ABSTRACT
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
ABSTRACT
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
ABSTRACT
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
ABSTRACT
Pharyngocutaneous fistula is a serious complication after total laryngectomy. The reported incidence varies from 1% to 50%. There is still no agreement regarding when to begin oral feeding after total laryngectomy. The aim of this study was to demonstrate the safety of early oral feeding after total laryngectomy. Materials and In a prospective study, patients who underwent total laryngectomy were randomly divided into either the oral feeding or the nasogastric tube [NGT] groups. For patients in the oral feeding group, feeding was initiated orally with a clear liquid diet on the third postoperative day, whereas patients in the nasogastric tube group were fed through NGT and received nothing orally until the seventh postoperative day. Between September 2002 and October 2006, 25 patients were studied in this trial. There were 13 patients [52%] in the oral feeding group and 12 patients [48%] in the NGT group. Their ages ranged from 49 to 77 years [mean 66.07 +/- 7.22 and 63.83 +/- 7.58 years in oral feeding and NGT groups, respectively]. Mann-Whitney U and Chi-square tests showed that differences between the two groups were not statistically significant with regard to age, tumor location and tumor stage. One case of fistula occurred in each group. Our results indicate that in a selected group of patients, it is possible to initiate oral feeding much earlier in the postoperative period than what was formerly thought