Pub Date : 2023-01-01DOI: 10.21608/ejentas.2023.217926.1647
azza samy, Eman Zaky, Eman Fouda
Objectives: Asthma is a chronic inflammatory disease characterized by recurrent attacks of breathlessness and wheezing, which vary in severity and frequency from person to person. There are a lot of co-morbid conditions associated with asthma. Among this co-morbid conditions are vocal folds changes. The prevalence of co-morbidities seems to be particularly high in severe asthma, and may be particularly detrimental to asthma control in such individuals. Inhaled corticosteroids (ICS) are by far the most effective controllers used in the treatment of asthma and the only drugs that can effectively suppress the characteristic inflammation in asthmatic airways, even in very low dose. ICS has side effects due to its local deposition in the oropharynx and larynx, but the frequency of complaints depends on the dose and frequency of administration. Patients and Methods: The purpose of this study to assess vocal folds abnormalities in asthmatic children as well as the influence of different doses of inhaled corticosteroids on it. A Total number of 36 Egyptian children are included in this study divided into 3 groups: group I (asthmatic children on ICS) group II (newly diagnosed asthmatic children) and group III (controls). For all patients and control, history taking, chest examination, CBC, Spirometery PFTs (Pulmonary function tests: FEV1 and MMEF), video laryngoscope (VLS) and Multi-dimensional voice analysis (MDVP) were done. Results: Video Laryngoscope (VLS) examination of asthmatic patients (number = 24 cases) revealed different abnormalities in 13 cases (54.2%), 4 cases on ICS, 9 cases not on ICS. Those abnormalities were, Reink's edema (2 cases), moderate congestion of the larynx (2 cases ), bilateral swellings of both vocal folds (2 cases), vocal fold cyst (1 case ), left vocal fold swelling (2 cases), congestion and edema of both vocal folds (1 case), bilateral thickening of both Vocal folds (1case), bilateral vocal folds nodules (1case), Phonatory waste (1case). The Video Laryngoscopic (VLS) examination of the control group revealed no abnormalities. Conclusion: 1-Asthmatic patients may have an associated Laryngeal or vocal folds abnormalities which may be one of the causes of poor asthma control.
{"title":"Assessment of Vocal Folds Changes and their Correlation with Pulmonary Functions in Asthmatic Children","authors":"azza samy, Eman Zaky, Eman Fouda","doi":"10.21608/ejentas.2023.217926.1647","DOIUrl":"https://doi.org/10.21608/ejentas.2023.217926.1647","url":null,"abstract":"Objectives: Asthma is a chronic inflammatory disease characterized by recurrent attacks of breathlessness and wheezing, which vary in severity and frequency from person to person. There are a lot of co-morbid conditions associated with asthma. Among this co-morbid conditions are vocal folds changes. The prevalence of co-morbidities seems to be particularly high in severe asthma, and may be particularly detrimental to asthma control in such individuals. Inhaled corticosteroids (ICS) are by far the most effective controllers used in the treatment of asthma and the only drugs that can effectively suppress the characteristic inflammation in asthmatic airways, even in very low dose. ICS has side effects due to its local deposition in the oropharynx and larynx, but the frequency of complaints depends on the dose and frequency of administration. Patients and Methods: The purpose of this study to assess vocal folds abnormalities in asthmatic children as well as the influence of different doses of inhaled corticosteroids on it. A Total number of 36 Egyptian children are included in this study divided into 3 groups: group I (asthmatic children on ICS) group II (newly diagnosed asthmatic children) and group III (controls). For all patients and control, history taking, chest examination, CBC, Spirometery PFTs (Pulmonary function tests: FEV1 and MMEF), video laryngoscope (VLS) and Multi-dimensional voice analysis (MDVP) were done. Results: Video Laryngoscope (VLS) examination of asthmatic patients (number = 24 cases) revealed different abnormalities in 13 cases (54.2%), 4 cases on ICS, 9 cases not on ICS. Those abnormalities were, Reink's edema (2 cases), moderate congestion of the larynx (2 cases ), bilateral swellings of both vocal folds (2 cases), vocal fold cyst (1 case ), left vocal fold swelling (2 cases), congestion and edema of both vocal folds (1 case), bilateral thickening of both Vocal folds (1case), bilateral vocal folds nodules (1case), Phonatory waste (1case). The Video Laryngoscopic (VLS) examination of the control group revealed no abnormalities. Conclusion: 1-Asthmatic patients may have an associated Laryngeal or vocal folds abnormalities which may be one of the causes of poor asthma control.","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135753582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21608/ejentas.2022.144691.1529
