IRANIAN JOURNAL OF OTORHINOLARYNGOLOGY
Year:2003 | Volume:15 | Issue:1 (31)|Papers Count:12

One of the obstructive complications of Walderyer"s ring hypertrophy is changing in Arterial 02 saturation, which could result in serious complications such as corpulmonal and hypertension and even sudden infant death syndrome. Because this complication is common we decided to study it. In this Analytic cohort study forty patients who were admitted for Adenotonsillectomy in Mashhad University hospitals at ENT Departments were selected, and their changing 02 saturation studies were recorded with pulseoxymeter along the one-hour normal sleep. This change was compared with a control group. The result shows that there is a significant difference between the two groups.

Objective and Importance: The authors reported a case of plasmocytoma involving the cerebellopontine angle (CPA), which is a rare presenting location of intracranial extramedullary plasmocytoma. Clinical presentation: The patient was A 55-years-old woman who complained of vertigo and tinnitus for one year before. Admission, Neurological examination showed impairment of cerebellar tests. CT scan revealed a large mass lesion in the left CPA region. Intervention: The patient underwent a left retromastoid craniectomy and resection of the tumor. Histopathological studies of biopsy revealed plasmocytoma. Other studies including bone isotope scan and bone marrow aspiration did not show involvement of other parts of the body. Within 6 months of follow up there was No sign of progression of the tumor in CT scan. Conclusion: There are few reports of CPA solitary plasmocytoma. There is a potential risk for error in diagnosis in imaging and pathology. The current treatment is subtotal or radical resection combined whit radiotherapy.

Objective: The presence of estrogen and progesterone receptors evaluated in intra cranial vestibular schwanoma. Material and Method: In this study 31 patients with acoustic neuroma operated between 1994 and 2001 in Ghaem Hospital were studied retrospectively. The paraffined biopsies were evaluated for presence of the estrogen and progesterone receptors by immunohistochemical assay. Medical records were reviewed for demographic characteristics of the patients, their clinical manifestations, location of tumors, surgical removal, and the size of tumors. Results: There were 18 (58.1%) women and 13 (41.9%) men with average age of 40.9 years. The most common clinical manifestation was hearing impairment (25 cases). In eleven patients (35.5%) acoustic neuroma was in the right cerebellopontine angle (CPA), in 19 (61.3%) in left, and one patient with neurofibromatosis\ type II had bilateral vestibular schwanoma. Eighteen patients (58.1%) had progesterone receptors were detected. There was no relation between the patients characteristics (sex, age, and location of tumor) and the progesterone receptors (P=0.739, P=0.253, P=0.466, respectively). Conclusion: Since the receptors of progesterone and estrogen were found in significant numbers in our patients, we suggest further studies on the role of these receptors in this tumor and their probable importance in treatment of acoustic neuroma.

Otitis media has been recognized as the most prevalent infectious diseases in children under fifteen years old. Effusion of the middle ear can be created in the absence of any previous infection. The main factor in the creation of effusion of the middle ear is eustation tube malfunction. Undesirable effects of middle effusion are irreversible in some cases, but they can be prevented by effective medical care. The present study has been done in accordance with examination of more than seven thousand first and second grades of elementary school in Ilam in the years (1995-1996). This was to study the effusion of the middle ear and it distinguished that 4.65 percent of the students under examination were suffering from effusion. There was more prevalence in the lower educational class and male sex. Emphasis of examination in high-risk students during the study course has been made.

Objective: To study the clinical features of Wegener"s in head and neck structures. Methods: We reviewed all selected patients with diagnosis of Wegener"s granulomatosis according to ACR criteria from two academic hospitals in Mashhad. Results: 12 Patients with diagnosis of WG during the Past 10 years. Were studied. M/F ratio was 2/1 and the majority of them were in the fifth decade of life. 75% of our patients had head and neck related complaints and 65% had lower respiratory tract involvement. Recurrent sinusitis in 45%, nose structure involvement in 72%, eye complaints in 27% and ear involvements were found in 45%. We had one case of eye proptosis and 15% nose deformity. Eight patients had biopsy samples, and granulomatos vasculitis with necrosis was found in 25%. Conclusions: Wegeners granulomatosis is a rare systemic vasculitis in our patients. The most common clinical presenting features include: refractory recurrent sinusitis, nasal ulcer with giant crust, and sensory neural hearing loss in association with systemic findings such as low-grade fever, fatigue and arthralgia.

