ORIGINAL_ARTICLE
Comparison of Swallowing Act Videofluoroscopy after Open and Laser Partial Supraglottic Laryngectomy
Introduction: The aim of this study was to compare the functional outcomes of swallowing act detected by videofluoroscopy of two different techniques in the treatment of laryngeal carcinoma. Materials and Methods: This study was conducted on 41 patients undergoing two supraglottic laryngectomy techniques. The research population was assigned into two groups of open and laser supraglottic laryngectomy, including 21 and 20 patients, respectively. Results: Food residue was present in most of the patients in the open laryngectomy group. Aspiration of the liquid and solid contrasts was observed in 16 and 4 patients, respectively. In the laser laryngectomy group undergoing a partial supraglottic laryngectomy via carbon dioxide (CO2) laser, aspiration was recorded in only six patients. There was a statistically significant difference between these two groups regarding the presence of aspiration as a marker of a bad functional outcome. Conclusion: Techniques that include the endoscopic removal of the tumor via CO2 laser result in good oncologic and functional outcomes, along with reduced postoperative morbidity and mortality.
https://ijorl.mums.ac.ir/article_11755_eaed62609c74613f3c2b5b236b953749.pdf
2018-11-01
315
319
10.22038/ijorl.2018.27445.1900
Deglutition
Deglutition disorders
Endoscopy
Gas
Laryngeal neoplasms
Laryngectomy
Lasers
Mario
Bilic
mario.bilic4@zg.t-com.hr
1
Department of Otorhinolaryngology, Head and Neck Surgery, Clinical Hospital Center Zagreb, Zagreb, Croatia.
AUTHOR
Lana
Kovac-Bilic
lana.k.bilic@gmail.com
2
Department of Otorhinolaryngology, Head and Neck Surgery, Clinical Hospital Center Zagreb, Zagreb, Croatia.
AUTHOR
Selma
Hodzic-Redzic
sellhodzic@gmail.com
3
Department of Otorhinolaryngology, Head and Neck Surgery, Clinical Hospital Center Zagreb, Zagreb, Croatia
LEAD_AUTHOR
Drago
Prgomet
dprgomet2@gmail.com
4
Department of Otorhinolaryngology, Head and Neck Surgery, Clinical Hospital Center Zagreb, Zagreb, Croatia
AUTHOR
1. Prgomet D, Bumber Z, Bilić M, Svoren E, Katić V, Poje G. Videofluoroscopy of the swallowing act after partial supraglottic laryngectomy by CO(2) laser. Eur Arch Otorhinolaryngol. 2002; 259(8): 399-403.
1
2. Agrawal A, Moon J, Davis RK, Sakr WA, Giri SP, Valentino J, et al. Southwest Oncology Group. Transoral carbon dioxide laser supraglottic laryngectomy and irradiation in stage I, II, and III squamous cell carcinoma of the supraglottic larynx: report of Southwest Oncology Group Phase 2 Trial S9709.Arch Otolaryngol Head Neck Surg. 2007; 133(10):1044-50.
2
3. Davis RK, Shapshay SM, Strong MS, Hyams VJ. Transoral partial supraglottic resection using the CO2 laser.Laryngoscope. 1983; 93(4):429-32.
3
4. Davis RK, Kelly SM, Hayes J. Endoscopic CO2 laser excisional biopsy of early supraglottic cancer.Laryngoscope. 1991; 101(6 Pt 1):680-3.
4
5. Peretti G, Piazza C, Cattaneo A, De Benedetto L, Martin E, Nicolai P. Comparison of functional outcomes after endoscopic versus open-neck supraglottic laryngectomies. Ann Otol Rhinol Laryngol. 2006; 115(11):827-32.
5
6. Sasaki CT, Leder SB, Acton LM, Maune S.Comparison of the glottic closure reflex in traditional "open" versus endoscopic laser supraglottic laryngectomy. Ann Otol Rhinol Laryngol. 2006; 115(2):93-6.
6
7. Pérez Delgado L, El-Uali Abeida M, de Miguel García F, Astier Peña P, Herrera Tolosana S, Lisbona Alquézar MP, et al.CO2 laser surgery of supraglottic carcinoma: our experience over 6 years.Acta Otorrinolaringol Esp. 2010; 61(1):12-8.
7
8. Chiesa Estomba CM, Betances Reinoso FA, Lorenzo Lorenzo AI, Fariña Conde JL, Araujo Nores J, Santidrian Hidalgo C. Functional outcomes of supraglottic squamous cell carcinoma treated by transoral laser microsurgery compared with horizontal supraglottic laryngectomy in patients younger and older than 65 years. Acta Otorhinolaryngol Ital. 2016; 36(6): 450–8.
8
9. Kreuzer SH, Schima W, Schober E, Pokieser P, Kofler G, Lechner G, et al. Complications after laryngeal surgery: videofluoroscopic evaluation of 120 patients.ClinRadiol. 2000; 55(10):775-81.
9
10. Bumber Z, Svoren E. Videofluoroscopy of the swallowing act following partial supraglottic laryngectomy. Laryngorhinootologie. 1990; 69(4): 217-20.
10
11.Alicandri-Ciufelli M, Piccinini A, Grammatica A, Chiesi A, Bergamini G, Luppi MP et al.Voice and swallowing after partial laryngectomy: factors influencing outcome.Head Neck. 2013; 35(2):214-9.
11
12.Breunig C, Benter P, Seidl RO, Coordes A. Predictable swallowing function after open horizontal supraglottic partial laryngectomy.Auris Nasus Larynx. 2016;43(6):658-65.
12
13. Logemann JA, Gibbons P, Rademaker AW, Pauloski BR, Kahrilas PJ, Bacon M, et al. J Speech Hear Res, 37 (1994) 965.
13
14. Weinstein GS, O'Malley BW Jr, Snyder W, Hockstein NG. Transoral robotic surgery: supraglottic partial laryngectomy. Ann OtolRhinolLaryngol. 2007; 116 (1):19–23.
14
15. Ansarin M, Zorzi S, Massaro MA,Tagliabue M, Proh M, Giugliano G, et al.Transoral robotic surgery vs transoral laser microsurgery for resection of supraglottic cancer: a pilot surgery. Int J Med Robot. 2014; 10 (1):107–12.
15
16
ORIGINAL_ARTICLE
Feasibility Assessment of Optical Coherence Tomography-Guided Laser Labeling in Middle Cranial Fossa Approach
Introduction: Different approaches have been developed to find the position of the internal auditory canal (IAC)in middle cranial fossa approach. A feasibility study was performed to investigate the combination of cone beam computed tomography (CBCT), optical coherence tomography (OCT), and laser ablation to assist a surgeon in a middle cranial fossa approach by outlining the internal auditory canal (IAC). Materials and Methods: A combined OCT laser setup was used to outline the position of IAC on the surface of the petrous bone in cadaveric semi-heads. The position of the hidden structures, such as IAC, was determined in MATLAB software using an intraoperative CBCT scan. Four titanium spheres attached to the edge of the craniotomy served as reference markers visible in both CBCT and OCT images in order to transfer the plan to the patient. The integrated erbium-doped yttrium aluminum garnet laser was used to mark the surface of the bone by shallow ablation under OCT-based navigation before the surgeon continued the operation. Result: The technical setup was feasible, and the laser marking of the border of the IAC was performed with an overall accuracy of 300 μm. The depth of each ablation phase was 300 μm. The marks indicating a safe path supported the surgeon in the surgery. Conclusion: The technique investigated in the present study could decrease the surgical risks for the mentioned structures and improve the pace and precision of operation.
https://ijorl.mums.ac.ir/article_11775_7359c5c1c35985769905bf27f03ae624.pdf
2018-11-01
321
327
10.22038/ijorl.2018.30275.1991
Computer-assisted surgery
Er-YAG laser
Image-guided surgery
Middle cranial fossa
Optical coherence tomography
Saleh
Mohebbi
mohebbi54@gmail.com
1
Brain and Spinal cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Science, Tehran, Iran.