Ahmed Sadek, Mostafa Hassan, Mostafa Zayed, Zaki Zaki, Mostafa Hammad
Aim: To Demonstrate Role Of Platelet Rich Plasma In Mucosal Healing After Nasal Surgeries. Patiants and Methods: This prospective study was conducted at Otolaryngology, Head and Neck surgery department, The study was approved by the Institutional Review Board at Minia University. During the period from 2021 to 2022, we selected, operated, and followed up 200 patients who had bilateral symmetrical nasal surgery.The study participants were recruited from patients with nasal disease attending outpatient clinic and required nasal surgery. The patients were randomly classified into two groups, with 100 patients in each group. Results: Autologous PRP application accelerates mucosal healing after nasal surgeries.This study included 200 subjects divided into two groups There was a significant difference in the occurrence of synechia between group 1 (study group) and group 2 (control group) (p=0.034).In study group synechia occurred in 8 patients it was mild and reliefed by repeated packing,while in control group synechia occurred in 14 and was more length and needed excision under local anathesia with repeated packing. Conclusion: In conclusion, prp is a simple and effective method, and application of prp mucosal wound can be healed faster in early period after nasal surgeries. It also decrease postoperative early period of pain,bleeding and synechia that enhance the quality of life for patient after nasal surgery.
{"title":"Role of Platelet Rich Plasma in Mucosal Healing After Nasal Surgeries","authors":"Ahmed Sadek, Mostafa Hassan, Mostafa Zayed, Zaki Zaki, Mostafa Hammad","doi":"10.21608/ejentas.2022.144691.1529","DOIUrl":"https://doi.org/10.21608/ejentas.2022.144691.1529","url":null,"abstract":"Aim: To Demonstrate Role Of Platelet Rich Plasma In Mucosal Healing After Nasal Surgeries. Patiants and Methods: This prospective study was conducted at Otolaryngology, Head and Neck surgery department, The study was approved by the Institutional Review Board at Minia University. During the period from 2021 to 2022, we selected, operated, and followed up 200 patients who had bilateral symmetrical nasal surgery.The study participants were recruited from patients with nasal disease attending outpatient clinic and required nasal surgery. The patients were randomly classified into two groups, with 100 patients in each group. Results: Autologous PRP application accelerates mucosal healing after nasal surgeries.This study included 200 subjects divided into two groups There was a significant difference in the occurrence of synechia between group 1 (study group) and group 2 (control group) (p=0.034).In study group synechia occurred in 8 patients it was mild and reliefed by repeated packing,while in control group synechia occurred in 14 and was more length and needed excision under local anathesia with repeated packing. Conclusion: In conclusion, prp is a simple and effective method, and application of prp mucosal wound can be healed faster in early period after nasal surgeries. It also decrease postoperative early period of pain,bleeding and synechia that enhance the quality of life for patient after nasal surgery.","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134884739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21608/ejentas.2023.103783.1435
F. Gharib, A. Megahed, M. mosa, L. El-Sharkawy, Adel El-Antably
Introduction: Residual cholesteatoma occurs due to incomplete removal after primary surgery by microscope and is frequently caused by inaccessible locations such as the sinus tympani. The use of the surgical endoscope brought advances in the surgical management of cholesteatoma. Aim: This work aims to assess microscope-assisted otoendoscopy in cholesteatoma surgical management. Patients and Methods: Forty patients underwent ear surgery for a cholesteatoma using different canal wall up or canal wall down mastoidectomy techniques. Surgery was initially performed using a surgical microscope. After complete disease excision microscopically, the middle ear and mastoid cavities were examined by otovideoendoscopy, especially sinus tympani, facial recess, anterior epitympanic recess, Eustachian tube, and hypotympanum. Residual cholesteatoma was identified, and its location was reported. Results: Residual cholesteatoma was found by endoscope in 10 sites; 6, 3, and 1 in sinus tympani, anterior epitympanic recess, and facial recess, respectively. These ten sites were divided into 4 in modified radical mastoidectomy and 6 in conservative approaches. Conclusion: Endoscopic-assisted ear surgery had much-increased benefits in cholesteatoma surgery. Endoscope had become a crucial complement to the operating microscope through visualizing the middle ear cleft hidden areas and discovering any residual disease in such areas as the sinus tympani..
