Pub Date : 2024-06-26DOI: 10.1186/s43163-024-00626-0
Yamini Gupta, Jagram Verma, Krishna Valecha
The global COVID-19 pandemic has brought forth multifaceted healthcare challenges, including the emergence of COVID-19-associated mucormycosis (CAM). This study investigates demographics, clinical presentation, endoscopic grading, radiological correlations, treatment modalities, and outcomes of CAM in Central India. A retrospective analysis of 312 CAM patients (April-June 2021). Data included demographics, clinical profiles, endoscopic and radiological findings, laboratory results, and treatments. A novel endoscopic grading system was utilized to assess the severity of mucormycosis lesions. Statistical analysis, including chi-squared tests, was performed. Among 312 patients, 65% were male, 82% had comorbidities, and 84% presented with facial swelling. Endoscopic grading correlated with radiological manifestations (p < 0.05) and intraoperative findings. Surgical debridement and antifungal therapy were common treatments, yielding varied clinical outcomes. Mortality was 13% in advanced grades. This study underscores the role of endoscopic grading in risk stratification and prognosis. Findings contribute to CAM management knowledge, underscoring tailored interventions’ significance.
{"title":"Navigating COVID-19-associated mucormycosis: endoscopic grading, radiological correlations, and treatment outcomes","authors":"Yamini Gupta, Jagram Verma, Krishna Valecha","doi":"10.1186/s43163-024-00626-0","DOIUrl":"https://doi.org/10.1186/s43163-024-00626-0","url":null,"abstract":"The global COVID-19 pandemic has brought forth multifaceted healthcare challenges, including the emergence of COVID-19-associated mucormycosis (CAM). This study investigates demographics, clinical presentation, endoscopic grading, radiological correlations, treatment modalities, and outcomes of CAM in Central India. A retrospective analysis of 312 CAM patients (April-June 2021). Data included demographics, clinical profiles, endoscopic and radiological findings, laboratory results, and treatments. A novel endoscopic grading system was utilized to assess the severity of mucormycosis lesions. Statistical analysis, including chi-squared tests, was performed. Among 312 patients, 65% were male, 82% had comorbidities, and 84% presented with facial swelling. Endoscopic grading correlated with radiological manifestations (p < 0.05) and intraoperative findings. Surgical debridement and antifungal therapy were common treatments, yielding varied clinical outcomes. Mortality was 13% in advanced grades. This study underscores the role of endoscopic grading in risk stratification and prognosis. Findings contribute to CAM management knowledge, underscoring tailored interventions’ significance.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141508949","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 : 2024-06-25DOI: 10.1186/s43163-024-00627-z
Ibrahim H. Abd-Elhmid, Yasser G. Abish, Boshra A. Zaghloul, Hossam A. Hussein, Soliman S. Ghanem
The standard methods for diagnosing otosclerosis (OS) include clinical and audiological testing. Radiologic imaging continues to expand with use in diagnosis, staging, surgery planning, and outcomes. To determine if high resolution computed tomography (HRCT) imaging advances to the audiological findings in the diagnosis of otosclerosis. This prospective randomized controlled study was conducted from June 2018 to June 2022. Fifty patients with OS who divided into two subgroups: group 2a, 50 early OS ears, and group 2b, 35 ears with late OS. The controls includes 50 individuals who have healthy ears (group 1). All participants had otorhinolaryngology examination, audiological evaluation and HRCT imaging. Early OS had higher air conduction thresholds than control, and late OS had considerably higher air conduction thresholds than either the early or control subjects (p < 0.001). Early OS patients had higher bone conduction threshold (BCT) than control, while late OS patients had higher BCT than both early and control subjects (p < 0.001). In early and late OS, there is a significant association between bone conduction of 11 dB and 21.6 dB, respectively (P = 0.004), and a significant air–bone gap of 25.5 and 31 dB, respectively (P = 0.03). HRCT showed a sensitivity of 75% and high specificity 92% with accuracy 83% in early OS and sensitivity of 78% and high specificity 94% with accuracy 86% in late OS. HRCT is a more sensitive and specific diagnostic tool for OS than audiometry. HRCT could discriminate between early and late OS, suggesting that it can be used to do so with a high degree of confidence.
