{"title":"Evaluation of the vestibulo-ocular reflex with the functional head impulse test in people with motion sickness","authors":"Kübra Binay-Bolat, Zehra Aydogan, Emre Ocak, Suna Tokgoz-Yilmaz","doi":"10.1186/s43163-024-00596-3","DOIUrl":"https://doi.org/10.1186/s43163-024-00596-3","url":null,"abstract":"In this study, we aimed to examine functional VOR values with and without optokinetic background stimulation in fHIT (functional head impulse test) in individuals with motion sickness. Forty-two individuals between the ages of 18–50 years were included in study. The lateral fHIT test was applied to the motion sickness group and the control group with and without dynamic optokinetic (OKN) background stimulation. In the control group, no significant difference was observed in the correct response percentages (% CA) for fHIT and OKN-fHIT for the right and left lateral canals (p > 0.05). In the MS group, a significant difference was observed when comparing fHIT and OKN-fHIT correct response percentages for the right and left lateral canals (p < 0.05). It has been observed that the optokinetic background triggers the disease in individuals with MS, and there is a decrease in the percentage of correct readings in the fHIT.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"2014 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140171331","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":"Auditory working memory measures in children with hearing impairment: a systematic review","authors":"Monisha Chandran, Devi Neelamegarajan","doi":"10.1186/s43163-024-00593-6","DOIUrl":"https://doi.org/10.1186/s43163-024-00593-6","url":null,"abstract":"Auditory working memory (AWM) is the process by which information is held in the brain for a brief duration of time until either it is employed to complete a task, deleted after a short period, or transferred to long-term memory. AWM deficits have been noticed even in children with milder hearing impairments. It is essential to incorporate AWM assessment as a part of the standard audiological battery to minimize the detrimental effects of working memory deficits. The present study systematically reviews the articles published between 2011–2021 regarding test tools available to assess AWM in children with hearing impairment and the efficiency of the same. An overview of the auditory working measures such as the forward and backward digit span test; digit span subtests of Wechsler Intelligence Scale for Children-III; non-word repetition; Illinois test of Psycholinguistic Skills-Forward Digit Span; Numbers reversed subtest from Woodcock-Johnson III Tests of Cognitive Abilities; and Word and non-word recall subtests of Working Memory Test Battery-Children; Number recall, and Word order task from Kaufman Assessment Battery for Children II are provided in detail. The present systematic review also provides an overview of the efficiency of the assessment tools by discussing the correlation between the findings obtained in memory tasks with other auditory, verbal, and visual measures. The working memory performance in children with hearing impairment using a hearing aid or cochlear implant has been found to be affected but varies in nature depending on the degree of hearing loss.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140156777","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}
Ahmed R. Ali, Gamal I. Yousef, Mohammed A. Hussein, Mahmoud I. Elawamry
{"title":"Comparative study between surgical partial inferior nasal turbinectomy and coblation assisted inferior turbinate reduction in cases of inferior nasal turbinate hypertrophy","authors":"Ahmed R. Ali, Gamal I. Yousef, Mohammed A. Hussein, Mahmoud I. Elawamry","doi":"10.1186/s43163-024-00585-6","DOIUrl":"https://doi.org/10.1186/s43163-024-00585-6","url":null,"abstract":"The inferior turbinate is located in the inferior part of the nose, and contribute to the nasal valve formation. Inferior turbinate hypertrophy causes chronic nasal obstruction. We aimed to assess the effectiveness of coblation-assisted reduction of the inferior turbinate hypertrophy using a specially designed coblator probe. Additionally, this study aimed to compare this technique with traditional surgical partial turbinectomy as the control arm and follow up with patients to identify potential complications. This study involved 40 patients with nasal obstruction, those patients attended the Otorhinolaryngology Department of Al Azhar University Hospital in Assiut and diagnosed with enlarged inferior turbinate that did not respond to medical treatment. Also, Pre- and post-operative CT scanning was performed to objectively evaluate the improvement. Coblation group has more advantages over the traditional group like less operative time, less intraoperative blood loss, less post-op pain, less post-op nasal crusts, early return to daily activity (P value < 0.001). Significant decrease in postoperative nasal obstruction among partial inferior turbinectomy group in comparison with coblation group (P value < 0.001). Coblation assisted inferior turbinate reduction of the hypertrophied inferior turbinate is the technique of less complications (i.e. post-operative pain, bleeding, and nasal crust), which are commonly encountered with traditional methods. Traditional method is a bit better in patient self-satisfaction after surgery and relieving post-operative nasal obstruction.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140155444","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}
