@article { author = {Rogha, Mehrdad and Mokhtari, Elham}, title = {Study of the knowledge of Pediatricians and Senior Residents Relating to the Importance of Hearing Impairment and Deafness Screening Among Newborns in Isfahan city in 2012}, journal = {Iranian Journal of Otorhinolaryngology}, volume = {26}, number = {2}, pages = {57-63}, year = {2014}, publisher = {Mashhad University of Medical Sciences (MUMS)}, issn = {2251-7251}, eissn = {2251-726X}, doi = {10.22038/ijorl.2014.1943}, abstract = {Introduction: Newborn hearing screening leads to the early detection of hearing impairment. The aim of screening is to decrease or remove the effect of hearing impairment on development of speech and language by timely diagnosis and effective treatment. A number of risk factors lead to delayed start of decreased hearing ability including: 1. Congenital infection with cytomegalovirus  (CMV) virus, 2. Meningitis, 3. Mumps, 4. Positive family history, 5. Head trauma, 6. Chemotherapy, 7. Syndrome pertaining to delayed start of decreased hearing. Unfortunately, lack of attention to early diagnosis of hearing impairment is becoming a general health problem. No research has yet been carried out relating to the knowledge of pediatricians on this issue, particularly the importance of hearing impairment and hearing screening. The aim of this study was to determine the attitude to newborn hearing screening among pediatricians.   Materials and Methods: This cross-sectional, descriptive-analytic study was conducted in Isfahan in 2012 among 300 pediatricians and final-year pediatric residents. An adjusted 22-question version of the Early Hearing Detection and Intervention (EHDI) questionnaire was used to collect data. The validity and reliability of the EHDI questionnaire was previously demonstrated by Boys Town National Research Hospital and its Farsi translated version was validated by the EDC Center at the Isfahan University of Medical Sciences.   Results: In our study, 83% of pediatricians agreed on the importance of hearing impairment screening for all infants. However 65% were not aware of special needs for hearing-impaired patients.   Conclusion:  Newborn hearing impairment and deafness screening is important, irrespective of the costs, and lack of timely diagnosis results in both individual and social consequences. The majority of physicians use textbooks to gain information about hearing screening, but recognize that this is insufficient. Although it is now one of the most useful tools for gathering and applying new information, the physicians in our study rely very little on the Internet as a source of information.}, keywords = {Hearing Impairment,Hearing screening,Early detection,intervention}, url = {https://ijorl.mums.ac.ir/article_1943.html}, eprint = {https://ijorl.mums.ac.ir/article_1943_3e706961dc1a91dd42e2f8a63207f579.pdf} } @article { author = {PahlavanNezhad, Mohammad Reza and Tayarani Niknezhad, Hamid}, title = {Comparison of the Speech Syntactic Features between Hearing-Impaired and Normal Hearing Children}, journal = {Iranian Journal of Otorhinolaryngology}, volume = {26}, number = {2}, pages = {65-72}, year = {2014}, publisher = {Mashhad University of Medical Sciences (MUMS)}, issn = {2251-7251}, eissn = {2251-726X}, doi = {10.22038/ijorl.2014.2237}, abstract = {Introduction: The present study seeks to describe and analyze the syntactic features of children with severely hearing loss who had access to the hearing aids compared with children with normal hearing, assigning them to the same separate gender classes.   Materials and Methods: In the present study, eight children with severe hearing impairment who used a hearing aid and eight hearing children matched for age and gender were selected using an available sampling method based on the principles of auditory-verbal approach. Hearing children had an average age of 5.45 ±1.9 years and subjects had a mean age of 5.43±2.17 years and their rehabilitation had begun before they were 18 months old. The assessment instrument of the study included the language development test, TOLDP-3. The syntactic skills of these children were analyzed and compared with the hearing children of the same age based on gender.   