<?xml version="1.0" encoding="utf-8"?>
			<journal>
			<title>Iranian Journal of Otorhinolaryngology</title>
			<title_fa></title_fa>
			<short_title></short_title>
			<subject>Medical Sciences</subject>
			<web_url>https://ijorl.mums.ac.ir/</web_url>
			<journal_hbi_system_id>0</journal_hbi_system_id>
			<journal_hbi_system_user></journal_hbi_system_user>
			<journal_id_issn>2251-7251</journal_id_issn>
			<journal_id_issn_online>2251-726X</journal_id_issn_online>
			<journal_id_pii></journal_id_pii>
			<journal_id_doi></journal_id_doi>
			<journal_id_iranmedex></journal_id_iranmedex>
			<journal_id_magiran></journal_id_magiran>
			<journal_id_sid></journal_id_sid>
			<journal_id_nlai></journal_id_nlai>
			<journal_id_science></journal_id_science>
			<language>en</language>
			<pubdate>
				<type>jalali</type>
				<year>2025</year>
				<month>7</month>
				<day>1</day>
			</pubdate>
			<pubdate>
				<type>gregorian</type>
				<year>2025</year>
				<month>7</month>
				<day>1</day>
			</pubdate>
			<volume>37</volume>
			<number>4</number>
			<publish_type>online</publish_type>
			<publish_edition>1</publish_edition>
			<article_type>fulltext</article_type>
			<articleset><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Ultrasound-based Node-RADS: Introducing a new Scoring System for Ultrasound-based Classification of Lymphadenopathy</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction: Lymphadenopathy often causes anxiety due to its association with malignancy or serious infections. This study investigates the role of ultrasound features in distinguishing benign from malignant neck lymphadenopathy and proposes a quantitative scoring system (Node-RADS).Materials and Methods: This cross-sectional study was conducted at Omid Hospital, Mashhad University of Medical Sciences, Iran. Seven hundred ninety-one patients with neck lymphadenopathy underwent gray-scale and Doppler ultrasound, followed by fine needle aspiration (FNA) or core needle biopsy (CNB) for cytopathological confirmation. Key ultrasound features assessed included Short-Axis Diameter (SAD), Cortical/Hilar Echotexture, and Vascular patterns. A scoring system was developed by assigning malignancy coefficients to each variable. Malignancy coefficients (Wi) were assigned based on the prevalence of malignancy for each feature, and a quantitative Node-RADS score was derived. Diagnostic accuracy was evaluated using ROC analysis. Results:Of 791 patients, 68.5% (542) had malignant lymphadenopathy, predominantly metastases (57.1%, 452). Malignancy coefficients (Wi = 9) were extracted to high-risk features: SAD &gt;16 mm (82% malignancy), Isoechoic cortex with compressed hilum (89%), and non-hilar vascularity (91%). The proposed Node-RADS system achieved an AUC of 0.85 (95% CI: 0.817–0.889), demonstrating strong diagnostic performance.Conclusion: The proposed ultrasound-based Node-RADS scoring system correlates significantly with pathologic results, offering an appropriate tool for evaluating cervical superficial lymphadenopathy. ]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Lymphadenopathy classification, Ultrasound, Node- Reporting and Data System (Node-RADS)</keyword>
				<start_page>169</start_page>
				<end_page>177</end_page>
				<web_url>https://ijorl.mums.ac.ir/article_26291.html</web_url>
			<author_list><author>
				<first_name>Amir Mohammad</first_name>
				<middle_name></middle_name>
				<last_name>Heravi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>heraviam4001@mums.ac.ir</email>
				<code>115394</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Radiology, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Fatemeh</first_name>
				<middle_name></middle_name>
				<last_name>Hataminia</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>fa.hataminia@stu.um.ac.ir</email>
				<code>115395</code>
				<coreauthor>No</coreauthor>
				<affiliation>Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Maryam</first_name>
				<middle_name></middle_name>
				<last_name>Tavakoli</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>tavakolimnf@gmail.com</email>
				<code>115396</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Radiology, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Narjes Sadat</first_name>
				<middle_name></middle_name>
				<last_name>Yaghoobi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>yagoobins@yahoo.com</email>
				<code>115397</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Radiology, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Amir Hossein</first_name>
				<middle_name></middle_name>
				<last_name>Jafarian</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>jafarianah@mums.ac.ir</email>
				<code>115398</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pathology, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Bashir</first_name>
				<middle_name></middle_name>
				<last_name>Rasoulian</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>rasoulianb@mums.ac.ir</email>
				<code>115399</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of ENT, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Seyed Ali</first_name>
				<middle_name></middle_name>
				<last_name>Alamdaran</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>alamdarana@mums.ac.ir</email>
