Rabia Shihada

Publications (15) View all

• Article: Acute mastoiditis: The role of imaging for identifying intracranial complications.

  Michal Luntz, Keren Bartal, Alexander Brodsky, Rabia Shihada
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  ABSTRACT: OBJECTIVES/HYPOTHESIS: Brain CT is performed in patients presenting with acute mastoiditis (AM) to identify intracranial complications (ICC). Recently, however, the need for CT scans in such patients has been questioned owing to concerns regarding long-term effects of brain irradiation, with some clinicians claiming that the decision to scan should be based on a patient's clinical presentation. This study was aimed at characterizing the typical clinical presentation of patients who already have ICCs when diagnosed with AM, and to compare it to that of AM patients presenting without ICCs. STUDY DESIGN: Prospective case series. METHODS: All patients hospitalized with AM between July 1997 and December 2009 in an otologic tertiary referral center were divided into those with and those without ICCs on presentation. Prereferral clinical characteristics and the signs, symptoms, and inflammatory indexes at presentation were compared between the two groups. RESULTS: Of 71 patients presenting with AM, 10 had at least one ICC (sigmoid sinus thrombosis [nine patients], perisinus empyema [five patients], subdural abscess [one patient], and epidural abscess [one patient]). Patients with and without ICCs did not differ regarding most clinical characteristics or presenting signs and symptoms. None presented with neurological signs or cranial nerve deficits. CONCLUSIONS: It is not possible to define an evidence-based index of suspicion for ICCs in patients with AM. Diagnostic imaging at presentation accordingly remains mandatory.
  The Laryngoscope 09/2012; · 1.75 Impact Factor
• Article: A concha bullosa mucopyocele manifesting as migraine headaches: a case report and literature review.

  Rabia Shihada, Michal Luntz
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  ABSTRACT: A concha bullosa is a common anatomic variant that represents an aerated turbinate, usually the middle turbinate. It is usually asymptomatic. When extensively pneumatized, a large concha bullosa may cause significant problems, including headache, nasal obstruction, and blockage of sinus drainage. We report a case of a large concha bullosa mucopyocele that manifested as recurring migraine headaches. It was successfully treated with surgical excision. We also review the available literature.
  Ear, nose, & throat journal 05/2012; 91(5):E16-8. · 0.66 Impact Factor
• Article: Coexisting middle ear cholesteatoma and giant petrous apex cholesterol granuloma.

  Ronen Brand, Rabia Shihada, Yoram Segev, Ilana Doweck, Derald Brackmann, Michal Luntz
  Otology & neurotology: official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology 12/2011; 33(4):e25-6. · 1.44 Impact Factor
• Article: Spontaneous regression of petrous apex cholesterol granuloma.

  Rabia Shihada, Ronen Brand, Yoram Segev, Michal Luntz
  Otology & neurotology: official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology 06/2011; 33(2):e9-10. · 1.44 Impact Factor
• Article: Cochlear implantation in a patient with Paget's disease.

  Amit Wolfovitz, Rabia Shihada, Talma Shpak, Jacob Braun, Michal Luntz
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  ABSTRACT: Hearing loss in Paget's disease, a metabolic bone disease, has been reported in as many as 60% of cases, and is presumably related to changes in mineral density of the otic capsule. We describe a 59-year-old man with Paget's disease who had severe to profound hearing loss and was referred to us for cochlear implantation. Preoperative evaluation revealed poor communication skills despite significant residual hearing, raising concerns about postimplantation outcome. Nevertheless, implantation was successful. As our literature search yielded only one report of cochlear implantation in Paget's disease, we record our clinical experience and discuss the hearing rehabilitation dilemmas in this case.
  The Laryngoscope 02/2011; 121(2):358-60. · 1.75 Impact Factor