Egyptian Journal of Ear, Nose, Throat and Allied Sciences最新文献

{"title":"Prevalence of Olfactory and Gustatory Dysfunctions among Patients Infected with Novel Coronavirus Disease 2019 (COVID-19)","authors":"I. Badwy, S. Elwany, Essam A. Behairy, Ashraf Eldemerdash","doi":"10.21608/ejentas.2022.128929.1485","DOIUrl":"https://doi.org/10.21608/ejentas.2022.128929.1485","url":null,"abstract":"","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84591814","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}

{"title":"Assessment of vestibulo-spinal reflex function in Multiple sclerosis patients using Computerized Dynamic Posturography","authors":"Eman M. Osman, A. Dabbous, N. Shalaby, Alaa El-Din Abousetta, N. Hosni","doi":"10.21608/ejentas.2022.116301.1462","DOIUrl":"https://doi.org/10.21608/ejentas.2022.116301.1462","url":null,"abstract":"","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82528322","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}

{"title":"Assessment and Surgical Correction of The Long Nose","authors":"A. Abdelhamid, Hesham El-Sersy, Mohammed Abdelaleem, A. Rabie, T. El-Samny","doi":"10.21608/ejentas.2022.126316.1480","DOIUrl":"https://doi.org/10.21608/ejentas.2022.126316.1480","url":null,"abstract":"","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74358790","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}

{"title":"Long-term outcomes of otoplasty for correction of prominent ear","authors":"Heba Abd El-Rehem Abo El-Naga, H. Saleh, A. Hamdan","doi":"10.21608/ejentas.2022.158870.1550","DOIUrl":"https://doi.org/10.21608/ejentas.2022.158870.1550","url":null,"abstract":"Objective: To present our own experience in protruding ear correction using a composite technique (combination of sutures and sculpting technique). Patients and Methods: This retrospective case series study involves 60 patients treated for prominent ear deformity during the period from 2011 to 2022 using a composite technique (combination of sutures and sculpting technique). Long-term follow-up included evaluation of the aesthetic outcomes evaluated as helix-mastoid angle and helix-mastoid distance, patient satisfaction either roughly (as very satisfied, satisfied, or not satisfied); or using the patient outcomes of Surgery-head/neck (POS-head/ neck) questionnaire, and early and late complications. Results: The current study showed a highly significant improvement in the helix-mastoid angle, helix-mastoid distance, and POS score postoperatively ( p < 0.0001 for all). The mean operative duration was 100.83 minutes ± 8.93 SD. Forty-two patients (70%) were very satisfied, 17 patients (28.3%) were satisfied, and 1 patient (1.7%) was not satisfied and needed revision surgery. Regarding postoperative complications, only one patient (1.7%) developed early postoperative small hematoma managed by aspiration and tight bandaging of the ear. Late complications included irregularities and a sharp edge in 2(3.3%) patients, ill-defined superior crus in 2 (3.3%) patients, and asymmetry in 4(6.7%) patients. Conclusion: The used surgical approach in our study utilizing a combination of cartilage cutting, curtilage weakening with a diamond burr, and mattress sutures techniques achieved good cosmetic outcomes with good patient satisfaction and few early and late postoperative","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74185640","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}

{"title":"Fentanyl versus Dexmedetomidine as an Adjuvant to Propofol for Fiberoptic Intubation in Patients with Temporomandibular Joint Ankylosis","authors":"A. Hassan, Islam A. Amer","doi":"10.21608/ejentas.2021.64169.1320","DOIUrl":"https://doi.org/10.21608/ejentas.2021.64169.1320","url":null,"abstract":"Background: This study is done in Sohag University Hospitals, Faculty of medicine,sohag university as a collaboration between maxillofacial, head, and neck surgery unit in the general surgery department and anesthesia department.Fiberoptic intubation is the magic technique for difficult airway management in patients of difficult intubation especially in cases of temporomandibular joint ankylosis. Objective: This study aimed to compare the clinical efficacy and safety of premedication with (dexmedetomidine versus fentanyl ) added to propofol infusion for fiberoptic intubation. Patients and Methods: 60 adult patients aged from 20 to 50 years with temporomandibular joint ankylosis, allocated for gap arthroplasty operation. They were enrolled for this prospective randomized clinical trial with two equal groups with 30 patients in each group. Group (D) patients received dexmedetomidine (1μg/kg infused over 10 min ) followed by sedative propofol infusion and Group (F) patients were given fentanyl (2 mcg/kg over 10 min) infused followed by propofol infusion to achieve sedation. Condition achieved endoscopy, intubating conditions, and Stress response including (hemodynamic changes and cortisol level) postoperative complications were evaluated. Results : The fiberoptic intubation was successful with good satisfaction with endoscopy and intubating conditions in both groups. Dexmedetomidine as premedication has provided satisfactory conditions for fiberoptic intubation more than fentanyl group and hemodynamic stability response of fiberoptic intubation than the fentanyl group. Conclusion: Fiberoptic intubation was found to be easier with dexmedetomidine as premedication with a sedative infusion of propofol with complete amnesia of the procedure, with hemodynamic stability and good control of the airway.","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84980463","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}

