ORIGINAL_ARTICLE
Preventive Effect of Dexamethasone Therapy on the Transient Hypoparathyroidism through Total Thyroidectomy
Introduction: This study aimed to investigate whether pre-operative dexamethasone could ameliorate transient hypoparathyroidism outcome through total thyroidectomy. Materials and Methods: This randomized clinical trial study was conducted on 128 patients underwent total thyroidectomy from March 2014 to April 2015. Patients were randomly assigned to two groups of experimental receiving 8 mg IV of intravenous dexamethasone (n=45) 45 min before skin incision treatment and control (n=83). After the surgery, all patients were evaluated for clinical and laboratory hypocalcaemia. Results: Post-operative transient biochemical hypoparathyroidism and hypocalcaemia did not occur more often in the control group, compared to the dexamethasone group while controlling for the baseline variables. However, there was a significant difference in phosphorus level between the dexamethasone and control groups (P=0.028). A total of 50 (39.1%) patients developed hypocalcaemia after surgery. Moreover, post-operative symptomatic hypocalcemia occurred more frequently in the control group (68%) compared to the dexamethasone group (32%); however, this difference was not statistically significant (P=0.54). Conclusion: The pre-operative administration of dexamethasone reduced post-operative hypocalcemia rate. It is essential to conduct future studies with validated means for better results.
https://ijorl.mums.ac.ir/article_12374_4c99c1982ede792bad1a9df335dd02f4.pdf
2019-03-01
73
80
10.22038/ijorl.2018.26541.1866
Drug Utilization
Hypoparathyroidism
Surgery
Dexamethasone
Mohsen
Kolahdouzan
dr.kolahduzan@gmail.com
1
Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
AUTHOR
Bijan
Iraj
bijaniraj@gmail.com
2
Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
AUTHOR
Mohammad
Eslamian
mr.esl67@gmail.com
3
Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
AUTHOR
Mohammad
Harandizadeh
rokhsareh81@yahoo.com
4
Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
AUTHOR
Rokhsareh
Meamar
meamar@pharm.mui.ac.ir
5
Isfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
LEAD_AUTHOR
1. Bron L, O'Brien C. Total thyroidectomy for clinically benign disease of the thyroid gland. British journal of surgery. 2004;91(5):569-74.
1
2. Rosato L, Avenia N, Bernante P, De Palma M, Gulino G, Nasi PG, et al. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. World journal of surgery. 2004;28(3):271-6.
2
3. Dener C. Complication rates after operations for benign thyroid disease. Acta oto-laryngologica. 2002;122(6):679-83.
3
4. Thomusch O, Sekulla C, Dralle H. [Is primary total thyroidectomy justified in benign multinodular goiter? Results of a prospective quality assurance study of 45 hospitals offering different levels of care]. Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen. 2003; 74(5): 437-43.
4
5. Falk SA, Birken EA, Baran DT. Temporary postthyroidectomy hypocalcemia. Archives of Otolaryngology-Head & Neck Surgery.1988;114 (2): 168-74.
5
6. Percival RC, Hargreaves AW, Kanis JA. The mechanism of hypocalcaemia following thyroidectomy. Acta endocrinologica. 1985; 109 (2): 220-6.
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7. See A, Soo K. Hypocalcaemia following thyroidectomy for thyrotoxicosis. British journal of surgery. 1997;84(1):95-7.
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8. Falk S. Complications of Thyroid Surgery: Hypocalcemia, Hypoparathyroidism. Thyroid disease: Endocrinology, Surgery, Nuclear Medicine, Radiotherapy-Raven Press, New York. 1990: 609-20.
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9. Reeve T, Thompson NW. Complications of thyroid surgery: how to avoid them, how to manage them, and observations on their possible effect on the whole patient. World journal of surgery. 2000; 24(8):971-5.
9
10. Asari R, Passler C, Kaczirek K, Scheuba C, Niederle B. Hypoparathyroidism after total thyroidectomy: a prospective study. Archives of Surgery. 2008;143(2):132-7.
10
11. Tredici P, Grosso E, Gibelli B, Massaro M, Arrigoni C, Tradati N. Identification of patients at high risk for hypocalcemia after total thyroidectomy. Acta Otorhinolaryngologica Italica. 2011;31(3):144.
11
12. Cavicchi O, Piccin O, Caliceti U, De Cataldis A, Pasquali R, Ceroni AR. Transient hypoparathyroidism following thyroidectomy: a prospective study and multivariate analysis of 604 consecutive patients. Otolaryngology-Head and Neck Surgery. 2007;137(4):654-8.
12
13. Srinivasa S, Kahokehr AA, Yu T-C, Hill AG. pre-operative Glucocorticoid Use in Major Abdominal Surgery: Systematic Review and Meta-Analysis of Randomized Trials. Annals of surgery. 2011;254(2):183-91.
13
14. Holte K, Kehlet H. Perioperative single-dose glucocorticoid administration: pathophysiologic effects and clinical implications. Journal of the American College of Surgeons. 2002;195(5):694-712.
14
15. Sapolsky RM, Romero LM, Munck AU. How do glucocorticoids influence stress responses? Integrating permissive, suppressive, stimulatory, and preparative actions 1. Endocrine reviews. 2000; 21(1):55-89.
15
16. Schietroma M, Cecilia EM, Carlei F, Sista F, De Santis G, Lancione L, et al. Dexamethasone for the prevention of recurrent laryngeal nerve palsy and other complications after thyroid surgery: a randomized double-blind placebo-controlled trial. JAMA Otolaryngology–Head & Neck Surgery. 2013;139(5):471-8.
16
17. Feroci F, Rettori M, Borrelli A, Lenzi E, Ottaviano A, Scatizzi M. Dexamethasone prophylaxis before thyroidectomy to reduce post-operative nausea, pain, and vocal dysfunction: a randomized clinical controlled trial. Head Neck.2011 Jun;33(6):840-6. doi(2010 Aug 24): 10. 1002/ hed.21543.
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18. Lachanas VA, Exarchos S, Tsiouvaka S, Tsea M, Hajiioannou JK, Skoulakis CE, et al. Does perioperative dexamethasone affect voice-related quality of life after thyroidectomy? European Archives of Oto-Rhino-Laryngology. 2014; 271 (11):3073-6.
18
19. Yang C, Jung SM, Bae YK, Park SJ. The effect of ketorolac and dexamethasone on the incidence of sore throat in women after thyroidectomy: a prospective double-blinded randomized trial. Korean J Anesthesiol.2017 Feb;70(1):64-71. doi(2016 Nov 25):10.4097/kjae.2017.70.1.64.
19
20. Tarantino I, Warschkow R, Beutner U, Kolb W, Luthi A, Luthi C, et al. Efficacy of a Single pre-operative Dexamethasone Dose to Prevent Nausea and Vomiting After Thyroidectomy (the tPONV Study): A Randomized, Double-blind, Placebo-controlled Clinical Trial. Ann Surg. (10):2015 Dec; 262(6):934-40.
20
21. Zambudio AR, Rodríguez J, Riquelme J, Soria T, Canteras M, Parrilla P. Prospective study of post-operative complications after total thyroidectomy for multinodular goiters by surgeons with experience in endocrine surgery.Annals of surgery.2004;240 (1): 18-25.
21
22. Pattou F, Combemale F, Fabre S, Carnaille B, Decoulx M, Wemeau J-L, et al. Hypocalcemia following thyroid surgery: incidence and prediction of outcome. World journal of surgery. 1998; 22(7): 718-24.
22
23. Wang L-F, Lee K-W, Kuo W-R, Wu C-W, Lu S-P, Chiang F-Y. The efficacy of intraoperative corticosteroids in recurrent laryngeal nerve palsy after thyroid surgery. World journal of surgery. 2006;30(3):299-303.
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24. Mayers I, Johnson D. The nonspecific inflammatory response to injury. Canadian journal of anaesthesia. 1998;45(9):871-9.
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25. Nasiri S, Shafag S, Khorgami Z, Sodagari N, Aminian A, Hedayat A. Does corticosteroid have any beneficial effect on voice change after thyroidectomy? The American Surgeon. 2013; 79(12):1258-62.
25
26. Hermann M, Ott J, Promberger R, Kober F, Karik M, Freissmuth M. Kinetics of serum parathyroid hormone during and after thyroid surgery. British journal of surgery. 2008; 95(12): 1480-7.
26
27. Mazotas IG, Wang TS. The role and timing of parathyroid hormone determination after total thyroidectomy. Gland surgery. 2017;6(Suppl 1): S38.
