ORIGINAL_ARTICLE
Experimental Visualization of Labyrinthine Structure with Optical Coherence Tomography
Introduction:Visualization of inner ear structures is a valuable strategy for researchers and clinicians working on hearing pathologies. Optical coherence tomography (OCT) is a high-resolution imaging technology which may be used for the visualization of tissues. In this experimental study we aimed to evaluate inner ear anatomy in well-prepared human labyrinthine bones.Materials and Methods:Three fresh human explanted temporal bones were trimmed, chemically decalcified with ethylenediaminetetraacetic acid (EDTA), and mechanically drilled under visual control using OCT in order to reveal the remaining bone shell. After confirming decalcification with a computed tomography (CT) scan, the samples were scanned with OCT in different views. The oval window, round window, and remnant part of internal auditory canal and cochlear turn were investigated.Results:Preparation of the labyrinthine bone and visualization under OCT guidance was successfully performed to a remaining bony layer of 300µm thickness. OCT images of the specimen allowed a detailed view of the intra-cochlear anatomy.Conclusion:OCT is applicable in the well-prepared human inner ear and allows visualization of soft tissue parts.
https://ijorl.mums.ac.ir/article_8062_91de932cebc87ec9227990d4e62323e9.pdf
2017-01-01
5
9
10.22038/ijorl.2016.8062
Cochlea
Decalcification
Optical coherence tomography
Labyrinth
Saleh
Mohebbi
mohebbi54@gmail.com
1
Brain and Spinal cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Science, Tehran, Iran.
LEAD_AUTHOR
Marjan
Mirsalehi
mmirsalehi@gmail.com
2
Brain and Spinal cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Science, Tehran, Iran.
AUTHOR
Lüder-Alexander
Kahrs
lueder.kahrs@imes.uni-hannover.de
3
Institute of Mechatronic Systems, Leibniz University Hannover, Hannover, Germany.
AUTHOR
Tobias
Ortmaier
tobias.ortmaier@imes.uni-hannover.de
4
Institute of Mechatronic Systems, Leibniz University Hannover, Hannover, Germany.
AUTHOR
Thomas
Lenarz
lenarz.thomas@mh-hannover.de
5
Department of Otorhinolaryngology, Hannover Medical School, Hannover, Germany.
AUTHOR
Omid
Majdani
majdani.omid@mh-hannover.de
6
Department of Otorhinolaryngology, Hannover Medical School, Hannover, Germany.
AUTHOR
1. Joshi VM, Navlekar SK, Kishore GR, Reddy KJ, Kumar EC. CT and MR Imaging of the Inner Ear and Brain in Children with Congenital Sensorineural Hearing Loss. Radiographics. 2012; 32(3):683–99.
1
2. Hudgins PA. Inner Ear Imaging: More than “Rule Out Acoustic”. Am J Neuroradiol. 1998; 19: 1807-8.
2
3. Postnov A, Zarowski A, De Clerck N, et al. High Resolution Micro-CT Scanning as an Innovative Tool for Evaluation of the Surgical Positioning of Cochlear Implant Electrodes. Acta Otolaryngol. 2006;126(5):467–74.
3
4. Mohebbi S, Rau T, Meyer H, Lenarz T, Majdani O. Imaging of the Human Inner Ear with Scanning Laser Optical Tomography (SLOT). In: Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 85. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Germany; 2014.
4
5. Huang D, Swanson EA, Lin CP, et al. Optical Coherence Tomography. Science. 1991 Nov 22; 254(5035):1178–81.
5
6. Fujimoto JG. Optical coherence tomography for ultrahigh resolution in vivo imaging. Nat Biotechnol. 2003;21(11):1361–7.
6
7. Böhringer HJ, Boller D, Leppert J, et al. Time-domain and Spectral-domain Optical Coherence Tomography in the Analysis of Brain Tumor Tissue. Lasers Surg Med. 2006;38(6):588–97.8. Drexler W, Fujimoto JG. Optical Coherence Tomography Technology and Applications. Berlin Heidelberg: Springer; 2008.
7
9. Staecker H. Do KL, Jafir S. Optical coherence tomography: Temporal Bone Applications. Otolaryngol Head Neck Surg. 2004;131(2):P160.
8
10. Just T, Lankenau E, Hüttmann G, Pau HW. Optical Coherence Tomography of the Oval Window Niche. J Laryngol Otol. 2009;123(6): 603– 8.
9
11. Djalilian HR, Ridgway J, Tam M, Sepehr A, Chen Z, Wong BJ. Imaging the Human Tympanic Membrane Using Optical Coherence Tomography in Vivo. Otol Neurotol. 2008;29(8):1091–1094.
10
12. Pau HW, Lankenau E, Just T, Behrend D, Hüttmann G. Optical Coherence Tomography as an Orientation Guide in Cochlear Implant Surgery? Acta Otolaryngol. 2007; 127(9):907–13.
11
13. Mohebbi S, Diaz JD, Kühnel MP, et al. Optical Coherence Tomography (OCT) Guided Inner Ear Decalcification, Fast and Safe Method. Biomed Eng / Biomed Tech. 2014;59(s1):564–7.
12
14. Lin J, Staecker H, Jafri MS. Optical Coherence Tomography Imaging of the Inner Ear: a Feasibility Study with Implications for Cochlear Implantation. Ann Otol Rhinol Laryngol. 2008;117:341–6.
13
15. Wong BJ, Zhao Y, Yamaguchi M, Nassif N, Chen Z, De Boer JF. Imaging the Internal Structure of the Rat Cochlea Using Optical Coherence Tomography at 0.827 microm and 1.3 microm. Otolaryngol Head Neck Surg. 2004;130(3):334–8.
14
16. Gao SS, Xia A, Yuan T, et al. Quantitative Imaging of Cochlear Soft Tissues in Wild-type and Hearing-impaired Transgenic Mice by Spectral Domain Optical Coherence Tomography. Opt Express. 2011;19(16):15415–28.
15
17. Tona Y, Sakamoto T, Nakagawa T, et al. In Vivo Imaging of Mouse Cochlea by Optical Coherence Tomography. Otol Neurotol. 2014; 35 (2):e84–9.
16
18. Zhang Y, Pfeiffer T, Weller M, et al. Optical Coherence Tomography Guided Laser Cochleostomy: Towards the Accuracy on Tens of Micrometer Scale. Biomed Res Int. Epub 11 Sep 2014. doi:10.1155/2014/25
17
19. Hee Yoon Lee, Patrick D. Raphaelb, Jesung Parkc, Audrey K. Ellerbeea, Brian E. Applegatec and John S. Oghalaib, Noninvasive in vivo imaging reveals differences between tectorial membrane and basilar membrane traveling waves in the mouse cochlea, PNAS. 2015;112(10):3128–3133.
18
20. Iyer JS, Batts SA, Chu KK, et al, Micro-optical coherence tomography of the mammalian cochlea. Sci Rep. 2016;6:33288.
19
21. Ramamoorthy S, Zhang Y, Petrie T, et al, Minimally invasive surgical method to detect sound processing in the cochlear apex by optical coherence tomography. J Biomed Opt. 2016; 21(2): 25003.
20
ORIGINAL_ARTICLE
Meatoplasty in Canal wall down Surgery: Our Experience and Literature Review
Introduction: Meatoplasty is the final and essential step in performing effective canal wall down surgery for chronic otitis media. In this article we review some previous techniques and discuss our preferred method. Materials and Methods: In this observational case series study, we used this technique in 53 patients (28 male and 25 female) between January 2005 and January 2008. Our survey was completed in 31 patients. Results: Twenty-six patients (83.9%) said their ear appeared normal after the procedure, but five patients (16.1%) complained of some minor change in the shape of their ear. Twenty-nine patients (93.5%) had a completely wide ear canal. The ear canal had some degree of stenosis in two patients (6.5%) post-operatively. Conclusion: This technique offers good functional and cosmetic results with minimal manipulation and minimal anatomic disruption.
https://ijorl.mums.ac.ir/article_8050_17bb56e57efe87f58b062c3959a18634.pdf
2017-01-01
11
17
10.22038/ijorl.2016.8050
Canal well down
Meatoplasty
Methods
Faramarz
Memari
memari1@gmail.com
1
ENT and Head & Neck Research Center, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
AUTHOR
Mojtaba
Maleki Delarestaghi
dr.m.maleki.d@gmail.com
2
Department of Otolaryngology and Head and Neck Surgery. Firoozgar Clinical Research Development center, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran.
