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Pedunculated Origin of Intraoral Fibrolipoma – Report of A Rare Case and Systematic Quantitative Literature Review 口内纤维脂肪瘤的蒂状起源--一例罕见病例的报告和系统定量文献综述
Q4 Medicine Pub Date : 2024-03-01 DOI: 10.21608/ejentas.2024.169210.1570
Arijit Jotdar, Annanya Soni, Vinita Paswan, Anna Singh
Lipoma is a benign mesenchymal tumour that rarely develops intraorally. Intraoral lipoma usually presents as a slow-growing, painless mass, occasionally interfering with speech and mastication. Here we describe a patient with pedunculated intraoral lipoma causing speech and mastication difficulties. A 48-year-old gentleman presented with a slow-growing, painless intraoral mass causing discomfort while chewing and talking. The mass originated from the buccal mucosa through a thin peduncle. We excised the tumour entirely from its root. Histopathologically it was diagnosed as fibrolipoma. We also conducted a systematic quantitative review of the PubMed database following PRISMA guidelines using specific sets of keywords and defined inclusion and exclusion criteria. Total 44 relevant articles were identified comprising of 175 patients. Their demographic and clinical profiles are described. Most common site of origin is buccal mucosa followed by tongue and lips. The presenting symptoms vary according to the intraoral location of the lesion. Pedunculated origin of intraoral lipoma is an extremely rare presentation. It is difficult to diagnose clinically, but a high degree of clinical suspicion helps in dealing with such cases.
脂肪瘤是一种良性间质肿瘤,很少发生在口腔内。口腔内脂肪瘤通常表现为生长缓慢、无痛的肿块,偶尔会影响说话和咀嚼。在此,我们描述了一名因口内有蒂脂肪瘤而导致说话和咀嚼困难的患者。一名 48 岁的男性患者口腔内有一个生长缓慢、无痛的肿块,导致咀嚼和说话时感到不适。肿块来自颊粘膜,有一条细细的蒂。我们将肿瘤从根部全部切除。组织病理学诊断为纤维脂肪瘤。我们还按照 PRISMA 指南,使用特定的关键词集和定义的纳入和排除标准,对 PubMed 数据库进行了系统的定量审查。共发现 44 篇相关文章,涉及 175 名患者。文中描述了这些患者的人口统计学和临床概况。最常见的发病部位是口腔粘膜,其次是舌头和嘴唇。病变在口腔内的位置不同,表现出的症状也不同。口腔内脂肪瘤呈蒂状起源是一种极为罕见的表现。临床上很难诊断,但临床上的高度怀疑有助于处理此类病例。
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引用次数: 0
Working Memory in Specific Language Impairment 特殊语言障碍患者的工作记忆
Q4 Medicine Pub Date : 2024-03-01 DOI: 10.21608/ejentas.2023.243804.1685
A. Gelaney, Eman Mostafa
Aim: To study the relation between working memory deficits and development of language in patients with Phonological programming Specific Language Impairment (SLI), Lexical syntactic SLI and Phonological syntactic SLI. Patients and Methods: This study is a retrospective study conducted on a series of Specific Language Impairment children (n=94). Inclusion criteria: children age range between 2.5-6.5 years, native Arabic speakers with history of speech and language delays and nonverbal IQ ≥ 85. Exclusion criteria: children with mental retardation, hearing impairment and any psychiatric disorders such as autism. Investigating working memory in SLI children was done and comparing the results with a control group (n=33). Results: There was statistically significance difference between different types of SLI and the control group in verbal working memory ( P value< 0.001 ). Conclusion: Verbal working memory abilities and language development are associated especially to Lexical syntactic SLI, Phonological syntactic SLI rather than to Phonological programming SLI.