诊断耳硬化症（OS）的标准方法包括临床和听力测试。放射成像在诊断、分期、手术规划和预后方面的应用不断扩大。目的是确定高分辨率计算机断层扫描（HRCT）成像在耳硬化症诊断中是否对听力检查结果有帮助。这项前瞻性随机对照研究于2018年6月至2022年6月进行。50名OS患者分为两个亚组：2a组，50只早期OS耳；2b组，35只晚期OS耳。对照组包括 50 名耳朵健康的人（第 1 组）。所有参与者均接受了耳鼻喉科检查、听力评估和 HRCT 成像检查。早期耳聋患者的气导阈值高于对照组，而晚期耳聋患者的气导阈值明显高于早期或对照组（P < 0.001）。早期 OS 患者的骨传导阈值（BCT）高于对照组，而晚期 OS 患者的骨传导阈值高于早期和对照组受试者（P < 0.001）。在早期和晚期 OS 中，骨传导分别为 11 分贝和 21.6 分贝（P = 0.004），气骨间隙分别为 25.5 分贝和 31 分贝（P = 0.03）。HRCT 对早期 OS 的灵敏度为 75%，特异性为 92%，准确率为 83%；对晚期 OS 的灵敏度为 78%，特异性为 94%，准确率为 86%。与测听法相比，HRCT 是一种更灵敏、更特异的 OS 诊断工具。HRCT可以区分早期和晚期OS，这表明它在这方面的可信度很高。
{"title":"Correlation between audiological and radiological findings in otosclerosis: randomized clinical study","authors":"Ibrahim H. Abd-Elhmid, Yasser G. Abish, Boshra A. Zaghloul, Hossam A. Hussein, Soliman S. Ghanem","doi":"10.1186/s43163-024-00627-z","DOIUrl":"https://doi.org/10.1186/s43163-024-00627-z","url":null,"abstract":"The standard methods for diagnosing otosclerosis (OS) include clinical and audiological testing. Radiologic imaging continues to expand with use in diagnosis, staging, surgery planning, and outcomes. To determine if high resolution computed tomography (HRCT) imaging advances to the audiological findings in the diagnosis of otosclerosis. This prospective randomized controlled study was conducted from June 2018 to June 2022. Fifty patients with OS who divided into two subgroups: group 2a, 50 early OS ears, and group 2b, 35 ears with late OS. The controls includes 50 individuals who have healthy ears (group 1). All participants had otorhinolaryngology examination, audiological evaluation and HRCT imaging. Early OS had higher air conduction thresholds than control, and late OS had considerably higher air conduction thresholds than either the early or control subjects (p < 0.001). Early OS patients had higher bone conduction threshold (BCT) than control, while late OS patients had higher BCT than both early and control subjects (p < 0.001). In early and late OS, there is a significant association between bone conduction of 11 dB and 21.6 dB, respectively (P = 0.004), and a significant air–bone gap of 25.5 and 31 dB, respectively (P = 0.03). HRCT showed a sensitivity of 75% and high specificity 92% with accuracy 83% in early OS and sensitivity of 78% and high specificity 94% with accuracy 86% in late OS. HRCT is a more sensitive and specific diagnostic tool for OS than audiometry. HRCT could discriminate between early and late OS, suggesting that it can be used to do so with a high degree of confidence.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141529896","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 : 2024-06-25DOI: 10.1186/s43163-024-00628-y
Hanan I. Almuzaini, Ibrahim Almuzaini, Megahed Mohamed Hassan
Children with congenital heart diseases (CHD) may have developmental delays including delayed language development (DLD) and learning difficulties. The purpose of this study was to observe the effects of CHD on language developmental profile and scholastic achievement (SA) with particular emphasis on prevalence of DLD and SA, potential risks, and need for early intervention. This case–control study included 158 children with CHD and 145 healthy children as controls. Participants’ ages ranged from 6 months to 15 years. Data were collected by reviewing clinical records and questionnaires covering potential risks, motor and language development, and SA. Potential risks were analyzed using the Fisher test, while language development and SA were compared using Mann–Whitney test. The incidences of parent consanguinity, family history of DLD, and neonatal cyanosis were higher than expected by chance in the CHD group with p-values which are < 0.001, 0.044, and < 0.001, respectively. The CHD group revealed more delay in babbling, first word production, two-word sentences, three-word sentences, narration, and SA than control group with significant differences. These comparisons’ p-values are 0.002, < 0.001, 0.009, 0.029, 0.03, and 0.042 respectively with mean effect size 0.3. The language development profile in cyanotic HD showed more delay than acyanotic HD with significant differences. The DLD and affected SA were more prevalent in children with CHD. The risk for DLD in CHD children was multifactorial; however, the main predisposing factor was chronic hypoxia that starts in the intrauterine life in CHD. Neonates with CHD require early intervention through oxygen therapy before surgery. Early family counseling and language therapy are recommended to improve quality of life through achieving better communicative ability and academic skills. Further studies which concerned the effect of maternal oxygenation on prognosis of fetuses with CHD may be required. Also, duplication of the study including formal testing is recommended.
