ORIGINAL_ARTICLE
Validity and Reliability of Persian Smell Identification Test
Introduction:Smell Identification Tests (SIT) are routinely utilized for the clinical evaluation of olfactory function. Since Iran consists of various ethnic subgroups, the reliability and validity of this test as a national SIT are required to be evaluated across the country. Materials and Methods:This cross-sectional study evaluated the cultural adaptation of SIT administered to 420 healthy volunteers from 6 various ethnic subgroups (i.e., Fars, Turk, Kurd, Lor, Baluch, and Arab) living in 7 cities (one city for each subgroup, and Tehran [capital of Iran] with mixed ethnicities). The SIT consists of pens pre-filled with 24 odorants. The correct identification response rate was evaluated in all and each subgroup. The test was performed twice on 60 participants with a 2-week interval to assess its reliability. The SIT was further administered to 150 cases with documented abnormal olfactory function to evaluate its validity. Results:The correct identification response rate was estimated at 70% for all odorants in all and each subgroup. The mean odor identification score was 21.41±1.37 (score range: 17- 24) with no significant difference among various subgroups. Moreover, the test-retest correlation coefficient was obtained at 0.77. The mean odor identification score in patients with olfactory impairment was 10.69±3.76, which was significantly different from that in healthy participants (P<0.001). The best cut-point for the beginning of olfactory impairment was 17.5 (95% CI: 9-100, Sensitivity=99, Specificity=81). Females obtained higher scores of odor identification, compared to males (P=0.025). Conclusion:The results indicated the reliability and validity of the SIT, which can be used nationally for the assessment of olfactory function in various ethnic subgroups across the country.
https://ijorl.mums.ac.ir/article_14638_a2ff7f7436ec85a78c1b46ddb99523ff.pdf
2020-03-01
65
71
10.22038/ijorl.2019.35782.2180
identification
Iran
Olfaction Disorder
Smell
Seyed Kamran
Kamrava
skkamrava@gmail.com
1
ENT and Head and Neck Research Center and Department ,Hazrat Rasoul Hospital, the Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran.
AUTHOR
Maryam
Jalessi
dr.jalessi@gmail.com
2
Skull Base Research Center, Hazrat Rasoul Haspital, the Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran.
LEAD_AUTHOR
Sahand
GhalehBaghi
sahandgh65@gmail.com
3
ENT and Head and Neck Research Center and Department ,Hazrat Rasoul Hospital, the Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran.
AUTHOR
Elahe
Amini
elaheaminimd@gmail.com
4
Skull Base Research Center, Hazrat Rasoul Haspital, the Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran.
AUTHOR
Rafieh
Alizadeh
nafiseh.alizadeh@gmail.com
5
ENT and Head and Neck Research Center and Department ,Hazrat Rasoul Hospital, the Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran.
AUTHOR
Farhad
Rafiei
farhadrafiei90@gmail.com
6
ENT and Head and Neck Research Center and Department ,Hazrat Rasoul Hospital, the Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran.
AUTHOR
Sadaf
Moosa
moosasadaf@yahoo.com
7
Skull Base Research Center, Hazrat Rasoul Haspital, the Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran.
AUTHOR
Mohammad
Farhadi
farhadi28@yahoo.com
8
ENT and Head and Neck Research Center and Department ,Hazrat Rasoul Hospital, the Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran.
AUTHOR
Croy I, Nordin S, Hummel T. Olfactory disorders and quality of life—an updated review. Chemical senses. 2014;39(3):185-94.
1
Neuland C, Bitter T, Marschner H, Gudziol H, Guntinas‐Lichius O. Health‐related and specific olfaction‐related quality of life in patients with chronic functional anosmia or severe hyposmia. The Laryngoscope. 2011;121(4):867-72.
2
Zou Y-m, Lu D, Liu L-p, Zhang H-h, Zhou Y-y. Olfactory dysfunction in Alzheimer’s disease. Neuropsychiatric disease and treatment. 2016; 12:869.
3
Doty RL. Olfaction in Parkinson's disease and related disorders. Neurobiology of disease. 2012 46(3):527-52.
4
Eibenstein A, Fioretti A, Lena C, Rosati N, Amabile G, Fusetti M. Modern psychophysical tests to assess olfactory function. Neurological Sciences. 2005; 26(3):147-55.
5
Doty RL, Marcus A, William Lee W. Development of the 12‐item cross‐cultural smell identification test (CC‐SIT). The Laryngoscope. 1996; 106(3):353-6.
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Silveira-Moriyama L, Azevedo A, Ranvaud R, Barbosa ER, Doty RL, Lees AJ. Applying a new version of the Brazilian-Portuguese UPSIT smell test in Brazil. Arquivos de neuro-psiquiatria. 2010;68(5):700-5.
7
Konstantinidis I, Printza A, Genetzaki S, Mamali K, Kekes G, Constantinidis J. Cultural adaptation of an olfactory identification test: the Greek version of Sniffin'Sticks. Rhinology. 2008; 46(4): 292.
8
Kamrava SK, Farhadi M, Jalessi M, Khosravian B, Pousti B, Hemami MR. University of Pennsylvania smell identification on Iranian population. Iranian Red Crescent Medical Journal. 2014;16(1).
9
Kamrava SK, Jalessi M, Ebrahimnejad S, Ghalehbaghi S, Amini E, Asghari A, et al. Evaluation of culturally-familiar odorants for a Persian smell identification test. Iranian journal of otorhinolaryngology. 2018;30(96):19.
10
Frank RA, Dulay MF, Niergarth KA, Gesteland RC. A comparison of the sniff magnitude test and the University of Pennsylvania Smell Identification Test in children and nonnative English speakers.Physiology & behavior.2004;81(3):
11
Frank RA, Gesteland RC, Bailie J, Rybalsky K, Seiden A, Dulay MF. Characterization of the sniff magnitude test. Archives of Otolaryngology–Head & Neck Surgery. 2006; 132(5): 532-6.
12
Doty RL, Shaman P, Dann M. Development of the University of Pennsylvania Smell Identification Test: a standardized microencapsulated test of olfactory function. Physiology & behavior. 1984;32(3):489-502.
13
Ogihara H, Kobayashi M, Nishida K, Kitano M, Takeuchi K. Applicability of the cross-culturally modified University of Pennsylvania Smell Identification Test in a Japanese population. American journal of rhinology & allergy. 2011; 25(6):404-10.
14
Altundag A, Tekeli H, Salihoglu M, Cayonu M, Yasar H, Kendirli MT, et al. Cross-culturally modified University of Pennsylvania smell identification test for a Turkish population. American journal of rhinology & allergy. 2015; 29(5):e138-e41.
15
Jiang R-S, Kuo L-T, Wu S-H, Su M-C, Liang K-L. Validation of the applicability of the traditional Chinese version of the University of Pennsylvania Smell Identification Test in patients with chronic rhinosinusitis. Allergy & Rhinology. 2014; 5(1):ar. 2014.5. 0084.
16
Ashendorf L, Constantinou M, Duff K, McCaffrey RJ. Performance of community-dwelling adults ages 55 to 75 on the University of Pennsylvania Smell Identification Test: An item analysis.Applied neuropsychology.2005;12(1):24-9.
17
Jiang R-S, Su M-C, Liang K-L, Shiao J-Y, Wu S-H, Hsin C-H. A pilot study of a traditional Chinese version of the University of Pennsylvania Smell Identification Test for application in Taiwan. American journal of rhinology & allergy. 2010; 24(1):45-50.
18
Kondo H, Matsuda T, Hashiba M, Baba S. A study of the relationship between the T&T olfactometer and the University of Pennsylvania Smell Identification Test in a Japanese population. American journal of rhinology. 1998;12(5):353-8.
