Apadana Journal of Clinical Research

Journal Information


ISSN: 2251-810X

Email:  ahvaz.net@gmail.com, hrc2013ahvaz@gmail.com

Website:  ajcr.sinaweb.net

Number of Issues: 3

Number of Articles: 19

Update date:  2020/02/18

Journal Archive

Current Issue

Comparison of the Effectiveness of teflon piston and titanium stapes prosthesis in hearing improvement

Nader Saki; Soheila Nikakhlagh; Fakher Rahim

Apadana Journal of Clinical Research, Volume 2, Issue 1, Pages 1-4

Background objectives: The aim of this study was to compare the effectiveness of two stapes prostheses in hearing improvement of patients undergoing stapes surgery for otosclerosis.   Materials Methods: In this retrospective and descriptive study, the charts of 291 stapedectomies performed by one surgeon (first author) from 1997 to 2011 in Imam Khomeini and Apadana hospitals of Ahvaz were reviewed. Results: A total of 278 patients, including 172 females (61.9%) and 106 males (38.1%) undergoing stapedectomy or Stapedotomy were evaluated in this study. Subjects were 18-69 years old with the mean age of 35.4 years. The study group was comprised of 32 titanium stapesprosthesis and 246 Teflon piston prostheses. Closure of the air-bone gap to less than 10 dB was achieved in 207 cases (84.1%) of the patients with Teflon piston prosthesis compared with 21 cases (65.6%) of those with titanium stapes prostheses. Deafness occurred in two patients (0.71%) after the surgery. Conclusions: Both prostheses provided comparable results. The smaller numbers in the titanium group may confound these results. The selection bias may also influence the results seen in this study. The titanium stapes prosthesis is a good alternative to Teflon piston prosthesis.

Estimation of health effects attributed toNO2exposure from the use of AirQ model in Ahvaz

Mohammad Javad Mohammadi; Gholamreza Goudarzi; Abdolkazem Neisi; Kamran AhmadiAngali; Hamed Saki; Ali Akbar Babaei; Babak Mohammadi; Hassan Dehdashti Rad; Mohsen Borhani; Mehrdad Sharifi

Apadana Journal of Clinical Research, Volume 2, Issue 1, Pages 5-12

Background objectives:AirQ software proved to be a valid and reliable tool to estimate the potential short term effects of air pollution. In this study the AirQ2.2.3 model was used to evaluate adverse health effects caused by nitrogen dioxide(NO2) exposure in Ahvaz during 2009.
Materials Methods:The AirQ,developed by the World Health Organization (WHO) to predict health endpoints attributed to criteria pollutants and permits the examination of various scenarios in which emission rates of pollutants are varied.Nitrogen dioxide(NO2) reacts with ammonia, moisture, and other compounds to form small particles. These small particles penetrate deeply into sensitive parts of the lungs and can cause or worsen respiratory diseases, such as emphysema and bronchitis, and can aggravate existing heart disease, leading to increased hospital admissions and premature death.
Results: In the present study approximately 3%of total cardiovascular mortality, acute myocardial infarction and hospital admission of chronic obstructive pulmonary disease happened when the NO2 concentration was morethan 20µg/m3.
Conclusions: Low percentage of observed health endpoints was associated to low concentration of measured NO2. The lower level of RR value might achieve if some control strategies for reducing NO2 emission were used. Therefore the higher RR value can depict mismanagement in urban air quality.

Audiologic findings of tinnitus patients

Hassan Abshirini; Nader Saki; Soheila Nikakhlagh; Feridon Eslamijoo; Sakineh Samadi; Majid Karimi

Apadana Journal of Clinical Research, Volume 2, Issue 1, Pages 13-16

Background objectives: The purpose of this study was evaluating the hearing status of tinnitus patients referred to our center. Materials Methods: A total of 144 Patients, referred to our center by the end of December 2008 to June 2009, who have tinnitus complaints after initial examination and cleaning the ear duct in the audiology clinic were introduced and completed the questionnaire. Audiometry with polls to assess the severity and tinnitus frequency is done. Results: Based on the job criteria the patients divided in two groups of noisy job by 27.1 percent and 72.9 percent in a quiet job respectively. In the study based on precise frequency test (FT), 72 individuals (50%) with type Tone, 54 individuals (37.5%) with Narrow band noise condition and 18 (12.5%) had no resemblance. In comparison of the subjects based on severity of tinnitus only 126 individuals were correctly measured, 68 (47.2%) with intensity less than 5 dBsl, 41 (28.5%) were 5-10 dBsl and 17 (11.8%) showed more than 10 dBsl. In comparison of the audiogram as the highest values of inference are included 48 (31.5%) type of High Tone Loss, 38 patients (26.4%) type of sensory neural, 30 subjects (20.8%) or normal type and 22 subjects (15.3 percent) were of conductive type. Conclusions: we could demonstrate that not only the amount of hearing losses, but also the shape of the audiogram might be an important factor for the occurrence of tinnitus. In our sample of patients, tinnitus was connected to audiograms with a steep slope.

