<?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>0</year>
				<month>0</month>
				<day>1</day>
			</pubdate>
			<pubdate>
				<type>gregorian</type>
				<year>2025</year>
				<month>9</month>
				<day>1</day>
			</pubdate>
			<volume>37</volume>
			<number>5</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>Short-term Effects of Nortriptyline on Sleep Parameters for Residual OSA after UPPP</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: Uvulopalatopharyngoplasty (UPPP) surgery, though helpful, may not always achieve optimal results for obstructive sleep apnea (OSA). This prospective, uncontrolled trial investigates the potential of nortriptyline in improving symptoms and sleep parameters in OSA patients who have previously undergone UPPP.Materials and Methods: This single-center study evaluated the effects of nortriptyline in 24 OSA patients who had undergone UPPP surgery one year prior. Participants underwent a type IV sleep study one night before starting nortriptyline, and one month after treatment. The study employed the Stanford Subjective Snoring Scale (SSSS) and the Epworth Sleepiness Scale (ESS) to evaluate subjective reports of snoring and daytime sleepiness.Results: The Apnea-Hypopnea Index (AHI) significantly decreased from 16.8 to 11.4 events/hour (p-value = 0.02, effect size = 0.5). Mean oxygen saturation significantly increased from 94.1% to 95.4% (p-value = 0.016, effect size = 0.6). Time spent below 90% oxygen saturation significantly decreased from 7.2% to 4.8% (p-value = 0.007, effect size = 0.73). ESS significantly decreased from 9.6 to 7.2 (p-value &lt; 0.001, effect size = 0.89). SSSS significantly decreased from 7.1 to 3.1 (p-value = 0.002, effect size = 0.90).  Minor side effects were monitored; one participant developed excessive sleepiness, and another participant reported heart palpitations.Conclusion: This trial suggests that nortriptyline may be a promising treatment option for improving residual sleep apnea in patients who have already undergone UPPP but still experience symptoms. Further research is needed to confirm these initial results. Trial registration number: IRCT20230614058482N1 ]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Obstructive Sleep Apnea, Nortriptyline, Uvulopalatopharyngoplasty, Sleep surgery, Residual OSA, Sleep pharmacotherapy, Daytime sleepiness</keyword>
				<start_page>233</start_page>
				<end_page>240</end_page>
				<web_url>https://ijorl.mums.ac.ir/article_26584.html</web_url>
			<author_list><author>
				<first_name>Reza</first_name>
				<middle_name></middle_name>
				<last_name>Hosseini</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>hosseinir054@gmail.com</email>
				<code>116710</code>
				<coreauthor>No</coreauthor>
				<affiliation>Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Pedram</first_name>
				<middle_name></middle_name>
				<last_name>Borghei</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>pborghei@yahoo.com</email>
				<code>116711</code>
				<coreauthor>No</coreauthor>
				<affiliation>‏Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Amir Alam Hospital, Tehran, Iran,</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Amin</first_name>
				<middle_name></middle_name>
				<last_name>Amali</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>aminamali@yahoo.com</email>
				<code>116712</code>
				<coreauthor>No</coreauthor>
				<affiliation>Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Imam Khomeini Hospital, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Reihaneh</first_name>
				<middle_name></middle_name>
				<last_name>Heidari</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>rhn.heidari@gmail.com</email>
				<code>116713</code>
				<coreauthor>No</coreauthor>
				<affiliation>‏Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Imam Khomeini Hospital, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Reza</first_name>
				<middle_name></middle_name>
				<last_name>Erfanian</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>rezakhosravimd@gmail.com</email>
				<code>116714</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Amir Alam Hospital, Tehran, 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>Assessment of Quality of Life after Adenotonsillectomy in Paediatric 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: Adenotonsillectomy is one of the most commonly done surgical procedures in paediatric population. Two main indications for paediatric adenotonsillectomy are recurrent sore throat due to bacterial infection and airway obstruction due to adenotonsillar hypertrophy. This study assessed the impact of adenotonsillectomy on quality of life (QoL) in paediatric patients (3-14 years) with chronic adenotonsillitis using the Paediatric Throat Disorders Outcome Test (T-14), focusing on obstructive and infective symptoms.Materials and Methods: A, prospective, observational study was conducted in a tertiary care hospital from May 2023 for a period of 18 months. Paediatric