{"title":"Assessment Protocol of Motor Programming Skills after Cerebrovascular Insults","authors":"Dalia Othman, A. Sheikhany, A. A. Abdel Hady, Omnia Z. Elshebl","doi":"10.21608/ejentas.2021.65603.1323","DOIUrl":"https://doi.org/10.21608/ejentas.2021.65603.1323","url":null,"abstract":"Background: Stroke causes a greater range of disabilities than any other condition that affect the motor system, communication, urinary system and all other systems of the body. Objective : Aim was to devise a holistic multidimensional battery for assessment of motor programming skills in patients with established cerebrovascular insults and correlate it with quality of life of those patients. Patients and Methods : An analytical cross-sectional study carried out on 116 adults attended the phoniatric outpatient clinic in Kasr Al Aini and Benha university hospitals from October 2016 to July 2018divided into group 1 which included 58 post stroke adults experienced cerebrovascular insults of more than 6 months and group 2 included 58 normal adults as a control group. The two groups were subjected to the interview and personal history, modified comprehensive aphasia test, assessment protocol of some motor programming skills. Results : There was a highly significant difference between both groups regarding sub-items and total score of limb apraxia except for pantomime intransitive sub-item. A significant difference regarding sub-items and total score of ideational apraxia, scores of all sub-items and total score of ideomotor apraxia, all sub-items and total score of verbal apraxia, subitems and total score of buccofacial apraxia except for sub-item of soft palate and pharynx, all sub-items and total score of constructional apraxia, sub-items and total score of dressing apraxia and swallowing apraxiascore as shown in the observational checklist. Conclusion : Apraxia is a common finding after cerebrovascular insults (CVI) which mainly presents with aphasia and/or dysarthria.","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86025493","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}

{"title":"Comorbid Psychiatric Symptoms in Childhood Stutterers: An Egyptian Sample","authors":"Reham Ahmed Fahiem, Amal Mohamed Hamad, Dina Y. Elalfy","doi":"10.21608/ejentas.2021.75098.1361","DOIUrl":"https://doi.org/10.21608/ejentas.2021.75098.1361","url":null,"abstract":"Introduction: Stuttering is a fluency disorder in which an individual can produce speech effortlessly and automatically and it is seriously compromised. Although the spontaneous recovery rate is high in children, stuttering will become an intractable problem for some of them. In Egypt, it occurs at the Prevalence of 0.290.55%. Stuttering is one of the speech disorders which is characterized by developmental histories often marked by bullying, poor peer relationships, and many negative social interactions. Therefore, it is clear that stuttering carries a significant risk of comorbid psychiatric symptoms; these psychiatric symptoms appear in children and persist into adulthood. The theories behind stuttering and mental health disorders are complex. Aim: The current study aimed to determine comorbid psychiatric symptoms in stutterers. Patients and Methods: A cross-sectional study was done on fortyseven stutterers. They were classified into three groups: children group: their age ranged 6 9.7 years (7.4 ± 1.3), preadolescents group: their age ranged 10 11.8 years (10.6 ± 0.6) and adolescents group: their age ranged 13.117.2 years (15.1 ± 1.5), who were diagnosed with stuttering. Child Behavior Checklist (CBCL) and Arabic Stuttering Severity Instrument (ASSI) were applied to all of them. Results: Comorbid psychiatric symptoms were associated with stuttering. It was found that psychiatric co-morbidities aggravated the stuttering severity. These psychiatric symptoms appeared in children, preadolescents and became more prominent in adolescents. Conclusion: The current study demonstrated stuttering as a heterogeneous group of disorders. Cognitive behavior therapy (CBT) is mandatory for stutterers in addition to the ordinary management program, which includes speech assessment and intervention. On the other hand, CBT should be used as a prophylactic therapy in stutterers without comorbid psychiatric symptoms.","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87809320","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}

