Search

Introduction: Obstructive sleep apnea (OSA) and snoring are common conditions that disrupt sleep, leading to significant physical and emotional challenges that affect daily life and overall well-being. While non-surgical treatments like continuous positive airway pressure (CPAP) are effective, many patients find them challenging to maintain. Cautery-assisted palatal stiffening (CAPS), with or without uvulectomy, offers a minimally invasive surgical alternative to improve symptoms and enhance quality of life (QoL)., Aim: This study aims to assess and compare the effects of CAPS, with and without uvulectomy, on post-surgical QoL in patients with OSA or snoring., Materials and Methods: This retrospective cohort study included 94 patients who underwent CAPS, with or without uvulectomy, at King Hamad University Hospital in Bahrain to treat OSA or snoring. QoL was assessed using the Short-Form Health Survey (SF-36), evaluating physical and emotional well-being., Results: Among the 94 patients, CAPS improved physical functioning (mean score: 83.03) and general health (72.98). A trend toward greater emotional well-being was observed in the CAPS-only group compared to the uvulectomy group (p = 0.057). Over half of the participants (53.2%) reported feeling significantly better overall. CAPS effectively enhanced physical QoL, with some limitations remaining in emotional health., Conclusions: CAPS and CAPS with uvulectomy significantly improve post-surgical QoL, especially in physical functioning, though some emotional challenges may persist. These findings support CAPS as a beneficial option for patients, particularly for enhancing physical well-being., Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Institutional Review Board, King Hamad University Hospital issued approval 22-501. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2025, Alosaimi et al.)

Post-tonsillectomy emphysema is an infrequent yet critical complication that follows tonsillectomy - a prevalent surgical procedure for treating conditions like recurrent tonsillitis and obstructive sleep apnea. While tonsillectomy is generally safe, it is not without risks, including the rare occurrence of postoperative emphysema, where air accumulates abnormally in the neck and head's soft tissues, potentially leading to severe respiratory distress. We present a case of a middle-aged female who underwent tonsillectomy and subsequently developed symptoms indicative of post-tonsillectomy emphysema. Diagnosed through a combination of physical examination and imaging, her treatment involved conservative management and careful monitoring, ultimately resulting in full recovery without the need for surgical intervention., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2024, Alzamil et al.)

Introduction: Periodontal disease is a chronic inflammatory condition of the periodontium. It is the main cause of tooth loss and is considered one of the biggest threats to the oral cavity. Tobacco smoking has long been associated with increased risk for periodontal, peri -implant, and other medical diseases., Objective: To evaluate the effect of smoking and its level on periodontal clinical parameters (probing depth (PD), plaque index (PI), gingival index (GI), clinical attachment level (CAL), bleeding on probing (BOP), and the volume of gingival crevicular fluid (GCF)) in healthy and chronic periodontitis individuals., Material and Method: A total of 160 participants were recruited in the present study, who were equally divided into the following five groups: healthy controls (C), healthy smokers (HS), nonsmokers with periodontitis (PNS), light smokers with periodontitis (PLS), and heavy smokers with periodontitis (PHS). GCF volume and periodontal clinical parameters (PD, PI, GI, CAL, and BOP) were assessed for each participant and compared between the study groups., Result: There was a statistically significant difference in PD, PI, GI, CAL, and BOP between healthy and periodontitis patients (p < 0.001). The mean PI, PD, and CAL were considerably higher in heavy smokers than light smokers and non-smokers (P < 0.001). In contrast, the mean GI and BOP were significantly lower in heavy smokers than in light smokers and non-smokers. There was a statistically significant difference in GCF between healthy and periodontitis patients (p < 0.001). The mean GCF readings were higher in heavy smokers than light smokers or non-smokers (P < 0.001)., Conclusion: The present study confirms the influence of smoking on periodontal clinical parameters. Smoking was associated with increased PD, PI, CAL, and GCF readings; however, GI and BOP were decreased in smokers. The number of cigarettes played a key role in the volume of GCF and periodontal clinical parameters., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2023 The Authors.)