LEAD_AUTHOR
Jakob
Lexow
lexow.jakob@mh-hannover.de
2
Department of Otorhinolaryngology, Hannover Medical School, Hannover, Germany.
AUTHOR
Alexander
Fuchs
alexander.fuchs@imes.uni-hannover.de
3
Institute of Mechatronic Systems (IMES), Leibniz Universität Hannover, Hannover, Germany.
AUTHOR
Thomas
Rau
rau.thomas@mh-hannover.de
4
Department of Otorhinolaryngology, Hannover Medical School, Hannover, Germany.
AUTHOR
Sebastian
Tauscher
sebastian.tauscher@imes.uni-hannover.de
5
Institute of Mechatronic Systems (IMES), Leibniz Universität Hannover, Hannover, Germany.
AUTHOR
Marjan
Mirsalehi
mmirsalehi@gmail.com
6
ENT Head and Neck Research Center and Department, Rasool Akram Hospital, Iran University of Medical Science, Tehran, Iran.
AUTHOR
Seyed Mousa
Sadr Hosseini
sadrhosseini@gmail.com
7
Brain and Spinal cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Science, Tehran, Iran.
AUTHOR
Tobias
Ortmaier
tobias.ortmaier@imes.uni-hannover.de
8
Institute of Mechatronic Systems (IMES), Leibniz Universität Hannover, Hannover, Germany.
AUTHOR
Thomas
Lenarz
lenarz.thomas@mh-hannover.de
9
Department of Otorhinolaryngology, Hannover Medical School, Hannover, Germany.
AUTHOR
Omid
Majdani
majdani.omid@mh-hannover.de
10
Department of Otorhinolaryngology, Hannover Medical School, Hannover, Germany.
AUTHOR
1. Aristegui M, Cokkeser Y, Saleh E, Naguib M, Landolfi M, Taibah A SM. the Extended Middle Cranial Fossa Approach. 1994; (September 1993): 181-8.
1
2. Huang D, Swanson EA, Lin CP, Schuman JS, Stinson WG, Chang W, et al. Optical Coherence Tomography. Science (80)1991; 254: 1178-81.
2
3. Bornemann J, Hagner D, Brandenburg R, Wilkens L, Lenarz T & Hermann R. In vitro measurement conditions for optical coherence tomography (OCT). Acta Otolaryngol. 2006; 126(10):1084-90.doi:10.1080/00016480600672568.
3
4. Stübinger S. Advances in bone surgery: the Er : YAG laser in oral surgery and implant dentistry. Clin Cosmet Investig Dent. 2010 Jun; 30(2):47-62.
4
5. Ishikawa I, Aoki A, Takasaki AA. Clinical application of erbium:YAG laser in periodontology. J Int Acad Periodontol. 2008;10:22-30.
5
6. Ivanenko M, Werner M, Afilal S, Klasing M, Hering P. Ablation of hard bone tissue with pulsed CO2 lasers. Med Laser Appl. 2005;20(1):13-23. doi:10.1016/j.mla.2005.02.007.
6
7. Kahrs A. Bildverarbeitungsunterstützte Laserknochenablation Am HumanenFelsenbein. dissertation, Universität Fridericiana zu Karlsruhe,; 2009.
7
8. Díaz JD, Kundrat D, Goh KF, Majdani O, Ortmaier T. Towards intra-operative OCT guidance for automatic head surgery: first experimental results. Med Image Comput Comput Assist Interv. 2013;16(Pt 3):347-54.
8
9. Fuchs A, Pengel S, Bergmeier J, Kahrs A, Ortmaier T. Fast and automatic depthcontrol of iterative bone ablation based on optical coherence tomography data. Proc SPIE , Med Laser Appl Laser-Tissue Interact VII.95420.doi:10.1117/12. 2183695.
9
10. Diaz Day J. The Middle Fossa Approach and Extended Middle Fossa Approach:Technique and Operative Nuances. Operative Neurosurgery. 2012; 70 (ONS Suppl 2): 192–201.
10
11. Pau HW, Lankenau E, Just T, Behrend D, Hüttmann G. Optical coherence tomographyas an orientation guide in cochlear implant surgery? Acta Otolaryngol.2007;127(9):907-13.doi:10.1080/000 16480601089408.
11
12. Just T, Lankenau E, Hüttmann G, Pau HW. Optical coherence tomography of the ovalwindow niche. J Laryngol Otol. 2009;123:603-8.
12
13. Mohebbi S, Mirsalehi M, Kahrs L , Ortmaier T , Lenarz T ,Majdani O, Experimental Visualization of Labyrinthine Structure with Optical Coherence Tomography, Iranian Journal of Otorhinolaryngology, Vol.29(1), Serial No.90, Jan 2017.
13
14. 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.2014;2014.doi:10.1155/ 2014/251814.
14
15. Boppart SA, Herrmann J, Pitris C, Stamper DL, Brezinski ME, Fujimoto JG. High resolution optical coherence tomography-guided laser ablation of surgical tissue. J SurgRes. 1999;82:275-284. doi: 10. 1006/jsre.1998.5555.
15
16. Ohmi M, Ohnishi M, Takada D, Haruna M. Real-time OCT imaging of laser ablation of biological tissue. 2010. Proc. of SPIE (Optical Interactions with Tissues and Cells XXI,Francisco,California) Vol. 7562 756210-1, doi: 10.1117/12.840866
16
17. Goel RK, Kaouk JH. Optical coherence tomography: the past, present and future. JRobot Surg. 2007;1(3):179-184. doi:10.1007/s11701-007-0045-7.
17
18. Eilers H, Wienke M, Ortmaier T, Majdani O, Leinung M. Multimodal image registration of VCT and OCTimages: a step towards high accuracy in surgical navigation. Int J Comput Assist Radiol Surg. 2009;4(S1):124-33. doi:10.1007/s11548-009-0315-0.
18
19. Stopp S, Svejdar D, Von Kienlin E, Deppe H, Lueth TC. A new approach for creating defined geometries by navigated laser ablation based on volumetric 3-D data. IEEE TransBiomed Eng. 2008;55:1872-80. doi:10.1109/TBME.2008.919737.
19
20. Niemz MH. Laser-Tissue Interactions Fundamentals and Applications. 3rd ed. Berlin Heidelberg: Springer; 2007.
20
21. Eilers H, Baron S, Ortmaier T, Heimann B, Baier C, Rau Th, et al. Navigated, robot assisted drilling of a minimally invasive cochlear access. 2009 IEEE Int Conf Mechatronics.2009:1-6.doi:10.1109/ICMECH.2009.4957213.
21
22. Caversaccio M, Stieger C, Weber S, Häusler R, Nolte L-P. Navigation and robotics of the lateral skull base. HNO. 2009;57(10):975-82.
22
23. Rumboldt Z, Huda W, All JW. Review of portable CT with assessment of a dedicated head CT scanner. Am J Neuroradiol. 2009;30:1630-6.
23
24. Miracle a C, Mukherji SK. Conebeam CT of the head and neck, part 2: clinical applications. AJNR Am J Neuroradiol. 2009;30(7):1285-92.
24
25. Leung BYC, Webster PJL, Fraser JM, Yang VXD. Real-time guidance of thermal and ultrashort pulsed laser ablation in hard tissue using inline coherent imaging. Lasers Surg Med. 2012;44(3):249-256. doi:10.1002/lsm.21162.
