became an optimal method for the rapid detection of U. urealyticum in clinical specimen.The aim of our study was to determine the frequency and clinical significance for the detection of U. urealyticum in patients with preterm premature rupture of membranes.Our study included 100 patients with preterm premature rupture of membranes with gestational age less than 35 weeks and singleton gestation.Patients participated in our study underwent full history taking and clinical examination.Amniotic fluid was collected by transabdominal amniocentesis guided by ultrasonography and was immediately examined for WBC,s count and sent for microbiologic culture. An aliquot of fluid was stored at -70°C for PCR examination.According to the results of amniotic fluid cultures and PCR for U. urealyticum patients divided into 3 groups:o Group 1: (n.=59) Those with a negative amniotic fluid culture and a negative PCR assay.o Group 2 (n.=15): Those with a negative amniotic fluid culture but a positive PCR for Ureaplasma urealyticum.o Group 3 (n.=26): Those with a positive amniotic fluid culture for microorganisms regardless of the results of PCR.Regarding maternal age of the studied groups, There was no significant differences in the mean age at amniocentesis among the 3 group of patients.The difference in the gestational age at amniocentesis among the 3 groups of patients was not statistically significant, however patients with a positive amniotic fluid culture regardless PCR (group 3) showed the lowest mean gestational age at amniocentesis among the 3 studied groups.Patients with a negative amniotic fluid culture but a positive PCR (group 2) had a significantly higher amniotic fluid white blood cell count than those with a negative amniotic fluid culture and a negative PCR. However, there was no significant difference in the amniotic fluid white blood cell count between patients with a negative amniotic fluid culture but positive PCR and those with a positive amniotic fluid culture.The three studied groups regarding clinical chorioamnionitis revealed no statistically significant difference.Regarding neonatal outcome of studied groups, patients with a negative amniotic fluid culture but positive PCR (group 2) had a significantly higher rate of adverse outcome including low gestational age at birth, low birth weight, and significant neonatal morbidity than those with a negative amniotic fluid culture and negative PCR (group 1). However, no differences were found between patients with a negative culture but positive PCR (group 2) and those with a positive amniotic fluid culture regardless the results of PCR (group 3).SUMMARYPreterm premature rupture of membrane occurs in 3% of pregnancies and is responsible for approximately one-third of all preterm births.Preterm PROM is an important cause of perinatal morbidity and mortality.Recent studies suggest an association between Intrauterine infection and both preterm delivery and morbidity of preterm infant. U. Urealyticum is the microorganism most frequently isolated from amniotic fluid of women with preterm labour and PROM.U. urealyticum has been implicated in the genesis of clinical chorioamnioitis, puerperal endometritis, neonatal sepsis and bronchopulmonary dysplasia (chronic lung disease).U. urealyticum isolation in clinical specimens remains a challenge, microbial culture for this organism require special culture conditions and results are generally not availably in time for clinical management decisions.Recently PCR has became an optimal method for the rapid detection of U. urealyticum in clinical specimen.The aim of our study was to determine the frequency and clinical significance for the detection of U. urealyticum in patients with preterm premature rupture of membranes.Our study included 100 patients with preterm premature rupture of membranes with gestational age less than 35 weeks and singleton gestation.Patients participated in our study underwent full history taking and clinical examination.Amniotic fluid was collected by transabdominal amniocentesis guided by ultrasonography and was immediately examined for WBC,s count and sent for microbiologic culture. An aliquot of fluid was stored at -70°C for PCR examination.According to the results of amniotic fluid cultures and PCR for U. urealyticum patients divided into 3 groups:o Group 1: (n.=59) Those with a negative amniotic fluid culture and a negative PCR assay.o Group 2 (n.=15): Those with a negative amniotic fluid culture but a positive PCR for Ureaplasma urealyticum.o Group 3 (n.