Mashhad University of Medical Sciences (MUMS)
Iranian Journal of Otorhinolaryngology
2251-7251
2251-726X
23
3
2011
07
01
Juvenile Nasophryngeal Angiofibroma,New Aspects in Management
61
68
EN
Mojtaba
Mohammadi Ardehali
Otorhinolaryngology Research Center, Amir-A’lam Hospital, Tehran University of Medical Sciences, Tehran, Iran
Jahangir
Ghorbani
0000-0001-6209-1081
Department of otorhinolaryngology, Tehran University of Medical Sciences, Tehran, Iran
jjghorbani@gmail.com
10.22038/ijorl.2011.236
Juvenile nasopharyngeal angiofibroma (JNA) is a rare, benign and locally invasive tumor. Massive bleeding because of vascularity of tumor and postoperative recurrence are potential problems of management. Endonasal approach reduces the rate of postoperative recurrence, intraoperative bleeding, and complications of surgery, time of operation and duration of hospitalization. In this article, we review the indications and contraindications of endoscopic surgery, indications of radiotherapy in treatment of JNA and our policy in postoperative follow-up and management of patients.
Endoscopic approach,Endoscopic surgery,Juvenile nasopharyngeal angiofibroma
https://ijorl.mums.ac.ir/article_236.html
https://ijorl.mums.ac.ir/article_236_fd19b421b8dbd29abfba5c978c602f1f.pdf
Mashhad University of Medical Sciences (MUMS)
Iranian Journal of Otorhinolaryngology
2251-7251
2251-726X
23
3
2011
07
01
Studying VEMP in Sudden Sensorineural Hearing Loss
69
74
EN
Mohsen
Rajati
https://orcid.org/00
Ear, Nose, Throat, Head and Neck surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
rajatim@mums.ac.ir
Mehdi
Bakhshaee
Ear, Nose, Throat, Head and Neck surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Ebrahim
Naghavi
Department of otorhinolaryngology, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran
Faezeh
Hoseinnejad
Otolaryngologist, Mashhad University of Medical Sciences, Mashhad, Iran
Hamid Reza
Rouhi
Department of otorhinolaryngology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Rahman
Movahhed
Department of otorhinolaryngology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
10.22038/ijorl.2011.242
Introduction:
Sudden sensorineural hearing loss (SSNHL) has a prevalence of 10 in 100,000. Viral infections, vascular obstruction and rupture of the intracochlear membranes are supposed to be its most common etiologies. About 40% of patients experience vertigo or imbalance. The VEMP (vestibular evoked myogenic potentials) test is a known approach for detailed study of the labyrinth. The advantage of this test in comparison to other tests is the selected study of sacculus and sacculocochlear pathways.
Materials and Methods:
In this cross sectional study all patients with SSNHL diagnosis were admitted and underwent routine standard treatments and diagnostic tests. Clinical symptoms and paraclinic findings were recorded in especially designed forms and VEMP test was performed on admission.
Results:
Among the 43 cases with sudden sensorineural hearing loss, 14 (32.6%) had vertigo. Thirteen patients (39.2%) out of 43 had a negative (abnormal) VEMP, 6 of which (42.9%) had vertigo, while in the 30 VEMP positive (normal) cases, vertigo was detected in 8 (26.6%).
Discussion:
Saccular dysfunction seems to be an important finding in SSNHL. Although it is more prevalent in the patients with vertigo, it can be found in the non-dizzy cases. VEMP disturbance in SSNHL shows more extensive pathological involvement.
Conclusion:
In SSNHL the pathology isn’t limited to the cochlea and even in patients with no vestibular symptoms sacculus might be involved.
Sudden hearing loss,VEMP,vertigo
https://ijorl.mums.ac.ir/article_242.html
https://ijorl.mums.ac.ir/article_242_aee5ce2bb0a2a9985edce9bd866d0d90.pdf
Mashhad University of Medical Sciences (MUMS)
Iranian Journal of Otorhinolaryngology
2251-7251
2251-726X
23
3
2011
07
01
Determination of Hearing Loss Prevalence in Preschool Children of Ahwaz
75
78
EN
Mozafar
Sarafraz
Department of otorhinolaryngology, Ahwaz Jundishapur University of Medical Sciences, Ahwaz, Iran
dr_mozafarsarafraz@yahoo.com
Mahmood
Hekmat-Shoar
Department of otorhinolaryngology, Ahwaz Jundishapur University of Medical Sciences, Ahwaz, Iran
Sara
Zaheri
General physician, Ahwaz Jundishapur University of Medical Sciences, Ahwaz, Iran
10.22038/ijorl.2011.282
Introduction:
Children learn to communicate by hearing sounds. If there is hearing loss, the cognitive and speaking abilities and language learning will deteriorate. Early detection and intervention are important factors in the successful treatment of hearing loss in children. Hearing loss (HL) is divided into two main groups: conductive hearing loss (CHL) and sensorineural hearing loss (SNHL), the prevalence of the former being higher in children, many whose causes are easy to detect and treat.