				<code>115400</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Radiology, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Coblation Adenoidectomy Versus Conventional Adenoidectomy: A Comparative Study of two Different Techniques of Adenoidectomy</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction:Chronic nasal obstruction, frequent respiratory infections, recurrent ear blocks, earaches, and pediatric obstructive sleep apnea may indicate adenoid enlargement, one of the most common conditions encountered in pediatric otorhinolaryngology practice. Adenoidectomy is a simple procedure with certain limitations, which has led to various innovations in surgical techniques in the recent past. The study aimed to compare two different adenoidectomy techniques: the endoscopy-assisted coblation adenoidectomy and the conventional curettage adenoidectomy.Materials and Methods:In this prospective randomized interventional study involving 40 patients, 20 patients in Group A underwent curettage adenoidectomy, and 20 patients in Group B underwent endoscopic coblation adenoidectomy. Complete adenoid tissue removal, surgical blood loss, operative duration, postoperative pain, and recovery time are the outcome measures.Results:Endoscopy-assisted coblation adenoidectomy enabled complete adenoid removal better than conventional adenoidectomy, 15 patients (75%) had complete removal versus 3 patients (15%) in the conventional group (p-value of 0.0003). The mean blood loss was 30 ± 5.60 mL in Group A and 10.75 ± 2.93 mL in Group B (p = 0.0001). The pain score assessed using the visual analog scale was 4 ± 0.44 in Group A and 3 ± 0.36 in Group B (p = 0.0001). The mean time taken for recovery in Group A was 3.14 ± 0.62 days and that in Group B was 2.64 ± 0.64 days (p = 0.001).Conclusions:Coblation adenoidectomy under endoscopic guidance enabled complete adenoid removal, reduction in surgical blood loss and postoperative pain, and shortened recovery time.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Adenoidectomy, Radiofrequency Ablation, Endoscopy, Curettage, Postoperative pain</keyword>
				<start_page>179</start_page>
				<end_page>186</end_page>
				<web_url>https://ijorl.mums.ac.ir/article_26293.html</web_url>
			<author_list><author>
				<first_name>Dianitta</first_name>
				<middle_name>Devapriya</middle_name>
				<last_name>Veronica</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>veroniprem@gmail.com</email>
				<code>115405</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Otorhinolaryngology and Head and Neck Surgery, ACS Medical College Hospital, Dr. MGR Educational and Research Institute,  Chennai-India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Prabaakharan</first_name>
				<middle_name></middle_name>
				<last_name>Jambunathan</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>drmj.prabahar@gmail.com</email>
				<code>115406</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Otorhinolaryngology and Head and Neck Surgery, ACS Medical College Hospital, Dr. MGR Educational and Research Institute,  Chennai-India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>The Effect of the Chitosan on Bleeding Control and Healing of Dog Buccal Mucosal Wound: An in Vivo Experimental Study</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction:Chitosan, which is an amino polysaccharide resulting from the deacetylation of chitin, regarding its biomedical features such as antioxidant activity, muco-adhesive and hemostatic properties, antibacterial and anti-inflammatory effects, used for medical purposes. Oral cavity and oropharynx are two important structures that in terms of rich blood supply, hemorrhage might be life threating requiring effective hemostatic management. In present study, we evaluated the effect of chitosan dressing on oral cavity wound healing and hemostasis. Materials and Methods:Nine male dogs were selected simple randomized and divided into three groups. A wound was made in the buccal mucosa bilaterally. We used chitosan powder dressing on the right side, chitosan-free gaze was used on the left side and bleeding time was determined. Three Dogs after5, three dogs after 10, and three dogs after15 days underwent biopsy bilaterally and pathologic assessment performed. Continuous and ordinal variables were reported as a median and IQR, and Wilcoxon test, and Friedman test were used to analyzing. Data were analyzed using SPSS 21.Results:Statistical analysis (Wilcoxon test) showed that the overall differences between two groups were statistically significant for (Acute inflammation score: P=.025; Collagenization score: P=.046; Neovascularization score: P=.046; Granulation tissue: P=0.046, and Re-epithelialization score: P=0.038). Chitosan powder dressing application significantly reduced acute inflammation and neovascularization, and increased collagenization, granulation tissue and re-epithelialization.  Furthermore, the median time of bleeding and percentage change of wound size which were not statistically significant for all 3days in the case and control groups but they were clinically significant.Conclusion:Chitosan salt powder dressing positively impacts the wound bleeding control and on mucosal wound healing according to histopathologic and gross wound healing indexes.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Chitosan, Bleeding Time, Mouth Mucosa, Wound healing, Hemorrhage</keyword>