=26): Those with a positive amniotic fluid culture for microorganisms regardless of the results of PCR.Regarding maternal age of the studied groups, There was no significant differences in the mean age at amniocentesis among the 3 group of patients.The difference in the gestational age at amniocentesis among the 3 groups of patients was not statistically significant, however patients with a positive amniotic fluid culture regardless PCR (group 3) showed the lowest mean gestational age at amniocentesis among the 3 studied groups.Patients with a negative amniotic fluid culture but a positive PCR (group 2) had a significantly higher amniotic fluid white blood cell count than those with a negative amniotic fluid culture and a negative PCR. However, there was no significant difference in the amniotic fluid white blood cell count between patients with a negative amniotic fluid culture but positive PCR and those with a positive amniotic fluid culture.The three studied groups regarding clinical chorioamnionitis revealed no statistically significant difference.Regarding neonatal outcome of studied groups, patients with a negative amniotic fluid culture but positive PCR (group 2) had a significantly higher rate of adverse outcome including low gestational age at birth, low birth weight, and significant neonatal morbidity than those with a negative amniotic fluid culture and negative PCR (group 1). However, no differences were found between patients with a negative culture but positive PCR (group 2) and those with a positive amniotic fluid culture regardless the results of PCR (group 3).SUMMARYPreterm premature rupture of membrane occurs in 3% of pregnancies and is responsible for approximately one-third of all preterm births.Preterm PROM is an important cause of perinatal morbidity and mortality.Recent studies suggest an association between Intrauterine infection and both preterm delivery and morbidity of preterm infant. U. Urealyticum is the microorganism most frequently isolated from amniotic fluid of women with preterm labour and PROM.U. urealyticum has been implicated in the genesis of clinical chorioamnioitis, puerperal endometritis, neonatal sepsis and bronchopulmonary dysplasia (chronic lung disease).U. urealyticum isolation in clinical specimens remains a challenge, microbial culture for this organism require special culture conditions and results are generally not availably in time for clinical management decisions.Recently PCR has became an optimal method for the rapid detection of U. urealyticum in clinical specimen.The aim of our study was to determine the frequency and clinical significance for the detection of U. urealyticum in patients with preterm premature rupture of membranes.Our study included 100 patients with preterm premature rupture of membranes with gestational age less than 35 weeks and singleton gestation.Patients participated in our study underwent full history taking and clinical examination.Amniotic fluid was collected by transabdominal amniocentesis guided by ultrasonography and was immediately examined for WBC,s count and sent for microbiologic culture. An aliquot of fluid was stored at -70°C for PCR examination.According to the results of amniotic fluid cultures and PCR for U. urealyticum patients divided into 3 groups:o Group 1: (n.=59) Those with a negative amniotic fluid culture and a negative PCR assay.o Group 2 (n.=15): Those with a negative amniotic fluid culture but a positive PCR for Ureaplasma urealyticum.o Group 3 (n.=26): Those with a positive amniotic fluid culture for microorganisms regardless of the results of PCR.Regarding maternal age of the studied groups, There was no significant differences in the mean age at amniocentesis among the 3 group of patients.The difference in the gestational age at amniocentesis among the 3 groups of patients was not statistically significant, however patients with a positive amniotic fluid culture regardless PCR (group 3) showed the lowest mean gestational age at amniocentesis among the 3 studied groups.Patients with a negative amniotic fluid culture but a positive PCR (group 2) had a significantly higher amniotic fluid white blood cell count than those with a negative amniotic fluid culture and a negative PCR. However, there was no significant difference in the amniotic fluid white blood cell count between patients with a negative amniotic fluid culture but positive PCR and those with a positive amniotic fluid culture.Nasal obstruction is one of the oldest and most common human complaints. Hypertrophy of the inferior turbinate is a common cause of chronic nasal obstruction. Mucociliary function is an important defense mechanism that protect the respiratory system against bacteria and other foreign particles. Nasal Mucociliary function is impaired in the majority of surgical reduction of inferior turbinate. In the present study we used both subjective symptoms and objective tests to assess the efficacy of radiofrequency energy, CO2 laser and partial turbinectomy in treatment of nasal obstruction attributed to inferior turbinate hypertrophy.The study was subjected to thirty patients from the patients of the out patients clinic that complaining from chronic nasal obstruction attributed to inferior turbinate hypertrophy.The thirty patients were divided into three groups. Each group was subjected to a type of surgical treatment. All patients were subjected to full history taking and preoperative examinations including : Local nasal examinations. Endoscopic examination