2024-03-29T18:00:56Z
https://ijorl.mums.ac.ir/?_action=export&rf=summon&issue=1137
Iranian Journal of Otorhinolaryngology
2251-7251
2251-7251
2017
29
1
Experimental Visualization of Labyrinthine Structure with Optical Coherence Tomography
Saleh
Mohebbi
Marjan
Mirsalehi
Lüder-Alexander
Kahrs
Tobias
Ortmaier
Thomas
Lenarz
Omid
Majdani
Introduction:Visualization of inner ear structures is a valuable strategy for researchers and clinicians working on hearing pathologies. Optical coherence tomography (OCT) is a high-resolution imaging technology which may be used for the visualization of tissues. In this experimental study we aimed to evaluate inner ear anatomy in well-prepared human labyrinthine bones.Materials and Methods:Three fresh human explanted temporal bones were trimmed, chemically decalcified with ethylenediaminetetraacetic acid (EDTA), and mechanically drilled under visual control using OCT in order to reveal the remaining bone shell. After confirming decalcification with a computed tomography (CT) scan, the samples were scanned with OCT in different views. The oval window, round window, and remnant part of internal auditory canal and cochlear turn were investigated.Results:Preparation of the labyrinthine bone and visualization under OCT guidance was successfully performed to a remaining bony layer of 300µm thickness. OCT images of the specimen allowed a detailed view of the intra-cochlear anatomy.Conclusion:OCT is applicable in the well-prepared human inner ear and allows visualization of soft tissue parts.
Cochlea
Decalcification
Optical coherence tomography
Labyrinth
2017
01
01
5
9
https://ijorl.mums.ac.ir/article_8062_91de932cebc87ec9227990d4e62323e9.pdf
Iranian Journal of Otorhinolaryngology
2251-7251
2251-7251
2017
29
1
Meatoplasty in Canal wall down Surgery: Our Experience and Literature Review
Faramarz
Memari
Mojtaba
Maleki Delarestaghi
Parisa
Mir
Mohammad
GolMohammadi
Ehsan
Shams Koushki
Introduction: Meatoplasty is the final and essential step in performing effective canal wall down surgery for chronic otitis media. In this article we review some previous techniques and discuss our preferred method. Materials and Methods: In this observational case series study, we used this technique in 53 patients (28 male and 25 female) between January 2005 and January 2008. Our survey was completed in 31 patients. Results: Twenty-six patients (83.9%) said their ear appeared normal after the procedure, but five patients (16.1%) complained of some minor change in the shape of their ear. Twenty-nine patients (93.5%) had a completely wide ear canal. The ear canal had some degree of stenosis in two patients (6.5%) post-operatively. Conclusion: This technique offers good functional and cosmetic results with minimal manipulation and minimal anatomic disruption.
Canal well down
Meatoplasty
Methods
2017
01
01
11
17
https://ijorl.mums.ac.ir/article_8050_17bb56e57efe87f58b062c3959a18634.pdf
Iranian Journal of Otorhinolaryngology
2251-7251
2251-7251
2017
29
1
Opium Addiction and Risk of Laryngeal and Esophageal Carcinoma
Mehdi
Bakhshaee
Hamid Reza
Raziee
Reza
Afshari
Amin
Amali
Mahmoud
Roopoosh
Ali
Lotfizadeh
Introduction: Cigarette smoking and alcohol consumption have a well-known effect on the development of upper aerodigestive tract carcinomas, but such a role for opium is questionable. This study was designed to assess the correlation between opium inhalation and cancer of the larynx and upper esophagus. Materials and Methods: Fifty eight patients with laryngeal cancer, ninety eight patients with upper esophageal cancer and twenty seven healthy individuals with no evidence of head and neck or esophageal malignancies were selected from Otolaryngology and Radiation Oncology Department of Mashhad University of Medical Sciences. Duration and amount of cigarette smoking and opium consumption were recorded through comprehensive interviews. Results: The crude odds ratio for laryngeal cancer was 5.58 (95% CI 2.05-15.15, P=0.000) in cigarette smokers relative to non-smokers and 9.09 (95% CI 3.21-25.64, P=0.000) in opium users relative to non-users. The crude odds ratio for esophageal cancer was 0.44 (95% CI 0.18-1.09, P=0.07) in cigarette smokers relative to non-smokers and 1.44 (95% CI 0.57-3.62, P=0.43) in opium users relative to non-users. After adjusting for smoking, the odds ratio for laryngeal cancer in opium users relative to non-users was 6.06 (95% CI 1.10-33.23, P=0.05). Laryngeal cancer was detected at a significantly lower age in opium users (54.54±10.93 vs 62.92±10.10 years, P=0.02) than in smokers. This effect was not observed in esophageal cancer. Although the duration (year 17.50±14.84 vs 21.91±14.03; P=0.34) and amount (pack/day 0.625 vs 0.978; P=0.06) of smoking were higher among those who were opium dependent, these differences were not statistically significant (P=0.34 and P=0.06, respectively). Conclusion: Opium addiction by snuffing is an independent risk factor for the development laryngeal cancer but not esophageal cancer. Cigarette smoking increases this risk. Opium dependency increases the likelihood of developing laryngeal cancer at a younger age.
