Egyptian Society of Ear Nose Throat and Allied
SciencesEgyptian Journal of Ear, Nose, Throat and Allied Sciences2090-074021320201101Otorhinological Manifestation in Patients with Thalassemia Major11111511155810.21608/ejentas.2020.17290.1151ENQais Khalafdepartment of otolaryngology head and neck surgery , university of diyala , iraqOmar Bargasdepartment of surgery , Anbar college of medicine , Anbar , IraqJournal Article20191210Aim: This study was designed and intended to reveal the incidence of certain otorhinological presentations in patients with thalassemia major and the relation of desferrioxamine with it.<br />Patients and Methods: In our cross-sectional study we blindly select 100 patient complaining of thalassemia major whom attending Baquba teaching hospital for blood transfusion as part of their regular treatment. Data collection was done in the otolaryngology outpatient clinic of the hospital.<br />In those patients, thalassemia major was documented by hemoglobin electrophoresis. History and examination in those patients were concentrated on nasal problems like nasal airway obstruction, temporomandibular joint complaints like pain in TMJ region, ear problems like deafness, tinnitus and morphological abnormalities like saddle nose. Clinical examination and pure tone audiometry were done.<br />Results: The relative frequency of certain otorhinological manifestations is high in patients with thalassemia major.<br />Conclusion: Thalassemia major may be associated with certain otorhinological problems which can be early diagnosed and treated.Egyptian Society of Ear Nose Throat and Allied
SciencesEgyptian Journal of Ear, Nose, Throat and Allied Sciences2090-074021320201101Value of Inferior Meatal Window with Mucosal Flap as an Adjuvant to Middle Meatal Antrostomy in Managing Maxillary Sinus Lesions: A Randomized Controlled Trial11612112870610.21608/ejentas.2020.17939.1153ENAhmed Amin NassarCairo University0000-0002-6944-6479Ahmed ElBatawiDepartment of Otolaryngology, Faculty of Medicine, Cairo University, Cairo, EgyptKhaled AzoozDepartment of Otolaryngology, Faculty of Medicine, Cairo University, Cairo, Egypt.Khaled HarhashDepartment of Otolaryngology, Faculty of Medicine, Cairo University, Cairo, EgyptMohamed SabaaDepartment of Otolaryngology, Faculty of Medicine, Cairo University, Cairo, Egypt.Journal Article20191008Background: Several approaches for the maxillary sinus were described. Currently, endoscopic Middle Meatal Antrostomy (MMA) is the gold standard for managing maxillary sinus lesions. Unfortunately, there are some limitations especially in hidden areas. This research elucidates the advantages and disadvantages of adding IMF to the MMA for managing maxillary sinus lesions.<br />Patients and Methods: This study was a randomized controlled trial, conducted on sixty patients, divided into 2 groups: Group (A) included 30 patients underwent IMF after MMA, while group (B) involved 30 patients subjected to MMA only for managing the maxillary sinus. Patients were assessed for the accessibility of the antero-inferior area of the maxillary sinus, residual lesion after performing IMF and evidence of recurrence.<br />Results: The antero-inferior area accessibility in group (A) was difficult in 10 patients (33%) compared to 20 patients (66%) of group (B) (P =0.004). Residual was detected after performing the IMF in 12 patients (40%). Postoperative 1 year Lund Mackay score comparison between both groups was statistically insignificant (P=0.6). Recurrence was noted in 4 cases of group (A) and 2 cases of group (B), (P=0.7).<br />Conclusion: Inferior meatal window with mucosal flap is helpful approach to maxillary sinus hidden areas when added to standard MMA. It is best suited for complete removal of small hidden lesions (e.g. foreign bodies, fungal ball and odontogenic cysts) which could be hardly handled through MMA.Egyptian Society of Ear Nose Throat and Allied
