Iranian Journal of Otorhinolaryngology最新文献_第4页

Autism's Impact on Cochlear Implantation Surgery Outcomes in Deaf Children. 自闭症对聋儿人工耳蜗植入手术结果的影响。

Iranian Journal of Otorhinolaryngology Pub Date : 2024-05-01 DOI: 10.22038/IJORL.2024.74369.3502

Masoud Naderpour, Yalda Jabbari Moghaddam, Amin Abbasi, Aida Ariafar, Bita Poorshiri

{"title":"Autism's Impact on Cochlear Implantation Surgery Outcomes in Deaf Children.","authors":"Masoud Naderpour, Yalda Jabbari Moghaddam, Amin Abbasi, Aida Ariafar, Bita Poorshiri","doi":"10.22038/IJORL.2024.74369.3502","DOIUrl":"10.22038/IJORL.2024.74369.3502","url":null,"abstract":"Introduction: Cochlear implants (CI) provide a hearing sense for severe to profound hearing-impaired patients, both adults and children, and they are a broadly effective and accepted therapeutic method for those patients. Also, Deaf children with comorbidities, including autism spectrum disorders (ASDs), undergo cochlear implantation. ASDs are a group of developing disorders characterized by abnormalities in social interaction and communication with limited repetitive patterns of behavior. This study aimed to assess the effect of Autism on CI surgery outcomes in Deaf Children.Materials and methods: We followed 12 autistic patients with cochlear implantation and 12 non-autistic cochlear-implanted patients for two years. The Categories of Auditory Performance (CAP) and Speech Intelligibility Rating (SIR) scores were used to assess 6, 12, and 24 months after cochlear implantation surgery.Results: During the 24-month follow-up, the CAP means scores increased in both groups, and SIR and CAP progresses were considerably greater in non-ASD children (P<0.001). However, in ASD children, the progress of CAP and SIR variables were significant, with 99% and 95% confidence, respectively, at 24 months after surgery.Conclusion: Although the CIs could improve hearing performance in autistic patients, speech development after CIs in autistic children could affected by several factors, including the severity of autism, and this can be effective in providing pre-implant counseling to parents. The application of the alternative communication methods could be taken into account as a potential rehab technique.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 3","pages":"451-457"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11090096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140921934","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

Evaluation of Salivary Function Post-Partial Superficial Parotidectomy. 部分浅表腮腺切除术后的唾液功能评估

Iranian Journal of Otorhinolaryngology Pub Date : 2024-05-01 DOI: 10.22038/IJORL.2024.76003.3551

Sona Sepahi, Atena Aghaee, Imaneh Roshanzamir, Adel Ghorani-Azam, Soheila Erfani, Leila Mashhadi, Kamran Khazaeni

{"title":"Evaluation of Salivary Function Post-Partial Superficial Parotidectomy.","authors":"Sona Sepahi, Atena Aghaee, Imaneh Roshanzamir, Adel Ghorani-Azam, Soheila Erfani, Leila Mashhadi, Kamran Khazaeni","doi":"10.22038/IJORL.2024.76003.3551","DOIUrl":"10.22038/IJORL.2024.76003.3551","url":null,"abstract":"Introduction: Parotid pleomorphic adenomas necessitate surgical intervention, with a growing emphasis on preserving salivary function post-surgery due to its critical role in maintaining oral health and overall quality of life. This study aims to evaluate a surgical method meticulously designed to preserve salivary function following partial superficial parotidectomy, utilizing Technetium-99m scintigraphy.Materials and methods: This single-center prospective cohort study was conducted in Mashhad, Iran, between 2022 and 2023. The study encompassed 40 patients diagnosed with parotid pleomorphic adenomas, ages 20 to 64, undergoing partial superficial parotidectomy. The salivary function was evaluated using Technetium-99m scintigraphy three weeks post-operation.Results: Most participants underwent right parotid surgery (62.5%, n=25) instead of left parotid surgery (37.5%, n=15). The outcomes of the partial superficial parotidectomy indicated no complications during the three-week post-operative period. Saliva secretion rates on the operated side were preserved across the cohort. A significant difference in saliva secretion rates was observed between the operated and contralateral sides (P<0.01) for both right and left parotid surgery groups. No significant correlation was found between the time elapsed post-surgery and saliva secretion rates (P=0.48).Conclusion: Our study demonstrated that the superficial parotidectomy technique is notably effective when focused on preserving the salivary function of the deep parotid gland. Not only does it maintain saliva secretion on the operated side, but it also boasts an admirable safety profile. There were no recorded complications, and duct preservation was achieved in most instances.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 3","pages":"483-488"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11090091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140921935","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

