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  1. Faizah, A.R., Mazita, A., Marina, M.B., Jeevanan, J., Isa, M.R.
    Medicine & Health, 2010;5(1):55-59.
    MyJurnal
    There are three types of papilloma which arises from the Schneiderian membrane namely inverted, fungiform and oncocytic. Oncocytic papilloma is the rarest type and occurs predominantly in the older age group. Clinically, its behaviour is similar to inverted papilloma in having both local recurrence and associated malignancy. We report a rare case of oncocytic papilloma arising from the maxillary sinus, extending into the nasal cavity and nasopharynx, in a 78-year-old lady. Despite the longstanding history there was no evidence of associated malignancy in this lesion. An endoscopic medial maxillectomy was successfully utilized for approach and complete tumour excision. In conclusion, oncocytic papilloma should be considered as a differential diagnosis in patients presenting with unilateral polypoid nasal lesions especially in the elderly. In addition, endoscopic medial maxillectomy can provide an adequate approach for complete tumour removal.
  2. Al-Yahya, S.N., Marina, M.B., Lye, M.H., Loo, C.P.
    MyJurnal
    Thyroglossal duct cyst is the most common upper neck midline lesion in children. Approximately 1% of
    thyroglossal duct cyst undergoes malignant transformation. Calcification which is a marker of malignancy
    almost always points out to papillary thyroid carcinoma. Benign case of calcified thyroglossal cyst maybe
    undiagnosed or under reported. We report a case of a 5 year old girl with a benign calcified thyroglossal
    duct cyst, a fourth case in world literature. Here the differences between a benign and malignant
    thyroglossal duct cyst are discussed.
  3. Marina M.B., Hazleigh N.M., Thean, Y.K., Sani A.
    MyJurnal
    Isolated lower cranial nerve (CN) palsy affecting the CN X resulting from a skull base fracture is very rare. The clinical manifestation and natural history is related closely to the complex anatomy of this region and mechanism of injury. Here, we report a case of a 54 year-old man who presented with a delayed onset of dysphonia and dysphagia with aspiration following a closed head injury sustained from a motor vehicle accident. Injection laryngoplasty was implemented to alleviate symptoms of his CN X palsy, which eventually almost completely resolved. High index of suspicion should be maintained when investigating possible skull base fractures, especially with a suggestive clinical presentation of lower CN palsies affecting one or all the lower CNs. Delayed onset of these CN palsies are likely to have more favourable outcomes.
  4. Mohamad Norkahfi, R., Marina, M.B., Mawaddah, A., Abdullah Sani, M.
    Medicine & Health, 2016;11(2):298-302.
    MyJurnal
    Tracheostomy can be associated with numerous complications. Here, we present
    a case of large hypertrophic skin of tracheostoma with tracheal granulation tissue
    causing malpositioning of tracheostomy tube and airway obstruction, secondary to
    prolong placement of a cuff tracheostomy tube due to improper tracheostomy care.
    This case illustrates that awareness and knowledge of proper tracheostomy tube
    care among medical personnel are very important to avoid any mismanagement
    that can cause life-threatening complications.
  5. Norhafizah, S., Shifa, Z., Sitti Farhana, J., Marina, M.B.
    Medicine & Health, 2016;11(2):303-307.
    MyJurnal
    Congenital Nasal Pyriform Aperture Stenosis (CNPAS) is an extremely rare cause of
    nasal airway obstruction. Clinically, it mimics choanal atresia in neonate. It needs
    to be differentiated because management differs from each. Pyriform aperture is
    located at the most anterior part of the nose and is always the narrowest region
    of the nasal cavity. Therefore, nasal obstruction can easily occur if there is slight
    decrease in its cross sectional area. CNPAS rarely presents alone. Usually, it arises
    together with a midline developmental defect such as holoprosencephaly or
    pituitary defect. We present the first ever reported case of CNPAS, in association
    with Trisomy 8 Mosaicsm (T8M).
  6. Marina, M.B., Mohd Tahir, J., Mawaddah, A., Asma, A., Mohd Razif, M.Y., Jemaima, C.H.
    Medicine & Health, 2018;13(2):36-47.
