The Egyptian Journal of O

tolaryngologyVolum

e 30 N

umber 2

April 2014

The Official Publication of the Egyptian Society of

Otolaryngology

Providing a New Vision of our Ongoing Mission

Covering Otorhinolaryngology,

Head and Neck Surgery,Audiology, Phoniatrics,

Basic Sciences

Volume 30 No. 2 April 2014Contact Info: Editorejo@gmail.comISSN Print: 1012-5574ISSN Online: 2090-8539

International Editorial Letter

63 AngiofibromaGroup—SoutheastAsia:Concept,researchandoutcome Hemant Ahluwalia, Vandana Verma

PhoniatricsforOtolaryngologist

67 Office-basedlaryngealprocedures:Anintegratedapproach Aya Sheikhany

AudiologyforOtolaryngologist

69 Theroleofvideonystagmography(VNG)inassessmentofdizzypatient Soha Mekki

OriginalArticles

73 Limitsofconventionaltemporalbonecomputedtomographyinthemanagementofcholesteatomaotitismedia:Reportof96cases

Mardassi Ali, Mathlouthi Nabil, Kdous Safa, Mezri Sameh, Zgolli Cyrine, Chebbi Ghassen, Ben M. Rania, Akkari Khemaies, Benzarti Sonia

78 Detectionofgastricpepsininmiddleearfluidofchildrenwithchronicotitismediawitheffusion Yasser Shewel, Mokhtar Bassiouny, Mohamed M. Rizk

82 CouldrecurrentotitismediapredictprimaryantibodydeficienciesinEgyptianchildren? Shereen M. Reda, Tamer A. Yousef, Reem A. Elfeky, Mohamed T. Sallam, Reham A.Gaafar

88 Acomparativestudyoneffectivenessoftherolling-overmaneuverinrehabilitationofpatientswithposteriorsemicircularcanalbenignparoxysmalpositionalvertigo

Hesham A. Abdel Kader, Fathy N. Abdel Halim, Tayseer T. Abdel Rahman

94 Effectofchitosanonbonerestorationinnasalbonedefect:Anexperimentalstudy Mosaad Elsisy, Ashraf Elhamshary, Yasser M. Haroon, Samira Sallam

102 Removalofadenoidremnantsaftercurettageadenoidectomy:Doweneedpoweredinstruments? Ahmed Hesham, Mahmoud Attia, Hatem Badran, Ahmed Hussien, Sherif Safwat

106 Recurrentepistaxisinchildren:Whenshouldwesuspectcoagulopathy? Magy S. Abdel Wahab, Hesham Fathy, Rania Ismail, Nancy Mahmoud

112 AllergicRhinitisanditsImpactonAsthmascoresinasthmaticpatientswithandwithoutallergicrhinitis Mohamed Shehata Taha, Tamer Youssef, Hanaa Fathey Abd-Alsamee, Azza Omran, Waleed Farag Ezzat

122 Advancedlaryngealcancerwithskininfiltration:Survivalanalysis Mohamed Mosleh, Hesham Fathy

126 MorphologicalandelectronmicroscopiceffectsofmitomycinCinhalationinexperimentallyinducedlaryngealfibrosisindogs

Mohamed T. El Tabbakh, Mohsen Mohamed Hassan Mostafa Zagholol, Adel R. Hinnis, Zinab Abdel-Hady

TheEgyptianJournalofOtolaryngology

1012-5574 © 2014 The Egyptian Oto - Rhino - Laryngological Society DOI: 10.4103/1012-5574.133226

182 Resident page

During my residency, I was very interested in endoscopic sinus surgery. However, I found myself looking to what is beyond the basic endoscopic sinus surgery. I was dreaming of advanced endoscopic sinus surgery. Unfortunately, this subspecialty is not well established in our home department.

I am very convinced in what was told to Professor Dr. Howard House, the ‘Father of Neurotology’, by his father Dr. House, after he had finished his specialty training, ‘Now is the best time to place yourself at the feet of the greats, whose papers you have read. Watch them in surgery and in laboratory, see how compassionate they are with their patients, see how their family lives are, learn their motivations, and find out why they are at the top of the ladder’, and added ‘Regardless of whom you visit you will pick up pearls of wisdom. Some you will use, some you will not. But you will be in a better position to care for your own patients’ [1].

I could not arrange for an international visit; the conditions in Egypt were not settled after the revolution on 25 January 2011. Hence, I decided to start a local visit to Otorhinolaryngology Department, Kasr El-Aini Hospital, Cairo University, Egypt.

Although I faced a lot of bureaucracy, I had to leave my family, and I knew that my income would be markedly reduced during the visit, nothing could change my decision. I was insisting to learn.

I was lucky enough to have the chance to become closely attached to professors of Otorhinolaryngology Department, Kasr El-Aini Hospital. They have appreciated my strong desire to learn and have played a pivotal role that has changed my career.

After 1-year visit to this respected institute, we could establish endonasal endoscopic cerebrospinal fluid leak closure, endoscopic management of recurrent severe epistaxis, endoscopic orbital decompression, endoscopic management of juvenile nasopharyngeal angiofibroma, and endoscopic management of sinonasal malignancies in our home department, and we are trying to establish endonasal endoscopic trans-sphenoidal surgery.

I am now trying to arrange for an international visit, aiming to gain more experience on extended endonasal endoscopic skull base surgery.

In conclusion, in my own opinion, the first step in the making of an endoscopic sinus surgeon is ‘Place yourself at the feet of the greats’.

AcknowledgementsConflicts of interestNone declared.

Reference1 HP House. The making of an otologist [OTO review]. House Ear

Institute;1980 and 1982

The making of an endoscopic sinus surgeon: Place yourself at the feet of the greatsAhmed H. Monib

If you wish to be an an endoscopic sinus surgeon, search for the greats, whose papers you have read, and place yourself at their feet. You may face a lot of bureaucracy, and you may leave your family, staying away of your home, but nothing should change your decision, if you are insisting to learn.

Keywords:endoscopic sinus surgery, Professor Dr. Howard House, Kasr El-Aini Hospita

Egypt J Otolaryngol 30:182© 2014 The Egyptian Oto - Rhino - Laryngological Society1012-5574

Ahmed H. Monib, M.Sc, Department of Otorhinolaryngology, Assiut University Hospital, Assiut, Egypt

Correspondence to Ahmed H. Monib, Department of Otorhinolaryngology, Assiut University Hospital, Assiut, 71516, Egypt Tel: (+2088) 2361401, (+2088) 2413560, (+2088) 2413538; fax: (+2088) (2333327); e-mail: ahmedmonib_ORL@yahoo.com, ahmedham@med.au.edu.eg

Received 18 November 2014 Accepted 22 November 2014

The Egyptian Journal of Otolaryngology 2014, 30:182