LEAD_AUTHOR
Parisa
Mir
drmmaleki.d@gmail.com
3
Department of Otolaryngology and Head and Neck Surgery. Firoozgar Clinical Research Development center, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran.
AUTHOR
Mohammad
GolMohammadi
dr.m.malekid@gmail.com
4
Department of Internal Medicine. Shohada Medical Center, Shahid Beheshti University of Medical Sciences,
AUTHOR
Ehsan
Shams Koushki
ehchk@yahoo.com
5
ENT and Head & Neck Research Center, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
AUTHOR
1. Hovis KL, et al. The one-cut meatoplasty: novel surgical technique and outcomes. Am J Otolaryngol. 2015;36(2):130–5.
1
2. Hunsaker DH. Conchomeatoplasty for chronic otitis externa. Arch Otolaryngol Head Neck Surg. 1988;114(4):395–8.
2
3. Mirck PG. The M‐Meatoplasty of the External Auditory Canal. Laryngoscope. 1996;106(3):367–9.
3
4. Paparella MM, Kurkjian JM. Surgical treatment for chronic stenosing external otitis. (Including finding of unusual canal tumor). Laryngoscope. 1966; 76(2): 232–45.
4
5. Soliman T, A Fatt-Hi M, Kadir A. A simplified technique for the management of acquired stenosis of the external auditory canal. J Laryngol Otol. 1980; 94(5): 549–52.
5
6. Choi IJ, Song JJ, Jang JH, Chang SO. A novel meatoplasty method in canal wall down tympanomastoidectomy: a perichondrial posterior fixation technique. Clin Exp Otorhinolaryngol. 2009; 2(4):164–8.
6
7. Fisch U, Chang P, Linder T. Meatoplasty for lateral stenosis of the external auditory canal. Laryngoscope. 2002;112(7 Pt 1):1310–4.
7
8. Mirck PG. The M-meatoplasty of the external auditory canal. Laryngoscope.1996; 106(3 Pt 1):367-9.
8
9. Paparella MM. Surgical treatment of intractable external otitis. Laryngoscope. 1966;76(6):1136–52.
9
10. Paparella MM, Kim CS. Mastoidectomy update. Laryngoscope. 1977; 87(12):1977–88.
10
11. Paparella MM, Kurkjlan JM. Surgical treatment for chronic stenosing external otitis (Including Finding of Unusual Canal Tumor). Laryngoscope. 1966;76(2):232–245.
11
12. Paparella MM, Meyerhoff WL. "How I do it" – otology and neurology: a specific issue and its solution. Meatoplasty. Laryngoscope. 1978; 88(2 Pt 1): 357–9.
12
13. Phillips, Wendell Christophe. Diseases of the Ear, Nose and Throat, Medical and Surgical. 1th ed. Philadelphia: Davis; 1913: 279-312
13
14. Mirko Toss. Manual of Middle Ear Surgery. Volume 2. 2nd ed. New York: Thieme Medical Publishers; 1995: 220-40
14
15. Portmann M. "How I do it" - otology and neurotology. A specific issue and its solution. Meatoplasty and conchoplasty in cases of open technique. Laryngoscope. 1983; 93(4):520–2.
15
16.Ugo Fisch, John May. Tympanoplasty, mastoidectomy, and stapes surgery. 2nd ed. New York:Thieme; 2008: 280-300.
16
17. Tong MC, Liu KC, Hasselt C. Sling stitch endaural meatoplasty. Laryngoscope. 1996; 106 (11): 1438–40.
17
18. Fagan P, Ajal M. Z-meatoplasty of the external auditory canal. 1998; 108(9): 1421-2.
18
19. Gómez-Ullate R, Ruiz Escudero C, Cristóbal García F, Arcocha A. Meatoplasty by intra-aural approach). Acta Otorrinolaringol Esp. 1998; 49(4): 283–7.
19
20. Eisenman DJ, SC Parisier. Meatoplasty: the cartilage of the floor of the ear canal. Laryngoscope. 1999;109(5):840–2.
20
21. Wormald PJ, Van Hasselt CA. A technique of mastoidectomy and meatoplasty that minimizes factors associated with a discharging mastoid cavity. Laryngoscope. 1999; 109(3):478–82.
21
22. Suskind DL, Bigelow CD, Knox GW. Y modification of the Fisch meatoplasty. Otolaryngology Head and Neck Surgery. 1999; 121(1):126–127.
22
23. Rombout J, Van Rijn. M-meatoplasty: results and patient satisfaction in 125 patients (199 ears). Otology Neurotol. 2001;22(4):457–60.
23
24. Raut V, Rutka J. The Toronto meatoplasty: enhancing one's results in canal wall down procedures. Laryngoscope. 2002;112(11):2093–5.
24
25. Fisch U, Chang P, Linder T. Meatoplasty for lateral stenosis of the external auditory canal. Laryngoscope. 2002;112(7):1310–4.
25
26. Kwang-Hyun Kim, I.k. Joon Choi, Sun O. Chang, Jae-Jin Song, Jun Ho Lee, Seung-ha Oh, Chong Sun Kim. S225– A New Meatoplasty Technique in Canal Wall Down. Otolaryngology - Head and Neck Surgery, Volume 139, Issue 2, Supplement 1, August 2008, Page P150.
26
27. Tunkel DE. Z-meatoplasty for modified radical mastoidectomy in children. Arch Otolaryngol Head Neck Surg. 2006; 1319–22.
27
28. Sanna M, Facharzt AA, Russo A, Lauda L, Pasanisi E, Bacciu A. Modified Bondy's technique: refinements of the surgical technique and long-term results. Otol Neurotol. 2009; 30(1):64–9.
28
29. Kim CW, Oh JI, Choi KY, Park SM, Park MI. A technique for concurrent procedure of mastoid obliteration and meatoplasty after canal wall down mastoidectomy. Auris Nasus Larynx. 2012; 39(6): 557–61.
29
ORIGINAL_ARTICLE
Opium Addiction and Risk of Laryngeal and Esophageal Carcinoma
Introduction: Cigarette smoking and alcohol consumption have a well-known effect on the development of upper aerodigestive tract carcinomas, but such a role for opium is questionable. This study was designed to assess the correlation between opium inhalation and cancer of the larynx and upper esophagus. Materials and Methods: Fifty eight patients with laryngeal cancer, ninety eight patients with upper esophageal cancer and twenty seven healthy individuals with no evidence of head and neck or esophageal malignancies were selected from Otolaryngology and Radiation Oncology Department of Mashhad University of Medical Sciences. Duration and amount of cigarette smoking and opium consumption were recorded through comprehensive interviews. Results: The crude odds ratio for laryngeal cancer was 5.58 (95% CI 2.05-15.15, P=0.000) in cigarette smokers relative to non-smokers and 9.09 (95% CI 3.21-25.64, P=0.000) in opium users relative to non-users. The crude odds ratio for esophageal cancer was 0.44 (95% CI 0.18-1.09, P=0.07) in cigarette smokers relative to non-smokers and 1.44 (95% CI 0.57-3.62, P=0.43) in opium users relative to non-users. After adjusting for smoking, the odds ratio for laryngeal cancer in opium users relative to non-users was 6.06 (95% CI 1.10-33.23, P=0.05). Laryngeal cancer was detected at a significantly lower age in opium users (54.54±10.93 vs 62.92±10.10 years, P=0.02) than in smokers. This effect was not observed in esophageal cancer. Although the duration (year 17.50±14.84 vs 21.91±14.03; P=0.34) and amount (pack/day 0.625 vs 0.978; P=0.06) of smoking were higher among those who were opium dependent, these differences were not statistically significant (P=0.34 and P=0.06, respectively). Conclusion: Opium addiction by snuffing is an independent risk factor for the development laryngeal cancer but not esophageal cancer. Cigarette smoking increases this risk. Opium dependency increases the likelihood of developing laryngeal cancer at a younger age.
