Egyptian Society of Ear Nose Throat and Allied
Sciences
Egyptian Journal of Ear, Nose, Throat and Allied Sciences
2090-0740
2090-3405
19
3
2018
11
01
Audiological profile of children with hearing loss in Upper Egypt
69
74
EN
Hesham
Samy
Department of Otolaryngology, Faculty of Medicine, Minia University
Rafeek
mohamed
abdelkader
https://orcid.org/00
university
rma1hfa2002@yahoo.com
Mostafa
Ahmed
Department of Otolaryngology, Faculty of Medicine, University, Egypt
10.21608/ejentas.2018.4915.1034
Objective: Identification of risk factors for hearing loss may help in primary prevention of hearing loss so this research aiming to study what is the most common causes and risk factors for hearing loss in upper Egypt and to study if this factors correlated to geographic distribution of the province.<br />Patients and Methods: Two-hundred children with age range from 3yrs to 15yrs, were examined in two governorates , Minia in the north of upper Egypt and 50 children were examined in south of upper Egypt, Aswan, and the remaining 50 normal children from both governorates. All children were subjected to the following: Thorough history, full audiological evaluation.<br />Results: Consanguinity was the most common risk factor about 60% of cases with sensorienrual hearing loss. Jaundice is the 2nd most common cause. When the consanguinity become more close, the degree of hearing loss increase. The incidence of consanguinity increase in south country more than north due to social habits and believes about consanguinity. The most surprising and interesting finding that, hearing loss was not common in old generation as the new generation which may reflect gene mutation.<br />Conclusion: Consanguinity is the most common risk factor for hearing loss. Public awareness of this fact and this research may help in primary prevention of hearing loss which will be more cost effective than neonatal screening or even to minimize and restrict the cost of neonatal screening for children with positive consanguinity.
Consanguinity,risk factor,SNHL
https://ejentas.journals.ekb.eg/article_26487.html
https://ejentas.journals.ekb.eg/article_26487_e14b1f07e5dd61834794350062406a56.pdf
Egyptian Society of Ear Nose Throat and Allied
Sciences
Egyptian Journal of Ear, Nose, Throat and Allied Sciences
2090-0740
2090-3405
19
3
2018
11
01
Prevalence of Benign Paroxysmal Positional Vertigo: Our experiences at a tertiary care hospital of India
87
92
EN
Santosh
Swain
General Otolaryngology
santoshvoltaire@yahoo.co.in
Ishwar
Chandra
Behera
Department of Community Medicine, Siksha “O” Anusandhan University, K8, Kalinganagar,Bhubaneswar-751003, Odisha, India
ishwarbehera99@gmail.com
Mahesh
Chandra
Sahu
Medical Research Laboratory - IMS and SUM hospital, Siksha “O” Anusandhan University, K8, Kalinganagar,Bhubaneswar-751003, Odisha, India
mchsahu@gmail.com
10.21608/ejentas.2018.5246.1040
Introduction: Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo.BPPV is often overlooked by general physician and treated with anti-vertigo drugs. Objective: To evaluate the prevalence, incidence, clinical presentation of benign paroxysmal positional vertigo (BPPV). Also assessing the age, gender and site of the lesion, association with other vestibular disorders, progression, and recurrence in these patients. Materials and methods: A retrospective study of total of 172patients those attended in vertigo clinic for giddiness diagnosed as BPPV. Data analyzed from medical records since last 3 years. Out of total 685 vertigo patients in our Vertigo Clinic, 172were found to suffer from BPPV.The age of the patients ranged from 23 years to 76 years with mean of 41.4 year. Results: Out of 685 patients with vertigo,172 were diagnosed as BPPV. Among them, 102 female and 70 male patients. The posterior canal was affected in 81.97 %, the lateral in 10.46 %, the anterior in 5.23 % and multiple canals in 2.32 %.The treatment maneuver used most was Epley’smaneuver. Recurrence was observed in 10.37 % of the cases. It was idiopathic in 73.83% of cases. Conclusion: BPPV is a common peripheral vestibular disorder causing significant morbidity, psychosocial impact and medical costs. Epley’s maneuver provides rapid relief of symptoms of BPPV. In addition daily Brandt–Daroff exercises decrease the chances of recurrence rate.