Azza Samy Abdel-hakim, Lamiaa Mohamed Abdel-wareth, Hassan Hosny Ghandoor, Mennatallah Osama Shata, Dina Ahmed Elrefaie
{"title":"Co-occurrence of delayed language development and autism spectrum disorder in children with metabolic disorders","authors":"Azza Samy Abdel-hakim, Lamiaa Mohamed Abdel-wareth, Hassan Hosny Ghandoor, Mennatallah Osama Shata, Dina Ahmed Elrefaie","doi":"10.1186/s43163-024-00587-4","DOIUrl":"https://doi.org/10.1186/s43163-024-00587-4","url":null,"abstract":"Children with various metabolic disorders are considered a high-risk group for different developmental delays. Delayed language development (DLD) and autism spectrum disorder (ASD) have a common incidence in children with metabolic disorders which negatively impact their social and academic life. So, early assessment of this high-risk group for the presence of DLD and/or ASD is of great significance and providing better prognosis through starting therapy as early as possible. It aims to detect the presence of DLD and ASD among children with metabolic disorders. This is an analytical (observational) cross-sectional study. The subjects of this study comprised a convenient sample of 100 children diagnosed as having different metabolic disorders with age range between 24 and 48 months. The Modified Preschool Language Scale, Fourth Edition–Arabic version and the Childhood Autism Rating Scale were applied for all children, to detect the presence of DLD and ASD. Assessment of 100 children with unequal distribution of 13 types of metabolic disorders found that 86% of cases had DLD and 16% had ASD. Regarding different metabolic disorders, we found both DLD and ASD in nine types and only DLD in four types of metabolic disorders. Children with metabolic disorders are at a high risk for DLD and ASD. Early detection of these cases provides early intervention and better outcome.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140129824","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}
Ahmed Youssef, Haitham Morsi, Remon Bazak, Ahmed Aly Ibrahim, Ahmed Farhoud, Mohamed M. Agamy
{"title":"Endoscopic endonasal approach for skull base chordoma","authors":"Ahmed Youssef, Haitham Morsi, Remon Bazak, Ahmed Aly Ibrahim, Ahmed Farhoud, Mohamed M. Agamy","doi":"10.1186/s43163-024-00594-5","DOIUrl":"https://doi.org/10.1186/s43163-024-00594-5","url":null,"abstract":"Chordoma is a rare slow-growing malignant bone tumor that arises from embryonic notochordal remnants in the axial skeleton. Clival chordomas have a high propensity for extension through the skull base and a high proclivity for recurrence. Recently, resection of skull base chordomas through the endoscopic transnasal approach has become the standard way of managing these lesions with the new advancements in neuronavigation and reconstructive techniques in skull base surgery. It is a retrospective study of all patients with clival chordoma that were operated upon using endoscopic endonasal resection at the Main Alexandria University Hospital during the period from March 2008 to April 2013. The extent of surgical resection was assessed intraoperatively and confirmed by the postoperative MRI study performed 8–12 weeks, 6 months, and yearly after the surgery. Twelve patients with clival chordoma were managed by endoscopic transnasal resection. Gross total resection confirmed by postoperative MRI was achieved in four cases, subtotal resection in six cases, and partial resection in two cases of clival chordoma. In cases where gross total resection was not achieved, residual tumors were adherent to vital neurovascular structures as confirmed with the utilization of an intraoperative imaging navigation device. A study of postoperative complications and possible recurrence was done for all cases. The findings of this study highlight the significance of gross total resection as a major determinant for preventing the recurrence of chordoma. Our findings also support the validity of the endoscopic approach for the management of clival chordoma especially when the approach is tailored based on the site and extent of the tumor.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140127499","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}
Mohamed Mekky, Muhammad A. Nawwar, Ayman Sameh Nabawi, Mahmoud Yehya Abdul Aziz, Ahmed Galal, Heba Sleem
