RESUMEN
A 51-year-old man was found to have left ventricular masses by transthoracic echocardiography, one attached to the posterior wall of the left ventricle and another attached to the anterolateral wall of the left ventricle. He had several events of systemic embolization over the last few weeks. Surgical excision was recommended to avoid further embolization. The patient underwent successful resection of the left ventricular masses under cardiopulmonary bypass through the left atrial and transverse aortotomy approach. Histopathologic exam was diagnostic for organized thrombi
RESUMEN
Normal hearing is essential for development of appropriate academic and psychosocial skills in children. Many causes of hearing loss are preventable and curable. The aim of this study was to investigate the prevalence of types and probable causes of hearing loss in 15-5 years old hearing impaired children in Isfahan. In a cross-sectional descriptive study conducted during 2007-09, 628 children aged 5-15 years with hearing problems referring to Hearing clinics in Esfahan were studied. In children with hearing loss physical exam, audiometry and tympanometry was done. Detailed information about potential etiologies of hearing loss was obtained on a questionnaire. Later common types of hearing loss and probable risk factors were evaluated. Data analysis was done with Logistic regression and Chi2 tests and SPSS version 14. The most common types of hearing loss in this group were conductive [%60.83], followed by Sensorineural Hearing Loss [SNHL] [%30.89] and mixed [%8.28]. In children with conductive hearing loss the common cause was serous otitis media [%69.9], tympanic membrane [TM] perforation with or without otorrhea [%27.74], tympanosclerosis and ossicle fixation [%1.05], head and ear trauma [%1.05] and external ear deformity [% 0.26]. In children with SNHL the probable etiology was history of febrile Illness [meningitis, measles, rubella, mumps] [60.62%], severe neonatal hyperbilirubinemia [%13.4], exposure to noise [%9.79], exposure to gentamycin and other ototoxic drugs [%5.67], head and ear trauma [%2.57], maternal illness [%7.21], neonatal respiratory distress [%7.21], family history of hearing loss [%2.06] and unknown [%31.44]. In mixed hearing loss common etiology was Chronic Otitis Media [COM] [%78.85] and serous otitis media [%21.15]. Hearing loss is common in 5-8 years old children [%67.36] and common cause of hearing loss in this age group is inflammatory disease of the middle ear, which is easily preventable and curable. Specific attention is essential in this group
RESUMEN
In thalassemia major, extramedulary hematopoiesis results in bony deformities such as sever malocclusion in the head and neck, delayed pneumatization of paranasal sinuses and so on. Also, there are many systemic and iatrogenic problems that may affect the head and neck region. The purpose of this study was to determine otorhinolaryngologic manifestations as clinical diseases in thalassemia major patients. In a cross sectional study 190 thalassemia major patients were evaluated [by history and physical examination] for snoring, epistaxis, nasal obstruction, sinusitis, temporomandibular joint [TMJ] pain and TMJ dislocation, tinnitus and hearing loss. Radiological studies of the skull and paranasal sinuses and audiological tests were performed. The data was analyzed in different age groups with chi2 test. Relative frequency of some otorhinolaryngologic manifestations in this population was high. The differences between some clinical diseases as TMJ pain, and epistaxis in different age groups were statistically significant. Thalassemia major increases some clinical diseases in the Otolarygology field. With early diagnosis and early treatment many of them may be prevented