Background: Data are lacking on trends in bariatric surgery and the frequency of incidental findings in Saudi Arabia., Objective: Report on trends in bariatric surgery as well as our experience in incidental findings along with a literature review (mainly on gastrointestinal stromal tumor)., Design: Retrospective chart and literature review., Settings: Academic tertiary care center., Patients and Methods: We conducted a retrospective study at King Khalid University Hospital and analyzed the data collected from 2009 to 2019. We collected data on age, body mass index (BMI), H pylori infection, type of bariatric surgery performed, and type and location of incidental findings., Main Outcome Measures: Incidental findings during or after bariatric surgery (in pathology specimen)., Sample Size: 3052 bariatric surgeries, 46 patients with incidentalomas., Results: The mean and standard deviation for the age of the 46 patients with incidentalomas was 42.1 (13.9) years and the mean (SD) preoperative BMI was 43.4 (6.4) kg/m 2 . Of 3052 bariatric surgeries performed, the most common type was sleeve gastrectomy (93.9%), followed by gastric bypass surgery (4.58%) and gastric banding (1.47%). The total frequency of incidentalomas was 1.5%; 10.8% of patients had gastrointestinal stromal tumors (GIST), with the stomach being the commonest site for incidental findings. Eighty percent of the patients with GIST were positive for H pylori ( P =.01 vs negative patients)., Conclusion: The number of incidentalomas and other findings were consistent with other reports. All these findings suggest that bariatric surgeons should take special care before, during, and after a laparoscopic operation in obese patients., Limitations: Since this is a single-center, retrospective study, we did not collect data on important variables such as gender, socioeconomic status of the patient, and family history of obesity, and we did not perform a preoperative esophagogastroduodenoscopy., Conflict of Interest: None.

Background/aim: The worldwide prevalence of obesity has increased dramatically over the past years. In the Arab region, 66%-75% of adults and 25%-40% of children are either overweight or obese. Bariatric surgery has become the most effective approach for managing obesity and its co-morbidities. An expected outcome of bariatric surgery is cholelithiasis, which is one of the established risk factors of rapid weight loss. The aim of this study is to detect the incidence of symptomatic cholelithiasis among bariatric patients., Patients and Methods: A retrospective cohort study on 711 patients aged between 18 and 60 who underwent laparoscopic sleeve gastrectomy (LSG) was conducted at King Saud University Medical City from January 2016 to January 2018., Results: The postoperative incidence of symptomatic cholelithiasis was 3.5%. The mean duration of symptom development was 12.4 months. The rates of weight loss at 6 and 12 months for patients with symptomatic cholelithiasis were 28.94 ± 4.89% and 38.51 ± 6.84%, respectively (P = 0.002), which were significantly higher than in patients without symptomatic cholelithiasis during the same follow-up period (24.41 ± 6.6% and 32.29 ± 10.28%), respectively; (P = 0.012)., Conclusion: We found a 3.5% incidence of symptomatic cholelithiasis among post-LSG patients in a period of 2 years. Rapid weight loss was the only risk factor that contributed to the development of post-LSG gallbladder disease., Statistical Analysis Used: Results were expressed as absolute numbers and percentages for categorical variables and as mean and standard deviation for continuous variables. A paired sample t-test was performed to determine significant differences between means at different time stamps. Statistical analysis was performed using the Statistical Package for the Social Sciences (SPSS) version 23.0., Competing Interests: None

Objective: Motor vehicle emission is a major cause of environmental pollution, which threatens human health. This study aimed to investigate the effect of motor vehicle pollution on lung function, fractional exhaled nitric oxide (FeNO), and cognitive function among students studying in a school located in a traffic-polluted area., Subjects and Methods: In this cross-sectional study, students were recruited based on their apparent healthy status, same age, gender, height, weight, ethnicity, and homogenous educational, socio-economic status, and living backgrounds. Initially, 200 students, 100 from school-1 located in motor vehicle polluted area (exposed group) and 100 from school-2, located away from motor vehicle polluted area (control group) were recruited. After clinical history, 68 students were selected, 34 from school-1 and 34 from school-2. These students were exposed to motor vehicle pollution for 6 h a day, 5 days a week for a total period of 2 years. Lung function test parameters were recorded using a Spirometer, fractional exhaled nitric oxide (FeNO) was measured by Niox Mino, and cognitive function was recorded using the Cambridge Neuropsychological Test Automated Battery (CANTAB)., Results: The lung function test parameters, Forced Vital Capacity (FVC) (p=0.03); Forced Expiratory Volume in First Second (FEV1) (p=0.02); and cognitive function parameter motor screening task (MOT) mean latency (p=0.04) were decreased among the students who were studying in school situated in traffic-polluted area compared to those students who were studying in school which was located away from the traffic-polluted area. However, no significant difference was noted in FeNO between the groups., Conclusions: Motor vehicle pollution showed an association with decreased respiratory and cognitive functions among students studying in schools located in traffic-polluted areas. Environmental protection organizations must establish standards to minimize motor vehicle pollutants and develop strategies to control vehicle emission to reduce pollution and disease burden.