Iranian Journal of Otorhinolaryngology最新文献

{"title":"Obstructive Pharyngo-Laryngeal Hematoma Complicating Oral Anticoagulation: Case Report.","authors":"Maissa Lajhouri, Houda Chahed, Rania Laajailia, Rihab Lahmer, Azza Mediouni, Najeh Beltaief","doi":"10.22038/ijorl.2025.82416.3772","DOIUrl":"10.22038/ijorl.2025.82416.3772","url":null,"abstract":"<p><strong>Introduction: </strong>Spontaneous pharyngo-laryngeal hematoma in patients receiving oral anticoagulants is rare and potentially fatal because of upper airway obstruction. Many risk factors can cause potential hemorrhagic complications, such as drug interactions.</p><p><strong>Case report: </strong>We present the case of a 74-year-old man who was on oral anticoagulation by acenocoumarol and presented with acute laryngeal dyspnea. The final diagnosis of pharyngo-laryngeal hematoma secondary to hypercoagulation was made based on the clinical, biological, and radiological features. Therefore, conservative management was initiated. Drug interactions between anticoagulants and macrolides were the probable underlying causes of excessive anticoagulation.</p><p><strong>Conclusion: </strong>Pharyngo-laryngeal hematoma should be considered in patients receiving anticoagulant therapy with symptoms of upper airway obstruction. Drug interactions may be the underlying cause of hypercoagulation, so medications should be carefully prescribed to these patients.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 3","pages":"165-168"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199136","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}

{"title":"What Did We Learn from Our Cochlear Implant Revisions?","authors":"Cigdem Kalaycik Ertugay, Ozgur Yigit, Ecem Sevim Akı","doi":"10.22038/ijorl.2025.77740.3612","DOIUrl":"10.22038/ijorl.2025.77740.3612","url":null,"abstract":"<p><strong>Introduction: </strong>We aimed to report our clinic's 11-year experience with cochlear implant (CI) revision surgeries.</p><p><strong>Materials and methods: </strong>This was a retrospective observational study. Patients who underwent CI and revision surgery at the same tertiary institution were enrolled in the study. Patients whose primary surgery was performed at another institution were excluded from the study. The patients' clinical charts, surgical records, and audiological and oral language outcomes were retrospectively examined.</p><p><strong>Results: </strong>Thirty-three (29 children, 4 adults) of 720 patients (871 CI) at our clinic required revision surgery, representing a revision surgery rate of 4.58%. The most common reason for revision was device failure (10 patients), followed by skin and electrode problems, with electrode tip fold-over in 6 patients, a broken electrode cable in 1 patient, skin flap complications in 6 patients, displacement of the magnet in 1 patient, cholesteatoma in 1 patient, electrode migration in 6 patients, misplacement of the electrode array into the internal acoustic canal in 1 patient, and explantation of the electrode cable in the external auditory canal in 1 patient. We had only one major complication after revision surgery.</p><p><strong>Conclusion: </strong>We recommend performing routine postoperative imaging, even if intraoperative telemetries are normal, to diagnose electrode misplacement or electrode tip fold-over. Additionally, we recommend long-term regular follow-up of children, in particular, because our study showed that the number of revision surgeries was higher in children who received implants at an early age.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 3","pages":"143-150"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199139","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}

{"title":"Coblation Adenoidectomy Versus Conventional Adenoidectomy: A Comparative Study of two Different Techniques of Adenoidectomy.","authors":"Dianitta-Devapriya Veronica, Prabaakharan Jambunathan","doi":"10.22038/ijorl.2025.84811.3855","DOIUrl":"10.22038/ijorl.2025.84811.3855","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>Coblation adenoidectomy under endoscopic guidance enabled complete adenoid removal, reduction in surgical blood loss and postoperative pain, and shortened recovery time.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 4","pages":"179-186"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821434","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}

{"title":"Ultrasound-based Node-RADS: Introducing a new Scoring System for Ultrasound-based Classification of Lymphadenopathy.","authors":"Amir Mohammad Heravi, Fatemeh Hataminia, Bashir Rasoulian, Maryam Tavakoli, Narjes Sadat Yaghobi, Amir Hossein Jafarian, Seyed Ali Alamdaran","doi":"10.22038/ijorl.2025.85674.3883","DOIUrl":"10.22038/ijorl.2025.85674.3883","url":null,"abstract":"<p><strong>Introduction: </strong>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).</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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 >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.</p><p><strong>Conclusion: </strong>The proposed ultrasound-based Node-RADS scoring system correlates significantly with pathologic results, offering an appropriate tool for evaluating cervical superficial lymphadenopathy.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 4","pages":"169-177"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821440","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}