{"title":"PET-CT-based resection guide for treatment of auricular squamous cell carcinoma: an innovative clinical management of soft tissue tumors: a case report","authors":"Mohamed Mekky, Muhammad A. Nawwar, Ayman Sameh Nabawi, Mahmoud Yehya Abdul Aziz, Ahmed Galal, Heba Sleem","doi":"10.1186/s43163-024-00592-7","DOIUrl":"https://doi.org/10.1186/s43163-024-00592-7","url":null,"abstract":"To describe the successful use of a PET-CT-based resection guide for the treatment of auricular squamous cell carcinoma. A 69-year-old male presented with a painless growing mass in his left ear helix that had been unsuccessfully treated conservatively by another surgeon. An incisional biopsy revealed moderately differentiated squamous cell carcinoma, and the patient was referred to the department for further management. A PET/CT was performed, which showed uptake of FDG in the ear with a SUV max value and T3N0M0 status. The treatment plan was based on a multidisciplinary team discussion and a thorough evaluation of the PET/CT imaging findings. A decision was made to proceed with excision of the mass with a wide safety margin, using a PET/CT-based resection guide for ear resection. Additionally, partial temporal bone resection, selective neck dissection, and superficial parotidectomy were planned. The patient opted for reconstruction with a scalp rotational flap. The patient’s treatment plan was successful, and at follow-up visits, he remained disease-free. This case report highlights the importance of using a PET-CT-based resection guide for the treatment of soft tissue tumors, specifically auricular squamous cell carcinoma. It also demonstrates the importance of a multidisciplinary team approach and thorough evaluation of imaging findings in determining an effective treatment plan for patients. The use of PET-CT-based resection guide can be an effective tool in the treatment of auricular squamous cell carcinoma. It can provide more precise and accurate information about the extent of the tumor, leading to a more effective treatment plan. Multidisciplinary team approach and thorough evaluation of imaging findings are crucial in determining the best course of treatment for patients.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140073975","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":"Evaluation of cochlear and auditory brainstem functions in COVID-19 patients; a case control study","authors":"Adel Abdel-Maksoud Nassar, Rasha Hamdy El-Kabarity, Nourhan Nour El-Din Hassan, Abeer Mohamed El-Gendy","doi":"10.1186/s43163-024-00580-x","DOIUrl":"https://doi.org/10.1186/s43163-024-00580-x","url":null,"abstract":"Many viral infections can cause hearing loss due to affection of cochlear hair cells or neurogenic pathway. Although, the damage secondary to viral infections is mainly cochlear affection; auditory brainstem can be affected as well. It was predicted that SARS-COV-2 infection can similarly affect the auditory system. This study aimed to detect affection in auditory system and if present investigate the possible site of lesion (up to the level of the brain stem) in relation to COVID-19 infection. This is a case control study, where the study group constituted of thirty adults, diagnosed with COVID-19 at least 2 weeks prior to testing and up to 6 months, without previous auditory complaints pre-COVID-19 or other risk factors that could affect the auditory pathway. Fifteen adult participants that were age and gender matched to the study group with no previous history of covid-19 infection constituted the control group. Audiological evaluations done to all participants were pure-tone and speech audiometry, tympanometry, transient-evoked otoacoustic emission with and without contralateral suppression and auditory brainstem response measurements. The study group showed significantly worse pure tone thresholds at high frequencies 4 and 8 kHz (p < 0.01), significantly worse transient-evoked otoacoustic emission signal to noise ratio at 2800 Hz and 4000 Hz (p < 0.05) and significantly lower total suppression index (p<0.05). On the other hand, there was no significant difference between both groups in auditory brainstem response wave latencies (p > 0.05). COVID-19 had subtle effect on cochlear basal turn, and it is shown that the auditory efferent system may also be affected, while the auditory nerve and afferent brainstem pathways seems to be spared. Moreover, the absence of the symptoms of auditory dysfunction postcovid-19 does not guarantee normal auditory functions.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"317 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140025683","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}
Swati Goyal, Prajwal Kumar E., Kristi Kaveri Dutta, Gowtham Varma S., Prajeesh Thomas
{"title":"Audiologists’ practice and perspectives on rehabilitation in individuals with minimal-mild degree of hearing loss: a questionnaire-based survey","authors":"Swati Goyal, Prajwal Kumar E., Kristi Kaveri Dutta, Gowtham Varma S., Prajeesh Thomas","doi":"10.1186/s43163-024-00589-2","DOIUrl":"https://doi.org/10.1186/s43163-024-00589-2","url":null,"abstract":"The study aimed to understand the perspectives of audiologists working in different audiological setups regarding the fitting of amplification devices for individuals with minimal-mild hearing loss which cannot be corrected or sensorineural in nature. The study employed a questionnaire-based survey research design conducted in three phases: questionnaire development, obtaining responses from audiologists, and analyzing the responses. The questionnaire consisted of three sections: demographic details, audiologist's practice, and audiologist's opinion, with a total of 22 questions. The responses from audiologists were collected through an online survey distributed via WhatsApp groups, email, and Telegram. Descriptive statistics were used to analyze the percentage of responses for each question. The findings shed light on the current practices and opinions of audiologists. The study found that audiologists perceived the assessment of self-handicap level as aiding in better counseling, understanding motivation level, and making decisions about amplification. The findings of the study provide insights into the current practices and perspectives of audiologists in offering services to individuals with minimal-mild hearing loss.