eng
Mashhad University of Medical Sciences (MUMS)
Iranian Journal of Otorhinolaryngology
2251-7251
2251-726X
2014-04-01
26
2
57
63
10.22038/ijorl.2014.1943
1943
Original
Study of the knowledge of Pediatricians and Senior Residents Relating to the Importance of Hearing Impairment and Deafness Screening Among Newborns in Isfahan city in 2012
Mehrdad Rogha
rogha@med.mui.ac.ir
1
Elham Mokhtari
2
Department of Otorhinolaryngology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Otorhinolaryngology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Introduction: Newborn hearing screening leads to the early detection of hearing impairment. The aim of screening is to decrease or remove the effect of hearing impairment on development of speech and language by timely diagnosis and effective treatment. A number of risk factors lead to delayed start of decreased hearing ability including: 1. Congenital infection with cytomegalovirus (CMV) virus, 2. Meningitis, 3. Mumps, 4. Positive family history, 5. Head trauma, 6. Chemotherapy, 7. Syndrome pertaining to delayed start of decreased hearing. Unfortunately, lack of attention to early diagnosis of hearing impairment is becoming a general health problem. No research has yet been carried out relating to the knowledge of pediatricians on this issue, particularly the importance of hearing impairment and hearing screening. The aim of this study was to determine the attitude to newborn hearing screening among pediatricians. Materials and Methods: This cross-sectional, descriptive-analytic study was conducted in Isfahan in 2012 among 300 pediatricians and final-year pediatric residents. An adjusted 22-question version of the Early Hearing Detection and Intervention (EHDI) questionnaire was used to collect data. The validity and reliability of the EHDI questionnaire was previously demonstrated by Boys Town National Research Hospital and its Farsi translated version was validated by the EDC Center at the Isfahan University of Medical Sciences. Results: In our study, 83% of pediatricians agreed on the importance of hearing impairment screening for all infants. However 65% were not aware of special needs for hearing-impaired patients. Conclusion: Newborn hearing impairment and deafness screening is important, irrespective of the costs, and lack of timely diagnosis results in both individual and social consequences. The majority of physicians use textbooks to gain information about hearing screening, but recognize that this is insufficient. Although it is now one of the most useful tools for gathering and applying new information, the physicians in our study rely very little on the Internet as a source of information.
https://ijorl.mums.ac.ir/article_1943_3e706961dc1a91dd42e2f8a63207f579.pdf
Hearing Impairment
Hearing screening
Early detection
intervention
eng
Mashhad University of Medical Sciences (MUMS)
Iranian Journal of Otorhinolaryngology
2251-7251
2251-726X
2014-04-01
26
2
65
72
10.22038/ijorl.2014.2237
2237
Original
Comparison of the Speech Syntactic Features between Hearing-Impaired and Normal Hearing Children
Mohammad Reza PahlavanNezhad
rezapahlavan5@yahoo.com
1
Hamid Tayarani Niknezhad
hamid.tayaraniniknezhad@stu.um.ac.ir
2
PhD Linguistics Associate Professor; Ferdowsi University of Mashhad, Iran
PhD Student in Linguistics International Campus of Ferdowsi University of Mashhad, Iran
Introduction: The present study seeks to describe and analyze the syntactic features of children with severely hearing loss who had access to the hearing aids compared with children with normal hearing, assigning them to the same separate gender classes. Materials and Methods: In the present study, eight children with severe hearing impairment who used a hearing aid and eight hearing children matched for age and gender were selected using an available sampling method based on the principles of auditory-verbal approach. Hearing children had an average age of 5.45 ±1.9 years and subjects had a mean age of 5.43±2.17 years and their rehabilitation had begun before they were 18 months old. The assessment instrument of the study included the language development test, TOLDP-3. The syntactic skills of these children were analyzed and compared with the hearing children of the same age based on gender. Results: There was a significant difference between the syntactic scores of the hearing-impaired children and the scores of the hearing children of the same age in the “sentence imitation” (t=−2/90, P<0/05) and “grammatical completion” (t=−3/39, P<0/05) subtests, with no significant difference in the “grammatical understanding” subtest (t=1/67, P>0/05). Moreover, there was no significant difference between male and female children with hearing impairment in terms of syntactic skills development. Conclusion: With early diagnosis and timely rehabilitating intervention, children with hearing loss can perform in a similar way to children of their age with normal hearing in some syntactical areas. Furthermore, the gender factor in the present study had no effect on the development of syntactical skills of children with hearing loss.
