Azliana Aziz
@experts.usm.my
Dr (Ms), ORL-HNS Department, School of Medical Sciences
Universiti Sains Malaysia
EDUCATION
MB Bch BAO, MMED ORL-HNS, FEBORL-HNS
RESEARCH, TEACHING, or OTHER INTERESTS
Otorhinolaryngology, Medicine, Education, Pediatrics, Perinatology and Child Health
Scopus Publications
Scholar Citations
Scholar h-index
Scholar i10-index
Scopus Publications
Iffah Salim, Neena Farhana Sani, and Azliana Aziz
Elsevier BV
Rian Asmeida Farha Ahmad Rejab, Hawairy Samsuri, Muhammad Harith Mohamed Rouse, and Azliana Aziz
Elsevier BV
Irfan Mohammad, Azliana Aziz, Norzaliana Zawawi, Avatar Parhar Singh Mohan Singh, Purushotman Ramasamy, Vigneswaran Kumarasamy, and Tang Ing Ping
Springer Nature Singapore
V Sha Kri Eh Dam, Azliana Aziz, Sarah Zulkarnain, Nur Asyilla Che Jalil, and Irfan Mohamad
Charles University in Prague, Karolinum Press
The incidence of oropharyngeal squamous cell carcinoma (OPSCC) especially human papillomavirus (HPV) associated type is increasing in trend despite reducing in other head and neck squamous cell carcinoma. Muffled voice, dysphagia, neck mass and pain over the throat are among the common presentations; however, health care professional should be aware of unusual presentation to avoid delay in management. We present a case of HPV-positive OPSCC with a rare presentation; progressive worsening of snoring for 6 months duration. Patient sougth medical attention at the some of private clinics for the past 2 months, however, was told to have a normal tonsillar enlargement. Subsequently, patient was referred to our center with impression of obstructive sleep apnea. We highlight the important of early referral to appropriate center and otorhinolaryngology for assessment in cases presented with worsening snoring.
Azliana Aziz, SitiNazira Abdullah, and NikAdilah Nik Othman
Medknow
Trauma causing bilateral temporal bone fracture has a unique mechanism. The type of fracture can predict the probability of facial nerve palsy. Commonly facial nerve palsy is managed by surgery or conservative management, depending on the onset, grading, and value of the objective electrodiagnostic test. The dilemma arises in our case when the young patient presented with delayed onset, bilateral incomplete facial nerve palsy, whereby the symmetrical monotonous looking can be misleading at initial diagnosis. We discussed several options of test available to give the prognostic value in the case if there is no normal side to be compared to.
Nur Saadah Mohamad, Mohd Jazman Che Rahim, and Azliana Aziz
Academy of Family Physicians of Malaysia
The clavicle or collarbone is a horizontal-axis bony structure located between the neck and thoracic area. Tumour metastasis at the clavicle is very rare. Due to its location at the border of the neck and chest area, a primary tumour could originate from both areas. We report the case of a 39-year-old man who presented with a painful right sternal-end clavicular mass and intermittent fever. Chest radiography was normal. Musculoskeletal ultrasound of the clavicle revealed a mass. Computed tomography (CT) thorax further identified a mass at the upper lobe of the right lung. CT-guided tissue biopsy confirmed that it was a lung adenocarcinoma. This case shows an atypical presentation of lung carcinoma and how musculoskeletal ultrasound helped in the diagnosis when other features and investigations were inconclusive.