{"title":"The Effect of the Chitosan on Bleeding Control and Healing of Dog Buccal Mucosal Wound: An in Vivo Experimental Study.","authors":"Reza Kaboodkhani, Zohre Zandifar, Seyed Hossein Owji, Omid Koohi-Hosseinabadi, Seyed Mohammad Owji, Sarah Yousefi, Abbas Mohammadi Oshnari, Salman Taheri, Ali Asghar Mohammadi, Naeimeh Sadat Asmarian","doi":"10.22038/ijorl.2025.80060.3690","DOIUrl":"10.22038/ijorl.2025.80060.3690","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Chitosan salt powder dressing positively impacts the wound bleeding control and on mucosal wound healing according to histopathologic and gross wound healing indexes.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 4","pages":"187-196"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821439","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}

{"title":"Correlation of Indoxyl Sulfate to Hearing Impairment in Chronic Kidney Disease Patients.","authors":"Fadillah-Akbar Sanjani, Tengku-Siti-Hajar Haryuna, Farhat Farhat, Syafrizal Nasution, Juliandi Harahap, Yuliani M Lubis, Harry-Agustaf Asroel, Khalisanni Khalid","doi":"10.22038/ijorl.2025.77733.3633","DOIUrl":"10.22038/ijorl.2025.77733.3633","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>CKD patients have impaired hearing, which is correlated with the amount of uremic toxin Indoxyl Sulfate that has accumulated.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 4","pages":"197-204"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821435","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}

{"title":"Usage of Cornea in Tympanoplasty: A Prospective Study.","authors":"Sphoorthi Basavannaiah","doi":"10.22038/ijorl.2025.84081.3831","DOIUrl":"10.22038/ijorl.2025.84081.3831","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Corneal graft has shown fairly significant results in terms of efficacious graft uptake and efficient hearing acoustics after T-plasty.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 5","pages":"2667-3280"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130862","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}

{"title":"Laryngeal Frame Involvement as The First Sign of Wegener's Granulomatosis.","authors":"Davide Burrascano, Barbara Verro, Gaetano Ottoveggio, Ada Maria Florena, Carmelo Saraniti","doi":"10.22038/ijorl.2024.81617.3746","DOIUrl":"10.22038/ijorl.2024.81617.3746","url":null,"abstract":"<p><strong>Introduction: </strong>Granulomatosis with Polyangiitis (GPA), also known as Wegener's Granulomatosis, is an ANCA-associated vasculitis that primarily affects small vessels, leading to necrotizing granulomatous reactions in the airways and small vessels. The etiology remains uncertain.</p><p><strong>Case report: </strong>We report the case of a woman in her 70s, who was previously tracheostomized at another facility and was presented to our attention with glottic-subglottic stenosis. We performed a lysis of glottic synechia and subglottic debulking via transoral laser microsurgery, yielding satisfactory results over the short term. However, a relapse occurred within two months, along with ulcerative lesions on the nasal septum. Biopsies revealed multinucleated giant cells and inflammation suggestive of vasculitis. Based on the histological and clinical features, a diagnosis of vasculitis was considered. Anti-Neutrophil Cytoplasmic Antibodies testing was positive. A rheumatological examination confirmed the hypothesis of Granulomatosis with Polyangiitis. The lack of typical symptoms was the main reason for the delayed diagnosis.</p><p><strong>Conclusion: </strong>Involvement of the subglottic region and the upper portion of the trachea is a rare but severe complication of GPA. The current literature reports only few cases of laryngeal stenosis, with poor prognosis. Histological examinations of biopsied laryngeal tissue showed significant but non-specific inflammation, contributing to the delay in diagnosis. There are still no precise guidelines for the surgical treatment of subglottic stenosis. This case underscores the importance of considering laryngeal involvement in GPA for early diagnosis and timely intervention to prevent serious complications in order to improve patient outcomes.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 2","pages":"95-98"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752728","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}

{"title":"Assessment of Quality of Life after Adenotonsillectomy in Paediatric Patients.","authors":"Yellur Kavitha, Kandhala Poojitha, Joish Upendra Kumar","doi":"10.22038/ijorl.2025.87895.3956","DOIUrl":"10.22038/ijorl.2025.87895.3956","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Materials and methods: </strong>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 6^th week. Paired t-test was used to ascertain and compare the values obtained.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Adenotonsillectomy significantly enhances QoL, reduces obstructive and infective symptoms with universal improvement supporting its use in chronic adenotonsillitis.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 5","pages":"241-246"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130768","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}

{"title":"Ipsilateral Oropharyngeal and Cervical Lymph Node Tuberculosis Simulating Oropharyngeal Malignancy with Regional Lymph Node Metastasis: A Case Report.","authors":"V Sha Kri Eh Dam, Nusaibah Azman","doi":"10.22038/ijorl.2025.85739.3877","DOIUrl":"10.22038/ijorl.2025.85739.3877","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Case report: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 5","pages":"287-290"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130844","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}