Iranian Journal of Otorhinolaryngology最新文献_第4页

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

Beyond the Usual Suspects: Primary Premaxilla Sarcoidosis. 超越常规疑点：原发性颌前肉样瘤病。

Iranian Journal of Otorhinolaryngology Pub Date : 2024-01-01 DOI: 10.22038/IJORL.2023.73996.3493

Pankhuri Mittal, Brijnandan Gupta, Subodh Kumar, Aakanksha Rawat, Anshi Singh

{"title":"Beyond the Usual Suspects: Primary Premaxilla Sarcoidosis.","authors":"Pankhuri Mittal, Brijnandan Gupta, Subodh Kumar, Aakanksha Rawat, Anshi Singh","doi":"10.22038/IJORL.2023.73996.3493","DOIUrl":"10.22038/IJORL.2023.73996.3493","url":null,"abstract":"Introduction: Sarcoidosis is an idiopathic systemic granulomatous disorder that can affect multiple organs, including rare extrapulmonary sites like the premaxilla. This case report presents a rare occurrence of premaxillary sarcoidosis, a condition scarcely reported in medical literature.Case report: The patient, a 62-year-old male, presented with a progressively enlarging painless swelling on the right cheek over a three-year period. Despite multiple Fine Needle Aspiration Cytology (FNAC) examinations yielding no conclusive diagnosis, a contrast-enhanced computed tomographic (CT) scan revealed an ill-defined lesion in the premaxillary soft tissue. Biopsy and subsequent excision procedures confirmed the presence of non-caseating granulomas with asteroid bodies, indicative of sarcoidosis. With no systemic involvement and complete excision of the disease, further treatment was not necessary.Conclusion: This case highlights the challenges in diagnosing premaxillary (Extrapulmonary Sarcoidosis) sarcoidosis due to its rarity and resemblance to other dental and maxillofacial conditions and granulomatous lesions. Accurate diagnosis requires a high index of suspicion, multidisciplinary approach, involving clinical assessment, histopathological analysis, and imaging modalities. By deepening our understanding of these uncommon presentations, this report aims to enhance clinical awareness and contribute to improved patient outcomes.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 1","pages":"365-369"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10800137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139520968","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

Preoperative Vitamin.D Status and Post-Total Thyroidectomy Hypocalcemia. 术前维生素 D 状态与甲状腺全切除术后低钙血症

Iranian Journal of Otorhinolaryngology Pub Date : 2024-01-01 DOI: 10.22038/IJORL.2023.75069.3518

Parvin Layegh, Zakie Sadat Sajjadi, Leila V Mostaan, Masoud Mohebbi, Mona Kabiri, Mohammad Ali Yaghoubi

{"title":"Preoperative Vitamin.D Status and Post-Total Thyroidectomy Hypocalcemia.","authors":"Parvin Layegh, Zakie Sadat Sajjadi, Leila V Mostaan, Masoud Mohebbi, Mona Kabiri, Mohammad Ali Yaghoubi","doi":"10.22038/IJORL.2023.75069.3518","DOIUrl":"10.22038/IJORL.2023.75069.3518","url":null,"abstract":"Introduction: Hypocalcemia is a common complication of total thyroidectomy (TT). This study was designed to investigate the effect of preoperative vitamin.D (Vit.D) status on the occurrence of post-total thyroidectomy hypocalcemia.Materials and methods: Patients who underwent TT without parathyroidectomy were divided into three groups based on their preoperative Serum Vit.D levels (<20 ng/ml, 20-30 ng/ml, and ≥30 ng/ml were considered deficient, insufficient, and normal Vit.D levels, respectively). Serum levels of calcium and phosphorus were measured before and 24 hours after surgery in all patients. The patients were examined for clinical symptoms and signs of hypocalcemia postoperatively. In cases with positive clinical symptoms and signs of hypocalcemia and/or calcium levels <8 mg/dl, PTH level was measured before starting calcium infusion, while serum calcium and phosphorus levels were also measured 24 hours later.Results: Among 100 patients enrolled in this study, 81% were females. The mean age was 36.60±8.32 years. Before surgery, the mean Vit.D level was 26.9±16.89 ng/ml, while 47% of cases had normal Vit.D level, 32% had insufficient vitamin levels, and 21% had Vit.D deficiency. Twenty-four hours after surgery, the calcium (P=0.356) and phosphorus (P=0.743) levels were not significantly different between the three Vit.D groups. A comparison of postoperative PTH levels between the three Vit.D groups showed no significant difference (P=0.596).Conclusions: Based on our findings, preoperative serum Vit.D levels did not affect postoperative serum calcium levels.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 1","pages":"343-348"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10800142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139520957","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