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140017898","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}
Mohamed Omar A. Gad, Ahmed Ali Ibrahim, Ahmed Abdel Aleem, Shimaa Ibrahim Mohamed
{"title":"Outcomes of endoscopic management of benign maxillary sinus lesions 5-year experience, non-randomized clinical trials","authors":"Mohamed Omar A. Gad, Ahmed Ali Ibrahim, Ahmed Abdel Aleem, Shimaa Ibrahim Mohamed","doi":"10.1186/s43163-024-00586-5","DOIUrl":"https://doi.org/10.1186/s43163-024-00586-5","url":null,"abstract":"When medical therapy fails to control maxillary sinus (MS) disease, surgery is required. There are many advanced MS endoscopic approaches, each one with its anatomical limitations and possible complications. This study aimed to review the outcomes of three endoscopic approaches to the MS (middle meatal antrostomy approach (MMAA), prelacrimal recess approach (PLRA), and canine fossa approach (CFA)) to manage benign MS lesions. Sixty-three patients with diseased MS require surgery. Endoscopic MS approaches used include MMAA, PLRA, and CFA. Each approach was used in 21 patients. The outcome of each approach was measured regarding lesion accessibility and clearance, complications (intraoperative or postoperative), and recurrence. The maxillary sinus posterior wall was accessible in all approaches. Other walls and different recesses were also accessible in the case of PLRA and CFA with statistically significant difference between the three approaches. There was no significant difference between patients operated by PLRA and CFA regarding accessibility to different walls and recesses of the MS. Endoscopic and radiological recurrence were found in three (15%) patients who were operated by MMAA. There was no evidence of recurrence in patients operated by the other approaches. Complications like crustations, fascial pain, fascial welling, and fascial hypoesthesia occurred in a few patients. By using a suitable endoscopic approach, the different walls and recesses of the MS were completely accessible, so benign MS lesions that required open surgical approaches can be managed endoscopically while preserving the sinus structure and function.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140010597","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}
Mohammad Waheed El-Anwar, Ashraf El-Hussiny, Haitham Osman, Mohamed Adel Mobasher
{"title":"Tracheal and subglottic dimensions: a computed tomography cross section study of adult population","authors":"Mohammad Waheed El-Anwar, Ashraf El-Hussiny, Haitham Osman, Mohamed Adel Mobasher","doi":"10.1186/s43163-024-00588-3","DOIUrl":"https://doi.org/10.1186/s43163-024-00588-3","url":null,"abstract":"The computed tomography (CT) details of the dimensions of the trachea and the subglottic area are not fully covered in the literature, so it is important to build up a database for the CT measurements of that area. Preoperative details of the trachea are crucial prior to any approach or procedure involving the trachea. So, the aim of this study was to determine the different dimensions of the trachea and subglottic area by computed tomography (CT). From 100 CTs of the trachea acquiring the axial images via the multiplanar reformates for all subjects to get the delicate details measuring the transverse diameter (width) and the anteroposterior diameter (depth) of the trachea and subglottic area. The mean tracheal width was 15.5 ± 2.1 mm (range = 11.5–21.7), and its mean anteroposterior diameter was 16.56 ± 2.77 mm (range = 11.8–25.1), while the mean width of the subglottic area was 15.1 ± 1.86 mm (range = 12.3–21.1), and its mean anteroposterior diameter was 17.75 + 2.76 (range = 12.9–25.2). All the dimensions of the trachea and the subglottic area were found significantly smaller in female than males. There was positive correlation between anteroposterior and transverse diameters of the trachea with the subglottic area with more tendency for more subglottic area dimension with increase tracheal dimensions and vice versa. The current work updates the CT knowledge about the tracheal and subglottic area dimensions enhancing the surgeons, anesthetist, and radiologists data and orientation of the tracheal dimensions and could aid effective and safe tracheolaryngeal surgery.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140010592","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}