Iranian Journal of Otorhinolaryngology最新文献_第5页

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

Giant Soft Tissue Hemangioma of the Neck with Laryngeal Extension. 颈部巨大软组织血管瘤伴喉部延伸。

Iranian Journal of Otorhinolaryngology Pub Date : 2024-01-01 DOI: 10.22038/ijorl.2024.75038.3519

Martha Lucía Gutiérrez Pérez, María José Abuchar-Duque, Daniel Ruiz-Manco, Jose Jorge Maya-Gómez, Valeria Del Castillo Herazo, Andrés Felipe Herrera-Ortíz, Nathalia Andrea Sánchez-Burbano

{"title":"Giant Soft Tissue Hemangioma of the Neck with Laryngeal Extension.","authors":"Martha Lucía Gutiérrez Pérez, María José Abuchar-Duque, Daniel Ruiz-Manco, Jose Jorge Maya-Gómez, Valeria Del Castillo Herazo, Andrés Felipe Herrera-Ortíz, Nathalia Andrea Sánchez-Burbano","doi":"10.22038/ijorl.2024.75038.3519","DOIUrl":"10.22038/ijorl.2024.75038.3519","url":null,"abstract":"Introduction: Soft tissue hemangiomas are among the most prevalent soft tissue tumors and can pose diagnostic challenges due to their propensity to extend into various regions. In our case, imaging studies facilitated effective characterization of the mass, and timely intervention with sclerotherapy enabled adequate initial control of the lesion. Subsequently, medical management with propranolol and a second scheduled surgical intervention with sclerotherapy contributed to a reduction in the lesion size, alleviation of symptoms, and improvement in prognosis.Case report: We present a rare case of a giant cervical soft tissue hemangioma with laryngeal extension in an adult female, initially misdiagnosed as a primary laryngeal hemangioma. This case underscores the critical role of diagnostic imaging in assessing the extent of these vascular tumors.Conclusions: A thorough assessment of the suspected site, as well as the entire head, neck, and chest, should be conducted for all patients with suspected hemangiomas.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 6","pages":"681-685"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11624850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800153","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

Parotid FNAC Diagnostic Utility and Its Role in Surgical Residency Training. 腮腺FNAC诊断及其在外科住院医师培训中的作用。

Iranian Journal of Otorhinolaryngology Pub Date : 2024-01-01 DOI: 10.22038/ijorl.2024.76596.3565

Giorgos Sideris, Ioannis Margaris, Thomas Nikolopoulos, Alexander Delides

{"title":"Parotid FNAC Diagnostic Utility and Its Role in Surgical Residency Training.","authors":"Giorgos Sideris, Ioannis Margaris, Thomas Nikolopoulos, Alexander Delides","doi":"10.22038/ijorl.2024.76596.3565","DOIUrl":"10.22038/ijorl.2024.76596.3565","url":null,"abstract":"Introduction: This study aimed to investigate the relationship between preoperative fine needle aspiration cytology (FNAC) for parotid tumors and the level of surgical training among residents, as well as to further elucidate its effectiveness as a diagnostic tool in the hands of the treating physician.Materials and methods: Surgical records from patients who underwent parotid surgery between 2014 and 2022 were retrieved. Residents reported their perceived level of training duringthese procedures. Contingency tables were used to correlate the cytological with final histopathological results.Results: A total of 286 patients who had undergone preoperative FNAC were included in the study. A preoperative diagnosis of pleomorphic adenoma or Wharthin's tumor was significantly associated with higher training scores among surgical residents. In contrast, a diagnosis of malignancy, other benign tumors, or indeterminate cytology was correlated with poor training scores (χ2 = 176.35; df = 2; p-value <0.001, Cramer's V 0.79). FNAC demonstrated a sensitivity of 88% and a specificity of 99.2% for detecting malignancy, with a positive likelihood ratio of 103.8 (95% CI: 26.02-414.34) and a negative likelihood ratio of 0.12 (95% CI: 0.06-0.26).Conclusions: Our findingssuggest that preoperative cytological diagnoses of parotid tumors with a favorable prognosis, such as Wharthin's tumors, can enhance training and mentorship opportunities provided by senior surgeons. This is particularly significant for academic institutions with residency programs.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 6","pages":"675-680"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11624852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800302","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

Cell Cannibalism in Oral Precancerous Lesions and Squamous Cell Carcinoma. 口腔癌前病变和鳞状细胞癌的细胞同类相食。

Iranian Journal of Otorhinolaryngology Pub Date : 2024-01-01 DOI: 10.22038/ijorl.2024.77568.3600

Zohreh Jaafari-Ashkavandi, Azadeh Andisheh Tadbir, Asa Rahmatabadi, Seyed Hossein Owji

