Iranian Journal of Otorhinolaryngology最新文献

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Otoscleroma of the Middle Ear and Mastoid Cavity with Facial Palsy: A Case Report. 面瘫并发中耳及乳突腔耳硬化瘤1例。
Iranian Journal of Otorhinolaryngology Pub Date : 2025-01-01 DOI: 10.22038/ijorl.2024.79380.3675
Ahmed Galal, Ahmed Abdelbaki, Hanan Tayel, Hesham Mustafa Abdel-Fattah
{"title":"Otoscleroma of the Middle Ear and Mastoid Cavity with Facial Palsy: A Case Report.","authors":"Ahmed Galal, Ahmed Abdelbaki, Hanan Tayel, Hesham Mustafa Abdel-Fattah","doi":"10.22038/ijorl.2024.79380.3675","DOIUrl":"10.22038/ijorl.2024.79380.3675","url":null,"abstract":"<p><strong>Introduction: </strong>Scleroma is a chronic, specific granulomatous disease that affects the head and neck mucosa. Its common sites are the nose and larynx; however, it might affect other areas. One of the rare sites to be affected is the middle ear and mastoid cavity, for which the term otoscleroma was coined. We present such a rare case in this report.</p><p><strong>Case report: </strong>A 47-year-old patient with a history of both old laryngoscleroma and recent Rhinoscleroma. He presented with symptoms of ear discharge and facial palsy. Examination revealed complete facial nerve palsy and an external auditory canal polyp. A decision was made to perform subtotal petrosectomy with facial nerve decompression and maximum debulking to be sent for histopathology. The result came typical of otoscleroma.</p><p><strong>Conclusion: </strong>Otoscleroma is a fairly rare occurrence. It might be primary, with no evidence of Scleroma in other sites or following rhino and/or laryngoscleroma. It might be unilateral or bilateral. It might mimic the clinical picture of chronic suppurative otitis media and its complications. Tympano-mastoidectomy is recommended to stop the discharge, obtain a proper biopsy and decompress the facial nerve if needed. Otoscleroma should be suspected in the case of previous Scleroma in other sites, and otitis media or complications like manifestations.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 1","pages":"51-55"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fenestration and Bifurcation of the Internal Jugular Vein; Surprises During Head and Neck Surgery. 颈内静脉的开窗与分岔;头颈部手术中的意外。
Iranian Journal of Otorhinolaryngology Pub Date : 2025-01-01 DOI: 10.22038/ijorl.2025.83514.3810
Vibha Singh, Arijit Jotdar, Annanya Soni, Rudra Prakash, Kushal Singh
{"title":"Fenestration and Bifurcation of the Internal Jugular Vein; Surprises During Head and Neck Surgery.","authors":"Vibha Singh, Arijit Jotdar, Annanya Soni, Rudra Prakash, Kushal Singh","doi":"10.22038/ijorl.2025.83514.3810","DOIUrl":"10.22038/ijorl.2025.83514.3810","url":null,"abstract":"<p><strong>Introduction: </strong>The internal jugular vein (IJV) is one of the major vessels in the neck and serves as an important landmark for surgeons during head and neck surgery. Anomalies of the IJV are rare and seldom encountered by the surgeons. However, a comprehensive knowledge of these variations is essential for better surgical dissection and to prevent intra-operative mishaps. The variations can be in the forms of bifurcation, trifurcation, duplication, fenestration and posterior tributaries of the IJV. Here we describe three cases of bifurcation and fenestration of the IJV that we encountered in our surgical practice.</p><p><strong>Case report: </strong>In the first patient, we found an empty fenestration of the right internal jugular vein during a selective neck dissection for tongue carcinoma. The spinal accessory nerve was passing lateral to the IJV above the level of the fenestration. The second patient was operated for a left vagal schwannoma in the neck. During the surgery, we found a bifurcation of the left IJV, and the two tributaries fused just above the left omohyoid muscle. The third patient, a sixty-year-old lady also had a bifurcation of the left IJV. It was found during a modified radical neck dissection for carcinoma ex pleomorphic adenoma of the left parotid gland.</p><p><strong>Conclusion: </strong>An in-depth knowledge of the anomalies of the internal jugular vein and meticulous evaluation of the pre-operative imaging may help the surgeons in preventing any intra-operative catastrophe during head and neck surgery.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 2","pages":"99-103"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Internal Jugular Vein Duplication: A series of Seven Cases and Review of Literature. 颈内静脉重复:附7例及文献复习。