				<start_page>187</start_page>
				<end_page>196</end_page>
				<web_url>https://ijorl.mums.ac.ir/article_26294.html</web_url>
			<author_list><author>
				<first_name>Reza</first_name>
				<middle_name></middle_name>
				<last_name>Kaboodkhani</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>kaboodkhani@gmail.com</email>
				<code>115417</code>
				<coreauthor>No</coreauthor>
				<affiliation>Otolaryngology Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Zohreh</first_name>
				<middle_name></middle_name>
				<last_name>Zandifar</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>zandifar346@yahoo.com</email>
				<code>115418</code>
				<coreauthor>No</coreauthor>
				<affiliation>Otorhinolaryngologist and Head and Neck Surgeon, Private Practice, Shiraz, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Seyed Hossein</first_name>
				<middle_name></middle_name>
				<last_name>Owji</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>s.h.owji.j.e@gmail.com</email>
				<code>115419</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Otolaryngology Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran.
Otorhinolaryngology Research Center, Otorhinolaryngology Head and Neck Surgery Department, Imam Khomeni Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Omid</first_name>
				<middle_name></middle_name>
				<last_name>Koohi-Hosseinabadi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>koohiomid@yahoo.com</email>
				<code>115420</code>
				<coreauthor>No</coreauthor>
				<affiliation>Laparoscopy Research Center, Shiraz University of medical Science, Shiraz, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Seyed Mohammad</first_name>
				<middle_name></middle_name>
				<last_name>Owji</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>smowji@sums.ac.ir</email>
				<code>115421</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pathology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran .</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sarah</first_name>
				<middle_name></middle_name>
				<last_name>Yousefi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>s7yousefi@gmail.com</email>
				<code>115422</code>
				<coreauthor>No</coreauthor>
				<affiliation>Chemistry and Chemical Engineering Research Center of Iran (CCERCI), P.O. Box 14335-186, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Abbas</first_name>
				<middle_name></middle_name>
				<last_name>Mohammadi Oshnari</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>abbas_1210@yahoo.com</email>
				<code>115423</code>
				<coreauthor>No</coreauthor>
				<affiliation>Chemistry and Chemical Engineering Research Center of Iran (CCERCI), P.O. Box 14335-186, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Salman</first_name>
				<middle_name></middle_name>
				<last_name>Taheri</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>taheri@ccerci.ac.ir</email>
				<code>115424</code>
				<coreauthor>No</coreauthor>
				<affiliation>Chemistry and Chemical Engineering Research Center of Iran (CCERCI), P.O. Box 14335-186, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ali Asghar</first_name>
				<middle_name></middle_name>
				<last_name>Mohammadi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>aliamohammadi@ccerci.ac.ir</email>
				<code>115425</code>
				<coreauthor>No</coreauthor>
				<affiliation>Chemistry and Chemical Engineering Research Center of Iran (CCERCI), P.O. Box 14335-186, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Naeimeh Sadat</first_name>
				<middle_name></middle_name>
				<last_name>Asmarian</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>ns.asmarian@gmail.com</email>
				<code>115426</code>
				<coreauthor>No</coreauthor>
				<affiliation>Anesthesiology and Critical care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Correlation of Indoxyl Sulfate to Hearing Impairment in Chronic Kidney Disease Patients</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction: Chronic Kidney Disease (CKD) is considered a public health issue because its frequency is increasing in adults. When a person experiences renal failure, one of the most researched solutes that builds up in plasma is indoxyl sulfate. This toxin can attach to proteins, and it is a byproduct of the tryptophan metabolism in the diet, which provides pro-oxidative and pro-inflammatory activity. In CKD, the redox imbalance associated with oxidative stress is associated with pathophysiological issues brought on by the buildup of uremic toxins. The cochlea is highly susceptible to oxidative stress, which consequently causes permanent cochlear degeneration. To better understand the connection between Indoxyl sulfate levels and hearing loss in CKD patients, we examined the results of pure tone audiometry and OAE examinations. Materials and Methods: This research was conducted on 27 people with stage 5 CKD who had their blood plasma levels of indoxyl sulfate measured before having their hearing ability assessed by OAE and pure tone audiometry. Next, a correlation test was carried out between the results of Indoxyl sulfate levels and the results of hearing function tests in CKD patients. Results: The indoxyl sulfate value and degree of auditory impairment had a strong positive correlation, according to the Spearman correlation test. (r = 0.881; p = 0.001) and an inverse relationship between the Indoxyl sulfate value and SNR (r = -0.761; p = 0.001).  Conclusion:CKD patients have impaired hearing, which is correlated with the amount of uremic toxin Indoxyl Sulfate that has accumulated.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>chronic kidney disease, Indoxyl sulfate, Hearing Loss, Pure tone audiometry, OAE</keyword>