27
28. Edafe O, Balasubramanian SP. Incidence, prevalence and risk factors for post-surgical hypocalcaemia and hypoparathyroidism. Gland surgery. 2017;6(Suppl 1):S59.
28
29. Edafe O, Antakia R, Laskar N, Uttley L, Balasubramanian SP. Systematic review and meta-analysis of predictors of post-thyroidectomy hypocalcaemia. Br J Surg.2014 Mar;101(4):307-20. doi(2014 Jan 9):10.1002/bjs.9384.
29
30. Cheng S-P, Liu T-P, Yang P-S, Lee K-S, Liu C-L. Effect of perioperative dexamethasone on subjective voice quality after thyroidectomy: a meta-analysis and systematic review. Langenbeck's Archives of Surgery. 2015;400(8):929-36.
30
31. Donnelly LE, Newton R, Kennedy GE, Fenwick PS, Leung RH, Ito K, et al. Anti-inflammatory effects of resveratrol in lung epithelial cells: molecular mechanisms. American Journal of Physiology-Lung Cellular and Molecular Physiology. 2004;287(4):L774-L83.
31
32. Zou Z, Jiang Y, Xiao M, Zhou R. The impact of prophylactic dexamethasone on nausea and vomiting after thyroidectomy: a systematic review and meta-analysis. PLoS One. 2014;9(10):e109582.
32
ORIGINAL_ARTICLE
Effect of Cold Diet and Diet at Room Temperature on Post-Tonsillectomy Pain in Children
Introduction: The present study aimed to compare the effect of cold diet and diet at room temperature on post-tonsillectomy pain in children. Materials and Methods: In the present study a total of 120 children within the age range of 4-12 years who underwent tonsillectomy were randomly assigned to two groups, namely group C with a cold-served diet and group room temperaturewith a room-temperature-served diet postoperatively. Each patient’s post-operative pain was evaluated using the Face, Legs, Activity, Cry, Consolability (FLACC) scale prior to oral diet initiation after the operation, before thesecond acetaminophen dose, before the next day breakfast, and before discharge. Results: Out of 103 children, 48 and 55 children were femaleand male, respectively. The average age of the children was 7 years and 2 months. There was no significant difference in gender and age between the two groups. There were no significant differences in the mean scores of FLACC scale between the two groups at different times, including before starting an oral diet (P>0.15), before the second dose of acetaminophen (P>0.22), before the next day breakfast (P>0.32), and before discharge (P>0.83). In terms of bleedingfrequency, as well as nausea and vomiting, no significant difference was observed between the two groups. Conclusion: The obtained results of this study indicated that using cold liquids and foods after tonsillectomy did not have a significant effect on post-tonsillectomy pain in children. According to the findings, it is not rational to advise the mother or the child about the temperature of fluids and foods consumed post-tonsillectomy.
https://ijorl.mums.ac.ir/article_12375_61d4a52dffc32b258ddcdbd32ef0c01d.pdf
2019-03-01
81
86
10.22038/ijorl.2018.31204.2022
Diet
Pain
Tonsillectomy
Mojtaba
Meybodian
m.meybodian2017@gmail.com
1
Department of Otolaryngology- Head and Neck Surgery, Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
AUTHOR
Mohammadhossein
Dadgarnia
mhdadgar2017@gmail.com
2
Department of Otolaryngology- Head and Neck Surgery, Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
AUTHOR
Mohammadhossein
Baradaranfar
baradaranfar@gmail.com
3
Department of Otolaryngology- Head and Neck Surgery, Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
AUTHOR
Sedighe
Vaziribozorg
s.vaziribozorg1408@gmail.com
4
Department of Otolaryngology- Head and Neck Surgery, Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
AUTHOR
Mahzad
Mansourimanesh
m-mansourimanesh@gmail.com
5
Department of Anesthesiology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
AUTHOR
Mohammad
Mandegari
m_mndgr62@yahoo.com
6
Department of Otolaryngology- Head and Neck Surgery, Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
AUTHOR
Nasir
Saeidi Eslami
nasirse2017@gmail.com
7
Department of Otolaryngology- Head and Neck Surgery, Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
LEAD_AUTHOR
1. Júnior JFN HD, Américo RR, Stamm RG, Hirata CW. A Brief History of Tonsillectomy. Int Arch Otorhinolaryngol 2006;10(4):314-7.
1
2. Baugh RF, Archer SM, Mitchell RB, Rosenfeld RM, Amin R, Burns JJ, et al. Clinical practice guideline: tonsillectomy in children. Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2011;144(1 Suppl):S1-30.
2
3. Flint PW. Cummings otolaryngology: head & neck surgery. 6th ed. Philadelphia, PA: Elsevier/Saunders; 2015.
3
4. Idvall E, Holm C, Runeson I. Pain experiences and non-pharmacological strategies for pain management after tonsillectomy: a qualitative interview study of children and parents.J Child Health Care.2005;9(3):196-207.
4
5. Sutters KA, Savedra MC, Miaskowski C, Holdridge-Zeuner D, Waite S, Paul SM, et al. Children's expectations of pain, perceptions of analgesic efficacy, and experiences with nonpharmacologic pain management strategies at home following tonsillectomy. J Spec Pediatr Nurs. 2007;12(3):139-48.
5
6. Bulteau V. Letter: Tonsillectomy: ice cream myth. Med J Aust. 1976;1(1-2):34.
6
7. Merkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997;23(3):293-7.
7
8. Nilsson S, Finnstrom B, Kokinsky E. The FLACC behavioral scale for procedural pain assessment in children aged 5-16 years. Paediatr Anaesth. 2008;18(8):767-74.
8
9. Redmann AJ, Wang Y, Furstein J, Myer CM, 3rd, de Alarcon A. The use of the FLACC pain scale in pediatric patients undergoing adenotonsillectomy. Int J Pediatr Otorhinolaryngol. 2017;92:115-8.
9
10.Vons KM, Bijker JB, Verwijs EW, Majoor MH, de Graaff JC. Postoperative pain during the first week after adenoidectomy and guillotine adenotonsillectomy in children. Paediatr Anaesth. 2014;24(5):476-82.
10
11. Novoa E, Schlegel-Wagner C. Hot water irrigation as treatment for intractable posterior epistaxis in an out-patient setting. J Laryngol Otol. 2012;126(1):58-60.
11
12. Schlegel-Wagner C, Siekmann U, Linder T. Non-invasive treatment of intractable posterior epistaxis with hot-water irrigation. Rhinology. 2006;44(1):90-3.
12
13. Haraji A, Rakhshan V, Hosseini V. Local heating of the wound with dressings soaked in saline at 42 degrees C can reduce postoperative bleeding: a single-blind, split-mouth, randomised controlled clinical trial. Br J Oral Maxillofac Surg. 2016;54(3):266-9.
13
14. MacGregor FB, Albert DM, Bhattacharyya AK. Post-operative morbidity following paediatric tonsillectomy; a comparison of bipolar diathermy dissection and blunt dissection. Int J Pediatr Otorhinolaryngol. 1995; 31(1):1-6.
14
15. Temple RH, Timms MS. Paediatric coblation tonsillectomy. Int J Pediatr Otorhinolaryngol. 2001;61(3):195-8.
15
16. Sylvester DC, Rafferty A, Bew S, Knight LC. The use of ice-lollies for pain relief post-paediatric tonsillectomy. A single-blinded, randomised, controlled trial. Clin Otolaryngol. 2011;36(6):566-70.
16
17. Rotenberg BW, Wickens B, Parnes J. Intraoperative ice pack application for uvulopalatoplasty pain reduction: a randomized controlled trial. Laryngoscope. 2013; 123(2): 533-6.
17
18. Shin JM, Byun JY, Baek BJ, Lee JY. Effect of cold-water cooling of tonsillar fossa and pharyngeal mucosa on post-tonsillectomy pain. Am J Otolaryngol. 2014;35(3):353-6.
18
19. Robinson SR, Purdie GL. Reducing post-tonsillectomy pain with cryoanalgesia: a randomized controlled trial. Laryngoscope. 2000; 110(7):1128-31.
19
20. Forsgren H, Heimdahl A, Johansson B, Krekmanov L. Effect of application of cold dressings on the postoperative course in oral surgery. Int J Oral Surg. 1985;14(3):223-8.