Benign paroxysmal vertigo,Dix-Hallpike maneuver,Epley’s maneuver,Vertigo
https://ejentas.journals.ekb.eg/article_26489.html
https://ejentas.journals.ekb.eg/article_26489_a6b49ee5cfda87dde25ddf541160f2a9.pdf
Egyptian Society of Ear Nose Throat and Allied
Sciences
Egyptian Journal of Ear, Nose, Throat and Allied Sciences
2090-0740
2090-3405
19
3
2018
11
01
Arabic version of Acceptable Noise Level (ANL)
93
96
EN
Asmaa
Ramadan
Mahmoud
Resident of Audiology, Faculty of Medicine,
Tanta University, Egypt
drasmashy@gmail.com
Amani
EI-Gharib
Audio vestibular medicine
amanielgharib@yahoo.com
Trandil
Hassan
Elmahallawy
Professor of Audiology, Audiology Unit, Department of ENT, Faculty of Medicine,
Tanta University, Egypt
10.21608/ejentas.2018.5479.1046
Background: ANL is a procedure to evaluate the quantity of noise that listeners are willing to take over while listening to words. ANL has gained big attention in the final few years because of its ability to predict success rate of hearing aid with a high degree of accuracy. Knowing why certain people are less probable to accept background noise help in creating hearing aid technology to address their objections and improve their ANL hence increasing success rate of hearing aid function.<br />Objectives of the study: development and Standardization of Arabic version of ANL in Egyptian normal hearing listeners.<br />Materials and method: 52 normal hearing adults undergo this research. ANL was performed using an Arabic familiar story 40 Sec duration and competing background noise of multitalker babble. Both stimuli were routed through the same loudspeaker located at zero azimuth 1 m from the subject in a sound treated room.<br />The results: the mean ANL of the Arabic version in participant with normal hearing is 7.76 dB with a standard deviation of 3.55.<br />Conclusion: the new Arabic version of acceptable noise level (ANL) can be applied as a standardized test for measuring acceptable noise level.
Acceptable noise level,arabic version,normal data
https://ejentas.journals.ekb.eg/article_26543.html
https://ejentas.journals.ekb.eg/article_26543_66afec5e64daf183cc1b526ac50aa056.pdf
Egyptian Society of Ear Nose Throat and Allied
Sciences
Egyptian Journal of Ear, Nose, Throat and Allied Sciences
2090-0740
2090-3405
19
3
2018
11
01
Management of massive subcutaneous emphysema with a surgical tracheostomy
97
100
EN
Christopher
SN
Yeoh
Department of Otorhinolaryngology, University Kebangsaan Malaysia Medical Center
Christopher Yeoh
Yeoh
Siu Ngee
Department Of Otorhinolaryngology - Head and Neck Surgery, Universiti Kebangsaan Malaysia
chrisysnapp@gmail.com
Sani
Abdullah
Department of Otorhinolaryngology, University Kebangsaan Malaysia Medical Center
10.21608/ejentas.2018.6180.1051
Introduction: Interventions for massive subcutaneous emphysema is rarely reported in the literature with lack of comparative studies and strong preferences over one treatment option compared to another. Tracheostomy is a conservative measure as compared to primary closure of tracheobronchial injury for the management of massive subcutaneous emphysema.<br />Case report: A 62-year gentleman who developed massive subcutaneous emphysema on the 12th post-operative day following two laparoscopic abdominal surgeries and an exploratory laparotomy. A computer tomographic scan was performed showing a suspicious tenting of the trachea at right posterolateral wall at the level of T2 vertebra with locules of air seen anterolaterally to the trachea. A subsequent microlaryngobronchoscopy performed showed no defect in the subglottic region, nor tracheobronchial tree. He was successfully managed with a surgical tracheostomy whereby the emphysema showed dramatic resolution on the second postoperative day.<br />Conclusion: Surgical tracheostomy demonstrated a success in managing massive subcutaneous emphysema.