https://ijorl.mums.ac.ir/article_8055_18c62be7838d80ec510f557dc110dc18.pdf
2017-01-01
19
22
10.22038/ijorl.2016.8055
Esophageal carcinoma
Laryngeal carcinoma
Opium
Risk factors
Mehdi
Bakhshaee
bakhshaeem@mums.ac.ir
1
Sinus and Surgical Endoscopic Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Hamid Reza
Raziee
hamid.raziee@gmail.com
2
Cancer Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Reza
Afshari
afsharireza@yahoo.com
3
Addiction Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Amin
Amali
aminamali@yahoo.com
4
Occupational Sleep Research Center, Otorhinolaryngology Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
LEAD_AUTHOR
Mahmoud
Roopoosh
mehbakhsh@gmail.com
5
General Medical Practitioner, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Ali
Lotfizadeh
a.lot@ucla.edu
6
Volunteer of the Sinus and Surgical Endoscopic Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
1. World_Drug_Report_2011_ebook.pdf.
1
2. Kulsudjarit K. Drug Problem in Southeast and Southwest Asia. Ann. N.Y. Acad. Sci. 2004; 1025: 446-57.
2
3. Hosseini SY, Safarinejad MR, Amini E, Hooshyar H. Opium consumption and risk of bladder cancer: A case-control analysis. Urol. Oncol. 2010; 28: 610–6.
3
4. Masjedi MR, Naghan P.A, Taslimi S, Yousefifard M, Ebrahimi S.M, Khosravi A, et al. Opium could be considered an independent risk factor for lung cancer: a case-control study. Respir. Int. Rev. Thorac. Dis. 2013; 85(2): 112–8.
4
5. Shakeri R, Malekzadeh R, Etemadi A, Nasrollahzadeh D, Aghcheli K, Sotoudeh M, et al. Opium: an emerging risk factor for gastric adenocarcinoma. Int. J. Cancer. 2013; 133: 455–61.
5
6. Nasrollahzadeh, D, Kamangar F, Aghcheli K, Sotoudeh M, Islami F, Abnet C C, et al. Opium, tobacco, and alcohol use in relation to oesophageal squamous cell carcinoma in a high-risk area of Iran. Br. J. Cancer. 2008; 98: 1857–63.
6
7. Mousavi MRA, Damghani MA, Haghdoust AA, Khamesipour A. Opium and risk of laryngeal cancer. The Laryngoscope. 2003; 113: 1939–43.
7
8. Ferlay J, shin H-R, Bray F, Forman D, Mathers C, Mawwell Parkin D. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int. J. Cancer. 2010;127: 2893–17.
8
9. Hakami R, Etemadi A, Kamangar F, Pourshams A, Mohtadinia J, Saberi Firoozi M. Cooking methods and esophageal squamous cell carcinoma in high-risk areas of Iran. Nutr. Cancer. 2014; 66(3): 500–5.
9
10. Lin J, Zeng R, Cao W, Luo R, Chen J, Lin Y. Hot beverage and food intake and esophageal cancer in southern China. Asian Pac. J. Cancer Prev. 2011; 12: 2189–92.
10
11. Stefani ED. Deneo-Pellegrini H, Ronco Al, Boffetta P, Correa P, Mendilaharsu M, et al. Diet Patterns and Risk of Squamous Cell Oesophageal Carcinoma: A Case-control Study in Uruguay. Asian Pac. J. Cancer Prev. 2014; 15: 2765–9.
11
12. Karbakhsh M, Dabbagh N, Shabani A, Tabibi A, Akhavizadegan H. Age at diagnosis in bladder cancer: does opium addiction play a role? Asian Pac. J. Cancer Prev. 2013;14: 4723–5.
12
13. Hewer T. Rose E, Ghadirian P, Castegnaro M, Malaveille C, Bartsch H, et al. Ingested mutagens from opium and tobacco pyrolysis products and cancer of the oesophagus. Lancet. 1978; 2(8088): 494–6.
13
14. Malekzadeh MM, Khademi H, Pourshams A, Etemadi A, Poustchi H, Bagheri M et al. Opium use and risk of mortality from digestive diseases: a prospective cohort study. Am. J. Gastroenterol. 2013; 108: 1757–65.
14
15. Kamangar F, Shakeri R, Malekzadeh R, Islami F. Opium use: an emerging risk factor for cancer? Lancet Oncol. 2014; 15: e69–77.
15
ORIGINAL_ARTICLE
Comparison of Fluoroplastic Causse Loop Piston and Titanium Soft-Clip in Stapedotomy
Introduction:Different types of prosthesis are available for stapes replacement. Because there has been no published report on the efficacy of the titanium soft-clip vs the fluoroplastic Causse loop Teflon piston, we compared short-term hearing results of both types of prosthesis in patients who underwent stapedotomy due to otosclerosis.Materials and Methods:A total of 57 ears were included in the soft-clip group and 63 ears were included in the Teflon-piston group. Pre-operative and post-operative air conduction, bone conduction, air-bone gaps, speech discrimination score, and speech reception thresholds were analyzed.Results:Post-operative speech reception threshold gains did not differ significantly between the two groups (P=0.919). However, better post-operative air-bone gap improvement at low frequencies was observed in the Teflon-piston group over the short-term follow-up (at frequencies of 0.25 and 0.50 kHz; P=0.007 and P=0.001, respectively).Conclusion:Similar post-operative hearing results were observed in the two groups in the short-term.
https://ijorl.mums.ac.ir/article_8056_c19e705c48de4bcfead093393c3d07ab.pdf
2017-01-01
23
28
10.22038/ijorl.2016.8056
Fluoroplastic (Teflon) Causse loop piston
Otosclerosis
Stapedotomy
Titanium soft-clip
Mohammad
Faramarzi
faramarzi@sums.ac.ir
1
Otolaryngology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
AUTHOR
Nafiseh
Gilanifar
nafisehgilanifar@yahoo.com
2
Otolaryngology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
AUTHOR
Sareh
Roosta
roosta.sareh@gmail.com
3
Otolaryngology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
LEAD_AUTHOR
1. Hausler R. General history of stapedectomy. Adv Otorhinolaryngol. 2007;65:1–5.
1
2. Shea JJ, Jr. Fenestration of the oval window. Ann Otol Rhinol Laryngol. 1958;67(4):932–51.
2
3. Fritsch MH, Naumann IC. Phylogeny of the stapes prosthesis. Otol Neurotol. 2008; 29(3): 407–15.
3
4. Massey BL, Kennedy RJ, Shelton C. Stapedectomy outcomes: titanium versus Teflon wire prosthesis. Laryngoscope. 2005; 115(2): 249-52.
4
5. Brown KD, Gantz BJ. Hearing results after stapedotomy with a nitinol piston prosthesis. Arch Otolaryngol Head Neck Surg. 2007; 133(8):758-62.
5
6. Huber AM, Ma F, Felix H, Linder T. Stapes prosthesis attachment: the effect of crimping on sound transfer in otosclerosis surgery. Laryngoscope. 2003; 113(5):853–8.
6
7. Mangham CA, Jr. Nitinol-Teflon stapes prosthesis improves low-frequency hearing results after stapedotomy. Otol Neurotol. 2010; 31(7): 1022-6.
7
8. Fayad JN, Semaan MT, Meier JC, House JW. Hearing results using the SMart piston prosthesis. Otol Neurotol. 2009; 30(8):1122–7.
8
9. Van Rompaey V, Yung M, Claes J, Hausler R, Martin C, Somers T, et al. Prospective effectiveness of stapes surgery for otosclerosis in a multicenter audit setting: feasibility of the Common Otology Database as a benchmark database. Otol Neurotol. 2009; 30(8):1101–10.
9
10. Mangham CA, Jr. Titanium CliP piston versus platinum-ribbon Teflon piston: piston and fenestra size affect air-bone gap. Otol Neurotol. 2008; 29(1):8–12.
10
11. Schrotzlmair F, Suchan F, Kisser U, Hempel JM, Sroka R, Muller J. Promising clinical results of an innovative self-crimping stapes prosthesis in otosclerosis surgery. Otol Neurotol. 2013; 34(9): 1571–5.