患有先天性心脏病（CHD）的儿童可能会出现发育迟缓，包括语言发育迟缓（DLD）和学习困难。本研究的目的是观察先天性心脏病对语言发育概况和学业成绩（SA）的影响，特别强调语言发育迟缓和学习困难的发病率、潜在风险以及早期干预的必要性。这项病例对照研究包括 158 名患有先天性心脏病的儿童和 145 名健康儿童作为对照。参与者的年龄从 6 个月到 15 岁不等。研究人员通过查阅临床记录和问卷调查收集数据，调查内容包括潜在风险、运动和语言发育以及 SA。潜在风险采用费舍尔检验进行分析，语言发育和自理能力则采用曼-惠特尼检验进行比较。在 CHD 组中，父母近亲结婚、DLD 家族史和新生儿紫绀的发生率均高于预期，P 值分别为 <0.001、0.044 和 <0.001。与对照组相比，CHD 组在咿呀学语、首次造词、两词造句、三词造句、叙述和 SA 方面的延迟程度更高，差异显著。这些比较的 P 值分别为 0.002、< 0.001、0.009、0.029、0.03 和 0.042，平均效应大小为 0.3。紫绀型 HD 的语言发育比无紫绀型 HD 更迟缓，且差异显著。DLD和受影响的SA在患有先天性心脏病的儿童中更为普遍。CHD患儿出现DLD的风险是多因素的，但主要的诱发因素是CHD患儿宫内开始的慢性缺氧。患有先天性心脏病的新生儿需要在手术前通过氧疗进行早期干预。建议及早进行家庭咨询和语言治疗，通过提高沟通能力和学习技能来改善生活质量。可能需要进一步研究母体氧合对先天性心脏病胎儿预后的影响。此外，还建议进行包括正式测试在内的重复研究。
{"title":"Parents reported language development and scholastic achievement in children with congenital heart diseases versus typically developed","authors":"Hanan I. Almuzaini, Ibrahim Almuzaini, Megahed Mohamed Hassan","doi":"10.1186/s43163-024-00628-y","DOIUrl":"https://doi.org/10.1186/s43163-024-00628-y","url":null,"abstract":"Children with congenital heart diseases (CHD) may have developmental delays including delayed language development (DLD) and learning difficulties. The purpose of this study was to observe the effects of CHD on language developmental profile and scholastic achievement (SA) with particular emphasis on prevalence of DLD and SA, potential risks, and need for early intervention. This case–control study included 158 children with CHD and 145 healthy children as controls. Participants’ ages ranged from 6 months to 15 years. Data were collected by reviewing clinical records and questionnaires covering potential risks, motor and language development, and SA. Potential risks were analyzed using the Fisher test, while language development and SA were compared using Mann–Whitney test. The incidences of parent consanguinity, family history of DLD, and neonatal cyanosis were higher than expected by chance in the CHD group with p-values which are < 0.001, 0.044, and < 0.001, respectively. The CHD group revealed more delay in babbling, first word production, two-word sentences, three-word sentences, narration, and SA than control group with significant differences. These comparisons’ p-values are 0.002, < 0.001, 0.009, 0.029, 0.03, and 0.042 respectively with mean effect size 0.3. The language development profile in cyanotic HD showed more delay than acyanotic HD with significant differences. The DLD and affected SA were more prevalent in children with CHD. The risk for DLD in CHD children was multifactorial; however, the main predisposing factor was chronic hypoxia that starts in the intrauterine life in CHD. Neonates with CHD require early intervention through oxygen therapy before surgery. Early family counseling and language therapy are recommended to improve quality of life through achieving better communicative ability and academic skills. Further studies which concerned the effect of maternal oxygenation on prognosis of fetuses with CHD may be required. Also, duplication of the study including formal testing is recommended.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141508950","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}
The word-in-noise discrimination test evaluates the phonological aspect of speech based on the detection of the vowels. While word-in-noise perception (WINP) test is one of the speech perception exams and evaluates the ability to understand the meaning of words by discovering the consonants. Until now, all word-in-noise tests have assessed speech discrimination performance, and for the first time, the normal values of the WINP test for adults have been determined. Since the normal values of WINP scores in children have not been reported, our research aimed to determine the normal values of the WINP test in children aged 5 to 13 years. In this cross-sectional study, 120 Persian speaking Iranain children with normal hearing thresholds were evaluated from the beginning to the end of spring 2023. We divided them into 4 age groups (A = 5–7 < years, B = 7–9 < years, C = 9–11 < years, D = 11–13 < years). The evaluations included general audiology tests and WINP tests using homtonic-monosyllabic words (HMWs) at a signal-to-noise ratio of 5 dB. Significant difference was observed between the mean scores of the WINP test in age group A (54%) compared to age group B (66%), (Pv = 0.04). Also, the differences between the mean scores of age group A compared to age groups C (70%) and D (69%) were significant (Pv = 0.01, Pv = 0.03). This article presented the norm values of WINP test scores for Persian speaking Iranian children aged 5 to 13 years. The norm values of WINP test scores in the age group of 5–7 years were lower than in the age groups of 7–13 years. The biggest change in the performance of speech perception in noise was observed in the age range of 7–9 years.