SciencesEgyptian Journal of Ear, Nose, Throat and Allied Sciences2090-074021320201101Postural Effects on Normal Oropharyngeal Swallowing: Videofluoroscopic Swallow Study (VFSS)12212711614010.21608/ejentas.2020.19401.1159ENAhalam EladawyDepartment of Phoniatrics, Otorhinolaryngology-Head and Neck Surgery, Sohag University, Sohag, EgyptAhmed Mamdouh Imamprofessor of Phoniatrics,Otolaryngology department - Phoniatric Unit, Sohag UniversityRasha HashemPhoniatric Specialtist at the Medical Administration, Sohag University, EgyptEman MostafaAssistant Professor of Phoniatrics, Otolaryngology department -Sohag University, EgyptJournal Article20191229Background: There is considerable amount of research assessing the effect of posture (supine and upright) on swallowing. However, there are no previous studies that assess the difference between sitting and standing positions and their effect on swallowing.<br />Aim: To assess the physiological difference between standing and sitting positions in oropharyngeal phase of swallowing.<br />Patients and Methods: Dynamic videofluoroscopic swallow studies were performed on 30 healthy adult volunteers (15 males and 15 females) ranging in age from 18 to 45 years. All volunteers were examined in sitting and standing positions with a lateral view using barium sulfate. Oral Transit Time and Pharyngeal Transit Time are measured. In addition, hyoid peak elevation is calculated.<br />Results: During studying fluid bolus, there was significant difference between sitting and standing positions in Pharyngeal Transit Time (P value=0.005). On the other hand, there was no significant difference between sitting & standing positions in Oral Transit Time.<br />Conclusion: Although the PTT was longer in the sitting position with a statistically significant difference with the standing position, it did not affect the hyoid peak elevation. Hence, the body position affected the duration of PTT without affecting the degree of displacement of the hyoid bone.Egyptian Society of Ear Nose Throat and Allied
SciencesEgyptian Journal of Ear, Nose, Throat and Allied Sciences2090-074021320201101Microscopic Versus Endoscopic Myringotomy with/without Grommet Insertion12813212870910.21608/ejentas.2020.20962.1167ENAjay MundruKondaveedu ENT Hospital, Narsaraopet, IndiaDeviprasad DosemaneDepartment of Otorhinolaryngology, Kasturba Medical College, Manipal Academy of Higher Education, IndiaPanduranga M.KamathDepartment of Otorhinolaryngology, Kasturba Medical College, Manipal Academy of Higher Education, India.Suja S.SreedharanDepartment of Otorhinolaryngology, Kasturba Medical College, Manipal Academy of Higher Education, India.Vijendra ShenoyDepartment of Otorhinolaryngology, Kasturba Medical College, Manipal Academy of Higher Education, India.Journal Article20191216Aim: Otitis Media with Effusion (OME) in children requires myringotomy, which is usually done under microscope. Use of endoscope in ear surgeries has increased. So we compared outcome of myringotomy under microscope and endoscope.<br />Patients and Methods: Time bound descriptive non-randomized study was done in a tertiary care hospital on 3-13 year’s old children with OME, with ‘B’ type tympanogram. Myringotomy ± grommet insertion was done either under microscope or endoscope. Primary outcome observed was time taken for various steps of procedure. Additional observations like narrow canal, overhang and injury of ear canal; visualization of entire tympanic membrane (TM), satisfactory clarity of view and depth perception were noted.<br />Results: Out of 33 patients, 18 and 13 underwent procedure under microscope and endoscope respectively. Time for myringotomy on right side under microscope was 80.73 seconds, under endoscope was 30.63 seconds (P < 0.001); on left side under microscope was 59.08 seconds, under endoscope was 35.41 seconds (P < 0.001). Time between procedure on one ear and contralateral ear was 151.53 seconds under microscope and 60.23 seconds under endoscope (P < 0.001). Endoscopic grommet insertion took longer than microscopic technique on right ear (P=0.037). Under endoscope, ability to visualize entire TM, satisfactory clarity of view and depth perception were statistically significant (P < 0.001).<br />Conclusion: Less operative time, satisfactory depth perception, clarity of field and visualizing of entire TM make myringotomy ± grommet insertion with endoscope a better alternative than microscopic procedure.Egyptian Society of Ear Nose Throat and Allied