patients of age 3-14 years with chronic adenotonsillitis who underwent adenotonsillectomy were included in this study. Paediatric Throat Disorders Outcome Test (T-14) questionnaire form was filled by patient caregivers preoperatively at the time of hospital admission and postoperatively at 6th week. Paired t-test was used to ascertain and compare the values obtained.Results: 60 paediatric patients of age 3-14 years (mean age 8.7 years) were included in the study, who were diagnosed with chronic adenotonsillitis and underwent adenotonsillectomy. Symptom profile in the study population revealed obstructive issues, manifested as mouth breathing (83.33%) and snoring (45.00%), and infective symptoms presented as throat pain (60%). Following adenotonsillectomy, there was significant T-14 score reductions (p=0.0001) for obstructive (91.17%) and infective (88.10%) symptoms. These outcomes validate adenotonsillectomy’s predominant role in addressing combined adenotonsillar pathology in paediatric patients.Conclusion: Adenotonsillectomy significantly enhances QoL, reduces obstructive and infective symptoms with universal improvement supporting its use in chronic adenotonsillitis. ]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Chronic adenotonsillitis, Adenotonsillectomy, Paediatric Throat Disorders Outcome Test (T-14), Paediatric quality of life, obstructive symptoms, infective symptoms</keyword>
				<start_page>241</start_page>
				<end_page>246</end_page>
				<web_url>https://ijorl.mums.ac.ir/article_26586.html</web_url>
			<author_list><author>
				<first_name>Yellur</first_name>
				<middle_name></middle_name>
				<last_name>Kavitha</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>kavithajoish@gmail.com</email>
				<code>116720</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of ENT, SDM College of Medical Sciences and Hospital, Shri Dharmasthala Manjunatheshwara University, Sattur, Dharwad, Karnataka, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Kandhala</first_name>
				<middle_name></middle_name>
				<last_name>Poojitha</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>poojitha2995@gmail.com</email>
				<code>116721</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of ENT, SDM College of Medical Sciences and Hospital, Shri Dharmasthala Manjunatheshwara University, Sattur, Dharwad, Karnataka, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Joish</first_name>
				<middle_name></middle_name>
				<last_name>Upendra</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>joishupendra@gmail.com</email>
				<code>116722</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Radiodiagnosis, SDM College of Medical Sciences and Hospital, Shri Dharmasthala Manjunatheshwara University, Sattur, Dharwad, Karnataka, 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>Can Epirubicin Be Used in Laryngology Practice Like Mitomycin? An Experimental and Pioneering 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: Epirubicin and mitomycin-C share similar mechanisms of action, with both exhibiting antiproliferative effects by inhibiting DNA and protein synthesis. While the efficacy of mitomycin-C in laryngology is well established, this study aims to investigate whether epirubicin can produce comparable clinical outcomes in this field. Materials and Methods: Ten rabbits were included in this experimental study. A thermal injury was created at the posterior commissure using a conchal probe. Following the injury, one group was treated with mitomycin-C, while the other received epirubicin. After a six-week post-treatment period, the rabbits were euthanized, and both macroscopic and microscopic evaluations were performed to assess stenosis, scarring, granulation tissue, necrosis, and ulceration. Two pathologists, blinded to the treatment groups, independently examined the histological samples.Results: Macroscopically, no significant differences were observed between the two groups in terms of scarring, synechiae, or granulation tissue formation at the posterior commissure. However, the mitomycin-C group demonstrated a relatively milder tissue response. Microscopic analysis revealed grade 3 collagen deposition in one rabbit and grade 1 in two rabbits from the epirubicin group. In comparison, the mitomycin-C group showed grade 1 deposition in two rabbits and grade 2 in another two. The average fibroblast count was 83.3 in the epirubicin group versus 59 in the mitomycin-C group.Conclusions: Although this pioneering study does not provide conclusive evidence that epirubicin is as effective as or superior to mitomycin-C in laryngology, it highlights epirubicin’s potential as a promising candidate for further investigation in the treatment of laryngeal conditions.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Epirubicin, Mitomycin-C, Laryngeal Posterior Commissure, laryngostenosis</keyword>
				<start_page>247</start_page>
				<end_page>252</end_page>
				<web_url>https://ijorl.mums.ac.ir/article_26587.html</web_url>