19
Taherkhani S, Moztarzadeh F, Seraj JM, Nazari SSH, Taherkhani F, Gharehdaghi J, et al. Iran Smell Identification Test (Iran-SIT): a Modified Version of the University of Pennsylvania Smell Identification Test (UPSIT) for Iranian Population. Chemosensory perception. 2015;8(4):183-91.
20
Hummel T, Sekinger B, Wolf SR, Pauli E, Kobal G. ‘Sniffin’sticks': olfactory performance assessed by the combined testing of odor identification, odor discrimination and olfactory threshold. Chemical senses. 1997;22(1):39-52.
21
Mackay-Sim A, Grant L, Owen C, Chant D, Silburn P. Australian norms for a quantitative olfactory function test. Journal of Clinical Neuroscience. 2004;11(8):874-9.
22
Yuan B-C, Lee P-L, Lee Y-L, Lin S-H, Shu C-H. Investigation of the Sniffin'Sticks olfactory test in Taiwan and comparison with different continents. Journal of the Chinese Medical Association. 2010;73(9):483-6.
23
Silveira‐Moriyama L, Sirisena D, Gamage P, Gamage R, de Silva R, Lees AJ. Adapting the Sniffin'Sticks to diagnose Parkinson's disease in Sri Lanka. Movement Disorders. 2009;24(8):1229-33.
24
Oleszkiewicz A, Taut M, Sorokowska A, Radwan A, Kamel R, Hummel T. Development of the Arabic version of the “Sniffin’Sticks” odor identification test. European Archives of Oto-Rhino-Laryngology. 2016;273(5):1179-84.
25
Sorokowska A, Schriever VA, Gudziol V, Hummel C, Hähner A, Iannilli E, et al. Changes of olfactory abilities in relation to age: odor identification in more than 1400 people aged 4 to 80 years. European archives of oto-rhino-laryngology. 2015;272(8):1937-44.
26
Doty RL, Cameron EL. Sex differences and reproductive hormone influences on human odor perception. Physiology & behavior. 2009; 97(2): 213-28.
27
Navarrete-Palacios E, Hudson R, Reyes-Guerrero G, Guevara-Guzmán R. Lower olfactory threshold during the ovulatory phase of the menstrual cycle. Biological psychology. 2003; 63(3): 269-79.
28
Nordin S, Broman DA, Olofsson JK, Wulff M. A longitudinal descriptive study of self-reported abnormal smell and taste perception in pregnant women. Chemical Senses. 2004;29(5):391-402.
29
Doty R, Hall J, Flickinger G, Sondheimer S. Cyclical changes in olfactory and auditory sensitivity during the menstrual cycle: no attenuation by oral contraceptive medication. 1982.
30
Shu C-H, Yuan B-C, Lin S-H, Lin C-Z. Cross-cultural application of the “Sniffin’Sticks” odor identification test. American journal of rhinology. 2007;21(5):570-3.
31
ORIGINAL_ARTICLE
Effect of Umbilical Cord Ferritin Level on Auditory Brainstem Response Threshold in Newborns
Introduction:Iron plays an important role in myelination. Ferritin is a reliable indicator of the tissue iron store and umbilical cord ferritin level reflects the in utero iron stores. Objective is to study the effect of the umbilical cord ferritin level on the ABR recording in the newborn. Materials and Methods:The study was conducted in a tertiary care hospital in India with a sample of 250. The study group was divided into Group A (with umbilical cord ferritin level of ≤ 75ng/ml) and Group B (umbilical cord ferritin level > 75ng/ml). Correlation analysis was carried out to study the relation between ferritin level and latency of wave I,III and V. Two sample t test was done between the two groups to study the significance of latency and amplitude of various ABR waves. Results: There was no correlation between the ferritin and ABR threshold as well as latency and amplitude of ABR waves. A significant prolongation of the absolute latency of wave V and the interwave latency of III – V and I –V of both the ears was found in Group A. The amplitude of the ABR waves did not show any statistical difference between the two groups. Conclusion: Ferritin levels effect the latency of wave V of ABR and this may be attributed to slow conduction time secondary to altered myelination. Measurement of serum ferritin may be considered as a routine protocol in newborn babies after delivery or before discharge from hospital.
https://ijorl.mums.ac.ir/article_14642_30e9dfeaddaeff6b5eeba5ca5d2aae33.pdf
2020-03-01
73
78
10.22038/ijorl.2019.35305.2163
amplitude
Evoked response audiometry
Ferritin
Iron
Myelination
New born
Wave latency
Umbilical cord blood
Soumyajit
Das
drsoumya_entamch@rediffmail.com
1
Department of ENT, Sikkim Manipal Institute of Medical Sciences, Sikkim Manipal University, 5th Mile, Tadong, Gangtok - 737102, Sikkim, India.
LEAD_AUTHOR
Suvamoy
Chakraborty
drsuvamoy@rediffmail.com
2
Department of ENT, Neigrihms, Shillong, India.
AUTHOR
Chamma
Gupta
chamma28feb@gmail.com
3
Department of Biochemistry. Sikkim Manipal Institute of Medical Sciences, Sikkim Manipal University, 5th Mile, Tadong, Gangtok -737102, Sikkim, India.
AUTHOR
Rachna
Lamichaney
creation_rl@hotmail.com
4
Department of Pathology, Sikkim Manipal Institute of Medical Sciences, Sikkim Manipal University,5th Mile, Tadong, Gangtok – 737102, Sikkim, India.
AUTHOR
Hafizur
Rahman
hafizezzy@gmail.com
5
Department of Obstetrics and Gynecology, Sikkim Manipal Institute of Medical Sciences, Sikkim Manipal University,5th Mile, Tadong, Gangtok – 737102, Sikkim, India.
AUTHOR
World Health Organisation. State of hearing and ear care in South East Asia Region. WHO regional office for South East Asia. Available at http://apps.searo. who.int/PDS_ DOCS/ B1466. pdf. Accessed April 22,2018.
1
National Sample Survey Organisation. Disabled persons in India. NSS 58th round ( July – December 2002 Report no. 485 (58/26/1). New Delhi: National Sample Survey Organization, Ministry of Statistics and Program Implementation. Government of India,2003.
2
National Family Health Survey (NFHS) -3, 2005-2006, Ministry of Health & Family Welfare, Govt. of India.
3
Pinero DJ, Connor JR. Iron in the Brain: An Important Contributor in Normal and Diseased States. The Neuroscientist.2000; 6(6);435-53.
4
Lozoff B. Iron deficiency and child development. Food Nutr Bull, 2007.28(4) (supplement).S560-71.
5
Tran TD, Biggs B-A, Tran T, Simpson JA, Hanieh S, Dwyer T. et al. Impact on Infants’ Cognitive Development of Antenatal Exposure to Iron Deficiency Disorder and Common Mental Disorders. PLoS ONE.2013. 8(9): e74876.
6
Amin SB, Orlando M, Eddins A, MacDonald M, Monczynski C, Wang H. In utero iron status and Auditory neural Maturation in Premature Infants as Evaluated by Auditory Brainstem Response. J Pediatr. 2010;156(3):377-81.
7
Lou J, Mai X, Lozoff B, Felt B, Kileny P, Zhao Z, et al. Prenatal Iron Deficiency and Auditory Brainstem Responses at 3 and 10 Months: A Pilot Study Hong Kong J Paediatr : 2016, 20(2),71-9.
8
Larkin EC, Rao GA. Importance of fetal and neonatal Iron: Adequacy for normal development of central nervous system. In Dobbing J, (ed),Brain Behavior and Iron in the infant diet: London Springer – Verlag 1990: 43-63.