SciencesEgyptian Journal of Ear, Nose, Throat and Allied Sciences2090-074021320201101A Clinicopathological Study of Olfactory Neuroblastoma13313712890810.21608/ejentas.2020.22455.1169ENThripthi RaiK.Department of Otorhinolaryngology and Head and Neck Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Karnataka, India.Flora D.LoboDepartment of Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Karnataka, India.Vijendra ShenoyS.Department of Otorhinolaryngology and Head and Neck Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Karnataka, India.Sushmitha K.Department of Otorhinolaryngology and Head and Neck Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Karnataka, India.Journal Article20201210Background: Olfactory neuroblastoma, also known as Esthesioneuroblastoma, is a malignant neoplasm of neuroectodermal origin. In view of its rarity, a clinicopathological study of esthesioneuroblastoma is presented.<br />Aim: Study Olfactory neuroblastoma cases diagnosed in the past ten years in patients attending Otorhinolaryngology outpatient.<br />Patients and Methods: A retrospective study was conducted at Kasturba Medical College, Mangalore from 2009-18. Patients who attended Otorhinolaryngology outpatient and proven histopathologically to have Olfactory neuroblastoma are included in the study with the exclusion criteria being metastasis of Neuroblastoma to Head and Neck. It is a time-bound study and cases during the study period fulfilling the inclusion criteria are included.<br />Results: A total of six cases are taken up for the study. These include one female and five male patients. Epistaxis was the most common presenting complaint. All the patients had nasal mass and local spread was seen most commonly to paranasal sinuses, orbit and anterior cranial fossa. Level two lymph nodes were most commonly involved. Overall they were staged as Kadish C in three, A in two and D in one. Treatments included surgical resection and radiation therapy. Two patients presented with recurrence during follow-up out of which one was local and another nodal recurrence.<br />Conclusion: Although rare, any patient in the sixth decade presenting with epistaxis must be evaluated for Olfactory neuroblastoma. Better results are obtained with the combined modality of treatment. Also, the patients must be followed-up for an extended period for the timely detection of recurrences.Egyptian Society of Ear Nose Throat and Allied
SciencesEgyptian Journal of Ear, Nose, Throat and Allied Sciences2090-074021320201101Bilateral Bipedicled Advancement Nasoseptal Flaps for Nasal Septal Perforation Repair: Endoscopic Versus Open Rhinoplasty Approach13814712891310.21608/ejentas.2020.30658.1210ENAshraf A.EldemerdashDepartment of Otorhinolaryngology, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt.Ahmad M.HamdanDepartment of Otorhinolaryngology, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt.0000-0002-5148-2041Ibrahim A.Abdel-ShafyDepartment of Otorhinolaryngology, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt.Journal Article20201210Objective: To compare open rhinoplasty and endoscopic approaches with bilateral bipedicled advancement nasoseptal flaps in nasal septal perforation repair.<br />Patients and Methods: The current study is a prospective comparative study including 53 patients with symptomatic cartilaginous septal perforation recruited from Otorhinolaryngology department, Menoufia University and distributed as 2 groups. Group I included 25 patients subjected to open approach. Group II included 18 patients subjected to endoscopic approach. Both groups were compared regarding success defined as complete or partial closure, operative details including operative duration and intraoperative blood loss, and postoperative details including patient discomfort, nasal crustations and aesthetic problems. The relationship between the success of each technique and the vertical and anteroposterior diameters of the perforation was assessed.<br />Results: The success rate of open and endoscopic approaches were 80% and 72.2% respectively with no statistically significant difference (p = 0.55). There was a statistically significant relationship between the success of both approaches and the vertical diameter of the perforation (p = 0.001 and 0.002, respectively) There was no statistically significant difference between both groups regarding operative duration and bleeding. (p = 0.73 and 0.52, respectively). There was a statistically significant difference regarding discomfort and aesthetic problems favoring the endoscopic approach (p = 0.004 and 0.04, respectively).<br />Conclusion: Both approaches are successful options for repair of nasal septal perforation with comparable results and operative details. However, the open approach may cause more discomfort and aesthetic problems. The vertical diameter of the perforation is a significant determinant of the success of both approaches.Egyptian Society of Ear Nose Throat and Allied