				<start_page>197</start_page>
				<end_page>204</end_page>
				<web_url>https://ijorl.mums.ac.ir/article_26295.html</web_url>
			<author_list><author>
				<first_name>Fadillah</first_name>
				<middle_name>Akbar</middle_name>
				<last_name>Sanjani</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>fadillah2016@gmail.com</email>
				<code>115427</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Universitas Sumatera Utara, Jl. Dr. Mansur No. 5, Medan, 20155, Indonesia.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Tengku-Siti-</first_name>
				<middle_name>Hajar</middle_name>
				<last_name>Haryuna</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>tengkusitihajarharyuna@usu.ac.id</email>
				<code>115428</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Universitas Sumatera Utara, Jl. Dr. Mansur No. 5, Medan, 20155, Indonesia.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Farhat</first_name>
				<middle_name></middle_name>
				<last_name>Farhat</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>farhatmedan@gmail.com</email>
				<code>115429</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Universitas Sumatera Utara, Jl. Dr. Mansur No. 5, Medan, 20155, Indonesia.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Syafrizal</first_name>
				<middle_name></middle_name>
				<last_name>Nasution</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>syafizalnst@yahoo.com</email>
				<code>115430</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Internal Medicine, Faculty of Medicine, Universitas Sumatera Utara, Jl. Dr. Mansur No. 5, Medan 20155, Indonesia.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Juliandi</first_name>
				<middle_name></middle_name>
				<last_name>Harahap</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>juliandi@usu.ac.id</email>
				<code>115431</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Community Medicine, Faculty of Medicine, Universitas Sumatera, Utara, Jl. Dr. Mansur No. 5, Medan, 20155, Indonesia.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Yuliani</first_name>
				<middle_name>M</middle_name>
				<last_name>Lubis</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>yuli_fananie@yahoo.com</email>
				<code>115432</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Universitas Sumatera Utara, Jl. Dr. Mansur No. 5, Medan, 20155, Indonesia.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Harry</first_name>
				<middle_name>Agustaf</middle_name>
				<last_name>Asroel</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>harry.aa@usu.ac.id</email>
				<code>115433</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Universitas Sumatera Utara, Jl. Dr. Mansur No. 5, Medan, 20155, Indonesia.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Khalisanni</first_name>
				<middle_name></middle_name>
				<last_name>Khalid</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>sanni@mardi.gov.my</email>
				<code>115434</code>
				<coreauthor>No</coreauthor>
				<affiliation>Malaysian Agricultural Research and Development Institute (MARDI), MARDI Headquarters, Persiaran MARDI-UPM, 43400 Serdang, Selangor, Malaysia.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Agreement between HRCT Imaging and Intraoperative Measurements in Predicting Stapedotomy Prosthesis Length in Otosclerosis Patients</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction: This study aimed to evaluate the accuracy of preoperative high-resolution computed tomography (HRCT) imaging in measuring the distance from the long process of the incus to the footplate and its potential for predicting the optimal prosthesis length required for stapedotomy in patients with otosclerosis.Materials and Methods: This cross-sectional study included fifty patients scheduled for primary stapedotomy. A radiologist obtained and reconstructed preoperative HRCT scans of the temporal bone to measure the distance from the long process of the incus to the oval window in both axial and coronal views. These HRCT-derived measurements were then compared with intraoperative measurements performed by an otolaryngologist. The agreement between the two methods was assessed using correlation and Bland-Altman analysis.Results: The mean distances measured by HRCT and intraoperatively were 4.15mm and 4.27mm, respectively. A strong and statistically significant correlation (r=0.928, P&lt;0.001) was observed between the two approaches, indicating a robust association. The Bland-Altman analysis revealed a mean bias of 0.11±0.07mm, with limits of agreement (LoAs) ranging from -0.02 to 0.26 mm, and no points exceeding the 95% LoAs. The maximum potential error between the two measurement methods was 0.28mm, suggesting that HRCT imaging can reliably predict prosthesis length. In a stratified analysis based on the surgical distance (≤4 mm [N=11], 4.25mm [N=25], ≥4.5mm [N=13]), good agreement was maintained in the Bland-Altman analysis.Conclusion: Preoperative HRCT imaging may be a valuable tool for accurately predicting the required prosthesis length prior to stapedotomy in otosclerosis patients.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Otosclerosis, Stapedotomy, incus bone, CT Scan</keyword>
