ORIGINAL_ARTICLE
Effect of Abdominal Massage on Gastric Residual Volume and Weight Gain of Premature Infants Admitted in NICU
Introduction: One of the most important problems of premature infants and main reason of hospitalization in neonatal intensive care unit (NICU) is their low birth weight. They need gavage for feeding which has several side effects. Thus choosing appropriate nutritional interventions in premature infants decreases gavage-related complications and results in lower duration of hospitalization. Methods: In this clinical trial study premature infants were randomly allocated to two intervention and control groups. Both groups underwent routine care. Intervention group infants received abdominal massage 15 minutes twice a day for five days by a trained physiotherapist using moisturizing lotion based on the method described in previous studies. Results: Eventually 28 infants (15 male and 13 female) with a mean gestational age of 32.43±1.16 weeks in intervention and 33±0.88 weeks in control group underwent analysis (p=0.15). Mean gastric residual volume was 0.71±1.13 ml in intervention and 1.43±1.55 ml in control group prior to intervention (p=0.2). It was 1.93±2.43 ml in intervention and 4.71±4.25 ml in control group in the fifth day of intervention (p=0.04). Before intervention, mean weight was 1830±330 gr in intervention and 1870±370 gr in control group (p=0.82). In the fifth day of intervention mean weight was 1871±323.15 gr in intervention group and 1767±347.24 gr in control group (p=0.001). Conclusion: In conclusion our findings suggest that abdominal massage efficiently decreases gastric residual volume and helps with weight gain in preterm infants.
https://www.canonjm.com/article_87285_e65ff0a5b18b0ce067882e7bab60d205.pdf
2019-06-01
49
54
10.30477/cjm.2019.87285
Abdominal Massage
Gastric Residual Volume
Premature Infant
Weight gain
Mahboobeh
Ghasemi
m.ghasemi@gmail.com
1
Department of nursing and midwifery, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran
AUTHOR
Bita
Najafian
dr.najafian@yahoo.com
2
Department of Pediatrics, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
Mohammad Hossein
Khosravi
dr.mhkhosravi@gmail.com
3
International Otorhinolaryngology Research Association (IORA), Universal Scientific Education and Research Network (USERN), Tehran, Iran.
AUTHOR
Mehrandokht
Nekavand
m.nekavand@srbiau.ac.ir
4
Department of nursing and midwifery, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran
LEAD_AUTHOR
1. Rezaeian M, Goujani R, Sheikh Fathollahi M, Vaziri Nejad R, Manshori A, Razi S. A Comparative Study on Prevalence of Preterm Birth and Low Birth Weight in Iranians and Afghans Races in Rafsanjan Nik-Nafs Hospital in 2011-2012. Journal of Rafsanjan University of Medical Sciences. 2014;13(1):67-82.
1
2. Golchin M, Rafati P, Taheri P, Nahavandinejad S. Effect of deep massage on increasing body weight in low birth weight infants. KAUMS Journal (FEYZ). 2010;14(1):46-50.
2
3. Valizadeh S, Hosseini MB, Karimijavan G. Effect of Oral Massage vs. Non-nutritive Sucking on Attainment of Independent Oral Feeding and Duration of Hospitalization in NICU: a Randomized Trial. Journal of hayat. 2014;20(1):38-47.
3
4. Amini E, Ebrahim B, Dehghan P, Fallahi M, Sedghi S, Amini F, et al. The effect of massage therapy on weight gain and calories intake in premature neonates: a brief report. Tehran University Medical Journal TUMS Publications. 2014;71(10):674-8.
4
5. Tekgündüz KŞ, Gürol A, Apay SE, Caner İ. Effect of abdomen massage for prevention of feeding intolerance in preterm infants. Italian journal of pediatrics. 2014;40(1):1.
5
6. Badiee Z, Samsamshariat S, Pourmorshed P. Massage Therapy by Mother or Nurse: Effect on Weight Gain in Premature Infants. Journal of Isfahan Medical School. 2011;29(144).
6
7. Törnhage C-J, Serenius F, Uvnäs-Moberg Κ, Lindberg Τ. Plasma somatostatin and cholecystokinin levels in preterm infants during kangaroo care with and without nasogastric tube-feeding. Journal of Pediatric Endocrinology and Metabolism. 1998;11(5):645-52.
7
8. Uysal N, Eser I, Akpinar H. The effect of abdominal massage on gastric residual volume: A randomized controlled trial. Gastroenterology Nursing. 2012;35(2):117-23.