SciencesEgyptian Journal of Ear, Nose, Throat and Allied Sciences2090-074021320201101Foley's catheter dilatation in the management of choanal atresia: A prospective non-randomized case-series14815310080410.21608/ejentas.2020.24027.1174ENAhmed MohammedAbdelghanyBenha Faculty of Medicine0000-0003-4781-4661Journal Article20200214Background: Choanal atresia treatment is by operative opening of the choana using a transnasal or transpalatal approaches. The main goals of the surgery are creating a satisfactory opening and guarding against restenosis. Many surgeons use stents aiming to prevent or minimize restenosis. Searching for a feasible method decreasing the incidence of restenosis and abolishing the need for stents; we thought of Foley's catheters' dilatation during and after the surgical correction of the atresia. Patients and Methods: A non - randomized prospective single-blinded case series study. After finishing the bony and soft tissue work, we applied Foley's catheter (size 12 Fr) in the new opening, inflated with normal saline to its maximum capacity for 3 minutes, deflated for one minute then re-inflated for another 3 minutes. No packs or stents were placed. In the follow up visits and under endoscopic vision, the surgical opening was routinely dilated with 12 or 14 FR Foley's catheters. Results: Fourteen infants were included with age ranging from 3 to 11 days (mean 6.14). Twelve cases (85.7%) showed criteria of success at the end of the follow up period. Two cases (14.3%) needed revision surgery at ages of 4 and 6 months. They had considerable granulations that were refractory to balloon dilatation and conservative treatment and led to considerable stenosis. Conclusion: Using Foley's catheters is a feasible, effective, safe and cheap alternative for dilatation of the new choanae in choanal atresia repair. It eliminates the need for stenting and may be a satisfactory alternative for other maneuvers.Egyptian Society of Ear Nose Throat and Allied
SciencesEgyptian Journal of Ear, Nose, Throat and Allied Sciences2090-074021320201101Mitomycin-C as a Preventive Measure of Adhesion after Functional Endoscopic Sinus Surgery (FESS)15415812892010.21608/ejentas.2020.26708.1189ENFatma MohamedElhussienyDepartment of ENT, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.0000-0001-9154-9776fDoaa Abd ElhalimSaif EldinDepartment of ENT, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.Yasmin AhmedElsharawyDrug and Poison Information Center, Pharmacy Department, King Saud University Medical City, Riyadh, Saudi Arabia.Journal Article20201210Background: Synechia formation in a postoperative nasal cavity is a major factor for suboptimal clinical outcome in functional endoscopic sinus surgery (FESS). Nasal packs medicated with topical agents like mitomycin C have been shown to reduce the formation of synechiae in postoperative patients.<br />Aim: To assess the role of mitomycin-c (MMC) in preventing synechia formation and ostial stenosis following endoscopic nasal surgery.<br />Patients and Methods: This is a prospective comparative study performed at the department of Otorhinolaryngology, El-Zhraa University hospital from January 2018 to December 2019 to evaluate the effect of MMC in prevention of nasal adhesions after endoscopic nasal surgery. A total of fifty (50) patients of different age groups and both sexes were involved in the study and divided into two groups, each group include 25 patients, group A with applying MMC and group B without applying MMC.<br />Results: In the MMC group, there was a reduction of synechia and crustration formation in group A that use MMC than group B without using MMC but with no significance.<br />Conclusion: Mitomycin C (MMC) is safe and beneficial in decreasing adhesion formation after endoscopic nasal surgery.Egyptian Society of Ear Nose Throat and Allied
SciencesEgyptian Journal of Ear, Nose, Throat and Allied Sciences2090-074021320201101Laboratory Indicators for Predicting Hypocalcemia After Total Thyroidectomy. A Study from A Tertiary Hospital in Saudi Arabia15916412892410.21608/ejentas.2020.26726.1190ENTurki AldreesDepartment of Otolaryngology, Head and Neck Surgery, College of Medicine, Prince Sattam Bin Abdulaziz University, Alkharj, Saudi Arabia.Mohammed AlqabasaniDepartment of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Riyadh, Saudi Arabia.Riyadh AlhedaithyDepartment of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Riyadh, Saudi Arabia.Saleh AlqaryanDepartment of Otolaryngology, Head and Neck Surgery, King Saud University, Riyadh, Saudi Arabia.Abdullah AlshalanDepartment of Surgery, King Saud University, Riyadh, Saudi Arabia.Sharif AlmatrafiDepartment of Otolaryngology, Head and Neck Surgery, College of Medicine, Prince Sattam Bin Abdulaziz University, Alkharj, Saudi Arabia.Khalid Al-QahtaniDepartment of Otolaryngology, Head and Neck Surgery, College of Medicine, King Saud University, Saudi Arabia.Journal Article20201210Background: Hypocalcemia is a common complication after total thyroidectomy and it is the most important factor for discharging a patient who underwent total thyroidectomy. Therefore, tools are needed to identify the risk of hypocalcemia in patients who are undergoing total thyroidectomy.