Otorhinolaryngologic Diseases Commons^™

Editorial, Reda Kamela, Ahmed El-Faroukb

Pan Arab Journal of Rhinology

No abstract provided.

Chronic Qat Chewing Effects On Nasopharynx, Oropharynx, And Laryngopharynx, Ahmed Mahmoud El Batawi, Ahmad M. Eltelety, Mohamed Abd Elmottaleb Sabaa

Pan Arab Journal of Rhinology

Background Qat (also known as Khat, Kat, Miraa) is a green plant Catha edulis planted mainly in East and South Africa, and The Arabian Peninsula. It is widely and traditionally consumed by people in some regions. It has general effects on different systems such as cardiovascular and nervous system. Local effects were mainly described in the oral cavity such as periodontitis and white keratotic lesions. Scarce studies proved its relationship with cancer development. To date, there is a literature gap in reporting other local manifestations. In this study, the authors discuss additional local manifestations noted with chronic qat chewing. Aim …

Outcomes Of Middle Turbinate-Septal Adhesion Technique And Trans-Septal Middle Turbinate Suture Technique To Prevent Middle Turbinate Lateralization: A Comparative Study, Muaid I. Aziz Baban, Hiwa A. Rawandizi, Hozan F. Ali, Sahar J. Hadi, Shkar N. Mohammed

Pan Arab Journal of Rhinology

Background Middle turbinate lateralization (MTL) is the most common undesirable sequela after functional endoscopic sinus surgery (FESS), which can result in recurrent sinusitis. Objectives To examine the efficacy and outcomes of different techniques to prevent failure of the primary surgery. Patients and methods Eighty patients who presented with chronic rhinosinusitis listed for FESS were enrolled in this study. Patients were divided randomly into two groups, with 40 patients each. In group A, middle turbinate (MT) was stabilized by adhesion technique, and in group B, MT was stabilized via suture technique. A comparison of the effectiveness and the outcomes of both …

Treatment Outcome Of Rhino-Orbital-Cerebral Mucormycosis Patients: A Retrospective Institutional Study, Nishant S. Saxsenaa, Amrita Srivastavaa, Madhu Yadav, S.K. Kanaujia, H.K. Gautama, Shalani Tripathia, Shaleem Khana, Tripti Agrwala

Pan Arab Journal of Rhinology

Introduction Rhino-orbital-cerebral mucormycosis is an acute fungal infection characterized by fungal hyphal invasion of blood vessels resulting in thrombosis and infarction of the nasal, paranasal sinus, orbital, and cerebral tissues. Patients and methods This was a retrospective study conducted on 80 patients with biopsy-proven mucormycosis. The study was carried out in the Mucormycosis Ward of a Tertiary Care Medical College and Hospital during a period of 6 months from May 2021 to October 2021. Results Among 80 patients, 50 (62.5%) were males and 37 (37.5. %) were females. Of the patients, 53.75% were in the age group of 51–70 years. …

Topical Application Versus Intraturbinate Injection Of Botulinum Toxin Type A In The Treatment Of Noninfectious Chronic Rhinosinusitis, Naslshah G. Kazem, Mohamed A. Elsaid, Aya L. Hassan, Abdelrahman A. Abdelalim

Pan Arab Journal of Rhinology

Background Chronic rhinosinusitis is a very common disorder caused by chronic inflammation or irritation of nasal mucosa. Objectives The purpose of this study was to evaluate the efficacy and safety of topical application of botulinum toxin type A (BTX-A) compared with intraturbinate injection for the treatment of noninfectious chronic rhinosinusitis. Patients and methods This prospective comparative study was carried out on 30 patients with noninfectious chronic rhinosinusitis. Patients were divided randomly into two groups. BTX-soaked merocel was applied topically in group A (topical group), which included 15 patients. Intraturbinate BTX injection was applied in group B (injected group), which included …

Review Of First 60 Pituitary Adenoma Cases Of A Skull Base Team, One Center Experience, Osama Hassan, Mohamed Fatthallah, Mohamed El Mallawany

Pan Arab Journal of Rhinology

Background: Endoscopic endonasal transsphenoid approach of pituitary gland is being effectively replacing microscopic approach. This approach need a lot of training and stepwise learning to reach perfection. This study discuss the experience and pitfalls of an evolving skull base team in one institute. Aim of the work: Analysis of first sixty pituitary adenomas patients operated by an evolving skull base teams in one institute, and highlighting modifications introduced in their technique. Methodology: This is a retrospective analytical study of the medical records of first 60 pituitary adenoma patients who had presented to one center and had endoscopic trans-nasal trans-sphenoidal approach …

Anosmia And/Or Ageusia In Coronavirus Disease 2019-Infected Patients: Role Of Early Corticosteroids And Timeline, Naslshah G. Kazema, Emad R.H. Issakb