8
9. Hosseinzadeh K, Azima S, Keshavarz T, Karamizadeh Z, Zare N. The Effects of Massage on the Process of Physical Growth among Low-Weight Neonates. Journal of Isfahan Medical School. 2012;29(165).
9
10. Saeedi R, Gholami M, Dinparvar S, Kabirian M. Transcutaneous Feeding: The effect of massage with coconut oil on weight gaining in preterm newborns. Iranian Red Crescent Medical Journal. 2011;2011(9, Sep):666-9.
10
11. Diego MA, Field T, Hernandez-Reif M. Vagal activity, gastric motility, and weight gain in massaged preterm neonates. The Journal of pediatrics. 2005;147(1):50-5.
11
12. Field T, Diego M, Hernandez-Reif M. Potential underlying mechanisms for greater weight gain in massaged preterm infants. Infant Behavior and Development. 2011;34(3):383-9.
12
13. Moyer CA, Rounds J, Hannum JW. A meta-analysis of massage therapy research. Psychological bulletin. 2004;130(1):3.
13
14. Harrington KL, Haskvitz EM. Managing a patient's constipation with physical therapy. Physical therapy. 2006;86(11):1511-9.
14
15. Liu Z, Sakakibara R, Odaka T, Uchiyama T, Yamamoto T, Ito T, et al. Mechanism of abdominal massage for difficult defecation in a patient with myelopathy (HAM/TSP). Journal of neurology. 2005;252(10):1280-2.
15
16. Lin C-H, Yang H-C, Cheng C-S, Yen C-E. Effects of infant massage on jaundiced neonates undergoing phototherapy. Italian journal of pediatrics. 2015;41(1):1.
16
ORIGINAL_ARTICLE
Comparing the Efficacy of Aminophylline and Caffeine in Treatment of Apnea of Prematurity; A Randomized Clinical Trial
Introduction: The apnea of prematurity usually occurs at the end of the first week of life in premature infants. In most cases, apnea of premature infants occurs when they reach the appropriate age to be born. The present study aims to compare the effectiveness and adverse effects of caffeine with aminophylline on apnea of prematurity in infants. Methods: The present clinical trial has been conducted on 64 premature infants. They were hospitalized in the NICU of Najmiyeh Hospital and divided into 2 groups. 30 infants received a loading dose of 5mg/kg aminophylline followed by a maintenance dose of 1.5mg/kg 3 times a day while 34 infants received a loading dose of 20 mg/kg caffeine followed by a maintenance dose of 5mg/kg once a day. Clinical symptoms and complications of infants, mechanical ventilation time, length of stay and frequency of apnea during treatment were gathered. Results: Eventually 64 premature infants were investigated (p=0.185). Mean of gestational age in infants who received caffeine (group A) was 31.27 weeks and in infants who received aminophylline (group B) was 31.07 weeks (p=0.806). The mean duration of mechanical ventilation was 2.78±1.43 days in group A infants. This was 2.57±1.53 in group B infants. .Mean duration of hospitalization was 18.42±17.18 days in group A and 14.50±9.86 days in group B (p=0. 582).there was no significant difference between caffeine and aminophylline in decreasing apnea attacks (p=0.428). Conclusion: There was no significant difference in decreasing apnea attacks, length of stay and mechanical ventilation time between the two groups.
https://www.canonjm.com/article_87296_a91ecab8e8c0d6dcbcd0e192a8f25820.pdf
2019-06-01
55
60
10.30477/cjm.2019.87296
Aminophylline
Caffeine
Apnea of prematurity
Bita
Najafian
dr.najafian@yahoo.com
1
Department of Pediatrics, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
Faezeh
Asadollahi
f.asadollahi@gmail.com
2
Student Research Committee (SRC), Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
Majid
Shohrati
m.shohrati@gmail.com
3
Chemical Injury Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
1. Goldsmith JP, Karotkin E, Suresh G, Keszler M. Assisted Ventilation of the Neonate E-Book: Elsevier Health Sciences; 2016.
1
2. Clark RH, Bloom BT, Spitzer AR, Gerstmann DR. Reported medication use in the neonatal intensive care unit: data from a large national data set. Pediatrics. 2006;117(6):1979-87.
2
3. Afsharpaiman S, Izadi M, Azudani R. Pleural effusion in children: A review article and literature review. Int J Med Rev. 2016;3(1):365-70.