https://ijorl.mums.ac.ir/article_2237_819f39e093ad16fae6b2b56a83181acd.pdf
Auditory-verbal therapy
Children
Hearing Loss
Syntactic skills
eng
Mashhad University of Medical Sciences (MUMS)
Iranian Journal of Otorhinolaryngology
2251-7251
2251-726X
2014-04-01
26
2
73
78
10.22038/ijorl.2014.2138
2138
Original
Alveolar Antral Artery: Review of Surgical Techniques Involving this Anatomic Structure
Amin Rahpeyma
rahpeymaa@mums.ac.ir
1
Saeedeh Khajehahmadi
2
Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
Dental Research Center, Schoolof Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
Introduction: The horizontal bony canal in the lateral maxillary wall is the site of anastomosis between the arterial branches from the posterior superior alveolar artery (PSAa) and the infraorbital artery. This anatomic structure is known as the ‘alveolar antral artery’. Materials and Methods: We performed a literature review. The anatomic location of the alveolar antral artery in the lateral maxillary sinus wall was researched and its importance in surgical procedures routinely performed on this bony wall discussed. Results: This artery can be accidentally involved during surgical procedures on the lateral maxillary sinus wall, such as open sinus lift surgery, horizontal osteotomy of the maxilla, Le Fort I fracture treatment, and Caldwell-Luc surgeries. Conclusion: The alveolar antral artery is an important anatomic structure in the lateral maxillary sinus wall. A preoperative cone beam computed tomography (CBCT) scan can be used as a good diagnostic procedure to reduce surgical complications in suspected cases as well as conditions that may involve this artery.
https://ijorl.mums.ac.ir/article_2138_9dbda097ef54594c488055d4638923e0.pdf
Artery
Open sinus lift
Caldwell-Luc
dental implant
eng
Mashhad University of Medical Sciences (MUMS)
Iranian Journal of Otorhinolaryngology
2251-7251
2251-726X
2014-04-01
26
2
79
87
10.22038/ijorl.2014.2215
2215
Original
Translation, Validity, and Reliability of a Persian Version of the Iowa Tinnitus Handicap Questionnaire
Homa Arian Nahad
1
Masomeh Ruzbahani
masomeh_rouzbahani@yahoo.com
2
Farnoush Jarollahi
3
Shohreh Jalaie
4
Akram Pourbakht
5
Helnaz Mokrian
6
Parvane Mahdi
parvanemahdi@yahoo.com
7
Amin Amali
a_amali@sina.tums.ac.ir
8
Abdolmajid Nodin Zadeh
9
Department of Audiology, School of Rehabilitation. Tehran University of Medical Sciences, Tehran, Iran.
Department of Audiology, School of Rehabilitation. Tehran University of Medical Sciences, Tehran, Iran.
Department of Audiology, School of Rehabilitation. Tehran University of Medical Sciences, Tehran, Iran.
Department of Statistics, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
Department of Audiology, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Department of Audiology, School of Rehabilitation. Tehran University of Medical Sciences, Tehran, Iran.
Department of Audiology, School of Rehabilitation. Tehran University of Medical Sciences, Tehran, Iran.
Department of Otorhinolaryngology-Head and Neck Surgery, Imam Khomeini Educational Complex Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Department of Architect Engineering , School of Technology And Engineering. Islamic Azad University of Bandar Abbas.
Introduction: Tinnitus is a common otologic symptom that can seriously affect a patient’s quality of life. The purpose of the present study was to translate and validate the Iowa Tinnitus Handicap Questionnaire (THQ) into the Persian language, and to make it applicable as a tool for determining the effects of tinnitus on a patient’s life. Materials and Methods: The main version of the THQ was translated into the Persian language. The agreed Persian version was administered to 150 tinnitus patients. The validity of the Persian THQ was evaluated and internal reliability was confirmed using Cronbach’s α-coefficient. Finally, the effect of independent variables such as age, mean patient threshold, gender, and duration of tinnitus were considered in order to determine the psychometric properties of tinnitus. Results: After an exact translation process, the Persian THQ was found to exhibit face validity. In terms of content validity, the Content Validity Ratio (CVR) reached 100% in all but two questions. Further, in structural validity measurements, intermediate correlation with annoyance from tinnitus (r= 0.49), low correlation with duration of tinnitus (r = 0.34) and high correlation with the Tinnitus Handicap Inventory (THI) questionnaire (r = 0.84) were demonstrated. Additionally, a negligible effect of gender and age was noted on degree of tinnitus handicap (P = 0.754 andP= 0.573, respectively). In the internal reliability assessment for Factors 1, 2, 3, and the whole questionnaire, Cronbach`s α-coefficient was 0.95, 0.92, 0.25 and 0.88, respectively. Conclusion: The Persian version of the Iowa THQ demonstrates high validity and reliability and can be used for the determination of tinnitus handicap and for following-up in the intervention process in Persian tinnitus patients.