Iranian Journal of Otorhinolaryngology Pub Date : 2025-01-01 DOI: 10.22038/ijorl.2024.82759.3789
Indu Shukla, Ashish Agarwal, Rimsha Changanath Kader
{"title":"Internal Jugular Vein Duplication: A series of Seven Cases and Review of Literature.","authors":"Indu Shukla, Ashish Agarwal, Rimsha Changanath Kader","doi":"10.22038/ijorl.2024.82759.3789","DOIUrl":"10.22038/ijorl.2024.82759.3789","url":null,"abstract":"<p><strong>Introduction: </strong>Internal Jugular Vein (IJV) is an important landmark for Head and Neck surgeons during oncological clearance of disease from neck and microvascular reconstruction as well as for the intensivist during central line insertion. Detailed knowledge of the IJV anatomy and its variations is important to avert any catastrophic complications during surgery.</p><p><strong>Materials and methods: </strong>Data of 350 patients was recorded prospectively and analysed over a period of two years and presence of IJV duplication was documented as percentages<b>.</b></p><p><strong>Results: </strong>A total of 350 patients with diagnosed oral cavity carcinoma were included who underwent neck dissection out of which seven patients were identified with Internal Jugular Vein duplication making it an institutional clinical prevalence of around 2%.</p><p><strong>Conclusion: </strong>IJV duplication is inadvertently found intra operatively on maximum number of occasions therefore to avoid the risk of iatrogenic injury and undesired complications, preoperative imaging should be carefully assessed while planning the patient for surgery.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 2","pages":"91-94"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemiology of Angina Bullosa Hemorrhagica: A Retrospective study. 大疱性出血性心绞痛的流行病学:回顾性研究。
Iranian Journal of Otorhinolaryngology Pub Date : 2025-01-01 DOI: 10.22038/ijorl.2024.71853.3442
Meenakshi Sachdeva, Pratik Kumar, Keshav Gupta
{"title":"Epidemiology of Angina Bullosa Hemorrhagica: A Retrospective study.","authors":"Meenakshi Sachdeva, Pratik Kumar, Keshav Gupta","doi":"10.22038/ijorl.2024.71853.3442","DOIUrl":"10.22038/ijorl.2024.71853.3442","url":null,"abstract":"<p><strong>Introduction: </strong>Angina Bullosa Hemorrhagica (ABH) is a rare condition characterized by hemorrhagic blisters and is often asymptomatic. These lesions appear more commonly in the oral cavity and oropharynx and are often misdiagnosed. A retrospective cross-sectional study was performed in clinically confirmed cases of ABH to study its epidemiology, etiology and presentation in a tertiary care hospital in Southern Asia.</p><p><strong>Materials and methods: </strong>Total of 8 patients of ABH were evaluated and included in the present study. All clinical data and track records were assessed by the medical records department. Cases were studied and results were interpreted. Results: Total of 8 cases were enrolled with male-to-female ratio of 0.6:1 and middle age as the most common age of presentation. Buccal mucosa was the most common site involved with average lesion size of 1.6 cm. Masticating trauma was the most common etiological risk factor. Majority patients were asymptomatic with spontaneous resolution of lesions in all the cases.</p><p><strong>Conclusion: </strong>Due to smaller number of studies reported, the lesions of ABH remained poorly understood with uncertain etiology. The knowledge of characteristic clinical features of the lesion and pattern of spontaneous healing is of utmost importance as a lesion of ABH can share some features with other serious disorders, thereby delaying the diagnosis. A thorough clinical history and examination of the lesion should always be done to establish an accurate diagnosis. Due to its completely benign nature, proper counseling of the patients must be ensured for better patient compliance.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 1","pages":"41-45"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Relationship Between Obesity and Otitis Media with Effusion in Children. 肥胖与儿童中耳炎伴积液的关系。
