Iranian Journal of Otorhinolaryngology最新文献

{"title":"Clinical Outcomes of the U-Linear Split Thickness Skin Graft Technique for Reconstruction for Ear Canal Stenosis.","authors":"Kanokkarn Mahawerawat, Pornthep Kasemsiri, Chonthicha Chit-Uea-Ophat","doi":"10.22038/ijorl.2025.87421.3932","DOIUrl":"10.22038/ijorl.2025.87421.3932","url":null,"abstract":"<p><strong>Introduction: </strong>Canaloplasty is challenging because of the high rate of postoperative restenosis. The aim of this study was to evaluate the outcomes of using a U-Linear split-thickness skin graft (U-Linear STSG), a novel modified graft placement technique for canaloplasty.</p><p><strong>Materials and methods: </strong>A retrospective cross-sectional study was conducted on patients who underwent canaloplasty between January 2013 and December 2023. The medical records of external auditory canal stenosis patients who underwent canaloplasty were reviewed. The data collected included patient demographics, surgical approaches, postoperative outcomes, and audiometric findings. The outcomes of reconstruction for ear canal stenosis using a U-Linear STSG were compared with those using a reconstructed local flap. Statistical analyses included chi-square tests for categorical data and independent t tests for continuous data.</p><p><strong>Results: </strong>Thirty-six patients with external auditory canal stenosis underwent reconstruction; 17 patients underwent reconstruction with a U-Linear STSG, and 19 patients underwent reconstruction with a local flap. A review of the clinical outcomes revealed that postoperative restenosis was significantly less common in the U-Linear STSG group than in the local flap group (p < 0.05). In terms of audiometry, the postoperative air‒bone gap in the U-STSG group was slightly greater than that in the local group. No serious complications were observed in either group.</p><p><strong>Conclusion: </strong>A U-Linear STSG can be simply and feasibly applied in reconstruction for ear canal stenosis, with no major complications.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 6","pages":"335-340"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12777715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145933306","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":"Endoscopic Transcanal Type 1 Tympanoplasty with Cartilage Perichondrium Graft; A Prospective Study.","authors":"Parth Makwana, Viral Prajapati, Vivek Makadiya","doi":"10.22038/ijorl.2025.83887.3826","DOIUrl":"10.22038/ijorl.2025.83887.3826","url":null,"abstract":"<p><strong>Introduction: </strong>Recently use of endoscopes for ear surgeries is being popular among the surgeons as it gives a wide view of the middle ear. Also, tympanoplasty by transcanal approach can be done as a day care procedure and so it reduces the cost of hospitalization. The study was aimed to evaluate the results of type 1 tympanoplasty done by endoscopic transcanal approach with cartilage perichondrium graft, in relation to successful graft take-up rate and improvement in hearing.</p><p><strong>Materials and methods: </strong>Total 50 patients were included in the study and all of them underwent type 1 tympanoplasty by endoscopic transcanal approach. Tragal cartilage with its attached perichondrium on one side facing laterally was placed as graft lateral to handle of malleus with v shaped notch at 12 o clock by underlay technique in all the cases. Patients were called for regular follow-up, and they were observed for successful graft take-up and improvement in hearing at 3 months after procedure.</p><p><strong>Results: </strong>Out of 50 cases complete closure was achieved in 46 cases which makes a success rate of 92%. The average improvement in hearing of 15.3 dB was noted.</p><p><strong>Conclusion: </strong>Endoscopic Transcanal approach with cartilage-perichondrium graft for tympanoplasty (type 1) is effective in terms of successful graft take-up rate and improvement in hearing, very cost effective, faster in terms of surgical time, and has less postoperative morbidity so gives better quality of life to the patient.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 5","pages":"261-266"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130773","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":"Otoscleroma of the Middle Ear and Mastoid Cavity with Facial Palsy: A Case Report.","authors":"Ahmed Galal, Ahmed Abdelbaki, Hanan Tayel, Hesham Mustafa Abdel-Fattah","doi":"10.22038/ijorl.2024.79380.3675","DOIUrl":"10.22038/ijorl.2024.79380.3675","url":null,"abstract":"<p><strong>Introduction: </strong>Scleroma is a chronic, specific granulomatous disease that affects the head and neck mucosa. Its common sites are the nose and larynx; however, it might affect other areas. One of the rare sites to be affected is the middle ear and mastoid cavity, for which the term otoscleroma was coined. We present such a rare case in this report.</p><p><strong>Case report: </strong>A 47-year-old patient with a history of both old laryngoscleroma and recent Rhinoscleroma. He presented with symptoms of ear discharge and facial palsy. Examination revealed complete facial nerve palsy and an external auditory canal polyp. A decision was made to perform subtotal petrosectomy with facial nerve decompression and maximum debulking to be sent for histopathology. The result came typical of otoscleroma.