			<author_list><author>
				<first_name>Erdem</first_name>
				<middle_name></middle_name>
				<last_name>Koroglu</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>erdemkoroglu1907@gmail.com</email>
				<code>116723</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>University of Health Sciences Kocaeli Derince Health Research and Application Center, Otorhinolaryngology and Head &amp; Neck Surgery Clinic.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Selahattin</first_name>
				<middle_name></middle_name>
				<last_name>Genc</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>drsgenc@yahoo.com</email>
				<code>116724</code>
				<coreauthor>No</coreauthor>
				<affiliation>University of Health Sciences Kocaeli Derince Health Research and Application Center, Otorhinolaryngology and Head &amp; Neck Surgery Clinic.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Serdar</first_name>
				<middle_name></middle_name>
				<last_name>Baser</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>serdarbaser2002@hotmail.com</email>
				<code>116725</code>
				<coreauthor>No</coreauthor>
				<affiliation>University of Health Sciences Kocaeli Derince Health Research and Application Center, Otorhinolaryngology and Head &amp; Neck Surgery Clinic.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ferit</first_name>
				<middle_name></middle_name>
				<last_name>Bayakır</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>ord.dr.ferit@hotmail.com</email>
				<code>116726</code>
				<coreauthor>No</coreauthor>
				<affiliation>University of Health Sciences Kocaeli Derince Health Research and Application Center, Otorhinolaryngology and Head &amp; Neck Surgery Clinic.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ahmet</first_name>
				<middle_name>Tuğrul</middle_name>
				<last_name>Eruyar</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>ate7678@yahoo.com</email>
				<code>116727</code>
				<coreauthor>No</coreauthor>
				<affiliation>Kocaeli University Faculty of Medicine, Pathology Clinic.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Busra</first_name>
				<middle_name>Yaprak</middle_name>
				<last_name>Bayrak</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>busra.yaprakbayrak@kocaeli.edu.tr</email>
				<code>116728</code>
				<coreauthor>No</coreauthor>
				<affiliation>Kocaeli University Faculty of Medicine, Pathology Clinic.</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>A Prospective Observational Study on the Accuracy of Transcutaneous Laryngeal Ultrasonography in Assessing Vocal Cord Mobility before and after Thyroid Surgery</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: Recurrent Laryngeal Nerve (RLN) injury remains one of the significant complications associated with thyroidectomy, occurring in approximately 1% to 9% of cases. Vocal Cord (VC) function is typically assessed before surgery using laryngoscopy. However, Transcutaneous Laryngeal Ultrasonography (TLUS) has become a non-invasive alternative for evaluating VC mobility. This study was performed to compare the diagnostic accuracy of TLUS with traditional laryngoscopy in assessing vocal cord function in patients undergoing thyroid surgery.Materials and Methods: A total of 105 patients undergoing hemi- or total thyroidectomy were enrolled in a prospective observational study at a tertiary healthcare facility from October 2022 to June 2024. TLUS was conducted by endocrine surgeons using a Mindray UGW 11 device. VC mobility was categorised as usual (spontaneous, rhythmic, symmetrical movement) or unilateral VC paralysis (asymmetrical or absent movement on the affected side).Results:In the preoperative setting, TLUS achieved 100% sensitivity, Positive Predictive Value (PPV), and overall diagnostic accuracy. Postoperatively, it maintained a high sensitivity of 99.02%, with specificity reaching 100% and an area under the curve (AUC) of 0.99. The PPV remained at 100%, while the Negative Predictive Value (NPV) was 75%, and the diagnostic accuracy declined slightly to 99.05%. These findings highlight TLUS as a reliable, economical, and patient-friendly modality for evaluating vocal cord mobility in thyroid surgery.Conclusion:TLUS is an effective non-invasive method for assessing VC function, with high diagnostic accuracy. With further advancements in ultrasound technology and standardized protocols, TLUS can be incorporated into routine clinical practice as a supplement to traditional laryngoscopy techniques. This study supports the use of TLUS as a viable alternative for preoperative and postoperative VC assessment in thyroid surgery patients. ]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Transcutaneous Laryngeal Ultrasonography, Vocal Cord Function, Laryngoscopy, Thyroidectomy</keyword>
				<start_page>253</start_page>
				<end_page>259</end_page>
				<web_url>https://ijorl.mums.ac.ir/article_26591.html</web_url>
			<author_list><author>
				<first_name>Harjinder</first_name>
				<middle_name></middle_name>
