67 results match your criteria: "Kuwait Institute for Medical Specializations[Affiliation]"

Smell and taste sensations have been linked to positive outcomes in the feeding of premature infants, though the impact on the time required to transition to oral feeding remains unclear. This study aimed to evaluate the beneficial effects of smell and taste interventions on clinical outcomes in preterm infants. We conducted a search in PubMed, Scopus, Web of Science, and the Cochrane Central Register of Controlled Trials from inception through September 2024 for randomized controlled trials (RCTs) examining the effects of smell and taste on clinical outcomes in preterm infants with a gestational age of less than 34 weeks.

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Intrapolyp Steroid Injection for Nasal Polyposis: A Systematic Review and Network Meta-Analysis.

Laryngoscope

December 2024

Department of Otolaryngology-Head and Neck Surgery, Zain Hospital, Ministry of Health, Kuwait City, Kuwait.

Objective: To conduct a systematic review and network meta-analysis to evaluate the safety and efficacy of intrapolyp steroid injection compared with oral steroids, nasal steroid wash, nasal steroid spray, and a control group in patients with chronic rhinosinusitis with nasal polyps (CRSwNP).

Data Sources: PubMed, Scopus, Web of Science, Embase, and CENTRAL.

Review Methods: Both randomized and non-randomized clinical trials were included.

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Article Synopsis
  • The study conducted a meta-analysis to assess the effectiveness and safety of tranexamic acid (TXA) during endoscopic sinus surgery by analyzing data from 23 randomized controlled trials involving 1,597 patients.
  • TXA significantly reduced intraoperative blood loss, decreased operating time, and improved surgical field quality and surgeon satisfaction compared to control groups, with no reported thromboembolic events.
  • Despite the positive results, the findings were affected by significant variations in study quality and heterogeneity among the included trials.
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Unlabelled: To assess the effectiveness of glossopharyngeal nerve block (GNB) in the treatment of postoperative pain among patients undergoing tonsillectomy, a systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted. Various databases, including PubMed, Cochrane, Scopus, Web of Science, and Google Scholar, were systematically screened from inception until March 2023. The included studies were assessed using the RoB-2 tool.

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Article Synopsis
  • Soft tissue sarcoma, although rare, should be considered when evaluating masses in the head and neck regions, requiring careful assessment.
  • A patient with a suspected intermuscular lipoma in the neck underwent imaging, which indicated a large fatty mass, but post-surgery, it was diagnosed as a well-differentiated liposarcoma after histopathological examination.
  • The case highlights the importance of thorough diagnosis and treatment strategies for conditions that can be misidentified, showcasing the details involved in the surgical approach to remove the mass.
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  • Oral lichen planus (OLP) is a potentially serious condition of the mouth, and this study explores the potential of platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) as alternatives to corticosteroids for treatment.
  • A systematic review of existing randomized controlled trials was conducted, analyzing data from 8 studies involving 157 patients to compare PRP and PRF against corticosteroids based on changes in lesion size, pain, and clinical scores.
  • The findings indicate no significant differences between PRF, PRP, and corticosteroids in most outcomes, but PRF consistently ranked highest in reducing lesion sizes and pain scores at various weeks, suggesting it could be a more effective treatment alternative in managing OLP.
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Introduction: Septoplasty corrects a deviated nasal septum (DNS) and improves nasal obstruction. Sphenopalatine ganglion block (SPGB) effectively reduces postoperative pain after septoplasty, but conclusive evidence is still lacking. This systematic review and meta-analysis aim to comprehensively evaluate the analgesic efficacy of SPGB in septoplasty patients.

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Purpose: This systematic review and meta-analysis of randomized controlled trials (RCTs) aimed to evaluate the efficacy and safety of septoplasty versus non-surgical management for patients experiencing nasal obstruction due to deviated nasal septum (DNS).

Methods: We conducted a comprehensive search of PubMed, Scopus, Embase, Web of Science, Cochrane Library, Clinicaltrials.gov, ICTRP, and ISRCTN for relevant RCTs.

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The evidence regarding the open-label placebo effect on allergic rhinitis symptoms remains uncertain. Open-label placebo significantly reduced the frequency of symptoms in allergic rhinitis patients with similar safety profiles; however, there was no effect on the severity of symptoms and impairment due to symptoms. The statistically significant impact on symptom frequency can be considered not clinically significant.

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Post-hemorrhoidectomy pain is a concerning complication for patients and doctors, mainly due to perianal skin dissection and the complex innervation of the area. Therefore, our aim is to explore the analgesic efficacy and safety of EMLA cream among patients undergoing hemorrhoidectomy. We conducted a comprehensive search of five electronic databases (PubMed, Scopus, Web of Science, Embase, Cochrane) from inception until July 6, 2024.

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Thyroidectomy can lead to significant challenges such as neck pain, disability, and limited range of motion. Therefore, our objective is to conduct a systematic review and meta-analysis of clinical trials to investigate the clinical effectiveness of neck stretching exercises in alleviating neck pain and self-reported disability immediately after thyroidectomy. We systematically searched PubMed, CENTRAL, Scopus, and Web of Science from inception until July 28th, 2023.