11
12. Ying YL, Hillman TA, Chen DA. Patterns of failure in heat-activated crimping prosthesis in stapedotomy. Otol Neurotol. 2011; 32(1):21–8.
12
13. Huber AM, Veraguth D, Schmid S, Roth T, Eiber A. Tight stapes prosthesis fixation leads to better functional results in otosclerosis surgery. Otol Neurotol. 2008; 29(7):893–9.
13
14. Tange RA, Grolman W. An analysis of the air-bone gap closure obtained by a crimping and a non-crimping titanium stapes prosthesis in otosclerosis. Auris Nasus Larynx. 2008; 35(2):181–4.
14
15. Zepeda-Lopez EG, Bello-Mora A, Felix-Trujillo MM. Poststapedectomy hearing gain: comparison of a Teflon (fluoroplastic ASTM F 754) prosthesis with a Schuknecht-type wire/Teflon prosthesis. Ear Nose Throat J. 2005; 84(11):707–8,10,19.
15
16. Ueda H, Kishimoto M, Uchida Y, Sone M. Factors affecting fenestration of the footplate in stapes surgery: effectiveness of Fisch's reversal steps stapedotomy. Otol Neurotol. 2013; 34(9): 1576–80.
16
17. Skinner M, Honrado C, Prasad M, Kent HN, Selesnick SH. The incudostapedial joint angle: implications for stapes surgery prosthesis selection and crimping. Laryngoscope. 2003; 113(4):647–53.
17
18. Brar T, Passey JC, Agarwal AK. Comparison of hearing outcome using a Nitinol versus Teflon prosthesis in stapedotomy. Acta Otolaryngol. 2012; 132(11):1151–4.
18
19. Sorom AJ, Driscoll CL, Beatty CW, Lundy L. Retrospective analysis of outcomes after stapedotomy with implantation of a self-crimping Nitinol stapes prosthesis. Otolaryngol Head Neck Surg. 2007; 137(1):65–9.
19
ORIGINAL_ARTICLE
Vitamin D Levels in Children with Adenotonsillar Hypertrophy and Otitis Media with Effusion
Introduction:Vitamin D has been suggested to play a considerable role in the function of the immune system in various infectious, inflammatory, and autoimmune conditions. Otitis media with effusion (OME), defined as the presence of non-purulent fluid within the middle ear without signs or symptoms of suppurative otitis media, has a number of inflammatory predisposing factors. This study was designed to explore the association between vitamin D deficiency and OME.Materials and Methods:In this cross-sectional study, 74 children aged 2–7 years with an obstructive indication for adenotonsillectomy were included. Patients were divided into two groups based on the need for ventilation tube insertion for OME. Thirty-two children were enrolled in the OME group and 42 in the control group. The mean vitamin D level was compared between the two groups.Results:Mean vitamin D concentration in all patients was 11.96±5.85 ng/ml (9.79±4.36 ng/ml in the OME group and 13.61±6.33 ng/ml in the control group; P=0.003). There was also a significant difference in levels of vitamin D in patients referred in winter (9.0±2.94 ng/ml) compared with the summer (19.85±4.21 ng/ml; P=0.001). Data analyzed based on the season in which the patients were referred showed no significant difference between the OME and the control group.Conclusion:Although our results showed lower serum levels of vitamin D in OME patients, the difference was not significant when seasons were taken into consideration. Therefore, the season is an important confounding factor in any research related to vitamin D due to the effect of sun-induced vitamin D.
https://ijorl.mums.ac.ir/article_8066_f82fd1678decb95bf8e44e7030b39c26.pdf
2017-01-01
29
33
10.22038/ijorl.2016.8066
Adenoids
Child
Vitamin D
Otitis media
Seasons
Alimohamad
Asghari
dramasghari@gmail.com
1
Skull Base Research Center, ENT and Head & Neck Research Center, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
AUTHOR
Zohreh
Bagheri
bagheri.med@gmail.com
2
ENT and Head & Neck Research Center, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
AUTHOR
Maryam
Jalessi
jalessimd@gmail.com
3
ENT and Head & Neck Research Center, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
AUTHOR
Mohammad Mahdi
Salem
sbrc@gmail.com
4
ENT and Head & Neck Research Center, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
AUTHOR
Elahe
Amini
elaheaminimd@gmail.com
5
ENT and Head & Neck Research Center, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
LEAD_AUTHOR
Sahand
Ghalebaghi
sbresearchcenter@gmail.com
6
ENT and Head & Neck Research Center, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
AUTHOR
Sepideh
bakhti
farzaneh5ezzati@gmail.com
7
ENT and Head & Neck Research Center, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
AUTHOR
1. Antal AS, Dombrowski Y, Koglin S, Ruzicka T, Schauber J. Impact of vitamin D3 on cutaneous immunity and antimicrobial peptide expression. Dermatoendocrinol. 2011; 3(1):18–22.
1
2. Campbell Y, Fantacone ML, Gombart AF. Regulation of antimicrobial peptide gene expression by nutrients and by-products of microbial metabolism. Eur J Nutr. 2012; 51(8):899–907.
2
3. Canning MO, GrotenhuisK, de Wit H, Ruwhof C, Drexhage HA. 1-alpha, 25- Dihydroxyvitamin D3 (1, 25(OH) (2) D (3)) hampers the maturation of fully active immature dendritic cells from monocytes. Eur J Endocrinol. 2001; 145:351–7.
3
4. Karatekin G, Kaya A, Salihoglu O, Balci H, Nuhoglu A. Association of subclinical vitamin D deficiency in newborns with acute lower respiratory infection and their mothers. Eur J Clin Nutr. 2009; 63(4):473–7.
4
5. Aydın S, Aslan I, Yıldız I, Ağaçhan B, Toptaş B, Toprak S, et al. Vitamin D levels in children with recurrent tonsillitis. Int J Pediatr Otorhinolaryngol. 2011; 75(3):364–7.
5
6. Nnoaham KE, Clarke A. Low serum vitamin D levels and tuberculosis: a systematic review and meta-analysis. Int J Epidemiol. 2008; 37(1):113–9.
6
7. Agmon-Levin N, Theodor E, Segal RM, Shoenfeld Y. Vitamin D in systemic and organ-specific autoimmune diseases. Clin Rev Allergy Immunol. 2013; 45(2):256–66.
7
8. Boonstra A, Barrat FJ, Crain C, Heath VL, Savelkoul HF, O'Garra A. 1alpha, 25-Dihydroxyvitamin d3 has a direct effect on naive CD4 (+) T cells to enhance the development of Th2 cells. J Immunol. 2001; 167(9):4974–80.
8
9. Mahon BD, Wittke A, Weaver V, Cantorna MT. The targets of vitamin D depend on the differentiation and activation status of CD4 positive T cells. J Cell Biochem. 2003; 89(5):922-32.
9
10. Amestejani M, Seyed Salehi B, Vasigh M, Sobhkhiz A, Karami M, Alinia H, et al. Vitamin D supplementation in the treatment of atopic dermatitis: a clinical trial study. J Drugs Dermatology. 2012; 11(3); 327–30.
10
11. Adorini L, Penna G, Giarratana N, Roncari A, Amuchastegui S, Daniel KC, et al. Dendritic cells as key targets for immunomodulation by Vitamin D receptor ligands. J Steroid Biochem Mol Biol. 2004; 89–90(1–5):437–41.
11
12. Minovi A, Dazert S. Diseases of the middle ear in childhood. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2014;13:Doc11.
12
13. Capaccio P, Torretta S, Marciante GA, Marchisio P, Forti S, Pignataro L. Endoscopic Adenoidectomy in Children With Otitis Media With Effusion and Mild Hearing Loss. Clin Exp Otorhinolaryngol. 2016; 9(1):33–8.
13
14. Damm M, Jayme KP, Klimek L. Recurrent otitis media with effusion in childhood: when should an otolaryngologist consider an allergic etiology? HNO. 2013; 61(10):843–8.
14
15. Lannon C, Peterson LE, Goudie A. Quality measures for the care of children with otitis media with effusion. Pediatrics. 2011; 127(6): 1490–7.