目的:研究语音编程性特殊语言障碍(SLI)、词汇句法性特殊语言障碍和语音句法性特殊语言障碍患者的工作记忆缺陷与语言发展之间的关系。患者和方法:本研究是一项回顾性研究,对象是一系列特殊语言障碍儿童(94 名)。纳入标准:儿童年龄在 2.5-6.5 岁之间,母语为阿拉伯语,有言语和语言障碍史,非语言智商≥ 85。排除标准:患有智力障碍、听力障碍和任何精神疾病(如自闭症)的儿童。对 SLI 儿童的工作记忆进行调查,并将结果与对照组(33 人)进行比较。结果显示不同类型的 SLI 儿童与对照组在言语工作记忆方面存在显著差异(P 值< 0.001)。结论语言工作记忆能力和语言发展尤其与词汇句法型 SLI 和语音句法型 SLI 相关,而与语音程序型 SLI 无关。
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引用次数: 0
Lipoma of the Superficial Lobe of the Parotid Gland: A Case Report 腮腺浅叶脂肪瘤:病例报告
Q4 Medicine Pub Date : 2024-03-01 DOI: 10.21608/ejentas.2024.239880.1680
Meva&#;a Biouélé Roger Christian, Medefo Djomo Kuate Aude Irene, Mossus Yannick, Mindja Eko David, Ngaba Mambo Olive Nicole, Njock Richard
Objectives: Lipomas are common benign soft tissue tumors, but they are rarely found in the parotid gland. Because of their rarity at this site, they are not often considered in the differential diagnosis of parotid lumps. Magnetic resonance imaging (MRI) is today's Goal Standard imaging for parotid lipomas. Preoperative diagnosis remains difficult, and surgical excision is challenging due to the facial nerve possible injury. Case Report: We report a case of a 48-year-old man who presented with a painless, slowly growing, mobile lump of the left parotid gland. Ultrasonography and Computed Tomography (CT) suspected lipoma of the superficial lobe of the left parotid gland. An enucleation was performed with an uneventful postoperative course. The histology analysis confirmed the diagnosis of lipoma. Conclusion: Although lipomas of the parotid rarely occur, they should be considered in the preoperative differential diagnosis. Management could be successfully achieved in low-income countries using the imaging tools available.
目的:脂肪瘤是常见的良性软组织肿瘤,但很少在腮腺中发现。由于脂肪瘤在腮腺中很少见,因此在腮腺肿块的鉴别诊断中并不经常考虑脂肪瘤。磁共振成像(MRI)是当今腮腺脂肪瘤的目标标准成像。术前诊断仍然很困难,由于可能损伤面神经,手术切除也具有挑战性。病例报告:我们报告了一例 48 岁男性的病例,他的左侧腮腺有一个无痛、生长缓慢、可移动的肿块。超声波检查和计算机断层扫描(CT)怀疑是左侧腮腺浅叶脂肪瘤。患者接受了切除手术,术后恢复顺利。组织学分析证实了脂肪瘤的诊断。结论:虽然腮腺脂肪瘤很少发生,但术前鉴别诊断时应考虑到这一点。在低收入国家,利用现有的成像工具可以成功地进行治疗。
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引用次数: 0
Assessment of Dysphagia in Patients with Multiple Sclerosis 多发性硬化症患者吞咽困难评估
Q4 Medicine Pub Date : 2024-03-01 DOI: 10.21608/ejentas.2022.133036.1503
Hassan Hosny, M. Ghandour, N. Mahmoud, Mona Hussein, Noha A. Abd ElMonem, Rasha Ismail, Sherif A. Abdelmonam, A. Abdelmonem
Objectives: This study was conducted to estimate the prevalence of swallowing impairment in Relapsing-remitting multiple sclerosis (RRMS) cases and determine if there is any correlation between disability status and the severity of swallowing impairment to take the results into consideration while drawing the intervention plan. Patients and Methods: The study included 40 patients diagnosed with RRMS, and they were subjected to history taking, neurological examination, and Fiberoptic Endoscopic Evaluation of Swallowing (FEES), The Yale pharyngeal residue severity rating scale was used. Results: FEES revealed that 50 % of RRMS patients had no residue, 35% had mild residue and 15% had moderate residue. Additionally, 15% of the patients had choked with penetration, but there was no aspiration or nasal regurgitation. There was no statistically significant difference between the three groups of FEES findings regarding the expanded disability status scale (EDSS). The incidence of swallowing impairment increased with disease duration > 1 year, EDSS > 3, and in patients with more than 2 relapses. Conclusion: About half of the RRMS patients have pharyngeal residue post-swallow with variable degrees. Disease duration >1 year, a number of relapses >2 relapses, and EDSS >3 are significant risk factors for choking in MS patients.