25
26. Fuchs A, Schultz M, Krüger A, Kundrat D, Díaz JD, Ortmaier T. Online measurement and evaluation of the Er : YAG laser ablation process using an integrated OCT system. Biomed Tech (Berl). 2012;57:434-7. doi:10.1515/bmt-2012-4231.
26
ORIGINAL_ARTICLE
Efficacy of Platelet-Rich Fibrin Combined with Autogenous Bone Graft in the Quality and Quantity of Maxillary Alveolar Cleft Reconstruction
Introduction: The aim of this study was to evaluate the effect of platelet-rich fibrin (PRF) on the quality and quantity of bone formation in unilateral maxillary alveolar cleft reconstruction using cone beam computed tomography. Materials and Methods: This study was conducted on 10 non-syndromic patients with unilateral cleft lip and palate within the age group of 9-12 years. The study population was randomly assigned into two groups of PRF and control, each of which entailed 5 cases. In the PRF group, the autogenous anterior iliac crest bone graft was used in combination with PRF gel. On the other hand, the control group was subjected to reconstruction only by bone graft. The dental cone beam CT images were obtained immediately (T0) and 3 months (T1) after the operation to assess the quality and quantity of the graft. Independent and paired sample t-tests and analysis of covariance were used to analyze and compare the data related to the height, thickness, and density of the new bone. Results: The mean thickness difference of the graft in both PRF and control groups at T0 and T1 was not significantly different (P>0.05). Furthermore, the reduction changes of bone height at the graft site from T0 to T1 were not statistically significant for both groups (P=0.78). The mean total bone loss of the regenerated bone from T0 to T1 was lower in the control group than that in the PRF group; however, this difference was not statistically significant. Conclusion: The usage of PRF exerted no significant effect on the thickness, height, and density of maxillary alveolar graft.
https://ijorl.mums.ac.ir/article_11756_fa3e8bd7ec6254533a227fc304769a95.pdf
2018-11-01
329
334
10.22038/ijorl.2018.25202.1821
Alveolar graft
Cleft lip and palate
Platelet-rich fibrin
Maryam
Omidkhoda
omidkhodam@mums.ac.ir
1
Department of Orthodontics, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Arezoo
Jahanbin
jahanbina@mums.ac.ir
2
Department of Orthodontics, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
LEAD_AUTHOR
Fatemeh
Khoshandam
khoshandam.f@gmail.com
3
Dentist, Private Practice, Mashhad, Iran.
AUTHOR
Farzaneh
Eslami
dr_arezoo_jahanbin@yahoo.com
4
Department of Orthodontics, Imam Reza Dental Clinic, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Seyed Hossein
Hoseini Zarch
hoseinih@mums.ac.ir
5
Department of Oral and Maxillofacial Radiology, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Jalil
Tavakol Afshari
tavakolaj@mums.ac.ir
6
Immunology Research Center, Department of Allergy and Immunology, School of Medicine,, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Hamed
Kermani
hamedkermani1980@gmail.com
7
Department of Oral and Maxillofacial Surgery, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
AUTHOR
1. Gupta C, Mehrotra D, Mohammad S, Khanna V, Singh GK, Singh G, et al. Alveolar bone graft with Platelet Rich Plasma in cleft alveolus. J Oral Biol Craniofac Res. 2013;3(1):3-8.
1
2. Miloro M, Ghali GE, Larsen P, Waite P. Peterson’s principals of oral and maxillofacial surgery. 2nd ed. Ontario, Canada, BC Decker; 2004: Pages 859–70.
2
3. Oyama T, Nishimoto S, Tsugawa T, Shimizu F. Efficacy of platelet-rich plasma in alveolar bone grafting. J Oral Maxillofac Surg. 2004;62(5):555-8.
3
4. Jahanbin A, Rashed R, Alamdari DH, Koohestanian N, Ezzati A, Kazemian M, et al. Success of Maxillary Alveolar Defect Repair in Rats Using Osteoblast-Differentiated Human Deciduous Dental Pulp Stem Cells. J Oral Maxillofac Surg. 2016;74(4):829.e1-9.
4
5. Batra P, Sharma J, Duggal R, Parkash H. Secondary Bone Grafting in Cleft lip and Palate with Eruption of Tooth into. J Indian Soc Pedo Prev Dent. 2004;22(1):8-12.
5
6. Seifeldin SA. Is alveolar cleft reconstruction still controversial? (Review of literature). Saudi Dent J. 2016;28(1):3-11.
6
7. Ezzat AE, El-Shenawy HM. Repair of cleft alveolar bone with bioactive glass material using Z-plasty flap. Int J Appl Basic Med Res. 2015; 5(3):211-3.
7
8. Eppley BL. Alveolar cleft bone grafting (Part I): primary bone grafting. J Oral Maxillofac Surg. 1996 1;54(1):74-82.
8
9. Preeja C, Arun S. Platelet-rich fibrin: Its role in periodontal regeneration. Saudi J Dent Res. 2014; 5(2):117-22.
9
10. Saluja H, Dehane V, Mahindra U. Platelet-Rich fibrin: A second generation platelet concentrate and a new friend of oral and maxillofacial surgeons. Annals Maxillofac Surg. 2011;1(1):53.
10
11. Naik B, Karunakar P, Jayadev M, Marshal VR. Role of Platelet rich fibrin in wound healing: A critical review. J Conserv Dent. 2013;16(4):284.
11
12. Su CY, Kuo YP, Tseng YH, Su CH, Burnouf T. In vitro release of growth factors from platelet-rich fibrin (PRF): a proposal to optimize the clinical applications of PRF. Oral Surg, Oral Med, Oral Path, Oral Radiol, Endo. 2009;108(1):56-61.
12
13. Giannobile WV. Periodontal tissue engineering by growth factors. Bone 1996;19(Suppl. 1):23S-7S.
13
14. Doiphode AM, Hegde P, Mahindra U, Kumar SS, Tenglikar PD, Tripathi V. Evaluation of the efficacy of platelet-rich plasma and platelet-rich fibrin in alveolar defects after removal of impacted bilateral mandibular third molars. J Internat Soc Prev Commun Dent. 2016;6(1):47.
14
15. Anwandter A, Bohmann S, Nally M, Castro AB, Quirynen M, Pinto L. Dimensional changes of the post extraction alveolar ridge, preserved with Leukocyte-and Platelet Rich Fibrin: A clinical pilot study. J Dent.2016;23:9-52.
15
16. Wang B, Xu P, Wang X, Lu L, Yu D, Wang Y, et al. [Preliminary clinical observation for platelet-rich fibrin in site preservation]. Zhong Nan Da Xue Xue Bao Yi Xue Ban.2015;40(7):802-5.
16
17. Gurler G, Delilbasi C. Effects of leukocyte-platelet rich fibrin on postoperative complications of direct sinus lifting. Minerva stomatologica. 2016; 65(4):207.
17
18. Yuanzheng C, Yan G, Ting L, Yanjie F, Peng W, Bai N. Enhancement of the Repair of Dog Alveolar Cleft by an Autologous Iliac Bone, Bone Marrow–Derived Mesenchymal Stem Cell, and Platelet-Rich Fibrin Mixture. Plastic and reconstructive surgery. 2015;135(5):12-1405.
18
19. Shawky H, Seifeldin SA. Does Platelet-Rich Fibrin Enhance Bone Quality and Quantity of Alveolar Cleft Reconstruction? Cleft Palate Craniofac J. 2016;53(5):597-606.
