National Guard Health Affairs

Protecting the Recurrent Laryngeal Nerve During Esophagectomy: Clinical Impact of Intraoperative Neurophysiological Monitoring

Recurrent laryngeal nerve (RLN) injury remains one of the most consequential complications of esophagectomy, driving vocal cord palsy, aspiration, and pneumonia. Monitoring techniques, signal interpretation, and the underlying clinical evidence for intraoperative neurophysiologic...

Protecting the Recurrent Laryngeal Nerve During Esophagectomy: Clinical Impact of Intraoperative Neurophysiological Monitoring

Recurrent laryngeal nerve (RLN) injury remains one of the most consequential complications of esophagectomy, driving vocal cord palsy, aspiration, and pneumonia. Monitoring techniques, signal interpretation, and the underlying clinical evidence for intraoperative neurophysiologic...

National Trends in Gender Representation, Segregation, and Disparities in the Saudi Dental Workforce, 2016–2025

Introduction and aims Despite the importance of gender equity for promoting fairness and informing workforce planning, key indicators of gender equity in the Saudi dental workforce remain underexplored. This study assessed gender representation in the Saudi dental workforce from...

Cross-cultural adaptation of cancer health literacy instruments in Arabic: the CHLT-30-Arabic and CHLT-6-Arabic

Background Health literacy plays a crucial role in physical and mental health outcomes. Patients with chronic diseases, cancer patients in particular, shoulder a disproportionate burden due to limited health literacy. Limited cancer health literacy (LCHL) is a risk factor for dis...

Sphenoid fungal rhinosinusitis across the disease spectrum: a case series of non-invasive fungal ball and fatal acute invasive fungal rhinosinusitis

Introduction: Sphenoid fungal rhinosinusitis is an uncommon but clinically important entity ranging from non-invasive fungal ball to rapidly fatal acute invasive fungal rhinosinusitis. Case presentation: We report two contrasting cases of sphenoid fungal disease. The first was a...

Children With Synpolydactyly Type I Homozygous HOXD13 Mutations: Embryology and Surgical Correction of the “Cupping” of the Hands and Feet

PURPOSE: Some patients with familial Synpolydactyly Type I have severe flexion deformities of the hands and feet at the metacarpophalangeal and the metatarsophalangeal joints, and the resulting deformity has been named "cupping" of the hands and feet. Severe "cupping" requiring s...

Role of consolidative surgery after chemotherapy in recurrent/metastatic adrenal cortical cancer (ACC): Princess Margaret Cancer Centre experience

Recurrent/Metastatic (R/M) ACC is aggressive with few effective treatment options. The role of surgery after chemotherapy remains unclear. Moreover, prognostic factors in R/M ACC are not well defined. R/M ACC patients treated at Princess Margaret Cancer Centre (2002–2019) were re...