<br />Aim: The present study aimed to examine various preoperative parameters for predicting hypocalcemia.<br />Patients and Methods: A prospective study evaluated consecutive patients who had fulfilled the surgical indications for total thyroidectomy, at two Saudi tertiary hospitals during 2017–2018. Standardized preoperative assessment that includes routine laboratory testing and measuring the corrected serum levels of calcium, vitamin D, phosphorus, and magnesium. At 6 hour after the surgery, all laboratory parameters were re-tested. The different variables were tested using Pearson's correlation analysis, the related-samples T-test, the independent-samples T-test, and repeated measures analysis of variance.<br />Results: Total of 90 patients who underwent total thyroidectomy. The mean age of 41 ± 12 years, and included 20 men (22.2%) and 70 women (77.8%). The preoperative labs parameters (e.g., phosphorus, magnesium, albumin, vitamin D, and PTH) had poor predictive values for differentiating between the patients with and without hypocalcemia.The only significant difference was observed for postoperative PTH (p=0.037), and the postoperative magnesium and phosphorus levels were not statistically significant (p=0.200 and p=0.997, respectively).<br />Conclusion: Our study showed that postoperative PTH levels reliably predicted postoperative hypocalcemia. We also found that hypocalcemia was not reliably predicted by age, sex disease type, or the preoperative and postoperative values for vitamin D, phosphorus, and magnesium.Egyptian Society of Ear Nose Throat and Allied
SciencesEgyptian Journal of Ear, Nose, Throat and Allied Sciences2090-074021320201101Panorama of the Non-Verbal Cognitive Abilities Among Children with SLI16517512892510.21608/ejentas.2020.27485.1194ENReham AhmedFahiemMedical Studies Department for Children, Faculty of Postgraduate Childhood Studies, Ain Shams University, Egypt.0000-0003-2622-5956Hassnaa OthmanMohammedMedical Studies Department for Children, Faculty of Postgraduate Childhood Studies, Ain Shams University, Egypt.Journal Article20201210Background: SLI is a disorder with many questionable abilities and marked heterogeneity regarding many aspects. Many determinants could predict the drawback of the disorder on academic, social and vocational levels of the affected children. The full-blown picture of the disorder was and still is an area of interest. It seems urgent to make a revision of the disorder (regarding its definition, diagnostic criteria and classification). One of the questionable aspects of the disorder is the non-verbal cognitive abilities among the affected children.<br />Aim: The current work is aiming to explore the non- verbal cognitive abilities among different types of SLI children in order to draw an overview of the nature of cognitive affection among this population.<br />Patients and Methods: A cross sectional study carried on a random sample of 39 Egyptian children previously diagnosed as SLI (30 males and 9 females) their ages ranged from 2y 8 m to 8y. The participating children were subjected to an assessment protocol that included assessment of the language aptitude (by modified PLS-4 Arabic edition) and the non-verbal cognitive abilities (by Stanford Binet 5th edition).<br />Results: Showed that the syntactic phonological and the semantics pragmatics sub-types of SLI exhibited a varying degree of affection of the non-verbal cognitive abilities.<br />Conclusion: Different types of SLI showed a marked variability in their non-verbal cognitive profile. SLI could be classified into SLI-expressive type with unaffected cognitive abilities (both verbal and non-verbal) and SLI-receptive type which need deeper inspection of their non-vernal cognitive abilities.Egyptian Society of Ear Nose Throat and Allied