20
ORIGINAL_ARTICLE
Transoral Resection of Giant Parapharyngeal Space Tumors via a Combined Surgical Approach
Introduction:
Parapharyngeal space (PPS) tumors account for 0.5% of the head and neck neoplasms. Based on the evidence, 80% of these tumors are of a benign nature. Surgical excision is the treatment of choice for this condition. The present study was conducted to propose transoral resection as an efficient way to excise the benign well-defined tumors of the PPS.
Materials and Methods:
This retrospective case series study was conducted on seven patients undergoing the transoral excision of the sizeable masses of the PPS via a combined approach. Computed tomography and magnetic resonance scans revealed giant masses in the PPS in all cases. These neoplasms were preoperatively diagnosed as well-delineated, non-vascular, and benign.
Results:
All patients underwent transoral tumor excision preceded by an auxiliary transcervical approach, which served as an assurance for the dissection and preservation of the cranial nerves and neurovascular bundle without any tumor spillage. Average hospital stay was limited to a maximum of 3 days, and all patients had an uneventful postoperative course. The follow-up examination did not indicate any recurrence.
Conclusion:
Based on the findings, transoral resection can be concluded as an efficient way to excise benign, well-defined tumors of the PPS. This procedure appears to be safe when a secondary transcervical approach is applied. Given the unnecessity of performing mandibulotomy in this procedure, it is expected to have lower morbidity and fewer complications.
https://ijorl.mums.ac.ir/article_12390_7c45a85cba4823e8433b18884857f655.pdf
2019-03-01
87
96
10.22038/ijorl.2018.27837.1911
mandibulotomy
Prestyloid parapharyngeal space
Transoral
Konstantinos
Markou
kmarkou@med.auth.gr
1
Department of Otorhinolaryngology - Head and Neck Surgery, Aristotle University of Thessaloniki, AHEPA Hospital, 1 Stilponos Kyriakidi St, 54636 Thessaloniki, Greece.
AUTHOR
Sarantis
Blioskas
sblioskas@hotmail.com
2
Department of Otorhinolaryngology - Head and Neck Surgery, Aristotle University of Thessaloniki, AHEPA Hospital, 1 Stilponos Kyriakidi St, 54636 Thessaloniki, Greece.
LEAD_AUTHOR
Argyrios
Krommydas
argytar@gmail.com
3
Department of Otorhinolaryngology - Head and Neck Surgery, Aristotle University of Thessaloniki, AHEPA Hospital, 1 Stilponos Kyriakidi St, 54636 Thessaloniki, Greece.
AUTHOR
George
Psillas
psill@otenet.gr
4
Department of Otorhinolaryngology - Head and Neck Surgery, Aristotle University of Thessaloniki, AHEPA Hospital, 1 Stilponos Kyriakidi St, 54636 Thessaloniki, Greece.
AUTHOR
Petros
Karkos
pkarkos@aol.com
5
Department of Otorhinolaryngology - Head and Neck Surgery, Aristotle University of Thessaloniki, AHEPA Hospital, 1 Stilponos Kyriakidi St, 54636 Thessaloniki, Greece.
AUTHOR
1. Stell PM, Mansfield AO, Stoney PJ. Surgical approaches to tumors of the parapharyngeal space. Am J Otolaryngol. 1985;6(2):92-7.
1
2. Pensak ML, Gluckman JL, Sumrick KA. Parapharyngeal space tumors: an algorithm for evaluation and management. Laryngoscope 1994; 104: 1170–3.
2
3. Starek I, Mihal V, Novak Z. Paediatric tumours of the parapharyngeal space. Int J Pediatr Otorhinolaryngol 2004;68:601–6.
3
4. Mendelsohn AH, Bhuta S, Calcaterra TC, Shih HB, Abemayor E, St John MA. Parapharyngeal space pleomorphic adenoma: a 30-year review. Laryngoscope 2009;119:2170–4.
4
5. Lawson VG, LeLiever WC, Makerewich LA, Rabuzzi DD, Bell RD. Unusual parapharyngeal lesions. J Otolaryngol 1979;8:241–9.
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6. Olsen KD. Tumors and surgery of the parapharyngeal space.Laryngoscope 1994;104:1–27.
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7. Abemayor E, Lufkin R. Enhancing access to the parapharyngeal space. Laryngoscope 2002; 112: 757–9.
7
8. Bass RM. Approaches to the diagnosis and treatment of tumors of the parapharyngeal space. Head Neck Surg 1982;4:281–9.
8
9. Myers EN, Johnson JT, Curtin HG. Tumors of parapharyngeal space. 4th ed. In: Myers EN, Suen JY, Myers JN, Hanna EY, eds: Cancer of the Head and Neck, vol. 22. Philadelphia: WB Saunders 2003, pp 511–3.
9
10. Carrau RL, Myers EN, Johnson JT. Management of tumors arising in the parapharyngeal space. Laryngoscope 1990; 100: 583–9.
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11. Allison RS, Van der Waal I, Snow GB. Parapharyngeal tumors: a review of 23 cases. Clin Otolaryngol 1989;14:199–203.
11
12. Fisch U. Inftratemporal fossa approach to tumors of the temporal bone and base of the skull. J Laryngol Otol 1978;92:949-67.
12
13. Papadogeorgakis N, Petsinis V, Goutzanis L, Kostakis G, Alexandridis C Parapharyngeal space tumors: surgical approaches in a series of 13 cases. Int. J. Oral Maxillofac. Surg. 2010;39:243–50.
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14. Morfit HM. Retromandibular parotid surgery. Arch Surg 1955;70:906.
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15. Cohen SM, Burkey BB, Netterville JL. Surgical management of parapharyngeal space masses. Head Neck 2005;27:669-75.
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16. Luna-Ortiz K, Navarrete-Aleman JE, Granados-Garcia M, Herrera-Gómez A. Primary parapharyngeal space tumors in a Mexican cancer center.Otolaryngol Head Neck Surg 2005;132: 587-91.
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17. Shahab R, Heliwell T, Jones AS. How we do it: a series of 114 primary pharyngeal space neoplasms. Clin Otolaryngol 2005;30:364–7.
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18. Hamza A, Fagan JJ, Weissman JL, Myers EN. Neurilemomas of the parapharyngeal space. Arch Otolaryngol Head Neck Surg 1997;123:622-6.
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19. Malone JP, Agrawal A, Schuller DE. Safety and efficacy of transcervical resection of parapharyngeal space neoplasms. Ann Otol Rhinol Laryngol 2001; 110:1093-8.
19
20. Ducic Y, Oxford L, Pontius AT. Transoral approach to the superomedial parapharyngeal space. Otolaryngol Head Neck Surg 2006;134:466–70.
20
21. Bozza F, Vigili MG, Ruscito P, Marzetti A, Marzetti F. Surgical management of parapharyngeal space tumours: results of 10-year follow-up. Acta Otorhinolaryngol Ital. 2009;29(1):10-5.
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22. Leonetti JP, Marzo SJ, Petruzzelli GJ, Herr B. Recurrent pleomorphic adenoma of the parotid gland. Otolaryngol Head Neck Surg 2005;133: 319-22.
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23. Spiro RH, Gerold FP, Strong EW. Mandibular “swing” approach for oral and oropharyngeal tumors. Head Neck Surg 1981;3:371-8, 1981
23
24. Vikatmaa P, Makitie AA, Railo M, Törnwall J, Albäck A, Lepäntalo M. Midline mandibulotomy and interposition grafting for lesions involving the internal carotid artery below the skull base. J Vasc Surg 2009;49:86–92.
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25. Ehrlich H. Mixed tumors of the pterygomaxillary space; operative removal; oral approach. Oral Surg Oral Med Oral Pathol. 1950; 3(11):1366-71.26.
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26. McElroth DC, Remine WH, Devine KD. Tumours of the parapharyngeal region. Surgery Gynecology and Obstetrics 1963;116:88-6.
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27. Goodwin WJ Jr, Chandler JR. Transoral excision of lateral pharyngeal space tumors presenting intraorally. Laryngoscope 1988; 98: 266–9.
27
28. Huges III KV, Olsen KD, McCaffrey TV. Parapharyngeal space neoplasms. Head Neck 1995; 17(2):124–30.
28
29. Khafif A, Segev Y, Kaplan DM, Gil Z, Fliss DM. Surgical management of parapharyngeal space tumors—a 10 year review. Otolaryngol Head Neck Surg 2005;132:401–6.
