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Search Results: 1 - 10 of 2536 matches for " Mehdi Bakhshaee "
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Tip Graft and Columellar Strut Using Dorsal Osseocartilaginous Hump
Ebrahim Karimi,Mehdi Bakhshaee
Iranian Journal of Medical Sciences , 2010,
Abstract: Background: Although, different grafts are used for nasal tipplasty in cases with under projected or ill defined tip, the selectionof a graft material, which provides sufficient amount oftissue with least donor site morbidity and low recipient sitecomplication is challenging. The objectives of the presentstudy were to examine the usefulness of cartilaginous dorsumas a proper material for tip graft, and to introduce the cartilaginousdorsum as an acceptable material for columellar strut.Methods: Fifty six (18 males and 38 females) patients wereoperated for augmentation tip plasty and hump reduction from2004 to 2008. The tailored cartilaginous or ostecartilaginousdorsum was used as a tip graft or columellar strut in 35 and 21cases, respectively. The cartilaginous framework was exposedusing open or close rhinoplasty approach in 41 and 15 cases,respectively. The patients were followed for 12- 36 months.Cosmetic outcomes and patients' satisfaction were obtainedusing qualitative measures.Results: The percentage of patients with very improved, improved,unchanged or unacceptable aesthetic outcome were39.29%, 50%, 3.57% and 7.14%, respectively. Moreover, thepercentages of very satisfied, satisfied, indifferent and unsatisfiedpatients were 66%, 18%, 9%, and 7%, respectively.Conclusion: The procedure provides a well-defined nasal tipwith no evidence of bifidity, angularity, or cartilage graft visibilityand displacement. The use of dorsal osteocartilaginousgraft offers outstanding advantages including ease of harvest,mould, fix, and low resorption.
An Airway which Facilitates intubation with a Fiberoptic Laryngoscope
Ali Reza Bameshki,Mehdi Bakhshaee
Iranian Journal of Otorhinolaryngology , 2010,
Periorbital Ecchymosis and Subconjunctival Hemorrhage following Ear Surgery
Mohsen Rajati,Mehdi Bakhshaee,Kamran Khazaeni
ISRN Otolaryngology , 2013, DOI: 10.1155/2013/791068
Abstract: Objective. To evaluate the occurrence of two periorbital complications of surgery for Chronic Suppurative Otitis Media (CSOM) and discuss the potential pathophysiologic mechanisms. Materials and Methods. This is a retrospective review of the CSOM surgeries performed between Oct, 2005, and Jan, 2011, in our hospital. The early postoperative conditions of the patients were scrutinized to identify periorbital ecchymosis and subconjunctival hemorrhage. Results. Eight cases out of 756 patients were noted to have periorbital ecchymosis, and two of the patients also had simultaneous subconjunctival hemorrhage. All cases in which the complications occurred had undergone tympanoplasty, and in three patients mastoidectomy had also been performed. The age of the affected patients ranged from 24 to 70 years old. In all of them the condition ensued the day after the surgery and became better within 5 to 10 days. Complete recovery took approximately 1 month. Conclusion. Periorbital ecchymosis and subconjunctival hemorrhage are rare but safe complications of ear surgeries. The conditions are self-limiting and no management is necessary. 1. Introduction Chronic Suppurative Otitis Media (CSOM) is a fairly common disease, and it is usually managed with surgery. In most otology wards the most common surgical procedures are those performed on patients with CSOM and, like any other medical intervention, complications can happen. These complications include those related to anesthesia, as well as otologic and intracranial complications. Problems related to the skin and wound healing such as infection, hematoma, and dehiscence are considered minor complications in CSOM surgeries. There have been various case reports on rare, out of the ordinary mishaps, in these surgeries. Here, we describe periorbital ecchymosis with or without subconjunctival hemorrhage as a rather rare complication of ear surgeries. Although a familiar condition in nose and sinus operations to the extent of our knowledge, periorbital problems in otologic surgeries were first brought up by Rudnick et al. who described 4 cases of periorbital edema and cellulitis in 97 patients with cochlear implants [1]. Herein, we discuss periorbital ecchymosis, which is a more complex condition compared to edema and/or erythema of the orbital area. 2. Materials and Methods This is a retrospective review of the occurrence of periorbital ecchymosis and/or subconjunctival hemorrhage as a complication following ear surgeries including tympanoplasty with or without mastoidectomy in our university hospital, which is a tertiary
Bilateral Kuttner Tumor of Submandibular Glands: A Case Report
Mohammad Sadeghi,Mehdi Bakhshaee,Hamed Emami,Mehdi Farzadnia
Iranian Journal of Otorhinolaryngology , 2010,
Abstract: Introduction: Chronic sclerosing sialadenitis is a relatively uncommon disorder of the salivary gland. Because of its clinical similarity to a salivary gland neoplasm, this condition has been known as Kuttner tumor and is classified as a tumorlike lesion. Case Report: This is the first reported case of bilateral Kuttner tumor of the submandibular glands in Iran. It was initially diagnosed as a primary submandibular gland neoplasm whereas histological findings showed chronic sialadenitis. Excision of such masses is the treatment of choice.