				<last_name>Singh</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>nk21284@gmail.com</email>
				<code>116737</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Thirugnanasambandam</first_name>
				<middle_name></middle_name>
				<last_name>Nelson</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>nelson.mbbs@gmail.com</email>
				<code>116738</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Kamal</first_name>
				<middle_name></middle_name>
				<last_name>Kataria</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>drkamalkataria@gmail.com</email>
				<code>116739</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ankita</first_name>
				<middle_name></middle_name>
				<last_name>Agarwal</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>dr.ankitaaggarwal@gmail.com</email>
				<code>116740</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Uttam</first_name>
				<middle_name>Kumar</middle_name>
				<last_name>Thakur</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>ukt005@gmail.com</email>
				<code>116741</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Arvind</first_name>
				<middle_name></middle_name>
				<last_name>Kairo</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>arvindkairo@yahoo.com</email>
				<code>116742</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Otorhinolaryngology, All India Institute of Medical Sciences, New Delhi, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hitesh</first_name>
				<middle_name></middle_name>
				<last_name>Verma</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>drhitesh10@gmail.com</email>
				<code>116743</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Otorhinolaryngology, All India Institute of Medical Sciences, New Delhi, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Shuchita</first_name>
				<middle_name>Singh</middle_name>
				<last_name>Pachaury</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>drshuch@yahoo.com</email>
				<code>116744</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Otorhinolaryngology, All India Institute of Medical Sciences, New Delhi, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Amarinder</first_name>
				<middle_name>Singh</middle_name>
				<last_name>Malhi</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>drasmalhi@gmail.com</email>
				<code>116745</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Yashwant</first_name>
				<middle_name></middle_name>
				<last_name>Rathore</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>dryashvant.r@gmail.com</email>
				<code>116746</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Yashdeep</first_name>
				<middle_name></middle_name>
				<last_name>Gupta</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>yash_deep_gupta@yahoo.co.in</email>
				<code>116747</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Endocrinology, All India Institute of Medical Sciences, New Delhi, India</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Shivam</first_name>
				<middle_name></middle_name>
				<last_name>Pandey</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>dr.shivampandey@yahoo.com</email>
				<code>116748</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Biostastics, All India Institute of Medical Sciences, New Delhi, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Rajesh</first_name>
				<middle_name></middle_name>
				<last_name>Khadgawat</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>rajeshkhadgawat@hotmail.com</email>
				<code>116749</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Endocrinology, All India Institute of Medical Sciences, New Delhi, India</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Shipra</first_name>
				<middle_name></middle_name>
				<last_name>Agarwal</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>drshipra0902@gmail.com</email>
				<code>116750</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sunil</first_name>
				<middle_name></middle_name>
				<last_name>Chumber</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>sunil_chumber@hotmail.com</email>
				<code>116751</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Anita</first_name>
				<middle_name></middle_name>
				<last_name>Dhar</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>dranitadharbhan@gmail.com</email>