29
30. O’Malley B, Quon H, Leonhardt F, Chalian AA, Weinstein GS. Transoral Robotic Surgery for Parapharyngeal Space Tumors. ORL 2010;72: 332–6.
30
31. Betka J, Chovanec M, Klozar J, Taudy M, Plzák J, Kodetová D, et al.: Transoral and combined transoral–transcervical approach in the surgery of parapharyngeal tumors. Eur Arch Otorhinolaryngol 2010;267:765–72.
31
32. Alborno T, Hofmann T, Beham A, Stammberger H. Giant hamartoma of the retro- and parapharyngeal region. Case report and review of literature. Int J Pediatr Otorhinolaryngol. 2004; 68(4): 511-5.
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33. Zitsch R, Patenaude B, Tidmore T. An extraoral parapharyngeal space approach via vertical ramus osteotomy. Am J Otorhinolaryngol Head Neck Med Surg 2007;28:330–3.
33
34. Sharma PK, Massey BL. Avoiding pitfalls in surgery of the neck, parapharyngeal space, and infratemporal fossa. Otolaryngol Clin North Am 2005; 38:795–808.
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35. Flood T, Hislop W. A modified surgical approach for parapharyngeal space tumours: use of the inverted ‘L’ osteotomy. Brit J Oral Maxillofac Surg 1991;29:82-6.
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36. Mafee MF, Venkatesan TK, Ameli N, Camras L, Friedman M. Tumors of parotid gland and parapharyngeal space - role of computed tomography and magnetic resonance imaging. Head Neck Surg 1996;7:348–57.
36
ORIGINAL_ARTICLE
Prevalence of Head and Neck Sarcoma in a Major Cancer Center in Iran- A 10-Year Study
Introduction: Sarcomas are rare malignancies with aggressive biological behavior. They are categorized into soft and hard tissue types. The main objective of this study was to analyze the prevalence of head and neck sarcomas (HNS) among the Iranian population. Materials and Methods: The pathology files derived from Iran National Tumor Bank of Cancer Institute in Imam Khomeini Hospital, affiliated to Tehran University of Medical Sciences, Tehran, Iran, served as the source of the materials for this study. All cases diagnosed with head and neck sarcoma were included in the study. The recorded data included the patient’s age, gender, tumor location, and rates of recurrence and metastasis. Results: Investigation of the pathology files of the patients referring to the center under study during a 10-year period resulted in the identification of 183 HNS cases, 96.17% of which were primary. Generally, the prevalence of this disease was at its highest level in patients within the age range of 30-60 years with a male to female ratio of 1.4. The recurrence and metastasis rates of HNS were 32.38% and 5%, respectively. Osteosarcoma was detected as the most common type of sarcoma. Soft tissue sarcomas constituted 69.3% of the lesions with a male predilection. The patients afflicted with this type of sarcoma had a mean age of 45.88 years. Furthermore, hard tissue sarcomas comprised 30.68% of the sarcoma cases with a mean age of 36.22 years and a female predilection. The commonest lesion was osteosarcoma, and the most typical location was the mandible. Conclusion: In the current study, head and neck sarcomas were most often observed in patients within the age range of 30-60 years with a male predilection. Osteosarcoma was identified as the most common type of sarcoma. Studies addressing rare lesions with a large sample size facilitate the recognition of the demographic data and histopathologic variation which may contribute to a correct diagnosis.
https://ijorl.mums.ac.ir/article_12394_8e4344c8da0cab81a070e13bba73d64b.pdf
2019-03-01
97
102
10.22038/ijorl.2018.29949.1974
Cancer of head and neck
Dermatofibrosarcoma
Osteosarcoma
Soft tissue sarcoma
Saede
Atarbashi-Moghadam
dr.atarbashi@gmail.com
1
Department of Oral and Maxillofacial Pathology, Dental School of Shahid Beheshti University, Tehran, Iran.
AUTHOR
Amir Nader
Emami Razavi
razavinader@gmail.com
2
PhD Iran National Tumor Bank, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran.
AUTHOR
Saman
Salehi Zalani
samueless@hotmail.co.uk
3
Research Committee, Dental School of Shahid Beheshti University of Medical Sciences, Tehran, Iran.
LEAD_AUTHOR
1. Breakey RW, Crowley TP, Anderson IB, Milner RH, Ragbir M. The surgical management of head and neck sarcoma: The Newcastle experience. J Plast Recontr Aesthet Surg 2017; 70:78-84.
1
2. Barosa J, Ribeiro J, Afonso L, Fernandes J, Monteiro E. Head and neck sarcoma: analysis of 29 cases. Eur Ann Otorhinolaryngol Head Neck Dis 2014; 131: 83-6.
2
3. Alishahi B, Kargahi N, Homayouni S. Epidemiological Evaluation of Head and Neck Sarcomas in Iran (the Study of 105 Cases Over 13 Years). Iran J Cancer Prev 2015; 8: e3432.
3
4. Akbari ME, Atarbashi Moghadam S, Atarbashi Moghadam F, Namdari M, Bastani Z. Epidemiological Evaluation of Palatal Cancers in Iran: A Study on 303 Cases. Int J Cancer Manag. 2018; 11: e61788.
4
5.Woods RH, Potter JA, Reid JL, Louise J, Bessen T, Farshid G, et al. Patterns of head and neck sarcoma in Australia.ANZ J Surg 2017 May16.
5
6. Vassiliou LV, Lalabekyan B, Jay A, Liew C, Whelan J, Newman L, et al. Head and neck sarcomas: A single institute series. Oral Oncol 2017; 65: 16-22.
6
7. Bentz BG, Singh B, Woodruff J, Brennan M, Shah JP, Kraus D. Head and neck soft tissue sarcomas: a multivariate analysis of outcomes. Ann Surg Oncol. 2004; 11: 619-28.
7
8. Lajer CB, Daugaard S, Hansen HS, Kirkegaard J, Holmgaard S, Christensen ME. Soft tissue sarcomas of the head and neck: a single-centre experience. Clin Otolaryngol 2005;30:176-82.
8
9. Stavrakas M, Nixon I, Andi K, Oakley R, Jeannon JP, Lyons A, et al. Head and neck sarcomas: clinical and histopathological presentation, treatment modalities, and outcomes. J Laryngol Otol 2016; 130: 850-9.
9
10. Tejani MA, Galloway TJ, Lango M, Ridge JA, von Mehren M. Head and neck sarcomas: a comprehensive cancer center experience. Cancers (Basel) 2013; 5(3): 890-900.
10
11. Tudor-Green B, Gomez R, Brennan PA. Current update on the diagnosis and management of head and neck soft tissue sarcomas. J Oral Pathol Med 2017; 46(9): 674-79.
11
12. Pandey M, Chandramohan K, Thomas G, Mathew A, Sebastian P, Somanathan T et al. Soft tissue sarcoma of the head and neck region in adults. Int J Oral Maxillofac Surg 2003;32:43-8.
12
13. Gorsky M, Epstein JB. Head and neck and intra-oral soft tissue sarcomas. Oral Oncol 1998; 34: 292-6.
13
14. Huber GF, Matthews TW, Dort JC. Soft-tissue sarcomas of the head and neck: a retrospective analysis of the Alberta experience 1974 to 1999. Laryngoscope 2006; 116: 780-5.
14
15. Liuzzi JF, Da Cunha M, Salas D, Siso S, Garriga E. Soft-tissue sarcomas in the head and neck: 25 years of experience. Ecancermedicalscience 2017; 11: 740.
15
16. Chindia ML, Swaleh SM, Godiah PM. Sarcomas of the head and neck at Kenyatta National Hospital. East Afr Med J 2000; 77: 256-9.
16
17. Akbari ME, Atarbashi Moghadam S, Atarbashi Moghadam F, Bastani Z, Salehi Zalani S. Primary Malignant Neoplasms of Parotid Gland in Iranian Population. Int J Cancer Manag. 2017; 10: e7485.
17
18. Tudor-Green B, Fonseca FP, Gomez RS, Brennan PA. Current update on the diagnosis and management of head and neck hard tissue sarcomas. J Oral Pathol Med 2017; 46(9): 667-73.
18
19. Stewart BD, Reith JD, Knapik JA, Chi AC. Bone- and cartilage-forming tumors and Ewing sarcoma: an update with a gnathic emphasis. Head Neck Pathol 2014; 8: 454-62.
19
20. Guevara-Canales JO, Sacsaquispe-Contreras SJ, Morales-Vadillo R, Sanchez-Lihon J. Epidemiology of the sarcomas of the jaws in a Peruvian population. Med Oral Patol Oral Cir Bucal 2012; 17: e201–5.