The Nasal Smear for Eosinophils, Its Value, and Its Relation to Nasal Mucosal Eosinophilia in Allergic Rhinitis
Mehdi Bakhshaee,Mohammad Fereidouni,Mehdi Farzadnia,Abdol-Reza Varasteh
Iranian Journal of Otorhinolaryngology , 2010,
Abstract: Introduction: There is no single test as a gold standard for the diagnosis of allergic rhinitis (AR). The aim of this study was to assess the usefulness and validity of nasal smear as a quick, easy and inexpensive diagnostic method for diagnosis of allergic rhinitis. Materials and Methods: This study was conducted in a university hospital setting. Nasal smears were taken from 39 patients with a clinical history of nasal allergy and a positive skin prick test to at least one aeroallergen as well as 26 controls without any history and negative test. Biopsy specimens from the inferior turbinate as well as nasal smears of 19 cases including 9 patients and 10 controls with the same criteria were taken. Nasal smears and biopsy slides were stained with Giemsa and Hematoxilin-Eosin and were examined blindly by two separate pathologists. Results: Fifty one percents of the patients and 11.5% of the controls showed eosinophilia in their nasal smear (≥10% eosinophils, P=0.001). The sensitivity of nasal eosinophil count as a diagnostic test for AR was 51.3% with a specificity of 88.5%, a positive predictive value of 87% and a negative predictive value of 54%. Eosinophilia in nasal biopsies was found in 44% and 30% of allergic patients and controls respectively. There was no significant correlation between symptoms or positive skin tests with either smear eosinophilia or tissue eosinophilia. Conclusion: Evaluation of eosinophils in nasal smear is an insensitive but fairly specific test for the diagnosis of allergic rhinitis. It seems that the nasal secretions and nasal tissue represent two distinct cellular compartments.
Audiometry and ossicular condition in chronic otitis media
mohsen Rajati Haghi,Mohamad Mahdi Ghasemi,Mehdi Bakhshaee,Atefeh Taghati
Iranian Journal of Otorhinolaryngology , 2009,
Abstract: Introduction: Ossicular chain injury is one of the most common causes of hearing loss in chronic otitis media (COM). Although definite diagnosis of ossicular discontinuity is made intraoperatively, preoperative determination of ossicular chain injury will help the surgeon decide about reconstruction options and hearing prognosis of the patient. In this study we compared preoperative pure tone audiometry (PTA) findings of COM patients with the ossicular condition determined during surgery. Materials and Methods: 97 Patients with COM who underwent ear surgery for the first time were included in the study. A checklist of preoperative clinical findings, audiometric parameters and intraoperative findings was filled out for all patients. Results: Mean amount of Air-Bone Gap (ABG), Bone Conduction threshold (BC) and Air Conduction threshold (AC) of 97 Patients were 35.17, 13.13 and 48.30 respectively. In ears with or without cholesteatoma, granulation tissue, or otorrhea, mean of AC, BC, and ABG were not significantly different. In ossicular erosion and discontinuity (OD), mean of AC and BC thresholds increased significantly but ABG didn’t change significantly. Conclusion: According to the results of this study, in preoperative assessment of COM patients to predict ossicular condition we recommend considering AC, BC and ABG levels together instead of using ABG alone as is routine in our daily practice.