Hematological Indices in COVID-19 Patients with Rhinosinusitis Mucormycosis. COVID-19 粘液瘤鼻炎患者的血液指标。

Iranian Journal of Otorhinolaryngology Pub Date : 2024-03-01 DOI: 10.22038/IJORL.2024.75276.3525

Seyedeh Sabereh Mojtahedi, Hossein Zarrinfar, Mehdi Bakhshaee

{"title":"Hematological Indices in COVID-19 Patients with Rhinosinusitis Mucormycosis.","authors":"Seyedeh Sabereh Mojtahedi, Hossein Zarrinfar, Mehdi Bakhshaee","doi":"10.22038/IJORL.2024.75276.3525","DOIUrl":"10.22038/IJORL.2024.75276.3525","url":null,"abstract":"Introduction: Rhinosinusitis mucormycosis (RM) is an invasive opportunistic fungal infection, especially among COVID-19 patients. The current study aimed to assess the peripheral blood hematological disorders of COVID-19 patients-associated RM.Materials and methods: During ten month, in two COVID-19 centers in Mashhad, Iran, from June 2021 to March 2022, eighty-three patients suspected of COVID-19 with rhinosinusitis or rhino-orbital mucormycosis participated in this study. The hematological indices of these patients were measured by independent sample T-test or Mann-Whitney test for quantitative data, and the qualitative variables were analyzed using Chi-square or Fisher's exact test in SPSS version 20 at a significance level of 0.05.Results: Of the COVID-19 patients, 40 (48.2%) were affected by RM, and leukocytosis due to neutrophilia was observed in 30% of them. Leukocyte counts were normal in 10 (25%) patients, but 1 (2.5%) and 3 (7.5%) had leukopenia and lymphopenia, respectively. Leukocytosis plus lymphopenia was observed in 7 (17.5%) patients. Also, the synchronicity of leukopenia and lymphopenia was seen in 5 (12.5%) patients. Leukopenia, lymphopenia, and neutropenia have occurred concurrently in 2 (5%) patients. The complete blood count (CBC) showed that RBCs, hemoglobin (Hb), hematocrit (HCT), MCH, MCHC, platelet (PLT), and lymphocytes decreased while neutrophils increased.Conclusion: Among the hematological parameters, leukocytosis due to neutrophilia and reduction in Hb, HCT, and PLT are more dominant factors in COVID-19 patients-associated RM.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 2","pages":"399-405"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10925964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140110253","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

Accuracy and Pitfalls in the Smartphone-Based Audiometry Examination. 基于智能手机的听力检查的准确性和误区。

Iranian Journal of Otorhinolaryngology Pub Date : 2024-03-01 DOI: 10.22038/IJORL.2024.71187.3462

Ramtry Waldi Berampu, Indri Adriztina, Ferryan Sofyan, Yetty Machrina, Ichwanul Adenin