3
4. Gomella TL, Cunningham MD, Eyal FG, Tuttle DJ. Neonatology: management, procedures, on-call problems, diseases, and drugs. 2013.
4
5. Najafian B, Karimi-Sari H, Khosravi MH, Nikjoo N, Amin S, Shohrati M. Comparison of efficacy and safety of two available natural surfactants in Iran, Curosurf and Survanta in treatment of neonatal respiratory distress syndrome: A randomized clinical trial. Contemporary clinical trials communications. 2016;3:55-9.
5
6. Najafian B, Khosravi MH, Setayesh F, Shohrati M. Comparing the effect of Inhaler N-acetyl cysteine and intravenous dexamethasone on respiratory distress syndrome in premature infants: a randomized clinical trial. Thrita. 2017;6(1).
6
7. Najafian B, Esmaeili B, Khosravi MH. Comparison of fentanyl and midazolam for the sedation of infants under mechanical ventilation; a randomized clinical trial. Hospital Practices and Research. 2017;2(3):63-7.
7
8. Najafian B, Eyvazloo H, Khosravi MH. Effects of Different Doses of Fentanyl on the Sedation of Infants Under Mechanical Ventilation; A Randomized Clinical Trial. Hospital Practices and Research. 2017;2(4):109-12.
8
9. Fanaroff AA., Martin RJ., Wlash MC. Neonatal-perinatal medicine. 10th ed. USA: Mosby; 2015.
9
10. DeWolfe CC. Apparent life-threatening event: a review. Pediatric Clinics. 2005;52(4):1127-46.
10
11. Steer PA, Henderson‐Smart DJ. Caffeine versus theophylline for apnea in preterm infants. Cochrane Database of Systematic Reviews. 1998(2).
11
12. Korvadiya M, Masand R, Purohit A. Study of comparative efficacy and adverse effects of caffeine and aminophylline in the management of apnea of prematurity: a randomized control trial. Journal of Evolution of Medical and Dental Sciences. 2014;3(23):6361-9.
12
13. Dobson NR, Patel RM. The role of caffeine in noninvasive respiratory support. Clinics in perinatology. 2016;43(4):773-82.
13
ORIGINAL_ARTICLE
Oropharyngel Extramedullary Plasmacytoma; A Case Report
Introduction: Solitary plasmacytoma is an uncommon type of plasma cell dyscrasia, which might occur in bone or soft tissue. Soft tissue solitary plasmacytoma or extramedullary plasmacytoma is less frequent than bone plasmacytoma. The most common location for extramedulary plasmacytoma is nasopharynx and paranasal sinuses. Case Presentation: Oropharyngeal plasmacytoma is very rare; hence we would like to share our experience. The patient was a 57 year-old man with 2 months history of dysphagia with a foreign body sensation. Total tumor resection was done and he received 40 Gy radiation. After 24 months of follow up the patient was well and disease free. Conclusion: according to the presented case, a plasmacytoma should be considered in patients with dysphagia and oropharyngeal lesion. These masses can be treated with surgical excision and radiotherapy.
https://www.canonjm.com/article_87962_691f4b1c6fbf46b149b0f8076a14745d.pdf
2019-06-01
61
64
10.30477/cjm.2019.87962
Plasmacytoma
oropharynx
radiotherapy
Extramedullary
Hamid
Nasrollahi
nasrolahihamid@yahoo.com
1
Assistant professor in Radiation Oncology, Department of Radiation Oncology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Roqayeh
Jahangard
jahangard.r95@gmail.com
2
Medical student, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
AUTHOR
Nazanin
Joukar
nazaninjoukar@gmail.com
3
Medical student, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
AUTHOR
Nadereh
Shamsolvaezin
naderehshamsolvaezin@gmail.com
4
Clinical and Anatomical Pathologist, Kowsar Hospital, Shiraz, Iran
AUTHOR
Mohammadreza
Sasani
mohammadrezasasani@gmail.com
5
Assistant professor in Radiology, Medical Imaging Research Center, Department of Radiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Mansour
Ansari
ansarim_1999@yahoo.com
6
Breast Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Niloofar
Ahmadloo
niloofarahmadloo@gmail.com
7
Associate professor in Radiation Oncology, Radiation Oncology Department, Department of Radiation Oncology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Hassan
Hamedi
hassanhamedi@gmail.com
8
Assistant professor in Radiation Oncology, Department of Radiation Oncology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Shapour
Omidvari
shapouromidvari@gmail.com
9
Professor in Radiation Oncology, Breast Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Ahmad
Mosalaei
ahmadmosalaei@gmail.com
10
Professor in Radiation Oncology, Shiraz Institute for Cancer Research, Shiraz, Iran
AUTHOR
1. Chang YL, Chen PY, Hung SH. Extramedullary plasmacytoma of the nasopharynx: A case report and review of the literature. Oncology letters. 2014;7(2):458-60.