9
Hill JM. Iron concentration reduced in ventral pallidum, globus pallidus and substantia nigraby GABA - transaminase inhibitor, gamma vinyl GABA. Brain Res 1985, 342(1). 18-25.
10
Lozoff B, Jimenez E, Hagen J, Mollen E, Wolf AW. Poor behavioural and development outcome more than 10 years after treatment of iron deficiency in infancy. Pediatrics. 2000; 105(4) E51.
11
Armony-Sivan R, Eidelman AI, Lanir A, Sredni D, Yehuda S. Iron status and neurobehavioral development of premature infants.J Perinatol. 2004; 24:757–62.
12
Jougleaux JL, Rioux FM, Church MW, Fiset S, Surette ME. Mild Maternal Iron deficiency during pregnancy and lactational guinea pig causes abnormal auditory fuction in the offspring. J Nutr. 2011; 141:1390 –5.
13
Fleming RE. Cord serum ferritin levels, fetal iron status, and neurodevelopmental outcomes: Correlations and confounding variables. J Pediatr. 2002; 140(2):145-8.
14
Lee DL, Strathmann FG, Gelein R, Walton J, Proschel MM. Iron Deficiency Disrupts Axon Maturation of the Developing Auditory Nerve. J Neurosci. 2012. 32(14):5010–15.
15
Shankar OP, Tandon R, Bandhu N, Madan S. Gomber. Brainstem auditory evoked potential responses in iron- deficient anemic children. Indian J Physiol Pharmacol. 2000; 44(3): 297– 303.
16
ElAlfy MS, El-Farrash RA, Taha HM, Ismail EAR, Mokhtar NA. Auditory brainstem response in full-term neonates born to mothers with iron deficiency anemia: relation to disease severity. J Matern Fetal NeonatalMed.2018, Nov 4:1-8. doi: 10.1080/14767058.2018.1533940
17
Pallone LV, Jesus FA, Goncalves GA, Navarra LC, Melo DG, Ferreira RA, et al. Effects of intrauterine latent iron deficiency on auditory neural maturation in full-term newborns. J Pediatr (Rio J). 2018. Oct 10. pii: S0021-7557(18)30770-8. doi: 10.1016/j.jped.2018.08.007.
18
Algarin C, Peirano P, Garrido M, Pizarro F, Lozoff B. Iron deficiency anemia in infancy: long-lasting effects on auditory and visual system functioning. Pediatr Res 2003.53(2).217-23.
19
Roncagliolo M, Garrido M, Walter T, Peirano P, Lozoff B. Evidence of altered central nervous system development in infants with iron deficiency anemia at 6 mo: delayed maturation of auditory brainstem responses. Am J Clin Nutr 1998;68: 683–90.
20
Moore JK, Perazzo LM, Braun A. Time course of axonal myelination in the human brainstem auditory pathway.Hear Res.1995;87(1-2): 21-31.
21
Lasky RE, Williams AL. The development of the auditory system from conception to term. Neo Reviews. 2005;6(3):e141-52.
22
Abadi S, Khanbabaee G, Sheibani K. Auditory Brainstem Response Wave Amplitude Characteristics as a Diagnostic Tool in Children with Speech Delay with Unknown Causes. Iran J Med Sci 2016; 41(5):415-421.
23
Jougleux JL, Rioux FM, Church MW, Fiset S, Surette ME. Mild iron deficiency anaemia during pregnancy and lactation in guinea pigs alters amplitudes and auditory nerve velocity, but not brainstem transmission times in the offspring’s auditory brainstem response. Nutr Neurosci.2014. 17(1):37-47.
24
ORIGINAL_ARTICLE
Cochlear Dysfunction in Chronic Otitis Media and Its Determinants
Introduction:Long-standing chronic otitis media (COM) may lead to sensorineural hearing loss (SNHL). The present study aimed to evaluate the factors affecting the sensorineural component to counsel patients regarding the risk of SNHL at the event of untreated COM. Material and Methods:A time-bound cross-sectional study was conducted in the Department of Otorhinolaryngology at a tertiary care hospital. The study population included the study group comprising 137 patients with chronic suppurative otitis media (CSOM) and the control group which consisted of 137 individuals with the same age range and gender as the case study group. Moreover, the hearing was assessed using a pure tone audiogram and specialtests of hearing. Results:Based on the findings of the present study,the SNHL was found in 71.4% of CSOM cases with an ear discharge duration of more than 5 years. The SNHL occurred in 55.2% and 44.7% of the cases with pars flaccida and of pars tensa perforations, respectively. In the case of pars tensa perforation, greater perforation size resulted in a steady increase in the odds of developing SNHL. Patients with subtotal and total perforations were at higher risk of developing SNHL. Conclusion:Patients with longer duration of disease, squamous type of disease, and larger size of pars tensa perforation had greater susceptibility to develop SNHL. Therefore, eradication ofthedisease from the middle ear and early reconstruction of the hearing mechanism duringthe course of the disease result in reducing the burden of SNHL.
https://ijorl.mums.ac.ir/article_14815_192573f1ad734c49d8bf0fa356da9cf1.pdf
2020-03-01
79
84
10.22038/ijorl.2019.35045.2158
Cochlear
Chronic otitis media
Sensorineural hearing loss
Vijayalakshmi
Subramaniam
vijisubbu@gmail.com
1
Department of Otorhinolaryngology, Yenepoya Medical College, Yenepoya Deemed to be University Mangalore -575018
AUTHOR
َAli
Ashkar
dr.ashkarali@gmail.com
2
Department of Otorhinolaryngology, Yenepoya Medical College, Yenepoya Deemed to be University Mangalore -575018
AUTHOR
Sheetal
Rai
sheetalrai81@yahoo.com
3
Department of Otorhinolaryngology, Yenepoya Medical College, Yenepoya Deemed to be University Mangalore -575018
LEAD_AUTHOR
References
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Fradis M, Brodsky A, Ben-David J, Srugo I, Larboni J, Podoshin L. Chronic otitis media treated topically with ciprofloxacin or tobramycin. Arch Otolaryngol Head Neck Surg. 1997; 123(10): 1057-60.
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Hamilton J. Chronic otitis media in childhood. In: Gleeson M.Ed. Scott Brown's Otolaryngology, 7th Edn, Vol. 1. Hodder Arnold; 2008: 928-64.
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Browning GG et al. Chronic otitis media. In: Gleeson M.Ed. Scott Brown's Otolaryngology, 7th Edn, Vol. 1. Hodder Arnold; 2008:3395-445.
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Clark JG. Uses and abuses of hearing loss classification. ASHA. 1981; 23(7): 493-500.
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de Azevedo AF, Pinto DC, de Souza NJ, Greco DB, Goncalves DU. Sensorineural hearing loss in chronic suppurative otitis media with and without cholesteatom Braz J Otorhinolaryngol 2007; 73(5): 671-4.
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Kaur K, Nishi S, Bapna AS. Chronic suppurative otitis media and sensorineural hearing loss: Is there a correlation? Indian J of Otolaryngology 2003; 55(1):21-4.