20
21. Jasnau S, Meyer U, Potratz J, Jundt G, Kevric M, Joos UK, et al. Craniofacial osteosarcoma Experience of the cooperative German-Austrian-Swiss osteosarcoma study group. Oral Oncol 2008; 44: 286-94.
21
22. Brady JS, Chung SY, Marchiano E, Eloy JA, Baredes S, Park RCW. Pediatric head and neck bone sarcomas: An analysis of 204 cases. int J Pediatr Otorhinolaryngol 2017; 100: 71-6.
22
ORIGINAL_ARTICLE
Evaluation of Bilateral Vestibular Dysfunction in Iranian Adults and Elderlies by Electronystagmography and Video Head Impulse Test
Introduction: Vestibular abnormalities are common problems in the whole world, which can lead to bilateral vestibular dysfunction (BVD). That results in symptoms, such as vertigo, unsteadiness, falling, oscillopsia, and lower quality of life. The Objective of this study was to determine BVD in adults and elderlies with vertigo and unsteadiness. Materials and Methods: This study was conducted on 384 patients in two categories of adults (age range of 18-64 years) and elderlies (65 years old and above) through Electronystagmography (ENG), including caloric test and video head impulse test (vHIT). Patients called bilateral vestibular dysfunction when they have an abnormal bilateral weakness (summation of nystagmus response less than 20 for 4 stimulations and less than 12 for each ear) in caloric test and their vHIT has a gain lower than 0.6. The results of caloric tests were categorized into four groups, including normal, unilateral weakness, bilateral weakness, and central abnormalities. Results: The obtained results revealed that the frequency of BVD is higher than previously reported data in the medical literature. The frequency of BVD was 10.9% for the investigated patients (39.1% abnormal caloric, 12.5% abnormal vHIT, and 10.9% abnormal in both tests). The 38.5% of elderly patients had bilateral abnormal results in both tests. Conclusion: The results of this study showed BVD in some cases by caloric and vHIT tests.Elderlies showed more cases of BVD compared to adult patients.
https://ijorl.mums.ac.ir/article_12376_68ad3c9e07f4b7c144f7f97b1529555b.pdf
2019-03-01
103
107
10.22038/ijorl.2018.32238.2062
Aminoglycoside
Bilateral vestibular dysfunction
Caloric test
Ototoxicity
Video head impulse test
Sadegh
Jafarzadeh
jafarzadehs@mums.ac.ir
1
Department of Audiology, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran.
LEAD_AUTHOR
Mohammad Reza
Golrokhian Sani
golrokhianmd@gmail.com
2
Department of Otolaryngology, Sina Hospital, Mashhad, Iran.
AUTHOR
Nematollah
Mokhtari Amirmajdi
mokhtarinematollah@yahoo.com
3
Department of Otolaryngology, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Masoud
Firouzi
mfaud2003@yahoo.com
4
Markazi Vestibular Assessment and Rehabilitation Center, Mashhad, Iran.
AUTHOR
1. Neuhauser HK, von Brevern M, Radtke A, Lezius F, Feldmann M, Ziese T, et al. Epidemiology of vestibular vertigo: a neurotologic survey of the general population. Neurology. 2005;65(6):898-904.
1
2. Ward BK, Agrawal Y, Hoffman HJ, Carey JP, Della Santina CC. Prevalence and impact of bilateral vestibular hypofunction: results from the 2008 US National Health Interview Survey. JAMA Otolaryngol Head Neck Surg. 2013;139(8):803-10.
2
3. Zingler VC, Weintz E, Jahn K, Huppert D, Cnyrim C, Brandt T, et al. Causative factors, epidemiology, and follow-up of bilateral vestibulopathy. Annals of the New York Academy of Sciences. 2009;1164:505-8.
3
4. Rinne T, Bronstein AM, Rudge P, Gresty MA, Luxon LM. Bilateral loss of vestibular function: clinical findings in 53 patients. Journal of neurology. 1998;245(6-7):314-21.
4
5. Ghazizadeh Hashemi SA, Jafarzadeh S, Haddadi Aval M, Hosseinabadi R. Ocular Motor Function in Patients with Bilateral Vestibular Weakness. Iran J Otorhinolaryngol. 2016;28(86):177-81.
5
6. Furman JM, Raz Y, Whitney SL. Geriatric vestibulopathy assessment and management. Curr Opin Otolaryngol Head Neck Surg. 2010; 18(5): 386-91.
6
7. Agrawal Y, Carey JP, Della Santina CC, Schubert MC, Minor LB. Disorders of balance and vestibular function in US adults: data from the National Health and Nutrition Examination Survey, 2001-2004. Archives of internal medicine. 2009; 169(10): 938-44.
7
8. Herdman SJ, Blatt P, Schubert MC, Tusa RJ. Falls in patients with vestibular deficits. Am J Otol. 2000;21(6):847-51.
8
9. Guinand N, Pijnenburg M, Janssen M, Kingma H. Visual acuity while walking and oscillopsia severity in healthy subjects and patients with unilateral and bilateral vestibular function loss. Archives of otolaryngology--head & neck surgery. 2012;138(3):301-6.
9
10. Herdman SJ, Hall CD, Schubert MC, Das VE, Tusa RJ. Recovery of dynamic visual acuity in bilateral vestibular hypofunction. Archives of otolaryngology--head & neck surgery. 2007; 133(4): 383-9.
10
11. Jacobson GP, Calder JH. Self-perceived balance disability/handicap in the presence of bilateral peripheral vestibular system impairment. J Am Acad Audiol. 2000;11(2):76-83.
11
12. Guinand N, Boselie F, Guyot JP, Kingma H. Quality of life of patients with bilateral vestibulopathy. Ann Otol Rhinol Laryngol. 2012; 121(7): 471-7.
12
13. Sun DQ, Ward BK, Semenov YR, Carey JP, Della Santina CC. Bilateral Vestibular Deficiency: Quality of Life and Economic Implications. JAMA Otolaryngol Head Neck Surg. 2014;14(6):527-34.
13
14. Furman JM, Kamerer DB. Rotational responses in patients with bilateral caloric reduction. Acta Otolaryngol. 1989;108(5-6):355-61.
14
15. Bittar RS, Pedalini ME, Ramalho JR, Carneiro CG. Bilateral vestibular loss after caloric irrigation: clinical application of vestibular rehabilitation. Rev Laryngol Otol Rhinol (Bord). 2005;126(1):3-6.
15
16. McGath JH, Barber HO, Stoyanoff S. Bilateral vestibular loss and oscillopsia. J Otolaryngol. 1989; 18(5):218-21.
16
17. Brown KE, Whitney SL, Wrisley DM, Furman JM. Physical therapy outcomes for persons with bilateral vestibular loss.Laryngoscope.2001;111 (10): 1812-7.
17
18. Iwasaki S, Yamasoba T. Dizziness and Imbalance in the Elderly: Age-related Decline in the Vestibular System.Aging Dis. 2015;6(1):38-47.
18
ORIGINAL_ARTICLE
Gap Junction Protein Beta 2 Gene Variants and Non-Syndromic Hearing Impairment among Couples Referred For Prenatal Diagnosis in the Northeast of Iran
Introduction: Hearing impairment is a complex medical disorder whichhas genetic and non-genetic causes. Gap Junction Protein Beta 2 (GJB2) gene variant is a well-known disease-causing gene among patients with hearing impairment. The frequencies of genetic variants in the GJB2 gene are different in each population. This study aimed to discuss the GJB2 gene status in an Iranian population with hearing impairment who referred for prenatal testing. Materials and Methods: This cross-sectional study was conducted in a genetic laboratory affiliated with Mashhad Jahad Daneshgahi, Mashhad, Iran. A total number of 21 bilateral hearing impaired patients were enrolled in this study. The exons for target GJB2 gene were amplified by polymerase chain reaction after the confirmation of the hearing impairment and the exclusion of the acquired causes of hearing loss. Results: The c.35delG and c.79G>A variants were the first and second most common variants in the study population, respectively. The mean age of the patients was 27.5 (8.7) years and 12 cases were male. There was no significant association between hearing impairment degree and age and heterozygosity status (P=0.376 and P=.074 respectively). Conclusion: The c.35delG and c.79G>A variants were determined as the first and second most common variants in the GJB2 gene, respectively. The mean age of 26 years in this study population indicates the late referral for the evaluation of the hearing difficulty. Furthermore, it highlights the further need to encourage families with a history of hearing impairment to engage in genetic counseling.
https://ijorl.mums.ac.ir/article_12393_4904c9d9d4c7d699862aabfe56ce772a.pdf
2019-03-01
109
113
10.22038/ijorl.2018.31941.2056
Hearing Loss
Gap Junction Protein Beta 2
Genetic variant
Samane
Vojdani
vejdanics9@mums.ac.ir
1
Department of Medical Genetics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Reza
Jafarzadeh Esfehani
jafarzadehr@mums.ac.ir
2
Medical Genetic Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Vahid
Iranmanesh
v.iranmanesh@gmail.com
3
Department of Genetic, Academic Center for Education, Culture, and Research (ACECR)-Khorasan Razavi, Mashhad, Iran.
