Nik Fariza Husna Nik Hassan

Universiti Sains Malaysia

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İM

İrfan Mohamad

Universiti Sains Malaysia

Mohd Normani Zakaria

Universiti Sains Malaysia

Mohd Azmarul A Aziz

Universiti Sains Malaysia

Hazama Mohamad

Universiti Sains Malaysia

Norasnieda Md Shukri

Hospital Universiti Sains Malaysia

V Sha Kri Eh Dam

Universiti Sains Malaysia

Norsyamira Aida Mohd Umbaik

Thevagi Maruthamuthu

Hospital Pulau Pinang

Mohd Zulfakar Mazlan

Universiti Sains Malaysia

Sanjeevan Nadarajah

Universiti Sains Malaysia

Cooperative Institutions

Universiti Sains Malaysia

Hospital Universiti Sains Malaysia

University Kebangsaan Malaysia Medical Centre

Hospital Kuala Lumpur

Universiti Malaysia Kelantan

National University of Malaysia

University of Malaya

Universiti Teknologi MARA

Sibu Hospital

Sarawak General Hospital

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Laryngeal carcinoma presented with thyroid mass symptoms: The importance of early onset hoarseness and absent of laryngeal crepitus

Egyptian Journal of Ear Nose Throat and Allied Sciences (2016)

Chuen Shiun Chew İrfan Mohamad Nik Fariza Husna Nik Hassan Shankar Ramasundram Mohd Zulfakar Mazlan

Presentation of stridor with a marked anterior neck swelling is always presumed as thyroid mass compressing on the airway. However, a history of progressive hoarseness prior to the stridor should be taken into consideration as the airway obstruction might be due to intraluminal airway compression. We report an atypical presentation of laryngeal cancer with anterior neck swelling, which moved with swallowing, mimicking a thyroid tumour which cause delay of the management.

Presentation (obstetrics)

Airway obstruction

10.1016/j.ejenta.2016.10.009

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Citations (1)

Bilateral vocal cord palsy post thyroidectomy: lessons learnt

BMJ Case Reports (2014)

Khairunnisak Misron Anusha Balasubramanian İrfan Mohamad Nik Fariza Husna Nik Hassan

Bilateral vocal cord paralysis is a known possible complication following thyroid surgery. It owes to the close relationship between the recurrent laryngeal nerve and the thyroid gland. The most feared complication of bilateral vocal cord paralysis is airway compromise. We report the case of a 39-year-old woman who underwent total thyroidectomy for multinodular goitre. The surgery was uneventful. However she developed stridor in the recovery bay needing intubation. We postulate that the cause was attributed to bilateral vocal cord paresis due to the use of the intraoperative nerve monitoring (IONM) whose high setting throughout the surgery was overlooked. She made a complete recovery without the need of a tracheostomy. We share our lessons learnt from this case.

Vocal Cord Paralysis

Paresis

10.1136/bcr-2013-201033

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Citations (14)

Bilateral Vocal Cord Immobility After Chemoradiotherapy For Nasopharyngeal Carcinoma.

PubMed (2020)

Selvamalar Vengathajalam Thevagi Maruthamuthu Nik Fariza Husna Nik Hassan İrfan Mohamad

Post chemoradiation vocal cord immobility is a rare complication and this maybe life threatening when patients present with severe aspiration and recurrent pneumonia or even worse if they have an upper airway obstruction. We report a case of nasopharyngeal carcinoma patient whom after receiving curative concurrent chemoradiotherapy, presented with episodes of shortness of breath and aspiration pneumonia finally diagnosed with bilateral vocal cord immobility. She had no evidence of tumour recurrence.

Chemoradiotherapy

Aspiration Pneumonia

Airway obstruction

Vocal Cord Dysfunction

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Validity and Reliability of the Malay Questionnaire for Olfactory Disorders

Malaysian Journal of Medical Sciences (2023)

Erica Gima Carren Teh Sui Lin Nik Fariza Husna Nik Hassan Najib Majdi Yaacob Norasnieda Md Shukri

Background: Olfactory disorders (OD) are an umbrella term for a diverse group of smell problems. Numerous tests and questionnaires have been formulated to identify and test the severity of smell impairment, which is not readily available or translated for the Malaysian population. This study aimed to translate the Questionnaire for Olfactory Disorders (QOD) and validate and test the reliability of the Malay Questionnaire for Olfactory Disorders (mQOD). Methods: This cross-sectional study was conducted in two tertiary centres. A forward and backward translation was conducted for the QOD. The translated questionnaire was distributed to subjects with self-reported smell disorders on days 1 and 7. Internal consistency was analysed using Cronbach’s alpha and test-retest reliability was tested with an intraclass correlation coefficient. Confirmatory factor analysis was performed to test construct validity. Results: A total of 375 participants were recruited, 52 dropped out and 323 completed the questionnaire a second time. The Cronbach’s alpha coefficient was 0.537 for parosmia (P), 0.892 for life quality (LQ), 0.637 for sincerity (S) and 0.865 for visual analogue score (VAS). The intraclass correlation coefficient (ICC) for domain scores was > 0.9, while the ICC for all items was good to excellent. A three-factor model for mQOD showed an acceptable fit with indices chi-square value (CMIN)/degree of freedom (DF) = 3.332, Tucker-Lewis fit index (TLI) = 0.923, comparative fit index (CFI) = 0.939, root mean square error of approximation (RMSEA) = 0.079 and standardised root mean square residual (SRMR) = 0.0574. Conclusion: The mQOD is a valid and reliable tool for assessing OD in patients

