@article { author = {meaad, meaad and Omara, Abir and Essa, Wael and Aboulkheir, Mohamed}, title = {Impact of tympanoplasty on tinnitus using tinnitogram}, journal = {Egyptian Journal of Ear, Nose, Throat and Allied Sciences}, volume = {20}, number = {3}, pages = {105-110}, year = {2019}, publisher = {Egyptian Society of Ear Nose Throat and Allied Sciences}, issn = {2090-0740}, eissn = {2090-3405}, doi = {10.21608/ejentas.2019.6511.1065}, abstract = {Introduction: Chronic Suppurative otitis Media (CSOM) and tympanic membrane perforation are leading causes of mild to moderate conductive acquired hearing loss worldwide that may lead to tinnitus.  Aim: This study is designed to evaluate the postoperative various potential effects of tympanoplasty on tinnitus in patients with central tympanic membrane perforation using different methods of testing including tinnitogram.  Methods: This study was carried out in: Oto-rhinolaryngology department – El Azhar University Hospitals and Oto-rhinolaryngology department Hearing and Speech institute in Giza (from March 2016 to March 2018). One hundred ears with central tympanic membrane perforation of one hundred patients were included in this study and it was designed as a prospective randomized study. Typmpanoplasty was done for all the ears with preoperative and postoperative audiological assessment and tinnitogram and Tinnitus Handicap Inventory.  Results: Overall improvement by comparing pre-operative and post-operative results revealed that Tinnitus Handicap Inventory score improvement mean was (67.25), loudness threshold decrease mean was (35.71) and average Air Bone Gap improvement mean was (44.13).  Conclusion: Patients with tinnitus and hearing loss are excellent candidates to undergo tympanoplasty in order to control tinnitus by hearing improvement. Our study results proved that Repair of tympanic membrane perforation will improve hearing outcome and decrease burden of tinnitus complaint on patient's life.}, keywords = {Tinnitus,Tympanoplasty,tinnitus handicap inventory tinnitogram}, url = {https://ejentas.journals.ekb.eg/article_66031.html}, eprint = {https://ejentas.journals.ekb.eg/article_66031_d0700ce6e87f032a7cea5ce955df6a2a.pdf} } @article { author = {El-Rashidy, Abdellatif and Behiry, Essam and El-Demerdash, Ashraf and elkholy, wael}, title = {Evaluation of endoscopic cartilage myringoplasty in management of dry central perforation}, journal = {Egyptian Journal of Ear, Nose, Throat and Allied Sciences}, volume = {20}, number = {3}, pages = {111-116}, year = {2019}, publisher = {Egyptian Society of Ear Nose Throat and Allied Sciences}, issn = {2090-0740}, eissn = {2090-3405}, doi = {10.21608/ejentas.2019.7057.1066}, abstract = {Background: Tubotympanic type of chronic suppurative otitis media is one of the most frequent diseases seen in ENT clinics. On examination, central perforation in the tympanic membrane can be seen. Different approaches were used for closure of tympanic membrane perforations mainly the postauricular, the end aural and trans canal.Objective: To compare between endoscopic and microscopic trans canal myringoplasty using tragal cartilage graft regarding success rate and postoperative hearing improvement.  Patients and Methods: This prospective study was carried out on 24 patients from December 2017 till August 2018. All patients were presented with small or medium sized central perforation which was dry for at least 3 months, and then subjected to preoperative clinical, endoscopic, audiological assessment. Patients were divided equally and randomly into two groups, group A for endoscopic myringoplasty and group B for microscopic myringoplasty, composite cartilage-perichondrium graft was used for both groups and all of them were arranged to postoperative re-evaluation after 1, 2, 4 and 12 weeks.Results: The mean age group of our studied patients was 31.5 ± 7 years. (45.8 %) of patients were male, while (54.2 %) of them were female. Graft uptake in endoscopic myringoplasty was 100 % while in microscopic was 83 % of cases. Postoperative air bone gap was less than 10 dB in 100 % of the patients in endoscopic group and 66.67 % in microscopic group.  Conclusion: Although these results were statistically insignificant, advantages of endoscopic myringoplasty overcomes most of the disadvantage of microscope.