15
16. Stol K, Verhaegh SJ, Graamans K, Engel JA, Sturm PD, Melchers WJ, et al. Microbial profiling does not differentiate between childhood recurrent acute otitis media and chronic otitis media with effusion. Int J Pediatr Otorhinolaryngol. 2013; 77(4): 488–93.
16
17. Ameli F, Brocchetti F, Semino L, Fibbi A. Adenotonsillectomy in obstructive sleep apnea syndrome. Proposal of a surgical decision-taking algorithm. Int J Pediatr Otorhinolaryngol. 2007; 71: 729–34.
17
19. Rosenfeld RM, Culpepper L, Doyle KJ, Grundfast KM, Hoberman A, Kenna MA, et al. Clinical practice guideline: Otitis media with effusion. Otolaryngol Head Neck Surg. 2004; 130(5 Suppl): 95–118
18
18. Onusko E. Tympanometry. Am Fam Physician. 2004; 70(9):1713–20.
19
20. Thacher TD, Clarke BL. Vitamin D insufficiency. Mayo Clin Proc. 2011; 86(1):50–60.
20
21. Esposito S, Lelii M. Vitamin D and respiratory tract infections in childhood. BMC Infect Dis. 2015; 15:487.
21
22. Bergman P, Norlin AC, Hansen S, Björkhem-Bergman L. Vitamin D supplementation to patients with frequent respiratory tract infections: a post hoc analysis of a randomized and placebo-controlled trial. BMC Res Notes. 2015; 8:391.
22
23. Cayir A, Turan M.I, Ozkan O, Cayir Y, Kaya A, Davutoglu S. Serum vitamin D levels in children with recurrent otitis media. Eur Arch Otorhinolaryngol. 2013; 013: 2455–7.
23
24. Marchisio P, Consonni D, Baggi E, Zampiero A, Bianchini S, Terranova L, et al. Vitamin D Supplementation Reduces the Risk of Acute Otitis Media in Otitis Prone Children. Pediatr Infect Dis J. 2013; 32(10):1055-60.
24
25. Linday LA, Shindledecker RD, Dolitsky JN, Chen TC, Holick MF. Plasma 25-hydroxyvitamin D levels in young children undergoing placement of tympanostomy tubes. Ann Otol Rhinol Laryngol. 2008; 117(10):740–4.
25
26. Moan J, Porojnicu AC, Dahlback A, Setlow RB. Addressing the health benefits and risks, involving vitamin D or skin cancer, of increased sun exposure. Proc Natl Acad Sci USA. 2008; 105(2):668–73.
26
27. Robsahm TE, Tretli S, Dahlback A, Moan J. Vitamin D3 from sunlight may improve the prognosis of breast-, colon- and prostate cancer (Norway). Cancer Causes Control. 2004; 15(2):149-58.
27
28. Porojnicu AC1, Robsahm TE, Dahlback A, Berg JP, Christiani D, Bruland OS, et al. Seasonal and geographical variations in lung cancer prognosis in Norway. Does Vitamin D from the sun play a role? Lung Cancer. 2007; 55(3):263–70.
28
29. McCarty DE, Chesson Jr AL, Jain SK, Marino AA. The link between vitamin D metabolism and sleep medicine. Sleep Medicine Reviews. 2013; 18 (4): 311–9.
29
30. Reid D, Morton R, Salkeld L, Bartley J. Vitamin D and tonsil disease preliminary observations. Int J Pediatr Otorhinolaryngol. 2011; 75(2):261-4.
30
31. Nunn JD, Katz DR, Barker S, Fraher LJ, Hewison M, Hendy GN, et al. Regulation of human tonsillar T-cell proliferation by the active metabolite of vitamin D3. Immunology. 1986; 59(4):479-84.
31
32. Ardestani PM, Salek M, Keshteli AH, Nejadnik H, Amini M, Hosseini SM, et al. Vitamin D status of 6- to 7-year-old children living in Isfahan, Iran. Polish Journal of Endocrinology. 2010; 61(4): 377–81
32
ORIGINAL_ARTICLE
Central Myxoma / Myxofibroma of the Jaws: A Clinico-Epidemiologic Review
Introduction: Myxomas are a group of benign rare tumors of connective-tissue origin that occur in both hard (central) and soft tissues of the body. The aim of this study is to highlight our experience in the management of central myxoma of the jaw, with emphasis on its clinic-epidemiologic features as seen in our environment. Materials and Methods: All patients who were managed for central myxoma of the jaw at the Oral and Maxillofacial Surgery department of a regional University Teaching Hospital between September 1997 and October 2015 were retrospectively studied. Details sourced included age, sex, site of tumor, duration, signs/symptoms, treatment given, and complications. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 16 (SPSS Inc., Chicago, IL, USA) and Microsoft Excel 2007 (Microsoft, Redmond, WA, USA). Results from descriptive statistics were represented in the form of tables and charts, with a test for significance (ρ) using Pearson Chi-square (χ2) set at 0.05. Results: A total of 16 patients were managed within the period reviewed, consisting of 10 (62.5%) females and six (37.5%) males, giving a male-to-female ratio of 1:1.7. The ages of patients ranged from 5 to 70 years, with a mean of 27.06±15.45 years. The mandible accounted for nine (56.3%) cases and the maxilla for six (37.5%) cases, while a combination of the maxilla and the zygoma were involved in one (6.3%) case. Bucco-lingual or bucco-palatal expansion were the most common presentation (six [46.2%] cases each). Histological assessment of tissue specimens showed that fibromyxoma accounted for seven (43.8%) cases, while the remaining nine (56.3%) cases were diagnosed as myxoma. All patients had jaw resections, and these consisted of mandibulectomies in nine (60.0%) patients and maxillectomies in six (40.0%) patients. The duration of hospital stay ranged from 5 to 29 days, with a mean of 17.86±7.68 days. Complications were noted in three patients, and all were surgical wound infections. Conclusion: Most patients in our environment present late with large tumors and are usually not compliant with follow-up review. Thus, a radical approach is favored in most patients.
https://ijorl.mums.ac.ir/article_8045_a526fb4d9468a94891f7f2b03330982d.pdf
2017-01-01
35
41
10.22038/ijorl.2016.8045
Jaw
Odontogenic Myxoma
Myxofibroma
Rowland
Agbara
row_prof@yahoo.com
1
Department of Oral and Maxillofacial Surgery, Jos University Teaching Hospital, Jos, Plateau state, Nigeria.
LEAD_AUTHOR
Benjamin
Fomete
benfometey@hotmail.com
2
Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna state, Nigeria.
AUTHOR
Athanasius-Chukwudi
Obiadazie
oathanasius@yahoo.com
3
Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna state, Nigeria.
AUTHOR
Uchenna-Kevin
Omeje
uchennakevin@gmail.com
4
Department of Oral and Maxillofacial Surgery, Aminu Kano University Teaching Hospital, Kano, Nigeria.
AUTHOR
Modupeola-Omotara
Samaila
mamak97@yahoo.com
5
Department of Pathology/Morbid Anatomy, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna state, Nigeria.
AUTHOR
1. Epivatianos A, Iordanidis S, Zaraboukas T. Myxoma of the Oral Soft Tissues: Report of a Case and Literature Review. Oral Maxillofac Surg 2007; 65:317–20.
1
2. Quintal MC, Tabet JC, Oligny L, Russo P. Oral soft tissue myxoma: report of a case and review of the literature. J Otolaryngol 1994;23:42–5.
2
3. Ajike SO, Amanyeiwe UE, Adekeye EO. Myxoma of the jaw bones: Analysis of 27 cases. Nig J Surg Res 2000;2:123–6.
3
4. DeFatta RJ, Verret DJ, Ducic Y, Carrick K. Giant myxomas of the maxillofacial skeleton and skull base. Otolaryngology-Head Neck Surg 2006;134:931–5.
4
5. Ghosh BC, Huvos AG, Gerold FP, Miller TR. Myxoma of the jaw bones. Cancer 1973; 31:237–40.
5
6. Allen PW. Myxoma is not a single entity: a review of the concept of myxoma. Ann Diagn Pathol 2000; 4:99–123.
6
7. Melo GM, Tavares TV, Curado TA, Cherobin GB, Gonçalves GNH, Ribeiro CMF. Myxoma of Cervical Soft Tissue: Case Report and Literature Review. Intl. Arch. Otorhinolaryngol São Paulo 2008;12:587–90.