of thenose and nasopharynx. Evaluation of mucociliary functions by saccharin test. Rhinomanometric evaluation of nasal obstruction. CT sinus view. the results of the radiofrequency tissue ablation were satisfactory and had a very mild effect on the mucociliary function. Laser turbinectomy is an effective method for treatment of nasal obstruction but it has a very harmful effect on nasal mucociliary function. The effect of partial turbinectomy on mucociliary function of the nose was midway between that of the laser and the radiofrequency, however the incidence of postoperative heamorrhage was high and may reach up to 40% of the cases, and at some instances it might be life threatening.SUMMARYNasal obstruction is one of the oldest and most common human complaints. Hypertrophy of the inferior turbinate is a common cause of chronic nasal obstruction. Mucociliary function is an important defense mechanism that protect the respiratory system against bacteria and other foreign particles. Nasal Mucociliary function is impaired in the majority of surgical reduction of inferior turbinate. In the present study we used both subjective symptoms and objective tests to assess the efficacy of radiofrequency energy, CO2 laser and partial turbinectomy in treatment of nasal obstruction attributed to inferior turbinate hypertrophy.The study was subjected to thirty patients from the patients of the out patients clinic that complaining from chronic nasal obstruction attributed to inferior turbinate hypertrophy.The thirty patients were divided into three groups. Each group was subjected to a type of surgical treatment. All patients were subjected to full history taking and preoperative examinations including : Local nasal examinations. Endoscopic examination of thenose and nasopharynx. Evaluation of mucociliary functions by saccharin test. Rhinomanometric evaluation of nasal obstruction. CT sinus view. the results of the radiofrequency tissue ablation were satisfactory and had a very mild effect on the mucociliary function. Laser turbinectomy is an effective method for treatment of nasal obstruction but it has a very harmful effect on nasal mucociliary function. The effect of partial turbinectomy on mucociliary function of the nose was midway between that of the laser and the radiofrequency, however the incidence of postoperative heamorrhage was high and may reach up to 40% of the cases, and at some instances it might be life threatening.SUMMARYNasal obstruction is one of the oldest and most common human complaints. Hypertrophy of the inferior turbinate is a common cause of chronic nasal obstruction. Mucociliary function is an important defense mechanism that protect the respiratory system against bacteria and other foreign particles. Nasal Mucociliary function is impaired in the majority of surgical reduction of inferior turbinate. In the present study we used both subjective symptoms and objective tests to assess the efficacy of radiofrequency energy, CO2 laser and partial turbinectomy in treatment of nasal obstruction attributed to inferior turbinate hypertrophy.The study was subjected to thirty patients from the patients of the out patients clinic that complaining from chronic nasal obstruction attributed to inferior turbinate hypertrophy.The thirty patients were divided into three groups. Each group was subjected to a type of surgical treatment. All patients were subjected to full history taking and preoperative examinations including : Local nasal examinations. Endoscopic examination of thenose and nasopharynx. Evaluation of mucociliary functions by saccharin test. Rhinomanometric evaluation of nasal obstruction. CT sinus view. the results of the radiofrequency tissue ablation were satisfactory and had a very mild effect on the mucociliary function. Laser turbinectomy is an effective method for treatment of nasal obstruction but it has a very harmful effect on nasal mucociliary function. The effect of partial turbinectomy on mucociliary function of the nose was midway between that of the laser and the radiofrequency, however the incidence of postoperative heamorrhage was high and may reach up to 40% of the cases, and at some instances it might be life threatening.SUMMARYNasal obstruction is one of the oldest and most common human complaints. Hypertrophy of the inferior turbinate is a common cause of chronic nasal obstruction. Mucociliary function is an important defense mechanism that protect the respiratory system against bacteria and other foreign particles. Nasal Mucociliary function is impaired in the majority of surgical reduction of inferior turbinate. In the present study we used both subjective symptoms and objective tests to assess the efficacy of radiofrequency energy, CO2 laser and partial turbinectomy in treatment of nasal obstruction attributed to inferior turbinate hypertrophy.The study was subjected to thirty patients from the patients of the out patients clinic that complaining from chronic nasal obstruction attributed to inferior turbinate hypertrophy.The