}, keywords = {Cartilage graft,central perforation,endoscopic myringoplasty,Tympanic Membrane}, url = {https://ejentas.journals.ekb.eg/article_66052.html}, eprint = {https://ejentas.journals.ekb.eg/article_66052_9587a432932468a7d6b277d597b0f9c5.pdf} } @article { author = {Talaat, Hossam and Zein El Abedein, Ahmed and Ali, Reham}, title = {Arabic version of the visual vertigo analogue scale for assessment visual vertigo syndrome}, journal = {Egyptian Journal of Ear, Nose, Throat and Allied Sciences}, volume = {20}, number = {3}, pages = {117-121}, year = {2019}, publisher = {Egyptian Society of Ear Nose Throat and Allied Sciences}, issn = {2090-0740}, eissn = {2090-3405}, doi = {10.21608/ejentas.2019.9894.1081}, abstract = {Objectives: To standardize the Arabic language version of the visual vertigo analogue scale (VVAS) and to determine its reliability and validity. It is a simple and supplemental kind of assessments of visual vertigo syndrome.Methods: The Arabic VVAS (AVVAS) was developed using the cross-cultural adaptation guidelines. The scale was tested by 70 patients with visual vertigo (VV) (patient group) and 100 normal subjects (control group). Participants’ responses were statistically analyzed for internal consistency between both groups. Repeatability was calculated using Spearman correlation on a subgroup of 30 control subjects and 40 VV patients after 1 week. Receiver operating characteristic curve was performed in order to select the optimal cut-off level.Results: showed a significantly good internal consistency (Cronbach’s alpha = 0.83 for patients group, and 0.73 for controls). A significant difference was found in AVVAS scores between both groups (p = < 0.001). Test- retest reproducibility confirmed reliability of AVVAS. The AVVAS total scores of patients with VV were significantly different than controls. The optimal cut-off score for AVVAS was 17 (sensitivity 80%, specificity82%).Conclusion: The AVVAS can be considered a reliable, valid and helpful screening tool to quantify self- perceived handicapped that result from visual vertigo.}, keywords = {Validity,visual vertigo,visual vertigo analogue scale}, url = {https://ejentas.journals.ekb.eg/article_66053.html}, eprint = {https://ejentas.journals.ekb.eg/article_66053_cb49e0530b8b828728d6ccb295136be4.pdf} } @article { author = {Ahmed, Mona and Mohamed, Montaser and Ali, Rasha and Ahmed, Mohammed}, title = {Documentation of delayed language development in Upper Egypt}, journal = {Egyptian Journal of Ear, Nose, Throat and Allied Sciences}, volume = {20}, number = {3}, pages = {122-130}, year = {2019}, publisher = {Egyptian Society of Ear Nose Throat and Allied Sciences}, issn = {2090-0740}, eissn = {2090-3405}, doi = {10.21608/ejentas.2019.11294.1091}, abstract = {Purpose: To identify the magnitude of delayed language development (DLD) cases, impairment-subtypes, and main risk factors within children referred to phoniatric and Neuropediatric Unit at Sohag University (PNUSU), Egypt. This will help in planning and implementing primary prevention strategies and in organizing public and health care awareness campaigns.Methods: It is a hospital-based descriptive study where hospital records of all cases diagnosed as a language delay presented to PNUSU from January 1st, 2015 to December, 31st, 2015 were analyzed.Results: Among 800 cases, DLD due to intellectual disability (ID) is the commonest type (34.4 %) followed by below average borderline intellectual (28.5 %). Risk factors study reveals that 66.7 % of studied children are males, 48.9 % of cases show a history of consanguineous marriage between parents and 20 % of studied children had a positive family history of language, speech, or learning problems. Perinatal and neonatal period risk factors appear most frequently as 54.3 %, and the predominant factor is Hyperbilirubinemia.Conclusion: Reported data reflect the magnitude of language disorders problem in Upper Egypt that necessitates special attention from multi-disciplines toward consanguineous marriage and neonatal Hyperbilirubinemia as both are the highest incidence within investigated cases.