Esophageal carcinoma
Laryngeal carcinoma
Opium
Risk factors
2017
01
01
19
22
https://ijorl.mums.ac.ir/article_8055_18c62be7838d80ec510f557dc110dc18.pdf
Iranian Journal of Otorhinolaryngology
2251-7251
2251-7251
2017
29
1
Comparison of Fluoroplastic Causse Loop Piston and Titanium Soft-Clip in Stapedotomy
Mohammad
Faramarzi
Nafiseh
Gilanifar
Sareh
Roosta
Introduction:Different types of prosthesis are available for stapes replacement. Because there has been no published report on the efficacy of the titanium soft-clip vs the fluoroplastic Causse loop Teflon piston, we compared short-term hearing results of both types of prosthesis in patients who underwent stapedotomy due to otosclerosis.Materials and Methods:A total of 57 ears were included in the soft-clip group and 63 ears were included in the Teflon-piston group. Pre-operative and post-operative air conduction, bone conduction, air-bone gaps, speech discrimination score, and speech reception thresholds were analyzed.Results:Post-operative speech reception threshold gains did not differ significantly between the two groups (P=0.919). However, better post-operative air-bone gap improvement at low frequencies was observed in the Teflon-piston group over the short-term follow-up (at frequencies of 0.25 and 0.50 kHz; P=0.007 and P=0.001, respectively).Conclusion:Similar post-operative hearing results were observed in the two groups in the short-term.
Fluoroplastic (Teflon) Causse loop piston
Otosclerosis
Stapedotomy
Titanium soft-clip
2017
01
01
23
28
https://ijorl.mums.ac.ir/article_8056_c19e705c48de4bcfead093393c3d07ab.pdf
Iranian Journal of Otorhinolaryngology
2251-7251
2251-7251
2017
29
1
Vitamin D Levels in Children with Adenotonsillar Hypertrophy and Otitis Media with Effusion
Alimohamad
Asghari
Zohreh
Bagheri
Maryam
Jalessi
Mohammad Mahdi
Salem
Elahe
Amini
Sahand
Ghalebaghi
Sepideh
bakhti
Introduction:Vitamin D has been suggested to play a considerable role in the function of the immune system in various infectious, inflammatory, and autoimmune conditions. Otitis media with effusion (OME), defined as the presence of non-purulent fluid within the middle ear without signs or symptoms of suppurative otitis media, has a number of inflammatory predisposing factors. This study was designed to explore the association between vitamin D deficiency and OME.Materials and Methods:In this cross-sectional study, 74 children aged 2–7 years with an obstructive indication for adenotonsillectomy were included. Patients were divided into two groups based on the need for ventilation tube insertion for OME. Thirty-two children were enrolled in the OME group and 42 in the control group. The mean vitamin D level was compared between the two groups.Results:Mean vitamin D concentration in all patients was 11.96±5.85 ng/ml (9.79±4.36 ng/ml in the OME group and 13.61±6.33 ng/ml in the control group; P=0.003). There was also a significant difference in levels of vitamin D in patients referred in winter (9.0±2.94 ng/ml) compared with the summer (19.85±4.21 ng/ml; P=0.001). Data analyzed based on the season in which the patients were referred showed no significant difference between the OME and the control group.Conclusion:Although our results showed lower serum levels of vitamin D in OME patients, the difference was not significant when seasons were taken into consideration. Therefore, the season is an important confounding factor in any research related to vitamin D due to the effect of sun-induced vitamin D.
