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Iranian Journal of Otorhinolaryngology

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https://www.readbyqxmd.com/read/30245987/differentiation-of-cocaine-induced-midline-destructive-lesions-from-anca-associated-vasculitis
#1
Alireza Mirzaei, Mozhdeh Zabihiyeganeh, Ala Haqiqi
Introduction: Cocaine-induced midline destructive lesions (CIMDL) are complications of regular nasal cocaine inhalation. CIMDL can mimic systemic diseases with positive anti-neutrophil cytoplasmic antibodies (ANCA), such as granulomatosis with polyangiitis (GPA). Case Report: In this article, we describe the case of a young woman who presented with nasal perforation induced by cocaine, along with positive perinuclear ANCA test (proteinase 3 antigen), misdiagnosed as limited GPA...
September 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30245986/laryngocele-after-subtotal-laryngectomy
#2
Mohamed Dhaha, Souheil Jbali, Sawssen Dhambri, Maroua Mahjoub, Slim Touati, Said Gritli
Introduction: Laryngocele is an air-filled dilatation of the laryngeal saccule that extends upward within the false vocal folds. Different etiologies lead to laryngocele congenital malformation, weakness of the laryngeal tissues and increased intralaryngeal pressure. Laryngocele may be a secondary iatrogenic complication following subtotal laryngectomy. Case Report: We report the case of a 61-year-old patient who presented an external laryngomucocele 8 years after a supracricoid partial laryngectomy with cricohyoidoepiglottopexy (SCPL-CHEP)...
September 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30245985/intraorbital-and-intracranial-complications-of-acute-rhinosinusitis-a-rare-case-report
#3
Pradeep Pradhan, Dillip-Kumar Samal, Chappity Preetam, Pradipta-Kumar Parida
Introduction: Complications of acute sinusitis affecting multiple sites are very uncommon in the antibiotic era. However, a significant proportion of patients (5-40%) suffering from acute sinusitis can have these complications mostly due to the delayed diagnosis of the disease. Patients can have variable presentations according to the site and extent of the infection. Case Report: A 21-year-old male student presented with subperiosteal abscess and a brain abscess with a history of acute sinusitis...
September 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30245984/mantle-cell-lymphoma-of-the-palatine-tonsil-a-rare-case-report
#4
Ranjitha Rao, Deviprasad Dosemane, Bhagyashree Jaipuria, Debarshi Saha, Manisha Narayan, Kanishka S Rao
Introduction: Primary mantle cell lymphoma (MCL) of the palatine tonsil without involvement of the regional lymph nodes is rarely reported. Case Report: A 52-year-old male presented with complaints of a change in his voice over 3 months, with neither sore throat nor fever. Physical examination revealed right-sided grade IV and left-sided grade III tonsillar enlargement with prominent vessels. The patient underwent bilateral tonsillectomy. An initial histopathological report revealed chronic tonsillitis on the left side and suspicion of atypical lymphoproliferative disorder on the right...
September 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30245983/new-metal-shield-for-the-endotracheal-tube-during-laser-endolaryngeal-surgery
#5
Nasser-Nagieb Mohamed, Mohammad-Waheed El-Anwar
Introduction: To present and assess a newly designed autoclavable, reusable tube shield for an endotracheal tube (ETT) during laser laryngeal surgery. Materials and Methods: This study included patients scheduled for endolaryngeal laser surgery. A carbonated stainless-steel hemisphere shield (~1.5×0.6 mm) connected to a silk thread passing through a hole in its middle near upper edge was used. Under general anesthesia, patients were intubated orally using a small cuffed polyvinyl ETT, filling the cuff with saline...