https://ijorl.mums.ac.ir/article_2215_b6d9e1f36bf2ce6c1c7eeb4d86b72371.pdf
Validity
Reliability
Tinnitus Handicap Questionnaire
Persian
Translation
eng
Mashhad University of Medical Sciences (MUMS)
Iranian Journal of Otorhinolaryngology
2251-7251
2251-726X
2014-04-01
26
2
89
95
10.22038/ijorl.2014.2328
2328
Original
Comparing the Effect of Dexamethasone before and after Tracheal Intubation on Sore Throat after Tympanoplasty Surgery: A Randomized Controlled trial
Mahmoud Eidi
eidym@tbzmed.ac.ir
1
Seyed Javad Seyed Toutounchi
2
Khosro Kolahduzan
kkolahdouzan@yahoo.com
3
Parisa Sadeghian
pink.blossom@yahoo.com
4
Negisa Seyed Toutounchi
5
Department of Anesthesiology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Otorhinolaryngology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Anesthesiology, School of Para Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Department Otorhinolaryngology School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
School of Pharmacy, Tabriz University of Medical Sciences, Tabriz, Iran.
Introduction: Presence of a sore throat after surgery is a common side effect of general anesthesia with intratracheal intubation and can cause discomfort for the patient and prolong the recovery process. In this study we compared the effect of dexamethasone before and after intubation on the incidence of sore throat after tympanoplasty surgery. Materials and Methods: In a double-blind, randomized clinical trial, 70 patients aged 30–60 years with American Society of Anesthesiologists (ASA) physical status I or II who were candidates for tympanoplasty under anesthetic conditions were studied in two separate groups. The first group received intravenous (IV) dexamethasone (8 mg) 30 mins prior to intubation while the second group received the same dose of dexamethasone 30 mins after intubation. The incidence and severity of the sore throat in both groups were then evaluated. Results: There was no significant difference between two groups in intensity of sore throat (62.9% vs. 57.1%), cough (65.7% vs. 62.9%), or hoarseness (62.9% vs. 65.7%) within 24 h after surgery. Detection of blood in oral secretions or on the tracheal tube was the same in both groups (5.7%). The incidence of coughs during the extubation was 0% in first group and 11.4% in second group. Conclusion: According to the results of this research there was no significant difference in incidence and intensity of sore throat in patients receiving dexamethasone before or after intubation. Further, no significant difference in intensity of coughs or hoarseness was observed.
https://ijorl.mums.ac.ir/article_2328_d8856e2b1befa0ac8a0271b206388376.pdf
Dexamethasone
Intubation
Sore throat
eng
Mashhad University of Medical Sciences (MUMS)
Iranian Journal of Otorhinolaryngology
2251-7251
2251-726X
2014-04-01
26
2
97
103
10.22038/ijorl.2014.2329
2329
Original
HIV: An Epidemiologic study on Head and Neck Involvement in 50 Patients
Mehdi Bakhshaee
mehbakhsh @ yahoo.com
1
Mohammad Reza Sarvghad
sarvghadmr@mums.ac.ir
2
Kamran Khazaeni
3
Rahman Movahed
4
Ali Mohammad Hoseinpour
5
Sinus and Surgical Endoscopic Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Infectious disease, School of medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Otorhinolaryngology-Head & Neck Surgery, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Otorhinolaryngology-Head & Neck Surgery, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
General Practioner, Mashhad University of Medical Sciences, Mashhad, Iran.