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13
ORIGINAL_ARTICLE
Prevalence of Hearing Loss among School-Age Children in the North of Iran
Introduction:The present study aimed to investigate the audiological profiles of elementary school-age children in Rasht, Iran, and estimate the prevalence of hearing impairments in this population. Materials and Methods:In this cross-sectional descriptive-analytical study, the hearing threshold was screened using pure tone audiometry (PTA). Hearing impairment was defined as equal to or higher than 20 dB HL. Results of the hearing thresholds were separately reported in the left or right ears and better or worse ears. Logistic regression tests were used to investigate the association between hearing loss and possible risk factors. In this study, all the analyses were conducted using SPSS software (version 21). Results:The present study was carried out on a total of 2019 children. Mean age of the participants was reported as 9.66±1.66 years. Based on low-frequency pure-tone average, the prevalence rates of hearing loss > 15 dB in the right and left ears were reported as 1.94% and 1.68%, respectively. The high-frequency hearing loss > 15 dB in the right and left ears was obtained at 1.14% and 1.04%, respectively. Prevalence rate of hearing loss (in all frequencies) in boys was higher than that in girls. There was a strong association between a history of otitis media and sensorineural or conductive hearing loss (adjusted odds ratio reported as 12.2 and 8.1, respectively). Conclusion:In this study, the rate of hearing loss in the participants was approximately 2%. It was concluded that the screening of hearing loss in children is necessary for the identification and management of these children as early as possible. It is recommended to perform further trials to investigate the impact of different causes on childhood hearing impairment.
https://ijorl.mums.ac.ir/article_14646_aa5ae98ad89431fdddcf1e3543e6ada1.pdf
2020-03-01
85
92
10.22038/ijorl.2019.36090.2191
Children
Hearing evaluation
Pediatrics
Screening
Mir Mohammad
Jalali
mmjalali@gmail.com
1
Otorhinolaryngology Research Center, Department of Otolaryngology and Head and Neck Surgery, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
LEAD_AUTHOR
Fatemeh
Nezamdoust
fatemeh_nezamdoust@yahoo.com
2
Otorhinolaryngology Research Center, Department of Otolaryngology and Head and Neck Surgery, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
AUTHOR
Hedieh
Ramezani
hediehr1392@gmail.com
3
Otorhinolaryngology Research Center, Department of Otolaryngology and Head and Neck Surgery, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
AUTHOR
Masomeh
Pastadast
sajjadpsd@gmail.com
4
Otorhinolaryngology Research Center, Department of Otolaryngology and Head and Neck Surgery, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
AUTHOR
Westerberg BD, Skowronski DM, Stewart IF, Stewart L, Bernauer M, Mudarikwa L. Prevalence of hearing loss in primary school children in Zimbabwe. International journal of pediatric otorhinolaryngology. 2005;69(4):517-25.
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World Health Organization; Geneva: 2002. Estimating the potential cost-effectiveness of using Haemophilus influenzae HIB Vaccine. http:// archives.who.int/vaccines-documents/ DocsPDF01/ www654.pdf.
15
Monasta L, Ronfani L, Marchetti F, Montico M,Vecchi Brumatti L, Bavcar A, et al. Burden of disease caused by otitis media: systematic review and global estimates. PLoS ONE. 2012;7: e36226.
16
Mahadevan M, Navarro-Locsin G, Tan HK, Yamanaka N, Sonsuwan N, Wang PC, et al. A review of the burden of disease due to otitis media in the Asia-Pacific. Int J Pediatr Otorhinolaryngol. 2012;76:623-35.
17
Niskar AS, Kieszak SM, Holmes A, Esteban E, Rubin C, Brody DJ. Prevalence of hearing loss among children 6 to 19 years of age: The Third National Health and Nutrition Examination Survey. JAMA. 1998;279(14):1071-5.
18
Osei AO, Larnyo PA, Azaglo A, Sedzro TM, Torgbenu EL. Screening for hearing loss among school going children. Int J Pediatr Otorhinolaryngol. 2018;111:7-12.
19
Setoude M B, Amani F, Farahmand Rad S. Prevalence of Hearing Disorders among Elementary School Students in Ardabil, 2001-2002. J Ardabil Univ Med Sci. 2005; 5(3):246-50. (Persian)
20
Bright T, Mactaggart I, Kuper H, Murthy GV, Polack S. Prevalence of Hearing Impairment in Mahabubnagar District, Telangana State, India. Ear Hear. 2019; 40(1):204-12.
21
Rosenfeld RM, Goldsmith AJ, Madell JR. How accurate is parent rating of hearing for children with otitis media? Arch Otolaryngol Head Neck Surg 1998;124:989-92.
22
Saim A, Saim L, Saim S, Ruszymah BH, Sani A. Prevalence of otitis media with effusion amongst pre-school children in Malaysia. Int J Pediatr Otorhinolaryngol 1997;41:21-8.
23
ORIGINAL_ARTICLE
Severe Cervicofacial Cellulitis in Pregnancy- A Review of 18 Cases
Introduction:Cervicofacial cellulitis can be rapidly complicated with a difficult airway when prompt management is not instituted. It may have some serious consequences for developing baby when a pregnant woman is involved. This study presented the experiences gained from the management of cervicofacial cellulitis in pregnant women. Materials and Methods:The present study was conducted on 18 pregnant women withcervicofacial cellulitis affecting more than one facial space at the presentation in a regional tertiaryhospital within a five-year period (January 2013 to December 2017). The collected information included patient age, clinical diagnosis, number of involved facial spaces, gestational periods, and duration of hospital stay.The collected data were analyzed using SPSS software (version 15.0). Results:A total of 131 patients with cervicofacial cellulitis were admitted during the study period, out of which 18 patients met the inclusion criteria and were investigated in the present study. These 18 patients were within the age range of 20-43 years with the mean age of 29±7.1 years. There was a statistically significant relationship between the number of fascial spaces involved and duration of hospital stay (P=0.04). All the patients had incision and drainage of the affected facial spaces under local anesthesia with good outcomes. Conclusion:The prompt management of pregnant women with cervicofacial cellulitis in a multidisciplinary manner is important to ensure uneventful outcomes in the lives of both the pregnant woman and unborn child.
https://ijorl.mums.ac.ir/article_14645_7a12980f954cd09920a3d48ecd3ebb2f.pdf
2020-03-01
93
100
10.22038/ijorl.2019.34909.2154
Cervicofacial
Infection
pregnancy
tooth
Kevin-Uchenna
Omeje
uchennakevin@gmail.com
1
Department of Oral and Maxillofacial Surgery, Bayero University, Kano and Consultant, Oral and Maxillofacial Surgeon, Aminu Kano Teaching Hospital, Kano, Nigeria.
AUTHOR
Ifesinachi-Joy
Omeje
iphyjoy@yahoo.com
2
Department of Obstetrics and Gynaecology, Aminu Kano Teaching Hospital, Kano.
AUTHOR
Rowland
Agbara
row_prof@yahoo.com
3
Department of Oral and Maxillofacial Surgery, College of Health Sciences, University of Jos, Plateau state, Nigeria.
LEAD_AUTHOR
Patterson H, Kelly JH, Strone M. Ludwig’s angina: An update. Laryngoscope1982;92(4):370-8.
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Allen D, Loughnan TE, Ord RA. A re-evaluation of the role of tracheostomy in Ludwig’s angina. J Oral MaxillofacSurg 1985; 43(6):436-9.
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Topazian RG, Goldberg MH, Hupp JR. Oral and Maxillofacial Infections. 4th ed. Philadelphia, Pa: W. B. Saunders; 2002.
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Gordon MC. Maternal physiology in pregnancy In: Gabbe SG, Niebyl JR, Simpson J (eds). Obstetrics: normal and problem pregnancies, 4th edition New York, Churchill Livingstone, 2002; 63–91.
4
Gupta AK, Dhulkhed VK, Rudagi BM. Drainage of Ludwigs angina in a pregnant patient under superficial cervical plexus block. Anaesth Pain and Intensive Care 2009; 13 (2):68-70.
5
Marple BF. Ludwig angina: a review of current airway management. Archives of Otolaryngology – Head and Neck Surgery. 1999; 125(5):596–600.
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Tarsitano BF, Rollings RE. The pregnant dental patient: evaluation and management. Gen Dent 1993; 41:226–34 quiz 233-4.