Results: There was a significant difference between the syntactic scores of the hearing-impaired children and the scores of the hearing children of the same age in the “sentence imitation” (t=−2/90, P<0/05) and “grammatical completion” (t=−3/39, P<0/05) subtests, with no significant difference in the “grammatical understanding” subtest (t=1/67, P>0/05). Moreover, there was no significant difference between male and female children with hearing impairment in terms of syntactic skills development.   Conclusion:  With early diagnosis and timely rehabilitating intervention, children with hearing loss can perform in a similar way to children of their age with normal hearing in some syntactical areas. Furthermore, the gender factor in the present study had no effect on the development of syntactical skills of children with hearing loss.  }, keywords = {Auditory-verbal therapy,Children,Hearing Loss,Syntactic skills}, url = {https://ijorl.mums.ac.ir/article_2237.html}, eprint = {https://ijorl.mums.ac.ir/article_2237_819f39e093ad16fae6b2b56a83181acd.pdf} } @article { author = {Rahpeyma, Amin and Khajehahmadi, Saeedeh}, title = {Alveolar Antral Artery: Review of Surgical Techniques Involving this Anatomic Structure}, journal = {Iranian Journal of Otorhinolaryngology}, volume = {26}, number = {2}, pages = {73-78}, year = {2014}, publisher = {Mashhad University of Medical Sciences (MUMS)}, issn = {2251-7251}, eissn = {2251-726X}, doi = {10.22038/ijorl.2014.2138}, abstract = {Introduction: The horizontal bony canal in the lateral maxillary wall is the site of anastomosis between the arterial branches from the posterior superior alveolar artery (PSAa) and the infraorbital artery. This anatomic structure is known as the ‘alveolar antral artery’.   Materials and Methods: We performed a literature review. The anatomic location of the alveolar antral artery in the lateral maxillary sinus wall was researched and its importance in surgical procedures routinely performed on this bony wall discussed.   Results: This artery can be accidentally involved during surgical procedures on the lateral maxillary sinus wall, such as open sinus lift surgery, horizontal osteotomy of the maxilla, Le Fort I fracture treatment, and Caldwell-Luc surgeries.   Conclusion: The alveolar antral artery is an important anatomic structure in the lateral maxillary sinus wall. A preoperative cone beam computed tomography (CBCT) scan can be used as a good diagnostic procedure to reduce surgical complications in suspected cases as well as conditions that may involve this artery. }, keywords = {Artery,Open sinus lift,Caldwell-Luc,dental implant}, url = {https://ijorl.mums.ac.ir/article_2138.html}, eprint = {https://ijorl.mums.ac.ir/article_2138_9dbda097ef54594c488055d4638923e0.pdf} } @article { author = {Arian Nahad, Homa and Ruzbahani, Masomeh and Jarollahi, Farnoush and Jalaie, Shohreh and Pourbakht, Akram and Mokrian, Helnaz and Mahdi, Parvane and Amali, Amin and Nodin Zadeh, Abdolmajid}, title = {Translation, Validity, and Reliability of a Persian Version of the Iowa Tinnitus Handicap Questionnaire}, journal = {Iranian Journal of Otorhinolaryngology}, volume = {26}, number = {2}, pages = {79-87}, year = {2014}, publisher = {Mashhad University of Medical Sciences (MUMS)}, issn = {2251-7251}, eissn = {2251-726X}, doi = {10.22038/ijorl.2014.2215}, abstract = {Introduction: Tinnitus is a common otologic symptom that can seriously affect a patient’s quality of life. The purpose of the present study was to translate and validate the Iowa Tinnitus Handicap Questionnaire (THQ) into the Persian language, and to make it applicable as a tool for determining the effects of tinnitus on a patient’s life.   