19
ORIGINAL_ARTICLE
Stylalgia Revisited: Clinical Profile and Management
Introduction: Eagle’s syndrome is a constellation of signs secondary to an elongated styloid process or due to mineralization of the stylohyoid or stylomandibular ligament or the posterior belly of the digastric muscle. The syndrome includes symptoms ranging from stylalgia (i.e. pain in the tonsillar fossa, pharyngeal or hyoid region) to foreign-body sensation in the throat, cervicofacial pain, otalgia, or even increased salivation or giddiness. Materials and Methods: We describe a clinical study of 12 patients with Eagle’s syndrome, along with their clinical profile and the treatment offered. Patients were diagnosed based on history and clinical examination, as well as the Xylocaine 2% tonsillar fossa injection test. A visual analog scale (VAS) was used for comparison of pain before and up to 3 months after treatment. Radiology (orthopantomogram or three-dimensional computed tomography) was used for further exploration. Nine patients underwent tonsillo-styloidectomy surgery and three underwent medical treatment with pregabalin (75 mg/day). Results: The majority of surgically-managed cases (88%) achieved a definitive benefit by tonsillo-styloidectomy surgery, whereas all medically managed cases achieved only short-term pain relief. Conclusions: Besides the common throat diseases, the symptoms associated with Eagle’s syndrome may be similar to those due to cervicofacial neuralgias, dental, or temporo-mandibular joint diseases. Diagnosis is primarily based on symptomatology, physical examination and radiographic investigations, and should not be missed. Treatment by tonsillo-styloidectomy produces satisfactory results in stylalgia.
https://ijorl.mums.ac.ir/article_11757_9a473510406b541a6b0896c367fa917c.pdf
2018-11-01
335
340
10.22038/ijorl.2018.21760.1787
Chronic throat pain
Eagle’s syndrome
Stylalgia
Tonsillo-styloidectomy
Visual Analog Scale
Pregabalin
Junaid
Malik
drjunaidnasim@yahoo.co.in
1
Department of Otorhinolaryngology and Head and Neck Surgery, Hamdard Institute of Medical Sciences and Research and HAHC Hospital, Jamia Hamdard university, Hamdard Nagar, Delhi-110062, India.
LEAD_AUTHOR
Seema
Monga
dr.seema.monga@gmail.com
2
Department of Otorhinolaryngology and Head and Neck Surgery, Hamdard Institute of Medical Sciences and Research and HAHC Hospital, Jamia Hamdard university, Hamdard Nagar, Delhi-110062, India.
AUTHOR
Arun
Sharma
drarunparkashsharma74@gmail.com
3
Department of Otorhinolaryngology and Head and Neck Surgery, Hamdard Institute of Medical Sciences and Research and HAHC Hospital, Jamia Hamdard university, Hamdard Nagar, Delhi-110062, India.
AUTHOR
Nighat
Nabi
drnighatnabi@gmail.com
4
Department of Otorhinolaryngology and Head and Neck Surgery, Hamdard Institute of Medical Sciences and Research and HAHC Hospital, Jamia Hamdard university, Hamdard Nagar, Delhi-110062, India.
AUTHOR
Khaja
Naseeruddin
drkhajanaseeruddin@gamil.com
5
Department of Otorhinolaryngology and Head and Neck Surgery, Hamdard Institute of Medical Sciences and Research and HAHC Hospital, Jamia Hamdard university, Hamdard Nagar, Delhi-110062, India.
AUTHOR
1. Eagle WW. Elongated styloid process. Arch Otolaryngol. 1948; 47:639-40.
1
2.Singhania A A, Chauhan NV, George A, Rathwala K. Lidocine Infiltration Test: An Useful Test in the Prediction of Results of Styloidectomy for Eagle’s Syndrome. Indian J Otolaryngol Head Neck Surg. 2013; 65:20-3.
2
3. Naik SM, Naik SS. Tonsillo-Styloidectomy for Eagle’s Syndrome: A Review of 15 cases in KVG Medical College Sullia. Oman Med J. 2011; 26920: 122-6.
3
4. Yavuz H, Caylakli F, Yildiram T, Ozluoglu LN. Angulation of the styloid process in Eagle’s syndrome. Eur Arch Otorhinolaryngol. 2008; 265: 1393-6.
4
5. Eagle WW. Elongated styloid process: Symptoms and treatment. AMA Arch Otolaryngol 1958; 67:172–6.
5
6. Bozkir MG, Boga H, Dere F. The evaluation of elongated styloid process in panoramic radiographs in edentulous patients. Turk J Med Sci. 1999; 29:481–5.
6
7. Kaufman SM, Elzay RP, Irish EF. Styloid process variation. Radiologic and clinical study. Arch Otolaryngol 1970; 91:460–3.
7
8. Correll RW, Jensen JL, Taylor JB, Rhyne RR. Mineralization of the stylohyoid-stylomandibular ligament complex: A radiographic incidence study. Oral Surg Oral Med Oral Pathol 1979; 48:286–91.
8
9. Rizzatti-Barbosa CM, Ribeiro MC, Silva-Concilio LR, Di Hipolito O, Ambrosano GM. Is an elongated stylohyoid process prevalent in the elderly? A radiographic study in a Brazilian population. Gerodontology 2005;22:112–15.
9
10. Keur JJ, Campbell JPS, McCarthy JF, Ralph WJ. The clinical significance of the elongated styloid process. Oral Surg 1986; 61: 399–404.
10
11. Montalbetti L, Ferrandi D, Pergami P, Savaldi F. Elongated styloid process and Eagle’s syndrome. Cephalgia. 1995; 15: 80–93.
11
12. Murtagh RD, Caracciolo JT, Fernandez G. CT findings associated with Eagle syndrome. Am J Neuroradiol. 2001; 22(7): 1401–2.
12
13. Harma R. Stylalgia: Clinical experience of 52 cases. Acta Otolaryngol.1966; 224:149-55.
13
14. Jan A. Stylohyoid syndrome. J Pak Med Assoc 1989; 39:23.
14
15. Liu SH, Wang Y, Zhang RH, Liu SY, Peng HH. Diagnosis and treatment of 23 cases with stylohyoid syndrome. Shanghai Kou Qiang Yi Xue 2005; 14:223–6.
15
16. Unlu Z, Orguc S, Eskiizmir G, Aslan A, Bayindir P. Elongated styloid process and cervical spondylosis. Clin Med Case Rep 2008; I:57–64.
16
17. Steinmann EP. Styloid syndrome in the absence of an elongated process. Acta Otolaryngol 1968; 66: 347–56.
17
18. Maru YK, Patidar K. Styalgia and its surgical management by intra oral route- clinical experience of 332 cases. Indian J Otolaryngol Head Neck Surg. 2003;55(2):87–90.
18
19. Singh R, Galagali JR.Tonsillostyloidectomy for Eagle’s syndrome: a study of 20 cases. Int J Otorhinolaryngol Head Neck Surg. 2016; 2(1):22-5.
19
20. Yadav SP, Chanda R, Gera A, Yadav RK. Stylalgia: An Indian perspective.J Otolaryngol 2001; 30:304–6.
20
21. Piagkou M, Anagnostopoulou S, Kouladouros K, Piagkos G. Eagle’s Syndrome: A Review of the Literature. Clin Anat 2009; 22: 545–58.
