Mental health status before and after cosmetic rhinoplasty

Background and Objective: Patients with psychological disorders including depression, anxiety and patients with choronic psychological diseases are not suitable for cosmetic rhinoplasty.This study was done to evaluate the mental health status before and after cosmetic rhinoplasty

Methods: This quasi- experimental study was done on 100 women and men with mean age of 26.85 +/- 6.60 which candidated for cosmetic rhinoplasty. Subjects filled out psychological disorder symptom questianare [SCL-90-R] before and 3-6 months after cosmetic rhinoplasty

Results: Women had more symptom [P<0.05] of depression [7.24 versus 10.79], somatization [4.64 versus 7.35], obsessive-compulsive [5.67 versus 8.51], interpersonal sensitivity [5.48 versus 7.52], anxiety [5.26 versus 8.07], symptom distress index [0.58 versus 0.79] and totally positive symptoms [32.29 versus 41.06] in comparison with men. The main effect of time factor showed that there was not significant difference between symptoms of psychological disorder before and 3-6 months after cosmetic rhinoplasty. Interactional effect of gender and time was not significant for each psychological disorder symptom

Conclusion: The differences of deviation of psychological disorder symptoms, before cosmetic rhinoplasty and 3-6 months after cosmetic rhinoplasty were not significant. This finding can denotes existence of psychological symptoms before cosmetic surgery. Cosmetic surgery strengthens psychological symptoms in women the assessment and psychological intermediate with the aim of reducing psychological symptoms especially at time range of 3-6 months should be done

[Hearing loss in multiple sclerosis patients]

Multiple sclerosis is one of demyelinating disorder of CNS that is an uncommon cause of the sensorineural hearing loss. This study was done to determine the hearing loss in multiple sclerosis patients. This case-control study was performed on 60 [44 women, 16 men] multiple sclerosis patients and 38 [27 women, 11 men] normal subjects by pure tone audiometery, otoacustic emissions and auditory brainstem responses in Gilan provine, Iran during 2010-11. Data was analyzed by using SPSS-17, Chi-Square and Fischer tests. 12.5% of case and 3.9% of the control ears had abnormal pure tone audiometery [P<0.05]. The frequencies of abnormal HF-pure tone audiometery and two modalities of otoacustic emission did not show any significant differences in two groups. Abnormal autidory brainstem response of ears were observed in 20% and 9.2% of cases and controls, respectively [P<0.05]. 20% of case and 9.2% of the control ears had abnormal auditory brainstem response [P<0.05]. The absolute latencies of waves I, II and V had not significant differences between two groups. Inter peak latencies of I-III and III-V waves were observed in 10% and 11.7% in cases ears and 1.3% and zero percent in controls, respecticely. 6.7% of cases and 2.6% of control ears had retrocochlear abnormality. Hearing loss detected by pure tone audiometery and auditory brainstem response is more common in multiple sclerosis compared to normal population

[ relationship between allergic rhinitis and chronic otitis media]

Allergic inflammation in upper airways can act as a predisposing factor for infectious ear diseases. There are some evidences about the role of allergic rhinitis [AR] in chronic otitis media with effusion, but its role in establishing Chronic Supportive Otitis Media [CSOM] has not been clearly shown. To assess the relationship between allergic rhinitis and CSOM in patients referring to Amiralmomenin hospital, Rasht, Iran. 61 adult patients with established CSOM were considered as case group and 58 patients with minor head and neck trauma as control group, they were evaluated for the presence of allergic rhinitis. All case and control group were over 15 years old and underwent skin prick test for 23 common regional aeroallergens. Allergic rhinitis was defined with positive symptoms and signs of AR and positive skin prick test. Allergic rhinitis was diagnosed in 15[26.20%] and 8 [13.80%] of patients and controls, respectively [P=0.065].By logistic regression equation after corroding the age factor and the difference between two groups became significant [x2=0.026, OR=3.27, CI=1.15 - 6.57]. Indoor allergens, especially mites and molds, were the most prevalent allergens among both groups, but Outdoor allergens like grass pollen have a low prevalence. The prevalence of AR in the CSOM patients is more than the controls

[Comparison of transplantation of human bone marrow mesenchymal stem cells and their derived neural like- progenitors to spinal cord injury rat model with injection]