				<start_page>205</start_page>
				<end_page>211</end_page>
				<web_url>https://ijorl.mums.ac.ir/article_26296.html</web_url>
			<author_list><author>
				<first_name>Mohammad Reza</first_name>
				<middle_name></middle_name>
				<last_name>Afzalzadeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>afzalzadehmr@mums.ac.ir</email>
				<code>115437</code>
				<coreauthor>No</coreauthor>
				<affiliation>Sinus and Surgical Endoscopic Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Farzaneh</first_name>
				<middle_name></middle_name>
				<last_name>Khoroushi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>khoroushif@mums.ac.ir</email>
				<code>115436</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Abolfazl</first_name>
				<middle_name></middle_name>
				<last_name>Zanjani Tabasi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>abolfazl.zanjani.tabasi@gmail.com</email>
				<code>115435</code>
				<coreauthor>No</coreauthor>
				<affiliation>Sinus and Surgical Endoscopic Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Yazdan</first_name>
				<middle_name></middle_name>
				<last_name>Gholami Chenaran</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>yazdan.gholami7997@gmail.com</email>
				<code>115438</code>
				<coreauthor>No</coreauthor>
				<affiliation>Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohsen</first_name>
				<middle_name></middle_name>
				<last_name>Rajati</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>rajatim@mums.ac.ir</email>
				<code>115440</code>
				<coreauthor>No</coreauthor>
				<affiliation>Sinus and Surgical Endoscopic Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hassan</first_name>
				<middle_name></middle_name>
				<last_name>Mehrad-Majd</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mehradmajd.h@gmail.com</email>
				<code>115439</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Clinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>The Effect of Position Changing on Endotracheal Tube Cuff Pressure and Post-Operation Sore Throat and Hoarseness in Patients Undergoing General Anesthesia</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction:Endotracheal intubation is a standard procedure for securing and maintaining the airway during general anesthesia. Cuff pressure must be within the correct range to avoid serious airway complications. This study aimed to assess how the pressure in the endotracheal tube cuff changes when the patient’s position is altered.Materials and Methods: This prospective, observational study was conducted on 85 patients aged 18 to 75 undergoing general anesthesia for surgery. Endotracheal intubation was performed with an appropriately sized tube, and the tube cuff was inflated with air using a syringe. The cuff pressure of the endotracheal tube was then assessed using a cuff manometer immediately after intubation and position change, 5 minutes after each, and every 15 minutes until the end of the surgery. Based on the formula for testing the difference between two means for a quantitative trait in two populations, and considering an alpha of 0.05 and a beta of 0.2, the sample size was calculated as 20 individuals in each group of patients with different positions. Results: The endotracheal cuff pressure increased in all three positions, including prone, right lateral, and left lateral. A significant relationship was also observed between the sore throat one hour after extubation and the prone position.Conclusion: The ETT cuff pressure increased or decreased outside the normal range in most patients undergoing surgeries that require changing positions. Therefore, we recommend close and continuous monitoring of cuff pressure during anesthesia.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Endotracheal tube, Cuff pressure, Position, Hoarseness, Sore throat</keyword>
				<start_page>213</start_page>
				<end_page>219</end_page>
				<web_url>https://ijorl.mums.ac.ir/article_26299.html</web_url>
			<author_list><author>
				<first_name>Masoomeh</first_name>
				<middle_name></middle_name>
				<last_name>Tabari</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>tabarim@mums.ac.ir</email>
				<code>115451</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Anesthesiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Faezeh</first_name>
				<middle_name></middle_name>
				<last_name>Rajabi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>faeze.rajabi1998@gmail.com</email>
				<code>115452</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Anesthesiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ali</first_name>
				<middle_name></middle_name>