Iranian Journal of Otorhinolaryngology Pub Date : 2025-01-01 DOI: 10.22038/ijorl.2025.79859.3688
Saleh Aghaei, Bijan Khademi, Mohammad Faramarzi, Amirhossein Babaei
{"title":"The Relationship Between Obesity and Otitis Media with Effusion in Children.","authors":"Saleh Aghaei, Bijan Khademi, Mohammad Faramarzi, Amirhossein Babaei","doi":"10.22038/ijorl.2025.79859.3688","DOIUrl":"10.22038/ijorl.2025.79859.3688","url":null,"abstract":"<p><strong>Introduction: </strong>Otitis media with effusion (OME) is a widespread condition affecting children globally. This study aimed to assess the relationship between obesity in pediatric populations and the risk of developing OME.</p><p><strong>Materials and methods: </strong>This retrospective observational study was performed in 2020 at Khalili and Dastgheib hospitals, affiliated with Shiraz University of Medical Sciences in Shiraz, Iran. The study included all children aged 2 to 15 years with a confirmed OME diagnosis. Participants in the non-OME group were chosen from children who did not have OME.</p><p><strong>Results: </strong>A total of 148 healthy individuals were included in the non-OME group, while the OME group comprised 110 patients. Statistical analysis revealed that the mean age (p=0.040), weight (p<0.001), height (p=0.024), BMI (p=0.023), and BMI percentile (p=0.023) were significantly greater in the OME group compared to the non-OME group. Additionally, there was a higher proportion of males in the OME group (63.6%) compared to the non-OME group (44.0%), with this difference being statistically significant (p=0.001). Logistic regression analysis indicated that factors such as older age (p=0.023), male gender (p=0.001), and elevated BMI percentile (p=0.004) were significantly associated with the presence of OME.</p><p><strong>Conclusion: </strong>This research indicates that there is a correlation between obesity and a heightened risk of OME.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 2","pages":"79-84"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Intra-Operative Topical 5-Fluorouracil Post-Functional Endoscopic Sinus Surgery: A Randomized Controlled Trial. 内镜鼻窦手术后术中局部应用5-氟尿嘧啶的效果:一项随机对照试验。
Iranian Journal of Otorhinolaryngology Pub Date : 2025-01-01 DOI: 10.22038/ijorl.2025.80571.3709
Lekhaa Mohanraj, Somu Lakshmanan, Urvashi Singh
{"title":"Effect of Intra-Operative Topical 5-Fluorouracil Post-Functional Endoscopic Sinus Surgery: A Randomized Controlled Trial.","authors":"Lekhaa Mohanraj, Somu Lakshmanan, Urvashi Singh","doi":"10.22038/ijorl.2025.80571.3709","DOIUrl":"10.22038/ijorl.2025.80571.3709","url":null,"abstract":"<p><strong>Introduction: </strong>Endoscopic nasal surgery has numerous potential adverse effects, adhesions are at the top of the list. 5-fluorouracil (5-FU), which is an analogue of pyrimidine, is utilized in a wide variety of areas for the purpose of preventing adhesions. In the present investigation, our purpose was to analyze the impact of intra-operative application of 5-flurouracil in the nasal cavity following FESS, as well as to evaluate both subjective and objective outcomes.</p><p><strong>Materials and methods: </strong>Following the acquisition of institutional ethical approval, a testing procedure that was randomized, prospective, and double-blinded was carried out. After the FESS, a cotton swab soaked in 1 mL of 5-flurouracil at 5 mg/mL was inserted in one side of the nasal cavity and a saline-soaked one in the other. Both of these swabs were kept in place for a period of five minutes. Postoperatively, patients were assessed over 6 months duration, wherein, adhesions, discharge, crustation, edema and polypoidal changes were analyzed. Subjective symptoms such as nasal block, nasal discharge and loss of smell were also assessed.</p><p><strong>Results: </strong>At the one-week follow-up, the test group had a significantly higher incidence of adhesions (32% vs. 11.76%, respectively) (p = 0.004) than the control group. Mucosal edema, crusting, polypoidal change and nasal discharge continued to significantly diminish in both groups. Furthermore, improvement in smell perception in the test group at the 20th week post-operatively was statistically significant (p= 0.014).</p><p><strong>Conclusions: </strong>Adhesions are less common in the early postoperative period in individuals who underwent FESS with or without polypectomy when 5-FU is administered topically. There is also an improvement in smell perception with a reduction of mucosal edema, crusting, polypoidal change and nasal discharge enabling better healing.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 2","pages":"57-63"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Change in Voice Quality with Voice Therapy, Injection Laryngoplasty, and Medialization Thyroplasty. 语音治疗、注射喉部成形术和中介化甲状腺成形术对语音质量的影响。