Material and Methods:
In this descriptive, cross-sectional study, 785 children, aged 6-7 years, entering elementary school Grade 1 in the school year 2010/2011, were randomly selected from 10% of Ahwaz Hearing Loss Screening Centers, and their audiograms were studied. The collected data were analyzed using SPSS and descriptive statistics.
Results:
Out of the 785 preschool children examined in this study, 77 children (9.8%) suffered from HL (42.9% female and 57.1% male), 59.7% from CHL, and 40.3% from SNHL. Twenty-six percent suffered from bilateral HL and 74% from unilateral HL. Thirty-eight point ninety-six percent had abnormal tympanometry, 61% of whom were Type B. Most of the children (53%) had mild HL.
Thirty-one point two percent of parents were aware of their children's HL.
Conclusion:
Considering the high prevalence of HL, especially SNHL, in this study, which is usually permanent but detectable at the neonatal ages, raising public awareness and early screening of ear diseases, which can lead to the detection and treatment in most cases, seem to be vital.
Conductive Hearing Loss,Screening,Sensorineural hearing loss
https://ijorl.mums.ac.ir/article_282.html
https://ijorl.mums.ac.ir/article_282_b2cd41a7789fc604c196215576ca82ad.pdf
Mashhad University of Medical Sciences (MUMS)
Iranian Journal of Otorhinolaryngology
2251-7251
2251-726X
23
3
2011
07
01
The Effects of Partial Turbinectomy on Patients Undergoing Rhinoplasty
79
86
EN
Behrooz
Gandomi
Department of otorhinolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran
Mohammad Hossein
Arzaghi
Department of otorhinolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran
Leila
Sharifi
Department of otorhinolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran
Amirpooyan
Tabibi
Isfahan University of Medical Sciences, Isfahan, Iran
Abbas
Alipoor
Epidemiologist, Shiraz University of Medical Sciences, Shiraz, Iran
10.22038/ijorl.2011.285
Introduction:
A reduction or cessation of the ability to breathe through the nose can affect a person's overall health. Nasal passage blockage can also result in snoring. Difficulty in breathing through the nose after rhinoplasty is a serious problem and patient dissatisfaction can be significant even when cosmetic results are excellent. Long-term impacts on the quality of life and contributions to the pathophysiology of sleep-related breathing disorders have both been documented. This study compares nasal obstruction and other prevalent respiratory side effects of rhinoplasty in the presence and absence of partial turbinectomy.
Methods and Materials:
This is an experimental case study conducted in 2007 on patients undergoing rhinoplastic surgery in Shahid Dastgheyb Hospital of Shiraz, Iran. Sampling was done on all admitted patients during this year in the mentioned hospital. For the first group, rhinoplasty plus partial turbinectomy was performed while taking into consideration the Helsinki criteria septorhinoplasty without partial turbinectomy was performed on the second group. P-value less than 0.05 was considered as statistically significant.
Results:
There was no significant difference between the case and control group in terms of their mean age and gender distribution. Respiratory mean scores before and after rhinoplasty in both groups were significantly different in some issues of Nasal Scale (i.e.: Nasal blockage or obstruction, trouble sleeping, inability to get enough air through the nose during exercise or exertion, trouble breathing through nose).
Conclusion:
Achieving cosmetic goals while preserving such necessary functions is a great concern for rhinologists and this makes different complexes. To create a balance between the maximum physiologic function and the best cosmetic feature is an art.