{"title":"Study of the Role of Otoendoscope in Detecting Residual Disease in Cholesteatoma Surgery","authors":"F. Gharib, A. Megahed, M. mosa, L. El-Sharkawy, Adel El-Antably","doi":"10.21608/ejentas.2023.103783.1435","DOIUrl":"https://doi.org/10.21608/ejentas.2023.103783.1435","url":null,"abstract":"Introduction: Residual cholesteatoma occurs due to incomplete removal after primary surgery by microscope and is frequently caused by inaccessible locations such as the sinus tympani. The use of the surgical endoscope brought advances in the surgical management of cholesteatoma. Aim: This work aims to assess microscope-assisted otoendoscopy in cholesteatoma surgical management. Patients and Methods: Forty patients underwent ear surgery for a cholesteatoma using different canal wall up or canal wall down mastoidectomy techniques. Surgery was initially performed using a surgical microscope. After complete disease excision microscopically, the middle ear and mastoid cavities were examined by otovideoendoscopy, especially sinus tympani, facial recess, anterior epitympanic recess, Eustachian tube, and hypotympanum. Residual cholesteatoma was identified, and its location was reported. Results: Residual cholesteatoma was found by endoscope in 10 sites; 6, 3, and 1 in sinus tympani, anterior epitympanic recess, and facial recess, respectively. These ten sites were divided into 4 in modified radical mastoidectomy and 6 in conservative approaches. Conclusion: Endoscopic-assisted ear surgery had much-increased benefits in cholesteatoma surgery. Endoscope had become a crucial complement to the operating microscope through visualizing the middle ear cleft hidden areas and discovering any residual disease in such areas as the sinus tympani..","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86223821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21608/ejentas.2023.231619.1670
Eman Ouf, Nirvana Hafez, Mona Khodeir, Iman Elrouby, Ahmed Khattab
Background: The aim of this study is the development of a structured Arabic Aphasia Caregiver Guide to investigate how this guide would be effective in improving caregivers' communication with their aphasic patients. Patients and Methods: Arabic Aphasia Caregiver Guide booklet was constructed and 10-expert phoniatricains evaluated it. Sixty patients with aphasia were enrolled in this study, they were divided into two groups, group I (cases group) and group II (control group), with 30 patients in each. Both groups were evaluated by the Arabic version of the Comprehensive Aphasia test twice, pre-therapy and three months after with the application of the conventional language therapy sessions in between (2 sessions/week/3m). Caregivers of patients in group I received sessions to educate them on the Arabic aphasic caregiver's guide booklet. Caregivers of group I were asked to answer the aphasia caregiver questionnaire before and after the family education sessions (1 session/week for about six weeks). Results: The aphasia caregiver questionnaire reported improvement in the caregiver's awareness regards aphasia and communication with their aphasic patients. The Arabic version of the Comprehensive Aphasia test reported improvement in language modalities among the participating patients, with statistical significance improvement results of subtests of repetition, naming, and reading in group I compared to group II. Conclusion: Targeting caregivers of aphasic patients with the Arabic Aphasia Caregiver Guide booklet helps in improving caregivers' communication with their aphasic patients.
{"title":"Construction of Structured Arabic Aphasia Caregiver Guide and Studying its Effectiveness in Improving Caregivers’ Awareness and Communication with their Aphasic Patients","authors":"Eman Ouf, Nirvana Hafez, Mona Khodeir, Iman Elrouby, Ahmed Khattab","doi":"10.21608/ejentas.2023.231619.1670","DOIUrl":"https://doi.org/10.21608/ejentas.2023.231619.1670","url":null,"abstract":"Background: The aim of this study is the development of a structured Arabic Aphasia Caregiver Guide to investigate how this guide would be effective in improving caregivers' communication with their aphasic patients. Patients and Methods: Arabic Aphasia Caregiver Guide booklet was constructed and 10-expert phoniatricains evaluated it. Sixty patients with aphasia were enrolled in