Azliana Aziz, Mohd Khairi Md Daud, Nik Adilah Nik Othman, and Normastura Abd Rahman
Ovid Technologies (Wolters Kluwer Health)
To the Editor: We read with interest the article that was recently published by Aziz et al. (1) entitled ‘‘Early Detection of High-frequency Presbycusis Among Normal Hearing Individuals’’ issue of Otol Neurotol. The authors aimed to ‘‘determine the prevalence of highfrequency presbycusis using extended high-frequency pure-tone audiometry and to validate the use of highfrequency distortion product otoacoustic emissions in the screening for high-frequency presbycusis as well as to evaluate the association of age with high-frequency presbycusis.’’ We congratulate the authors for their valuable work, but we would like to comment some issues. It is very difficult to isolate age effects from other contributors to age-related hearing loss. There is uncertainty about the mechanisms involved in auditory aging. Males are more likely to experience hearing impairment compared with females of the same age (2). Race/ethnic differences in hearing sensitivity are not well understood. Smoking is a risk factor for presbyacusis. The authors included males and females; four differents ethnic origins; smokers/nonsmokers/ex. smokers (3). Table 4 has two age groups: 25 to 39 years old and 40 to 54 years old, but we don’t know if the groups are different only by age or if other factors could interfere in the result. For example, if the second group had more male participants, we expected worse audiometric thresholds than the other younger group with fewer male participants. To avoid bias, the participants in this study should be male or female, smokers and ex. smokers should be not included and consider only one ethnic group. The interaction of the effects of noise and aging is not fully understood because, in part, noise and aging both affect the high-frequency regions of the cochlea first. The effects of noise accumulate over a lifetime. The participants exposed to loud noise were excluded, but with the spread in the popularity of portable MP3 players, the exposure to high sound levels has increased, and young adults and adolescents have shown no real understanding of how to determine which volume is too loud (4). The authors concluded high-frequency hearing loss is higher with increasing in age. We do not agree completely, but the study has a bias in the selection of participants. It is complicated to exclude other factors that may also contribute to the increase of thresholds at high frequencies, such as smoking, sex, and ethnic group. Vagner Antonio Rodrigues Silva Agricio Nubiato Crespo Department of Otorhinolaryngology Head and Neck Surgery Faculty of Medical Sciences Universidade de Campinas (UNICAMP) São Paulo SP, Brazil vagrodrigues@hotmail.com
Nur Adillah Lamry, Khairunnisak Misron, Tengku Mohamed Izam Tengku Kamalden, Azliana Aziz, and Rosdan Salim
The Korean Academy of Family Medicine
Malignant otitis externa (MOE) is a rare and potentially life-threatening disease of the ear and temporal bone. Bilateral simultaneous MOE is extremely rare. Due to bilaterally symmetrical facial nerve palsy, it can easily be missed at the initial presentation, causing delay in management. Here, we report a case of bilateral MOE managed aggressively with regular ear toileting, ear packing with a ribbon gauze soaked with topical antimicrobials, and long-term intravenous and oral antibiotics. The patient showed good improvement in pain control, facial nerve status, and ear findings.
Nurul Anis Mohd Fauzi, Mohd Shaiful Nizam Mamat Nasir, Zubaidah Mohamad, Azliana Aziz, and Irfan Mohamad
Bangladesh Journals Online (JOL)
Sudden rapidly increased neck swelling due to spontaneous intranodular bleeding of the thyroid gland is rare occurrence but can be considered. Here, we report an extremely rare case of spontaneous rupture intrathyroidal nodule in a healthy young female who had no history of neck swelling, thyroid disease or neck trauma. She was closely observed and treated conservatively as there was no compromised airway. She was discharged well after completed intravenous antibiotic.
 Bangladesh Journal of Medical Science Vol.20(3) 2021 p.678-681
Azliana Aziz, Mohd Khairi Md Daud, Nik Adilah Nik Othman, and Normastura Abd Rahman
Ovid Technologies (Wolters Kluwer Health)
Background: Presbycusis is an age-related sensorineural hearing loss and it may reduce quality of life. We conducted a study to establish the prevalence of high-frequency presbycusis in normal hearing individuals and to validate the role of extended high-frequency distortion product otoacoustic emission (DPOAE) in the screening. Method: A cross-sectional study was conducted among 205 normal hearing adult participants with an age range between 25 and 54 years old. Hearing analysis with extended high-frequency pure-tone audiometry (PTA) and high-frequency DPOAE was carried out for all eligible participants. High-frequency presbycusis was considered to be present when the impairment of more than 25 dB occurs at higher than 8 kHz frequencies on both ears. Results: : Prevalence of high-frequency presbycusis using extended PTA was 31.7 (95% CI: 25.3, 38.1) and using high-frequency DPOAE was 57.4 (95% CI: 50.7, 64.4). The sensitivity and specificity of high-frequency DPOAE in detecting high-frequency presbycusis were 72.3 and 49.3% respectively with positive predictive value of 39.8% and negative predictive value of 79.3%. The association between age and high-frequency presbycusis was significant based on high-frequency DPOAE (p = 0.029). Conclusions: : The prevalence of high-frequency hearing loss is higher with increasing in age. High-frequency DPOAE may be used as a screening tool followed by confirmation using extended PTA. The early detection of presbycusis is important so that measures can be taken to prevent more severe problems developing.