AUTHOR
Hafezeh
Davari
davarih2@mums.ac.ir
4
Department of Genetic, Academic Center for Education, Culture, and Research (ACECR)-Khorasan Razavi, Mashhad, Iran.
AUTHOR
Nasim
Amini
amini.nasim@gmail.com
5
Department of Genetic, Academic Center for Education, Culture, and Research (ACECR)-Khorasan Razavi, Mashhad, Iran.
AUTHOR
Mohammad Ehsan
Jaripour
ehsan.libra@gmail.com
6
Department of Genetic, Academic Center for Education, Culture, and Research (ACECR)-Khorasan Razavi, Mashhad, Iran.
AUTHOR
Peyman
Zargari
zargari.peyman@yahoo.com
7
Department of Genetic, Academic Center for Education, Culture, and Research (ACECR)-Khorasan Razavi, Mashhad, Iran.
AUTHOR
Mahtab
Dastpak
ma.dastpak@gmail.com
8
Department of Genetic, Academic Center for Education, Culture, and Research (ACECR)-Khorasan Razavi, Mashhad, Iran.
AUTHOR
Ariane
Sadrnabavi
samaneh.vojdani@gmail.com
9
Department of Genetic, Academic Center for Education, Culture, and Research (ACECR)-Khorasan Razavi, Mashhad, Iran.
LEAD_AUTHOR
1. Mahdieh N, Rabbani B, Wiley S, Akbari MT, Zeinali S. Genetic causes of nonsyndromic hearing loss in Iran in comparison with other populations. Journal of human genetics. 2010;55(10):639-48.
1
2. Ghasemnejad T, Shekari Khaniani M, Zarei F, Farbodnia M, Mansoori Derakhshan S. An update of common autosomal recessive non-syndromic hearing loss genes in Iranian population. International Journal of Pediatric Otorhinolaryngology. 2017;97:113-26.
2
3. Najmabadi H, Nishimura C, Kahrizi K, Riazalhosseini Y, Malekpour M, Daneshi A, et al. GJB2 mutations: passage through Iran. American Journal of Medical Genetics Part A. 2005; 133(2): 132-7.
3
4. Chaleshtori MH, Farhud D, Patton M. Congratulation to Margaret chan familial and sporadic GJB2-Related Deafness in Iran: Review of Gene Mutations. Iranian Journal of Public Health. 2007;36(1):1-14.
4
5. Beheshtian M, Babanejad M, Azaiez H, Bazazzadegan N, Kolbe D, Sloan-Heggen C, et al. Heterogeneity of hereditary hearing loss in Iran: a comprehensive review. Archives of Iranian medicine. 2016;19(10):720.
5
6. Robertson C, Aldridge S, Jarman F, Saunders K, Poulakis Z, Oberklaid F. Late diagnosis of congenital sensorineural hearing impairment: why are detection methods failing? Archives of Disease in Childhood. 1995;72(1):11-5.
6
7. Babanejad M, Fattahi Z, Bazazzadegan N, Nishimura C, Meyer N, Nikzat N, et al. A comprehensive study to determine the heterogeneity of autosomal recessive nonsyndromic hearing loss in Iran. American journal of medical genetics Part A. 2012;158a(10):2485-92.
7
8. Snoeckx RL, Huygen PLM, Feldmann D, Marlin S, Denoyelle F, Waligora J, et al. GJB2 Mutations and Degree of Hearing Loss: A Multicenter Study. American Journal of Human Genetics. 2005; 77(6): 945-57.
8
9. Iliades T, Eleftheriades N, Iliadou V, Pampanos A, Voyiatzis N, Economides J, et al. Prelingual nonsyndromic hearing loss in Greece. Molecular and clinical findings. ORL; journal for oto-rhino-laryngology and its related specialties. 2002; 64(5): 321-3.
9
10. Sarafraz M, HEKMAT SM, Zaheri S. Determination of hearing loss prevalence in preschool children of Ahwaz. 2011.
10
11. Fang Y, Gu M, Suo F, Wang C, Liu X, Liu F. Application of gene detection technique in the antenatal diagnosis of hereditary hearing loss. European review for medical and pharmacological sciences. 2017;21(7):1452-5.
11
12. Watkin P, Baldwin M. Identifying deafness in early childhood: requirements after the newborn hearing screen. Archives of disease in childhood. 2010:archdischild185819.
12
13. Stern S, Arnos KS, Murrelle L, Welch KO, Nance WE, Pandya A. Attitudes of deaf and hard of hearing subjects towards genetic testing and prenatal diagnosis of hearing loss. Journal of Medical Genetics. 2002;39(6):449-53.
13
ORIGINAL_ARTICLE
Ramsay Hunt Syndrome Associated with True Vocal Cord Palsy- A Case Report
Introduction: Varicella-zoster virus may cause an infectious disease called Ramsay Hunt syndrome. The related symptoms include facial nerve palsy (FNP), otalgia, the vesicular eruptions of the auricle and external auditory canal, less common ocular movement disorder, facial hypoesthesia, myofascial pain, vestibular symptoms, hearing loss, dysphasia, vocal cord paralysis, as well as tongue paralysis due to cranial neuropathies. Case Report: Herein, we presented the case of a 55-year-old man with left peripheral facial nerve palsy, profound hearing loss, and true vocal cord paralysis. The FNP recovered after 2 weeks and synkinesis totally improved after 4 weeks. Conclusion: Ramsay Hunt syndrome may present as cranial polyneuropathy; therefore, accurate history taking and physical examinations are necessary in this regard. The recovery rate of the vagus nerve is probably fair without polyneuropathy; however, it seems to be poor in cases suffering from polyneuropathy.
https://ijorl.mums.ac.ir/article_12386_2fbd83b167e0318bf48543b436e116e6.pdf
2019-03-01
115
118
10.22038/ijorl.2019.35840.2188
Polyneuropathy
Ramsay Hunt syndrome
True vocal cord palsy
Mohsen
Rajati
rajatim@mums.ac.ir
1
Sinus and Surgical Endoscopic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Mohammad Ali
Zarringhalam
zaringhalam_ali@yahoo.com
2
Departments of Otorhinolaryngology, Mashhad University of Medical Sciences, Mashhad, Iran.
LEAD_AUTHOR
1. Devriese PP, Moesker WH. The natural history of facial paralysis in herpes zoster. Clin Otolaryngol Allied Sci 1988; 13(4):289-98.
1
2. Burke BL, Steele RW, Beard OW, Wood JS, Cain TD, Marmer DJ. Immune responses to varicella-zoster in the aged. Arch Intern Med 1982; 142(2): 291-3.
2
3. Sun WL, Yan JL, Chen LL. Ramsay Hunt syndrome with unilateral polyneuropathy involving cranial nerves V, VII, VIII, and XII in a diabetic patient. Quintessence Int. 2011; 42(10):873-7.
3
4. Kim YH, Chang MY, Jung HH, Park YS, Lee SH, Lee JH, et al. Prognosis of Ramsay Hunt syndrome presenting as cranial polyneuropathy. Laryngoscope 2010 Nov; 120(11): 2270-6.
4
5. Aviel A, Marshak G. Ramsay Hunt syndrome: a crania polyneuropathy. Am J Otolaryngol 1982; 3(1): 61-6.
5
6. Peitersen E. Bell’s palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol 2002; (549): 4-30.
6
7. Arya D, Bajaj T, Gonzalez J, Elkin R. amsay Hunt Syndrome with Multiple Cranial Neuropathy in an Human Immunodeficiency Virus (HIV) Patient. Am J Case Rep. 2018; 19: 68–71.