Materials and Methods: The main version of the THQ was translated into the Persian language. The agreed Persian version was administered to 150 tinnitus patients. The validity of the Persian THQ was evaluated and internal reliability was confirmed using Cronbach’s α-coefficient. Finally, the effect of independent variables such as age, mean patient threshold, gender, and duration of tinnitus were considered in order to determine the psychometric properties of tinnitus.   Results: After an exact translation process, the Persian THQ was found to exhibit face validity. In terms of content validity, the Content Validity Ratio (CVR) reached 100% in all but two questions. Further, in structural validity measurements, intermediate correlation with annoyance from tinnitus (r= 0.49), low correlation with duration of tinnitus (r = 0.34) and high correlation with the Tinnitus Handicap Inventory (THI) questionnaire (r = 0.84) were demonstrated. Additionally, a negligible effect of gender and age was noted on degree of tinnitus handicap (P = 0.754 andP= 0.573, respectively). In the internal reliability assessment for Factors 1, 2, 3, and the whole questionnaire, Cronbach`s α-coefficient was 0.95, 0.92, 0.25 and 0.88, respectively.   Conclusion:  The Persian version of the Iowa THQ demonstrates high validity and reliability and can be used for the determination of tinnitus handicap and for following-up in the intervention process in Persian tinnitus patients.}, keywords = {Validity,Reliability,Tinnitus Handicap Questionnaire,Persian,Translation}, url = {https://ijorl.mums.ac.ir/article_2215.html}, eprint = {https://ijorl.mums.ac.ir/article_2215_b6d9e1f36bf2ce6c1c7eeb4d86b72371.pdf} } @article { author = {Eidi, Mahmoud and Seyed Toutounchi, Seyed Javad and Kolahduzan, Khosro and Sadeghian, Parisa and Seyed Toutounchi, Negisa}, title = {Comparing the Effect of Dexamethasone before and after Tracheal Intubation on Sore Throat after Tympanoplasty Surgery: A Randomized Controlled trial}, journal = {Iranian Journal of Otorhinolaryngology}, volume = {26}, number = {2}, pages = {89-95}, year = {2014}, publisher = {Mashhad University of Medical Sciences (MUMS)}, issn = {2251-7251}, eissn = {2251-726X}, doi = {10.22038/ijorl.2014.2328}, abstract = {Introduction: Presence of a sore throat after surgery is a common side effect of general anesthesia with intratracheal intubation and can cause discomfort for the patient and prolong the recovery process. In this study we compared the effect of dexamethasone before and after intubation on the incidence of sore throat after tympanoplasty surgery.   Materials and Methods: In a double-blind, randomized clinical trial, 70 patients aged 30–60 years with American Society of Anesthesiologists (ASA) physical status I or II who were candidates for tympanoplasty under anesthetic conditions were studied in two separate groups. The first group received intravenous (IV) dexamethasone (8 mg) 30 mins prior to intubation while the second group received the same dose of dexamethasone 30 mins after intubation. The incidence and severity of the sore throat in both groups were then evaluated.   Results: There was no significant difference between two groups in intensity of sore throat (62.9% vs. 57.1%), cough (65.7% vs. 62.9%), or hoarseness (62.9% vs. 65.7%) within 24 h after surgery. Detection of blood in oral secretions or on the tracheal tube was the same in both groups (5.7%). The incidence of coughs during the extubation was 0% in first group and 11.4% in second group.   Conclusion:  According to the results of this research there was no significant difference in incidence and intensity of sore throat in patients receiving dexamethasone before or after intubation. Further, no significant difference in intensity of coughs or hoarseness was observed.  }, keywords = {Dexamethasone,Intubation,Sore throat}, url = {https://ijorl.mums.ac.ir/article_2328.html}, eprint = {https://ijorl.mums.ac.ir/article_2328_d8856e2b1befa0ac8a0271b206388376.pdf} } @article { author = {Bakhshaee, Mehdi and Sarvghad, Mohammad Reza and Khazaeni, Kamran and Movahed, Rahman and Hoseinpour, Ali Mohammad}, title = {HIV: An Epidemiologic study on Head and Neck Involvement in 50 Patients}, journal = {Iranian Journal of Otorhinolaryngology}, volume = {26}, number = {2}, pages = {97-103}, year = {2014}, publisher = {Mashhad University of Medical Sciences (MUMS)}, issn = {2251-7251}, eissn = {2251-726X}, doi = {10.22038/ijorl.2014.2329}, abstract = {Introduction: Acquired immunodeficiency syndrome (AIDS) is a worldwide infection. Because of the vast array of manifestations of AIDS and its many atypical presentations, it is becoming increasingly challenging for clinicians to accurately diagnose new lesions. Materials and Methods: In a descriptive cross-sectional study conducted from 2007 to 2010, 50 patients with a proven human immunodeficiency virus (HIV) infection were evaluated. Based on the findings of a physical examination and paraclinic tests, HIV signs and symptoms were recorded.   Results: The mean (range) age of the patients was 35.45 ±5.24 (5–55) years. Forty-two (84%) cases were male and eight were female. The mean duration of carrying the virus was 4.51 ±1.03 years. Oral manifestations were the most common (94%), followed by rhinologic (88%), otologic (66%), and finally neck (44%) manifestations.   Conclusion:  Head and neck presentations are very common in HIV patients; therefore otolaryngologists, as the first physicians who may encounter such patients, should be aware of this condition.  }, keywords = {Aids,Head,HIV,Neck,Otologic,Oral,Rhinologic}, url = {https://ijorl.mums.ac.ir/article_2329.html}, eprint = {https://ijorl.mums.ac.ir/article_2329_b885bfc010821e48bbaa78d591f2cc3a.pdf} } @article { author = {Emami, Seyede Faranak}, title = {Acoustic Sensitivity of the Saccule and Daf Music}, journal = {Iranian Journal of Otorhinolaryngology}, volume = {26}, number = {2}, pages = {105-110}, year = {2014}, publisher = {Mashhad University of Medical Sciences (MUMS)}, issn = {2251-7251}, eissn = {2251-726X}, doi = {10.22038/ijorl.2014.2330}, abstract = {  Introduction:   The daf is a large Persian frame drum used as a musical instrument in both popular and classical music which can induce a percussive sound at low frequencies (146–290 Hz) with peaks of up to 130 dBspl. The percussive sounds have a power distribution in the region of saccular sensitivity. In view of the saccular stimulation by sound in humans, we decided to use cervical vestibular-evoked myogenic potentials (cVEMPs) to evaluate the possibility that the daf music may have a disturbing effect on saccular function.       Materials and Methods:   During this case-control study, 18 daf musicians were compared with 20 healthy individuals evaluated in the audiology department of the Hamadan University of Medical Sciences. Assessment consisted of pure tone audiometry, tympanometry, and cVEMPs.       Results:   Multiple comparisons of mean the cVEMPs and mean hearing loss at 250 Hz among the three groups (affected, unaffected, and normal ears) were significant. There were no significant differences between all daf players on high-tone loss at 3000 Hz. The daf musicians had bilateral unsymmetrical sensorineural hearing loss (SNHL), with hearing loss at 250 Hz (low-tone loss) and notched audiogram at 3000 Hz (high-tone loss). Eleven musicians with decreased vestibular excitability as detected by abnormal cVEMPs had mild (26–40 dBHL) low-tone loss and significant abnormal cVEMPs findings. In contrast, the others had slight (16–25 dBHL) low-tone loss with normal cVEMPs. Exposure to daf music is related to both saccular and cochlear dysfunction.       Conclusion:    Exposure to daf music is related to both saccular and cochlear dysfunction.      }, keywords = {Hearing Loss,Saccule,Vestibular-evoked myogenic potentials}, url = {https://ijorl.mums.ac.ir/article_2330.html}, eprint = {https://ijorl.mums.ac.ir/article_2330_08a01481cb0ef6f0631baaf01c696f73.pdf} } @article { author = {Banihashem Rad, Seyed Ali and Mortazavi, Hamed and Eshghpour, Majid and Salehinejad, Jahanshah and Shahakbari, Reza}, title = {A Large Ameloblastic Fibro-odontoma of the Maxillary Sinus}, journal = {Iranian Journal of Otorhinolaryngology}, volume = {26}, number = {2}, pages = {111-114}, year = {2014}, publisher = {Mashhad University of Medical Sciences (MUMS)}, issn = {2251-7251}, eissn = {2251-726X}, doi = {10.22038/ijorl.2014.872}, abstract = {Introduction: Ameloblastic fibro-odontoma is a rare, benign, asymptomatic tumor. The term ameloblastic fibro-odontoma was first used by Hooker in 1967 as a separate lesion from ameloblastic odontoma.   Case Report: This case report describes an eleven years old female with large ameloblastic fibro-odontoma in the right maxillary sinus.   Conclusion: There is a low potential for recurrence after complete Enucleation of ameloblastic fibro-odontoma, but due to the risk of ameloblastic sarcoma after recurrence, the surgery should be perfect along with a careful follow up. }, keywords = {Ameloblastic fibro-odontoma,Maxillary sinus,odontogenic tumor}, url = {https://ijorl.mums.ac.ir/article_872.html}, eprint = {https://ijorl.mums.ac.ir/article_872_d25335fc3a64aabb91e5664e124c26bf.pdf} } @article { author = {Ahmadi, Mohammad Saeed and Ahmadi, Mohammad and Dehghan, Arash}, title = {Osteoid Osteoma Presenting as a Painful Solitary Skull Lesion: A Case Report}, journal = {Iranian Journal of Otorhinolaryngology}, volume = {26}, number = {2}, pages = {115-117}, year = {2014}, publisher = {Mashhad University of Medical Sciences (MUMS)}, issn = {2251-7251}, eissn = {2251-726X}, doi = {10.22038/ijorl.2014.1474}, abstract = {Introduction: Osteomas are asymptomatic and rare slow growing bony tumors in temporal bone, and should be taken into account in differential diagnosis of the osteolytic solitary skull lesions. Sometimes is associated with pain and functional loss. Only a few cases have been reported.   Case Report: We describe a case of an osteoid osteoma of the temporal bone (mastoid) in a 31-year-old woman presenting as painful solitary tumor of calvarium and its management. The resection of whole bony tumor was performed using the retroauricular approach. Pathologic evaluation revealed the osteoid osteoma.    Conclusion: Although osteoid osteoma of the temporal bone is rare, it should be taken into account in differential diagnosis of the osteolytic skull lesions. Treatment is indicated for symptomatic osteomas or cosmetic reasons. }, keywords = {Osteoma,Osteoid,Temporal bone,Skull}, url = {https://ijorl.mums.ac.ir/article_1474.html}, eprint = {https://ijorl.mums.ac.ir/article_1474_ef7eb4c2c0bb35c0e6b0696eaca23ddc.pdf} } @article { author = {Rajati, Mohsen and Ghassemi, Mohammad Mehdi and Alipour, Mohammad and Bakhshaee, Mehdi and Shahabi, Ayeh and Naseri Sadr, Masoud}, title = {Differentiation between CSF Otorrhea and Rhinorrhea in an Obscure Case of Recurrent Meningitis}, journal = {Iranian Journal of Otorhinolaryngology}, volume = {26}, number = {2}, pages = {119-123}, year = {2014}, publisher = {Mashhad University of Medical Sciences (MUMS)}, issn = {2251-7251}, eissn = {2251-726X}, doi = {10.22038/ijorl.2014.2268}, abstract = {Introduction: Leakage of cerebrospinal fluid in the skull base may be accompanied with recurrent meningitis. The site of leakage may either be anterior (in the nose and paranasal sinuses) or posterior (in the temporal bone). Various imaging techniques can be used to precisely locate the point of leakage but despite all the advances in imaging techniques there are still some rare cases in which the surgeon can’t be sure on the management approach before the beginning of surgery.   Case Report: In this article we present one of these cases; we used intrathecal fluorescein to locate the source of the leak and made the final decision on the operating table.   Conclusion: Intrathecal fluorescein is helpful in locating the leakage in the ear or the nose in ambiguous cases.}, keywords = {CSF,Fluorescein,Recurrent meningitis,Rhinorrhea}, url = {https://ijorl.mums.ac.ir/article_2268.html}, eprint = {https://ijorl.mums.ac.ir/article_2268_ebe8b385f5d03770b6de4046b6457cc6.pdf} }