فهرست مطالب

Otorhinolaryngology and Facial Plastic Surgery - Volume:1 Issue: 1, 2015

Journal of Otorhinolaryngology and Facial Plastic Surgery
Volume:1 Issue: 1, 2015

  • تاریخ انتشار: 1394/07/14
  • تعداد عناوین: 6
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  • Navid Ahmady Roozbahany, Mahdi Khajavi, Hojjat, Allah Abbaszadeh Pages 1-4
    Background
    Septoplasty is one of the most commonly performed operations with several complications.
    Purpose
    To categorize and demonstrate the probability of the occurrence of septoplasty complications.
    Methods
    Three hundred and twelve patients who underwent septoplasty in Loghman Hakim general hospital, Tehran, Iran, were followed up for 6 months and evaluated for probable post-operative complications.
    Results
    The most common complication was remained deviation, which was observed in 26.2% of patients followed by synechiae and perforations. There was no case of serious and life threatening complications.
    Conclusion
    Septoplasty has both aesthetic and functional complication. However, meticulous and careful surgery can prevent most of them.
    Keywords: Septoplasty, Post, operative, Complication
  • Bijan Naghibzadeh, Zahra Rahmani, Hassanali Ahmadi Pages 5-8
    Background
    The majority of septal perforations are caused by trauma either with or without infection. In most cases trauma is related to the surgery.
    Methods
    Twenty patients with nasal perforation who underwent surgery from 2008 to 2011were retrospectively evaluated. Three different surgical approaches were used: bilateral rotational advancement flap of nose floor with fascia through open rhinoplasty, bilateral rotational advancement flap of nose floor with using cartilage through closed method and inferior turbinate rotational flap.
    Results
    After the surgery, all symptoms disappeared and examinations of healing regions in fifteen patients showed that the perforation was completely healed. In five patients, the perforation size reduced.
    Conclusion
    Inferior turbinate flap in small perforations would be a logical method with ideal results. In cases with perforation size of one centimeter or larger and in more posterior types, the external method is recommended for a better exposure.
    Keywords: Nasal septal perforation, Surgical technique
  • Navid Ahmady Roozbahany, Shahab Asadi, Hojjat, Allah Abbaszadeh Pages 9-12
    Background
    Rhinoplasty is one of the most common aesthetic procedures. It has several potential complications. There is no systematic study with direct focus on these complications.
    Purpose
    To evaluate the likelihood for occurrence of different complications following septorhinoplasty.
    Methods
    One hundred and fifteen patients who underwent rhinoplasty were observed for post-operative occurrence of nasal obstruction, hyponasal speech, post nasal discharge (PND), rhinorrhea, facial congestion and headache. They were also examined for aesthetic results of the surgery and asked about their satisfaction about the external shape of the nose as well as overall satisfaction of surgery.
    Results
    Twenty-one patients developed sinonasal symptoms after surgery. The most annoying symptom was permanent unilateral nasal obstruction, which was observed in 38% of patients followed by long lasting PND (19%), anosmia (14%) and altered voice resonance (9%). Five patients eventually underwent surgery due to their functional problems.
    Conclusion
    Rhinoplasty and septorhinoplasty have numerous complications. Nasal obstruction, PND and anosmia are the most common. A careful follow-up is required for diagnosis and appropriate treatment of these complications.
    Keywords: Rhinoplasty, Post, operative Symptoms
  • Mahdi Khajavi, Navid Ahmady Roozbahany, Reza Vaez Afshar Pages 13-20
    Background
    The development of computed tomography (CT) technique results in development in visualization of the anatomic structures of the lateral nasal wall. It allows the anatomic variations of this region to be identified precisely, which is important in surgical treatment of chronic rhinosinusitis.
    Purpose
    The aim of this study was to determine the incidence of anatomic variations of the lateral nasal wall in a group of patients with chronic rhinosinusitis and to compare these results with the control group.
    Methods
    One hundred patients with chronic rhinosinusitis and 50 control subjects who were referred to Loghman Hakim general hospital, Tehran, Iran, were included in this retrospective study.
    Results
    High septal deviation, presence of large bulla ethmoidalis and middle turbinate concha bullosa showed to be statistically correlated to increased risk of chronic rhinosinusitis. For other anatomical variations, no statistically significant differences in incidence of chronic rhinosinusitis observed.
    Conclusion
    Relation between anatomical variation and rhinosinusitis was confirmed only for high septal deviation, middle turbinate concha bollusa and large bulla ethmoidalis. Surgical Approach to these variations may have a role in prevention or treatment of rhinosinusitis.
    Keywords: Paranasal sinuses, Anatomical variation, Rhinosinusitis
  • Mahdi Khajavi, Navid Ahmady Roozbahany, Mozhgan Hosseynrezai Mahani, Somaye Shomali Pages 21-24

    Hemangiopericytoma is a malignant vascular tumor that is rarely seen in the nasal cavity and paranasal sinuses. Biological behavior of the tumor is not completely known and its natural history is not predictable. According to the existing literature, local recurrence rate is not common and distant metastasis is exceedingly rare and majority of patients have a favorable clinical course. We have presented female Persian case of sinonasal hemangiopericytoma in which recurrence of the tumor happened very rapidly after initial removal. It also recurred within two months after reoperation. We have discussed about the characteristics of these tumors and known prognostic factors. We have finally proposed that the sinonasal hemangiopericytoma may have significantly more aggressive clinical course than the previous assumption.

    Keywords: Hemangiopericytoma, Malignant vascular tumor, Early recurrence
  • Farhad Mokhtarinejad, Navid Ahmady Roozbahany, Maryam Ajami Pages 25-28
    Otosclerosis is a common cause of conductive hearing loss. It is surgically treated with stapedectomy or stapedotomy. Sensory-neural hearing loss is an uncommon but known complication of this surgery. A 25-year-old Iranian female with bilateral otosclerosis underwent right stapedotomy and developed bilateral sensorineural hearing loss a few days after the surgery, which recovered with appropriate treatment. The possible causes and their clinical courses are discussed in this study. Sensorineural hearing loss after stapedotomy has many different etiologies. Generally, the causes which are not directly related to the surgery should also be considered.
    Keywords: Otosclerosis, Hearing loss, Trauma