{"title":"Accuracy and Pitfalls in the Smartphone-Based Audiometry Examination.","authors":"Ramtry Waldi Berampu, Indri Adriztina, Ferryan Sofyan, Yetty Machrina, Ichwanul Adenin","doi":"10.22038/IJORL.2024.71187.3462","DOIUrl":"10.22038/IJORL.2024.71187.3462","url":null,"abstract":"Introduction: Approximately 466 million people suffer from hearing loss worldwide, with Indonesia ranking fourth in Southeast Asia. However, conventional pure-tone audiometry is not yet available in many areas because of its high cost. Numerous available smartphone-based audiometry applications are potential alternative screening tools for hearing loss, especially in Indonesia. This study examined the findings on the validation of smartphone-based audiometry applications to assess hearing functions available in Indonesia.Materials and methods: Based on the established eligibility criteria, this study was conducted by browsing the relevant literature validating smartphone-based audiometry applications in Indonesia. Relevant study data, such as the author, year, location, implementation procedures, and outcomes, were extracted and summarized.Results: This systematic review found 17 relevant and eligible publications. Of the six applications tested, 5 were found to have good validity, such as uHearTM, Audiogram MobileTM, AudCalTM, Hearing TestTM e-audiologia, and WuliraTM. All smartphone-based audiometry was tested only for the air conduction threshold and was influenced by several factors.Conclusion: Because smartphone-based audiometry is inexpensive, simple, and more accessible than conventional audiometric testing, it can be useful as a screening modality or alternative approach to assess hearing function. Unfortunately, smartphone-based audiometry cannot replace conventional audiometry in diagnosing hearing impairment.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 2","pages":"421-431"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10925966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140110299","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

Association between Vitamin D Receptor Polymorphism and Susceptibility to Oral Lichen Planus and Oral Squamous Cell Carcinoma. 维生素 D 受体多态性与口腔扁平苔藓和口腔鳞状细胞癌易感性之间的关系

Iranian Journal of Otorhinolaryngology Pub Date : 2024-03-01 DOI: 10.22038/IJORL.2024.73925.3489

Nooshin Mohtasham, Farnaz Mohajertehran, Fahimeh Afzaljavan, Alieh Farshbaf, Kiumars Maraqehmoqadam, Maryam Tavakoliroodi, Majid Mirhashemi

{"title":"Association between Vitamin D Receptor Polymorphism and Susceptibility to Oral Lichen Planus and Oral Squamous Cell Carcinoma.","authors":"Nooshin Mohtasham, Farnaz Mohajertehran, Fahimeh Afzaljavan, Alieh Farshbaf, Kiumars Maraqehmoqadam, Maryam Tavakoliroodi, Majid Mirhashemi","doi":"10.22038/IJORL.2024.73925.3489","DOIUrl":"10.22038/IJORL.2024.73925.3489","url":null,"abstract":"Introduction: Oral squamous cell carcinomas (OSCC) comprise 90-95% of oral cancers. Early diagnosis improved the survival rate of OSCC patients to 80-90%. Oral lichen planus (OLP) is a chorionic inflammatory disease with malignancy potential. The vitamin D receptor (VDR) plays a critical role in the pathogenesis of oral cancer. This study aimed to determine the association between VDR rs7975232 (Apa I) polymorphism and potential susceptibility to OLP and OSCC risks.Materials and methods: In this prospective case-control study, a total of 120 blood samples were obtained from OSCC patients (n=29), OLP (n=50), and controls (n=40). VDR rs7975232 polymorphism was studied using the Polymerase Chain Reaction Restriction Fragment Length Polymorphism (PCR-RFLP) method. Statistical analysis was performed with SPSS Version 23 software. Data were expressed as means ± standard deviation (SD). Age, sex, allelic frequency, and genotyping were compared using the chi-square test. A p-value of less than 0.05 was regarded as statistically significant. The disease risk was estimated by Odds ratio (OR) with a 95% confidence interval.Results: A significant age difference was observed between the controls and the OSCC group (p=0.001). A significant difference was observed in Aa and aa genotypes compared with AA between OSCCs and controls. Moreover, dominant (p<0.001), additive (p<0.001), and allelic (p=0.001) models were different between groups.Conclusion: There was a positive association between rs7975232 VDR polymorphism and susceptibility to OSCC. More experimental evidence must reveal the possible association between rs7975232 and the risk of OLP in a larger cohort.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 2","pages":"381-389"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10925961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140110300","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

Pleomorphic Adenoma of the Nasal Vestibule: An Atypical Presentation. 鼻前庭多形性腺瘤：非典型表现

Iranian Journal of Otorhinolaryngology Pub Date : 2024-03-01 DOI: 10.22038/IJORL.2024.58890.3046

Lady Johana Morales, Alejandro Uribe Escobar, Cesar Augusto Garcia

引用次数: 0

Effect of Combination Montelukast and Nasal Mometasone on Childhood Adenoid Hypertrophy. 孟鲁司特和鼻用莫美他松复方制剂对儿童腺样体肥大的影响