{"title":"Cell Cannibalism in Oral Precancerous Lesions and Squamous Cell Carcinoma.","authors":"Zohreh Jaafari-Ashkavandi, Azadeh Andisheh Tadbir, Asa Rahmatabadi, Seyed Hossein Owji","doi":"10.22038/ijorl.2024.77568.3600","DOIUrl":"10.22038/ijorl.2024.77568.3600","url":null,"abstract":"Introduction: Cellular cannibalism is defined as a process of non-apoptotic cell death. This phenomenon has been indicated to be associated with aggressiveness, anaplasia, invasiveness, and metastatic potential of various malignancies. The Aim of this study is the evaluation of cell cannibalism in oral dysplastic lesions and oral cancer.Materials and methods: A total of 31 cases of squamous cell carcinoma (SCC), 30 epithelial dysplasia, and 36 hyperkeratosis (HK) were enrolled in this Cross-sectional study. All hematoxylin and eosin tissue sections were examined in 10 high-power fields for tumor cell cannibalism. Data were analyzed using the Kruskal-Wallis and Fisher's exact test.Results: Cell cannibalism was found in all cases of SCC, 58.3% of dysplastic lesions, and 3.7% of HK cases. The mean number of cells with cannibalism was 19.48± 4.94 in SCC patients, 1.03± 1.25 in dysplastic lesions, and 0.03± 0.18in HK with a significant difference (P<0.001). High grades dysplastic and cancerous lesions exhibited more cannibalistic cells (P=0.01, P= 0.27, respectively).Conclusions: In addition to oral SCC, cell cannibalism was found in oral epithelial dysplasia; which was significantly more in SCC. This phenomenon was in association with grades of differentiation and might be considered a potential criterion for malignant transformation and high-grade lesions.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 6","pages":"639-646"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11624854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800863","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

Transoral Laser Microsurgery of Supraglottic Cancer: A Survival Analysis. 经口激光显微手术治疗声门上癌：生存分析。

Iranian Journal of Otorhinolaryngology Pub Date : 2024-01-01 DOI: 10.22038/ijorl.2024.75846.3543

Samaneh Abdi Sofi, Payman Dabirmoghaddam, Kayvan Aghazadeh, Ebrahim Karimi, Shadi Naderyan Fe'li

{"title":"Transoral Laser Microsurgery of Supraglottic Cancer: A Survival Analysis.","authors":"Samaneh Abdi Sofi, Payman Dabirmoghaddam, Kayvan Aghazadeh, Ebrahim Karimi, Shadi Naderyan Fe'li","doi":"10.22038/ijorl.2024.75846.3543","DOIUrl":"10.22038/ijorl.2024.75846.3543","url":null,"abstract":"Introduction: There needs to be more unanimity in the treatment approaches for supraglottic squamous cell carcinoma. This study evaluated the survival outcomes of patients who underwent transoral laser microsurgery for this type of cancer.Materials and methods: This longitudinal study was conducted at a tertiary university hospital in Iran. Forty-one patients with supraglottic squamous cell carcinoma who underwent transoral laser microsurgery were included. The required data were extracted from medical records. Survival analysis using the Kaplan-Meier method was used to obtain the 5-year overall recurrence-free and laryngectomy-free survival rates.Results: This study included 40 males (97.6%) and one female (2.4%). The mean ± standard deviation of patients' age was 55.17±8.43 years. The 5-year overall recurrence-free survival rate in all patients was 68.0%. In contrast, 76.0% of the cases were laryngectomy-free after five years. Patients in the T1 and T3 categories had better overall and laryngectomy-free survival rates when stratifying by disease stage, respectively. The 3-year local control rates of tumor were 80.0%, 63.1%, and 82.3% for T1, T2, and T3, respectively. The larynx could be preserved in four patients (80.0%) with T1, 15 patients (57.8%) with T2, and 14 patients (82.3%) with T3.Conclusion: Our results suggest that transoral laser microsurgery may result in satisfactory recurrence-free survival and good oncologic outcomes. However, considering the indication of radiotherapy in some patients, the therapeutic effects of radiotherapy are part of the survival rate observed in this study.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 6","pages":"647-654"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11624849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800687","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

Risk Factors for Olfactory Dysfunction in Patients with Type 2 Diabetes Mellitus. 2型糖尿病患者嗅觉功能障碍的危险因素

Iranian Journal of Otorhinolaryngology Pub Date : 2024-01-01 DOI: 10.22038/ijorl.2024.78347.3647

Benny Mart Sani, Andrina Yunita Murni Rambe, Ashri Yudhistira, Siti Nursiah, M Pahala Hanafi Harahap, Taufik Ashar

{"title":"Risk Factors for Olfactory Dysfunction in Patients with Type 2 Diabetes Mellitus.","authors":"Benny Mart Sani, Andrina Yunita Murni Rambe, Ashri Yudhistira, Siti Nursiah, M Pahala Hanafi Harahap, Taufik Ashar","doi":"10.22038/ijorl.2024.78347.3647","DOIUrl":"10.22038/ijorl.2024.78347.3647","url":null,"abstract":"Introduction: Patients with type 2 Diabetes Mellitus (DM) often experience olfactory dysfunction; however, the relationship between disease duration and comorbidities remains unclear.Materials and methods: An analytical observational study was conducted at the Endocrinology and Metabolic Polyclinicof the H. Adam Malik General Hospital, Medan. The study included 66 patients with type 2 DM who met the inclusion criteria. Data were collected from medical records, questionnaires, routine ENT examinations, and the Sniffin' Sticks Test (P<0.05).Results: No significant relationship was observed between sex and olfactory function in patients with type 2 DM. However, a significant correlation was observed between age and the olfactory function score (P = 0.012) as well as between the duration of type 2 DM and the olfactory function score (P= 0.005). There was no significant difference in olfactory function scores between patients with type 2 DM with and without comorbidities.Conclusions: This study revealed that increasing age and the duration of type 2 DM correlated with declining olfactory function. However, no differences were observed in olfactory function between patients with type 2 DM with and without comorbidities. These findings provide additional insights into the factors that influence olfactory function in patients with type 2 DM.","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"36 6","pages":"655-661"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11624848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800361","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