Introduction: Acquired immunodeficiency syndrome (AIDS) is a worldwide infection. Because of the vast array of manifestations of AIDS and its many atypical presentations, it is becoming increasingly challenging for clinicians to accurately diagnose new lesions. Materials and Methods: In a descriptive cross-sectional study conducted from 2007 to 2010, 50 patients with a proven human immunodeficiency virus (HIV) infection were evaluated. Based on the findings of a physical examination and paraclinic tests, HIV signs and symptoms were recorded. Results: The mean (range) age of the patients was 35.45 ±5.24 (5–55) years. Forty-two (84%) cases were male and eight were female. The mean duration of carrying the virus was 4.51 ±1.03 years. Oral manifestations were the most common (94%), followed by rhinologic (88%), otologic (66%), and finally neck (44%) manifestations. Conclusion: Head and neck presentations are very common in HIV patients; therefore otolaryngologists, as the first physicians who may encounter such patients, should be aware of this condition.
https://ijorl.mums.ac.ir/article_2329_b885bfc010821e48bbaa78d591f2cc3a.pdf
Aids
Head
HIV
Neck
Otologic
Oral
Rhinologic
eng
Mashhad University of Medical Sciences (MUMS)
Iranian Journal of Otorhinolaryngology
2251-7251
2251-726X
2014-04-01
26
2
105
110
10.22038/ijorl.2014.2330
2330
Original
Acoustic Sensitivity of the Saccule and Daf Music
Seyede Faranak Emami
faranak_imami@yahoo.com
1
Department of Audiology, faculty of Rehabilitation, Hamadan University of Medical Sciences. Hamadan, Iran.
Introduction: The daf is a large Persian frame drum used as a musical instrument in both popular and classical music which can induce a percussive sound at low frequencies (146–290 Hz) with peaks of up to 130 dBspl. The percussive sounds have a power distribution in the region of saccular sensitivity. In view of the saccular stimulation by sound in humans, we decided to use cervical vestibular-evoked myogenic potentials (cVEMPs) to evaluate the possibility that the daf music may have a disturbing effect on saccular function. Materials and Methods: During this case-control study, 18 daf musicians were compared with 20 healthy individuals evaluated in the audiology department of the Hamadan University of Medical Sciences. Assessment consisted of pure tone audiometry, tympanometry, and cVEMPs. Results: Multiple comparisons of mean the cVEMPs and mean hearing loss at 250 Hz among the three groups (affected, unaffected, and normal ears) were significant. There were no significant differences between all daf players on high-tone loss at 3000 Hz. The daf musicians had bilateral unsymmetrical sensorineural hearing loss (SNHL), with hearing loss at 250 Hz (low-tone loss) and notched audiogram at 3000 Hz (high-tone loss). Eleven musicians with decreased vestibular excitability as detected by abnormal cVEMPs had mild (26–40 dBHL) low-tone loss and significant abnormal cVEMPs findings. In contrast, the others had slight (16–25 dBHL) low-tone loss with normal cVEMPs. Exposure to daf music is related to both saccular and cochlear dysfunction. Conclusion: Exposure to daf music is related to both saccular and cochlear dysfunction.
https://ijorl.mums.ac.ir/article_2330_08a01481cb0ef6f0631baaf01c696f73.pdf
Hearing Loss
Saccule
Vestibular-evoked myogenic potentials
eng
Mashhad University of Medical Sciences (MUMS)
Iranian Journal of Otorhinolaryngology
2251-7251
2251-726X
2014-04-01
26
2
111
114
10.22038/ijorl.2014.872
872
A Large Ameloblastic Fibro-odontoma of the Maxillary Sinus
Seyed Ali Banihashem Rad
1
Hamed Mortazavi
2
Majid Eshghpour
eshghpourm@mums.ac.ir
3
Jahanshah Salehinejad
4
Reza Shahakbari
5
Mashhad Dental Research Center, Department of Periodontology, Mashhad University of Medical Sciences Mashhad, Iran.
Department of Oral Medicine, Shahid Beheshti Dental School, Shahid Beheshti University of Medical Sciences Tehran, Iran.