To determine correlation between Rheumatoid arthritis and hearing loss a case control study with 101 patients and 101 controls was performed. The mean age of patients was 49.69±13.37 and 86.1% of them were female. Physical examination and audiometric tests were performed. The mean hearing threshold for patients was 21.5±10.2 and 11.8±5.2 for control groups (P=0.000). The prevalence of high frequency hearing loss was 3.05 times in cases group (32.2% versus 10.9%) (P=0.000) and the prevalence of low frequency hearing loss was 9.4% in cases group (9.4% versus 0.0%) (P=0.000). In spite of no clinical complains of hearing loss, it is frequent in Rheumatoid arthritis, and we recommend evaluation of the patients in this respect.

In this study, the samples were the patients who underwent direct laryngoscopy of chronic hoarseness in Isfahan Ayatollah Kashani Hospital, from April 1991 to December 1998. Hoarseness is the most prevalent and important symptom of laryngeal disorders; and it is sometimes the only complaining symptom of this organ s dysfunction. In differential diagnosis of chronic pathologies involving larynx, a neoplastic process must be ruled out. Therefore, endoscopy and biopsy are required to detect carcinoma. This project is a cross sectional descriptive study Population, were all the patients underwent direct laryngoscopy due to chronic hoarseness in Isfahan Ayatollah Kashani hospital from April 1991 to December 1998. Sampling was in census, by means of files existing in the hospitals archive. Cases that laryngoscopy were due to causes other than hoarseness, such as foreign body, or trauma, or in cases that the files were incomplete were excluded from the study. Totally 408 files were evaluated: 54 excluded due to above reasons, and research continued on 363 cases. Average age of evaluated patients was 42.6 years and standard deviation was 18.9. The most abundant was in the 31-40 year group, 67.2% of patients were male. In 63.9% of all patients, definite diagnosis was as certained only by laryngoscopy, and 36.1% were biopsied. On the whole: 36.9% of cases were intact, 9.6% true vocal cord paralysis, 20.1% tumor, and 33.4%inflammation. At least 20% of cases were defined as Tumors. That is a high ratio; and this group needs quick diagnostic and therapeutic measures. Our aim of direct laryngoscopy in patients with chronic hoarseness is `

Adenotonsillectomy is one of the most common operations worldwide. Postoperative hemorrhage is the most common serious complication many studies have been done on possible factors that may influence the rate of bleeding. In this study the role of prophylactic antibiotic therapy (Amoxicillin) on decreasing the rate of post tonsillectomy bleeding has been investigated. In this retrospective study, performed on 200 patients, the rate of bleeding in the study group (100 patients who received amoxicillin (25 mg/kg) immediately after operation and continued for 5-7 days) was compared with rate of bleeding in the control group (100 patients who did nor receive antibiotics). One patient in the study and 3 patients in the control groups had bleeding that was not significant statistically. Although more study is needed, our study showed no influence of prophylactic antibiotic therapy on the rate of post tonsillectomy bleeding.

Cleft lip and palate is one of the most common congenital craniofacial abnormalities with the side effects of middle-ear infections, hard of hearing, nutritional problems, speaking and other societal burdens. This research has been designed to evaluate the prevalence and etiology of cleft lip and palate. This study is a descriptive and protective project, which has been done on 19545 live births in Dezianei Hospital during three years of study (1992-2001). The results from this research indicate that the prevalence of cleft lip and palate was 1.02/1000. The prevalency in males and females was 1.4/1000 and 0.63/1000 respectively. We observed that the rate of cleft lip and cleft lip with cleft plate was much higher in male newborns. Our findings also showed the highest rate of these abnormalities was among the sistanet"s/mmi grant ethnic with the prevalency of 2.25/1000 live births. Genetical factors and drug consumption during pregnancy are among the important factors in creating such abnormalities. This study also shows that in addition to the above factors in this study the climate of this agricultural region, the high consumption of agricultural toxin , the time of conception, and the possibility of the contamination of pregnant mothers with such chemical may playa role in the above congenital abnormalities.

This cross sectional study has been done in nine randomly selected Kindergartens of Mashhad. The purposes of this research were to obtain prevalence of bruxism and it s relationship with dental complications, and temporomandibular disorders in 3-6 year-old children. 70 (9%) out of 772 (3-6 year-old) children had bruxism in view of parent s reports and oro-dental examinations. The most current age for the spreading bruxism was 4-5 years old (37.1%). All affected children had nightly bruxism. In 35.5% of affected children and in 11.1% of unaffected children family histories were positive. In 38.5% of affected children and in 54.1% of unaffected children, mother had a job. In 75.5% of affected children there were no dental problems, pain in facial muscles or at jaw opening observed. In 4.2% of the children there pain on was temporomandibular joint movement.