7
Kurien S, Kattimani VS, Sriram RR, Sriram SK, Rao VKP, Bhupathi A, et al. Management of pregnant patient in dentistry. J Int Oral Health 2013; 5:88–97.
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Cheek TG, Gutsche BB. Maternal physiologic alterations during pregnancy. AnesthObstet 1993; 3:1–17.
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Naseem M, Khurshid Z, Khan HA, Niazi F, Zohaib S, Zofar MS. Oral health challenges in pregnant women: Recommendations for dental care professionals. The Saudi Journal for Dental Research 2016; 7: 138-46.
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López NJ, Smith PC, Gutierrez J. Periodontal therapy may reduce the risk of preterm low birth weight in women with periodontal disease: A randomized controlled trial. J Periodontol 2002; 73:911‑
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Jarjoura K, Devine PC, Perez‑Delboy A, Herrera‑Abreu M, D’Alton M, Papapanou PN. Markers of periodontal infection and preterm birth. Am J ObstetGynecol 2005; 192:513‑
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Lawrenz DR, Whitley BD, Helfrick JF. Considerations in the management of maxillofacial infections in the pregnant patient. J Oral MaxillofacSurg 1996; 54:474‑
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Giglio JA, Lanni SM, Laskin DM, Giglio NW. Oral health care for the pregnant patient. J Can Dent Assoc 2009; 75:43–8.
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Wong D, Cheng A, Kunchur R, Lam S, Sambrook PJ, Goss AN. Management of severe odontogenic infections in pregnancy. Australian Dental Journal 2012; 57: 498-503.
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Doumbia-Singare K, Timbo S.K, Keita M, Mohamed A, Guindo B, Soumaor S.Cervico-facial cellulitis during pregnancy: about a series of 10 cases in Mali Bull. Soc. Pathol. Exot 2014;107:
16
Fomete B, Agbara R, Osunde DO, Ononiwu CN. Cervicofacial infection in a Nigerian tertiary health institution: a retrospective analysis of 77 cases. J Korean Assoc Oral Maxillofac Surg. 2015; 41(6):293-8.
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Osunde OD, Bassey GO, Ver-or N. Management of Ludwig’s Angina in Pregnancy: A Review of 10 Cases. Annals of Medical and Health Science Research 2014; 41 (3): 361-4.
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Celebi N, Kutuk MS, Tas M, Soylu E, Etoz OA, Alkan A. Acute foetal distress following tooth extraction and abcess drainage in a pregnant patient with maxillofacial infection. Australian Dental Jouurnal 2013; 58: 117-19.
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Xiong X, Buekens P, Fraser WD, Beck J, Offenbacher S. Periodontal disease and adverse pregnancy outcomes: a systematic review. BJOG 2006; 113:135–43.
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Wazir S, Khan M, Mansoor N, Wazir A. Odontogenic Fascial Space Infections in Ppregnancy – A study. Pak Oral Dent J 2013; 33(1):17-22.
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Moorhead K, Guiahi M. Pregnancy complicated by Ludwigs angina requiring delivery. Infectious Diseases in Obstetrics and Gynaecology 2010; 1: 1-3.
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Snow N, Lucas AE, Grau M, Steiner M: Purulent mediastinal abscess secondary to Ludwig’s angina. Arch Otolaryngol 1983;109: 53-5.
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Giglio JA, Lanni SM, Laskin DM, Giglio NW. Oral health care for the pregnant patient. J Can Dent Assoc 2009; 75:43–8.
26
Czeizel AE, Pataki T, Rockenbauer M. Reproductive outcome after exposure to surgery under anesthesia during pregnancy. Arch GynecolObstet 1998; 261: 193–9.
27
Nickoloff E, Alderson P. Radiation exposure to patients from CT: reality, public perception, and policy. AJR Am J Roentgenol 2001; 177: 285–7.
28
ORIGINAL_ARTICLE
Isolated Sphenoid Sinus Inflammatory Disease- A Report of 14 Cases
Introduction:Isolated sphenoid sinus inflammatory diseases (ISSIDs) are responsible for about 75% of isolated sphenoid sinus opacifications. Computer tomography (CT) and magnetic resonance imaging (MRI) should be used in a complementary manner for the assessment of ISSIDs. This evaluation sheds some light on the extent of disease and intracranial and intra-orbital involvement. Materials and Methods:The current study aimed to evaluate the medication histories of 14 patients who underwent endoscopic sinus surgery (ESS) for ISSIDs within 2015-2018. This assessment was carried out to analyze the presenting symptoms, diagnostic work-up, additional therapies, and complications. Moreover, it can help us compare our data with pertinent literature. Results:As evidenced by the obtained results, ISSID lesions included bacterial sphenoiditis (42.9%), fungus ball (21.4%), invasive fungal sphenoiditis (14.3%), mucocele (14.3%), and retention cysts (7.1%). In addition, headache was found to be the major complaint, followed by nasal symptoms. Diplopia, and signs and symptoms of the involvement of other cranial nerves were less frequent. All patients underwent endoscopic transnasal sphenoidectomy. The overall survival rate was reported as 92.9% (13/14), and all patients with cranial nerve palsies demonstrated complete clinical remission. Conclusion:Both the review of related literature and our clinical cases were indicative of the dangerous consequences of ISSIDs. Their varied and unspecific presentation and the limited reliability of nasal endoscopy required the cooperation of ENT (ear, nose, and throat) team with other specialists to make an accurate diagnosis and decide on the most appropriate therapeutic choices. If the signs of intracranial complications were detected, surgery should be promptly performed to maximize the chances of recovery.
https://ijorl.mums.ac.ir/article_14643_c52b8dd5247b46a9df7489ee10c160f7.pdf
2020-03-01
101
107
10.22038/ijorl.2019.39416.2304
Cavernous sinus
Isolated sphenoid sinus inflammatory diseases
Sphenoid sinusitis
Visual disturbance
Gian-Luca
Fadda
dott.fadda@gmail.com
1
Department of Otolaryngology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Italy.
LEAD_AUTHOR
Anna
D’Eramo
annaderamo@libero.it
2
Department of Otolaryngology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Italy.
AUTHOR
Alessandro
Grosso
alessandro.grosso245@edu.unito.it
3
Department of Otolaryngology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Italy.
AUTHOR
Andrea
Galizia
galiziaandrea@gmail.com
4
Department of Otolaryngology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Italy.
AUTHOR
Giovanni
Cavallo
giovanni.cavallo@unito.it
5
Department of Otolaryngology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Italy.
AUTHOR
Fooanant S, Angkurawaranon S, Angkurawaranon C, Roongrotwattanasiri K, Chaiyasate S. Sphenoid sinus diseases: A review of 1,442 patients. Int J Otolaryngol 2017; 2017: 9650910.
1
Chen L, Jiang L, Yang B, Subramanian PS. Clinical features of visual disturbances secondary to isolated sphenoid sinus inflammatory diseases. BMC Ophthalmol 2017;17(1):237.
2
Wyllie JW, Kern EB, Djalilian M. Isolated sphenoid sinus lesions. Laryngoscope 1973; 83(8): 1252–65.
3
Cakmak O, Shohet MR, Kern EB. Isolated sphenoid sinus lesions. Am J Rhinol 2000;14(1):
4
Kim SW, Kim DW, Kong IG, Kim DY, Park SW, Rhee CS, et al. Isolated sphenoid sinus diseases: report of 76 cases. Acta Otolaryngol 2008;128(4):455–9.
5
Proetz AW. The sphenoid sinus. Br Med J 1948; 2(4569):243–5.
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Shamim MS, Siddiqui AA, Enam SA, Shah AA, Jooma R, Anwar S. Craniocerebral aspergillosis in immunocompetent hosts: surgical perspective. Neurol India 2007;55(3):274–81.