{"title":"The outcome of the Accent method of voice therapy as an initial treatment of patients with benign vocal fold lesions","authors":"Yossra Sallam, Iman ElRouby","doi":"10.21608/ejentas.2022.139905.1515","DOIUrl":"https://doi.org/10.21608/ejentas.2022.139905.1515","url":null,"abstract":"Objectives: This study was conducted to assess the outcome of the use of the Accent method of voice therapy as an initial approach for patients with benign vocal fold lesions. Patients and Methods: This experimental prospective study was conducted on 30 patients (10 females and 20 males), aged 18 - 60 years (mean age: 40.6) with benign vocal fold lesions. Auditory perceptual analysis, videolaryngoscopic examination of the larynx, acoustic analysis and Voice handicap index (VHI) were performed for all patients before and after voice therapy. Results: Auditory perceptual assessment and voice handicap index (VHI) done for patients with benign vocal fold lesions before and after voice therapy revealed significant improvement ( p value 0.003 : p value 0.000 respectively). The acoustic parameters for the different group of benign vocal fold lesions pre-therapy in comparison to the acoustic values post voice therapy revealed significant improvement in the fundamental frequency ( p value >0.001 ). Videostroboscopic examination revealed complete recovery in 6 cases of vocal fold nodules, mild improvement of 5 cases of vocal fold polyp with complete cure of one case. There was mild improvement of all cases of vocal fold cysts, contact granuloma and Reinke’s edema without complete cure except for complete cure of two cases of Reinke’s edema. Conclusion: The Accent method of voice therapy may lead to an improvement in the perceived voice quality in some patients with benign vocal fold lesions, and this could make surgical intervention unnecessary.","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87040715","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}

{"title":"Application of Leukocyte and platelet-rich fibrin as a sealing material in endoscopic reconstruction of spontaneous CSF leaks","authors":"A. Ibrahim, Z. Mandour, Reham A. Abo Elwafa, M. Abdelnaby, Ahmed Yoneis","doi":"10.21608/ejentas.2022.112908.1452","DOIUrl":"https://doi.org/10.21608/ejentas.2022.112908.1452","url":null,"abstract":"Objective: Different materials are used to repair skull base defects. Free grafts such as nasal mucoperiosteum, fascia lata, fascia temporalis, and adipose tissue are commonly employed and have satisfactory results. However, free grafts, particularly extra-nasal tissues implanted overlay, are usually not entirely integrated, resulting in excessive nasal crusting and patient discomfort in the postoperative months. We attempted in our study to use Leukocyte- and platelet-rich fibrin (L-PRF) membranes in skull base defect reconstruction. Patients and Methods: This prospective controlled study was conducted on 42 patients with spontaneous CSF rhinorrhea who were randomly divided into 2 groups according to the materials used in skull base reconstruction. In group A, the defects were repaired by L-PRF membranes, fascia lata, and mucosal graft while fascia lata and mucosal graft were only used in group B. Results: There was no statistically significant difference between the two groups regarding the early CSF leak. On the other hand, there was a difference related to the postoperative sinonasal crusting which shows a statistical significance. Conclusion: L-PRF membrane was found to be a good sealing material in the repair of CSF leak as it encourages the healing of surrounding tissues and minimizes sinonasal morbidities such as severe crust formation.","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86452212","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}

{"title":"Effects of Fixed Labial Orthodontic Appliances on Oral Functions in Arabic Speaking Children","authors":"E. Saad, Ayman Amer, S. Hammad, T. Abou-Elsaad","doi":"10.21608/ejentas.2022.113388.1456","DOIUrl":"https://doi.org/10.21608/ejentas.2022.113388.1456","url":null,"abstract":"Phoniatric Unit, ORL Department, 1Damietta Specialized Hospital, Damietta, 2Faculty of Medicine, Mansoura University, 3Department of Orthodontic, Faculty of Dentistry, Mansoura University, Egypt. ABSTRACT Background: Fixed orthodontic Appliances can change oral functions regarding chewing, swallowing, dietary habits, and speech during the early stages of orthodontic therapy. Objective: This study aimed to explore the impact of fixed labial orthodontic appliances on speech sound production and the oral phase of swallowing in Arabic-speaking Egyptian children in order to raise the patient’s awareness about the expected outcomes of this line of therapy. Patients and Methods: The study was conducted on 14 children aged 6-18 years of both genders undergoing orthodontic treatment at the Orthodontic Department, Faculty of Dentistry, Mansoura University. The study excluded children with extracted teeth, faulty oral habits related to orthodontic deformity, previous orthodontic treatment, cleft palate, neurological disorders, or delayed language development. The patients were subjected to full vocal tract examination and subjective language evaluation. Then bedside swallowing and chewing evaluation of all consistencies and speech sound evaluation were done before fixed labial orthodontic treatment, after one week and after one month. Results: Fixed labial orthodontics affected chewing as regards chewing speed, chewing duration and led to chewing discomfort and chewing sialorrhea. They also caused certain food restrictions and bad mouth odor. Swallowing evaluation parameters revealed a significant increase in the presence of oral residue with solids and semisolids. Fixed labial orthodontics affected anterior fricatives (/s/,/z/,/s/,/z/ and /ʃ,/f/), lingo-alveolars (/t/,/t/,/d/,/d/,/l/ and /n (/and bilabials (/b/ and /m/) but did not reach significance after one week and then starts to improve after one month. Conclusion: Fixed labial orthodontics affect oral functions, especially in the early stages of treatment.","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"98 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80555020","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}