Cochlear Implantation with a Combined Approach: A Case Report. 联合方法人工耳蜗植入术：病例报告

Iranian Journal of Otorhinolaryngology Pub Date : 2024-01-01 DOI: 10.22038/IJORL.2023.75088.3520

Reza Jahangiri, Seyed Basir Hashemi, Elahe Kohan, Amirhossein Babaei

引用次数: 0

Transoral Endoscopic-Assisted Resection of Laryngeal Schwannoma: A Case Report. 经口内窥镜辅助切除喉部许旺瘤：病例报告。

Iranian Journal of Otorhinolaryngology Pub Date : 2024-01-01 DOI: 10.22038/IJORL.2023.71324.3427

Dian Paramita Wulandari, Anisa Haqul Khoiria, Elida Fadhilatul Latifa

{"title":"Transoral Endoscopic-Assisted Resection of Laryngeal Schwannoma: A Case Report.","authors":"Dian Paramita Wulandari, Anisa Haqul Khoiria, Elida Fadhilatul Latifa","doi":"10.22038/IJORL.2023.71324.3427","DOIUrl":"10.22038/IJORL.2023.71324.3427","url":null,"abstract":"Introduction: Schwannoma, a peculiar benign nerve sheath tumour, is frequently hard to differentiate from other nerve tumours, such as neurofibroma. Around 25%-45% of all schwannomas emerge in the head and neck region, but only 0.1-1.5 % involve laryngeal structure. This tumour is most accurately diagnosed with biopsy via direct laryngoscopy; however, at some points this approach cannot detect a definitive diagnosis due to the surrounding capsule of the tumour and its similar histopathologic finding with other nerve sheath tumour.Case report: Here, a case of 56-year-old female is reported with chief complaints of severe progressive dyspnea and dysphagia. Diagnosis of schwannoma was confirmed on radiological and histopathological examination with certain hurdles. A complete surgical excision via endoscopic approach was done, revealing that the bottom of the mass was attached to the right arytenoid mucosa. The histopathological features showed non-malignant atypical neurofibroma but later confirmed as laryngeal schwannoma from immunohistochemical staining.Conclusion: Although schwannoma has an excellent outcome and prognosis when occurring elsewhere in the body, laryngeal involvement is an extremely rare area for this lesion. Complete resection with a patient-customized approach to the lesion is required to avoid relapses and provide good functional results.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 1","pages":"371-375"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10800143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139520982","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

Nasopharyngeal Foreign Body with Unusual Presentation. 表现异常的鼻咽异物。

Iranian Journal of Otorhinolaryngology Pub Date : 2024-01-01 DOI: 10.22038/IJORL.2023.75783.3537

Pratik Kumar, Meenakshi Sachdeva, Nandini Shruti

引用次数: 0

Evaluation of Nasal Obstruction Following Septoturbinoplasty Using the VAS and NOSE Scale. 使用 VAS 和 NOSE 量表评估鼻塞成形术后的鼻腔阻塞情况

Iranian Journal of Otorhinolaryngology Pub Date : 2024-01-01 DOI: 10.22038/IJORL.2023.75824.3541