1
2. Reed V, Shah J, Medeiros LJ, Ha CS, Mazloom A, Weber DM, et al. Solitary plasmacytomas: outcome and prognostic factors after definitive radiation therapy. Cancer. 2011;117(19):4468-74.
2
3. Sato H, Yoshimasu S, Okamoto I, Shimizu A, Katsube Y, Tanaka H, et al. Concomitant Extramedullary Plasmacytoma in the Oropharynx and Hypopharyngeal Squamous Cell Carcinoma. Case reports in otolaryngology. 2018;2018:1463218.
3
4. Tournier-Rangeard L, Lapeyre M, Graff-Caillaud P, Mege A, Dolivet G, Toussaint B, et al. Radiotherapy for solitary extramedullary plasmacytoma in the head-and-neck region: A dose greater than 45 Gy to the target volume improves the local control. International journal of radiation oncology, biology, physics. 2006;64(4):1013-7.
4
5. Yavas O, Altundag K, Sungur A. Extramedullary plasmacytoma of nasopharynx and larynx: synchronous presentation. American journal of hematology. 2004;75(4):264-5.
5
6. Ozsahin M, Tsang RW, Poortmans P, Belkacemi Y, Bolla M, Dincbas FO, et al. Outcomes and patterns of failure in solitary plasmacytoma: a multicenter Rare Cancer Network study of 258 patients. International journal of radiation oncology, biology, physics. 2006;64(1):210-7.
6
7. Krause S, Hillengass J, Goldschmidt H, Debus J, Neuhof D. Radiotherapy of solitary plasmacytoma. Annals of hematology. 2011;90(9):1093-7.
7
8. Moreau P, San Miguel J, Sonneveld P, Mateos MV, Zamagni E, Avet-Loiseau H, et al. Multiple myeloma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Annals of oncology : official journal of the European Society for Medical Oncology. 2017;28 (suppl_4):iv52-iv61.
8
9. Khademi B, Zandifar Z, Mohammadianpanah M, Hamedi SH, Razzaghi S, Mahdavi S, et al. Head and Neck Solitary Extramedullary Plasmacytoma. Journal of Oral Oncology. 2014.
9
10. Kalan A, Asare-Owusu L, Tariq M. Solitary extramedullary plasmacytoma of tonsil - a rare location. Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India. 2000;52(3):285-9.
10
ORIGINAL_ARTICLE
Prevalence of Infectious Complications after Cochlear Implantation Surgery among Iranian Children; Report from a Tertiary Hospital
Introduction: Cochlear implantation (CI) surgery is a choice treatment of bilateral profound hearing loss. The most common infectious complications are meningitis, otitis media, surgical site infection and mastoiditis. The aim of current study is to show the prevalence of infectious complications after CI surgery. Methods: In this cross-sectional study, all of the profoundly deaf patients who underwent CI surgery during two years from March 2015 to July 2017 entered to the study and were followed up for 6 months after surgery. All of the complications and documents were recorded in a pre-designed checklist. Results: Finally, 364 Patients were enrolled to the study. The mean(± SD) duration of surgery was 2.3±1.5 hours. The complications after surgery occurred in 30 (8.2%) cases. The most common complication after CI surgery was otitis media followed by surgical site infection, meningitis, and mastoiditis. Conclusion: We found that otitis media is the most prevalent infectious complication after CI surgery. This study showed a significant increase in incidence of otitis media in 4 to 5 year-old children in comparison with other age groups.
https://www.canonjm.com/article_89770_8fb399aac95ba0c177437aace9e1baed.pdf
2019-06-01
65
69
10.30477/cjm.2019.89770
Otitis Media
Cochlear Implantation
Infection
Epidemiology
Mohammad Sadegh
Bagheri-Baghdasht
1
Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
Saeed
Mirzaee
2
Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
Seyed Mohammad Javad
Hosseini
3
Molecular Biology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
Shahriar
Najafizadeh-Sari
shahryarnajafi@gmail.com
4
Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
1. Cohen NL, Hoffman RA, Stroschein M. Medical or surgical complications related to the Nucleus multichannel cochlear implant. The Annals of otology, rhinology & laryngology Supplement. 1987;135:8-13.