21
ORIGINAL_ARTICLE
Determinants of Failure in the Reconstruction of the Tympanic Membrane: A Case-Control Study
Introduction: The recurrence rate after tympanoplasty is variable between 0% and 50%. The causes of failure may be different and frequently interrelated, making the surgical choice difficult and the prognosis not always favourable. In this study, we analysed recurrence rate and the possible causes of failure of tympanoplasty in the treatment of tympanic perforations. Materials and Methods: This prospective case-control study was carried out on patients undergoing tympanoplasty. The main outcome was closure of the tympanic membrane. Results: Among the studied 72 patients, the overall recurrence rate was 19.4%. The average follow-up was 28 months; no recurrence was observed over 12 months of follow-up. We observed a recurrence of 30.7% (OR 2.9) in near total perforations. In 32 subjects with a perforation of over half size of the membrane, a recurrence rate of 31.2% was noted (OR 4.09; P< 0.05). In 22 out of the 72 patients, there was a bilateral chronic otitis where the rate of recurrence was 27.2% (OR 1.9). During the postoperative period, 10 patients contracted infection of the middle/external ear, and in all of these cases failure of the surgical intervention was recorded (P<0.01). Conclusion: The rate of recurrence is closely related to several factors that may be concomitant and therefore, worsen the prognosis. Perforations that affect more than 50% of the tympanic surface are related to a higher rate of failure and are often associated with one of the two conditions previously described. Postoperative infection is the most significant risk factor for recurrence.
https://ijorl.mums.ac.ir/article_11758_a11ff162d6431bcb0647077b710d3128.pdf
2018-11-01
341
346
10.22038/ijorl.2018.30566.1999
Chronic otitis
Ear
Myringoplasty
Middel ear
Surgery
Tympanoplasty
Francesco
Dispenza
francesco.dispenza@gmail.com
1
Department of Otorhinolaryngology, A.O.U.P. “Paolo Giaccone”, Palermo, Italy.
LEAD_AUTHOR
Alessia Maria
Battaglia
alessia.battaglia@libero.it
2
Department of Bio.Ne.C, University of Palermo, Palermo, Italy.
AUTHOR
Pietro
Salvago
pietrosalvago@libero.it
3
Department of Bio.Ne.C, University of Palermo, Palermo, Italy.
AUTHOR
Francesco
Martines
francesco.martines@unipa.it
4
Department of Bio.Ne.C, University of Palermo, Palermo, Italy.
AUTHOR
1. Ringenberg JC. Closure of tympanic membrane perforations by the use of fat. Laryngoscope. 1978; 88(6):982-93.
1
2. Wullstein H. Theory and practice of tympanoplasty. Laryngoscope. 1956;66:1076–93.
2
3. Mudry A. History of myringoplasty and tympanoplasty type I. Otolaryngol Head Neck Surg. 2008; 139:613–4.
3
4. Tan HE, Santa Maria PL, Eikelboom RH, Anandacoomaraswamy KS, Atlas MD. Type I Tympanoplasty Meta-Analysis: A Single Variable Analysis. Otol Neurotol. 2016;37(7):838-46.
4
5. Kouhi A, Khorsandi Ashthiani MT, Jalali MM. Results of Type I Tympanoplasty Using Fascia with or without Cartilage Reinforcement: 10 Years' Experience. Iranian journal of otorhinolaryngology. 2018; 30(97):103-6.
5
6. Salviz M, Bayram O, Bayram AA, Balikci HH, Chatzi T, Paltura C, et al. Prognostic factors in type I tympanoplasty. Auris Nasus Larynx. 2015;42(1): 20-3.
6
7. Uguz MZ, Onal K, Kazikdas KC, Onal A. The influence of smoking on success of tympanoplasty measured by serum cotinine analysis. Eur Arch Otorhinolaryngol. 2008;265(5):513-6.
7
8. Gibb AG, Chang SK. Myringoplasty (a review of 365 operations). J Laryngol Otol. 1982;96:915–30.
8
9. Vartiainen E, Karja J, Karjalainen S, Harma R. Failures in myringoplasty. Archives of oto-rhino-laryngology. 1985;242(1):27-33.
9
10. Jurovitzki I, Sade J. Myringoplasty: long-term followup. Am J Otol. 1988; 9: 52-5.
10
11. Y AW, White B. Type I tympanoplasty: influencing factors. Laryngoscope. 1984;94:916–8.
11
12. Ophir D, Porat M, Marshak G. Myringoplasty in the pediatric population. Arch Otolaryngol Head Neck Surg. 1987;113:1288–90.
12
13. Uzun C, Caye-Thomasen P, Andersen J, Tos M. Eustachian tube patency andvfunction in tympanoplasty with cartilage palisades or fascia after cholesteatoma surgery. Otol Neurotol. 2004; 25: 864–72.
13
14. Hair Krishna P, Sobha Devi T. Clinical study of influence of prognostic factors on the outcome of tympanoplasty surgery. J Dent Med Sci. 2013; 5: 41–5.
14
15. Dispenza F, Bennici E, Bianchini S, Scarnà CG, Costantino C, Singh M, et al. Fat plug myringoplasty: Analysis of a safe procedure for small tympanic perforations. EuroMediterranean Biomedical Journal. 2015;10(3):87-92.
15
16. Heo KW. Outcomes of type I tympanoplasty using a cartilage shield graft in patients with poor prognostic factors. Auris Nasus Larynx. 2017; 44(5): 517-21.
16
17. de Freitas MR, de Oliveira TC. The role of different types of grafts in tympanoplasty. Braz J Otorhinolaryngol. 2014;80(4):275-6.
17
18. Yegin Y, Celik M, Koc AK, Kufeciler L, Elbistanli MS, Kayhan FT. Comparison of temporalis fascia muscle and full-thickness cartilage grafts in type 1 pediatric tympanoplasties. Braz J Otorhinolaryngol. 2016;82(6):695-701.
18
ORIGINAL_ARTICLE
Eosinophilic Mucin Rhinosinusitis in Iranian Patients Undergoing Endoscopic Sinus Surgery
Introduction: Eosinophilic mucin rhinosinusitis is a type of chronic rhinosinusitis (CRS). Diagnosis and treatment of this condition play a significant role in reducing the patients’ clinical symptoms. This type of rhinosinusitis has a higher relapse rate, compared to the other types. This disease is more resistant to treatment and more dependent on corticosteroid therapy, compared to the other types of rhinosinusitis. Regarding this, the present study was designed to evaluate the frequency of eosinophilic mucin rhinosinusitis in patients undergoing sinus surgery in a tertiary referral center and examine some clinical and laboratory characteristics regarding this type of rhinosinusitis. Materials and Methods: This cross-sectional observational study was performed on patients over the age of 16 years, who were diagnosed with CRS in the otolaryngology clinic of a referral tertiary-level hospital, and were candidates for endoscopic sinus surgery. Based on the detection of eosinophilic mucin, the subjects were divided into two groups of eosinophilic mucin and non-eosinophilic mucin rhinosinusitis (controls). The groups were compared in terms of sino-nasal outcome test (SNOT-22) scores, Lund-Mackay staging scores, osteitis status, immunoglobulin E (IgE) level, and eosinophilia. Results: In this study, 46 subjects participated, 29 (63%) cases of whom had eosinophilic mucin. The SNOT-22 score and serum IgE level were significantly higher in the eosinophilic mucin group, compared to those in the control group. Osteitis and Lund-Mackay scores were also higher in the eosinophilic mucin group than those in the control group; however, this difference was not statistically significant. Conclusion: Patients with eosinophilic mucin rhinosinusitis showed a more severe clinical involvement. Seemingly, the Iranian patients have a lower and higher frequency of eosinophilic mucin rhinosinusitis, compared to the patients from the Western countries and East Asia, respectively.
https://ijorl.mums.ac.ir/article_11763_70c62d022d4f307d2b45ecfb0fb24077.pdf
2018-11-01
347
353
10.22038/ijorl.2018.30430.1996
Chronic
Eosinophilic
Rhinitis
IgE
Sinusitis
Mucin
Nasal Polyps
Osteitis
Jahangir
Ghorbani
jghorbani@sbmu.ac.ir
1
Chronic Respiratory Diseases Research Center,National Research Institute of Tubeclosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
AUTHOR
Ali
Hosseini Vajari
ahvhosseini@gmail.com
2
Department of Otolaryngology,DR. Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
AUTHOR
Guitti
Pourdowlat
pourdowlat_g@yahoo.com
3
Chronic Respiratory Diseases Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
AUTHOR
Parisa
Ghasemi
lusin_83@yahoo.com
4
Department of Otolaryngology,DR. Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
LEAD_AUTHOR
Yousef
Eskandari
5
Department of Otolaryngology,DR. Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
AUTHOR
Keyvan
Ghasemi
6
Medical student ,Student Research Committee,Arak University of Medical Sciences, Arak ,Iran.