Ren Hui Lo, Nik Khairani Nik Mohd, Khairudin Abdullah, Azliana Aziz, and Irfan Mohamad
Galenos Yayinevi
Abstract With the advancement of radiological investigation, intrapartum detection of fetal abnormalities is now precisely performed. Lymphangiomas are now diagnosed even before patient is born. The swelling may be gigantic and potentially life-threatening during the delivery. Nowadays, it is still a great challenge to doctors as how to deliver the baby together with the big neck mass. We present a case of huge intrapartum neck lymphangioma, for which we performed ex-utero intrapartum treatment (EXIT) procedure, followed by excision of the lesion later. The challenges on managing both mother and infant will be discussed.
Azliana Aziz, NurSyazwani Mohd Salehuddin, NikMawaddah Nik Din, MohdSazafi Mohd Saad, and Zulkiflee Salahuddin
Medknow
Labyrinthine ossificans (LO) is the formation of pathological new bone within the membranous labyrinth of the inner ear. Most commonly, it is caused by meningitis, via communication of labyrinth with subarachnoid via the cochlear aqueduct and internal auditory canal. We highlight a case of cholesteatoma with a rare complication of tympanogenic LO that results in unilateral profound mixed hearing loss with concomitant severe vertigo.
Azliana Aziz, Rosdan Salim, Irfan Mohamad, and Marlina Yusuf
Bangladesh Journals Online (JOL)
Vertigo can be central or peripheral causes. However, determining the cause can be difficult as central vertigo may mimic the presentation of peripheral vertigo. Hence, we report three cases of central vertigo, to highlight the importance of early recognition and clinical suspicions in managing the aforementioned cases which may present with debilitating daily living.J MEDICINE JUL 2018; 19 (2) : 126-129
A. Aziz, R. Ramli, I. Mohamad and V. Bhavaraju
Introduction Nasopharyngeal carcinoma (NPC) is among the most common head and neck malignancies seen among adults in Malaysia. It is the third most common cancer in males after colorectal and lung cancers. Even though it has bimodal peak distribution, young NPC is a rare occurrence. It accounts for less than 1% of all paediatric cancers. Objective The objective of this study was to describe the 8-year experience with young NPC in the year 2003 until 2010 in a tertiary centre in East Coast Malaysia Hospital. Method Twenty-four young NPC cases confirmed by histopathology and undergoing treatment in a tertiary centre in East Coast Malaysia Hospital between 2003 and 2010 were retrospectively reviewed. We studied NPC incidence observed during that period, focusing on the age and sex distribution and the ethnic background of patients. We also analysed the most prevalent signs and symptoms and staging of the NPC patients at first presentation, which include neck swelling, ear symptoms, nasal symptoms and other miscellaneous symptoms. Results Presentation was predominant in the Malay population, with age peaking between 16 and 20 years. Most patients were male (70.8%). The main presenting symptoms were neck mass (70.9%), unilateral nasal obstruction (33.3%), epistaxis (29.2%) and other miscellaneous complaints (20.9%), including headache, diplopia and facial paraesthesia. In all, 25% of patients had cranial nerve involvements either isolated or a combination of cranial nerves 2, 3, 4, 5, or 6. Stage I, II, III and IV patients accounted for 0, 4.2, 12.5 and 83.3%, respectively. Majority (91.7%) had WHO type 3 NPC (undifferentiated carcinoma). Conclusion Results from our series are comparable to those reported by other centres. A majority of the patients were diagnosed late and at the advanced stage. The TMN staging was a relevant prognostic factor.