Incidence of thyroid papillary cancer in contralateral lobe

Seyyed Abdolhossein Masoumi; Amir Fasihi; Nader Nazari; Soheila Nikakhlagh

Apadana Journal of Clinical Research, Volume 2, Issue 1, Pages 17-21

Background objectives: Prognosis of thyroid papillary cancer is quite well long lasting, so a 10- year survival is observed in more than 90% cases. In this study, rate of incidence of thyroid papillary cancer in contralateral lobe was assessed among patients who had a surgical thyroidectomy re-operation. Materials Methods: In this retrospective study, we examined 82 patients diagnosed with thyroid papillary cancer that had thyroid lobectomy surgery first and thyroidectomy re-operation next from 1997 to 2007. Results: Of 82 patients studied, 33 (40%) were diagnosed with papillary cancer in contralateral lobe. No significant relationship was observed between age, sex, size of the original tumor, intervals between two surgical operations and incidence rate of papillary cancer in contralateral lobe; however, due to tumor's multifocusing and presence of metastasis spread to lymphatic glands, an increase in tumor risk was caused in remaining of the thyroid. Following thyroidectomy re-operation, no complications were common highly, but a few of them included: RLN transient paralysis in six patients (7.3%); RLN permanent paralysis in two patients (2.5%) fleeting hypokalemia in nine patients (11%); and persistent hypoparathyoidism in one patient (1.2%). Following surgical operation, five patients (6%) suffered hematoma two cases of which needed re-operation. Conclusions: Surprisingly, the incidence rate of thyroid papillary cancer was relatively high in the remaining tissue of contralateral lobe. We believe that such patients must undergo treatment of thyroidectomy re-operation which can be performed with acceptable complication rate, maintaining patient’s health.

Outcome of tongue cancer and early diagnosis

Azam Fazlipur; Seid Abdolhosein Masomi

Apadana Journal of Clinical Research, Volume 2, Issue 1, Pages 22-24

Back ground and Objective:Oral cancer is primarily a disease of epithelial origin. The tongue is the most common site of oral cancer. The aim of this study was to determine the frequency of tongue cancer and signs, symptoms, clinical features, and site of lesions in addition to factors affected this cancer. 
Materials Methods and:Twenty eight medical records of patients who admitted for tongue cancer in head and neck surgery department, Ahvaz, Iran, during 2003-2007 years, were analyzed. Information included: age, gender, diagnosis time, lesion site, treatment and lymph node involvement.  
Results:The most patients (78.6%) were above 40 years, male were (72.2%) and female were (75%) in the above 40 years group .The most common lesion site was shown in Table 1. The median time from symptom presentation to diagnosis was 5.21 months. Early stage (I, II) and late stage (III, IV) were seen in (39.3%) and (60.7%) of patients. Primary lesion resection was performed for all of the patients and 16 cases (57.1%) underwent hemi or total gelossectomy and neck dissection. Recurrence was seen in seven cases (25%). Finally, in patients fallowed up, three cases  dead after 6-7 years. 
Conclusion: Gender does not influence prognosis in patients with oral tongue cancer, and in our study there was no correlation between sex and locoregional metastasis, thus on prognosis. Sixty-seven percent of patients were stage III and IV. In one study, 55% of patients were stage III and IV (16) that was  lower and in the other study there were (78.8%) that was higher(15,16) than this study.

Kimura’s disease of the parapharyngeal space: A clinical Case Study

Soheila Nikakhlagh; Nader Saki; Nepton Emad Mostufi

Apadana Journal of Clinical Research, Volume 2, Issue 1, Pages 25-29

Kimura's disease (KD) is a rare idiopathic condition of unknown etiology. The disease is characterized by swelling and lesions in the head and neck region, with involvement of the subcutaneous soft tissue, major salivary glands and lymph nodes. Patients almost always have eosinophilia and elevated serum immunoglobulin E levels. The diagnosis is established by biopsy. KD is usually self limiting. We report a case of Kimura’sdisease in a female and review the literature. Thepresent report highlights the need for increased awareness byall otolaryngologist of this clinical impressive entity.

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