1
2. Cohen NL, Hoffman RA. Complications of cochlear implant surgery in adults and children. Annals of Otology, Rhinology & Laryngology. 1991;100(9):708-11.
2
3. Hampton S, Toner J. Belfast Cochlear Implant Centre; the surgical results of the first 100 implants. Revue de laryngologie-otologie-rhinologie. 2000;121(1):9.
3
4. Gibbin K, O’Donoghue G, Nikolopoulos T. Medical and surgical aspects of pediatric cochlear implantation. Cochlear Implants for Young Children London: Whurr. 2003:13-4.
4
5. Arnold W, Brockmeier SJ. Medical, surgical, and technical complications with the COMBI-40. The American journal of otology. 1997;18(6 Suppl):S67-8.
5
6. Nikolopoulos TP, O'Donoghue GM, Archbold S. Age at implantation: its importance in pediatric cochlear implantation. The Laryngoscope. 1999;109(4):595-9.
6
7. Robbins AM, Koch DB, Osberger MJ, Zimmerman-Phillips S, Kishon-Rabin L. EFFECT OF AGE AT IMPLANTATION ON AUDITORY-SKILL DEVELOPMENT IN INFANTS AND TODDLERS.
7
8. Govaerts PJ, De Beukelaer C, Daemers K, De Ceulaer G, Yperman M, Somers T, et al. Outcome of cochlear implantation at different ages from 0 to 6 years. Otology & Neurotology. 2002;23(6):885-90.
8
9. Lalani T, Sexton DJ, Tucci DL, Calderwood SB, Kaplan SL, Thorner AR. Cochlear implant infections. Up to date Waltham, MA: UptoDate. 2007.
9
10. Manrique M, Cervera‐Paz FJ, Huarte A, Molina M. Advantages of cochlear implantation in prelingual deaf children before 2 years of age when compared with later implantation. The Laryngoscope. 2004;114(8):1462-9.
10
11. Sampaio AL, Araújo MF, Oliveira CA. New criteria of indication and selection of patients to cochlear implant. International journal of otolaryngology. 2011;2011.
11
12. Kempf H-G, Johann K, Lenarz T. Complications in pediatric cochlear implant surgery. European archives of oto-rhino-laryngology. 1999;256(3):128-32.
12
13. Venail F, Sicard M, Piron JP, Levi A, Artieres F, Uziel A, et al. Reliability and complications of 500 consecutive cochlear implantations. Archives of Otolaryngology–Head & Neck Surgery. 2008;134(12):1276-81.
13
16. Kabelka, Zdenek, et al. "Bacterial infection complications in children with cochlear implants in the Czech Republic." International journal of pediatric otorhinolaryngology 74.5 (2010): 499-502.
14
17. Javia, Luv, et al. "Infectious complications and ventilation tubes in pediatric cochlear implant recipients." The Laryngoscope 126.7 (2016): 1671-1676.
15
18. Minovi, Amir, and Stefan Dazert. "Diseases of the middle ear in childhood." GMS current topics in otorhinolaryngology, head and neck surgery 13 (2014).
16
ORIGINAL_ARTICLE
Mechanism and Type of Ear Injuries among Iranian Veterans during Iraq-Iran War
Introduction: Determining distribution of war injuries and the related mechanisms could provide attitudes in order to lower risks and expenses of war injuries as well as mortality. Ear injuries are of a high importance among battle-related injuries because of their dramatic impressions on quality of life of militants. So we aimed to determine the mechanism and type of ear injuries among Iranian veterans during Iraq-Iran war. Methods: In this cross-sectional study 207 cases of Iranian veterans with ear injuries during the Iraq-Iran war have been evaluated retrospectively between June and September 2016. We included veterans with ear injuries in association or absence of other organs injuries, randomly. Frequency and mechanism of injuries were recorded as well as chief complaints of patients. Mean, standard deviation and percentages were determined by descriptive analysis. Results: Eventually 207 male veterans with mean age of 52.18±5.28 years were included in the study. Mean duration of war participation was 2.60±1.91 months. Shock wave was the most prevalent mechanism of injury with 202(97.6%) cases followed by direct bullet injury 3(1.4%) and blast injury (0.5%). Decreased hearing and vertigo were the most common (83%) chief complaint of patients followed by decreased hearing alone (56%) and tinnitus (2.9%). Conclusion: Our findings showed that decreased hearing is the most prevalent pathology among Iranian veterans with ear injuries during Iraq-Iran war. Tinnitus did not comprise a remarkable part of chief complaints. Also we found that shock wave is the most prevalent mechanism of ear injury.
