Abdulrahman Alsowinea

Objective The objective of the study is to estimate the prevalence of allergic rhinitis (AR) and its characteristics among the pediatric population at Dr. Suliman AlHabib Hospital in Buraydah, Al-Qassim region, Saudi Arabia. Methods This cross-sectional, retrospective study utilized data (n = 217) from the ENT department’s medical records at Dr. Suliman AlHabib Hospital in Buraydah, covering a three-year period from January 1, 2020, to January 1, 2023. A modified version of the International Study of Asthma and Allergies in Children (ISAAC) questionnaire was employed. The data was analyzed using R language version 4.3.3 (R Foundation for Statistical Computing, Vienna, Austria). Results The prevalence of AR among the children studied was 7%, with male patients showing a higher prevalence than female patients. No significant correlation was found between AR prevalence and age or body mass index (BMI), although adolescents were noted to have the highest prevalence compared to other age groups. Family history of allergies and parental smoking emerged as potential influencing factors, suggesting that environmental and genetic components might play a role in the development of AR. Conclusion The study highlights key trends in the epidemiology of AR among children in Buraydah. Although several risk factors, such as family history and parental smoking, were identified, the findings suggest the need for further research to fully understand the underlying causes and influences on AR. Future studies should aim to expand the sample size and investigate these associations more comprehensively to support effective public health strategies in the region.

Functional endoscopic sinus Surgery (FESS) is a form of safe and effective management for chronic rhinosinusitis. Nevertheless, although FESS is minimally invasive, it poses a risk of rare orbital complications. This study aims to investigate the variations in the medial maxillary wall relative to the medial orbital wall, as depicted on computed tomography (CT) scans. We retrospectively included CT scans of the sinuses between November 2022 and April 2023. To maintain consistency, we used the coronal image that delineated the anterior ethmoidal foramen. The attachment site of the inferior turbinate to the medial maxillary wall was categorized into three classes according to its position relative to the inferomedial orbital strut. Class I indicates that the site of attachment is located within 2 mm, either medially or laterally. Class II indicates that it has been medially displaced by more than 2 mm, whereas Class III indicates that it has been laterally displaced by more than 2 mm. We enrolled 183 patients, yielding a total of 363 sides. Classes I, II, and III account for 55.4%, 41.3%, and 3.3% of the cases, respectively. A significant correlation exists between the classification and the dimensions and volume of the maxillary sinus (p < 0.001). The logistic regression model indicates a significant negative correlation between the width of the maxillary sinus and risk classification (p < 0.001), implying a protective effect with increasing width. Knowledge of the variations in the medial wall of the maxillary sinus relative to the medial orbital wall is essential for guidance toward the optimal endoscopic approach, and it demonstrates relevance to risk stratification.