Nasal obstruction,Partial inferior turbinectomy,Septorhinoplasty
https://ijorl.mums.ac.ir/article_285.html
https://ijorl.mums.ac.ir/article_285_b771c676ae26b58b797c8192a15fccdb.pdf
Mashhad University of Medical Sciences (MUMS)
Iranian Journal of Otorhinolaryngology
2251-7251
2251-726X
23
3
2011
07
01
Efficacy of Radiofrequency Turbinatoplasty for Treatment of Inferior Turbinate Hypertrophy
87
92
EN
Nader
Saki
0000-0003-4564-6406
Department of otorhinolaryngology, Ahwaz University of Medical Sciences, Ahwaz, Iran
ahvaz.ent@gmail.com
Soheila
Nik Akhlagh
Department of otorhinolaryngology, Ahwaz University of Medical Sciences, Ahwaz, Iran
Mahmood
Hekmat-Shoar
Department of otorhinolaryngology, Ahwaz University of Medical Sciences, Ahwaz, Iran
Neda
Saleh Jafari
2Otorhinolaryngologist, Arak, Iran
10.22038/ijorl.2011.286
Introduction:
Nasal inferior turbinate hypertrophy is one of the most common causes of nasal obstruction. Many different surgical methods are currently available. The aim of this study was to review the efficacy and results of radiofrequency turbinatoplasty as a new method in the treatment of the large inferior nasal turbinate.
Materials and Methods:
This prospective study was conducted on 50 patients with symptoms and signs of nasal obstruction associated with inferior turbinate hypertrophy refractory to medical therapy<em>.</em> The turbinoplasty was performed using the radiofrequency method. Effectiveness of treatment, signs and symptoms before surgery compared to the first week, first and third month after surgery and possible complications were evaluated. Nasal endoscopy and visual analogue scale (VAS) were used to assess treatment outcomes at the end of week 1 and months 1 and 3 after surgery.
Results:
In this study the average age was 24 years old. 27 male (54%) and 23 female (46%) are included in this study. The etiology was vasomotor rhinitis (28 cases) and allergic rhinitis (22 cases). Turbinate edema and secretions decreased significantly (<em>P</em><0.0001) 1 month after surgery. Concerning the nasal obstruction and related symptoms such as nasal obstruction, snoring, headache, sneezing, itching, nasal turbinate edema, secretions and crust, significant improvement was observed at 1 month after treatment in all patients (<em>P</em><0.05) and continued up to 3 months after surgery (<em>P</em><0.0001). No major postoperative complication was observed in patients.
Conclusion:
Radio frequency turbinatoplasty technique is recommended as an effective method with no adverse effects such as pain treatment for hypertrophic inferior turbinate.
Tubrinate Hypertrophy,Tubrinatoplasty,Radiofrequency
https://ijorl.mums.ac.ir/article_286.html
https://ijorl.mums.ac.ir/article_286_ebc1de0ada9486e4e5b8a84103915b36.pdf
Mashhad University of Medical Sciences (MUMS)
Iranian Journal of Otorhinolaryngology
2251-7251
2251-726X
23
3
2011
07
01
Evaluation of the Correlation Between Body Mass Index and the Severity of Asthma in Recently Diagnosed Patients
93
98
EN
Davood
Attaran
Department of pulmonary diseases, Mashhad University of Medical Sciences, Mashhad, Iran
Mohammad
Tohidi
Department of pulmonary diseases, Mashhad University of Medical Sciences, Mashhad, Iran
Amir-Hashem
Asna-Ashari
Department of pulmonary diseases, Mashhad University of Medical Sciences, Mashhad, Iran
Habibillah
Ismaili
Department of statistics, Mashhad University of Medical Sciences, Mashhad, Iran
Ehsan
Khadivi
https://orcid.org/00
Ear, Nose, Throat, Head and Neck surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
khadivie@mums.ac.ir
Shiva
Gharaei
Department of internal medicine, Mashhad University of Medical Sciences, Mashhad, Iran
10.22038/ijorl.2011.335
Introduction:
Asthma and obesity are among diseases that cause several problems and impair quality of life. The concurrence of these diseases, changes in the respiratory physiology, changes associated with obesity and limited activity associated with asthma may cause an interaction between the two conditions.
Materials and Methods:
We studied the epidemiologic characteristics of all recently diagnosed cases of asthma with no previous treatment who visited the Respiratory Diseases Clinic of the Ghaem Hospital from 2004 to 2007, their Body Mass Indexes (BMI) were calculated and then spirometry was performed in all cases.
Results:
We studied 232 cases with the mean age of 38.96±12.94 years and the mean BMI of 27.05±4.92. Cough and exertional dyspnea were the most common clinical symptoms. In spirometric evaluations, the mean maximum mid-expiratory flow (MMEF) increased with weight, which was not, however, insignificant. FVC in obese patients was significantly less than in normal weight cases. A significant correlation was not also seen between BMI and FEV1 (r=-0.023, <em>P=</em>0.729).