}, keywords = {Delayed language development,early identification,risk factors,sub-types}, url = {https://ejentas.journals.ekb.eg/article_66054.html}, eprint = {https://ejentas.journals.ekb.eg/article_66054_55c60fd65e350a321bba428d2d7bd2c4.pdf} } @article { author = {Behiry, Essam and Elshazly, Hewaida and Abdel-Shafy, Ibrahim and Adel Hussein, Hosam}, title = {Evaluation of quality of life after Functional Endoscopic Sinus Surgery (FESS) in chronic rhinosinusitis patients in Menoufia Governorate}, journal = {Egyptian Journal of Ear, Nose, Throat and Allied Sciences}, volume = {20}, number = {3}, pages = {131-136}, year = {2019}, publisher = {Egyptian Society of Ear Nose Throat and Allied Sciences}, issn = {2090-0740}, eissn = {2090-3405}, doi = {10.21608/ejentas.2019.12297.1106}, abstract = {Background: Chronic rhinosinusitis has a great impact on the quality of life. Functional endoscopic sinus surgery is the treatment of choice for chronic rhinosinusitis refractory to medical treatment as it allows restoring ventilation and mucociliary clearance. Sino- Nasal Outcome Test 22 questionnaire has been used for evaluating changes in symptoms and predicting the extent of postoperative outcome.  Objective: The aim of the study was to evaluate how functional endoscopic sinus surgery affects the outcome in patients’ symptom profile and quality of life.Patients and Methods: 60 patients indicated for functional endoscopic sinus surgery from March 2017 till December 2018. This prospective study was carried out at the Otorhinolaryngology Department at El-Menoufia University Hospital. For all patients, the Sino-Nasal Outcome Test–22 was completed before and three months after Functional Endoscopic sinus surgery.  Results: 60 patients were enrolled in this study (34 Males and 26 Females) aged from 25 to 40 years old with a mean age of 32.9 ± 5.3. The results of the statistical analysis showed that functional endoscopic sinus surgery reduced the Sino-Nasal Outcome Test–22 questionnaire score with a statistically high significant result (P ≤ 0.001).Conclusion: Functional endoscopic sinus surgery statistical significant improvements in disease-specific quality of life for patients with chronic rhinosinusitis}, keywords = {Chronic Rhinosinusitis,Endoscopic sinus surgery,quality of life,SNOT-22}, url = {https://ejentas.journals.ekb.eg/article_66055.html}, eprint = {https://ejentas.journals.ekb.eg/article_66055_d70b04741df04aa74dbe2dd68d0edee3.pdf} } @article { author = {Sadek, Ahmed and Essawy, Mohamed and Abdel-Aziz, Ahmed and Talaat, Mostafa}, title = {Ultrasonography and laryngoscopic findings are similar in detecting laryngeal lesions}, journal = {Egyptian Journal of Ear, Nose, Throat and Allied Sciences}, volume = {20}, number = {3}, pages = {137-143}, year = {2019}, publisher = {Egyptian Society of Ear Nose Throat and Allied Sciences}, issn = {2090-0740}, eissn = {2090-3405}, doi = {}, abstract = {Aims: There is a growing need for alternative maneuvers for diagnosing laryngeal diseases. The objective of this study is to evaluate laryngeal ultrasound as an alternative to laryngeal endoscopy in diagnosis and assessment of various laryngeal lesions.Materials and Methods: This prospective study was conducted at the E.N.T. outpatient clinic of Minia University Hospital. The study included 50 patients (28 males and 22 females) with laryngeal lesions. Patients were examined by direct laryngoscopy and then were examined by using high resolution ultrasonography.Results: No significant differences between direct laryngoscopy (DL) and ultrasonography diagnosis results. By DL, bilateral vocal fold nodule was diagnosed in 14 cases. However, ultrasound diagnosed only 11 cases of them. 16 cases were diagnosed with left or right vocal fold polyp and the ultrasound diagnosed 15 cases of them. 10 patients were diagnosed as glottal mass and the ultrasound diagnosed only 8 cases of them. For vocal fold cyst, four cases were diagnosed by both DL and ultrasound. Also, for Reinke's edema, four cases were diagnosed by both DL and ultrasound. One case was diagnosed as Laryngeocele by both maneuvers. One case was diagnosed as Laryngeoscleroma by DL while it was not diagnosed by ultrasound.Conclusion: Ultrasonography could be used effectively as an alternative technique to direct endoscopy in diagnosis of different laryngeal lesions.