September 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30245982/management-of-laryngotracheal-trauma-a-five-year-single-institution-experience
#6
Pradipta-Kumar Parida, Raja Kalaiarasi, Arun Alexander
Introduction: Laryngotracheal trauma is a rare life-threatening emergency that requires early identification and immediate intervention. Here, we present 26 patients with laryngotracheal trauma from a tertiary hospital in India. The aim was to describe the clinical presentation and management of laryngotracheal trauma patients. Materials and Methods: This was a retrospective study of laryngotracheal trauma patients treated between January 2011 and March 2016. Patients who presented with a breach in the laryngotracheal framework were included, while those who had penetrating neck injuries superficial to strap muscles/platysma, burn injuries, caustic ingestion, or endotracheal injuries were excluded from the study...
September 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30245981/study-of-correlation-of-pre-operative-findings-with-intra-operative-ossicular-status-in-patients-with-chronic-otitis-media
#7
Pragya Singh, Shraddha Jain, Disha Methwani, Sanika Kalambe, Deepshikha Chandravanshi, Sagar Gaurkar, Prasad T Deshmukh
Introduction: Chronic otitis media (COM) has been broadly classified into mucosal and squamous subtypes. COM types are associated with erosion of the ossicular chain. The aim of the present study was to correlate the type of COM, the site of perforation/retraction, and the type of disease pathology with the pattern and degree of ossicular chain necrosis. Materials and Methods: A prospective cross-sectional study was performed in 76 cases of COM, who were subjected to tympanomastoidectomy...
September 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30245980/overexpression-of-high-mobility-motor-box-1-in-the-blood-and-tissues-of-patients-with-head-and-neck-squamous-cell-carcinoma
#8
Farnaz Mohajertehran, Hossein Ayatollahi, Kamran Khazaeni, Mohammad-Taghi Shakeri, Nooshin Mohtasham
Introduction: Head and neck squamous cell carcinoma (HNSCC) is one of the most common cancers in the world. Extra- and intra-cellular high-mobility motor box 1 (HMGB1) proteins are invovled in the pathogenesis and prognosis of cancer. Regarding this, the present study was conducted with the aim of investigating the expression of HMGB1 protein and mRNA levels in the blood, tumor tissue, and marginal normal tissue of patients with head and neck squamous cell carcinoma (HNSCC) using the quantitative real-time polymerase chain reaction (qRT-PCR) and immunohistochemistry (IHC)...
September 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30245979/comparing-the-effect-of-oral-clonidine-and-tranexamic-acid-on-bleeding-and-surgical-field-quality-during-functional-endoscopic-sinus-surgery
#9
Jahangir Ghorbani, Shima Arastou, Ali Safavi Naeini, Nasim Raad, Mahboobeh Karimi Galougahi, Alireza Jahangirifard, Nader Akbari Dilmaghani
Introduction: Bleeding during functional endoscopic sinus surgery (FESS) is an important issue for both anesthesiologists and surgeons as it can affect the safety and efficiency of the procedure. We compared the efficacy of tranexamic acid (TXA) and clonidine in reducing blood loss and improving surgical field visualization during FESS. Materials and Methods: In a double-blind, randomized, clinical trial, 52 patients, American Society of Anesthesiologists (ASA) physical status 1-2, aged 13-75 years, suffering from rhinosinusitis with or without polyposis, and who were candidates for FESS, were enrolled...
September 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30245978/the-antiapoptotic-effect-of-curcumin-in-the-fibroblast-of-the-cochlea-in-an-ototoxic-rat-model
#10
Tengku-Siti-Hajar Haryuna, Agustinus-Hamonangan-Winston Purba, Farhat Farhat, Widayat Alviandi
Introduction: This study aimed to show the potency of curcumin as an antiapoptotic agent that decreases the apoptotic index in the cochlea lateral wall in ototoxic rat models. Materials and Methods: A total of 24 Rattus norvegicus were divided into eight groups: Group 1 (control group), Group 2 (gentamicin (+)), Group 3 (gentamicin + curcumin 20 mg/day), Group 4 (gentamicin + curcumin 40 mg/day), Group 5 (gentamicin + curcumin 20 mg/day for 7 days), Group 6 (gentamicin + curcumin 40 mg/day for 7 days), Group 7 (curcumin 20 mg/day for 3 days + gentamicin), and Group 8 (curcumin 40 mg/day for 3 days + gentamicin)...