The aim of the present study was to investigate transplantation of MSCs and their-derived Neural like progenitors [NLPs] into the spinal cord after injury and evaluate the survival, migration, differentiation properties of these cells in Rat spinal cord. NLPs were derived from MSCs [induced by bFGF [Fibroblast growth factor b], hEGF [Human Epidermal growth factor] and RA [Retinoic Acid]], and analyzed by flowcytometry and immuno fluorescence staining. MSCs and NLPs injected into model animals vein and collagen scaffold implanted into injured site. Behavioral testing was performed weekly for 5 weeks. Improvement of transplanted animals evaluated after 5 weeks. Unfortunately, Substantial changes were not observed among the rats after the transplantation. Immuno fluorescence staining analysis using human nuclei and BrdU antibodies confirmed survival and migration of hMSCs and NLPs into the injury site. Transplanted cells were found to adjacent segments located rostro-caudaly to the injury epicenter. Our findings indicate that hMSCs and NLPs couldn't facilitate recovery from spinal cord injury. However, these cells can express specific neuronal markers in injured site. There are many questions to be answered regarding this mechanism

[Magnetic resonance imaging findings in sudden sensorineural hearing loss]

Sudden deafness [SD] is one of the major complaints of patients who referred to otolaryngology or neurology clinics. Most of the cases have idiopathic etiology; but some of them have other causes that must be diagnosed by appropriate diagnostic modalities such as Magnetic Resonance Imaging [MRI]. In this study, we showed the findings of MR Imaging in 32 patients with SD. Determination of MRI findings in sudden sensorineural hearing loss. We had performed gadolinium enhanced brain MRI, along Brainstem Auditory Evoked Potentials [BAEP] before treatment in 32 patients with SD referring to ENT Clinics of Kashani hospital in Isfahan and Amiralmomenin hospital in Rasht from August 2005 to September 2008 and were analyzed their results. Abnormal findings in MRI were reported in 6 cases [19.35%]. In 3 cases [2 females, 1 male] were found cerebello-pontine angle tumors in the same side of suggesting 8th cranial nerve schwannoma [acoustic neurinoma]. In one 45 years old male were found multiple hyperintense lesions in T2 and FLAIR that were hypo to isosignal in T1 and PD in pons, left cerebellar hemisphere and middle cerebellar peduncle that were more compatible with infectious, carcinomatous or lymphomatous processes and in 2 other cases, inflammatory process in mastoid regions, like mastoiditis were seen. Subcortical and periventricular lesions were found in one patient, compatible with migrainous changes and without any relating to SD. In one case MRI was normal but were found abnormal BAEP findings which indicatived an auditory neuropathy. In the investigation of the etiology of SD in patients, MRI is an invaluable instrument and can identify and clear up structural causes of sudden deafness

[Fracture of the tracheostomy tube and migration into the bronchus: a rare complication]

Tracheostomy is a surgical creation of opening secondly way into the trachea through the neck to establish an airway. Many complications have been described for this procedure. We encountered an unusual complication of tracheostomy which the metallic tracheostomy tube had been fractured and aspirated into right main bronchus of a 58-years-old man. The patient had no significant distress, and the broken piece was extracted by use of rigid bronchoscope. Breakage of tracheostomy tube may be a rare complication of tracheostomy procedure. We must be aware of this probability. Instruction the patient and his families and health workers is important also must be checked the patient regularly

[ case report of paranasal sinus Ewing's sarcoma. Al-Zuhra Hospital, Isfahan University of medical Siceences Iran]

Sarcomas, especially Ewing's sarcomas, are very rare in nose and paranasal sinuses [PNS]. Experiences about diagnosis and treatment of ewing's sarcoma in this region are very limited; and it seems, that a multidisciplinary team approach [surgical, chemo-radiotherapy] in management of this malignancy is needed. In this article, we have reported a 16-Year old boy with symptoms and signs of nose and PNS tumor [malignancy]. A tumor [in the right nostril and maxillo-ethmoidal sinuses] was resected by means of a facial degloving approach with preservation of orbital contents; and according to the histopathological report, the patient was referred to an oncology and chemo-radiotherapy center for further control