Nasal Septum Perforation due to Methamphetamine abuse
Mehdi Bakhshaee,Ehsan Khadivi,Masoud Naseri Sadr,Fereshteh Esmatinia
Iranian Journal of Otorhinolaryngology , 2012,
Abstract: Introduction: Spontaneous Perforation of the nasal septum is an uncommon condition. Nasal inhalation of substances such as cocaine has long been linked to this Perforation. Case Report: This report describes the case of a 46-year-old woman who was addicted to methamphetamine and who presented with perforation of the nasal septum.This is the first reported case of nasal septal necrosis linked to nasal inhalation of methamphetamine. Conclusions: Patient history and assurance regardingillegal drug consumption and abuse is a key point for fast and accurate diagnosis. The pathophysiology of drug-induced sinunasal disease and a review of the literature are also presented.
A Penetrating Pellet Jeopardizing Internal Carotid Artery
Mohsen Rajati,Mehdi Bakhshaee,Ehsan Khadivi,Mostafa Nasrollahi
Iranian Journal of Otorhinolaryngology , 2011,
Hair Color and Hearing Loss: A Survey in a Group of Military Men
Amir Hossain Ghazizadeh,Mehdi Bakhshaee,Ebrahim Mahdavi,Rahman Movahhed
Iranian Journal of Otorhinolaryngology , 2011,
Abstract: Introduction: It has been shown that low levels of pigmentation increase susceptibility to noise-induced hearing loss in humans. For this reason, white populations develop more pronounced noise- induced hearing loss in comparison to black populations. Similarly, blue-eyed individuals exhibit greater temporary threshold shift than brown-eyed subjects; still, no strong correlation has been verified between the lightness of hair color and susceptibility to noise-induced hearing loss. This study was performed with the purpose of investigating a possible association between hair color and the degree of hearing loss due to firing noise. Study Design: Prospective observational study. Setting: A tertiary referral center with an accredited otorhinolaryngology-head & neck surgery department. Materials and Methods: A total of 57 military recruits were divided into two groups; light-colored (blond and light brown) and dark-colored hair (dark brown and black). The two groups were matched based on history of firing noise exposure (number of rounds; type of weapon) and the level of hearing loss at 2, 3, 4, 6 and 8 kHz sound frequencies was compared between them. Results: The results showed that the mean level of hearing loss of light-colored hair individuals (20.5±17dB) was significantly greater than that of dark-haired subjects (13.5±11dB), (P=0.023). Conclusion: The results indicate that hair color (blond versus black) can be used as an index for predicting susceptibility to noise-induced hearing loss in military environments. Therefore, based on the individual's hair color, upgraded hearing conservation programs are highly recommended.
Studying VEMP in Sudden Sensorineural Hearing Loss
Mohsen Rajati,Mehdi Bakhshaee,Ebrahim Naghavi,Faezeh Hoseinnejad
Iranian Journal of Otorhinolaryngology , 2011,
Abstract: Introduction: Sudden sensorineural hearing loss (SSNHL) has a prevalence of 10 in 100,000. Viral infections, vascular obstruction and rupture of the intracochlear membranes are supposed to be its most common etiologies. About 40% of patients experience vertigo or imbalance. The VEMP (vestibular evoked myogenic potentials) test is a known approach for detailed study of the labyrinth. The advantage of this test in comparison to other tests is the selected study of sacculus and sacculocochlear pathways. Materials and Methods: In this cross sectional study all patients with SSNHL diagnosis were admitted and underwent routine standard treatments and diagnostic tests. Clinical symptoms and paraclinic findings were recorded in especially designed forms and VEMP test was performed on admission. Results: Among the 43 cases with sudden sensorineural hearing loss, 14 (32.6%) had vertigo. Thirteen patients (39.2%) out of 43 had a negative (abnormal) VEMP, 6 of which (42.9%) had vertigo, while in the 30 VEMP positive (normal) cases, vertigo was detected in 8 (26.6%). Discussion: Saccular dysfunction seems to be an important finding in SSNHL. Although it is more prevalent in the patients with vertigo, it can be found in the non-dizzy cases. VEMP disturbance in SSNHL shows more extensive pathological involvement. Conclusion: In SSNHL the pathology isn’t limited to the cochlea and even in patients with no vestibular symptoms sacculus might be involved.
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