Esteban Merino-Galvez, Javier Gómez-Hervás

{"title":"Evaluation of Nasal Obstruction Following Septoturbinoplasty Using the VAS and NOSE Scale.","authors":"Esteban Merino-Galvez, Javier Gómez-Hervás","doi":"10.22038/IJORL.2023.75824.3541","DOIUrl":"10.22038/IJORL.2023.75824.3541","url":null,"abstract":"Introduction: Patient satisfaction with septoturbinoplasty was measured using the subjective visual analogue scale (VAS) and Nasal Obstruction Symptom Evaluation (NOSE) scale. In addition, those factors that impacted satisfaction were confirmed.Materials and methods: We conducted an observational study of patients who underwent septoturbinoplasty. Age, sex, smoking habit, duration of improvement, postoperative complications, type of packing and surgeon were analysed. The results were compared using the VAS and NOSE scale.Results: The improvement experienced with surgery corresponded to 69.80±26.97 points on the VAS 42.65±22.9 points (p <0.01) on the NOSE scale. A strong, direct correlation between the two scales (r = 0.79; p <0.01) was achieved. Surgeon, presence of complications, smoking habit and type of packing were not associated with the improvement experienced on the VAS or NOSE scale. Patients under 30 years of age and patients with permanent improvement achieved higher levels of satisfaction on both scales (p <0.01). Women showed a stronger tendency to perceive their improvement as temporary (p <0.01).Conclusions: Patients who underwent septoturbinoplasty experienced a subjectively measured improvement in nasal obstruction. The VAS and the NOSE scale were strongly correlated with one another. Sex, age and duration of improvement (temporary versus permanent) impacted patient perception; surgeon, smoking habit and type of packing did not.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 1","pages":"335-342"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10800140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139520951","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

A Novel Deleterious MYO15A Gene Mutation Causes Nonsyndromic Hearing Loss. 一种新型致畸 MYO15A 基因突变导致非综合征性听力损失。

Iranian Journal of Otorhinolaryngology Pub Date : 2024-01-01 DOI: 10.22038/IJORL.2023.69889.3372

Mostafa Neissi, Adnan Issa Al-Badran, Javad Mohammadi-Asl

引用次数: 0

The Effect of Three Forms of Local Corticosteroids on Sinonasal Polyposis. 三种局部皮质类固醇对鼻窦息肉病的影响

Iranian Journal of Otorhinolaryngology Pub Date : 2024-01-01 DOI: 10.22038/IJORL.2023.75247.3524

Matin Ghazizadeh, Ali Goljanian Tabrizi, Najmeh Rajabi

{"title":"The Effect of Three Forms of Local Corticosteroids on Sinonasal Polyposis.","authors":"Matin Ghazizadeh, Ali Goljanian Tabrizi, Najmeh Rajabi","doi":"10.22038/IJORL.2023.75247.3524","DOIUrl":"10.22038/IJORL.2023.75247.3524","url":null,"abstract":"Introduction: Since sinonasal polyposis (SNP) has a high recurrence rate after surgery, various studies have investigated the effect of corticosteroid medications to prevent disease recurrence. The present study was designed to compare the effect of three forms of local corticosteroids on preventing SNP recurrence post-operatively.Materials and methods: This double-blind, randomized clinical trial study was conducted on 108 patients with SNP who underwent functional endoscopic sinus surgery (FESS). Permuted Block Randomization randomly assigned patients into three groups of 36 people: budesonide spray, betamethasone drop, and budesonide nebulizing suspension groups. One and six months after surgery, the patients were evaluated for recurrence of SNP by nasal endoscopy. SNOT 22 questionnaire was used to assess patients' subjective improvement rate pre- and post-operatively.Results: According to the scores obtained in the Modified Lund-Kennedy Scoring, budesonide nebulizing suspension showed better effects on preventing the recurrence of sino-nasal polyps after FESS compared with betamethasone nasal drops. The score was significantly lower in the budesonide nebulizing suspension group compared to the betamethasone drop group (P=0.043). There was no statistically significant difference in the scores between the budesonide nebulizing suspension group and the betamethasone spray group (P=0.178). Also, we observed significant improvement in facial fullness in patients who received Budesonide nebulizing suspension.Conclusions: Budesonide nebulizing suspension, compared to betamethasone nasal drops, showed better effects on preventing the recurrence of SNP after FESS.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 1","pages":"349-353"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10800139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139520977","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