研究目的本研究旨在估算复发缓解型多发性硬化症(RRMS)病例中吞咽障碍的患病率,并确定残疾状况与吞咽障碍的严重程度之间是否存在关联,以便在制定干预计划时将结果考虑在内。患者和方法:研究纳入 40 名确诊为 RRMS 的患者,对他们进行病史采集、神经系统检查和吞咽功能纤维内窥镜评估(FEES),并采用耶鲁咽残留物严重程度评分表。结果FEES 显示,50% 的 RRMS 患者无残留,35% 有轻度残留,15% 有中度残留。此外,15% 的患者有穿刺呛咳,但没有吸入或鼻腔反流。三组 FEES 结果在残疾状况扩展量表(EDSS)方面没有明显的统计学差异。随着病程超过 1 年、EDSS 超过 3 以及复发超过 2 次,吞咽障碍的发生率会增加。结论大约一半的 RRMS 患者在吞咽后有不同程度的咽残留。病程>1年、复发次数>2次以及EDSS>3是多发性硬化症患者窒息的重要危险因素。
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引用次数: 0
Assessment of Dysphagia Outcome and Severity Scale when using Fibreoptic Endoscopic Evaluation of Swallowing 使用纤维内窥镜评估吞咽困难的结果和严重程度量表
Q4 Medicine Pub Date : 2024-02-12 DOI: 10.21608/ejentas.2024.232471.1672
Asmaa Ibrahim, Sahar Shohdi, Rasha Safwat, Yossra Sallam, Ayatallah Sheikhany
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引用次数: 0
Proptosis in children caused by sinonasal pathology: A retrospective study 鼻窦病变引起的儿童畸形:一项回顾性研究
Q4 Medicine Pub Date : 2023-02-26 DOI: 10.21608/ejentas.2023.182396.1588
A. Yousef, Mosaad Abdel-Aziz, O. Sabry, A. Eldehn
Background: One of the most frequent clinical signs of orbital pathology is proptosis. Because of their close anatomical relationships, para nasal sinus or nasal pathologies can exhibit proptosis. Purpose: To report the 10-years experience of a tertiary medical center (Kasr Elainy hospital-Cairo University) with children presenting with proptosis due to nasal or sinus lesion. Patients and Methods: Patients were identified by file review. Data were collected on demographics, findings on ophthalmologic and imaging evaluations, etiology, treatment, and outcome. Results: The study included 209 patients suffering from proptosis due to nasal or sinus pathology. Age of the patients ranged from 40 days to 16 years. Complicated acute sinusitis with orbital cellulitis, subperiosteal or orbital abscess and allergic fungal sinusitis constituted 93.3% of the presenting cases. Allergic fungal sinusitis and complicated sinusitis with subperiosteal abscess showed statistically-significant association with necessity of surgical intervention; while complicated acute sinusitis with orbital cellulitis showed statistically-significant higher proportion of complete resolution on medical treatment. Both “acute invasive fungal sinusitis” and “Lymphoma” showed statistically-significant association with vision non-improvement. While complicated acute sinusitis with orbital abscess showed statistically-significant higher proportion of vision improvement. Conclusion: Many sinonasal lesions can present with proptosis in childeren. Inflammatory causes were the most common causes of proptosis in children in our study. Proptosis needs to be evaluated completely for proper management and to limit the morbidity associated with it.
背景:眼眶病变最常见的临床症状之一是眼球突出。由于其密切的解剖关系,鼻旁窦或鼻病变可表现为突出。目的:报告三级医疗中心(开罗大学Kasr Elainy医院)10年来治疗因鼻或鼻窦病变而出现突出的儿童的经验。患者和方法:通过文献回顾确定患者。收集了人口统计学、眼科和影像学评估结果、病因、治疗和结果等方面的数据。结果:本研究纳入209例因鼻或鼻窦病变而出现鼻部突出的患者。患者年龄从40天到16岁不等。急性鼻窦炎合并眼眶蜂窝织炎、骨膜下或眼眶脓肿及变应性真菌性鼻窦炎占93.3%。变应性真菌性鼻窦炎和合并骨膜下脓肿的鼻窦炎与手术干预的必要性有统计学意义;而合并眼窝蜂窝织炎的急性鼻窦炎经药物治疗后完全痊愈的比例有统计学意义。“急性侵袭性真菌性鼻窦炎”和“淋巴瘤”与视力无改善均有统计学意义。而合并眼窝脓肿的急性鼻窦炎患者视力改善的比例有统计学意义。结论:儿童鼻窦病变可出现突出。在我们的研究中,炎症是儿童脊柱突出最常见的原因。为了适当的治疗和限制与之相关的发病率,需要对突出进行全面的评估。
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引用次数: 0
Advanced stage laryngeal cancer in Egypt: Quality of life in the scope 埃及晚期喉癌:范围内的生活质量
Q4 Medicine Pub Date : 2023-02-26 DOI: 10.21608/ejentas.2020.28208.1197
L. El-Sharkawy, F. Gharib, Amal Sedrak, Mahmoud Youssef, Adel El-Antably
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引用次数: 0
Speech in Noise Ability Post COVID-19 语音噪音能力后COVID-19
Q4 Medicine Pub Date : 2023-02-22 DOI: 10.21608/ejentas.2022.161928.1556
Amani EI-Gharib, Enaas A. Kolkaila, Doaa Helal
Objectives: The aim of this study is to evaluate hearing in noise ability for post COVID-19 patients using the Complete Intelligibility Spatiality Quality (CISQ) questionnaire and Arabic Version of Hearing in Noise Test (HINT). Patients and Methods: Thirty subjects diagnosed by PCR as covid-19 virus positive were included in this study. Their ages ranged from 20 to 53 years. All participates were subjected to full audiological history, basic audiological evaluation including, complete intelligibility spatiality quality questionnaire (Arabic CISQ) and Hearing in Noise Test (HINT). Results: HINT results, revealed a strong statistically significant difference when compared to normal in all Noise conditions. As regards Complete Intelligibility Spatiality Quality questionnaire (Arabic CISQ), the results were highly statistically significant in averseness, background noise intelligibility and spatiality subscales. Conclusion: Post covid-19 infection, many subjects have a difficulty in speech discrimination in noise and also have difficulty in hearing specific loud sound. Further research in central auditory processing abilities post COVID-19 is recommended.
