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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Iranian Journal of Otorhinolaryngology
- نوع مقاله: Journal Article
- کلمات کلیدی: Fistula,Larynx,Actinomycosis
- چکیده:
- چکیده انگلیسی: Introduction:
Actinomycosis of the larynx has been rarely reported in the literature and usually occurs in patients with a history of laryngeal carcinoma and radiation therapy. However, its co-existence with chondroradionecrosis due to radiotherapy is even rarer. The most common site of infection is the cervicofacial region, especially in the submandibular area.
Case Report:
Here we report a 63-year-old male with a history of chemoradiotherapy because of laryngeal cancer 1 year earlier who presented with laryngeal actinomycosis. After prolonged penicillin-based treatment, the patient underwent thyroid cartilage defect reconstructive surgery because of a laryngocutaneous fistula due to chondroradionecrosis. The diagnosis, work-up, and management of the case are discussed, as well as a review of the literature.
Conclusion:
Although actinomycotic infection of the larynx is rare, it should be considered in the differential diagnosis of laryngeal complaints, especially in immunocompromised patients.- انتشار مقاله: 06-12-1394
- نویسندگان: Aslan Ahmadi,Mohammad Mahdi Salem,Mahdi Safdarian,Shahriar Ilkhani,Roghaiieh Hamidian,Mostafa Cheraghipour,Ali Daneshvar,Farzad Izadi
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Otorhinolaryngology
- نوع مقاله: Journal Article
- کلمات کلیدی: Vocal Cord Paralysis,Airway Management,General anesthesia
- چکیده:
- چکیده انگلیسی: Introduction:
Tapia’s syndrome is a rare complication of recurrent laryngeal and hypoglossal nerve paralysis due to anesthetic airway mismanagement or malpositioning of the patient’s head during surgery.
Case Report:
Here we present a case of Tapia's syndrome in a 22-year-old male after corrective jaw surgery under general anesthesia, with a long period of recovery, related to airway management procedures and/or overstretching of the neck during positioning for surgery.
Conclusion:
Although it is a rare condition, every surgeon should be aware of Tapia’s syndrome in order to consider the correct positioning of the head and endotracheal tube during surgery and avoid this complication.- انتشار مقاله: 06-12-1394
- نویسندگان: Farzad Izadi,Aslan Ahmadi,Ali Daneshvar,Mahdi Safdarian
- مشاهده
- جایگاه : پژوهشی
- مجله: Canon Journal of Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Tracheal stenosis,Tracheal resection,End-to-end anastomosis,Tracheal suturing techniques
- چکیده:
- چکیده انگلیسی: Introduction: Tracheal stenosis may have congenital or acquired causes. Depending on the severity of the stenosis and its symptoms, the right treatment is selected. Sometimes resection of the stenotic segment and anastomosis of the two ends is the therapeutic option. There are several techniques for anastomosis.
Methods: In this article, while reviewing articles on how the sutures are used in the tracheal anastomosis, we explain the method applied in this study to use simple interrupted sutures without the use of multiple hemostats.
Results: An adapted and simplified suturing technique is described which has been successfully implemented in 30 patients.
Conclusion: End-to-end anastomosis using "simple interrupted sutures without using multiple hemostats", has minimal complexity and stress for the surgical group with similar results.- انتشار مقاله: 21-02-1398
- نویسندگان: Farzad Izadi,Aslan Ahmadi,Masoud Kazemi,Zahra Sarafraz Zanjani
- مشاهده
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: Metastasis,head and neck cancer,Keywords: DWI-MRI,neck lymph nodes
- چکیده:
- چکیده انگلیسی: Objective: To evaluate the diagnostic value of DWI in assessment of metastatic neck lymph node in a sample of
Iranian patients with Head and Neck cancer. Methods: 25 patients with 80 neck lymph nodes were analyzed using 1.5 T
MRI. DWI was performed with b values of 0 and 1,000 s/mm2. Short axis diameter and ADC values (min, max and mean)
were calculated for metastatic and non-metastatic neck LNs and results were compared with histopathological findings.
The optimal ADC thresholds were analyzed using receiver coefficient characteristic (ROC) curves for discriminating
between metastatic and benign neck lymph nodes. Result: Histopathological findings revealed that there are 45% (n=36)
metastatic and 55% (n=44) non-metastatic neck LNs respectively. There was no statistically significant difference in
short axis diameter between the two groups (p = 0.346). However, The ADC values of metastatic neck LNs were
significantly lower than those of non-metastatic neck LNs (p < 0.001); 0.90 ± 0.10 × 10-3 mm2/s vs 1.06 ± 0.12 × 10-3
mm2/s ( ADC mean ), 0.78 ± 0.08 × 10-3 mm2/s vs 0.92 ± 0.20× 10-3 mm2/s ( ADC min ) and 1.02 ± 0.12 × 10-3 mm2/s
vs 1.24 ± 0.15 × 10-3 mm2/s (ADC max ). The optimal mean ADC threshold value was equal to 0.996 × 10-3 mm2/s
for differentiating malignant from benign lymph nodes with sensitivity, specificity and accuracy of 80.56 %, 77.27 %
and 71.59 % respectively. Conclusion: MR diffusion imaging and ADC values as a non-invasive technique can assess
metastatic neck LNs in head and neck cancer with higher sensitivity, specificity and accuracy.- انتشار مقاله: 10-09-1397
- نویسندگان: Fatemeh Alamolhoda,Fariborz Faeghi,Mohsen Bakhshandeh,Aslan Ahmadi,Morteza Sanei Taheri,Sahar Aabbasi
- مشاهده