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Articles by N. Saki
Total Records ( 7 ) for N. Saki
  S. Nikakhlagh , F. Rahim , G. Saki , A. Khosravi , H. Rekabi and N. Saki
  The aim of this retrospective study was investigating the anatomical position and causes of deep neck infections as well as detection of the relation of these variables with age and gender of the patients. In this study, patient with primary deep neck infections referred to ear, nose and throat ward during 1998 to 2009, were studied. After definite diagnosis of infection in head and neck spaces, the exact infection-causing agent and its complications were reviewed. Furthermore, age and sex of patients, co-existing symptoms, bacterial culture results causing the infection, disease background, presence or absence of addiction reviewed and information obtained in the questionnaire were recorded. For comparison Chi-square test was used. The most common cause of deep neck infection, was dental infection in 130 patients [(49%); 78, male; 52, female] followed by tonsillar infection in 44 patients (16.6%). The deep neck infection space types: simultaneous spaces includes sub-mandibular, sub-mental, sub-lingual (Ludwig's angina) in 59 patients (45.4%), then sub-mandibular space in 54 patients (41.5 %) and para-pharyngeal space in 32 patients (24.6%) were more common. Bacterial culture were done only in 50 patients, of which, 28 cases of bacterial growth occurred. The most common organism was streptococcus viridians in 18 patients. The deep neck infections are dangerous and life-threatening that often occurs due to dental infections. Therefore, it seems that promote public knowledge about oral health, to increase the need of dental and treatment centers, timely cure and manage the infections, which play an important role in reducing the deep neck infections.
  S. Nikakhlagh , N. Saki , R.A. Baghbdrani , F. Rahim and A.F.Z. Sheikh
  This analysis aimed to resolve the qualitative and quantitative microbiology of adenoid tissue in children with or without recurrent otitis media. Total 133 children (aged 1-9 years) due to adenoid infection that underwent adenoidectomy in Imam Khomeini Hospital between Jan 2008 to Dec 2009, were engaged in this study. Of the 133 children studied, 67 (50.36%) patients with recurrent otitis media and 66 (49.62%) patients in the group without recurrent otitis media were observed. The most common organisms isolated were Alpha-hemolytic streptococci, Heamophilus influenzae and Streptococcus pneumoniae. All the organisms were sensitive to Ciprofloxacin. Alpha-hemolytic Streptococci were the most common types that were isolated from 31 (23.3%) patients with recurrent otitis media and from 27 (20.3%) patients without recurrent otitis media. Out of 66 cases without recurrent otitis media, Alpha-hemolytic Streptococci were more common in age groups of 2 to 3 years [9 patients (6.76%)] and age groups of 4 and 5 years [9 patients (6.76%)]. Of 67 patients with recurrent otitis media, Alpha-hemolytic Streptococci were observed more in age group 4 to 5 years [8 patients (6%)]. As the result, Gram negative bacteria revealed significant differences among patients with and without recurrent otitis media (p<0.001). This study shows that the incidence of tonsil bacterial infection in children with recurrent otitis media is higher than children without recurrent otitis media.
  A. Ebadi , N. Saki , S. Nikakhlagh and F. Rahim
  The aim of this study was to evaluate the hemodynamic effects of adenoidectomy under general anesthesia from May 2004 to August 2008. In this retrospective study, 747 patients from 1 to 15 years of age were scheduled underwent general anesthesia with mixture of thiopentone with atracurium, fentanyl and glucose-free solutions, for adenoidectomy surgery compatible with the technique. The following factors were assessed: age, ASA physical status, gender, preoperative, during operation and post-operative pulse rate. A total of 747 adenoidectomy were performed during the study period. One hundred and twenty three cases (16.46%) had bradycardia during adenoidectomy. More population were under 3 years old (49.55%) and males (76.7%). Out of 123 cases that developed bradycardia, 80 cases without need to atropine treatment and only 43 cases that need intravenous Atropine for control of it. Adenoidectomy is the most common operations performed in children under general anesthesia. Adenoidectomy related incidents were the most common cause and were more likely to occur during the maintenance phase of anesthesia, due to the vagal stimulation. Bradycardia due to surgery stimulation happened very early and patients were able to recover from the administration of atropine.
  S. Nikakhlagh , F. Rahim , A. Khodadadi and N. Saki
  The aimed to evaluate the plasma level of Viral Capsid Antigen (VCA)-IgA and IgG in family members of Nasopharyngeal Carcinoma (NPC) patient in comparison to healthy controls in Southwestern of Iran. Total 60 NPC patients were compared with 60 sex, age and ethnically matched healthy controls. The obtained serum samples participants were tested for VCA-IgA, VCA-IgG, Early Antigen (EA), IgG, EBNA-IgG by ELIZA. There was no significant difference in all EBV antibodies between patients and control groups (p>0.05). The serological of three IgG antibody meant that 66.6% of two groups had the past infection; of NPC families 6.6% and from controls 1.6% were susceptible to infection with EBV. 3.3% in members of NPC families had reactivation infection. The sex of the patients in case group had positive correlation with VCA-IgA, EBNA-IgG, EA-IgG and negative correlation with VCA-IgG. The age of the patients also showed positive correlation with EBNA-IgG, EA-IgG, VCA-IgG and negative correlation with VCA-IgA. None of the EBV antibodies had significant correlation with age and sex of the patients. Because of no statistical difference between VCA-IgA mean titr from members of NPC families and controls, there is the not higher risk for members of NPC families to controls for NPC. The cause that had positive VCA-IgA also had positive EBNA-IgG and VCA-IgG. Anti-EBV antibodies can be used as diagnostic markers of NPC in Southwestern region of Iran. The combined use of two or more markers marginally improved the discriminating power but that has to take into consideration the higher costs.
