The Egyptian Journal of Otolaryngology最新文献_第4页

Impact of intralesional botulinum toxin type A therapy on the keloid-related quality of life A型肉毒毒素治疗对瘢痕疙瘩相关生活质量的影响

The Egyptian Journal of Otolaryngology Pub Date : 2023-09-25 DOI: 10.1186/s43163-023-00509-w

Mervat Hamdino, Ghada Abdel-Badea Omar, Hala Elhaw, Maurizio Barbara, Haitham H. Elfarargy

{"title":"Impact of intralesional botulinum toxin type A therapy on the keloid-related quality of life","authors":"Mervat Hamdino, Ghada Abdel-Badea Omar, Hala Elhaw, Maurizio Barbara, Haitham H. Elfarargy","doi":"10.1186/s43163-023-00509-w","DOIUrl":"https://doi.org/10.1186/s43163-023-00509-w","url":null,"abstract":"Abstract Background We aimed to validate the translated Arabic version of the head and neck keloid quality-of-life (QOL) questionnaire. We also aimed to evaluate the impact of intralesional botulinum toxin type A (BTA) therapy on the keloid-related quality of life. Methods This prospective study included 140 patients with a keloid in the head and neck regions. They were divided into two groups. In Group A, the patient filled out the questionnaire four times: 1 week before the start of the treatment, the first injection (day using intralesional BTA, the second injection day, and 6 months after the first injection. In group B, the patients completed the questionnaires once before any keloid therapy (control group). Results Cronbach’s alpha between all questions was 0.921. The intra-class correlation coefficient between the first and second visits was above 0.8. In Group A, the total score in the first visit was 84.12 ± 5.86, while it was 34.87 ± 3.73 in the fourth fulfilment, with a statistically significant difference between them as the P -value was < 0.0001. The results of Group A differed significantly from the control group. Conclusions The translated Arabic version of the head and neck QOL questionnaire was reliable and reproducible. It has strong internal consistency, responsiveness, and validity. According to this study, intralesional BTA injection effectively improved the QOL of patients with keloids.","PeriodicalId":321335,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135864121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unilateral vocal cord palsy during COVID-19 era: a study from a tertiary care centre in India COVID-19时代单侧声带麻痹:来自印度三级保健中心的研究

The Egyptian Journal of Otolaryngology Pub Date : 2023-09-20 DOI: 10.1186/s43163-023-00501-4

Anoushka Sahai, Hetal Marfatia, Ashwinikumar Gaikwad, Anushka Agarwal, Kartik Narkhede, Mruganayani Jadhav, Sanket Katkar

{"title":"Unilateral vocal cord palsy during COVID-19 era: a study from a tertiary care centre in India","authors":"Anoushka Sahai, Hetal Marfatia, Ashwinikumar Gaikwad, Anushka Agarwal, Kartik Narkhede, Mruganayani Jadhav, Sanket Katkar","doi":"10.1186/s43163-023-00501-4","DOIUrl":"https://doi.org/10.1186/s43163-023-00501-4","url":null,"abstract":"Abstract Background In otolaryngology outpatient clinics, patients frequently present with unilateral vocal cord paralysis (UVCP). During the pandemic, various new protocols were designed to identify UVCP. An experienced otolaryngologist must conduct a thorough history-taking, examination, and investigation to determine the cause of UVCP. Objectives To evaluate various causes of UVCP during the pandemic. Methods Thirty patients with UVCP on 70-degree rigid endoscopy were studied. Detailed general and systemic examinations were done. All COVID-19 precautions were followed during the evaluation, and real-time reverse transcription-polymerase chain reaction was done before the endoscopic procedure. High-resolution computed tomography scan of skull base to mediastinum with contrast was performed for etiology. Patients were treated according to the standard protocols. Follow-up at 1, 3, and at 6 months was performed. Results The mean age was 42.3 ± 14.83 years. All the patients had presented with a change in voice. Twenty percent had UVCP post a surgical procedure. No cause could be found in 16.67% of patients. Five patients had succumbed to complications relating to their other prevailing conditions. At 6 months, 10 patients continued to have palsy, 9 showed paresis, and 6 showed complete mobility of the cords. Conclusion During the pandemic, diagnosing and following up such patients were a challenge. Investigating a cause of UVCP, the symptoms of which might be trivial at presentation, leads to discover a much sinister cause. UVCP in post-covid mucormycosis was an entity requiring multimodality management. Pandemic-induced restrictions lead to formulations of newer protocols for tackling this entity.","PeriodicalId":321335,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136375514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dysphagia handicap index and fibre-optic endoscopic examination of swallowing in assessment of dysphagia 吞咽困难障碍指数与纤维内镜下吞咽检查在吞咽困难评估中的应用

The Egyptian Journal of Otolaryngology Pub Date : 2023-09-15 DOI: 10.1186/s43163-023-00507-y

Nihal Hisham Abdelhamid, Iman Mohamed Elrouby

{"title":"Dysphagia handicap index and fibre-optic endoscopic examination of swallowing in assessment of dysphagia","authors":"Nihal Hisham Abdelhamid, Iman Mohamed Elrouby","doi":"10.1186/s43163-023-00507-y","DOIUrl":"https://doi.org/10.1186/s43163-023-00507-y","url":null,"abstract":"Abstract Oropharyngeal dysphagia is a swallowing disorder characterized by difficulty in transferring foods and/or liquids from the oral cavity to the stomach, affecting safe oral feeding. The main complications caused by dysphagia are tracheobronchial aspiration, pneumonia, malnutrition, and dehydration. Fibre-optic endoscopic evaluation of swallowing (FEES) is the first choice for studying swallowing disorders, it is easy to use, very well tolerated, allows bedside examination, and is economic. The dysphagia handicap index (DHI) is a 25-item self-administered questionnaire. It is a noninvasive tool measuring the handicapping effect of dysphagia in three aspects: the physical, functional, and emotional aspects of life, so a patient can rate the impact of his swallowing problem. The aim of this study is to test the correlation between DHI scores and fibre-optic endoscopic examination of swallowing and the ability of DHI to predict penetration and aspiration. For all patients, FEES examination was done as an assessment tool for dysphagia and DHI. Testing the correlation between DHI scores and penetration and aspiration on FEES results in a positive significant correlation, so we can apply DHI as a predictor of aspiration and penetration at medical centres where FEES examination is not accessible.","PeriodicalId":321335,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135396529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Angiofibroma of the maxillary sinus mimicking mucocele: a diagnostic challenge 模拟黏液囊肿的上颌窦血管纤维瘤:一个诊断挑战

The Egyptian Journal of Otolaryngology Pub Date : 2023-09-13 DOI: 10.1186/s43163-023-00504-1

Siew Chung Cheah, Eng Haw Lim, Rohaizam Japar, Murni Hartini Jais, Irfan Mohamad

引用次数: 0