Adenoids
Child
Vitamin D
Otitis media
Seasons
2017
01
01
29
33
https://ijorl.mums.ac.ir/article_8066_f82fd1678decb95bf8e44e7030b39c26.pdf
Iranian Journal of Otorhinolaryngology
2251-7251
2251-7251
2017
29
1
Central Myxoma / Myxofibroma of the Jaws: A Clinico-Epidemiologic Review
Rowland
Agbara
Benjamin
Fomete
Athanasius-Chukwudi
Obiadazie
Uchenna-Kevin
Omeje
Modupeola-Omotara
Samaila
Introduction: Myxomas are a group of benign rare tumors of connective-tissue origin that occur in both hard (central) and soft tissues of the body. The aim of this study is to highlight our experience in the management of central myxoma of the jaw, with emphasis on its clinic-epidemiologic features as seen in our environment. Materials and Methods: All patients who were managed for central myxoma of the jaw at the Oral and Maxillofacial Surgery department of a regional University Teaching Hospital between September 1997 and October 2015 were retrospectively studied. Details sourced included age, sex, site of tumor, duration, signs/symptoms, treatment given, and complications. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 16 (SPSS Inc., Chicago, IL, USA) and Microsoft Excel 2007 (Microsoft, Redmond, WA, USA). Results from descriptive statistics were represented in the form of tables and charts, with a test for significance (ρ) using Pearson Chi-square (χ2) set at 0.05. Results: A total of 16 patients were managed within the period reviewed, consisting of 10 (62.5%) females and six (37.5%) males, giving a male-to-female ratio of 1:1.7. The ages of patients ranged from 5 to 70 years, with a mean of 27.06±15.45 years. The mandible accounted for nine (56.3%) cases and the maxilla for six (37.5%) cases, while a combination of the maxilla and the zygoma were involved in one (6.3%) case. Bucco-lingual or bucco-palatal expansion were the most common presentation (six [46.2%] cases each). Histological assessment of tissue specimens showed that fibromyxoma accounted for seven (43.8%) cases, while the remaining nine (56.3%) cases were diagnosed as myxoma. All patients had jaw resections, and these consisted of mandibulectomies in nine (60.0%) patients and maxillectomies in six (40.0%) patients. The duration of hospital stay ranged from 5 to 29 days, with a mean of 17.86±7.68 days. Complications were noted in three patients, and all were surgical wound infections. Conclusion: Most patients in our environment present late with large tumors and are usually not compliant with follow-up review. Thus, a radical approach is favored in most patients.
Jaw
Odontogenic Myxoma
Myxofibroma
2017
01
01
35
41
https://ijorl.mums.ac.ir/article_8045_a526fb4d9468a94891f7f2b03330982d.pdf
Iranian Journal of Otorhinolaryngology
2251-7251
2251-7251
2017
29
1
Two Techniques of Tonsillectomy Performed in Identical Twins: A Case Report
Ali
Bagherihagh
Seyed Mousa
Sadr Hosseini
Introduction:Cold dissection (CD) and bipolar cautery dissection (BCD) techniques are two common surgical tonsillectomy procedures used in the clinic. Obstruction has become more prevalent as the major surgical indication and is most prominently observed in younger children.Case Report: In this report, we aimed to explain the abovementioned surgical techniques in detail and compare the results in identical twins (monozygote twins). Using low energy electrocautery, irrigating the operation site continuously during cauterization, avoiding unnecessary sutures, and direct cautery to the tonsil bed are all effective measures that have diminished post-op pain in bipolar electrocautery dissection, compared to cold dissection tonsillectomy.Conclusion: Bipolar cautery dissection with some modification is very good alternative for tonsillar surgery.