  N. Saki , F. Rahim , S. Nickakhlagh , H. Dehdashti and G. Saki
  This retrospective study was conducted to define the relationship of between existences of the bronchial cysts and fistulas with gender of patients as well as review of literature. Data were collected from the records of total 149 patient files (63 male and 86 female) with including history of having branchial cleft anomalies (cysts and fistulas), that admitted in ENT Department of Imam Khomeini and Apadana Private Hospitals between 1998 and 2008. The analyzed characteristics include gender of patient, anatomical location and type the anomaly. The most frequent type of branchial cleft anomalies in cyst and fistula disorders was second branchial with the values of 85.71% in 21 male patients, 37.5% in total 48 patients; 76.19% in 42 male patients, 31.68% in total 101 patients and values of 62.97% in 27 patients, 35.41% in total 48 cases; 76.27% in 59 female patients, 44.55% in total 101 cases, respectively. There was no significant difference in frequency (p>0.05) between male and female patients as well as the locations of anomalies in neck. The overall frequency of the second branchial cleft in different types of disorders such as cysts and fistulas in Southwest region of Iran is the highest, which was similar to international findings. In summary, anatomical location and type of congenital neck masses help narrow the differential diagnosis.
  M. Davoodi , N. Saki , G. Saki and F. Rahim
  The aim of this research was to study of the relationship between anatomical variations of neurovascular structures adjacent sphenoid sinus with sex and position of appearance by using CT scan. In this retrospective study paranasal sinuses CT scan has been taken from 399 patients (210 male, 189 female) that referred to Imam Khomeini and Apadana Hospitals, Ahwaz, Iran. Furthermore, protrusion and dehiscence of Internal Carotid Artery (ICA), Maxillary Nerve (MN), Vidian Nerve (VN) and Optic Nerve (ON) into the sphenoid sinuses cavity have been investigated by using CT scan results. In 210 male patients the protrusion of interested variables were noticed as: ICA in 102 (48.5%) cases, ON in 80(38%) cases, MN in 74 (35.5%) cases, and VN in 60 (28.5%) cases, respectively. Also in 189 female patients group the protrusion of ICA, ON, MN, VN were noticed in 65 (34.3%), 66 (34.9%), 62 (32.8%) and 43 (22.7%) cases, respectively. The statistical analysis show significant difference (p = 0.001) of protrusion of ICA between male and female groups. In 210 male patients the dehiscence of ICA, ON, MN, VN were noticed in 82 (39%), 60 (28.5%), 60 (28.5%) and 66 (31.4%) cases, respectively. Also in 189 female patients the dehiscence of interested variables were noticed as: ICA in 85 (44.9 %), ON in 87 (46%), MN in 69 (36.5%), VN in 71 (37.5%) cases, respectively. The statistical analysis show significant difference (p = 0.03) of dehiscence of on variable in male and female groups. In order to increase the risk of intra-operative complications detailed preoperative investigation of neurovascular structures in sphenoid sinuses by use of CT scan images should be done properly.
  N. Saki , F. Rahim , S. Nikaghlagh and G. Saki
  Foreign body in the esophagus is a common emergency presentation. Foreign body aspirations comprise the majority of accidental deaths in childhood. Conventional x-ray imaging is usually obtained to aid the diagnosis during the initial evaluation. The decision for surgical intervention is usually based on a suspicious history, physical examination and radiologic findings. Rigid bronchoscopy is very effective procedure for inhaled foreign body removal with fewer complications. Proper use of diagnostic techniques provides a high degree of success and the treatment modality to be used depending on the type of the foreign body is mostly satisfactory. Live foreign body is a rare entity but common emergency presentation. The approach towards a patient with leech infestation comprises a thorough history and systematic examination followed by relevant investigations. However, there is considerable debate over the most appropriate treatment option for such patients. A living foreign body, or parasite, in the oro-or naso-pharynx is rare in Western countries, but in other parts of the world is a fairly common cause of problems. In the past 10 years 28 cases of foreign bodies due to infestation with leeches were treated in our departments. In all patients, 2-70 years old, the complaint was of recurrent episodes of epistaxis, blood-spitting, odynophagia, dysphagia, dyspnea and hemoptysis several days before admission. Examination showed a green-brown mass protruding from different naso- and oro-pharengeal areas, which is in every case, was a blood-engorged leech. Treatment consisted of removing the leech by applying a forceps to the middle of the leech's body and giving a quick pull. Bleeding ceased immediately after removal of the leech. This review aims to develop a comprehensive approach towards patients presenting with foreign body ingestion by developing clinical practice guidelines. These guidelines address not only the initial evaluation of the patient but also the various management alternatives and their advantages, limitations and applicability in various scenarios, based upon a review of the literature.
 
 
 
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