7
Pushker N, Meel R, Kashyap S, Bajaj MS, Sen S. Invasive aspergillosis of orbit in immunocompetent patients: treatment and outcome. Ophthalmology 2011; 118(9):1886–91.
8
Fadda GL, D’Eramo A, Gned D, Succo G, Galizia A, Cavallo G. An unusual case of complicated rhinosinusitis of the sphenoid sinus involving the cavernous sinus and skull base: Endoscopic sinus surgery and medical therapy. SAGE Open Med Case Rep 2019;7:2050313X1985 2885
9
Celenk F, Gulsen S, Gonuldas B, Baysal E, Durucu C, Kanlikama M et al. Isolated sphenoid sinus disease: An overlooked cause of headache. J Craniomaxillofac Surg 2015;43(9):1914–7.
10
Lawson W, Reino AJ. Isolated sphenoid sinus disease: an analysis of 132 cases. Laryngoscope 1997;107:1590–5.
11
Wang ZM, Kanoh N, Dai CF, Kutler DI, Xu R, Chi FL et al. Isolated sphenoid sinus disease: an analysis of 122 cases. Ann Otol Rhinol Laryngol 2002; 111(4):323–7.
12
Socher JA, Cassano M, Filheiro CA, Cassano P, Felippu A. Diagnosis and treatment of isolated sphenoid sinus disease: a review of 109 cases. Acta Otolaryngol 2008;128(9):1004–10.
13
Castelnuovo P, Pagella F, Semino L, De Bernardi F, Delù G. Endoscopic treatment of the isolated sphenoid sinus lesions. Eur Arch Otorhinolaryngol 2005;262(2):142–7.
14
Nour YA, Al-Madani A, El-Daly A, Gaafar A. Isolated sphenoid sinus pathology: spectrum of diagnostic and treatment modalities. Auris Nasus Larynx 2008;35(4):500–8.
15
Marcolini TR, Safraider MC, Socher JA, Lucena GO. Differential diagnosis and treatment of isolated pathologies of the sphenoid sinus: retrospective study of 46 cases. Int Arch Otorhinolaryngol 2015; 19(2):124–9.
16
Lee TJ, Huang SF, Huang CC, Chen YL. Isolated sphenoid sinus aspergillosis: report of two cases. Chang Gung Med J 2002;25(7):464–8.
17
Dhong HJ, Chung SK, Koh SJ. Isolated sphenoid sinus disease. Korean J Otolaryngol Head Neck Surg 1998; 41, 467-70.
18
Ruoppi P, Seppä J, Pukkila M, Nuutinen J. Isolated sphenoid sinus diseases: report of 39 cases. Arch Otolaryngol Head Neck Surg 2000; 126(6): 777–81.
19
Lew D, Southwick FS, Montgomery WW, Weber AL, Baker AS. Sphenoid sinusitis. A review of 30 cases. N Engl J Med 1983;309(19):1149–54.
20
Martin TJ, Smith TL, Smith MM, Loehrl TA. Evaluation and surgical management of isolated sphenoid sinus disease. Arch Otolaryngol Head Neck Surg 2002;128(12):1413–9.
21
Rothfield RE, de Vries EJ, Rueger RG. Isolated sphenoid sinus disease. Head Neck 1991; 13(3):208–12.
22
Cheung DK, Martin GF, Rees J. Surgical approaches to the sphenoid sinus. J Otolaryngol 1992; 21(1):1–8.
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Metson R, Gliklich RE. Endoscopic treatment of sphenoid sinusitis. Otolaryngol Head Neck Surg 1996; 114(6):736–44.
24
El Mograbi A, Soudry E. Ocular cranial nerve palsies secondary to sphenoid sinusitis. World J Otorhinolaryngol Head Neck Surg 2017;3(1):49-53.
25
Karkas A, Rtail R, Reyt E, Timi N, Righini CA. Sphenoid sinus fungus ball. Eur Arch Otorhinolaryngol 2013;270(3):893–8.
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Sadineni RT, Velicheti S, Kondragunta CS, Bellap NC. Multiple cerebrovascular complications due to sphenoid sinusitis. J Clin Diagn Res 2016; 10:TD03-TD05.
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An YH, Venkatraman G, DelGaudio JM. Isolated inflammatory sphenoid sinus disease: a revisitation of computed tomography indications based on presenting findings. Am J Rhinol 2005; 19(6):627–32.
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Lee DH, Yoon TM, Lee JK, Joo YE, Park KH, Lim SC. Invasive fungal sinusitis of the sphenoid sinus. Clin Exp Otorhinolaryngol 2014; 7(3):181–7.
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Chi SL, Bhatti MT. The diagnostic dilemma of neuro-imaging in acute isolated sixth nerve palsy. Curr Opin Ophthalmol 2009; 20(6): 423–9.
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Patt BS, Manning SC. Blindness resulting from orbital complications of sinusitis. Otolaryngol Head Neck Surg 1991;104(6):789–95.
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Wang YH, Chen PY, Ting PJ, Huang FL. A review of eight cases of cavernous sinus thrombosis secondary to sphenoid sinusitis, including a 12-year-old girl at the present department. Infect Dis (Lond) 2017;49(9):641-6.
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Hong Y, Liang Z, Lin P. Isolated sphenoid sinus disease presented the primary symptom as headache or ocular disturbance. J Clin Otorhinolaryngol Head Neck Surg 2007;21(16): 744–5.
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Sethi DS. Isolated sphenoid lesions: diagnosis and management. Otolaryngol Head Neck Surg 1999;120(5):730–6.
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Ng YH, Sethi DS. Isolated sphenoid sinus disease: differential diagnosis and management. Curr Opin Otolaryngol Head Neck Surg 2011; 19(1): 16–20.
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44
ORIGINAL_ARTICLE
Giant Thyroid Fibrosarcoma- A Case Report
Introduction:Thyroid gland fibrosarcomas are extremely rare tumors, and only very few cases have been described in the literature. There are no set recommendations along with follow-ups regarding the treatment of these tumors. Moreover, the prognosis is poor with a very short life expectancy. Case Report:We present an 81-year-old patient who was suffering from increasing dysphagia and dysphonia related to a painless giant cervical mass, which presented with progressive growth for the preceding months. After a core needle biopsy with a suspicion of a solitary fibrous tumor, total excision of the tumor was successfully performed, and the pathology examination revealed a fibrosarcoma. Following surgery, radiotherapy was decided in the oncological multidisciplinary meeting; however, the patient refused it. There were neither new clinical symptoms nor tumor recurrence after an 18-month follow-up. Conclusion:Although it is a very rare tumor, primary fibrosarcoma of the thyroid gland should be kept in mind in the differential diagnosis of neck tumors.
https://ijorl.mums.ac.ir/article_14647_d612031af87f1d96f5eae340c22fe4aa.pdf
2020-03-01
109
112
10.22038/ijorl.2019.39741.2310
Fibrosarcoma
Head and neck
Head And Neck Cancer
Neoplasm
Thyroid cancer
Manuel
Tucciarone
tucciaronemanuel@hotmail.it
1
Department of Otorhinolaryngology, Gregorio Marañón Hospital, Madrid, SPAIN.
LEAD_AUTHOR
Carlos
Heredia-Llinas
charlieheredia@gmail.com
2
Department of Otorhinolaryngology, Gregorio Marañón Hospital, Madrid, SPAIN.
AUTHOR
Alejandro
Lowy Benoliel
alex@lowy.es
3
Department of Otorhinolaryngology, Gregorio Marañón Hospital, Madrid, SPAIN.