AUTHOR
1. Bhattacharyya N. Contemporary assessment of the disease burden of sinusitis. American journal of rhinology & allergy, 2009; 23(4): 392-5.
1
2. Tomassen P, Vandeplas G, Van Zele T, Cardell LO, Arebro J, Olze H, et al. Inflammatory endotypes of chronic rhinosinusitis based on cluster analysis of biomarkers. J Allergy Clin Immunol, 2016; 137: 1449-56.
2
3. Akdis CA, Bachert C, Cingi C, Dykewicz MS, Hellings PW, Naclerio RM, et al. Endotypes and phenotypes of chronic rhinosinusitis: A PRACTALL document of the European Academy of Allergy and Clinical Immunology and the American Academy of Allergy, Asthma & Immunology. J Allergy Clin Immunol, 2013; 131: 1479- 90.
3
4. Ryan MW. Diseases associated with chronic rhinosinusitis: what is the significance? Current opinion in otolaryngology & head and neck surgery. 2008; 16(3): 231-6.
4
5. Poznanovic SA, Kingdom TT. Total Ige levels and peripheral Eosinophilia correlation with mucosal diseases based on computed tomographic imaging of the paranasal sinus. Arch Otolaryngol Head Neck Surg. 2007; 133(7): 701-4.
5
6. Ponikau JU, Sherris DA, Kephart GM, Kern EB, Congdon DJ, Adolphson CR. Striking deposition of toxic eosinophil major basic protein in mucus: Implications for chronic rhinosinusitis. J Allergy Clin Immunol, 2005; 116: 362-9.
6
7. Ramadan HH, Quraishi HA. Allergic mucin sinusitis without fungus. American journal of rhinology. 1997; 11(2): 145-7.
7
8. Piao YS, Jin YL, Li X, Zhou Q, Wang AL, Liu HG. Clinicopathologic evaluation of 36 cases of allergic fungal sinusitis.Zhonghua Bing Li XueZaZhi. 2009; 38(2): 95-9.
8
9. Pant H, Kette FE, Smith WB, Macardle PJ, Wormald PJ. Eosinophilic Mucus Chronic Rhinosinusitis: Clinical Subgroups or a Homogeneous Pathogenic Entity? Laryngoscope. 2006; 116: 1241–7.
9
10. Lara JF, Gomez JD. Allergic mucin with and without fungus: a comparative clinicopathologic analysis. Archives of pathology & laboratory medicine, 2001; 125(11): 1442-7.
10
11. Kern EB, Sherris D, Stergiou AM, Katz LM, Rosenblatt LC, Ponikau J. Diagnosis and treatment of chronic rhinosinusitis: focus on intranasal Amphotericin B.TherClin Risk Manag. 2007; 3(2): 319-25.
11
12. Lee SH, Kim HJ, Lee JW, Yoon YH, Kim YM, Rha KS. Categorization and Clinicopathological Features of Chronic Rhinosinusitis With Eosinophilic Mucin in a Korean Population. Clinical and Experimental Otorhinolaryn-gology.2015; 18(1): 39-45.
12
13. N Uri, O Ronen, T Marshak, O Parpara, M Nashashibi, M Gruber.Allergic fungal sinusitis and eosinophilic mucin Rhinosinusitis: diagnostic criteria. The Journal of Laryngology & Otology. 2013; 127: 867–71.
13
14. Meltzer EO, Hamilos DL, Hadley JA, Lanza DC, Marple BF, Nicklas RA, et al. Rhinosinusitis: Establishing definitions for clinical research and patient care. Otolaryngology–Head and Neck Surgery. 2004; 131(6): 1-62.
14
15. Jalessi M, Farhadi M, Kamrava SK, Amintehran E, Asghari A, Rezaei Hemami M
15
et al. The Reliability and Validity of the Persian Version of Sinonasal Outcome Test 22 (Snot22) Questionnaires. Iran Red Crescent Med J.2013; 15(5): 404-8.
16
16. Georgalas C, Videler W, Freling N.Global osteitis scoring scaleand chronic rhinosinusitis: a marker of revision surgery. Clin. Otolaryngol. 2010; 35:455-61
17
17. Braun H, Buzina W, Freudenschuss K, Beham A, Stammberger H. Eosinophilic Fungal Rhinosinusitis: A Common Disorder in Europe? Laryngoscope.2003;113: 264-9.
18
18. Ferguson BJ. Eosinophilic mucin rhinosinusitis: a distinct clinicopathological entity. The Laryngoscope. 2000; 110(5):799-813.
19
19. Ponikau JU, Sherris DA, Kern EB, Homburger HA, Frigas E, Gaffey TA, et al. The Diagnosis and Incidence of Allergic Fungal Sinusitis. Mayo Clin Proc.1999; 74:877-84.
20
20. Cao PP, Li HB, Wang BF, Wang SB, You XJ, Cui YH, et al. Distinct immunopathologic characteristics of various types of chronic rhinosinusitis in adult Chinese. American Academy of Allergy, Asthma & Immunology.2009. 124: 478-83.
21
21. Zhang N, Holtappels G, Claeys C, Huang G, van Cauwenberge P, Bachert C. Pattern of inflammation and impact of Staphylococcus aureus enterotoxins in nasal polyps from southern China. American Journal of Rhinology. 2016; 13:34:56.
22
22. Aeumjaturapat S, ISIPRADIT P, Saengpanich S, KeelawatS. Eosinophilic Mucin Rhinosinusitis nicopathological Presentation. J Med Assoc Thai. 2003; 86: 420-4.
23
23. Ikeda K, Shiozawa A, Ono N, Kusunoki T, Hirotsu M, Homma H, et al. Subclassification of Chronic Rhinosinusitis With Nasal Polyp Based on Eosinophil and Neutrophil. Laryngoscope.2013;123: 1–9.
24
24. Sakuma Y, Ishitoya J, Komatsu M, Shiono O, Hirama M, Yamashita Y, et al. New clinical diagnostic criteria for eosinophilic chronic rhinosinusitis.Auris Nasus Larynx .2011;38 :583–8.
25
25. Kato A. Immunopathologyof chronic rhinosinusitis. Allergology International, 2015; 64(2):121-130.
26
ORIGINAL_ARTICLE
Immature Teratoma of Nasal Septum: A Case Report
Introduction: Teratomas are neoplastic tumors derived from totipotent germ cells containing a wide assortment of tissues originating from all three germ cell layers. Teratomas can be mature or immature depending on the presence of immature tissues; typically neuroepithelial tissue. Immature teratomas can be oncologically benign or malignant, and can be divided into three grades with increasingly aggressive biological behavior. The most common site for this tumor is the sacrococcygeal region. The nasal septum is an exceptionally rare site for immature teratomas, with very few cases reported. Case Report: We discuss a 14-year-old male patient with a left nasal mass which, on histopathological examination, turned out to be a Grade-3 immature teratoma. Imaging revealed the mass to be confined in the left nasal cavity with erosion of the anterior skull base. During endoscopic excision, the tumor was seen extending intracranially but remaining extradurally. Complete resection was achieved, albeit with mild cerebrospinal fluid (CSF) leakage, which was closed successfully. The patient was subjected to adjuvant chemotherapy. A regular follow-up of 2 years showed no recurrence. Conclusion: The purpose of this report is to document the first case of a high-grade immature teratoma arising from the nasal septum with intracranial extension, as well as the efficacy of combined endoscopic resection and adjuvant chemotherapy for this pathology.
https://ijorl.mums.ac.ir/article_11764_49ffe595543f93564f162fe3a9f834f4.pdf
2018-11-01
355
359
10.22038/ijorl.2018.23621.1776
chemotherapy
Endoscopic management
High-grade tumor
Immature teratoma
Nasal septum
Subhro
Ganguly
drsubhro.ganguly1@gmail.com
1
Department of Otorhinolaryngology, Topiwala National Medical College and BYL Nair Hospital, Mumbai, Maharashtra, India.