thirty patients were divided into three groups. Each group was subjected to a type of surgical treatment. All patients were subjected to full history taking and preoperative examinations including : Local nasal examinations. Endoscopic examination of thenose and nasopharynx. Evaluation of mucociliary functions by saccharin test. Rhinomanometric evaluation of nasal obstruction. CT sinus view. the results of the radiofrequency tissue ablation were satisfactory and had a very mild effect on the mucociliary function. Laser turbinectomy is an effective method for treatment of nasal obstruction but it has a very harmful effect on nasal mucociliary function. The effect of partial turbinectomy on mucociliary function of the nose was midway between that of the laser and the radiofrequency, however the incidence of postoperative heamorrhage was high and may reach up to 40% of the cases, and at some instances it might be life threatening.SUMMARYNasal obstruction is one of the oldest and most common human complaints. Hypertrophy of the inferior turbinate is a common cause of chronic nasal obstruction. Mucociliary function is an important defense mechanism that protect the respiratory system against bacteria and other foreign particles. Nasal Mucociliary function is impaired in the majority of surgical reduction of inferior turbinate. In the present study we used both subjective symptoms and objective tests to assess the efficacy of radiofrequency energy, CO2 laser and partial turbinectomy in treatment of nasal obstruction attributed to inferior turbinate hypertrophy.The study was subjected to thirty patients from the patients of the out patients clinic that complaining from chronic nasal obstruction attributed to inferior turbinate hypertrophy.The thirty patients were divided into three groups. Each group was subjected to a type of surgical treatment. All patients were subjected to full history taking and preoperative examinations including : Local nasal examinations. Endoscopic examination of thenose and nasopharynx. Evaluation of mucociliary functions by saccharin test. Rhinomanometric evaluation of nasal obstruction. CT sinus view. the results of the radiofrequency tissue ablation were satisfactory and had a very mild effect on the mucociliary function. Laser turbinectomy is an effective method for treatment of nasal obstruction but it has a very harmful effect on nasal mucociliary function. The effect of partial turbinectomy on mucociliary function of the nose was midway between that of the laser and the radiofrequency, however the incidence of postoperative heamorrhage was high and may reach up to 40% of the cases, and at some instances it might be life threatening.SUMMARYNasal obstruction is one of the oldest and most common human complaints. Hypertrophy of the inferior turbinate is a common cause of chronic nasal obstruction. Mucociliary function is an important defense mechanism that protect the respiratory system against bacteria and other foreign particles. Nasal Mucociliary function is impaired in the majority of surgical reduction of inferior turbinate. In the present study we used both subjective symptoms and objective tests to assess the efficacy of radiofrequency energy, CO2 laser and partial turbinectomy in treatment of nasal obstruction attributed to inferior turbinate hypertrophy.The study was subjected to thirty patients from the patients of the out patients clinic that complaining from chronic nasal obstruction attributed to inferior turbinate hypertrophy.The thirty patients were divided into three groups. Each group was subjected to a type of surgical treatment. All patients were subjected to full history taking and preoperative examinations including : Local nasal examinations. Endoscopic examination of thenose and nasopharynx. Evaluation of mucociliary functions by saccharin test. Rhinomanometric evaluation of nasal obstruction. CT sinus view. the results of the radiofrequency tissue ablation were satisfactory and had a very mild effect on the mucociliary function. Laser turbinectomy is an effective method for treatment of nasal obstruction but it has a very harmful effect on nasal mucociliary function. The effect of partial turbinectomy on mucociliary function of the nose was midway between that of the laser and the radiofrequency, however the incidence of postoperative heamorrhage was high and may reach up to 40% of the cases, and at some instances it might be life threatening.SUMMARYNasal obstruction is one of the oldest and most common human complaints. Hypertrophy of the inferior turbinate is a common cause of chronic nasal obstruction. Mucociliary function is an important defense mechanism that protect the respiratory system against bacteria and other foreign particles. Nasal Mucociliary function is impaired in the majority of surgical reduction of inferior turbinate. In the present study we used both subjective symptoms and objective tests to assess the efficacy of radiofrequency energy, CO2 laser and partial turbinectomy in