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Patient satisfaction and knowledge are recognized indicators of healthcare quality in specialized services such as otorhinolaryngology (ORL). This study aimed to assess patient satisfaction and knowledge to identify opportunities for improvement in a Saudi outpatient ORL setting. A cross-sectional study was carried out from July 2024 to January 2025 involving 180 adult patients at the outpatient ORL clinic of King Abdullah bin Abdulaziz University Hospital. A validated self-administered electronic questionnaire evaluated sociodemographic data, satisfaction across five domains, and disease-related knowledge. Satisfaction was measured with a 7-point Likert scale. The statistical analysis included descriptive statistics, correlation analysis, and comparative tests. The majority of participants were Saudi (176, 97.8%) and female (135, 75%), with a mean age of 33.5 years (SD = 12.5). Overall satisfaction was high (mean = 6.14 ± 1.12), with the highest scores in Staff Quality (6.31) and Communication (6.17), and the lowest in Access and Efficiency (5.79). Strong positive correlations were observed among satisfaction domains, particularly between Overall Experience and Staff Quality ( r  = 0.893, p  < 0.001). Disease-related knowledge was also high (mean = 81.93%), particularly regarding medication administration (95.71%) and diagnosis awareness (93.29%). However, knowledge gaps were noted in the understanding of medication side effects (62.75%) and surgical complications (74.31%). Surgical patients reported significantly higher satisfaction (mean difference = 0.35, 95% CI: 0.02–0.68, p  = 0.039). Patients expressed high satisfaction with ORL care, particularly in terms of staff quality and communication. Nonetheless, access and patient education on treatment risks require attention. These findings underscore the need for targeted education and service delivery enhancements to improve patient-centered care.

Foreign body insertion inside the nose is not uncommon in pediatric age groups. It can pass unnoticed by parents, sometimes underdiagnosed or incompletely removed by a clinician. In another scenario, it may be incidentally discovered by imaging during dental workups commonly. This foreign body acts like a nidus for a rhinolith, as it gets calcified over years and becomes like a stone, causing unilateral nasal symptoms. Herein, we present a case of a young female with a rhinolith mistaken for fungal mud. We aim to emphasize this rare clinical condition that, if left unperceived, may lead to complications including, but not limited to, sinusitis, pressure necrosis to the surrounding structure causing septal perforation, or naso-palatal fistula.

Peripheral nerve sheath tumors (PNSTs) are benign lesions arising from the connective tissue sheath surrounding the neurons and are labeled schwannoma, perineurioma, or neurofibroma according to their histopathological characteristics. Lesions with a mixture of two or more of the aforementioned tumors are known as hybrid peripheral nerve sheath tumors (HPNSTs). These hybrid tumors have been described as rare entities. In this report, we present a case of a solitary hybrid schwannoma/neurofibroma in an unusual location.