Pan Arab Journal of Rhinology

Aim An increasing number of coronavirus disease 2019 (COVID-19) cases have started to experience unusual symptoms to the virus such as olfactory and gustatory dysfunctions. The study aimed to compare the effects of early corticosteroids (CS) administration versus no administration in the time-to-recovery from olfactory dysfunction in COVID-19. Patients and methods This comparative, nonrandomized study has been conducted at Benha University Hospital and another Primary Health Center in Cairo, Egypt, from January 2021 to June 2021. A total of 83 patients who have met the inclusion criteria were assigned into two groups: early-CS group (41 cases) and no-CS group (42 …

Combatting Bacterial Infections: The Efficacy Of Poly-Gamma-Glutamic Acid On The Prevention Of Nasopharyngeal Infections Among Individuals With Cleft Lip And Palate, Florence Pun

Scripps Senior Theses

Cleft lip and palate (CLP) is a medical condition where children are born with an unfused lip and palate. While surgery is required to fuse the lip and palate, there are other conditions that children with CLP face after surgeries, such as otitis media (OM), speech impediments, and difficulty breathing. Particularly, OM occurs frequently in individuals with CLP because the tensor veli palatini muscles cannot open the Eustachian tube frequently and ventilate the middle ear properly, even after surgery. This thesis is a research proposal to evaluate whether γ-PGA can be used in nasal washes to safely prevent nasopharyngeal infections …

Editorial Letter, Reda Kamel, Ahmed Elfarouk

Pan Arab Journal of Rhinology

No abstract provided.

Editorial Letter, Reda Kamel, Ahmed Elfarouk

Pan Arab Journal of Rhinology

No abstract provided.

Radiographic Changes Of The Nasal Septal Swell Body In Patients With Sinonasal Polyposis, Yasser Mohammed Hassan Mandour, Ahmed Soliman El Kady, Hamada Mohamed Khater, Mohamed Afify Mohamed Afify, Samer Badie Kamel, Abdelrahman Ahmed Abdelal

Pan Arab Journal of Rhinology

Background: The nasal septal body is a dilated section of the anterior nasal septum that is situated anterior to the middle turbinate and around 0.7–1.5 cm above the nasal floor.

Aim: This study analyses the measures taken from patients without sinonasal polyposis in order to identify the structural alterations in the nasal septal body (NSB) among patients with sinonasal polyposis.

Patients and methods: This retrospective study was conducted between April 2021 and February 2022 involving a review of paranasal sinus computed tomography (PNS CT) scan among patients with sinonasal polyposis and without sinonasal disease. The anterior part (A) was measured …

Olfactory Function As A Postoperative Parameter For Success Of Functional Endoscopic Sinus Surgery In Chronic Rhinosinusitis With Nasal Polyps, Wael S. Mohamed, Mohamed T. El-Ghonemy

Pan Arab Journal of Rhinology

Introduction : allergic nasal polyps associated with chronic rhinosinusitis always leads to disturbed sense of smell and impaired life quality. After failure of medical treatment in the form of anti-histaminic and local steroids, we usually proceed to functional endoscopic sinus surgery (FESS) to improve life quality.

Materials and methods : Total 48 patients were comprised in this work. All patients were subjected to routine nasal examination, nasal endoscopy and CT scans paranasal sinuses axial and coronal cuts before surgery and 3 months after operation. We used Sniffin’ sticks to assess psychophysical olfactory function.

Results : Disturbance of sense of smell …

Transnasal Endoscopic Piezoelectric Surgery For Repair Of Choanal Atresia, Ramez Sabry Fahim, Mohammed Sayed Abd El Azeem Fawaz, Ashraf Mahmoud Khaled, Maie Mohammed Hossam El-Den, Rabie Sayed Youssef

Pan Arab Journal of Rhinology

Background: Restenosis and reclosure of the choana are challenging complications after repair of choanal atresia (CA). Modifications to bone drilling with no injury to surrounding nasal soft tissues may reduce postoperative reclosure. Objectives: Our study aims to assess the effectiveness of piezoelectric device in preservation of muco-periosteal flaps and its outcome in reducing postoperative granulation tissue formation and restenosis. Methods: 20 patients with unilateral boney or boney membranous choanal atresia underwent removal of the atretic plate using the piezoelectric device with preservation of the muco-periosteal flap to cover the borders of the neo-choana. Checkup of the cases ranged from 6 …

Endoscopic Dacryocystorhinostomy With Nasal Mucosal Flaps: A Comparative Study, Heba Mohamed Mahmoud Hamdy, Mohammad Abdelaziem Mohammad, Ismail Seddik Elnashar, Wael Fayez Nasr, Waleed Mohamed Basha Amin Mohamed Khamis, Ahmed Ibrahim Elsayed

Pan Arab Journal of Rhinology

Introduction:

Endoscopic dacryocystorhinostomy is a procedure employed to treat epiphora caused by anatomical obstruction of the nasolacrimal pathway. Its principle is to create a connection between the lacrimal sac and the nasal cavity to bypass the obstruction and restore the tear flow. Diverse modifications to conventional endoscopic dacryocystorhinostomy have been developed to improve its success rate. The present study aims to compare the results and assess the outcome of endoscopic dacryocystorhinostomy using a novel flap technique, inferiorly-based nasal mucosal flap, versus the posteriorly-based flap in cases of epiphora due to primary acquired nasolacrimal duct obstruction.