September 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30083532/temporal-bone-osteomyelitis-in-a-child-closely-resembles-lateral-sinus-thrombosis-a-case-report
#11
David-Victor-Kumar Irugu, Madan Gupta, Prateek Sharma, Prashant-Pratap-Singh Ramteke, Suresh-Chandra Sharma
Introduction: Temporal bone osteomyelitis is more commonly seen in immunocompromised patients and is very rare in non-immunocompromised individuals. Mucormycosis is a fulminating fungal infection caused by Mucor which is a saprophytic fungus commonly seen in diabetic patients. Here we report a case of temporal bone osteomyelitis in a child with a traumatic history which was causing clinical features of lateral sinus thrombosis. The patient was successfully treated and doing well post-operatively...
July 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30083531/an-unusual-cause-of-cervical-radicular-pain-foreign-body-in-esophagus
#12
Edmond-Jonathan Gandham, Amit Tyagi, Krishna Prabhu
Introduction: Foreign bodies in the esophagus are considered to be a life-threatening condition in adults and children because of esophageal perforation, chemical pneumonitis, airway obstruction, and development of a fistula, leading to high morbidity and mortality with this condition. Most cases present with immediate symptoms. However, in rare cases, the foreign body can migrate within the tissues and become symptomatic at a later date. Case Report: We report a rare case of a foreign body in the esophagus following fishmeal ingestion...
July 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30083530/naso-septal-tuberculosis-mimicking-dermoid-in-a-3-year-old-child
#13
Poonam Sagar, Vikram Wadhwa, Ishwar Singh, Varuna Mallya, Pragya Rajpurohit
Introduction: Tuberculosis is a communicable disease caused by mycobacterium tuberculosis that primarily affects the lungs. Primary tuberculosis of the nose in the pediatric age group is rare. The diagnosis of this common entity in the present case was challenging. Case Report: We report the case of a 3-year old girl who presented with a painless swelling over the dorsum of the nose for 7 months. Imaging revealed a mass lesion eroding nasal bones, septum and frontal bone with intracranial extension...
July 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30083529/lateral-nasal-wall-respiratory-epithelial-adenomatoid-hamartoma-reah-a-diagnostic-conundrum
#14
Liang-Chye Goh, Ming-Hui Wan, Gopalan Shashi, Shashi Elangkumaran
Introduction: This study aims to report a rare case of a respiratory epithelial adenomatoid hamartoma (REAH) of the lateral nasal wall that had initially presented as a fungating mass, similar to that of a sinonasal malignancy, and its complete removal from the lateral nasal wall. Case Report: We report the case of a 58-year-old woman who presented to us with a chief complaint of recurrent right-sided epistaxis and nasal blockage for the past 4 months, which was progressively worsening...
July 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30083528/the-role-of-immunological-factors-on-sudden-sensoryneural-hearing-loss
#15
Mohammadhossein Baradaranfar, Mohammadhossein Dadgarnia, Vahid Zand, Sedighe Vaziribozorg, Fatemeh Sadat Mirzade, Mojtaba Mirzade
Introduction: In this study, we examined the role of immunological factors on sudden sensory neural hearing loss (SSNHL). Materials and Methods: This prospective case-controlled study was performed in patients with SSNHL who referred to the ear, nose, and throat (ENT) ward. Fifty-six patients with SSNHLoccurring within a 72-hr period were selected as the case group and 56 participants who had no recent history of disease were assigned to the control group. Mean levels of immunological factors including erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), rheumatoid factor (RF), antinuclear antibody (ANA), anti-neutrophil cytoplasmic antibody (ANCA) (C, P), anti-cyclic citrullinated peptide (anti-CCP), DSM, hemoglobin (Hb), complement component 3 (C3), and complement component 4 (C4) were evaluated in the blood samples in each group...