目的:采用完全可理解性空间质量(CISQ)问卷和阿拉伯语版噪音听力测试(HINT)评估新冠肺炎后患者的噪音听力能力。患者和方法:本研究纳入30例经PCR诊断为covid-19病毒阳性的受试者。他们的年龄从20岁到53岁不等。所有参与者都接受了完整的听力学史、基本听力学评估,包括完整的可听性空间质量问卷(阿拉伯语CISQ)和噪音听力测试(HINT)。结果:在所有噪声条件下,与正常情况相比,HINT结果显示有明显的统计学差异。在完全可理解性空间质量问卷(阿拉伯语CISQ)中,调查结果在厌恶性、背景噪声可理解性和空间性三个分量表上具有高度统计学意义。结论:感染新冠肺炎后,许多受试者在噪音中存在言语识别困难,也存在特定大声声音听不清的困难。建议进一步研究COVID-19后的中央听觉处理能力。
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引用次数: 0
Effect of Endoscopic Lateral Lamellectomy in Concha Bullosa Induced Rhinogenic Headache 内窥镜侧板切除术治疗大耳甲所致鼻源性头痛的疗效
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.21608/ejentas.2022.84272.1391
Mostafa Talaat, I. Nada, A. Hamad
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引用次数: 0
Involvement of the Phonatory Functions in Atypical Covid-19 Pneumonia 非典型Covid-19肺炎中发音功能的参与
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.21608/ejentas.2023.197413.1617
E. Ezzat, Y. Khalil, Asmaa Rashad, Maha El-kamshishy, H. anwar
Background: To assess the effect of the COVID-19 pandemic on the voice as many studies reported voice changes in patients with COVID-19. Objective: This study aimed to sight the involvement of phonatory function in atypical COVID-19 pneumonia. Rather than, enriching our knowledge and medical skills when dealing with that disease in our field. Patients and Methods: A cross-sectional study was done on one hundred and thirty-five subjects that had COVID-19. The recruited subjects were asked to complete a collective data, scientifically designed questionnaire involving analytical questions about demographic data, COVID-19 general symptoms, comorbidities, otolaryngological symptoms, and dysphonia symptoms. The prevalence of dysphonia, as part of the COVID-19 symptoms, was assessed. The onset, character, and duration were compared between dysphonic and non-dysphonic COVID-19 patients. Results: A high prevalence (57%) of self-evaluated dysphonia among COVID-19 patients. The current study found no correlation between gender with dysphonia while there is a significant correlation with age. A significant correlation between dysphonia with cough and otolaryngological symptoms was detected. A positive correlation with ventilatory support with or without intubation. Laryngoscopic examination showed that the most affected site was the glottic area by 83.3% where congestion of the vocal fold was the most common abnormality. Conclusion: Dysphonia may be found in about half of individuals infected with the Coronavirus (COVID-19) pandemic and should be considered as a symptom list of the infection.
背景:为了评估COVID-19大流行对声音的影响,许多研究报道了COVID-19患者的声音变化。目的:探讨发声功能在非典型COVID-19肺炎中的作用。而不是丰富我们的知识和医疗技能在我们的领域处理这种疾病。患者和方法:对135名COVID-19患者进行了横断面研究。招募的受试者被要求完成一份集体数据、科学设计的问卷,包括人口统计数据、COVID-19一般症状、合并症、耳鼻喉科症状和发声障碍症状的分析性问题。作为COVID-19症状的一部分,评估了语音障碍的患病率。比较发声障碍和非发声障碍COVID-19患者的发病、特征和持续时间。结果:在COVID-19患者中,自我评估的语音障碍患病率较高(57%)。目前的研究发现,性别与语音障碍之间没有相关性,而与年龄有显著相关性。发现发音困难与咳嗽和耳鼻喉科症状有显著相关性。与有无插管的呼吸支持呈正相关。喉镜检查显示声门区病变最多,占83.3%,声带充血是最常见的异常。结论:半数左右的新型冠状病毒(COVID-19)大流行患者存在语音障碍,应将其视为感染的一种症状。
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引用次数: 0
期刊
Egyptian Journal of Ear, Nose, Throat and Allied Sciences
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