Pushkaraj A Kulkarni, Anagha A Joshi, Gopishankar Subramaniasamy, Manish Prajapati, Renuka A Bradoo
{"title":"Change in Voice Quality with Voice Therapy, Injection Laryngoplasty, and Medialization Thyroplasty.","authors":"Pushkaraj A Kulkarni, Anagha A Joshi, Gopishankar Subramaniasamy, Manish Prajapati, Renuka A Bradoo","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>In patients with unilateral vocal fold paralysis (UVFP), voice therapy (VT), injection laryngoplasty (IL), and medialization thyroplasty (MT) are reported to produce significant improvement in voice quality (VQ). However, their long-term outcomes have not been sufficiently evaluated. We assessed the improvement in VQ with VT, IL, and MT over 12 months.</p><p><strong>Materials and methods: </strong>This prospective observational study involved 95 adult patients with UVFP, categorized into three groups: VT (n=55), IL (n=36), and MT (n=4). The VQ was assessed with voice handicap index (VHI), maximum phonation time (MPT), phonatory gap (PG), and breathy voice quality (BVQ) on Day 1, 15, 30, 90, 180, and 360.</p><p><strong>Results: </strong>In the VT group, the decrease in PG, VHI score, and BVQ score was significant from Day 15, 30, and 30, respectively, while MPT increased significantly from Day 15 (p<0.05). In the MT group, similar changes were observed; however, these changes were significant from Day 1 (p<0.05). In both the groups, the lowest PG, VHI score, and BVQ score, and the highest MPT were attained on Day 360. In the IL group, PG, VHI score, and BVQ score decreased significantly, and MPT values increased significantly at every visit (p<0.05). However, PG, VHI score, and BVQ score started increasing and MPT started decreasing from Day 90, 15, 90, and 180, respectively.</p><p><strong>Conclusion: </strong>All treatment modalities improved the VQ significantly, immediately with IL and MT, and gradually with VT. Moreover, the improvement was long-term with VT and MT, and of intermediate duration with IL.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 3","pages":"115-122"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postural Stability: The Role of Auditory Input in Normal Hearing Individuals and Older Adults with Hearing Loss. 姿势稳定性:听觉输入在正常听力个体和听力损失老年人中的作用。
Iranian Journal of Otorhinolaryngology Pub Date : 2025-01-01 DOI: 10.22038/ijorl.2025.81193.3733
Nikita Nanavati, Pragya Jain
{"title":"Postural Stability: The Role of Auditory Input in Normal Hearing Individuals and Older Adults with Hearing Loss.","authors":"Nikita Nanavati, Pragya Jain","doi":"10.22038/ijorl.2025.81193.3733","DOIUrl":"10.22038/ijorl.2025.81193.3733","url":null,"abstract":"<p><strong>Introduction: </strong>Balance integrates sensory and motor functions through the visual, somatosensory, and vestibular systems. Auditory inputs also contribute to spatial orientation, aiding postural control and stability. Exploring the effects of auditory stimuli on postural stability may reveal their therapeutic potential. So, current study is undertaken to study effect of auditory stimuli in maintaining postural stability in healthy young and older adults with age-related hearing loss.</p><p><strong>Materials and methods: </strong>A total of 70 participants were divided into two groups: Group I consisted of 35 individuals aged 18-35 years with normal hearing, and Group II comprised 35 older adults aged 50-80 years with mild to moderate sensorineural hearing loss. Pure Tone Audiometry was performed, followed by a Modified Clinical Test of Sensory Interaction and Balance (mCTSIB) protocol and tandem gait on static postural stability, under four conditions (quiet, speech, natural environmental sounds, white noise), both with and without auditory stimuli.