SciencesEgyptian Journal of Ear, Nose, Throat and Allied Sciences2090-074021320201101Comparison between Quick Speech in Noise Test (QuickSIN test) and Hearing in Noise Test (HINT) in Adults with Sensorineural Hearing Loss17618511105310.21608/ejentas.2020.28080.1195ENOla SultanAudio-vestibular medicine unit , ENT departement , Tanta Faculty of Medicine , Tanta , EGYPTTrandil H.ElmahallawyAudio- vestibular medicine Unit, ENT Department, Tanta Faculty of Medicine, Tanta, Egypt.Enaas A.KolkailaAudio- vestibular medicine Unit, ENT Department, Tanta Faculty of Medicine, Tanta, Egypt.Reham MamdouhLasheenAudiovestibular unit, faculty of medicine, Tanta University, Tanta, EgyptJournal Article20200515Objectives: The purpose of this study was to compare between the two newly developed Arabic speech in noise tests (QuickSIN and HINT) to study the clinical utility of both tests in adults with sensorineural hearing loss.<br />Patients and Methods: Seventy five subjects, aged 18-50 years, were divided into two groups: Control group consisted of 25 normal hearing subjects and study group consisted of 50 subjects, who were further divided into three subgroups. Subgroup (IIa): 20 subjects with moderate and moderately severe sensorineural hearing loss. Subgroup (IIb): 20 subjects with moderate and moderately severe sensorineural hearing loss who were HAs users. Subgroup (IIc): 10 subjects with unilateral Cochlear implantation (CI). Materials: Arabic QuickSIN, Arabic HINT and Arabic Abbreviated Profile of Hearing Aid Benefit (APHAB) questionnaire.<br />Results: The QuickSIN test had some advantages over HINT in terms of clinical use. The QuickSIN test showed better separation in recognition performances between normal hearing and hearing loss than HINT. The sensitivity for QuickSIN was higher than HINT in all subgroups. Correlation for the QuickSIN test with APHAP background noise (BN) subscale was higher than the correlation for the HINT in HL and HA subgroups. However, both tests were not correlated with APHAB (BN) subscale in CI group.<br />Conclusion: Both tests explain the listener’s experience of hearing in background noise. However, QuickSIN test is a more sensitive measure of speech perception in noise than HINT does in both unaided and aided conditions. CI subjects had the lowest performance for both tests.Egyptian Society of Ear Nose Throat and Allied
SciencesEgyptian Journal of Ear, Nose, Throat and Allied Sciences2090-074021320201101The validity of the Arabic Version of the University of Pennsylvania Smell Identification Test in Egyptian Population18619112893110.21608/ejentas.2020.30731.1211ENTarek A.Abd-ElhafezDepartment of Otorhinolaryngology, Faculty of Medicine, Menoufia University, Egypt.Zeinab Abdel AzizKasemyDepartment of Public Health and Community Medicine, Faculty of Medicine, Menoufia University, Egypt.Ahmad M.HamdanDepartment of Otorhinolaryngology, Faculty of Medicine, Menoufia University, Egypt.0000-0002-5148-2041Journal Article20201210Objective: To assess the validity of the Arabic version of the University of Pennsylvania Smell Identification Test in the Egyptian population.<br />Patients and Methods: This was a cross sectional study including 124 normal Egyptian subjects. Socioeconomic standard was assessed, and patients were categorized into three categories; low, moderate and high socioeconomic levels. The total number of correct answers for the 40 odorants presented was used to determine the test score. The difficulty level of the test was checked by a visual analogue scale. The percentage of the study sample detecting every odor was calculated. Internal consistency of the test was checked by cronbach's alpha test.<br />Results: The study group included 87 females and 37 males with a mean age of 29.28 ±5.92 years. The average smell identification test score for all participants was 31.49 ± 1.74. The average visual analog scale score for ease of applicability of the test was 7.13 ± 0.58 with no significant difference between males and females. The smell identification test score was higher among males than females with little significance. Participants with high and moderate socio-economic standards reported significantly higher test score. Thirty-one odors were correctly identified by at least 70% of the volunteers, Overall alpha was 0.749.<br />Conclusion: The Arabic version of University of Pennsylvania Smell Identification Test is an adequate tool for assessment of olfaction in the Egyptian population. But 9 Odorants of this test needs further revision. Males and higher socioeconomic levels were associated with better test results.Egyptian Society of Ear Nose Throat and Allied