Patients and Methods:

Under general …

Piezosurgery Versus Conventional Osteotomies And Rasping In Open Rhinoplasty, Amr Gouda Shafik, Mohamed Sherif Abdelmonem, Ashraf Mahmoud Khaled, Tamer Abdelmonem Azzam, Khaled Abd El Moaty Hafez

Pan Arab Journal of Rhinology

Background: Piezosurgery is appropriate for all bony surgeries, but it is predominantly helpful when access is limited and/or the bones are close subtle soft tissue, Aim and objectives; this work aimed for comparing conventional osteotomies and rasping with the Piezosurgery medical device, as regard operative time, post-operative edema, ecchymosis, and pains in open rhinoplasty patients. Subjects and methods: It is a prospective study done at our university hospital from June 2019 to December 2020. This study included 40 patients, 20 done with Piezosurgery technique in osteotomy and rasping, other 20 with conventional technique in osteotomy and rasping. This study involves …

Myofunctional Therapy For Treatment Of Obstructive Sleep Apnea: A Narrative Review, María Teresa García Iriarte, Laura Rodriguez Alcala, Peter Baptista, Guillermo Plaza, Carlos O’Connor-Garcia, Carlos O’Connor-Reina

Pan Arab Journal of Rhinology

Obstructive sleep apnea (OSA) is a serious and prevalent public health disorder that can have long-term detrimental effects on the cardiovascular, nervous, and metabolic systems, and increase the risk of accidents and mortality. Newly identified pathophysiological traits of OSA include decreased upper airway pharyngeal dilator muscle responsiveness. Myofunctional therapy (MT) has been proposed as a treatment to improve dilator tone by performing isotonic and isometric exercises of the tongue and other upper airway muscles. This article reviews the beginnings of this therapy and describes systematic reviews and meta-analysis published until February in 2023 focusing in our experience using MT as …

Acute Otitis Media: Management And Recurrence In The Pediatric Population, Sydney Klaiman

Capstone Showcase

Acute otitis media (AOM) is one the the most common condition that affects the pediatric population. AOM place burden on affected children, caregivers, the healthcare system, and also contributes to antibiotic resistance. In many cases, AOM is not just a one-time occurrence and is the most common reason that kids receive oral antibiotics and undergo surgery. Relative to the number of articles available, there is a large gap in the research that does not thoroughly address recurrent AOM (rAOM) and the importance of its management and prevention. Therefore, the goal of this poster is to discuss different modalities used to …

Nasal Surgery Versus Pharyngeal Surgery In The Treatment Of Obstructive Sleep Apnea, Ruxandra Oana Alius, Viorel Zainea, Catalina Voiosu, Irina Gabriela Ionita, Andreea Rusescu, Oana Denisa Balalau, Catalin Alius, Raluca Oana Pulpa, Razvan Hainarosie

Journal of Mind and Medical Sciences

The endemic spread of obesity and unhealthy behaviors of modern society led to revisiting the real prevalence related to obstructive sleep apnea. Recent data support a paradigm shift towards individually tailored treatments which include functional surgery of the upper airways. This paper presents the results of a randomized interventional, prospective study on 68 patients referred by the general practitioner for obstructive sleep apnea. The eligible cohort consisted of 28 patients who were offered functional surgery for definitive relief of obstructive symptoms. After topographic diagnosis of the obstruction site and grading of the severity of the obstructive sleep apnea, the eligible …

Investigating The Correlation Between Lpr & Obesity, Andrew S. Franklin Bs, Chad A. Nieri Bs, M. Boyd Gillespie Md

Longitudinal Scholar's Project

Objectives: To determine whether Drug-Induced Sleep Endoscopy (DISE) findings of Laryngopharyngeal Reflux (LPR) correlate with obesity, gender, Epworth Sleepiness scale, and OSA severity.

Study design: Single center retrospective cohort study.

Methods: Patients greater than 18 years of age who underwent DISE by one surgeon at a tertiary care center from July 2016 to July 2022 were included. DISE findings, patient characteristics, demographics, polysomnogram(s), and Epworth Sleepiness Scale(s) were extracted. Fisher’s exact test was used to compare categorical variables, and independent sample t-test was used to compare continuous variables. All statistical analyses were performed using IBM SPSS Statistics 28.

Results: …

Complications Of Pediatric Cochlear Implant Surgery, Andrew Stefan, Sabrina Bernardo, William Azkoul Ii, Bianca Siegel

Medical Student Research Symposium

Background:

Cochlear implantation (CI) surgery is the standard of care treatment for pediatric patients diagnosed with severe to profound sensorineural hearing loss. While considered a relatively safe operation, any invasive procedure involving the cranium has risks. However, there are few recent studies in the United States that have analyzed complication rates among children who have received CI. Furthermore, existing studies fail to discuss specific risk factors that led to post-operative complications, nor offer solutions to reduce their incidence. This study aims to 1) determine the incidence of specific complications in pediatric CI patients and 2) identify evidence-based risk factors for …