    MyJurnal
    Obstructive Sleep Apnoea (OSA) affects 2-5% of the middle-aged population and is a potentially life-threatening condition. Previous studies on OSA and glaucoma have reported mixed findings. This was a cross-sectional comparative study with a study duration of one year to compare the incidence of high intraocular pressure among OSA subjects and non-OSA subjects. This study took place in a tertiary hospital where a total of 50 subjects with OSA and 50 non-OSA subjects were recruited. The average age was 37 years (19,65) in a multiethnic study population (76% (Malay), 18% (Chinese) and 6% (Indian)). All patients underwent a full night computer-assisted polysomnogram (SOMNOCheck Effort Weinmann, Hamburg, Germany), Epworth Sleepiness Scale (ESS), Mullers manouevre (MM) to assess the level of obstruction and tonometry. The incidence of high Intra Ocular Pressure (IOP) among OSA subject was 52% with a significant difference between non-OSA and OSA subjects. Correlation between ESS and IOP were significant (p
  7. Dayangku, N.P.S., Marina, M.B., Mawaddah, A., Sharifa Ezat, W.P., Abdullah, S.
    MyJurnal
    Background: The resultant dysphonia and aspiration in unilateral vocal cord palsy can be overcome with
    medialisation thyroplasty. With this background, we aim to determine the aetiology of the unilateral vocal
    cord palsy and effectiveness of the phonosurgical procedure with Gore-Tex as a sole treatment. Methods:
    Within a seven year period, 37 Gore-Tex medialisation thyroplasty were performed for unilateral vocal cord
    palsy at our institution and medical records were retrospectively reviewed. Results: There were 18
    males and 19 females with mean age of 48.7 years (range 19–81 years). The predominant aetiology was
    thyroidectomy (43.2%) with benign thyroid disease predominates (n=13) over thyroid malignancy (n=3). Voice
    outcome was evaluated subjectively using visual analogue scoring system, results indicating that Gore-Tex
    medialisation thyroplasty was effective in addressing dysphonia in 62.5% (n=15) patients. However it alone
    cannot address aspiration seen in those with high vagal nerve lesion. Airway compromise occurred in two
    cases postoperatively (5.4%) presenting as acute stridor. Conclusion: In unilateral vocal cord palsy, Gore-Tex
    medialisation thyroplasty can effectively improve the resultant dysphonia and often accompanying aspiration
    which would otherwise be disabling for the patients.
  8. Asma, A., Hazim, M.Y.S., Marina, M.B., Azizi, A.B., Suraya, A., Norlaili, M.T., et al.
    Medicine & Health, 2007;2(2):133-138.
    MyJurnal
    Proper management of chronic otitis media may reduce the incidence of otogenic brain abscess. The aim of this study was to describe the clinical profile, treatment and surgical outcome of patients presenting with otogenic brain abscess. The medical record of patients in Universiti Kebangsaan Malaysia Medical Centre (UKMMC) with otogenic brain abscess were retrospectively analyzed from January 1997-January 2006. Within this eriod we had approximately 10,800 of follow up cases of chronic otitis media  (COM) in our clinic. Ten patients  (2  females, 8 males) with an average age of 42  (age  range 11  to 69 years) were identified with otogenic brain abscess and included in this study. The mean follow-up period was 14 months.  All patients had cholesteatoma. All patients had a history of chronic ear discharge, headache, otalgia and fever. Six of the 10 patients had cerebellar abscess and 4 had temporal lobe abscess.  Cerebellar signs were present in 3 patients All  the  patients  were  treated  with  broad-spectrum  antibiotics. In 5 patients, mastoid exploration was the primary surgical treatment and the brain abscesses were treated conservatively. In the other 5 patients, craniotomy and drainage were performed followed by mastoid exploration when their neurological conditions had stabilized. All our patients had uneventful recovery. There were no permanent cerebellar signs during the follow up and no mortality reported in our series. In this series we demonstrated that early diagnosis and proper treatment of otogenic abscess leads to good neurological outcome.
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