SciencesEgyptian Journal of Ear, Nose, Throat and Allied Sciences2090-074021320201101Spreader Flap versus Spreader Graft in Dorsal Reconstruction following Hump Resection in Primary Closed Rhinoplasty19220112893410.21608/ejentas.2020.32090.1221ENMahmoud ElBestarDepartment of Otorhinolaryngology, Faculty of Medicine, Cairo University, Egypt.Mohamed AlyAbou-ZeidDepartment of Otorhinolaryngology, Faculty of Medicine, Cairo University, Egypt.Hisham LasheenDepartment of Otorhinolaryngology, Faculty of Medicine, Cairo University, Egypt.Ahmed FarahatDepartment of Otorhinolaryngology, Faculty of Medicine, Cairo University, Egypt.Mahmoud ElFoulyDepartment of Otorhinolaryngology, Faculty of Medicine, Cairo University, Egypt.Mohamed. SabaaDepartment of Otorhinolaryngology, Faculty of Medicine, Cairo University, Egypt.Ahmed ElSalmawyDepartment of Otorhinolaryngology, Faculty of Medicine, Cairo University, Egypt.Journal Article20201210Objectives: To evaluate outcome of spreader flaps versus the spreader grafts in reconstruction of the nasal dorsum after large hump resection. This includes both functional and aesthetic aspects.<br />Patients and Methods: Thirty patients seeking rhinoplasty for dorsal nasal hump. All surgeries were done through the closed approach. Patients were randomly divided into two groups and accordingly to the modality of nasal dorsal reconstruction after hump resection. Group (A) patients were scheduled for reconstruction using spreader grafts while in Group (B) spreader flaps were used. Evaluation included functional and aesthetic considerations. Functional subjective evaluation was done by Nasal Obstruction Symptom Evaluation (NOSE) score and objective assessment by active anterior rhinomanometry (AAR). Aesthetic evaluation included patients’ assessment of their problem according to Visual Analogue scale (VAS) while objective evaluation was done based on a suggested scoring system designed by the authors using pre and post-operative photography. The evaluating surgeons were blinded regarding the vault reconstructive modality.<br />Results: In both groups significant improvement in both functional and aesthetic outcome - after a minimum of three months follow up- when comparing the pre and postoperative data that was obtained. There was no statistically significant difference in outcome between both groups.<br />Conclusion: The spreader flap is a good alternative to the spreader graft in nasal dorsal reconstruction after large hump resection giving similar positive results both functionally and aesthetically however, the authors find the autospreader flap more superior to spreader graft technique as it does not require cartilage harvest.Egyptian Society of Ear Nose Throat and Allied
SciencesEgyptian Journal of Ear, Nose, Throat and Allied Sciences2090-074021320201101Mini Inferior Turbinoplasty-Tunneling Technique Versus Conventional Partial Inferior Turbinectomy in Adults: A Comparative Study20220712893710.21608/ejentas.2020.33915.1232ENEssam A.Abo ElmagdDepartment of Otorhinolaryngology, Faculty of Medicine, Aswan University, Egypt.Mahmoud S.KhalifaDepartment of Otorhinolaryngology, Faculty of Medicine, Aswan University, Egypt.Bishoy E.WahbaDepartment of Otorhinolaryngology, Faculty of Medicine, Aswan University, Egypt.0000-0001-8322-551XAbdelrahman A.El TahanDepartment of Otorhinolaryngology, Faculty of Medicine, Aswan University, Egypt.Journal Article20201210Background: Inferior turbinate reduction is a well-described procedure performed whenever medical treatment for patients with hypertrophic inferior turbinates or vasomotor rhinitis fails. There are several techniques of turbinate reduction that include turbinectomy, submucous diathermy, inferior turbinoplasty, cryotherapy, CO2 laser turbinoplasty, Coblation channelling and others. Each technique is associated with its own short-term and long-term complications such as bleeding, crusting and recurring of the turbinate hypertrophy.<br />Materials and Methods: We studied 80 patients attending the ENT department outpatients at Aswan university hospital from June 2018 to June 2019. All patients were clinically and radiologically diagnosed with bilateral inferior turbinate hypertrophy without response to medical treatment. Patients were randomized to two groups: Group A patients that underwent Mini turbinoplasty using tunnelling techniques and Group B patients that had conventional partial inferior turbinectomy Technique.<br />Results: The intraoperative time was longer in group A patients who had turbinoplasty-tunneling technique compared to group B who had conventional partial turbinectomy. However, intraoperative blood loss and nasal Packing were required mostly in group B patients. Postoperative bleeding and crustations were significantly higher in group B patients. There was no significant difference regarding the percentage synechia between both groups. Nasal obstruction symptom markedly improved in group B patients.<br />Conclusion: The current study revealed that Conventional Partial Inferior Turbinectomy is better than Mini Inferior Turbinoplasty Tunneling Technique regarding relief of symptoms of nasal obstruction.Egyptian Society of Ear Nose Throat and Allied