LEAD_AUTHOR
Surendra
Gawarle
surendragawarle@gmail.com
2
Department of Otorhinolaryngology, Shri Vasantrao Naik Government Medical College, Yavatmal, Maharashtra, India.
AUTHOR
Prashant
Keche
prashantkeche@gmail.com
3
Department of Otorhinolaryngology, Aurangabad Government Medical College, Aurangabad, Maharashtra, India.
AUTHOR
1. Duwe BV, Sterman DH, Musani AI: Tumors of the mediastinum. Chest. 2005;128:2893-909.
1
2. Moreddu E, Pereira J, Vaz R et al. Combined endonasal and neurosurgical resection of a congenital teratoma with pharyngeal, intracranial and orbital extension:Case report, surgical technique and review of the literature. International Journal of Pediatric Otorhinolaryngology. 2015; 79: 1991-4
2
3. Martino F, Avila LF, Encinas JL et al: Teratoma of the neck and mediastinum in children. Pediatr Surg Int. 2006 ;22(8):627-34.
3
4. Barnes L, Eveson J, Reichart P, Sidransky D: Pathology and genetics of head and neck tumors. In Germ Cell Tumours. 3rd edition. Edited by Cardesa A, Luna M. France: IARC Press; 2005:76–9.
4
5. Ibekwe TS, Kokong DD, Ngwu BA, Akinyemi OA, Nwaorgu OG, Akang EE. Nasal septal teratoma in a child. World J Surg Oncol 2007;5:58.
5
6. Aggarwal S K, Keshri A, Agarwal P. Immature teratoma of the nose and paranasal sinuses masquerading as bilateral nasal polyposis: A unique presentation. J Postgrad Med 2013;59:138-41.
6
7. Sreetharan SS, Prepageran N. Benign teratoma of the nasal cavity. Med J Malaysia 2004; 59(5): 678-9.
7
8. Shetty SC, Gupta S, Cherian M, Chary G, Shariff S. Mature teratoma of the nasal vestibule: A case report. Ear Nose Throat J 2000;79:620-3.
8
9. Norris HJ, Zirkin HJ, Benson WL. Immature (malignant) teratoma of the ovary: a clinical and pathologic study of 58 cases. Cancer. 1976; 37(5): 2359-72.
9
10. Costa CC, Guimarães VD, Moura FS,Chediack MN, Fernandes EJ. Mature teratoma of the nasopharynx.Braz J Otorhinolaryngol2014;80:544-5.
10
11. Schuster D, Riley KO, Cure JK, et al. Endoscopic resection of intracranial dermoid cysts. J Laryngol Otol 2011;125(4):423–7.
11
12. Cukurova I, Gumussoy M, Yaz A, Bayol U, Yigitbasi OG. A benign teratoma presenting as an obstruction of the nasal cavity: a case report. Journal of Medical Case Reports. 2012; 6:147
12
13. Pectasides D, Pectasides E, Kassanos D. Anti tumour treatment. Germ cell tumors of the ovary. Cancer Treat Rev. 2008;34:427-41.
13
14. Alwazzan AB, Popowich S, Dean E, Robinson C, Lotocki R, Altman AD. Pure Immature Teratoma of the Ovary in Adults: Thirty-Year Experience of a Single Tertiary Care Center. International Journal of Gynecological Cancer. 2015; 25(9):1616-22.
14
ORIGINAL_ARTICLE
Metastatic Adenocarcinoma of Temporal Bone with Collet-Sicard Syndrome
Introduction: Metastatic tumors of the temporal bone are extremely rare. Collet-Sicard syndrome is an uncommon condition characterized by unilateral palsy of the lower four cranial nerves. The clinical features of temporal bone metastasis are nonspecific and mimic infections such as chronic otitis media and mastoiditis. Case Report: This report describes a rare case of metastatic adenocarcinoma of the temporal bone causing Collet-Sicard syndrome, presenting with hearing loss, headache and ipsilateral cranial nerve palsies. The patient was a 68-year old woman initially diagnosed with extensive mastoiditis and later confirmed as having metastatic adenocarcinoma of the temporal bone, based on histopathologic findings. Conclusion: Clinical presentation of metastatic carcinoma of the temporal bone can be overshadowed by infective or inflammatory conditions. This case report is to emphasize the point that a high index of clinical suspicion is necessary for the early diagnosis of this aggressive disease which carries relatively poor prognosis. This report highlights that it is crucial to suspect malignant neoplasm in patients with hearing loss, headache and cranial nerve palsies.
https://ijorl.mums.ac.ir/article_11765_4014c92c0b1f616505f650b3fbe0443d.pdf
2018-11-01
361
364
10.22038/ijorl.2017.24308.1796
Adenocarcinoma
Collet-Sicard syndrome
Cranial nerve palsies
Computed Tomography
18F-FDG PET-CT (18 Fluorodeoxyglucose Positron Emission Tomography Computerised Tomography)
Metastasis
Temporal bone
Sethu
Subha
subhast2@yahoo.com
1
Department of Otorhinolaryngology, University Putra Malaysia (UPM), Selangor, Malaysia.
LEAD_AUTHOR
Abdul-Jalil
Nordin
drimaging@yahoo.com
2
Department of Otorhinolaryngology, University Putra Malaysia (UPM), Selangor, Malaysia.
AUTHOR
1. Streitmann M, Sismanis A. Metastatic carcinoma of the temporal bone. Am J Otol 1996;17:780–3.
1
2. Lan MY, Shiao AS, Li WY. Facial paralysis caused by metastasis of breast carcinoma to the temporal bone. J Chin Med Assoc 2004;67:587–90.
2
3. Kedjanyi WK, Bath AP, Ball RY, Hosni AA, Wickstead M. Metastatic adenocarcinoma of the temporal bone. J Laryngol Otol 1994;108:710–12.
3
4. Villatoro R, Romero C Rueda A. Collet-Sicard syndrome as an initial presentation of prostate cancer: a case report. J Med Case Rep2011;5:1–3.
4
5. Hayward D, Morgan C , Emami B, Biller J, Prabhu VC. Jugular foramen syndrome as initial presentation of metastatic lung cancer. J Neurol Surg Rep 2012;73:14–18.
5
6. Hosokawa S, Mizuta K, Iwasaki S, Araki S, Takebayashi S, Mineta H. A rare case of metastasis to the temporal bone from prostate adenocarcinoma. Int J Head Neck Surg 2006;1(2).
6
7. Hill BA, Kohut RI. Metastatic adenocarcinoma of the temporal bone. Arch Otolaryngol 1976;102: 568–71.
7
8. Suryanarayanan R, Dezso A, Ramsden RT, Gillespie JE. Metastatic carcinoma mimicking a facial nerve schwannoma: the role of computerized tomography in diagnosis J Laryngol Otol 2005; 119:1010–12.