https://www.canonjm.com/article_91742_421c0c56c7dd1a4c2c9336daf4a766d9.pdf
2019-06-01
70
72
10.30477/cjm.2019.91742
Tinnitus
Hearing loss
war
Iran
Iraq
Amir Hossein
Ghazaleh
1
Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
Zahra
Khosravi
khosravi.zhr@gmail.com
2
International Otorhinolaryngology Research Association (IORA), Universal Scientific Education and Research Network (USERN), Tehran, Iran
LEAD_AUTHOR
1. Breeze J, Cooper H, Pearson C, Henney S, Reid A. Ear injuries sustained by British service personnel subjected to blast trauma. The Journal of Laryngology & Otology. 2011;125(1):13-7.
1
2. Khosravi M, Akhavan A. Facial injuries in Iranian veterans during the Iraq–Iran war (1980–88): differences from recent conflicts. British journal of oral and maxillofacial surgery. 2015;53(10):949-52.
2
3. Hennocq Q, Bennedjaï A, Simon F, Testelin S, Devauchelle B, Tulasne J-F, et al. Maxillofacial surgery in wartime Middle-East: Paul Tessier’s missions to Iran. Journal of Cranio-Maxillofacial Surgery. 2019.
3
4. Dougherty AL, MacGregor AJ, Han PP, Viirre E, Heltemes KJ, Galarneau MR. Blast-related ear injuries among US military personnel. NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA, 2013.
4
5. Ritenour AE, Wickley A, Ritenour JS, Kriete BR, Blackbourne LH, Holcomb JB, et al. Tympanic membrane perforation and hearing loss from blast overpressure in Operation Enduring Freedom and Operation Iraqi Freedom wounded. Journal of Trauma and Acute Care Surgery. 2008;64(2):S174-S8.
5
ORIGINAL_ARTICLE
Simple Interrupted Sutures in Anastomosis of Tracheal Stenosis without Using Multiple Hemostats: Introducing a New Technique and Review of Articles
Introduction: Tracheal stenosis may have congenital or acquired causes. Depending on the severity of the stenosis and its symptoms, the right treatment is selected. Sometimes resection of the stenotic segment and anastomosis of the two ends is the therapeutic option. There are several techniques for anastomosis. Methods: In this article, while reviewing articles on how the sutures are used in the tracheal anastomosis, we explain the method applied in this study to use simple interrupted sutures without the use of multiple hemostats. Results: An adapted and simplified suturing technique is described which has been successfully implemented in 30 patients. Conclusion: End-to-end anastomosis using "simple interrupted sutures without using multiple hemostats", has minimal complexity and stress for the surgical group with similar results.
https://www.canonjm.com/article_91932_42a3f7b4f283207c9d698468ccb5cad7.pdf
2019-06-01
73
79
10.30477/cjm.2019.91932
Tracheal stenosis
Tracheal resection
End-to-end anastomosis
Tracheal suturing techniques
Farzad
Izadi
1
ENT and Head & Neck Research Center and Department, Hazrat Rasoul Akram Hospital, Iran University of Medical Science (IUMS), Tehran, Iran
AUTHOR
Aslan
Ahmadi
2
ENT and Head & Neck Research Center and Department, Hazrat Rasoul Akram Hospital, Iran University of Medical Science (IUMS), Tehran, Iran
AUTHOR
Masoud
Kazemi
3
ENT and Head & Neck Research Center and Department, Hazrat Rasoul Akram Hospital, Iran University of Medical Science (IUMS), Tehran, Iran
AUTHOR
Zahra
Sarafraz Zanjani
zahra.sarafraz@yahoo.com
4
Assistant Professor, Shahid Beheshti University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
Alessandro de Alarcon, et al. Laryngotracheal Stenosis-Definitions and Pathogenesis. Sataloff’s Comprehensive Textbook of Otolaryngology Head & Neck Surgery, Vol.4 Laryngology. Jaypee Brothers Medical Publishers (P) Ltd. 2016;ch68:844-8
1
Marc Nelson, et al. Pediatric Tracheal Anomalies. Cummings Otolaryngology Head and Neck Surgery, sixth edition, Vol.4. Elsevier Saunders. 2015;ch206:3171-82
2
Marc Nelson, et al. Pediatric Tracheal Anomalies. Cummings Otolaryngology Head and Neck Surgery, sixth edition, Vol.4. Elsevier Saunders. 2015;ch206:3176
3
Pearson F.G. et al. Tracheal Stenosis ComplicatingTracheostomy with Cuffed Tubes Clinical Experience and Observations From a Prospective Study. Arch Surg Vol.97 Sept 1968
4
Grillo H.C. 1984
5
Forster, E., Molé, L., and Fromes, R. Sténose trachéale annulaire serrée après trachéotomie. Résection du segment sténosé. Anastomose bout a bout. Guérison Mém Acad Chir. 1958; 84: 188–193
6
Kutlu CA and Goldstraw P. Tracheobronchial sleeve resection with the use of a continuous anastomosis: results of one hundred consecutive cases. J Thorac Cardiovasc Surg 1999; 117: 1112–1117.