7
8. Cidel LE, Rodríguez RR, Taylor AM. Odontogenic myxoma. Clinical case presentation. Revista Odontológica Mexicana 2011;15:243–9.
8
9. Hassan FO. Extragnathic fibromyxoma of the calcaneum: report of a case. Foot and Ankle Surgery 2002; 8:59–62.
9
10. Stout AP. Myxoma, the tumor of primitive mesenchyme. Ann Surg 1948;127:706–19.
10
11. Klimo P, Jha T, Choudhri AF, Joyner R, Michael LM. Fibromyxoma of the Lateral Skull Base in a Child: Case Report. J Neurol Surg Rep 2013;74: 105–10.
11
12. Moore BA, Wine T, Burkey BB, Amedee RG, Butcher RB. Sphenoid Sinus Myxoma: Case Report and Literature Review. The Ochsner Journal 2008; 8:166–71.
12
13. Mavrogenis AF, Casadei R, Gambarotti M, Ruggieri P. Fibromyxoma of the Axis. Orthopedics 2012; 35:e1133–5.
13
14. Braut T, Marijić B, Sokolić Z, Kujundžić M, Maržić D, Starčević R. Myxoma of the Zygomatic Bone – A Case Report. Coll. Antropol 2015;1:215–7.
14
15. White JR, Weiss S, Anderson D, Mason SE, Schexnaildre MA, Nuss DW, et al. Transoral Resection of a Retropharyngeal Myxoma: A Case Report. Skull Base Reports 2011;1:139–44.
15
16. Moshiri S, Oda D, Worthington P, Myall R. Odontogenic myxoma: histochemical and ultrastructural study. J Oral Pathol Med 1992; 21:401–3.
16
17. Slootweg PJ, Wittkampf ARM. Myxoma of the jaws: an analysis of 15 cases. J Max Fac Surg 1986; 14:46–52.
17
18. Brannon RB. Central odontogenic fibroma, myxoma (odontogenic myxoma, fibromyxoma), and central odontogenic granular cell tumor. Oral Maxillofac Surg Clin North Am 2004;16:359–74.
18
19. Borkar SS, Kamath SG, Kashyap N, Sagar SCV, Rao L, Warrier R, et al. Carney Complex: case report and review. Journal of Cardiothoracic Surgery 2011; 6:25.
19
20. Fu S, Tian Z, Zhang C, He Y. Monosotic fibrous dysplasia and solitary intramuscular myxoma of the head and neck: A unique presentation of Mazabraud's syndrome and a literature review. Oncology Letters 2015; 10:3087–94.
20
21. Fomete B, Adebayo ET, Agbara R, Ayuba GI. Massive peripheral odontogenic myxoma in a child: Case report and review of literature. J Oral and Maxillofacial Surg Med Pathol 2014;26:163–5.
21
22. Reichart PA, Philipsen HP. Odontogenic tumors and allied lesions. Illinois: Quintessence Publishing Co Ltd; 2004.
22
23. Kaffe I, Naor H, Buchner A. Clinical and radiological features ofodontogenic myxoma of the jaws. Dentomaxillofac Radiol 1997;26:299–303.
23
24. Andrews T, Kountakis SE, Mailard AA. Myxomas of the head and neck. Am J Otolaryngol 2000; 21:184–9.
24
25. Simon ENM, Merkx MAW, Vuhahula E, Ngassapa D, Stoelinga PJW. Odontogenic myxoma: a clinicopathological study of 33 cases. Int J Oral Maxillofac Surg 2004;33:333–7.
25
26. Friedrich RE, Scheuer HA, Fuhrmann A, Zustin J, Assaf AT. Radiographic Findings of Odontogenic Myxomas on Conventional Radiographs. Anticancer Research 2012; 32:2173–8.
26
27. Happonen RP, Peltola J, Ylipaavalniemi P, Lamberg M. Myxoma of the jaw bones. An analysis of 13 cases. Proc Finn Dent Soc 1988; 84:45–52.
27
28. Peltola J, Magnusson B, Happonen RP, Borrman H. Odontogenic myxoma – a radiographic study of 21 tumors. Br J Oral Maxillofac Surg 1994;32:298–302.
28
29. Li TJ, Sun LS, Luo HY. Odontogenic Myxoma A Clinicopathologic Study of 25 Cases. Arch Pathol Lab Med 2006;130:1799–1806.
29
30. James DR, Lucas VS. Maxillary myxoma in a child of 11 months: A case report. Journal of Cranio-Maxillofacial Surgery 1987; 15:42–4.
30
31. Moghadam SE, Chookhachizadeh S, Baghaii F, Alaeddini M. Odontogenic Myxoma: A study based on biopsy material over a 40-year period. J Contemp Dent Pract 2014; 15:137–41.
31
32. Keszler A, Dominguez FV, Giannunzio G. Myxoma in childhood: An analysis of 10 cases. J Oral Moxlllofoc Surg 1995;53:516–21.
32
33. Zhang J, Wang H, He X, Niu Y, Li X. Radiographic examination of 41 cases of odontogenic myxomas on the basis of conventional radiographs. Dentomaxillofac Radiol 2007;36:160–7.
33
34. Kheir E, Stephen L, Nortje C, Rensburg LJ, Titinchi F. The imaging characteristics of odontogenic myxoma and a comparison of three different imaging modalities. Oral Surg Oral Med Oral Pathol Oral Radiol 2013;116:492–502.
34
35. Jankowski DS, Yeungb RWK, Lic T, Leeb KM. Computed tomography of odontogenic myxoma. Clinical Radiology 2004;59:281–7.
35
36. Lo Muzio L, Nocini P, Favia G, Procaccini M, Mignogna MD. Odontogenic myxoma of the jaws: a clinical, radiologic, immunohistochemical, and ultrastructural study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;82:426–33.
36
37. Adebayo ET, Fomete B, Ajike SO. Spontaneous bone regeneration following mandibular resection for odontogenic myxoma. Ann Afr Med. 2012;11:182–5.
37
38. Pahl S, Henn W, Binger T, Stein U, Remberger K. Malignant odontogenic myxoma of the maxilla: case with cytogenic confirmation. J Laryngol Otol 2000;114:533-5.
38
ORIGINAL_ARTICLE
Two Techniques of Tonsillectomy Performed in Identical Twins: A Case Report
Introduction:Cold dissection (CD) and bipolar cautery dissection (BCD) techniques are two common surgical tonsillectomy procedures used in the clinic. Obstruction has become more prevalent as the major surgical indication and is most prominently observed in younger children.Case Report: In this report, we aimed to explain the abovementioned surgical techniques in detail and compare the results in identical twins (monozygote twins). Using low energy electrocautery, irrigating the operation site continuously during cauterization, avoiding unnecessary sutures, and direct cautery to the tonsil bed are all effective measures that have diminished post-op pain in bipolar electrocautery dissection, compared to cold dissection tonsillectomy.Conclusion: Bipolar cautery dissection with some modification is very good alternative for tonsillar surgery.
https://ijorl.mums.ac.ir/article_8041_42a91e3a8ceeba1c1897a14586def074.pdf
2017-01-01
43
46
10.22038/ijorl.2016.8041
Cautery
Dissection
Tonsillectomy
Twins
Ali
Bagherihagh
ali.bagherihagh@gmail.com
1
Department of Otorhinolaryngology, Baqiyatallah University of Medical Sciences, Tehran, Iran.
LEAD_AUTHOR
Seyed Mousa
Sadr Hosseini
sadrehosseini@gmail.com
2
Department of Otorhinolaryngology, Tehran University of Medical Sciences, Tehran, Iran.
AUTHOR
1. Silveira H, Soares JS, Lima HA. Tonsillectomy: cold dissection versus bipolar electrodissection. Int J Pediatr Otorhinolaryngol. 2003; 67(4): 345-51.
1
2. Kirazli T, Bilgen C, Midilli R, Ogüt F, Uyar M, Kedek A. Bipolar electrodissection tonsillectomy in children. Eur Arch Otorhinolaryngol. 2005; 262(9): 716-18.