Mashhad Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Mashhad Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Mashhad Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Introduction: Ameloblastic fibro-odontoma is a rare, benign, asymptomatic tumor. The term ameloblastic fibro-odontoma was first used by Hooker in 1967 as a separate lesion from ameloblastic odontoma. Case Report: This case report describes an eleven years old female with large ameloblastic fibro-odontoma in the right maxillary sinus. Conclusion: There is a low potential for recurrence after complete Enucleation of ameloblastic fibro-odontoma, but due to the risk of ameloblastic sarcoma after recurrence, the surgery should be perfect along with a careful follow up.
https://ijorl.mums.ac.ir/article_872_d25335fc3a64aabb91e5664e124c26bf.pdf
Ameloblastic fibro-odontoma
Maxillary sinus
odontogenic tumor
eng
Mashhad University of Medical Sciences (MUMS)
Iranian Journal of Otorhinolaryngology
2251-7251
2251-726X
2014-04-01
26
2
115
117
10.22038/ijorl.2014.1474
1474
Osteoid Osteoma Presenting as a Painful Solitary Skull Lesion: A Case Report
Mohammad Saeed Ahmadi
ahmadi@umsha.ac.ir
1
Mohammad Ahmadi
2
Arash Dehghan
3
Department of Otorhinolaryngology, Besat Hospital, Hamadan University of Medical Sciences, Hamedan, Iran.
Department of Otorhinolaryngology, Besat Hospital, Hamadan University of Medical Sciences, Hamedan, Iran.
Department of Pathology, Besat Hospital, Hamadan University of Medical Sciences, Hamedan, Iran.
Introduction: Osteomas are asymptomatic and rare slow growing bony tumors in temporal bone, and should be taken into account in differential diagnosis of the osteolytic solitary skull lesions. Sometimes is associated with pain and functional loss. Only a few cases have been reported. Case Report: We describe a case of an osteoid osteoma of the temporal bone (mastoid) in a 31-year-old woman presenting as painful solitary tumor of calvarium and its management. The resection of whole bony tumor was performed using the retroauricular approach. Pathologic evaluation revealed the osteoid osteoma. Conclusion: Although osteoid osteoma of the temporal bone is rare, it should be taken into account in differential diagnosis of the osteolytic skull lesions. Treatment is indicated for symptomatic osteomas or cosmetic reasons.
https://ijorl.mums.ac.ir/article_1474_ef7eb4c2c0bb35c0e6b0696eaca23ddc.pdf
Osteoma
Osteoid
Temporal bone
Skull
eng
Mashhad University of Medical Sciences (MUMS)
Iranian Journal of Otorhinolaryngology
2251-7251
2251-726X
2014-04-01
26
2
119
123
10.22038/ijorl.2014.2268
2268
Differentiation between CSF Otorrhea and Rhinorrhea in an Obscure Case of Recurrent Meningitis
Mohsen Rajati
rajatim@mums.ac.ir
1
Mohammad Mehdi Ghassemi
ghasemimmahdi@yahoo.com
2
Mohammad Alipour
alipourm@mums.ac.ir
3
Mehdi Bakhshaee
mehbakhsh @ yahoo.com
4
Ayeh Shahabi
shahabipoura871@mums.ac.ir
5
Masoud Naseri Sadr
6
Sinus and Surgical Endoscopic Research Center, Ghaem Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Sinus and Surgical Endoscopic Research Center, Ghaem Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Anesthesiology,Ghaem Hospital,Faculty of Medicine,Mashhad University of Medical Sciences,Mashhad,Iran.
Sinus and Surgical Endoscopic Research Center, Ghaem Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Otorhinolaryngology, Ghaem Hospital,Faculty of Medicine,Mashhad University of Medical Sciences, Mashhad,Iran.
Department of Otorhinolaryngology, Ghaem Hospital,Faculty of Medicine,Mashhad University of Medical Sciences, Mashhad,Iran.
Introduction: Leakage of cerebrospinal fluid in the skull base may be accompanied with recurrent meningitis. The site of leakage may either be anterior (in the nose and paranasal sinuses) or posterior (in the temporal bone). Various imaging techniques can be used to precisely locate the point of leakage but despite all the advances in imaging techniques there are still some rare cases in which the surgeon can’t be sure on the management approach before the beginning of surgery. Case Report: In this article we present one of these cases; we used intrathecal fluorescein to locate the source of the leak and made the final decision on the operating table. Conclusion: Intrathecal fluorescein is helpful in locating the leakage in the ear or the nose in ambiguous cases.
https://ijorl.mums.ac.ir/article_2268_ebe8b385f5d03770b6de4046b6457cc6.pdf
CSF
Fluorescein
Recurrent meningitis
Rhinorrhea