SciencesEgyptian Journal of Ear, Nose, Throat and Allied Sciences2090-074021320201101Comparative Study of Microscope Assisted Tympanoplasty and Endoscope Assisted Tympanoplasty20821312894110.21608/ejentas.2020.21769.1168ENRigzing. C.DadulConsultant ENT surgeon, Gangtok, Sikkim, India.Deviprasad DosemaneDepartment of Otorhinolaryngology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, India.Panduranga. M.KamathDepartment of Otorhinolaryngology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, India.Suja. S.SreedharanDepartment of Otorhinolaryngology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, India.Vijendra ShenoyDepartment of Otorhinolaryngology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, India.Journal Article20201210Aim: Endomeatal endoscopic tympanoplasty (ET) is a relatively new technique. We wanted to study the feasibility of performing this technique, its outcome using tragal perichondrium (TP) and its cosmetic benefits over the conventional microscopic tympanoplasty (MT) using temporalis fascia (TF).<br />Patients and Methods: Study consisted of 81 patients in total between the age group 7 years to 70 years who fulfilled the inclusion criteria. Of these patients, 41 underwent MT using TP, while the remaining 40 underwent ET using TP as graft material.<br />Results: For the graft uptake and hearing gain, ET and MT had similar outcomes, but time taken for surgery for ET was significantly less than the time taken for MT. In addition to this, satisfaction of clarity of view, depth perception, round window reflex, and ossicular chain visualization were all comparable in both groups but the visualization of the entire tympanic membrane was better in ET group. Cosmetic satisfaction of ET were significantly better than the MT group.<br />Conclusion: Endoscope has a better visualization of the entire tympanic membrane without the need to manipulate the patients head. ET was an equally effective technique and TP was an efficient graft material. Conventional MT required a long post auricular incision, dissection and closure which lead to change in normal orientation of the pinna leading to poor cosmetic satisfaction. The dissection and closure also extended the duration of surgery which was not required in endoscopic technique which lead to significant reduction of duration of surgery and better cosmesis.Egyptian Society of Ear Nose Throat and Allied
SciencesEgyptian Journal of Ear, Nose, Throat and Allied Sciences2090-074021320201101Influence of Tracheal stenosis on Vocal Fold Vibration: A case report21421712894310.21608/ejentas.2020.23008.1173ENEman MostafaDepartment of Otorhinolaryngology, Faculty of Medicine, Sohag University, Egypt.Mohamed ElrabieAhmedDepartment of Otorhinolaryngology, Faculty of Medicine, Sohag University, Egypt.Journal Article20201210Objectives: Patients with laryngotracheal stenosis (LTS) suffer from various problems such as dyspnea, stridor, intolerance of a speaking valve or inability of tracheostomy decannulation. The impact of LTS on the voice has been poorly understood and studied, particularly in adults. There has been no detailed qualitative or quantitative data about voice quality in patients with LTS. This case report presents tracheal stenosis with stridor and dysphonia with abnormal patterns of vocal fold vibration.<br />Case Report: We report a female patient with post-tracheostomy tracheal stenosis presented with moderate stridor and dysphonia due to an atypical pattern of vibration, which has been reversed after balloon tracheal dilatation using rigid bronchoscopy. The case showed marked improvement after dilatation in respiratory distress, dyspnea and the voice quality as evidenced subjectively by Auditory Perceptual Assessment (APA) and objectively by acoustic analysis.<br />Conclusion: Tracheal stenosis affects the mechanism of vocal fold vibration, which is reversed after tracheal dilatation with subsequent improvement of vocal fold vibration.