this study, they were divided into two groups, group I (cases group) and group II (control group), with 30 patients in each. Both groups were evaluated by the Arabic version of the Comprehensive Aphasia test twice, pre-therapy and three months after with the application of the conventional language therapy sessions in between (2 sessions/week/3m). Caregivers of patients in group I received sessions to educate them on the Arabic aphasic caregiver's guide booklet. Caregivers of group I were asked to answer the aphasia caregiver questionnaire before and after the family education sessions (1 session/week for about six weeks). Results: The aphasia caregiver questionnaire reported improvement in the caregiver's awareness regards aphasia and communication with their aphasic patients. The Arabic version of the Comprehensive Aphasia test reported improvement in language modalities among the participating patients, with statistical significance improvement results of subtests of repetition, naming, and reading in group I compared to group II. Conclusion: Targeting caregivers of aphasic patients with the Arabic Aphasia Caregiver Guide booklet helps in improving caregivers' communication with their aphasic patients.","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135612349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21608/ejentas.2022.95204.1418
Olanrewaju Idris, Yaro Mustapha, Omokunmi Yusuff, Mohammad Sani, A. Afolabi, H. Omokanye, Raheem O. Quadri, A. Biliaminu, O. Wuraola, Bemu Nicolas, M. Mainasara, A. Ahmad, Yohanna Joseph, A. Sani, N. Iyanda, Waliu Oladosu, Ime Inoh, C. Onyema
{"title":"Prevalence of Hypovitaminosis D among ENT Patients in Nigeria – A Multi-center, Multi-regional study","authors":"Olanrewaju Idris, Yaro Mustapha, Omokunmi Yusuff, Mohammad Sani, A. Afolabi, H. Omokanye, Raheem O. Quadri, A. Biliaminu, O. Wuraola, Bemu Nicolas, M. Mainasara, A. Ahmad, Yohanna Joseph, A. Sani, N. Iyanda, Waliu Oladosu, Ime Inoh, C. Onyema","doi":"10.21608/ejentas.2022.95204.1418","DOIUrl":"https://doi.org/10.21608/ejentas.2022.95204.1418","url":null,"abstract":"","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83829928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21608/ejentas.2023.189806.1605
Julian Wijaya, Iriana Maharani
Introduction: Chronic rhinosinusitis is a complex inflammatory disorder causing a significant health problem worldwide. Chronic rhinosinusitis remains a clinically based diagnosis collaborated with Computed Tomography-Scan and nasal endoscopy. Functional Endoscopic Sinus Surgery is one of the most common surgical techniques for chronic rhinosinusitis patients. Objectives: To provide a better understanding of the epidemiological characteristic of chronic rhinosinusitis in those who need a surgical intervention at Saiful Anwar General Hospital Ward. Patients and Methods: This were a cross-sectional retrospective descriptive study using medical records between January 1 st 2018 and December 31 th 2021 at Otorhinolaryngology-Head and Neck Surgery medical inpatient ward. Rhinology division alone admitted total 260 patients (98 patients with chronic rhinosinusitis and 162 patients without chronic rhinosinusitis). A total of 98 patients were included in this study. Computed Tomography-Scan was obtained as part of routine preparations before surgery and recorded in the medical records. Results: Chronic rhinosinusitis with nasal polyp majority was found in the group age 16-30 years old and chronic rhinosinusitis without nasal polyp in the group age 46-60 years old. 44 males and 54 females were included in this study. A dominant chief complaint was nasal blockage, the skin prick test procedure was mostly negative, the positive result from the skin prick test were mostly house dust mite. The dominant complication was orbital complication, most Functional Endoscopic Sinus Surgery procedures and revisions been done to Chronic rhinosinusitis with nasal polyp, comorbidity mostly deviated nasal septum, and the most sinus involved were maxillary sinus. Conclusion: Chronic rhinosinusitis remain one of most frequent disease treated as in patient of rhinology division Otorhinolaryngology-Head and Neck department. A better understanding and mapping of this disease especially in our hospital will help us in treating Chronic rhinosinusitis patients.