Conservative,emphysema,tracheostomy,tracheobronchial injury
https://ejentas.journals.ekb.eg/article_26545.html
https://ejentas.journals.ekb.eg/article_26545_338f1150f34f67be27c875e027d2c9f1.pdf
Egyptian Society of Ear Nose Throat and Allied
Sciences
Egyptian Journal of Ear, Nose, Throat and Allied Sciences
2090-0740
2090-3405
19
3
2018
11
01
The interarytenoid fold of the larynx: Is it immune to cancer?
101
102
EN
Mohamed
Rifai
Otorhinolaryngology Department, Faculty of Medicine, Cairo University, Egypt.
rifai29@gmail.com
AbdelRahman
Younes
Otorhinolaryngology Department, Faculty of Medicine, Cairo University, Egypt.
abdelrahmanent@gmail.com
Hazem
M
Abdel Tawab
Departments of Otorhinolaryngology, Faculty of Medicine, Cairo University, Egypt and Sultan Qaboos Hospital, Salalah, Oman
hazemabdeltawwab77@yahoo.com
10.21608/ejentas.2019.6268.1052
Introduction: The posterior commissure (PC), or interarytenoid fold of the larynx (IAFL), is an uncommon site for glottic carcinoma. The aim of this study is to confirm the absolute rarity of the IAFL’s involvement with malignancy.<br />Materials and Methods: A retrospective case-control study which included data from 437 laryngectomies were studied. The data were collected from the medical records of 394 patients with cancer larynx, aged 42–83 years in the time period from 2013 till 2017.<br />Results: The larynges of 385 males and 9 females were studied. . The most common presenting symptoms were voice change and difficulty breathing. In all cases, there was no posterior interarytenoid involvement even from extensive lesions.<br />Conclusion: Involvement of the posterior commissure, or IAFL, is almost absent in cancer of the larynx compared to other laryngeal sites. This observation warrants further study to delineate the structural difference between the IAFL and other laryngeal sub sites.
Arytenoid,larynx,laryngectomies
https://ejentas.journals.ekb.eg/article_26548.html
https://ejentas.journals.ekb.eg/article_26548_7d0c34c74e77dc69857e97712ab6336c.pdf
Egyptian Society of Ear Nose Throat and Allied
Sciences
Egyptian Journal of Ear, Nose, Throat and Allied Sciences
2090-0740
2090-3405
19
3
2018
11
01
Evaluation of Vitamin D-level in patients with rhinoscleroma
75
79
EN
Ali
Mahrous
00000310848753
OtorhioLayrngology Department, Faculty of Medicine, Al-Azhar University
alimahrousent@icloud.com
Wael
Fawzy
Ismaeil
Otorhinolaryngology Department, Faculty of Medicine New Damietta, Al-Azhar University
mohamed
hussein
abdelazim
Department of Otorhinolaryngology, Al-Azhar Faculty of Medicine New Damietta; Egypt.