8
9. Wynn A, John CJ, David JP, Kathryn C, David ES. Primary Adenocarcinoma of the Middle Ear. AJNR 1982;3:674–6.
9
10. Tsakiropoulou E, Fyrmpas G, Konstantinidis I, Efstratiou I, Constantinidis I. Temporal bone metastasis from breast carcinoma. Otorhinolaryngol Head Neck Surg 2013;52:30–2.
10
11. Erynne AF, Hal R, Rihan K, Abraham J. Metastatic prostate cancer to the left temporal bone: a case report and review of the literature. Case reports in Otolaryngology Hindawi Publishing Corporation. 2015;article ID 250312, 8 pages.
11
12. Tot T. Cytokeratins 20 and 7 as biomarkers: usefulness in discriminating primary from metastatic adenocarcinoma. Eur J Cancer. 2002; 38:758–63.
12
13. Belal A Jr. Metastatic tumors of the temporal bone A histopathological report. J Laryngol Otol 1985;99:839–46.
13
ORIGINAL_ARTICLE
A Rare Penetrating Trauma of Both Orbit and Nasal Cavity
Introduction: Diagnosis of orbital foreign body (FB) penetration is usually obvious when part of the FB is still attached at the entry wound (1). However, the depth and course of the FB in this case was not visible. Case Report: A 5-year old female presented with a pencil penetrating the left orbit. A computed tomography (CT) scan showed that the pencil penetrated the left orbit (extraseptal) through the lacrimal bone to the left nasal cavity, then perforated the nasal septum, crossing the right nasal cavity. Finally, the pencil penetrated the lamina paperatea to the right orbit and stopped near the right optic nerve. The pencil was gently removed under general anesthesia with close observation of the eyes. Conclusion: A case of a pencil penetrating both orbits and nasal cavities was reported, and the pencil was safely removed. This draws attention to the possible penetration power of a pencil, with the possibility of injury to the orbit and optic nerve on the opposite side of the penetration. It also demonstrates the feasibility of safe removal.
https://ijorl.mums.ac.ir/article_11766_5b94fc3cc87aa3570f0faa588201cbea.pdf
2018-11-01
365
367
10.22038/ijorl.2017.24440.1799
Foreign body
Nose
Orbit
Pencil
Septum
Mohammad-Waheed
El-Anwar
mwenteg1973@gmail.com
1
Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
LEAD_AUTHOR
1. Turbin RE, Maxwell DN, Langer PD, Frohman L, Hubbi B, Wolansky L, et al. Patterns of transorbital intracranial injury: a review and comparison of occult and non-occult cases. Surv Ophthalmol 2006; 51:449–60.
1
2. Gazzaz M, Lmejjati M, Akhaddar A, Derraz S, Aghzadi, El Khamlechi A. Paediatric penetrating orbitocranial injury with a pencil-a report of two cases. Pan Arab J Neurosurg 2000;4:2.
2
3. Bulbuliaa A, Rouxb P, Asholic A, Bulbuliad N. An unusual case of a penetrating wound of the orbit. South African Optometrist 2006;65:75–77.
3
4. Long J, Tann T. Orbital trauma. Ophthamol Clin North Am 2002;15:249–53.
4
5. Al-Otaibi F, Baeesa S. Occult orbitocranial penetrating pencil injury in a child. Case Rep Surg 2012; 2012:716791.
5
6. Tenenholz T, Baxter AB1, McKhann GM. Orbital assault with a pencil: evaluating vascular injury. AJR Am J Roentgenol. 1999:173:144.
6
ORIGINAL_ARTICLE
Cornelia De Lange Syndrome and Cochlear Implantation
Introduction: Literature regarding the different degrees of hearing loss in patients with Cornelia de Lange syndrome (CDLS) reports that half of the affected patients exhibit severe to profound sensorineural hearing loss. We present the first pre-school child with CDLS who underwent cochlear implantation for congenital profound sensorineural hearing loss. Case Report: A 3-year-old boy with CDLS underwent unilateral cochlear implantation for bilateral profound sensorineural hearing loss. He had characteristic facial features, bushy eyebrows and synophrys, limb anomalies, growth and mental retardation. Based on the results of postoperative speech perception and production tests, his gain in language skills and expressive vocabulary was modest. However, a cochlear implantation had a significant effect on auditory development, in terms of making him aware of sound localization and the different types of environmental sound. Conclusion: Criteria for cochlear implantation are expanding and now include children with disabilities in addition to deafness, such as those with CDLS. Profoundly hearing-impaired children affected by borderline mental retardation should be considered as potential candidates for cochlear implantation.
https://ijorl.mums.ac.ir/article_11767_731f2d23917492221c98aff08faed8f3.pdf
2018-11-01
369
373
10.22038/ijorl.2018.25075.1813
Cochlear Implantation
De Lange Syndrome
Hearing Loss
Child
Preschool
George
Psillas
psill@otenet.gr
1
Ist Academic ENT Department, AHEPA Hospital, Aristotle University of Thessaloniki
LEAD_AUTHOR
Stefanos
Triaridis
triaridis@hotmail.com
2
1st Academic ENT Department, AHEPA Hospital, Aristotle University of Thessaloniki
AUTHOR
Vasiliki
Chatzigiannakidou
vasia.logo@gmail.com
3
1st Academic ENT Department, AHEPA Hospital, Aristotle University of Thessaloniki
AUTHOR
Jiannis
Constantinidis
janconst@otenet.gr
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1st Academic ENT Department, AHEPA Hospital, Aristotle University of Thessaloniki
AUTHOR
1. Kim J, Kim EY, Lee JS, Lee WS, Kim HN. Temporal bone CT findings in CDLS. AJNR Am J Neuroradiol. 2008; 29 (3): 569–73.
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2. Marres HA, Cremers CW, Jongbloet PH. Hearing levels in the CDLS. A report of seven cases. Int J Pediatr Otorhinolaryngol. 1989; 18 (1): 31–7.
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3. Ichiyama T, Hayashi T, Tanaka H, Nishikawa M, Furukawa S. Hearing impairment in two boys with CDLS. Brain Dev. 1994; 16 (6): 485–7.
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4. Kaga K, Tamai F, Kitazumi E, Kodama K. Auditory brainstem responses in children with CDLS. Int J Pediatr Otorhinolaryngol. 1995;31(2-3): 137–46.
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5. Sakai Y, Watanabe T, Kaga K. Auditory brainstem responses and usefulness of hearing aids in hearing impaired children with CDLS. Int J Pediatr Otorhinolaryngol. 2002; 66 (1): 63–9.
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6. Egelund EP. Congenital hearing loss in patients with CDLS (a report of two cases). J Laryngol Otol. 1987;101 (12):1276–9.
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7. Sataloff RT, Spiegel JR, Hawkshaw M, Epstein JM, Jackson L. CDLS. Otolaryngologic manifestations. Arch Otolaryngol Head Neck Surg. 1990; 116 (9): 1044–6.
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8. Rachovitsas D, Psillas G, Chatzigiannakidou V, Triaridis S, Constantinidis J, Vital V. Speech perception and production in children with inner ear malformations after cochlear implantation. Int J Pediatr Otorhinolaryngol. 2012; 76 (9): 1370–4.
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9. Pulec JL, Saadat D. Multichannel cochlear implantation in a child with Brachmann-de Lange syndrome. Otolaryngol Head Neck Surg. 1995; 113 (5): 641–3.
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10. Goodban MT. Survey of speech and language skills with prognostic indicators in 116 patients with CDLS. Am J Med Genet. 1993; 47 (7): 1059–63.
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11. Berney TP, Ireland M, Burn J. Behavioural phenotype of CDLS. Arch Dis Child 1999; 81 (4): 333–6.
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