				<code>116752</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, 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>Endoscopic Transcanal Type 1 Tympanoplasty with Cartilage Perichondrium Graft; A Prospective 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:Recently use of endoscopes for ear surgeries is being popular among the surgeons as it gives a wide view of the middle ear. Also, tympanoplasty by transcanal approach can be done as a day care procedure and so it reduces the cost of hospitalization. The study was aimed to evaluate the results of type 1 tympanoplasty done by endoscopic transcanal approach with cartilage perichondrium graft, in relation to successful graft take-up rate and improvement in hearing.Materials and Methods: Total 50 patients were included in the study and all of them underwent type 1 tympanoplasty by endoscopic transcanal approach. Tragal cartilage with its attached perichondrium on one side facing laterally was placed as graft lateral to handle of malleus with v shaped notch at 12 o clock by underlay technique in all the cases. Patients were called for regular follow-up, and they were observed for successful graft take-up and improvement in hearing at 3 months after procedure.Results: Out of 50 cases complete closure was achieved in 46 cases which makes a success rate of 92%. The average improvement in hearing of 15.3 dB was noted. Conclusion: Endoscopic Transcanal approach with cartilage-perichondrium graft for tympanoplasty (type 1) is effective in terms of successful graft take-up rate and improvement in hearing, very cost effective, faster in terms of surgical time, and has less postoperative morbidity so gives better quality of life to the patient.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Endoscopic tympanoplasty, Transcanal Tympanoplasty, Chronic Suppurative Otitis Media (CSOM), Tympanic membrane perforation</keyword>
				<start_page>261</start_page>
				<end_page>266</end_page>
				<web_url>https://ijorl.mums.ac.ir/article_26589.html</web_url>
			<author_list><author>
				<first_name>Parth</first_name>
				<middle_name>Bipinkumar</middle_name>
				<last_name>Makwana</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>dr.parth.ent@gmail.com</email>
				<code>116733</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of ENT, Nootan Medical College, Visnagar, Gujarat, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Viral</first_name>
				<middle_name></middle_name>
				<last_name>Prajapati</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>drviralmsent2009@gmail.com</email>
				<code>116734</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of ENT, Dr. M. K.Shah Medical College, Ahmedabad, Gujarat, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Vivek</first_name>
				<middle_name></middle_name>
				<last_name>Makadiya</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>makadiyavivek1010@gmail.com</email>
				<code>116735</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of ENT, Dr. M. K.Shah Medical College, Ahmedabad, Gujarat, 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>Usage of Cornea in Tympanoplasty: A Prospective 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:CSOM is inflammation of the mucoperiosteal lining of the ME cleft characterized by ear discharge, permanent perforation of the TM, and hearing impairment. If perforation fails to heal, surgical closure is done by M-plasty (Type-I T-plasty). The graft material used to reconstruct the eardrum is mainly TF. The goal is to reconstruct the TM and sound-conducting mechanism in a long-lasting way. Here, in this study, corneal homograft was considered for closure of TM perforation as part of primary T-plasty. To utilize unused cornea as homograft in T-plasty for closure of TM perforation and obtain acoustic qualities similar to normal TM.Materials and Methods: 63 pts with TTD of ME in a hospital setup over a period of 2 years were considered for the study. All underwent T-plasty with use of Cornea and results were interpreted based on operative graft uptake and effective audible acoustics.Results:88% of patients showed successful corneal graft uptake, while 12% of patients with failed corneal graft uptake were planned for revision surgery with other graft materials. A literature review was done with a comparison in terms of various graft materials used to date, success of graft uptake, and audibility achieved following closure of TM perforation.Conclusion: Corneal graft has shown fairly significant results in terms of efficacious graft uptake and efficient hearing acoustics after T-plasty.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Cornea, Graft, Middle Ear Surgery, Tympanic membrane, Tympanoplasty, Temporalis fascia</keyword>
				<start_page>267</start_page>
				<end_page>280</end_page>
				<web_url>https://ijorl.mums.ac.ir/article_26590.html</web_url>
			<author_list><author>
				<first_name>Sphoorthi</first_name>
				<middle_name></middle_name>
				<last_name>Basavannaiah</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>sphoorthi86@rediffmail.com</email>
				<code>116736</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of ENT, Subbaiah Institute of Medical Sciences, Shimoga-577222, Karnataka, 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>Intrasphenoidal Internal Carotid Artery Aneurysm: Rare Cause of Recurrent Epistaxis</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:
Epistaxis is a common Otorhinolaryngological condition that is usually self-limiting and rarely requires imaging and intervention. Intrasinus Internal Carotid Artery aneurysm presenting with epistaxis is extremely rare.