mohammedabdelazeem35@yahoo.com
Mohamad
Ayed
Rashawn
Clinical Pathology Department, Faculty of Medicine, Mansoura University(c)
10.21608/ejentas.2018.4575.1032
Background: Rhinoscleroma represents a challenging health problem especially in Egypt, in which it is an endemic condition. Vitamin D3 deficiency may play a role in the pathogenesis of the disease.<br />Aim of the work: To compare vitamin D3 level in subjects with rhinoscleroma versus control.<br />Patients and methods: The study was conducted at Ear, Nose and Throat (ENT) departments, AL-Azhar University Hospitals, (Al-Hussein, Bab Alsheria, and Damietta, Egypt) The participants were divided into two groups: Group A comprised 20 patients with confirmed diagnosis of rhinoscleroma through punch biopsies with the assistance of nasal endoscopy and Group B which comprised 20 participants of healthy volunteers. All participants were subjected to thorough history taking and clinical examination. 40 participants were incorporated in the study. Then, serum vitamin D3 levels were determined for all participants.<br />Results: 85 % of group A were vitamin D3 deficient (vitamin D3 < 20.0ng/dl), 15% were insufficient (vitamin D3 20-29ng/dl) and none was sufficient (vitamin D3 ≥30ng/dl), while in control group vitamin D3 was deficient in 1 subject (5.0%), insufficient in 35% and sufficient in 60.0%. There was no significant relation between site or side of rhinoscleroma and vitamin D3 level.<br />Conclusion: Vitamin D3 levels were significantly reduced in patients with rhinoscleroma (group A) as opposed to group B and this reduction may have a role in pathogenesis of rhinoscleroma and vitamin D3 supplementations may affect the course of the disease
Endemic,Granuloma,rhinoscleroma,upper airway,Vitamin D
https://ejentas.journals.ekb.eg/article_26549.html
https://ejentas.journals.ekb.eg/article_26549_986106f81ffb77c30fb97c7bd9f3ad1f.pdf
Egyptian Society of Ear Nose Throat and Allied
Sciences
Egyptian Journal of Ear, Nose, Throat and Allied Sciences
2090-0740
2090-3405
19
3
2018
11
01
Comparative Study between lateral laminectomy and conchoplasty in the surgical treatment of symptomatic middle turbinate Concha Bullosa
80
86
EN
Yaser
Abdel-wahab
Khalil
Department of Otorhinolaryngology, Faculty of Medicine, Menoufia University, Egypt
Heba
Abdel-rehem
Aboel-naga
Department of Otorhinolaryngology, Faculty of Medicine, Menoufia University, Egypt.
Hosam
Adel Hussein
Department of Otorhinolaryngology, Faculty of Medicine, Menoufia University, Egypt
Ahmad
hisham
GadAllah
ent dep. shebin belkom ,menofia university
ahmadrhino18@gmail.com
10.21608/ejentas.2018.5153.1038
Objective: To evaluate and compare the short term outcomes of lateral laminectomy (partial turbinectomy) and conchoplasty (turbinoplasty) techniques in the surgical treatment of symptomatic middle turbinate concha bullosa.<br />Background: Concha bullosa (pneumatized nasal turbinate) is one of the most common anatomical variants of the lateral nasal wall which occurs mainly at the middle turbinates.<br />The effective method to control symptomatic Concha bullosa is mainly surgical via various techniques.<br />Patients and Methods: This prospective study was carried out on 40 patients from October 2016 till April 2018. All patients who were presented with symptomatic concha bullosa, and then subjected to preoperative clinical, endoscopical, radiological assessment and by using an evaluation tests . Patients were divided equally and randomly into two groups, group A for lateral laminectomy and group B for conchoplasty, and all of them were arranged to postoperative re-evaluation follow up visits after 3 and 6 months.<br />Results: The mean age group of our studied patients was 31.8 ±8.4 years. (37.5%) of patients were male, while (62.5%) of them were female. The most recorded postoperative complications in group A were development of nasal crustations (35%) and synechia formation (20%),the postoperative minimal epistaxis was more in group A (15%) than in group B (5%).<br />Conclusion: Conchoplasty is an effective, safe and conservative procedure for the surgical treatment of symptomatic concha bullosa with anatomical and physiological preservation of the middle turbinate.
Concha bullosa,middle turbinate,partial turbinectomy,turbinoplasty
https://ejentas.journals.ekb.eg/article_26556.html
https://ejentas.journals.ekb.eg/article_26556_4f2d48f2e140315e40a0ad93ec5a5576.pdf