				<last_name>Moradi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>ralimoradi@gmail.com</email>
				<code>115454</code>
				<coreauthor>No</coreauthor>
				<affiliation>Clinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Alireza</first_name>
				<middle_name></middle_name>
				<last_name>Sharifian Attar</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>sharifiana@mums.ac.ir</email>
				<code>115453</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Anesthesiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Effects of Intratympanic Steroid Therapy in Sudden Hearing Loss in Children: The Clinical Case of an Exceptionally Late Hearing Recovery</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Case Report</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction: Sudden hearing loss represents a medical emergency that can potentially have a highly negative impact on an individual&#039;s quality of life.  In particular it can represent a serious concern in pediatric age, interfering cognitive and language development. Despite the seriousness of the problem, there is currently no consensus on diagnostic and therapeutic management methods, and the debate is still open.Case Report:We present the case of a 15-year-old child with a sudden right-sided hearing loss of profound degree and of idiopathic etiology. Initially he was treated with oral steroid treatment and subsequently to multiple sessions of hyperbaric oxygen therapy without satisfactory results. Several weeks after the onset of symptoms, the patient underwent a cycle of 3 intratympanic methylprednisolone injections with unexpected hearing recovery.Conclusions: Intratympanic steroid therapy could represent not only a life-saving therapeutic choice as it is currently considered, but also a first therapeutic choice, particularly in pediatric age, thanks to substantial absence of systemic side effects and the potential efficacy even after many weeks from the onset of symptoms.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Sudden hearing loss, Children, Childhood, Intratympanic steroid therapy, Profound hearing loss</keyword>
				<start_page>221</start_page>
				<end_page>226</end_page>
				<web_url>https://ijorl.mums.ac.ir/article_26300.html</web_url>
			<author_list><author>
				<first_name>Marco</first_name>
				<middle_name></middle_name>
				<last_name>Capelli</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>marco.capelli@clinicavillaantonella.it</email>
				<code>115455</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>ENT Unit, Clinica Villa Antonella, Codogno (Lo), Italy.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Rhinophyma Treatment with Blue Laser</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Case Report</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction:Rhinophyma is a chronic skin pathology that mainly affects the nose. It is featured by thickening of the skin and soft tissue of the nose. Treatment options include topical medication, systemic drugs, electrocautery, cryosurgery, laser therapy, dermabrasion, and in some cases, surgical procedures like rhinoplasty. The aim of this report is to demonstrate the usefulness of the blue laser and its efficacy in the treatment of rhinophyma. Case Report: We report two cases of patients diagnosed with rhinophyma who underwent blue laser treatment. Conclusions: The use of blue laser to treat rhinophyma has shown to be an effective and safe procedure with very promising results.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Blue laser, Rhinophyma, Rosacea, Laser therapy</keyword>
				<start_page>227</start_page>
				<end_page>231</end_page>
				<web_url>https://ijorl.mums.ac.ir/article_26302.html</web_url>
			<author_list><author>
				<first_name>Estefanía</first_name>
				<middle_name></middle_name>
				<last_name>Miranda</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>estefaniamirandasanchez@gmail.com</email>
				<code>115460</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos. Madrid, Spain and Hospital Universitario Sanitas La Zarzuela. Madrid, Spain.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ithzel</first_name>
				<middle_name>Maria</middle_name>
				<last_name>Villarreal</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>imvillarrealp@gmail.com</email>
				<code>115461</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos. Madrid, Spain and Hospital Universitario Nstra Sra del Rosario, Madrid, Spain.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Oscar</first_name>
				<middle_name></middle_name>
				<last_name>Arenas</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>osands@hotmail.com</email>
				<code>115462</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos. Madrid, Spain and Hospital Universitario Sanitas La Zarzuela. Madrid, Spain.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Guillermo</first_name>
				<middle_name></middle_name>
				<last_name>Plaza</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>guillermo.plaza@salud.madrid.org</email>
				<code>115463</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos. Madrid, Spain and Hospital Universitario Sanitas La Zarzuela. Madrid, Spain.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>