Cautery
Dissection
Tonsillectomy
Twins
2017
01
01
43
46
https://ijorl.mums.ac.ir/article_8041_42a91e3a8ceeba1c1897a14586def074.pdf
Iranian Journal of Otorhinolaryngology
2251-7251
2251-7251
2017
29
1
Childhood Laryngeal Dystonia Following Bilateral Globus Pallidus Abnormality: A Case Study and Review of Literature
Mohammad Javad
Saeedi Borujeni
Ebrahim
Esfandiary
Mostafa
Almasi- Dooghaee
Introduction:Dystonia is a disorder of movement caused by various etiologies. Laryngeal dystonia is caused by the spasm of laryngeal muscles. It is a disorder caused by vocal fold movement in which excessive adduction or abduction of the vocal folds occurs during speech. The pathophysiology of this type of dystonia is not fully known. Some researchers have suggested that basal ganglia structures and their connections with cortical areas have been involved in the pathogenesis of dystonia. Case Report:In this paper a 7.5-year-old boy suffering from laryngeal dystonia with bilateral lesions in Globus Pallidus is presented. The patient also suffered from swallowing problems, monotone voice, vocal tremor, hypersensitivity of gag reflex, and stuttering. Drug treatment failed to cure him; therefore, he was referred to rehabilitation therapy. Conclusion:In conclusion, special attention should be brought upon laryngeal dystonia, especially in patients showing Extra-pyramidal symptoms and/or abnormalities of the basal ganglia. In children, laryngeal dystonia may be potentially fatal. Lack of consideration for this condition during rehabilitation therapy can lead to serious consequences for a child.
Basal ganglia
Laryngeal dystonia
Globus pallidus
2017
01
01
47
51
https://ijorl.mums.ac.ir/article_8042_eb41ece7749d89a5f3e04bedea4aaa89.pdf
Iranian Journal of Otorhinolaryngology
2251-7251
2251-7251
2017
29
1
Abnormal Auditory Brainstem Response (ABR) Findings in a Near-Normal Hearing Child with Noonan Syndrome
Bahram
Jalaei
Mohd
Normani Zakaria
Dinsuhaimi
Sidek
Introduction: Noonan syndrome (NS) is a heterogeneous genetic disease that affects many parts of the body. It was named after Dr. Jacqueline Anne Noonan, a paediatric cardiologist.Case Report: We report audiological tests and auditory brainstem response (ABR) findings in a 5-year old Malay boy with NS. Despite showing the marked signs of NS, the child could only produce a few meaningful words. Audiological tests found him to have bilateral mild conductive hearing loss at low frequencies. In ABR testing, despite having good waveform morphology, the results were atypical. Absolute latency of wave V was normal but interpeak latencies of wave’s I-V, I-II, II-III were prolonged. Interestingly, interpeak latency of waves III-V was abnormally shorter.Conclusion:Abnormal ABR results are possibly due to abnormal anatomical condition of brainstem and might contribute to speech delay.
Audiological evaluation
Auditory Brainstem response (ABR)
Hearing Loss
Noonan Syndrome
2017
01
01
53
57
https://ijorl.mums.ac.ir/article_8043_63810c681c24540c11221ad1d01b19e0.pdf
Iranian Journal of Otorhinolaryngology
2251-7251
2251-7251
2017
29
1
Foreign Body Aspiration in Adults (Two Unusual Foreign Bodies; Knife and Tube Tracheostomy)
Seyed Mozafar
Hashemi
Mohsen
Kolahdouzan
Shahab
Shahabi
Hamid
Talebzadeh
Mohammad Taghi
Rezaei
Introduction:Foreign body aspiration is usually a serious condition that is most common among the pediatric population, and rare in adults. In adults, aspiration may be tolerated for a long time.Case Reports:Our first case is a 38-year-old man who presented with a 2-day history of swallowing a foreign body. He was completely asymptomatic. Chest X-ray revealed the presence of 5-cm foreign object in the right main bronchus. Rigid bronchoscopy was performed and a knife was removed from the right main bronchus. Second, a 57-year old man with a known case of laryngeal cancer from 15 years previously was admitted for respiratory distress. He had previously undergone a permanent tracheostomy and had received radiotherapy for his cancer. At the first visit, the patient had prominent distress and was transferred to the operating room as an emergency. A tube was seen on chest X-ray. On bronchoscopy, we found the tracheostomy situated in the carina. The cleaved tracheostomy was removed using the grasper, by grasping the cuff line.Conclusion:We conclude that foreign body aspiration might be completely asymptomatic, especially in an adult. A good history and imaging findings can help us to diagnose and treat the condition carefully.
Asymptomatic
Aspiration
Adult
knife
2017
01
01
59
61
https://ijorl.mums.ac.ir/article_8057_8f5d5a547d81218a3d779a2925d61381.pdf