2
3. Gates GA, Folbre TW. Indications for adenotonsillectomy. Arch Otolaryngol Head Neck Surg. 1986; 112(5): 501-2.
3
4. Owings MF, Kozak LJ. Ambulatory and inpatient procedures in the United States, 1996. Vital Health Stat 13. 1998; 139:1-119.
4
5. Karatzias GT, Lachanas VA, Sandris VG. Thermal welding versus bipolar tonsillectomy: a comparative study. Otolaryngol Head Neck Surg. 2006; 134(6): 975-8.
5
6.Pizzuto MP, Brodsky L, Duffy L, Gendler J, Nauenberg E. A comparison of microbipolar cautery dissection to hot knife and cold knife cautery tonsillectomy. Int J Pediatr Otorhinolaryngol. 2000; 52(3): 239-46.
6
7. Leinbach RF, Markwell SJ, Colliver JA, Lin SY. Hot versus cold tonsillectomy: a systematic review of the literature. Otolaryngol Head Neck Surg. 2003; 129(4): 360-4.
7
8. Özkırıs M. Comparison of three techniques in pediatric tonsillectomy. Eur Arch Otorhinolaryngol. 2012; 269(5):1497-501.
8
9. Raut VV, Bhat N, Sinnathuray AR, Kinsella JB, Stevenson M, Toner JG. Bipolar scissors versus cold dissection for pediatric tonsillectomy-a prospective, randomized pilot study. Int J Pediatr Otorhinolaryngol.2002; 64(1): 9-15.
9
10. Kerschner J E, Conley S F, Cook S P. Surgical techniques of pediatric tonsillectomy: Is there evidence of better outcomes? Operative Techniques in Otolaryngology-Head and Neck Surgery, 2006; 17(4):262-7.
10
11. Derkay CS, Darrow DH, Welch C, Sinacori JT. Post-tonsillectomy morbidity and quality of life in pediatric patients with obstructive tonsils and adenoid: microdebrider vs electrocautery. Otolaryngol Head Neck Surg. 2006; 134(1): 114-20.
11
12. Stoker KE, Don DM, Kang DR, Haupert MS, Magit A , Madgy DN. Pediatric total tonsillectomy using coblation compared to conventional electrosurgery: a prospective, controlled single-blind study. Otolaryngol Head Neck Surg. 2004; 130(6): 666-75.
12
ORIGINAL_ARTICLE
Childhood Laryngeal Dystonia Following Bilateral Globus Pallidus Abnormality: A Case Study and Review of Literature
Introduction:Dystonia is a disorder of movement caused by various etiologies. Laryngeal dystonia is caused by the spasm of laryngeal muscles. It is a disorder caused by vocal fold movement in which excessive adduction or abduction of the vocal folds occurs during speech. The pathophysiology of this type of dystonia is not fully known. Some researchers have suggested that basal ganglia structures and their connections with cortical areas have been involved in the pathogenesis of dystonia. Case Report:In this paper a 7.5-year-old boy suffering from laryngeal dystonia with bilateral lesions in Globus Pallidus is presented. The patient also suffered from swallowing problems, monotone voice, vocal tremor, hypersensitivity of gag reflex, and stuttering. Drug treatment failed to cure him; therefore, he was referred to rehabilitation therapy. Conclusion:In conclusion, special attention should be brought upon laryngeal dystonia, especially in patients showing Extra-pyramidal symptoms and/or abnormalities of the basal ganglia. In children, laryngeal dystonia may be potentially fatal. Lack of consideration for this condition during rehabilitation therapy can lead to serious consequences for a child.
https://ijorl.mums.ac.ir/article_8042_eb41ece7749d89a5f3e04bedea4aaa89.pdf
2017-01-01
47
51
10.22038/ijorl.2016.8042
Basal ganglia
Laryngeal dystonia
Globus pallidus
Mohammad Javad
Saeedi Borujeni
saeedib694@gmail.com
1
Department of Anatomical Sciences and Molecular Biology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
AUTHOR
Ebrahim
Esfandiary
esfandiari@med.mui.ac.ir
2
Department of Anatomical Sciences and Molecular Biology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
LEAD_AUTHOR
Mostafa
Almasi- Dooghaee
a_mostafa108@yahoo.com
3
Department of Neurology, Iran University of Medical Sciences, Tehran, Iran.
AUTHOR
Payne S, Tisch S, Cole I, Brake H, Rough J, Darveniza P. The clinical spectrum of laryngeal dystonia includes dystonic cough: Observations of a large series. Movement Disorders. 2014;29(6):729-35.
1
Hood S, Orr K, Bennett L, Davies S. Severe laryngeal dystonia in a patient receiving zuclopenthixol “Acuphase” and fluoxetine. Australasian Psychiatry. 2010;18(2):174-6.
2
Sari A, Taskapilioglu O, Akkaya C, Erer S, Bora I. Laryngeal dystonia in a patient with bilateral anterior cerebral artery infarction during treatment of delirium with haloperidol. Progress in Neuro-Psychopharma- cology and Biological Psychiatry.2008; 32(5):1347-8.
3
Ludlow CL, Adler CH, Berke GS, Bielamowicz SA, Blitzer A, Bressman SB, et al. Research priorities in spasmodic dysphonia. Otolaryngology-Head and Neck Surgery. 2008;139(4):495-505.
4
Castelon Konkiewitz E, Trender-Gerhard I, Kamm C, Warner T, Ben-Shlomo Y, Gasser T, et al. Service-based survey of dystonia in Munich. Neuroepide- miology. 2002;21(4):202-6.
5
Borujeni MJS, Esfandiary E, DOOGHAEE MA. Childhood Neurogenic Stuttering Due to Bilateral Congenital Abnormality in Globus Pallidus: A Case Report and Review of the Literature. Iranian Journal of Child Neurology. 2016;10(4):75-9.
6
Hegde AN, Mohan S, Lath N, Lim CT. Differential Diagnosis for Bilateral Abnormalities of the Basal Ganglia and Thalamus 1. Radiographics. 2011; 31(1): 5-30.
7
Lim C. Magnetic resonance imaging findings in bilateral basal ganglia lesions. Ann Acad Med Singapore. 2009;38(9):795-8.
8
Walter U, Blitzer A, Benecke R, Grossmann A, Dressler D. Sonographic detection of basal ganglia abnormalities in spasmodic dysphonia. European Journal of Neurology. 2014;21(2):349-52.
9
Simonyan K, Berman BD, Herscovitch P, Hallett M. Abnormal striatal dopaminergic neurotransmission during rest and task production in spasmodic dysphonia. The Journal of Neuroscience. 2013; 33 (37): 14705-14.
10
Simonyan K, Ludlow CL. Abnormal activation of the primary somatosensory cortex in spasmodic dysphonia: an fMRI study. Cerebral Cortex. 2010; 20: 2749-59.
11
Simonyan K, Tovar-Moll F, Ostuni J, Hallett M, Kalasinsky VF, Lewin-Smith MR, et al. Focal white matter changes in spasmodic dysphonia: a combined diffusion tensor imaging and neuropathological study. Brain. 2008;131(2):447-59.
12
Hayflick SJ. Unraveling the Hallervorden-Spatz syndrome: pantothenate kinase–associated neurodege- neration is the name. Current opinion in pediatrics. 2003;15(6):572-7.
13
Blitzer A. Spasmodic dysphonia and botulinum toxin: experience from the largest treatment series. European Journal of Neurology. 2010;17(s1):28-30.
14
Hamano K, Kumada S, Hayashi M, Naito R, Hayashida T, Uchiyama A, et al. Laryngeal dystonia in a case of severe motor and intellectual disabilities due to Japanese encephalitis sequelae. Brain and Development. 2004;26(5):335-8.
15
Mellacheruvu S, Norton JW, Schweinfurth J. Atypical antipsychotic drug-induced acute laryngeal dystonia: 2 case reports. Journal of clinical psychopharmacology. 2007;27(2):206-7.
16
Conte A, Berardelli I, Ferrazzano G, Pasquini M, Berardelli A, Fabbrini G. Non-motor symptoms in patients with adult-onset focal dystonia: sensory and psychiatric disturbances. Parkinsonism & Related Disorders. 2016; 22:S111-S4.