</p><p><strong>Results: </strong>Postural stability improved with natural sounds compared to quiet and other auditory stimuli in both young and older adults with age-related hearing loss. Healthy young adults consistently showed better postural stability than older adults in both quiet and auditory conditions.</p><p><strong>Conclusion: </strong>Auditory stimuli can effectively enhance postural stability in both young adults and older adults with age-related hearing loss, with more pronounced effect observed in older adults. Therefore, auditory stimuli can be effectively used to enhance postural stability, suggesting their potential utility in therapeutic interventions aimed at improving balance in individuals with age-related hearing impairments.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 3","pages":"151-159"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk Factors for Sensorineural Hearing Loss in Children and Adolescents with Sickle Cell Disease. 儿童和青少年镰状细胞病感音神经性听力损失的危险因素
Iranian Journal of Otorhinolaryngology Pub Date : 2025-01-01 DOI: 10.22038/ijorl.2025.74314.3500
Amos Solomon, Nurudeen Adebola Shofoluwe, Hafsat Ahmad, Abdulkadir Isa, Shuiabu Iliyasu Yunusa, Hamza Anka Manir
{"title":"Risk Factors for Sensorineural Hearing Loss in Children and Adolescents with Sickle Cell Disease.","authors":"Amos Solomon, Nurudeen Adebola Shofoluwe, Hafsat Ahmad, Abdulkadir Isa, Shuiabu Iliyasu Yunusa, Hamza Anka Manir","doi":"10.22038/ijorl.2025.74314.3500","DOIUrl":"10.22038/ijorl.2025.74314.3500","url":null,"abstract":"<p><strong>Introduction: </strong>Sickle cell disease (SCD) is a major global health burden with significant clinical, social, and economic impacts. Sensorineural hearing loss (SNHL) is an underreported complication of SCD that is, primarily attributed to vaso-occlusive crises and ischemia. This condition adversely affects the quality of life, education, and social integration, particularly among children in resource-limited settings. Understanding the risk factors for SNHL is crucial for prevention, early detection, and timely intervention. This study evaluated the prevalence of SNHL in children with SCD and identified associated risk factors.</p><p><strong>Materials and methods: </strong>This prospective comparative study was conducted at a tertiary healthcare facility in Northwest Nigeria. A total of 250 children aged 5-16 years were enrolled, comprising 125 patients with confirmed sickle cell disease (SCD) in a steady state and 125 age- and sex-matched controls with a normal haemoglobin genotype (HbAA).</p><p><strong>Results: </strong>Bilateral SNHL was identified in 25.6% of SCD cases, whereas no SNHL was observed in the control group. The male-to-female ratio among the affected children was 1.2:1. Multivariate logistic regression revealed significant associations between SNHL and elevated white blood cell count (Odds Ratio {OR} 1.035; 95% Confidence Interval {CI} 1.020-1.050), elevated platelet count (OR 1.209; 95% CI 1.070-1.365), poor clinic attendance (OR 28.668; 95% CI 4.879-168.458; <i>P</i>= < 0.001), non-compliance with SCD medications (OR 9.634; 95% CI 1.830-50.718; <i>P</i> = 0.008), and frequent severe sickle cell crises requiring hospitalization (OR 2.106,; 95% CI 0.019-0.598; <i>P</i> = 0.001).</p><p><strong>Conclusion: </strong>This study highlights the high prevalence of SNHL in children with SCD and its association with modifiable risk factors. Routine audiological screening, consistent clinic attendance, medication adherence, and regular monitoring of haematological parameters are essential for early identification and management of SNHL. Targeted interventions can significantly improve the outcomes and reduce the burden of this debilitating complication.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 3","pages":"123-133"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tucker's Reconstructive Laryngectomy: Indications and Functional Outcomes. 塔克的喉重建切除术:指征和功能结果。
Iranian Journal of Otorhinolaryngology Pub Date : 2025-01-01 DOI: 10.22038/ijorl.2024.78978.3660
Malika El Omri, Wassim Kermani, Souhir Chelly, Mouna Bellakhdher, Mohamed Abdelkefi
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