AUTHOR
Rosalia
Souviron Encabo
liasouviron@yahoo.es
4
Department of Otorhinolaryngology, Gregorio Marañón Hospital, Madrid, SPAIN.
AUTHOR
Tomas
Martinez Guirado
tmartinezg@yahoo.es
5
Department of Otorhinolaryngology, Gregorio Marañón Hospital, Madrid, SPAIN.
AUTHOR
Ricardo González-Orus
Álvarez-Morujo
ricardomorujo@hotmail.com
6
Department of Otorhinolaryngology, Gregorio Marañón Hospital, Madrid, SPAIN.
AUTHOR
Buła G, Waler J, Niemiec A, Trompeta J, Steplewska K, Gawrychowski J. Unusual malignant thyroid tumours: a clinical study of 20 cases. Acta Chir Belg 2008; 108: 702–7.
1
Surov A, Gottschling S, Wienke A, Meyer H, Spielmann R, Dralle H. Primary thyroid sarcoma: a systematic review. Anticancer Res. 2015; 35(10): 5185-91.
2
Melak T, Mathewos B, Enawgaw B, Damtie D. Prevalence and types of thyroid malignancies among thyroid enlarged patients in Gondar, Northwest Ethiopia: a 3-year institution based retrospective study. BMC Cancer 2014; 2:899–903.
3
Janczak D, Chabowski M, Pawelczyk J, Jelen M, Szydelko T. A Giant Primary Thyroid Fibrosarcoma in an Octogenarian. Chirurgia (2013) 108:568-70.
4
Titi S, Sycz K, Umiński M. Primary fibrosarcoma of the thyroid gland-a case report. Pol J Pathol. 2007;58(1):59-62.
5
Shi H, Wang C, Wei L, Lu S, Cao D. Malignant mesenchymoma of the thyroid: case report and literature review. Tumori. 2010; 96(2): 345-48.
6
Bahadir MV, Girgin S, Goya C, Buyukbayram H, Urakci Z. Rare Undifferentiated Tumour of Thyroid: Primary Thyroid Fibrosarcoma. Journal of clinical & diagnostic research 2016, 10(6): PD30–PD31.
7
Darouassi Y, Attifi H, Zalagh M, Rharrassi I, Benariba F. Myxofibrosarcoma of the thyroid gland. Eur Ann Otorhinolaryngol Head Neck Dis. 2014; 131(6): 385-87.
8
ORIGINAL_ARTICLE
Fibrin Glue in Postlaryngectomy Fistula-A Case Report
Introduction:One of the most common complications following total laryngectomy is pharyngocutaneous fistula (PCF). Various methods have been proposed to treat this disorder in recent studies, including a range of simple and conservative treatments to more aggressive therapies, such as various surgical procedures. One of the most innovative and least developed methods is the use of plasma-rich compounds, such as fibrin glue. Case Report:The patient was a 55-year-old woman with a transglottic squamous cell carcinoma of the T3N0M0 stage and PCF development following total laryngectomy surgery with total thyroidectomy and bilateral elective cervical lymph node dissection level I-IV. In spite of conservative treatment, the fistula was not recovered after 3 weeks. It was decided to perform fibrin glue injection into the fistula tract via the endoscopic approach. One month after the fibrin glue injection, no evidence of contrast extravasation was observed on barium swallow test, and the fistula was completely closed. Conclusion:No PCF has been treated with fibrin glue using only the endoscopic technique. The present study showed that fibrin glue can be used as an effective way to treat chronic fistulas in head and neck surgeries.
https://ijorl.mums.ac.ir/article_14648_f90954c9149c8527430a2cd6dcac63ea.pdf
2020-03-01
113
119
10.22038/ijorl.2019.38563.2366
Fibrin glue
Laryngectomy
Pharyngocutaneous fistula
Hassan
Vossoughinia
vosoghiniah@mums.ac.ir
1
Department of Gastroenterology and Hepatology , Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Mohammad Ali
Zaringhalam
zaringhalam_ali@yahoo.com
2
Departments of Otorhinolaryngology, Mashhad University of Medical Sciences, Mashhad, Iran.
LEAD_AUTHOR
Dariush
Hamidi Alamdari
hamidiad@mums.ac.ir
3
Stem Cell and Regenerative Medicine Research Group, Department of Biochemistry, Stem Cell Laboratory, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Ahmad
Mehrdad Zinkanlou
hmdmehrdad@yahoo.com
4
Departments of Otorhinolaryngology, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Sassler AM, Esclamado RM, Wolf GT. Surgery after organ preservation therapy. Analysis of wound complications. Arch Otolaryngol Head Neck Surg. 1995; 121(2):162–5.
1
Cho BC, Kim M, Lee JH, Byun JS, Park JS, Baik BS. Pharyngoesophageal reconstruction with a tubed free radial forearm flap. J ReconstrMicrosurg. 1998; 14(8):535-40.
2
Weber RS, Berkey BA, Forastiere A, Cooper J, Maor M, Goepfert H, et al. Outcome of salvage total laryngectomy following organ preservation therapy: the Radiation Therapy Oncology Group trial 91–11. Arch Otolaryngol Head Neck Surg. 2003; 129(1):44-9.
3
Ganly I, Patel S, Matsuo J, Singh B, Kraus D, Boyle J. Postoperative complications of salvage total laryngectomy. Cancer. 2005; 103(10):2073–81.
4
Sewnaik A, Keereweer S, Al-Mamgani A, et al. High complication risk of salvage surgery after chemoradiation failures. ActaOtolaryngol. 2012; 132(1):96–100.
5
Paydarfar JA, Birkmeyer NJ. Complications in head and neck surgery: a meta-analysis of postlaryngectomypharyngocutaneous fistula. Arch Otolaryngol Head Neck Surg. 2006; 132(1):67–72.
6
Tsou YA, Hua CH, Lin MH, Tseng HC, Tsai MH, Shaha A. Comparison of pharyngocutaneous fistula between patients followed by primary laryngopharyngectomy and salvage laryngopharyngectomy for advanced hypopharyngeal cancer. Head Neck. 2010; 32(11):1494–500.
7
Erdag MA, Arslanoglu S, Onal K, Songu M, Tuylu AO. Pharyngocutaneous fistula following total laryngectomy: multivariate analysis of risk factors. Eur Arch Otorhinolaryngol. 2013; 270(1):173–9.
8
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Boscolo-Rizzo P, De Cillis G, Marchiori C, Carpene S, Da Mosto MC. Multivariate analysis of risk factors for pharyngocutaneous fistula after total laryngectomy. Eur Arch Otorhinolaryngol. 2008; 265:929–36.
10
Galli J, De Corso E, Volante M, Almadori G, Paludetti G. Postlaryngectomypharyngocutaneous fistula: incidence, predisposing factors, and therapy. Otolaryngol Head Neck Surg. 2005; 133:689–94.
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12
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Patel UA, Moore BA, Wax M, Rosenthal E, Sweeny L, Militsakh ON, et al. Impact of pharyngeal closure technique on fistula after salvage laryngectomy. JAMA Otolaryngol Head Neck Surg. 2013;139(11):1156-62.