</p><p><strong>Conclusion: </strong>Otoscleroma is a fairly rare occurrence. It might be primary, with no evidence of Scleroma in other sites or following rhino and/or laryngoscleroma. It might be unilateral or bilateral. It might mimic the clinical picture of chronic suppurative otitis media and its complications. Tympano-mastoidectomy is recommended to stop the discharge, obtain a proper biopsy and decompress the facial nerve if needed. Otoscleroma should be suspected in the case of previous Scleroma in other sites, and otitis media or complications like manifestations.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 1","pages":"51-55"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fenestration and Bifurcation of the Internal Jugular Vein; Surprises During Head and Neck Surgery.","authors":"Vibha Singh, Arijit Jotdar, Annanya Soni, Rudra Prakash, Kushal Singh","doi":"10.22038/ijorl.2025.83514.3810","DOIUrl":"10.22038/ijorl.2025.83514.3810","url":null,"abstract":"<p><strong>Introduction: </strong>The internal jugular vein (IJV) is one of the major vessels in the neck and serves as an important landmark for surgeons during head and neck surgery. Anomalies of the IJV are rare and seldom encountered by the surgeons. However, a comprehensive knowledge of these variations is essential for better surgical dissection and to prevent intra-operative mishaps. The variations can be in the forms of bifurcation, trifurcation, duplication, fenestration and posterior tributaries of the IJV. Here we describe three cases of bifurcation and fenestration of the IJV that we encountered in our surgical practice.</p><p><strong>Case report: </strong>In the first patient, we found an empty fenestration of the right internal jugular vein during a selective neck dissection for tongue carcinoma. The spinal accessory nerve was passing lateral to the IJV above the level of the fenestration. The second patient was operated for a left vagal schwannoma in the neck. During the surgery, we found a bifurcation of the left IJV, and the two tributaries fused just above the left omohyoid muscle. The third patient, a sixty-year-old lady also had a bifurcation of the left IJV. It was found during a modified radical neck dissection for carcinoma ex pleomorphic adenoma of the left parotid gland.</p><p><strong>Conclusion: </strong>An in-depth knowledge of the anomalies of the internal jugular vein and meticulous evaluation of the pre-operative imaging may help the surgeons in preventing any intra-operative catastrophe during head and neck surgery.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 2","pages":"99-103"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Internal Jugular Vein Duplication: A series of Seven Cases and Review of Literature.","authors":"Indu Shukla, Ashish Agarwal, Rimsha Changanath Kader","doi":"10.22038/ijorl.2024.82759.3789","DOIUrl":"10.22038/ijorl.2024.82759.3789","url":null,"abstract":"<p><strong>Introduction: </strong>Internal Jugular Vein (IJV) is an important landmark for Head and Neck surgeons during oncological clearance of disease from neck and microvascular reconstruction as well as for the intensivist during central line insertion. Detailed knowledge of the IJV anatomy and its variations is important to avert any catastrophic complications during surgery.</p><p><strong>Materials and methods: </strong>Data of 350 patients was recorded prospectively and analysed over a period of two years and presence of IJV duplication was documented as percentages<b>.</b></p><p><strong>Results: </strong>A total of 350 patients with diagnosed oral cavity carcinoma were included who underwent neck dissection out of which seven patients were identified with Internal Jugular Vein duplication making it an institutional clinical prevalence of around 2%.</p><p><strong>Conclusion: </strong>IJV duplication is inadvertently found intra operatively on maximum number of occasions therefore to avoid the risk of iatrogenic injury and undesired complications, preoperative imaging should be carefully assessed while planning the patient for surgery.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 2","pages":"91-94"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Prospective Observational Study on the Accuracy of Transcutaneous Laryngeal Ultrasonography in Assessing Vocal Cord Mobility before and after Thyroid Surgery.","authors":"Harjinder Singh, Thirugnanasambandam Nelson, Kamal Kataria, Ankita Agarwal, Uttam Kumar Thakur, Arvind Kairo, Hitesh Verma, Shuchita Singh Pachaury, Amarinder Singh Malhi, Yashwant Rathore, Yashdeep Gupta, Shivam Pandey, Rajesh Khadgawat, Shipra Agarwal, Sunil Chumber, Anita Dhar","doi":"10.22038/ijorl.2025.86965.3949","DOIUrl":"10.22038/ijorl.2025.86965.3949","url":null,"abstract":"<p><strong>Introduction: </strong>Recurrent Laryngeal Nerve (RLN) injury remains one of the significant complications associated with thyroidectomy, occurring in approximately 1% to 9% of cases. Vocal Cord (VC) function is typically assessed before surgery using laryngoscopy. However, Transcutaneous Laryngeal Ultrasonography (TLUS) has become a non-invasive alternative for evaluating VC mobility. This study was performed to compare the diagnostic accuracy of TLUS with traditional laryngoscopy in assessing vocal cord function in patients undergoing thyroid surgery.