treatment of nasal obstruction attributed to inferior turbinate hypertrophy.The study was subjected to thirty patients from the patients of the out patients clinic that complaining from chronic nasal obstruction attributed to inferior turbinate hypertrophy.The thirty patients were divided into three groups. Each group was subjected to a type of surgical treatment. All patients were subjected to full history taking and preoperative examinations including : Local nasal examinations. Endoscopic examination of thenose and nasopharynx. Evaluation of mucociliary functions by saccharin test. Rhinomanometric evaluation of nasal obstruction. CT sinus view. the results of the radiofrequency tissue ablation were satisfactory and had a very mild effect on the mucociliary function. Laser turbinectomy is an effective method for treatment of nasal obstruction but it has a very harmful effect on nasal mucociliary function. The effect of partial turbinectomy on mucociliary function of the nose was midway between that of the laser and the radiofrequency, however the incidence of postoperative heamorrhage was high and may reach up to 40% of the cases, and at some instances it might be life threatening.SUMMARYNasal obstruction is one of the oldest and most common human complaints. Hypertrophy of the inferior turbinate is a common cause of chronic nasal obstruction. Mucociliary function is an important defense mechanism that protect the respiratory system against bacteria and other foreign particles. Nasal Mucociliary function is impaired in the majority of surgical reduction of inferior turbinate. In the present study we used both subjective symptoms and objective tests to assess the efficacy of radiofrequency energy, CO2 laser and partial turbinectomy in treatment of nasal obstruction attributed to inferior turbinate hypertrophy.The study was subjected to thirty patients from the patients of the out patients clinic that complaining from chronic nasal obstruction attributed to inferior turbinate hypertrophy.The thirty patients were divided into three groups. Each group was subjected to a type of surgical treatment. All patients were subjected to full history taking and preoperative examinations including : Local nasal examinations. Endoscopic examination of thenose and nasopharynx. Evaluation of mucociliary functions by saccharin test. Rhinomanometric evaluation of nasal obstruction. CT sinus view. the results of the radiofrequency tissue ablation were satisfactory and had a very mild effect on the mucociliary function. Laser turbinectomy is an effective method for treatment of nasal obstruction but it has a very harmful effect on nasal mucociliary function. The effect of partial turbinectomy on mucociliary function of the nose was midway between that of the laser and the radiofrequency, however the incidence of postoperative heamorrhage was high and may reach up to 40% of the cases, and at some instances it might be life threatening.SUMMARYNasal obstruction is one of the oldest and most common human complaints. Hypertrophy of the inferior turbinate is a common cause of chronic nasal obstruction. Mucociliary function is an important defense mechanism that protect the respiratory system against bacteria and other foreign particles. Nasal Mucociliary function is impaired in the majority of surgical reduction of inferior turbinate. In the present study we used both subjective symptoms and objective tests to assess the efficacy of radiofrequency energy, CO2 laser and partial turbinectomy in treatment of nasal obstruction attributed to inferior turbinate hypertrophy.The study was subjected to thirty patients from the patients of the out patients clinic that complaining from chronic nasal obstruction attributed to inferior turbinate hypertrophy.The thirty patients were divided into three groups. Each group was subjected to a type of surgical treatment. All patients were subjected to full history taking and preoperative examinations including : Local nasal examinations. Endoscopic examination of thenose and nasopharynx. Evaluation of mucociliary functions by saccharin test. Rhinomanometric evaluation of nasal obstruction. CT sinus view. the results of the radiofrequency tissue ablation were satisfactory and had a very mild effect on the mucociliary function. Laser turbinectomy is an effective method for treatment of nasal obstruction but it has a very harmful effect on nasal mucociliary function. The effect of partial turbinectomy on mucociliary function of the nose was midway between that of the laser and the radiofrequency, however the incidence of postoperative heamorrhage was high and may reach up to 40% of the cases, and at some instances it might be life threatening.SUMMARYNasal obstruction is one of the oldest and most common human complaints. Hypertrophy of the inferior turbinate is a common cause of chronic nasal obstruction. Mucociliary function is an important defense mechanism that protect the respiratory system against bacteria and other foreign particles. Nasal