Case Report:
We report a case of a 57- year old male presenting with recurrent episodes of epistaxis. Contrast-enhanced Computed Tomography of the Paranasal Sinuses and Magnetic Resonance Imaging were performed, which showed a focal defect in the posterolateral wall of the sphenoid sinus through which an aneurysm from the cavernous segment of the Internal Carotid artery was seen herniating into the sinus with an associated hematoma.
Conclusion:
Non-traumatic Internal carotid artery Intrasphenoidal aneurysms are infrequent causes of recurrent epistaxis. They can mimic malignant or inflammatory sinus masses, which can lead to inadvertent biopsy; hence, they should be ruled out by radiological investigation to ensure timely diagnosis and management.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Aneurysm, Epistaxis, Internal carotid artery, Sphenoid sinus</keyword>
				<start_page>281</start_page>
				<end_page>285</end_page>
				<web_url>https://ijorl.mums.ac.ir/article_26588.html</web_url>
			<author_list><author>
				<first_name>Harneet</first_name>
				<middle_name></middle_name>
				<last_name>Narula</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>drharneetbindra@gmail.com</email>
				<code>116729</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Radiodiagnosis, MMIMSR Mullana, Ambala, Haryana, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Aditi</first_name>
				<middle_name></middle_name>
				<last_name>Vohra</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>draditivohra@gmail.com</email>
				<code>116730</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Radiodiagnosis, MMIMSR Mullana, Ambala, Haryana, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Gavinder</first_name>
				<middle_name>Singh</middle_name>
				<last_name>Bindra</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>gavinbindra@gmail.com</email>
				<code>116731</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Neurosurgery, MMIMSR Mullana, Ambala, Haryana, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Amit</first_name>
				<middle_name></middle_name>
				<last_name>Jain</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>amit.jain.dr@gmail.com</email>
				<code>116732</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Radiodiagnosis, MMIMSR Mullana, Ambala, Haryana, 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>Ipsilateral Oropharyngeal and Cervical Lymph Node Tuberculosis Simulating Oropharyngeal Malignancy with Regional Lymph Node Metastasis: A Case Report</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:
Tuberculosis (TB) is an important contagious disease and a major public health problem globally. It may manifest as pulmonary TB or primary or secondary extrapulmonary TB. Primary oropharyngeal TB is very rare and may mimic presentation of oropharyngeal malignancy especially in the negative initial TB workup.
 Case Report:
We would like to highlight a case of an elderly man presented with ipsilateral oropharyngeal mass and cervical lymph node (LN) enlargement, mimicking oropharyngeal malignancy with regional LN metastasis.
Conclusion: 
History of TB contact, poor oral hygiene, and poor immunity should alert the possibility of oropharyngeal TB. Involvement of ipsilateral oropharyngeal structure and cervical LN may simulate presentation of oropharyngeal malignancy with regional LN metastasis. Tissue biopsy for histopathological examination and appropriate staining is considered gold standard for diagnosis of TB and excluding malignancy. It is an important communicable disease, thus notification and referral to infectious disease team should be done without delay.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Tuberculosis, Oropharynx, Neoplasm</keyword>
				<start_page>287</start_page>
				<end_page>290</end_page>
				<web_url>https://ijorl.mums.ac.ir/article_26592.html</web_url>
			<author_list><author>
				<first_name>V Sha Kri</first_name>
				<middle_name></middle_name>
				<last_name>Eh Dam</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>kridamrong@gmail.com</email>
				<code>116753</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Otorhinolaryngology-Head &amp; Neck Surgery, Hospital Lahad Datu, Peti Surat 60065, 91110 Lahad Datu, Sabah, Malaysia.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Nusaibah</first_name>
				<middle_name></middle_name>
				<last_name>Azman</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>vshakri@moh.gov.my</email>
				<code>116754</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pathology, Hospital Queen Elizabeth 1, Karung Berkunci No. 2029, 88586 Kota Kinabalu, Sabah, Malaysia.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>