</p><p><strong>Materials and methods: </strong>A total of 105 patients undergoing hemi- or total thyroidectomy were enrolled in a prospective observational study at a tertiary healthcare facility from October 2022 to June 2024. TLUS was conducted by endocrine surgeons using a Mindray UGW 11 device. VC mobility was categorised as usual (spontaneous, rhythmic, symmetrical movement) or unilateral VC paralysis (asymmetrical or absent movement on the affected side).</p><p><strong>Results: </strong>In the preoperative setting, TLUS achieved 100% sensitivity, Positive Predictive Value (PPV), and overall diagnostic accuracy. Postoperatively, it maintained a high sensitivity of 99.02%, with specificity reaching 100% and an area under the curve (AUC) of 0.99. The PPV remained at 100%, while the Negative Predictive Value (NPV) was 75%, and the diagnostic accuracy declined slightly to 99.05%. These findings highlight TLUS as a reliable, economical, and patient-friendly modality for evaluating vocal cord mobility in thyroid surgery.</p><p><strong>Conclusion: </strong>TLUS is an effective non-invasive method for assessing VC function, with high diagnostic accuracy. With further advancements in ultrasound technology and standardized protocols, TLUS can be incorporated into routine clinical practice as a supplement to traditional laryngoscopy techniques. This study supports the use of TLUS as a viable alternative for preoperative and postoperative VC assessment in thyroid surgery patients.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 5","pages":"253-259"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130781","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":"Association between Tracheostomy Timing and Clinical Outcomes in Critically Ill COVID19 Patients.","authors":"Nikzad Shahidi, Ata Mahmoudpour, Mehrdad Shahidi, Hesam Shahmohammadi","doi":"10.22038/ijorl.2025.86206.3941","DOIUrl":"10.22038/ijorl.2025.86206.3941","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID19 pandemic has posed one of the greatest challenges to healthcare systems worldwide. Tracheostomy is often required in critically ill patients with COVID19 who require prolonged mechanical ventilation and frequent airway clearance. Determining the optimal timing of tracheostomy in these patients, particularly after endotracheal intubation, remains clinically complex and controversial.</p><p><strong>Materials and methods: </strong>This retrospective study included COVID19-positive patients (confirmed by PCR) admitted to a referral hospital in Northwest Iran who underwent tracheostomy during their ICU stay. Patients were stratified into early and late tracheostomy groups based on the interval between intubation and tracheostomy (<14 days vs. ≥14 days). Demographic data, duration of mechanical ventilation before and after tracheostomy, and survival rates were analyzed.</p><p><strong>Results: </strong>A total of 62 patients were evaluated. Fourteen patients (22.6%) underwent early tracheostomy, while fortyeight patients (77.4%) underwent late tracheostomy. The mean duration of mechanical ventilation after tracheostomy was 28.57 days in the early group and 30 days in the late group. The overall duration of mechanical ventilation was significantly shorter in the early group compared with the late group (39.36 vs. 58.42 days). Survival rates were 57.1% in the early group and 39.6% in the late group.</p><p><strong>Conclusion: </strong>Early tracheostomy-performed within the first 14 days following intubation-significantly decreases the total duration of mechanical ventilation in critically ill COVID19 patients. However, tracheostomy timing does not influence the duration of ventilation after tracheostomy or overall patient survival.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 6","pages":"311-319"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12777670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145933296","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 Septoplasty and Turbinoplasty on Pulmonary Function Test- A Hospital-Based Interventional Study.","authors":"Suvamoy Chakraborty, Nayana Sarma, Sauradeep Das, Vijay N Nongpiur, Manu C Balakrishnan, Zareen Lynrah, Abhijeet Bhatia","doi":"10.22038/ijorl.2025.83789.3825","DOIUrl":"10.22038/ijorl.2025.83789.3825","url":null,"abstract":"<p><strong>Introduction: </strong>Deviated nasal septum (DNS) is common in the population and at times can warrant a need for septal surgeries. It has been hypothesised that DNS increases the post-nasal discharge, leading to increased sino-bronchial reflexes. This leads to lower respiratory tract inflammation and infections. The current study has been done to confirm the above hypothesis and to evaluate the improvement after septal surgeries among the patients.