Iranian Journal of Otorhinolaryngology Pub Date : 2024-03-01 DOI: 10.22038/IJORL.2024.73906.3490

Mohsen Jafari, Bahar Pourroshani, Kambiz Eftekhari, Armen Malekiantaghi, Parisa Ashournia, Alireza Shafiei

{"title":"Effect of Combination Montelukast and Nasal Mometasone on Childhood Adenoid Hypertrophy.","authors":"Mohsen Jafari, Bahar Pourroshani, Kambiz Eftekhari, Armen Malekiantaghi, Parisa Ashournia, Alireza Shafiei","doi":"10.22038/IJORL.2024.73906.3490","DOIUrl":"10.22038/IJORL.2024.73906.3490","url":null,"abstract":"Introduction: Adenoid hypertrophy is a common childhood disease; its standard treatment is adenoidectomy. The desire for medical management is increasing due to fewer complications and more convenience. The present study investigated the effect of adding oral montelukast to mometasone nasal spray in treating adenoid hypertrophy.Materials and methods: This was a randomized, double-blind, placebo-controlled study conducted at a referral teaching hospital (Tehran, Iran) from September 2020 to September 2021. Children aged 2 to 14 years with clinical and radiological findings of adenoid hypertrophy were enrolled. Patients were randomly divided into two groups: mometasone nasal spray with oral montelukast (case group) or mometasone with placebo (control group). Then, the clinical scores were compared before and two months after the intervention.Results: Ninety-six patients completed the study [62.5% male (n=60)]. Of these, 51 were in the case and 45 in the control group. The clinical score in each group decreased significantly after the intervention (P<0.001), but the decrease in clinical score in the case group was not significantly different from the control (p=0.576).Conclusion: The results showed that the combination therapy with mometasone and montelukast has the same efficacy as mometasone and placebo in treating adenoid hypertrophy. Adding montelukast to mometasone has no additional effect.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 2","pages":"391-397"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10925965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140110302","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

Tonsillar Kaposi's Sarcoma in HIV Positive Patient with Syphilis Infection. 梅毒感染的 HIV 阳性患者扁桃体卡波西肉瘤

Iranian Journal of Otorhinolaryngology Pub Date : 2024-03-01 DOI: 10.22038/IJORL.2024.72743.3463

Francesco Lorusso, Salvatore Alberto Di Vincenzo, Valerio Campofiorito, Federico Sireci, Angelo Immordino, Francesco Dispenza

{"title":"Tonsillar Kaposi's Sarcoma in HIV Positive Patient with Syphilis Infection.","authors":"Francesco Lorusso, Salvatore Alberto Di Vincenzo, Valerio Campofiorito, Federico Sireci, Angelo Immordino, Francesco Dispenza","doi":"10.22038/IJORL.2024.72743.3463","DOIUrl":"10.22038/IJORL.2024.72743.3463","url":null,"abstract":"Introduction: Since the introduction of Highly Active Anti-Retroviral Therapy (HAART), there has been a significant increase in the survival of HIV-infected patients. Consequently, there has been increased attention on the potential neoplastic pathologies, such as Kaposi's sarcoma, associated with AIDS in these individuals.Case report: In this case report we present, for the first time, a patient affected by Kaposi's sarcoma of the palatine tonsil with a concomitant syphilis infection. The patient underwent enlarged tonsillectomy and continued antiretroviral therapy. There were no signs of disease recurrence at a 12-month follow-up.Conclusions: Despite the rarity of tonsillar localization of Kaposi's sarcoma, it should be suspected in the presence of an HIV-infected patient. Tonsillectomy effectively controls local disease, but comprehensive patient management requires a multidisciplinary team of healthcare professionals, including infectious disease specialists, pathologists, and oncologists who work together to provide high-quality and coordinated care.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 2","pages":"437-441"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10925962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140110256","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

Cerumenolytic Effects of Carbamide Peroxide in Patients with Ear Wax Obstruction. 过氧化卡巴酰胺对耳屎阻塞患者的耵聍溶解作用