{"title":"Chronic Rhinosinusitis Epidemiology Study in Those Who Need a Surgical Intervention at Saiful Anwar General Hospital Ward January 1st, 2018 – December 31th 2021","authors":"Julian Wijaya, Iriana Maharani","doi":"10.21608/ejentas.2023.189806.1605","DOIUrl":"https://doi.org/10.21608/ejentas.2023.189806.1605","url":null,"abstract":"Introduction: Chronic rhinosinusitis is a complex inflammatory disorder causing a significant health problem worldwide. Chronic rhinosinusitis remains a clinically based diagnosis collaborated with Computed Tomography-Scan and nasal endoscopy. Functional Endoscopic Sinus Surgery is one of the most common surgical techniques for chronic rhinosinusitis patients. Objectives: To provide a better understanding of the epidemiological characteristic of chronic rhinosinusitis in those who need a surgical intervention at Saiful Anwar General Hospital Ward. Patients and Methods: This were a cross-sectional retrospective descriptive study using medical records between January 1 st 2018 and December 31 th 2021 at Otorhinolaryngology-Head and Neck Surgery medical inpatient ward. Rhinology division alone admitted total 260 patients (98 patients with chronic rhinosinusitis and 162 patients without chronic rhinosinusitis). A total of 98 patients were included in this study. Computed Tomography-Scan was obtained as part of routine preparations before surgery and recorded in the medical records. Results: Chronic rhinosinusitis with nasal polyp majority was found in the group age 16-30 years old and chronic rhinosinusitis without nasal polyp in the group age 46-60 years old. 44 males and 54 females were included in this study. A dominant chief complaint was nasal blockage, the skin prick test procedure was mostly negative, the positive result from the skin prick test were mostly house dust mite. The dominant complication was orbital complication, most Functional Endoscopic Sinus Surgery procedures and revisions been done to Chronic rhinosinusitis with nasal polyp, comorbidity mostly deviated nasal septum, and the most sinus involved were maxillary sinus. Conclusion: Chronic rhinosinusitis remain one of most frequent disease treated as in patient of rhinology division Otorhinolaryngology-Head and Neck department. A better understanding and mapping of this disease especially in our hospital will help us in treating Chronic rhinosinusitis patients.","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85033663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21608/ejentas.2023.187394.1599
A. Seleim, M. Elfeshawy, mohamed almorsy, A. Abdel-Khalek
Background: COVID-19 related olfactory dysfunction as an isolated symptom or in conjunction with other respiratory symptoms has been increasingly recognized. Aim: The aim of this study was to assess the olfactory cleft and the olfactory bulb in post COVID-19 anosmic patients with paranasal sinus CT, and MRI dedicated to olfactory bulb to detect possible mechanisms for post covid-19 olfactory dysfunction. Patients and Methods: This prospective study including 20 patients presented between 2021 and 2022 to Otorhinolaryngology Department at El-Hussein University Hospital & El-sahel Teaching Hospital. Results: In our study the mean right OBV (38.3 ± 12.03), the mean left OBV (35.6 ± 9.1), the mean right OSD (7.4 ± 0.83) & the mean left OSD (7.3 ± 0.9). As regard Primary olfactory cortex and visualized olfactory tracts, 19 patients (95%) were normal and 1 patient (5%) was abnormal (This patient showed bilateral asymmetrical increased signal intensity in FLAIR and T2 WIs within the primary olfactory cortices, more notable at the left side). As regard Nerve filiaa, 19 patients (95%) were normal and 1 patient (5%) was abnormal (This patient showed subtle thickening and clumped appearance of the left olfactory nerve filia). Conclusion: This study results showed high percentage of olfactory bulb degeneration suggests that injury to olfactory neuronal pathways also take place, specifically in cases with sub-acute and chronic post COVID-19 olfactory dysfunction. MRI can be used to demonstrate olfactory injury in patients with COVID-19 which allow the diagnosis and prognosis prediction in patients with OD so we recommend MRI imaging in cases of olfactory dysfunction.
{"title":"Radiological Evaluation of Covid-19 Anosmic Patients By MRI of The Olfactory Bulb and Computed Tomography of the Paranasal Sinuses","authors":"A. Seleim, M. Elfeshawy, mohamed almorsy, A. Abdel-Khalek","doi":"10.21608/ejentas.2023.187394.1599","DOIUrl":"https://doi.org/10.21608/ejentas.2023.187394.1599","url":null,"abstract":"Background: COVID-19 related olfactory dysfunction as an isolated symptom or in conjunction with other respiratory symptoms has been increasingly recognized. Aim: The aim of this study was to assess the olfactory cleft and the olfactory bulb in post COVID-19 anosmic patients with paranasal sinus CT, and MRI dedicated to olfactory bulb to detect possible mechanisms for post covid-19 olfactory dysfunction. Patients and Methods: This prospective study including 20 patients presented between 2021 and 2022 to Otorhinolaryngology Department at El-Hussein University Hospital & El-sahel Teaching Hospital. Results: In our study the mean