</p><p><strong>Materials and methods: </strong>72 patients, above 18 years of age, who had undergone a septal correction surgery were included in our study. Pulmonary function tests (PFT) like FVC, FEV1, FEV1/FVC, FEF25%-75%, and PEF were used to evaluate the patients pre-operatively, 1 month post-operatively, and 2 months post-operatively. Additionally, the Nasal Obstruction Evaluation Scale (NOSE) was used to assess the improvement in PFT, comparing the pre-operative and 2 months post-operative PFT. The study was conducted from November 2022 to May 2023. All data were recorded and analysed using SPSS version 21.0.</p><p><strong>Results: </strong>All PFT indices showed improvement on both the 1^st month (p>0.05) and 2^nd month (p<0.05) post-operatively. All patients had an improvement in the NOSE score 2 months post-operatively (p<0.001). Among all the patients, only the overweight and obese patients had a lower degree of improvement in PFT.</p><p><strong>Conclusion: </strong>Our study thus concludes that septal surgeries have a positive impact on the Lower Respiratory Tract, thus confirming our hypothesis.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 6","pages":"303-309"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12777738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145933320","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":"Epidemiology of Angina Bullosa Hemorrhagica: A Retrospective study.","authors":"Meenakshi Sachdeva, Pratik Kumar, Keshav Gupta","doi":"10.22038/ijorl.2024.71853.3442","DOIUrl":"10.22038/ijorl.2024.71853.3442","url":null,"abstract":"<p><strong>Introduction: </strong>Angina Bullosa Hemorrhagica (ABH) is a rare condition characterized by hemorrhagic blisters and is often asymptomatic. These lesions appear more commonly in the oral cavity and oropharynx and are often misdiagnosed. A retrospective cross-sectional study was performed in clinically confirmed cases of ABH to study its epidemiology, etiology and presentation in a tertiary care hospital in Southern Asia.</p><p><strong>Materials and methods: </strong>Total of 8 patients of ABH were evaluated and included in the present study. All clinical data and track records were assessed by the medical records department. Cases were studied and results were interpreted. Results: Total of 8 cases were enrolled with male-to-female ratio of 0.6:1 and middle age as the most common age of presentation. Buccal mucosa was the most common site involved with average lesion size of 1.6 cm. Masticating trauma was the most common etiological risk factor. Majority patients were asymptomatic with spontaneous resolution of lesions in all the cases.</p><p><strong>Conclusion: </strong>Due to smaller number of studies reported, the lesions of ABH remained poorly understood with uncertain etiology. The knowledge of characteristic clinical features of the lesion and pattern of spontaneous healing is of utmost importance as a lesion of ABH can share some features with other serious disorders, thereby delaying the diagnosis. A thorough clinical history and examination of the lesion should always be done to establish an accurate diagnosis. Due to its completely benign nature, proper counseling of the patients must be ensured for better patient compliance.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 1","pages":"41-45"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Obesity and Otitis Media with Effusion in Children.","authors":"Saleh Aghaei, Bijan Khademi, Mohammad Faramarzi, Amirhossein Babaei","doi":"10.22038/ijorl.2025.79859.3688","DOIUrl":"10.22038/ijorl.2025.79859.3688","url":null,"abstract":"<p><strong>Introduction: </strong>Otitis media with effusion (OME) is a widespread condition affecting children globally. This study aimed to assess the relationship between obesity in pediatric populations and the risk of developing OME.</p><p><strong>Materials and methods: </strong>This retrospective observational study was performed in 2020 at Khalili and Dastgheib hospitals, affiliated with Shiraz University of Medical Sciences in Shiraz, Iran. The study included all children aged 2 to 15 years with a confirmed OME diagnosis. Participants in the non-OME group were chosen from children who did not have OME.</p><p><strong>Results: </strong>A total of 148 healthy individuals were included in the non-OME group, while the OME group comprised 110 patients. Statistical analysis revealed that the mean age (p=0.040), weight (p<0.001), height (p=0.024), BMI (p=0.023), and BMI percentile (p=0.023) were significantly greater in the OME group compared to the non-OME group. Additionally, there was a higher proportion of males in the OME group (63.6%) compared to the non-OME group (44.0%), with this difference being statistically significant (p=0.001). Logistic regression analysis indicated that factors such as older age (p=0.023), male gender (p=0.001), and elevated BMI percentile (p=0.004) were significantly associated with the presence of OME.</p><p><strong>Conclusion: </strong>This research indicates that there is a correlation between obesity and a heightened risk of OME.</p>","PeriodicalId":14607,"journal":{"name":"Iranian Journal of Otorhinolaryngology","volume":"37 2","pages":"79-84"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}