17
Stamelou M, Edwards MJ, Hallett M, Bhatia KP. The non-motor syndrome of primary dystonia: clinical and pathophysiological implications. Brain. 2012;135(6):1668-81.
18
Russell SA, Hennes HM, Herson KJ, Stremski ES. Upper airway compromise in acute chlorpromazine ingestion. The American journal of emergency medicine. 1996;14(5):467-8.
19
Miyata R, Sasaki T, Hayashi M, Araki S, Shimohira M, Kohyama J. Low-dose levodopa is effective for laryngeal dystonia in xeroderma pigmentosum group A. Brain and Development. 2010;32(8):685-7.
20
ORIGINAL_ARTICLE
Abnormal Auditory Brainstem Response (ABR) Findings in a Near-Normal Hearing Child with Noonan Syndrome
Introduction: Noonan syndrome (NS) is a heterogeneous genetic disease that affects many parts of the body. It was named after Dr. Jacqueline Anne Noonan, a paediatric cardiologist.Case Report: We report audiological tests and auditory brainstem response (ABR) findings in a 5-year old Malay boy with NS. Despite showing the marked signs of NS, the child could only produce a few meaningful words. Audiological tests found him to have bilateral mild conductive hearing loss at low frequencies. In ABR testing, despite having good waveform morphology, the results were atypical. Absolute latency of wave V was normal but interpeak latencies of wave’s I-V, I-II, II-III were prolonged. Interestingly, interpeak latency of waves III-V was abnormally shorter.Conclusion:Abnormal ABR results are possibly due to abnormal anatomical condition of brainstem and might contribute to speech delay.
https://ijorl.mums.ac.ir/article_8043_63810c681c24540c11221ad1d01b19e0.pdf
2017-01-01
53
57
10.22038/ijorl.2016.8043
Audiological evaluation
Auditory Brainstem response (ABR)
Hearing Loss
Noonan Syndrome
Bahram
Jalaei
mojtajal@gmail.com
1
Department of Audiology, Faculty of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran.
LEAD_AUTHOR
Mohd
Normani Zakaria
mdnorman@usm.my
2
Audiology Program, School of Health Sciences, University Sains Malaysia, Kelantan, Malaysia.
AUTHOR
Dinsuhaimi
Sidek
suhaimi@usm.my
3
Department of Otorhinolaryngology, School of Medical Sciences, University Sains Malaysia, Kelantan, Malaysia.
AUTHOR
1. Romano AA, AllansonJE, Dahlgren J, Gelb BD, Hall B, Pierpont ME, et al., Noonan Syndrome: Clinical Features, Diagnosis and Management Guidelines. Paediatrics.2010;126(4): 746.
1
2. Burgt IVD, Noonan Syndrome. Orphanet Journal of Rare Diseases.2007; 2:4.
2
3. SharlandM, Burch M, Mckenna WM, Patton MA. A clinical study of Noonan Syndrome. Arch Dis Child.1992; 67:178-83.
3
4. Mendez HMM, Optiz JM. Noonan Syndrome: a review. Am J Med Genet. 1985; 21(3): 493- 506.
4
5. Nora JJ, Nora AH, Sinha AK,Spangler R, Lubs H. The Ullrich-Noonan syndrome (Turner phenotype). Am J Dis Child.1974;127(1):48-55.
5
6. Heller RH. The Turner phenotype in the male. The journal of Pediatrics.1965; 66(1): 48-63.
6
7. Duenas DA, Preissig S,Summitt RL,Wilroy RS,Lemmi H,Dews JE. Neurologic manifestations of the Noonan syndrome. South Medical Journal. 1973; 66(2):193-6.
7
8. Cremers CW, Van der Burgt CJ. Hearing loss in Noonan syndrome.Int J PediatrOtorhinolaryngol. 1992; 23(1): 81- 4.
8
9. Miura M, Sando I, Orita Y, Hirsch BE. Temporal bone histopathological study of Noonan syndrome. IntJournal of Pediatric Otorhinolaryngo- logy. 2001;60: 73-82.
9
10. Van Trier DC, Van Nierop J, Draaisma JM, Burgt IV, Kunst H, Croonen EA et al. External ear anomalies and hearing impairment in Noonan Syndrome. Int J PediatrOtorhinolaryngol. 2015; 79(6): 874-8.
10
11. Takahara T, Sando I. Mesenchyme remaining in temporal bones from patients with congenital anomalies. A quantitative histopathologic study. Ann. Otol. Rhinolaryngol. 1987;96(3): 333–9.
11
12. Matas CG, Leite RA, Goncalves IC, Neves IF. Brainstem Auditory Evoked Potential in Individuals with Conductive and Sensorineural Hearing Losses. 2005; 9(4): 337.
12
13. Hall J. New handbook of auditory evoked responses. Boston Mass. Pearson. 2007; 232:3.
13
14. Sand T, The choice of ABR click polarity and amplitude variables in multiple sclerosis patients. ScandAudiol. 1991;20(1) 75-80.
14
15. Kao CP. Evaluation and management of the child with speech delay. Am Fam Physician.1999; 59(11): 3121-8.
15
ORIGINAL_ARTICLE
Foreign Body Aspiration in Adults (Two Unusual Foreign Bodies; Knife and Tube Tracheostomy)
Introduction:Foreign body aspiration is usually a serious condition that is most common among the pediatric population, and rare in adults. In adults, aspiration may be tolerated for a long time.Case Reports:Our first case is a 38-year-old man who presented with a 2-day history of swallowing a foreign body. He was completely asymptomatic. Chest X-ray revealed the presence of 5-cm foreign object in the right main bronchus. Rigid bronchoscopy was performed and a knife was removed from the right main bronchus. Second, a 57-year old man with a known case of laryngeal cancer from 15 years previously was admitted for respiratory distress. He had previously undergone a permanent tracheostomy and had received radiotherapy for his cancer. At the first visit, the patient had prominent distress and was transferred to the operating room as an emergency. A tube was seen on chest X-ray. On bronchoscopy, we found the tracheostomy situated in the carina. The cleaved tracheostomy was removed using the grasper, by grasping the cuff line.Conclusion:We conclude that foreign body aspiration might be completely asymptomatic, especially in an adult. A good history and imaging findings can help us to diagnose and treat the condition carefully.
https://ijorl.mums.ac.ir/article_8057_8f5d5a547d81218a3d779a2925d61381.pdf
2017-01-01
59
61
10.22038/ijorl.2016.8057
Asymptomatic
Aspiration
Adult
knife
Seyed Mozafar
Hashemi
mozafarhashemi@gmail.com
1
Department of Thoracic Surgeon, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
AUTHOR
Mohsen
Kolahdouzan
kolahdouzan@med.mui.ac.ir
2
Department of Thoracic Surgeon, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
AUTHOR
Shahab
Shahabi
shshahabi@yahoo.com
3
Department of General Surgery, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
AUTHOR
Hamid
Talebzadeh
ha_talebzade@yahoo.com
4
General Surgeon, Resident of Thoracic Surgery, Isfahan University of Medical Sciences, Isfahan, Iran
AUTHOR
Mohammad Taghi
Rezaei
rezaei.mohammadtaghi@gmail.com
5
General Surgeon, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
LEAD_AUTHOR
Baharloo F, Veyckemans F, Francis C, Biettolt M-P, Rodenstein DO. Tracheobronchial foreign bodies: Presentation and management in children and adults. Chest 1999;115:1357–62.
1
Sersar SI,Rizk WH,Bilal M, El Diasty MM, Eltantawy TA, Abdelhakam BB, et al. Inhaled foreign bodies: Presentation, Management and value of history and plain chest radiography in delayed presentation. Otolaryngol Head Neck Surg 2006; 134:92–9.
2
Willett LL, Barney J, Saylors Gl. An unusual cause of chronic cough. Foreign body aspiration. J Gen Intern Med 2006;21(2):C1–C3.
3
Zissin R, Shapiro-Feinberg M, Rozenman J, Apter S, Smorjik J, Hertz M. CT findings of the chest in adults with aspirated foreign bodies. European Radiology. 2001;11(4):606–11.
4