Iranian Journal of Otorhinolaryngology Pub Date : 2024-03-01 DOI: 10.22038/IJORL.2024.67777.3311

Alireza Asgari, Hamid Reza Asgari, Mehrdad Ghorbanlou, Faramarz Dobakhti, Mohammad Ali Ghorbanian

{"title":"Cerumenolytic Effects of Carbamide Peroxide in Patients with Ear Wax Obstruction.","authors":"Alireza Asgari, Hamid Reza Asgari, Mehrdad Ghorbanlou, Faramarz Dobakhti, Mohammad Ali Ghorbanian","doi":"10.22038/IJORL.2024.67777.3311","DOIUrl":"10.22038/IJORL.2024.67777.3311","url":null,"abstract":"Introduction: Accumulated and compacted ear wax or cerumen can cause conductive hearing loss, discomfort and vertigo, and infection. This study investigates the effect of Carbamide peroxide (CP) compared with Phenol glycerin (PG) ear drops on cerumen.Materials and methods: This experimental study investigated the effect of PG and CP ear drops on cerumen in ex vivo and in vivo phases. In the ex vivo phase cerumen degredation was scored following PG and CP treatments. In the in vivo phase, 29 patients with bilateral cerumen impaction were randomly entered the study. PG and CP were applied 3 times a day (each time 5 drops) for 4 days by patients. After treatments, the time of cerumen removal was measured.Results: Instant changes showing degredation of cerumen (grade 1) was evident when it was exposed to CP, on the other hand degredation changes (grade 1) in cerumen treated with PG was only evident after 20 min incubation at 37 oC, while grade 3 degredation was evident in cerumen treated with CP after the same time incubation. Although the time needed for removal of cerumen was lower in CP treatment (54.10±31.77) compared to PG treatment (67.10±35.54), the difference was not statistically significant.Conclusion: Based on the literature and our results, carbamide peroxide is suggested as a proper treatment for patients with EAC obstruction caused by cerumen compaction, because not only it is significantly effective in cerumen degredation, but also no side effects have been reported.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 2","pages":"415-420"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10925968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140110301","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

Pre-auricular Subtemporal Approach for Intracranial Angiofibroma. 耳前颞下入路治疗颅内血管纤维瘤

Iranian Journal of Otorhinolaryngology Pub Date : 2024-03-01 DOI: 10.22038/IJORL.2024.74214.3496

Neizekhotuo Brian Shunyu, Zareen Lynrah, Manu C Balakrishnan, Lham Dorjee, Ratan Medhi

{"title":"Pre-auricular Subtemporal Approach for Intracranial Angiofibroma.","authors":"Neizekhotuo Brian Shunyu, Zareen Lynrah, Manu C Balakrishnan, Lham Dorjee, Ratan Medhi","doi":"10.22038/IJORL.2024.74214.3496","DOIUrl":"10.22038/IJORL.2024.74214.3496","url":null,"abstract":"Introduction: In around 10-20% of angiofibroma cases, the tumor penetrates the skull base to involve intracranial structures, posing difficulty in treating them surgically. Today, advancement in skull base surgery has brought about a paradigm shift, and extensive angiofibroma tumors with intracranial extension are approached surgically today with minimal morbidity.Materials and methods: This study was a retrospective analysis of angiofibroma with significant intracranial extension Radkowski staging IIIb from 2011 to 2021 who came to our center. There were seven children of angiofibroma with significant intracranial extension Radkowski staging IIIb, out of whom, four patients had undergone surgical resection at our center. Three patients underwent surgery by pre-auricular lateral subtemporal approach and one patient by maxillary swing approach. Preoperative embolization was done in all the patients one day before the day of operation.Results: Gross total removal of the tumor was achieved in all three patients who had undergone pre-auricular lateral subtemporal approach with no permanent complication. All three patients had a minimum follow-up of one year with no recurrence.Conclusion: The pre-auricular lateral subtemporal approach provides the shortest shallow route to the affected skull base with direct visualization of the tumor base. Hence recommended for angiofibroma with Radkowski staging IIIb.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 2","pages":"407-413"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10925967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140110255","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