}, keywords = {Ultrasonography,laryngoscopy,laryngeal lesions}, url = {https://ejentas.journals.ekb.eg/article_66057.html}, eprint = {https://ejentas.journals.ekb.eg/article_66057_9e94aef0659646fa3dcc381393725c9a.pdf} } @article { author = {Beshr, Amal and Behairy, Reda and Awida, Amal and Fouda, Aida Saber Mohamed}, title = {Comparison between cervical vestibular evoked myogenic potential response in normal children and adults}, journal = {Egyptian Journal of Ear, Nose, Throat and Allied Sciences}, volume = {20}, number = {3}, pages = {144-149}, year = {2019}, publisher = {Egyptian Society of Ear Nose Throat and Allied Sciences}, issn = {2090-0740}, eissn = {2090-3405}, doi = {10.21608/ejentas.2019.11952.1100}, abstract = {Objective: Vestibular-Evoked Myogenic potential (VEMP) is a non invasive test for vestibular function. It is a series of electrical waves that are generated by vestibular pathway in response to loud acoustic stimulation. It can be recorded from surface electrodes placed over muscles and according to the site of recording there are two types cervical VEMP and ocular VEMP. The primary goal of the present study is to compare cervical evoked myogenic potential (cVEMP) findings in normal hearing children and adults.Materials and Methods: This study included 60 subjects of normal hearing. They were selected from relatives; friends and relatives of patients attending Audiology Unit of Alzahraa University Hospital. 30 were children in the age range of 5-15 years and 30 were adults in the age range of 20-40 years. All subjects were submitted to cVEMP (air-conducted sound). Amplitude, latencies, asymmetry amplitude ratio and threshold were measured.Results: There was statistically significant difference in latencies and amplitudes and no statistically significant difference in asymmetry ratio of cVEMP responses between children and adults. There was no statistically significant difference in threshold between right and left ears in adult and children but there was statistically significant difference between the two groups as regard cVEMP threshold.Conclusion: cVEMPs responses in children have shorter latencies and lower thershold than adult responses, which should be considered in interpretation of cVEMP responses in children. Normative data for different age groups should be collected as cVEMPs responses, as age has a significant effect on them.}, keywords = {adults,children,cVEMPs}, url = {https://ejentas.journals.ekb.eg/article_66058.html}, eprint = {https://ejentas.journals.ekb.eg/article_66058_3c4c296a967d164c30d931a60f56e7c6.pdf} } @article { author = {Ahmed, Mohammed and Ahmed, Mona and Abd Elsameea, Mohammed and Abugharib, Ahmed and Ahmed, Ahmed}, title = {Transoral Excision of pre-styloid parapharyngeal space Solitary Fibrous Tumor: A case report and review of the literature}, journal = {Egyptian Journal of Ear, Nose, Throat and Allied Sciences}, volume = {20}, number = {3}, pages = {150-155}, year = {2019}, publisher = {Egyptian Society of Ear Nose Throat and Allied Sciences}, issn = {2090-0740}, eissn = {2090-3405}, doi = {}, abstract = {Solitary Fibrous Tumors (SFTs) are relatively rare benign neoplasms that commonly occur in the pleura and barely reported in parapharyngeal space. SFT is often misdiagnosed due to its microscopic resemblance to several other spindle cell tumors; however, there are specific diagnostic features on MRI and immunohistochemical.We herein report a case of a 65-year-old male patient with SFT arisen in the parapharyngeal space completely resected through a transoral approach. Also, a comprehensive review of previously published cases and case series of parapharyngeal space SFTs and hemangiopericytoma (HPC) reported globally in English up to August 2018 using the PubMed/Medline databases was presented. In addition to the current case, there are thirteen SFTs and thirteen HPCs reported cases. All cases were presented and analyzed. Males are predominantly affected. Actually, 23% of HPCs reported cases presented with the histological indicator of aggressive behavior while none of SFTs reported cases. Thus, Parapharyngeal space SFT presented herein is the first case that had been completely resected using the transoral technique. Hemangiopericytoma is a cellular form SFTs; it seems to behave more aggressively than SFTs from studying the previously reported cases}, keywords = {Hemangiopericytoma,Immunohistochemistry,parapharyngeal space,solitary fibrous tumor,transoral approach}, url = {https://ejentas.journals.ekb.eg/article_66061.html}, eprint = {https://ejentas.journals.ekb.eg/article_66061_3295a94c5446e4953e9656fc0f9dcb78.pdf} } @article { author = {Mohammad Nasir, Zuraini and Subha, Sethu}, title = {A rare presentation recurrent nasopharyngeal carcinoma with axillary lymph node metastasis}, journal = {Egyptian Journal of Ear, Nose, Throat and Allied Sciences}, volume = {20}, number = {3}, pages = {156-158}, year = {2019}, publisher = {Egyptian Society of Ear Nose Throat and Allied Sciences}, issn = {2090-0740}, eissn = {2090-3405}, doi = {10.21608/ejentas.2019.12632.1109}, abstract = {Introduction: Nasopharyngeal carcinoma (NPC) has the highest rate of local and regional cervical lymph node re-currence amongst other head and neck epithelial malignant tumour. Distant recurrence is less common and usually occurs in bone, liver and lung. Recurrent NPC to axillary lymph node is rare.Case report: A 44-year-old male presented with two-month history of painless right axillary swelling. He was di-agnosed with nasopharyngeal carcinoma (NPC) stage IVA (T2N3M0) two years prior to presentation and had underwent neoadjuvant chemotherapy with 5-Fluorouracil and Cisplatin, and concurrent chemo-radiotherapy (CCRT) of total 70 Gy over 35 sessions with Cisplatin. He was on regular monthly surveillance reviews, with no signs of recurrence. Fine Needle Aspiration Cytology (FNAC) of the axillary swelling was reported as metastatic NPC and Positron Emission Tomography/ Com-puted tomography (PET-CT) scan showed foci of high FDG hypermetabolism at right axillary lymph node confirming the diagnosis of recurrent NPC.Conclusion: Recurrence usually occurs in the first two years after completion of treatment. Patients with an overall TNM stage IV or N3, high pre-treatment or persistently detectable post-treatment plasma EBV DNA (pEBV DNA) load are at greatest risk. Management of recurrent NPC depends on local, regional or distant recurrence. Both PET scan and pEBV DNA load can be used for relapse detection. The man-agement for each recurrent NPC case is unique and should be determined by a multidisciplinary team, local expertise and facilities. Knowledge of potential sites of recurrence is essential to both physicians and patients for early detection.}, keywords = {carcinoma,HMGA2,laryngeal,MMP12}, url = {https://ejentas.journals.ekb.eg/article_66062.html}, eprint = {https://ejentas.journals.ekb.eg/article_66062_aa3eb25625919d05436524e2f091047a.pdf} } @article { author = {Sahril, Suzana and S. Mazlina, Noraziana}, title = {An Unusual Presentation of Impacted Laryngeal Foreign Body in an Adult}, journal = {Egyptian Journal of Ear, Nose, Throat and Allied Sciences}, volume = {20}, number = {3}, pages = {159-161}, year = {2019}, publisher = {Egyptian Society of Ear Nose Throat and Allied Sciences}, issn = {2090-0740}, eissn = {2090-3405}, doi = {10.21608/ejentas.2019.14535.1134}, abstract = {Introduction: Foreign body is a rare occurrence in adults, and the larynx is the least common site of a foreign body to be impacted. Furthermore, the usual presentation includes dysphagia, chronic cough, hoarseness or dyspnea. This is an ENT emergency requiring prompt diagnosis and treatment. However, we report a case in which an adult patient had an impacted laryngeal foreign body with very benign symptoms of 1-month duration.Case report: We present a case of a 53-year-old Orang Asli with the chief complain of sore throat for a month duration. He had history of foreign body ingestion about a month ago. Otherwise, he has no odynophagia, dysphagia, change of voice or shortness of breath. Flexible nasopharyngolaryngoscope revealed a fish bone embedded at the right false cord. Airway was not compromised. The foreign body was successfully removed under general anaesthesia without any complications.Conclusion: Foreign body in airway is a life-threatening event. It can cause upper airway obstruction. Impacted laryngeal foreign body may present with commonplace symptoms, as seen in our case. A complete history is important in order to make a diagnosis and eventually come into prompt management}, keywords = {Foreign bodies,larynx,pharyngitis}, url = {https://ejentas.journals.ekb.eg/article_66064.html}, eprint = {https://ejentas.journals.ekb.eg/article_66064_8b974608db8932a60e73100952b7548a.pdf} }