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38
ORIGINAL_ARTICLE
Rhabdomyosarcoma: Nose Presenting As Second Primary with Carcinoma Tongue
IntroductionPresence of two primary malignancies is rare and occurs in 3-5% of the cancer patients. As per our extensive internet research, this is the only reported case of a synchronous sino-nasal embryonal rhabdomyosarcoma with squamous cell carcinoma-tongue. The case report is important because of the rare diagnosis and the challenge we faced in the diagnosis and treatment of the patient because of the paucity of literature available on management adult rhabdomyosarcoma. Case Report:We present a very rare case of an adult male with a sino-nasal mass diagnosed to be an embryonal type rhabdomyosarcoma. The patient also had a moderately differentiated squamous cell carcinoma-tongue for the past 8 months. Radiological investigations were done to see the extent of the sino-nasal mass and the extent of tongue lesion, which was seen to be involving the base of the tongue. The patient was referred for chemoradiotherapy but succumbed to the disease after 2 weeks of treatment. ConclusionOccurrence of rhabdomyosarcoma in synchronous malignancies is extremely rare as the most common first as well as second primary malignancy in a diagnosed case of head and neck cancer is squamous cell carcinoma. A multidisciplinary approach to the treatment of adult rhabdomyosarcoma has been recommended. The combined use of chemoradiotherapy and surgery has improved treatment in the recent past but RMS in adults is still a rare head and neck tumour that carries a poor prognosis despite aggressive therapy.
https://ijorl.mums.ac.ir/article_14866_cffa5cf355695496c829c51941095f06.pdf
2020-03-01
121
125
10.22038/ijorl.2019.41435.2351
Adult rhabdomyosarcoma
Nasal rhabdomyosarcoma
rhabdomyosarcoma
Synchronous malignancy
Devanshu
Kwatra
devanshukwatra@gmail.com
1
Department of Otolaryngology and Head and Neck Surgery, Lady Hardinge Medical College, New Delhi (India)-110001.
LEAD_AUTHOR
Poonam
Sagar
kwatradevanshu@gmail.com
2
Department of Otolaryngology and Head and Neck Surgery, Lady Hardinge Medical College, New Delhi (India)-110001.
AUTHOR
Shailja
Shukla
kwatraclinic@gmail.com
3
Department of Pathology, Lady Hardinge Medical College, New Delhi (India)-110001.
AUTHOR
Heroiu Cataloiu AD, Danciu CE, Popescu CR. Multiple cancers of the head and neck. Maedica (Buchar). 2013;8(1):80–5.
1
Morris LG, Sikora AG, Patel SG, Hayes RB, Ganly I. Second primary cancers after an index head and neck cancer: subsite-specific trends in the era of human papillomavirus-associated oropharyngeal cancer. J Clin Oncol. 2010;29(6):739–46.
2
Gallo O, Sardi I, Pepe G, Franchi A, Attanasio M, Giusti B, et al. Multiple Primary Tumors of the Upper Aero-digestive Tract: Is There a Role for Constitutional Mutations in the p53 Gene? Int J Cancer 1999; 82: 180-6.
3
Gale N, Zidar N. Benign and Potentially Malignant Lesions of the Squamous Epithelium and Squamous Cell Carcinoma, In. Cardesa A, Slootweg PJ. Pathology of the Head and Neck, Springer, Germany, 2006: 1-38.
4
Chang S, Ha P – Biology of Head and Neck, In: Cummings Otolaryngology, Head and Neck Surgery, Fifth Edition, Volume One, Mosby Elsevier, 2010:1015-29.
5
Ganly I, Ibrahimpasic T, Patel SG, Shah JP. Tumors of the Oral Cavity, In: Montgomery PQ, Rhys Evans PH, Gullane PJ. Principles and Practice of Head and Neck Surgery and Oncology, Second Edition, United Kingdom: Informa Healthcare, 2009:160-91.
6
Barnes L, Eveson JW, Reichart P, Sidransky D. Pathology and Genetics of Head and Neck Tumors, Lyon: IARC Press, 2005.
7
Antanova NA, Dormak VV. Rhabdomyosarcoma and squamous cell carcinoma of the larynx. Vestn Otorinolaringol. 1978; 6:69-71.
8
Goldman RL, Weidner N. Pure squamous cell carcinoma of the larynx with cervical nodal metastasis showing rhabdomyosarcomatous differentiation. The American Journal of Surgical Pathology. 1993; 17(4):415-21.
9
Wurm J, Constantinidis J, Grabenbauer GG, Iro H. Rhabdomyosarcomas of the nose and paranasal sinuses: treatment results in 15 cases.
10
Otolaryngol Head Neck Surg.2005 Jul; 133(1):
11
Thompson CF, Kim BJ, Lai C, Grogan T, Elashoff D, St John MA, Wang MB. Sinonasal rhabdomyosarcoma: prognostic factors and treatment outcomes. Int Forum Allergy Rhinol. 2013 Aug; 3(8):678-83.
12
Hawkins WG, Hoos A, Antonescu CR, Urist M J, Leung DH, Gold JS. et al. Clinicopathologic analysis of patients with adult rhabdomyosarcoma. Cancer, 91(4), 794–803.
13
ORIGINAL_ARTICLE
Prolonged Sleep Apnea in Two Patients with a History of Opium Abuse-A Case Report
Introduction:Obstructive sleep apnea (OSA) is a highly prevalent sleep-disordered breathing (SDB). Case Report:Two 53- and 51-year-old male cases with daytime sleepiness and opium abuse and severe sleep apnea and long respiratory events duration (200 and 275 seconds respectively) noted in polysomnography were reported at Ebn-e-Sina and Razavi hospitals, in Mashhad, Iran. After positive airway pressure (PAP) therapy respiratory events resolved and patients’ daytime alertness improved. Conclusion:The long duration of sleep apnea could be the result of opium abuse. Therefore, drug history should be carefully considered in the evaluation of SDB patients. The PAP device was effective in the management of sleep respiratory events and the improvement of patient’s complications
https://ijorl.mums.ac.ir/article_14942_e965e278877a58ad4966ad726bca4ade.pdf
2020-03-01
127
131
10.22038/ijorl.2020.41832.2365
Microarousal
Opium
Obstructive sleep apnea (OSA)
Sleep Apnea
Sleep-disordered breathing (SDB)
Hadi
Asadpour
asadpour33196@yahoo.com
1
Fellowship of Sleep Medicine, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Seyede Maryam
Naghibi
naghibim941@mums.ac.ir
2
Psychiatrist, Sleep Clinic of Ebn-e-Sina Hospital, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Sadegh
Rahimi
rahimis@mums.ac.ir
3
Neuroscience Research Center, Mashhad University of Medical Sciences, Mashhad, Iran, and Department of Pharmacology, Medical University Innsbruck, Innsbruck, Austria.
AUTHOR
Amir
Sharafkhaneh
amirs@bcm.edu
4
Department of Medicine at Baylor College of Medicine, VAMC Sleep Center, Houston, TX.
AUTHOR
Lahya
Afshari Saleh
afsharil@mums.ac.ir
5
Occupational Medicine, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Fariborz
Rezaee Talab
rezaeef@mums.ac.ir
6
Department of Neurological Diseases, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Mahnaz
Amini
aminim@mums.ac.ir
7
Lung Disease Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Faezeh
Nikzad
hosseiny.samane@gmail.com
8
Psychiatrist, Sleep Clinic of Ebn-e-Sina Hospital, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
LEAD_AUTHOR
Guven SF, Dursun AB, Ciftci B, Erkekol FO, Kurt OK. The prevalence of obstructive sleep apnea in patients with difficult-to-treat asthma. Asian Pac J Allergy Immunol 2014; 32(2):153–9.
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Chowdhuri S, Javaheri S. Sleep Disordered Breathing Caused by Chronic Opioid Use: Diverse Manifestations and Their Management. Sleep Med Clin 2017; 12(4):573–86.
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Sharkey KM, Kurth ME, Anderson BJ, Corso RP, Millman RP, Stein MD. Obstructive sleep apnea is more common than central sleep apnea in methadone maintenance patients with subjective sleep complaints. Drug Alcohol Depend 2010; 108(1-2):77–83.
9
Lurie A. Cardiovascular disorders associated with obstructive sleep apnea. Adv Cardiol 2011; 46:197–266.
10