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Iranian Journal of Otorhinolaryngology

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
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
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
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
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
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
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
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
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
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
Nikhil Arora, Ruchika Juneja, Ravi Meher
Introduction: Complication of an odontogenic infection to an orbital abscess is not a common presentation. The progression from a simple toothache to a condition that may lead to loss of vision is sudden and severe. Case Report: We report a rare case in which a patient developed facial cellulitis that progressed to orbital abscess after unsterile dental manipulation by a medical fraudster ("quack"). The patient was initiated on high-grade antibiotics, which resolved the facial cellulitis...
May 2018: Iranian Journal of Otorhinolaryngology
Mohammadhossein Baradaranfar, Sedighe Vaziribozorg, Mojtaba Mirzade, Mostafa Salari
Introduction: Pneumocephalus is the presence of air or gas within the cranial cavity. It can occur following otorhinolaryngological procedures. A small pneumocephalus spontaneously heals without any treatment. In severe cases, conservative therapy includes a 30-degree head elevation, avoidance of the Valsalva maneuver, analgesics, osmotic diuretics, and oxygen therapy. Case Report: A 56-year-old woman was referred to the emergency department due to a severe headache in the frontal area for 2 days before admission...
May 2018: Iranian Journal of Otorhinolaryngology
Nuthan Kumar, Thirunavukkarasu Saravanamuthu, Arathi Srinivasan, Thulasi Raman, Julius-Xavier Scott
Introduction: An inflammatory myofibroblastic tumor (IMT) is a rare tumor of intermediate malignant potential. It may occur in a wide range of anatomical locations. One-third are found in the respiratory tract. We report two cases of IMT of the airway diagnosed at our institution. Case Report: Case 1: A 6-year-old male child presented with a 1-month history of hoarseness of the voice. On evaluation, a polypoid nodule was noted in the right vocal cord which was excised through the endolaryngeal route...
May 2018: Iranian Journal of Otorhinolaryngology
Sadegh Jafarzadeh, Mohammad Reza Golrokhian-Sani
Introduction: Bilateral vestibular dysfunction (BVD) is an uncommon finding in vestibular assessment, and the combination of BVD and orthopedic problems represents a rare and challenging case for treatment. Case Report: The patient had several previous back surgeries and received gentamycin after surgery. After 6 months, she experienced continuous dizziness, unsteadiness and oscillopsia. The patient underwent complete vestibular assessment and received an individualized vestibular rehabilitation program for 9 months...
May 2018: Iranian Journal of Otorhinolaryngology
Farnaz Hashemian, Hoda Jafari Moez, Mohamad Ali Seif Rabiei, Javaneh Jahanshahi
Introduction: Halitosis and foreign body sensation are two common and disturbing symptoms of chronic caseous tonsillitis (CCT). The aim of this study was to compare the efficacy and safety of temperature-controlled radiofrequency (TC-RF) tonsil ablation with CO2 -laser cryptolysis (CO2 -LC) in the treatment of patients with halitosis caused by CCT. Materials and Methods: Sixty-two patients who suffered from halitosis and/or foreign body sensation due to CCT were enrolled in the present randomized clinical trial, and were randomly assigned into two groups...
May 2018: Iranian Journal of Otorhinolaryngology
Keyvan Aghazadeh, Sasan Dabiri Satri, Amirsina Sharifi, Maryam Lotfi, Bita Maraghehpour, Arsalan Hashemiaghdam
Introduction: Laryngeal squamous cell carcinoma (SCC) can invade the thyroid gland leading to unnecessary thyroidectomies with subsequent hypothyroidism and hyperparathyroidism. Thus, clinicopathological variables should be defined in order to predict thyroid gland invasion preoperatively. Materials and Methods: We performed a retrospective analysis of 1,465 patients with laryngeal SCC referred to our center between March 2009 and January 2016. Among these patients, 60 individuals underwent total laryngectomy and either thyroid lobectomy and isthmectomy or total thyroidectomy...
May 2018: Iranian Journal of Otorhinolaryngology
José Ferreira-Penêda, Raquel Robles, Isabel Gomes-Pinto, Pedro Valente, Nuno Barros-Lima, Artur Condé
Introduction: Peripheral facial palsy (PFP) is commonly diagnosed in every emergency department. Despite being a benign condition in most cases, PFP causes loss in quality of life mostly due to facial dysmorphia. The etiology of PFP remains unknown in most cases, while medical opinion on epidemiology, risk factors and optimal treatment is not consensual. The aim of this study was to review the demographic characteristics of our patients and the medical care administered in our emergency department...
May 2018: Iranian Journal of Otorhinolaryngology
Ebrahim Karimi, Akbar Bayat, Mohammad Reza Ghahari, Sara Rahavi-Ezabadi, Mehrdad Jafari
Introduction: The major presenting symptom of nasal polyps is nasal obstruction. The role of nasal obstruction in the genesis of laryngeal disorders is still unknown. Materials and Methods: The aim of this study was to evaluate laryngeal videostroboscopic changes after functional endoscopic sinus surgery (FESS) in patients with nasal polyposis. A longitudinal study was carried out from March 2012 to June 2013. Thirty patients with bilateral nasal polyposis who did not respond to maximum medical treatment and were candidates for FESS were recruited...
May 2018: Iranian Journal of Otorhinolaryngology
Ahmad Reza Khatoonabadi, Hassan Khoramshahi, Seyyedeh Maryam Khoddami, Payman Dabirmoghaddam, Noureddin Nakhostin Ansari
Introduction: Use of patient-based voice assessment scales is an appropriate method that is frequently used to demonstrate effectiveness of voice therapy. This study was aimed at determining the effectiveness of voice therapy among patients with secondary muscle tension dysphonia (MTD) and vocal mass lesions. Materials and Methods: The study design was prospective, with within-participant repeated measures. Thirty-three patients with secondary MTD and vocal mass lesions participated in the study, selected on the basis of voice history, laryngeal palpation, and videostroboscopy examination...
May 2018: Iranian Journal of Otorhinolaryngology
Maryam Mardani, Azadeh Andishe Tadbir, Mohammad Ali Ranjbar, Bijan Khademi, Mohammad Javad Fattahi, Ahmad Rahbar
Introduction: Endostatin is a C-terminal proteolytic fragment of collagen XVIII and, as with angiostatin and thrombospondin, is known as an antiangiogenic agent. The aim of this study was to assess the level of serum endostatin in patients with oral squamous cell carcinoma (SCC), and its association with the clinicopathological characteristics of the tumor. Materials and Methods: Using an enzyme-linked immunosorbent assay (ELISA) kit, we investigated the circulating levels of endostatin in the blood serum of 45 patients with oral SCC and 45 healthy controls...
May 2018: Iranian Journal of Otorhinolaryngology
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