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Dr Mohammad Hossein Taziki, Mohammad Mehdi Taziki,
Volume 4, Issue 1 (5-2016)
Abstract

Background & Objective: Nasopharynx could be affected by many tumors types such as carcinoma and lymphoma. These tumors present specific manifestations and symptoms. In rare cases these tumors can present unusual symptoms and without careful attention could be missed. In the present article we have described a rare case of nasopharyngeal tumor which a mass in cheeks.

Case presentation: A 72 year-old female who presented inflammation and a mass in left cheek, nasal obstruction in right nose was referred to CTS department and coronal view of paransal sinus was performed. Because sinuses were intact, patient was treated with antibiotic and antiallergic drugs. In spite of medical therapies, cheek mass growth continued and CTS was repeated in coronal and axial view. In these images, a mass in left Nasopharynx and a polypoid mass in right nasal cavity were found. Patient was undergone endoscopic surgery and biopsies were done from those sites .Pathologist reported a nasal polyp in right nose and an undifferentiated carcinoma of left Nasopharynx and cheek. Immunohistochemistry investigation for differentiated tumor from lymphoma was done and confirmed the lymphoma. Patient was refereed to oncologist for further treatment.

Conclusion: In management of patient we should consider unusual presentation of nasopharyngeal lymphoma with cheek mass which is an unusual presentation of this tumor.


Mohammad Hossein Taziki,
Volume 8, Issue 3 (10-2020)
Abstract

Background and objective: Peritonsillar infection may emerge in two forms of abscess and cellulitis. Several factors could cause the disease, and effective treatments are required following the diagnosis. However, recurrence is likely after the treatment, threatening the health of the patients. Given the importance of this issue, the present study aimed to evaluate the cases of peritonsillar infection and some of the influential factors in 5th Azar Hospital of Gorgan, Iran during 2010-2017.
Material and Methods: This cross-sectional, descriptive-analytical study was conducted by assessing the medical files of the patients with peritonsillar infection. The incomplete files were completed via phone call with the patients. Data analysis was performed in SPSS version 16.
Results: In total, 93 patients were evaluated with the mean age of 32.31±14.59 years, and the majority of the patients were aged 20-30 years (33.31%). In terms of gender, 58.1% of the subjects were male, and the others (41.9%) were female. Peritonsillar abscess and peritonsillar cellulitis were detected in 76 (81.7%) and 17 cases (18.3%), respectively. In addition, significant correlations were observed between opium use, smoking habits, and abscess formation (P=0.014).
Conclusion: Considering the prevalence of peritonsillar infection and the possibility of recurrence after tonsillectomy, it is recommended that the necessary training be provided to the patients regarding the possibility of recurrence and surgery, especially upon discharge.

Mohammad Hossein Taziki,
Volume 8, Issue 4 (12-2020)
Abstract

Background and Objective: The eustachian tube (pharyngotympanic tube) connects the middle ear cavity to the nasopharynx, and its dysfunction leads to the accumulation of fluids in the middle ear and hearing loss. In such cases, irresponsiveness to pharmaceutical treatments urges myringotomy combined with ventilation tube insertion. Given the importance of the operation outcomes, the present study aimed to evaluate the effects of myringotomy and grafting on the patients with chronic serous otitis media (SOM) referring to 5th Azar Hospital in Gorgan, Iran during 1999-2011.
Material and Methods: This descriptive-analytical research was performed by reviewing the medical records of patients with SOM who underwent myringotomy and grafting and met the inclusion criteria. After the surgery, the patients were followed-up by the researcher, and those with available medical records who were followed-up for 1.5 years were enrolled in the study. The incomplete files were completed using the available documents in the medical statistics unit. The data of 94 patients were collected and analyzed in SPSS version 18.
Results: In total, 94 patients were assessed, including 50 males (53.2%) and 44 females (46.8%). Among 174 patients, 80 and 14 cases had bilateral and unilateral involvement, respectively. The highest frequency of the disease was observed in the age range of 5-10 years (n=51; 54.2%), and adenotonsillectomy was the most common concurrent surgery (n=83; 88.3%). After 18 months, 31 patients (32%) experienced hearing loss recurrence, four of whom had tympanic membrane perforation, four had otorrhea, and one had recurring SOM. In addition, seven out of 31 patients with hearing loss had severe allergies, while three, one, and one cases had a cleft palate, nasopharyngeal cancer, and cystic fibrosis, respectively.
Conclusion: According to the results, the follow-up of the patients with SOM is essential, especially in the cases with a known underlying cause, where further care is required due to the possibility of recurrence.


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