7
Bayram AS, Erol MM, Salci H, Ozyigit O, Gorgul S and Gebitekin C. Basic interrupted versus continuous suturing techniques in bronchial anastomosis following sleeve lobectomy in dogs. Eur J Cardiothorac Surg 2007; 32:852–854
8
Aigner C, Jaksch P, Seebacher G, Neuhauser P, Marta G, Wisser W, et al. Single running suture—the new standard technique for bronchial anastomoses in lung transplantation. Eur J Cardiothorac Surg 2003; 23: 488–493.
9
Carrie M. Bush et. Al. New Technology Applications: Knotless Barbed Suture for Tracheal Resection Anastomosis. Laryngoscope, 122:1062–1066, 2012
10
Kirschbaum A. et. al. Initial Resistance of Carina Anastomoses with Increasing Tensile Stress: An ex vivo Model Comparing Different Suture Techniques. Eur Surg Res 2017;58:20–26
11
Behrend M. & Klempnauer J. Influence of Suture Material and Technique on End-to-End Reconstruction in Tracheal Surgery: An Experimental Study in Sheep. Eur Surg Res 2001;33:210–216
12
ORIGINAL_ARTICLE
Carcinoid Syndrome as Presentation of Gallbladder Carcinoid Tumor; A Case Report
Introduction: Neuroendocrine tumors are classified as rare tumors that are mostly seen in lung or gastrointestinal tract and can cause many specific sign and symptoms such as flushing, diarrhea, heart failure, tachcardia, emesis and bronchoconstriction. In this case, the tumor is located in gallbladder with classic presentations. Case presentation: A 59 year-old female attended to our clinic with nausea and vomiting, heartburn, weight loss and flushing. The patient’s ultrasound showed a hypo echo and heterogenic mass (24×36 mm) in the anterior wall of gallbladder which continued to the common hepatic duct and the CT scan reported a 40×21 mm mass like lesion in porto-hepatic area with pressure effect on distal of gallbladder and cystic duct suspicious for lymphadenopathy. The postoperative pathological findings were compatible with typical perineural carcinoid tumor. Conclusion: Carcinoid or neuroendocrine (NETs) tumors are a type of slow growing tumors that are typically originated from several places of the body and usually begin in gastrointestinal (GI) tract or lung. Carcinoid tumor is a rare GI tract disease which consists about 1% of GI tract tumors. The NETs of gallbladder are very rare. This is necessary for surgeons to consider rare types in order to conduct proper management for this condition.
https://www.canonjm.com/article_92075_26067c6e3f5ef703e678df8b94000b24.pdf
2019-06-01
80
83
10.30477/cjm.2019.92075
Carcinoid syndrome
Gallbladder cancer, Neuroendocrine carcinoma
Mehdi
Morshedi
1
Department of Surgery, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
Mohammad Javad
Babaie
dr.babaei_md@yahoo.com
2
Department of Surgery, Baqiyatallah University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
Mehdi
Pakravesh
3
Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
Hadi
Khoshmohabat
khoshmohabat@yahoo.com
4
Department of Surgery, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
Sina
Imanizadeh
5
Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
Shahriar
Najafizadeh-Sari
shahryarnajafi@gmail.com
6
Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
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