OBJECTIVE: To assess the effect of the patient's personality on his/her satisfaction with rhinoplasty. STUDY DESIGN: Personalities of 66 rhinoplasty candidates and 50 persons who served as control were evaluated using questionnaires. The results were validated using the Minnesota Multiphasic Personality Inventory (MMPI) test. Six months after the surgery, the rate of satisfaction was evaluated using another questionnaire based on a visual scale. The results were statistically analyzed to assess the relationship between personality traits and rate of satisfaction. RESULTS: The average age of participants was 25.3 ± 5.12 years; 79% were females. Obsessiveness was the most frequently noted personality trait; being antisocial was the least mentioned. Personality type and level of satisfaction were statistically related ( P < 0.001). The satisfaction rate of rhinoplasty was 55.1%. Candidates with “good faking” trait followed by those who were-“depressed” had the highest satisfaction. CONCLUSION: Identification of patient's personality can be a major factor influencing satisfaction results after rhinoplasty.

To investigate late toxic effects of sulfur mustard (SM) on the upper and lower respiratory tracts of Iranian veterans, 43 male veterans with more than 25% disability due to SM poisoning in 20−25 years after exposure, were studied. Direct laryngoscopy, pulmonary function tests, arterial blood gasses and pH, computed tomography of sinuses and lungs were investigated. The patients were aged 50.6 (8.9 SD) years with body mass index (BMI) of 26.6 (4.0) and disability of 53.2 (17.0%). The common findings of the upper respiratory tract were dysphonia (79.1%), post-nasal discharge (PND; 41.9%), lower larynx position (30.2%), limitation of vocal cords (25.6%) and mucosal inflammation of larynx (14.8%). The common lower respiratory diseases were diagnosed as chronic obstructive respiratory disease (84%), bronchiectasis (44.1%) and lung fibrosis (7.7%). Severity of disability was negatively correlated with BMI ( p = 0.032), spirometric parameters ( p < 0.001) and oxygen saturation ( p < 0.001), but positively correlated with low-density lipoproteins (LDL <0.010), blood pressure ( p = 0.008), diabetes mellitus ( p < 0.001), wheezing ( p = 0.0043) and bronchiectasis ( p < 0.001). Delayed toxic effects of SM in upper and lower respiratory tracts were mostly inflammatory and infectious complications, SM-induced disabilities were significantly correlated with risk factors such as diabetes mellitus, hypertension, LDL and lower-respiratory complications.

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Introduction: This study assessed the agreement of cone-beam computed tomography (CBCT) scan and sinus endoscopy findings and attempted to find a diagnostic accuracy of CBCT in patients with chronic rhinosinusitis (CRS). Methods: Forty-two patients with CRS referred to the Aria and 22 Bahman Hospitals in Mashhad, Iran, during the year 2011 were included in this cross-sectional study. Paranasal sinus CBCT scanning and endoscopy were performed in all patients. The sensitivity, specificity, positive and negative predictive values (PPV and NPV), and accuracy of CBCT were determined, and the agreement between CBCT and endoscopy findings was evaluated. Results: In most of our findings, except for infundibulum thickening, there was a strong agreement between CBCT and paranasal sinus endoscopy, with a kappa coefficient >0.80 (p < 0.05). The sensitivity, specificity, PPV, NPV, and accuracy of CBCT were >80% for most of the findings, except for infundibulum thickening and septal deviation. Conclusion: CBCT has nearly the same diagnostic accuracy as sinus endoscopy. The accuracy of CBCT scanning is high, and CBCT findings are well correlated with sinus endoscopy findings. Considering its high accuracy and lower costs and radiation doses, CBCT may be a proper alternative method for diagnostic sinus endoscopy in the assessment of CRS in patients with a contraindication for sinus endoscopy.

Carcinomas of the thyroid and nasopharynx in three patients with sulphur mustard exposure are reported for the first time.