7
8. Fujiwara K, Furuta Y, Fukuda S. A Case of Associated Laryngeal Paralysis Caused by Varicella Zoster Virus without Eruption. Case Rep Med. 2014:916265.
8
9. Rasmussen ER, Mey K. Vocal cord paralysis associated with Ramsay Hunt syndrome: looking back 50 years. BMJ Case Rep 2014; 2014. doi: 10.1136/bcr-2013-201038.
9
ORIGINAL_ARTICLE
Giant Congenital Sialolipoma of Parotid Gland with Parapharyngeal Extension
Introduction: Sialolipoma is an extremely rare salivary gland tumor characterized by a well circumscribed mass composed of glandular tissue and mature adipose elements. Herein our aim was to present the fifth case of congenital sialolipoma, which was firstly followed up as a parotid gland hemangioma, and underline the fact that sialolipomas should be kept in mind in the differential diagnosis of congenital parotid gland masses. Case Report: A 10-month old male presented with a left-sided huge neck mass which progressed after birth. Radiologic examination revealed a tumor originating from the parotid gland filling the parapharyngeal space. Histopathologic examination of an incisional biopsy was consistent with sialolipoma. A total parotidectomy with preservation of the facial nerve was performed at the age of 1 year. The postoperative recovery was uneventful with normal facial nerve function. There was no recurrence at the 24-month follow-up. Conclusion: Although it is a very rare benign tumor, congenital sialolipoma should be kept in mind in the differential diagnosis of congenital parotid mass.
https://ijorl.mums.ac.ir/article_12387_ac31908e0e3d4953709fd361be326aea.pdf
2019-03-01
119
122
10.22038/ijorl.2018.28376.1927
Congenital
Parotid
Sialolipoma
Taner
Erdağ
taner.erdag@deu.edu.tr
1
Department of Otorhinolaryngology, Dokuz Eylül University School of Medicine, Izmir, Turkey.
AUTHOR
Yüksel
Olgun
yuksel.olgun@deu.edu.tr
2
Department of Otorhinolaryngology, Dokuz Eylül University School of Medicine, Izmir, Turkey.
LEAD_AUTHOR
Melih-Arif
Közen
arif.kozen@deu.edu.tr
3
Department of Otorhinolaryngology, Dokuz Eylül University School of Medicine, Izmir, Turkey.
AUTHOR
Handan
Güleryüz
handanguleryuz68@gmail.com
4
Department of Radiology, Dokuz Eylül University School of Medicine, Izmir, Turkey.
AUTHOR
Erdener
Özer
erdener.ozer@deu.edu.tr
5
Department of Pathology, Dokuz Eylül University School of Medicine, Izmir, Turkey.
AUTHOR
1. Nagao T, Sugano I, Ishida Y, Asoh A, Munakata S, Yamazaki K, et al. Sialolipoma: a report of seven cases of a new variant of salivary gland lipoma. Histopathology 2011; 38: 30–6.
1
2. Hornigold R, Morgan PR, Pearce A, Gleeson MJ. Congenital sialolipoma of the parotid gland first reported case and review of the literature. Int J Pediatr Otorhinolaryngol 2005;69:429–34.
2
3. Mazlumoglu MR, Altas E, Oner F, Ucuncu H, Calik M. Congenital Sialolipoma in an Infant. J Craniofac Surg 2015;26:696–7.
3
4. Kidambi T, Been MJ, Maddalozzo J. Congenital sialolipoma of the parotid gland: presentation, diagnosis, and management. Am J Otolaryngol 2012;33:279–81.
4
5. Bansal B, Ramavat AS, Gupta S, Singh S, Sharma A, Gupta K, et al. Congenital sialolipoma of parotid gland: a report of rare and recently described entity with review of literature. Pediatr Dev Pathol 2007;10:244–6.
5
6. Sato K, Gotoh C, Uchida H, Kawashima H, Yoshida M, Kitano Y, et al. Sialolipoma of the submandibular gland in a child. J Pediatr Surg 2011; 46:408–10.
6
7. Huerta EL, Rivera DQ, Rocha FT, Tapia JL, Robertson JR, Cepeda LAG. Sialolipoma of minor salivary glands: presentation of five cases and review of the literature with an epidemiological analyze. Indian J Otolaryngol Head Neck Surg 2015;67(Suppl1):105–9.
7
8. Doğan S, Can IH, Unlü I, Süngü N, Gönültaş MA, Samim EE. Sialolipoma of the parotid gland. J Craniofac Surg 2009;20:847–8.
8
9. Agaimy A. Fat-containing salivary gland tumors: a Review. Head Neck Pathol 2013;7 Suppl 1:90–6.
9
10. Kadivar M, Shahzadi SZ, Javadi M. Sialolipoma of the parotid gland with diffuse sebaceous differentiation in a female child. Pediatr Dev Pathol 2007;10:138–41.
10
ORIGINAL_ARTICLE
Impacted Incus Foreign Body in the Eustachian Tube
Introduction: Foreign bodies in the external auditory canal are fairly common, and tend to be seeds, toys, or insects. However, foreign bodies in the middle ear are rarer, and are generally accidental or iatrogenic. Although there are numerous reports regarding fascinating foreign bodies in the ear, the same cannot be said about foreign bodies in the Eustachian tube (ET). Case Report: A 20-year-old male patient presented with right-sided active squamosal chronic otitis media (COM) persisting for 10 years. An incidental finding of a hyperintense foreign body (FB) located near the isthmus of the right ET was reported on high-resolution computed tomography (HRCT) of the temporal bones. The FB was bony (eroded incus), which was impacted near the isthmus of the ET and was extremely difficult to remove. A natural FB such as an eroded ossicle in the ET which aggravated the adhesive otitis and caused active squamosal COM has not been reported in the literature. Conclusion: We have reported this case not only for its rarity but also to make readers aware of such incidental findings which can be found only by imaging, and to suggest how they can be tackled with current equipment and technology.
https://ijorl.mums.ac.ir/article_12404_f2a4de11c6303096ce2d6269d4279a0d.pdf
2019-03-01
123
126
10.22038/ijorl.2018.29571.1963
Eustachian tube
Foreign body
Middle Ear
Endoscopy
Kartik
Parelkar
kartikparelkar@gmail.com
1
Department of Otorhinolaryngology, Grant Government Medical College and Sir J.J Hospitals, Mumbai, India.
LEAD_AUTHOR
Devika
Shere
devikashere@gmail.com
2
Department of Otorhinolaryngology, Durgabai Deshmukh Hospital, Hyderabad, India.
AUTHOR
Ankur
Walli
ankurwalli03@gmail.com
3
Department of Otorhinolaryngology, Grant Government Medical College and Sir J.J Hospitals, Mumbai, India.
AUTHOR
Varun
Dave
varundavejay@gmail.com
4
Department of Otorhinolaryngology, Sion Hospital, Mumbai, India.
AUTHOR
Karthik
Rao
karthik.nag.rao@gmail.com
5
Department of Otorhinolaryngology, Grant Government Medical College and Sir J.J Hospitals, Mumbai, India.
AUTHOR
1. Igarashi K, Matsumoto Y, Kakigi A. Acupressure bead in the Eustachian tube. J. Acupunct. Meridian Stud. 2015;8:200–2.
1
2. Morita A, Shimada H, Yagi A, Nagamine K, Nagai C, Ryu K, et al. Adverse event associated with auriculotherapy. Traditional & Kampo Medicine 2017; 4:55–7.
2
3. Weber PC, Rosner D. An unusual cause of eustachian tube dysfunction. Otolaryngol Head Neck Surg. 1997;117:S142–4.
3
4. Shui-Hong Z, Qin-Ying W, Shen-Qing W. Middle ear foreign body causing cholesteatoma and external auditory canal granuloma: a case report. J Otol. 2012;7:25–7.
4
5. Ribeiro FD. Foreign body in the Eustachian tube-case presentation and technique used for removal. Brazil J Otorhinolaryngol. 2008;74: 137–42.