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Article Synopsis
  • The study focuses on Syrian people's understanding and attitudes toward HIV/AIDS and STIs to promote safe sex practices.
  • Conducted online between September and November 2022 with over 1,000 participants, it assessed knowledge through a questionnaire covering demographics, knowledge and practice, and attitudes towards these infections.
  • Results indicated moderate knowledge levels about STIs and HIV, but negative attitudes remained prevalent, emphasizing the need to address these gaps in lower-income countries like Syria.
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The Impact of Platysma Closure on Post-Thyroidectomy Outcomes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Indian J Otolaryngol Head Neck Surg

June 2024

Department of Otolaryngology-Head and Neck Surgery, King Fahad Medical City, Riyadh, Saudi Arabia.

Aim: This systematic review and meta-analysis of randomized controlled trials (RCTs) compare the impact of platysma muscle layer closure technique among patients undergoing thyroidectomy in terms of postoperative outcomes, specifically pain.

Methods: Five electronic databases (PubMed, Scopus, Web of Science, Google Scholar, and Cochrane Central Register of Controlled Trials) were searched from inception until July 22, 2023. The Cochrane risk of bias tool 2 was employed for risk of bias (ROB) assessment.

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  • - A systematic review and meta-analysis evaluated the effectiveness of subcutaneous saline irrigation in preventing complications after cesarean sections, focusing on outcomes like infections and wound issues.
  • - An analysis of five randomized controlled trials (RCTs) involving 4,025 patients found no significant difference in superficial surgical site infections, seroma, or wound separation when comparing saline irrigation to no irrigation.
  • - However, saline irrigation was found to significantly reduce the incidence of hematoma, suggesting it may be beneficial in that specific aspect of surgical recovery.
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Background: Laryngeal cancer has a significant impact on speech, swallowing, and quality of life. This study aims to analyze laryngeal cancer trends using the National Inpatient Sample (NIS) database, providing insights into its epidemiology.

Methods: Data from the NIS database was analyzed for a cohort of 14,282 laryngeal cancer cases from 2016 to 2019.

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Introduction: To comprehensively evaluate the reported clinical effectiveness of platelet-rich plasma (PRP) in patients with chronic sinusitis undergoing endoscopic sinus surgery (ESS).

Methods: We performed a systematic review and meta-analysis of randomised controlled trials (RCTs). Five digital online databases (PubMed, Scopus, Web of Science, Google Scholar and Cochrane CENTRAL) were searched from inception up to 1st May 2023.

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Aim: Post-operative pain may occur after non-surgical root canal treatment (NSRCT). The root filling technique and choice of sealer may be contributing factors. This randomized controlled clinical trial compared post-operative pain and analgesics intake after NSRCT using a sealer-based obturation technique (SBO) with single-cone gutta-percha and calcium silicate sealer (CSS) versus a warm-vertical compaction (WVC) technique with gutta-percha and a resin-based sealer (RBS).

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Underlay Myringoplasty Versus Overlay Myringoplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Indian J Otolaryngol Head Neck Surg

April 2024

King Abdullah Ear Specialist Center (KAESC), College of Medicine, King Saud University Medical City (KSUMC), King Saud University, Riyadh, Saudi Arabia.

Unlabelled: Myringoplasty is still the most performed otological surgery. Nevertheless, the underlay vs. overlay approaches have yet to be determined.

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Introduction Septoplasty is a commonly performed surgery by otolaryngologists. This study examines the routine use of non-absorbable nasal packs in the postoperative period in Kuwait. Our aim is to assess the views of otolaryngologists in Kuwait regarding the routine use of non-absorbable nasal packing after septoplasty with or without turbinoplasty.

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Article Synopsis
  • Obstructive sleep apnea (OSA) affects nearly one billion people globally, with about 16.8% of adults diagnosed in Jordan; there is significant management responsibility on otolaryngologists.
  • A survey conducted among 140 otolaryngology residents and specialists in Jordan explored their knowledge and attitudes regarding OSA management, revealing that experienced specialists feel more confident than junior residents.
  • Results showed that older otolaryngologists performed better on the OSA knowledge assessments, indicating a need for continuous education and adherence to updated guidelines for all levels of practice.
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Background: Tutoplast-processed fascia lata (TPFL) is an allograft substance employed alongside cartilaginous materials to achieve optimal augmentation in rhinoplasty. Alternatively, it can be utilized to conceal and smooth irregularities of the nasal dorsum during the procedure. Despite its application, there is limited available data on the extended safety of TPFL.

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Background: To report the first series of retinoblastoma (RB) cases that were managed locally in Kuwait by the retinoblastoma team that was established during the COVID-19 pandemic.

Results: Six cases with RB were included in this study. The ages ranged from 3 months to 2 years with a male to female ratio of 2:1.

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