right OBV (38.3 ± 12.03), the mean left OBV (35.6 ± 9.1), the mean right OSD (7.4 ± 0.83) & the mean left OSD (7.3 ± 0.9). As regard Primary olfactory cortex and visualized olfactory tracts, 19 patients (95%) were normal and 1 patient (5%) was abnormal (This patient showed bilateral asymmetrical increased signal intensity in FLAIR and T2 WIs within the primary olfactory cortices, more notable at the left side). As regard Nerve filiaa, 19 patients (95%) were normal and 1 patient (5%) was abnormal (This patient showed subtle thickening and clumped appearance of the left olfactory nerve filia). Conclusion: This study results showed high percentage of olfactory bulb degeneration suggests that injury to olfactory neuronal pathways also take place, specifically in cases with sub-acute and chronic post COVID-19 olfactory dysfunction. MRI can be used to demonstrate olfactory injury in patients with COVID-19 which allow the diagnosis and prognosis prediction in patients with OD so we recommend MRI imaging in cases of olfactory dysfunction.","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75546479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21608/ejentas.2023.216361.1644
Oumaima Gabsi, Maha Mejbri, Wassim Frikha, Sara Idriss, Rim Bechraoui, Habiba Mizouni, Najeh Beltaief
Introduction: Rhabdomyosarcoma (RMS) is a malignant mesenchymal neoplasm. It is one of the most common malignant head and neck tumors in children and the most frequent soft-tissue sarcoma. The main locations are the base of the skull and the nasopharynx. We present a rare case of a child presenting with parotid RMS. Presentation of Case: A 4-year-old male was admitted to our hospital with the chief complaints of a progressively enlarging, cervicofacial swelling. There was no history of fever or any other constitutional symptoms. Physical examination revealed a 60 mm left cervicofacial swelling, trismus and grade IV left peripheral facial paralysis. There were no fever or palpable nodes. Biological findings showed an increased LDH. Computed tomography scan of the neck revealed a bulky tumor in the left cervicofacial region, involving both superficial and deep lobes of parotid gland, causing compression of oropharynx, extending to the left cervical lymph nodes measuring 77*55 mm with difficulties determining the starting point. Two days after his admission, he presented dyspnea and fever. A tracheotomy was performed associated to cervical biopsy under general anesthesia. The immunohistochemical analysis revealed intense positivity for desmin and myogenin favoring the diagnosis of embryonal rhabdomyosarcoma. The patient received chemotherapy and radiotherapy. A residual mass remained in the parotid region, in contact with the carotid artery. Tumor resection was discussed but ruled out due to high surgical risk. Conclusion: Parotid RMS is a rare entity. Treatment follows a rigorous international protocol associating surgery, chemotherapy and radiation therapy.
{"title":"Child presenting with a huge cervicofacial mass: about a case report","authors":"Oumaima Gabsi, Maha Mejbri, Wassim Frikha, Sara Idriss, Rim Bechraoui, Habiba Mizouni, Najeh Beltaief","doi":"10.21608/ejentas.2023.216361.1644","DOIUrl":"https://doi.org/10.21608/ejentas.2023.216361.1644","url":null,"abstract":"Introduction: Rhabdomyosarcoma (RMS) is a malignant mesenchymal neoplasm. It is one of the most common malignant head and neck tumors in children and the most frequent soft-tissue sarcoma. The main locations are the base of the skull and the nasopharynx. We present a rare case of a child presenting with parotid RMS. Presentation of Case: A 4-year-old male was admitted to our hospital with the chief complaints of a progressively enlarging, cervicofacial swelling. There was no history of fever or any other constitutional symptoms. Physical examination revealed a 60 mm left cervicofacial swelling, trismus and grade IV left peripheral facial paralysis. There were no fever or palpable nodes. Biological findings showed an increased LDH. Computed tomography scan of the neck revealed a bulky tumor in the left cervicofacial region, involving both superficial and deep lobes of parotid gland, causing compression of oropharynx, extending to the left cervical lymph nodes measuring 77*55 mm with difficulties determining the starting point. Two days after his admission, he presented dyspnea and fever. A tracheotomy was performed associated to cervical biopsy under general anesthesia. The immunohistochemical analysis revealed intense positivity for desmin and myogenin favoring the diagnosis of embryonal rhabdomyosarcoma. The patient received chemotherapy and radiotherapy. A residual mass remained in the parotid region, in contact with the carotid artery. Tumor resection was discussed but ruled out due to high surgical risk. Conclusion: Parotid RMS is a rare entity. Treatment follows a rigorous international protocol associating surgery, chemotherapy and radiation therapy.","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135748783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-15DOI: 10.21608/ejentas.2022.126967.1481
Essam A. Behairy, Adel Attalah, Sherif ُElaini, Ahmed Mohamed, A. Hamdan
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