5
ORIGINAL_ARTICLE
Tubercular Otitis Externa in an Elderly Male- A Case Report
Introduction: Tuberculosis is one of the most common diseases in developing countries, resulting in significant morbidity and mortality. Tuberculosis has varied clinical presentations, varying from common primary pulmonary tuberculosis to the extremely rare tubercular otitis externa, as in this case. Tubercular otitis externa has an extremely low clinical incidence. Case Report: We report the case of an immunocompetent elderly male with chronic otorrhea, otalgia, and pale granulation tissue at the ear canal with a positive biopsy report for tuberculosis, confirming the diagnosis. Subsequently, sputum culture positive for Mycobacterium tuberculosis indicated disseminated tuberculosis. The patient’s symptoms resolved after antitubercular therapy (ATT). Conclusion: Tuberculosis at a rare location such as the external auditory canal is possible in regions like India where tuberculosis has the highest burden in the world. In the case of chronic ear discharge resistant to routine antibiotic treatment, the clinician should not rule out suspicion of tuberculosis.
https://ijorl.mums.ac.ir/article_12388_6ec7624a8b58136c1377ea85ec63c05e.pdf
2019-03-01
127
130
10.22038/ijorl.2018.29699.1966
Antitubercular therapy
External auditory canal
Otitis externa
Tuberculosis
Santosh-Kumar
Swain
santoshvoltaire@yahoo.co.in
1
Department of Otorhinolaryngology, IMS and SUM Hospital, Siksha“O”Anusandhan(Deemed to be University), K8, Kalinganagar,Bhubaneswar-751003, Odisha, India.
LEAD_AUTHOR
Mahesh-Chandra
Sahu
mchsahu@gmail.com
2
Medical Research Laboratory, IMS and SUM Hospital, Siksha “O” Anusandhan(Deemed to be University), K8, Kalinganagar,Bhubaneswar-751003, Odisha, India.
AUTHOR
1. Swain SK, Behera IC, Sahu MC. Primary sinonasal tuberculosis: Our experiences in a tertiary care hospital of eastern India. Egypt J Ear Nose Throat Allied Sci 2017;18:237–40.
1
2. Menon K, Bem C, Gouldesbrough D, Strachan DR. A clinical review of 128 cases of head and neck tuberculosis presenting over a 10-year period in Bradford, UK. J Laryngol Otol 2007;121:362–8.
2
3. Sierra C, Fortun J, Barros C, Melcon E, Condes E, Cobo J, et al. Extra-laryngeal head and neck tuberculosis. Clin Microbiol Infect 2000;6:644–8.
3
4. Michael RC, Michael JS. Tuberculosis in otorhinolaryngology: Clinical presentation and diagnostic challenges. Int J Otolaryngol 2011; 2001: 686894.
4
5. World Health Organization. Epidemiology: Global tuberculosis control: epidemiology, strategy, financing. Geneva: WHO 2009, 6-33 (online). Available from: http:// who.int/entity/ tb/publications/global_report/2009/pdf/chapter1.pdf (Accessed on 12 November 2009).
5
6. Altuntas EE, Karakus CF, Durmus K, Uysal IO, Muderris S, Elagoz S. Primary tuberculosis of the nasopharynx: A rare case and literature review. Ind J Otol 2012;18(2)88–91.
6
7. Wang PH, Wang HC, Huang TW. Tuberculous otitis media without lung involvement and the risk of airborne transmission. J Formos Med Assoc 2013; 112:497–8.
7
8. Sens PM, Almeida CI, Valle LO, Costa LH, Angeli ML. Tuberculosis of the ear, a professional disease? Braz J Otorhinolaryngol 2008;74:621–7.
8
9. Srirompotong S, Yimtae K, Jintakanon D. Nasopharyngeal tuberculosis: manifestations between 1991 and 2000. Otolaryngol Head Neck Surg 2004;131:762–4.
9
10. Ito K, Morooka M, Kubota K. 18F-FDGPET/CT findings of pharyngeal tuberculosis. Ann Nucl Med 2010;24(6):493–6.
10
ORIGINAL_ARTICLE
Infected Concha Bullosa with Fungus
Introduction: Concha bullosa is the most common variation of the middle turbinate of the paranasal sinuses. When it causes nasal obstruction, osteomeatal unit dysfunction, or rarely chronic infection, surgery is required. Case Report: We present a fungal infection of concha bullosa, which is a rare indication for surgery of the concha bullosa. A 59-year-old female patient presented with hemifacial pain on the right side, which had lasted for 2 months. There were no pathological findings in her endoscopic nasal examination. Advanced examination by paranasal computed tomography (CT) revealed bilateral concha bullosa variation and soft tissue density in the right concha bullosa. As the biopsy taken from concha bullosa demonstrated fungal hyphae, endoscopic surgical treatment was performed. Conclusion: We stress the importance of the CT in hemifacial pain by this rare case report, in which endoscopic nasal examination was normal. Fungal infection in the concha bullosa is rare, and infected concha bullosa is a pathology to be considered in the differential diagnosis in patients with complaints of hemicranial headache.
https://ijorl.mums.ac.ir/article_12389_7e6ae7da137eedf81fd4c7ae016789a5.pdf
2019-03-01
131
133
10.22038/ijorl.2018.26003.1852
Bullosa
Concha
Fungus
Infected
Surgery
Hasan-Emre
Koçak
drhekbb@gmail.com
1
Department of Otorhinolaryngology - Head and Neck Surgery, Bakırköy Dr.Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
LEAD_AUTHOR
Mehmet
keskin
dr.mehmetkeskin@gmail.com
2
Department of Otorhinolaryngology - Head and Neck Surgery, Bakırköy Dr.Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
AUTHOR
Mehmet-Nurettin
Kıral
nurettin_kral@hotmail.com
3
Department of Otorhinolaryngology - Head and Neck Surgery, Bakırköy Dr.Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
AUTHOR
Hüseyin-Avni
Ulusoy
hulusoy78@gmail.com
4
Department of Otorhinolaryngology - Head and Neck Surgery, Bakırköy Dr.Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
AUTHOR
Mehmet
Yiğitbay
drkhkaya@yahoo.com
5
Department of Otorhinolaryngology - Head and Neck Surgery, Bakırköy Dr.Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
AUTHOR
Kamil-Hakan
Kaya
yigitbaymehmet@gmail.com
6
Department of Otorhinolaryngology - Head and Neck Surgery, Bakırköy Dr.Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
AUTHOR
1. Çınar U, Yiğit Ö, Uslu B, Alkan S. Pyocele of the middle turbinate: a case report. Kulak Burun Bogaz Ihtis Derg 2004;12:35–8.
1
2. Robey AB, O’Brien EK, Richardson BE, Baker JJ, Poage DP, Leopold DA. The changing face of paranasal sinus fungus balls. Ann Otol Rhinol Laryngol. 2009;118:500–5.
2
3. Bradoo R. Anatomical Principles of Endoscopic Sinus Surgery A Step by Step Approach. Jaypee, New Delhi 2012;93–4.
3
4. Cukurova I, Demirhan E, Karaman Y, Yigitbasi OG. Extraordinary Pathologic Entities within the Concha Bullosa. Saudi Medical J, 2009;30:937-41.
4
5. Dufour X, Lacroix KC, Ferrie JC, Goujon JM, Rodier MH, Klossek JM. Paranasal Sinus Fungus Ball: Epidemiology, Clinical Features and Diagnosis. A Retrospective Analysis of 173 Cases. Medical Mycology 2006;44:61–7.
5
6. Kurtzman CP, Smiley MJ, Robnett CJ, Wicklow DT. DNA relatedness among wild and domesticated species of the Aspergillus flavus. Mycologica 1986;78(6):955–9.
6
7. Kurosawa M, Kobayashi S, Yanagihara Y, Shida T. A case of occupational allergic broncho- pulmonary aspergillosis unique to Japan. Br J Clin Pract 1990; 44:482–9.
7
8. Akiyama K, Takizawa H, Suzuki M, Miyachi S, Ichinohe M, Yanagihara Y. Allergic bronchopulmonary aspergillosis due to Aspergillus oryzae. Chest 1987;91:285–6.
8
9. Byard RW, Bonin RA, Haq AU. Invasion of paranasal sinuses by Aspergillus oryzae. Mycopathologia 1986;96:41–3.
9
10. Kim KS, Kim HJ. Periorbital pain induced by the concha bullosa fungus ball: a case report. J Oral Facial Pain Headache. 2014;28:277–9.
10
11. Toplu Y, Toplu SA, Can S, Kuzucu C. Fungus ball in concha bullosa: an unusual cause of retro-orbital pain. J Craniofac Surg. 2014;25:e138–40.
11
12. Cukurova I, Gümüşsoy M, Mercan Caner RG, Yaz A, Avcı A. Fungus ball in middle concha bullosa: a case report. Kulak Burun Bogaz Ihtis Derg. 2011; 21:110–4.
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