July 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30083527/hearing-status-in-patients-with-type-2-diabetes-mellitus-according-to-blood-sugar-control-a-comparative-study
#16
Shadman Nemati, Rasool Hassanzadeh, Mojtaba Mehrdad, Sahar Sajedi Kia
Introduction: It seems that diabetes mellitus (DM) can affect the auditory system due to neuropathy, micro-vascular complications, and hearing cell damage during hyperglycemic states. In the current study, we aimed to compare hearing status in patients with type 2 DM (T2DM) according to their blood-sugar control status. Materials and Methods: This cross-sectional study was carried out in 104 patients with T2DM attending the diabetic clinics of Guilan University of Medical Sciences within a period of 1 year (2014-2015)...
July 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30083526/reconstruction-of-lateral-mandibular-defects-with-soft-tissue-loss-the-role-of-the-submental-flap
#17
Amin Rahpeyma, Saeedeh Khajehahmadi
Introduction: Mandibular continuity defects after pathologic resections or traumatic events are difficult cases for reconstruction. Defects involving both hard and soft tissue loss are more challenging, because of problems in soft tissue coverage. The role of the submental flap in this regard is presented. Materials and Methods: In a retrospective study from the archived files of Ghaem Hospital, Mashhad, Iran between 2007-2016, lateral mandibular defects that were managed with submental flap for soft tissue coverage were selected...
July 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30083525/risk-factors-for-sensorineural-hearing-loss-in-neonatal-hyperbilirubinemia
#18
Hassan Boskabadi, Maryam Zakerihamidi, Ali Moradi, Mehdi Bakhshaee
Introduction: Hyperbilirubinemia is a common neonatal problem with toxic effects on the nervous system that can cause hearing impairment. This study was conducted to assess the risk factors for sensorineural hearing loss and other coexisting problems in icteric infants. Materials and Methods: In a case-control study, 200 term infants with bilirubin levels higher than 20 mg/dl admitted to the neonatal intensive care unit of Ghaem Hospital, Mashhad during 2007-2015 were investigated...
July 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30083524/staging-of-laryngeal-and-hypopharyngeal-cancer-computed-tomography-versus-histopathology
#19
Bhagyashree Jaipuria, Deviprasad Dosemane, Panduranga M Kamath, Suja S Sreedharan, Vijendra S Shenoy
Introduction: Computed tomography (CT) imaging is the choice of investigation for evaluation of extent of tumor under the mucosa, locally and regionally. This study was undertaken to assess the accuracy of preoperative CT imaging in the staging of carcinoma of the larynx and hypopharynx. Materials and Methods: In this retrospective study, all cases who were clinically (c) staged T3-T4 and who underwent surgery were evaluated. The sensitivity (Sn), specificity (Sp), positive predictive value (PPV), negative predictive value (NPV), and accuracy (Ac) of a preoperative CT scan to detect cartilaginous penetration and spread outside the larynx was evaluated...
July 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30083523/relationship-between-electrically-evoked-compound-action-potential-thresholds-and-auditory-language-and-speech-progress-after-cochlear-implant-surgery
#20
Masoud Motasaddi Zarandy, Navid Nourizadeh, Farzad Mobedshahi, Sadegh Jafarzadeh
Introduction: Electrically evoked compound action potential (ECAP) is an objective auditory response that can be used in the programing of cochlear implants. The aims of this study were to monitor ECAP thresholds and auditory, language and speech progress for 6 months after cochlear implant surgery and to evaluate any relationship between them. Materials and Methods: Ten children with a mean age of 4.2 (±0.6) years and bilateral congenital and profound sensorineural hearing loss underwent cochlear implant surgery and post-operation auditory and speech training...
July 2018: Iranian Journal of Otorhinolaryngology
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