10.21315/mjms2023.30.6.15

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Upper Lateral Neck Swelling: Rare but Important Differential Diagnosis

Annals of the Academy of Medicine Singapore (2013)

İrfan Mohamad Nik Fariza Husna Nik Hassan

10.47102/annals-acadmedsg.v42n8p422

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Citations (2)

Unusual cause acute airway obstruction

Egyptian Journal of Ear Nose Throat and Allied Sciences (2017)

R. Vengatesh Sanjeevan Nadarajah Nik Fariza Husna Nik Hassan

Upper airway obstruction is one the most feared condition in Otolaryngology. Acute upper airway obstruction usually requires prompt tracheostomy as a lifesaving act. Through assessment and appropriate diagnosis and management of underlying cause are mandatory and at times even can avoid tracheostomy and its potential complications. We describe a case of severe laryngopharyngeal reflux (LPR) in 63-year-old man, causing acute stridor and airway obstruction lead to emergency tracheostomy. According to our literature review this may be the first case of LPR implicated in acute airway obstruction.

Airway obstruction

Laryngopharyngeal Reflux

10.1016/j.ejenta.2017.01.001

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Citations (1)

Vocal Fold Injury Following Intubation

Journal of Craniofacial Surgery (2020)

Norsyamira Aida Mohd Umbaik İrfan Mohamad Nik Fariza Husna Nik Hassan

Mohd Umbaik, Norsyamira Aida MD; Mohamad, Irfan MD, MMed (ORL-HNS); Nik Hassan, Nik Fariza Husna MD, MMed (ORL-HNS)Author Information

10.1097/scs.0000000000006839

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Multiple laryngeal leiomyoma as a cause of acute upper airway obstruction

Egyptian Journal of Ear Nose Throat and Allied Sciences (2014)

Basheer Lawal Rohaizam Jaafar İrfan Mohamad Hazama Mohamad Suzina Sheikh Ab Hamid

Leiomyoma is a benign connective tissue tumour affecting smooth muscle component of an organ. Very rarely it turns to malignancy. It can occur in any part of the body but predominantly found in uterus, small bowel and oesophagus. Laryngeal leiomyoma is a very uncommon finding because of paucity of smooth muscle in the laryngeal wall. It occurs usually as single lesion in larynx, but occurrence as multiple lesions in larynx is extremely rare. Clinical presentation of laryngeal leiomyoma varied depending on the location and extent of the lesion. We reported a multiple leiomyoma of a larynx in a 7-year-old boy who presented with stridor and the mass was found incidentally during intubation. To our knowledge this is the first reported case of multiple laryngeal leiomyoma.

Airway obstruction

10.1016/j.ejenta.2014.07.006

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Retropharyngeal air column: a rare complication of tracheostomy

Pediatria i Medycyna Rodzinna (2019)

Sakinah Mohamad Nik Fariza Husna Nik Hassan İrfan Mohamad

Although open tracheostomy is considered a relatively safe procedure in otorhinolaryngology, it is not without complications.One of the rare complications of tracheostomy is retropharyngeal emphysema.A 53-year-old woman with bilateral vocal cord palsy underwent emergent open tracheostomy and postoperatively developed violent coughing, tight jaw during chewing, mild neck pain as well as an abnormal sensation of "small bubbles popping underneath her skin." Careful palpation of the neck revealed crepitus, and lateral cervical radiograph showed extensive subcutaneous emphysema and retropharyngeal air column.A combination of vigorous cough and tight peristomal sutures of the tracheostomy wound was believed to have caused this complication.Conservative management by peristomal suture removal led to near resolution within two weeks.

10.15557/pimr.2019.0056

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Citations (1)

Clinical Validity and Reliability of the Malay Language Translations of Gastroesophageal Reflux Disease Questionnaire and Quality of Life in Reflux and Dyspepsia Questionnaire in a Primary Care Setting

Digestive Diseases (2018)

Sangeta Vadivelu Zheng Feei Ean Wah Ong Norhaliza Hassan Nik Fariza Husna Nik Hassan

Background: Gastroesophageal Reflux Disease Questionnaire (GERDQ) and Quality of Life in Reflux and Dyspepsia Questionnaire (QOLRAD) are reliable tools for evaluation of GERD. Aim: We aimed to test validity and reliability of Malay language translations of GERDQ and QOLRAD in a primary care setting. Methods: The questionnaires were first translated into the Malay language (GERDQ-M and QOLRAD-M). Patients from primary care clinics with suspected GERD were recruited to complete GERDQ-M, QOLRAD-M, and Malay-translated 36-item short-form health survey (SF-36 or SF-36-M), and underwent endoscopy and 24-h pH-impedance test. Results: A total of 104 (mean age 47.1 years, women 51.9%) participants were enrolled. The sensitivity and specificity for GERDQ-M cut-off score ≥8 were 90.2 and 77.4%, respectively. Based on this cut-off score, 54.7% had a high probability of GERD diagnosis. GERD-M score ≥8 vs. < 8 was associated with erosive esophagitis (p < 0.001), hiatus hernia (p = 0.03), greater DeMeester score (p = 0.001), and Zerbib scores for acid refluxes (p < 0.001) but not non-acid refluxes (p = 0.1). Mean total scores of QOLRAD-M and SF-36-M were correlated (r = 0.74, p < 0.001). GERDQ-M ≥8, erosive esophagitis, and DeMeester ≥14.72 were associated with impaired QOLRAD-M in all domains (all p < 0.02) but this was not seen with SF-36. Conclusions: GERDQ-M and QOLRAD-M are valid and reliable tools applicable in a primary care setting.

Malay

10.1159/000494386

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Citations (11)