Conclusion:
Except for FVC which had a significant correlation with BMI, other studied indices yielded no significant results, which calls for more extensive studies with larger populations. Considering the fact that mild asthma is less common in obese patients, better weight control in asthmatic patients can promote their quality of life and make asthma management more effective.
Asthma,Body mass index,Obesity,Spirometry
https://ijorl.mums.ac.ir/article_335.html
https://ijorl.mums.ac.ir/article_335_c0104a4beffd711fac1a428d9d5fbb4e.pdf
Mashhad University of Medical Sciences (MUMS)
Iranian Journal of Otorhinolaryngology
2251-7251
2251-726X
23
3
2011
07
01
Reconstruction of Buccal Mucosa, Upper and Lower Lip Defect Using Free Radial Forearm Flap with Palmaris Longus Tendon: A Case Presentation
99
102
EN
Kamran
Khazaeni
Ear, Nose, Throat, Head and Neck surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Arash
Beiraghi Toosi
Department of plastic surgery, Mashhad University of Medical Sciences, Mashhad, Iran
Shirin
Irani
Department of otorhinolaryngology, Mashhad University of Medical Sciences, Mashhad, Iran
sh_irani@razi.tums.ac.ir
Leila
Mashhadi
General physician
10.22038/ijorl.2011.336
Introduction:
Advanced lip carcinomas can invade adjacent structures. Performing surgery for these cancers will lead to defects in this anatomically and functionally important area and will cause post-op difficulties such as drooling, speech alterations and aesthetic considerations, if not properly managed.
Case Report:
In this study, we will introduce a radial forearm free flap with palmaris longus tendon to reconstruct a defect of a large lower lip carcinoma. Our patients was a male in the 7<sup>th</sup> decade of life with an advanced lower lip carcinoma invading the full thickness of the buccal mucosa, left commissure and the left third of the upper lip. Resection was performed with adequate margins; checked by frozen sections and radical modified neck dissection was also performed on the left side. Free radial forearm flap with palmaris longus tendon was harvested and anastomosed in the neck. Four months after surgery commissurroplasty was done and the flap volume reduced
Conclusion:
The radial forearm free flap with palmaris longus tendon provides a good functional lip with a reasonable aesthetics in our patient. The patient was satisfied with the result and there were no functional complaints such as drooling reported by him. We think that this flap could be a flap of choice for reconstruction of the large, full thickness lip defects.
Commissurroplasty,Free tissue flap,Lip neoplasms,Palmaris longus tendon,Radial forearm
https://ijorl.mums.ac.ir/article_336.html
https://ijorl.mums.ac.ir/article_336_b2b19bdce2cfefe405307978e2da0481.pdf
Mashhad University of Medical Sciences (MUMS)
Iranian Journal of Otorhinolaryngology
2251-7251
2251-726X
23
3
2011
07
01
Osteopetrosis Complicated by Maxillary Osteomyelitis: A Case Report
103
107
EN
Bijan
Khademi
Department of otorhinolaryngology, Shiraz Institute for Cancer Research, Shiraz University of Medical Sciences, Shiraz, Iran
khademib@yahoo.com
Venon
Asefi
Otorhinolaryngologist, Shiraz, Iran
Mehdi
Tarzi
Otorhinolaryngologist, Shiraz, Iran
10.22038/ijorl.2011.347
Introduction:
Maxillary osteomyelitis is a rare phenomenon. If it occurs, evaluation for underlying disease especially osteopetrosis must be considered. Osteomyelitis occurs as a complication in 10% of the cases of osteopetrosis.
Case report:
This is a case report of maxillary osteomyelitis presented in a 15-year old boy with osteopetrosis. In this case, the disease represented mainly with facial pain and swelling and also drainage from facial skin fistulas in bilateraral infraorbital area and lower eyelids. Diagnosis was confirmed by clinical and radiological findings. Treatment consisted of surgical debridment and intravenous antibiotic therapy which led to partial response.
<em>Conclusion</em>:
Maxillary osteomyelitis is a rare phenomenon. If it occurs, evaluation for underlying disease especially osteopetrosis must be considered.
Hereditary disorder,Maxillary bone,Osteoclast,Osteomyelitis,Osteopetrosis
https://ijorl.mums.ac.ir/article_347.html
https://ijorl.mums.ac.ir/article_347_30e9ca227600cedd28f4e0f09326798f.pdf