Rhinogenic Optic Neuritis Caused by Sphenoid Mucocele with Sinusitis.

A 59-year-old male who presented with a nonspecific headache at the vertex, resembling retrobulbar optic neuritis, was treated as such but did not show any improvement. Although optic nerve compression from sphenoid mucocele was finally discovered, the delayed diagnosis and improper treatment led to a permanent visual loss. Optic neuritis could be caused by a common problem, "mucocele/sinusitis," but might be easily overlooked in general practice.

The improved quality process after implementation of the hemithyroidectomy care map.

Objective: To report the improved quality process in service care of the patients undergoing hemithyroidectomy and the results of the care map implementation.

Material And Method: Descriptive analysis and retrospective chart reviews were performed in the patients who underwent hemithyroidectomy in the Department of Otorhinolaryngology, Faculty of Medicine Siriraj Hospital before and after the care map implementation between January 2004 and December 2006.

Results: Hemithyroidectomy care map has been created with good cooperation of all members of our department in January 2005.

Mastoid obliteration with postconchal soft tissue and postauricular pericranial flap.

Objective: To report the technique and the result of mastoid obliteration with postconchal soft tissue and postauricular pericranial flap.

Material And Method: Retrospective chart reviews were performed in the patients who underwent mastoid obliteration after canal wall-down mastoidectomy by the first author in the Department of Otolaryngology, Faculty of Medicine Siriraj Hospital, Mahidol University between January 2004 and January 2008.

Results: Fifteen patients were included in the present series.

How to overcome laryngotracheal stenosis.

Objectives: To review and evaluate the outcome of the treatment of laryngotracheal stenosis (LTS).

Design: Descriptive review cases.

Setting: Tertiary care university hospital.

Sclerosing lipogranuloma of the nose: a new treatment using adipose tissue transplantation.

We report a series of 45 patients visiting our clinic with distorted contour of the nose after having their noses augmented with injectable substances. The most common clinical presentation was a palpable mass on the dorsum of the nose, erythema with or without telangiectasia on the overlying skin, and nodularity of the nose. The onset of symptoms varied from 1 to 16 years after injection.

Nasal granuloma gravidarum presenting with recurrent massive epistaxis.

Nasal granuloma gravidarum is a rare condition associated with pregnancy and minor trauma. This condition presents with a nasal mass with varying degree of bleeding and obstruction. We report a patient with nasal granuloma gravidarum in the third trimester of pregnancy.

Outcome in pediatric tracheotomy.

Objective: To investigate the outcome and related factors in pediatric tracheotomy.

Design: Retrospective chart review.

Setting: Tertiary pediatric academic hospital setting.

Ear diseases and hearing in the Thai elderly population. part II. A one year follow-up study.

The ear and hearing survey of the Thai elderly in 14 urban communities around Siriraj Hospital was repeated one year after the first survey in order to detect any changes. Altogether 556 elderly people came for follow-up examination, 191 were males, 365 were females, the average age was 68.2 years (60-88 years).

Ear diseases and hearing in the Thai elderly population. Part I. A comparative study of the accuracy of diagnosis and treatment by general practitioners vs ENT specialists.

The prevalence of ear disease and hearing disability in elderly Thais in 14 urban communities around Siriraj Hospital was studied. The accuracy of diagnosis and treatment of common ear diseases and of screening for hearing loss in the elderly between general practitioners (GP) and Ear, Nose and Throat (ENT) specialists was also compared. Elderly people aged 60 years or more who had registered with the health care program had their ear and hearing check-up performed by GPs and ENT specialists from mobile team.