Mucociliary function is impaired in the majority of surgical reduction of inferior turbinate. In the present study we used both subjective symptoms and objective tests to assess the efficacy of radiofrequency energy, CO2 laser and partial turbinectomy in treatment of nasal obstruction attributed to inferior turbinate hypertrophy.The study was subjected to thirty patients from the patients of the out patients clinic that complaining from chronic nasal obstruction attributed to inferior turbinate hypertrophy.The thirty patients were divided into three groups. Each group was subjected to a type of surgical treatment. All patients were subjected to full history taking and preoperative examinations including : Local nasal examinations. Endoscopic examination of thenose and nasopharynx. Evaluation of mucociliary functions by saccharin test. Rhinomanometric evaluation of nasal obstruction. CT sinus view. the results of the radiofrequency tissue ablation were satisfactory and had a very mild effect on the mucociliary function. Laser turbinectomy is an effective method for treatment of nasal obstruction but it has a very harmful effect on nasal mucociliary function. The effect of partial turbinectomy on mucociliary function of the nose was midway between that of the laser and the radiofrequency, however the incidence of postoperative heamorrhage was high and may reach up to 40% of the cases, and at some instances it might be life threatening.SUMMARYNasal obstruction is one of the oldest and most common human complaints. Hypertrophy of the inferior turbinate is a common cause of chronic nasal obstruction. Mucociliary function is an important defense mechanism that protect the respiratory system against bacteria and other foreign particles. Nasal Mucociliary function is impaired in the majority of surgical reduction of inferior turbinate. In the present study we used both subjective symptoms and objective tests to assess the efficacy of radiofrequency energy, CO2 laser and partial turbinectomy in treatment of nasal obstruction attributed to inferior turbinate hypertrophy.The study was subjected to thirty patients from the patients of the out patients clinic that complaining from chronic nasal obstruction attributed to inferior turbinate hypertrophy.The thirty patients were divided into three groups. Each group was subjected to a type of surgical treatment. All patients were subjected to full history taking and preoperative examinations including : Local nasal examinations. Endoscopic examination of thenose and nasopharynx. Evaluation of mucociliary functions by saccharin test. Rhinomanometric evaluation of nasal obstruction. CT sinus view. the results of the radiofrequency tissue ablation were satisfactory and had a very mild effect on the mucociliary function. Laser turbinectomy is an effective method for treatment of nasal obstruction but it has a very harmful effect on nasal mucociliary function. The effect of partial turbinectomy on mucociliary function of the nose was midway between that of the laser and the radiofrequency, however the incidence of postoperative heamorrhage was high and may reach up to 40% of the cases, and at some instances it might be life threatening.SUMMARYNasal obstruction is one of the oldest and most common human complaints. Hypertrophy of the inferior turbinate is a common cause of chronic nasal obstruction. Mucociliary function is an important defense mechanism that protect the respiratory system against bacteria and other foreign particles. Nasal Mucociliary function is impaired in the majority of surgical reduction of inferior turbinate. In the present study we used both subjective symptoms and objective tests to assess the efficacy of radiofrequency energy, CO2 laser and partial turbinectomy in treatment of nasal obstruction attributed to inferior turbinate hypertrophy.The study was subjected to thirty patients from the patients of the out patients clinic that complaining from chronic nasal obstruction attributed to inferior turbinate hypertrophy.The thirty patients were divided into three groups. Each group was subjected to a type of surgical treatment. All patients were subjected to full history taking and preoperative examinations including : Local nasal examinations. Endoscopic examination of thenose and nasopharynx. Evaluation of mucociliary functions by saccharin test. Rhinomanometric evaluation of nasal obstruction. CT sinus view. the results of the radiofrequency tissue ablation were satisfactory and had a very mild effect on the mucociliary function. Laser turbinectomy is an effective method for treatment of nasal obstruction but it has a very harmful effect on nasal mucociliary function. The effect of partial turbinectomy on mucociliary function of the nose was midway between that of the laser and the radiofrequency, however the incidence of postoperative heamorrhage was high and may reach up to 40% of the cases, and at some instances it might be life threatening.
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