{"title":"Word-in-noise perception test in children","authors":"Seyede Faranak Emami, Elnaz Shariatpanahi, Nasrin Gohari, Mobina Mehrabifard","doi":"10.1186/s43163-024-00625-1","DOIUrl":"https://doi.org/10.1186/s43163-024-00625-1","url":null,"abstract":" The word-in-noise discrimination test evaluates the phonological aspect of speech based on the detection of the vowels. While word-in-noise perception (WINP) test is one of the speech perception exams and evaluates the ability to understand the meaning of words by discovering the consonants. Until now, all word-in-noise tests have assessed speech discrimination performance, and for the first time, the normal values of the WINP test for adults have been determined. Since the normal values of WINP scores in children have not been reported, our research aimed to determine the normal values of the WINP test in children aged 5 to 13 years. In this cross-sectional study, 120 Persian speaking Iranain children with normal hearing thresholds were evaluated from the beginning to the end of spring 2023. We divided them into 4 age groups (A = 5–7 < years, B = 7–9 < years, C = 9–11 < years, D = 11–13 < years). The evaluations included general audiology tests and WINP tests using homtonic-monosyllabic words (HMWs) at a signal-to-noise ratio of 5 dB. Significant difference was observed between the mean scores of the WINP test in age group A (54%) compared to age group B (66%), (Pv = 0.04). Also, the differences between the mean scores of age group A compared to age groups C (70%) and D (69%) were significant (Pv = 0.01, Pv = 0.03). This article presented the norm values of WINP test scores for Persian speaking Iranian children aged 5 to 13 years. The norm values of WINP test scores in the age group of 5–7 years were lower than in the age groups of 7–13 years. The biggest change in the performance of speech perception in noise was observed in the age range of 7–9 years.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141508951","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 : 2024-06-14DOI: 10.1186/s43163-024-00610-8
Adithya Sreedharan Sanitha, S. K. Sinha
{"title":"Cervical and ocular vestibular-evoked myogenic potentials test results and its relation to vestibular signs and symptoms in individuals with vestibular migraine","authors":"Adithya Sreedharan Sanitha, S. K. Sinha","doi":"10.1186/s43163-024-00610-8","DOIUrl":"https://doi.org/10.1186/s43163-024-00610-8","url":null,"abstract":"","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"57 39","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141344624","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 : 2024-06-04DOI: 10.1186/s43163-024-00621-5
Ayatallah Raouf Sheikhany, Safinaz Nageib Azzab, Mohamed Ayman Mohamed Shawky, Ahmed Ali Abdelmonem
The COVID-19 pandemic obliged people to wear personal protective equipment (PPEs), which can harm verbal communication and speech intelligibility. The first aim was to study the impact of wearing PPEs on the voice and speech parameters of phoniatricians during therapy sessions. The second aim was to study the effect of phoniatricians wearing these PPEs on auditory discrimination of the Ling’s six sounds in children using unilateral cochlear implants. The study was a case–control one, done in the phoniatrics outpatient clinics at Beni-Suef University and Cairo University hospitals. Four phoniatricians participated in this study, and the Dr. Speech software analyzed their speech and voice parameters during utterance of the Ling’s six sounds. Each phoniatrician uttered each Ling sound individually four times to assess fundamental frequency and intensity: first time without wearing any mask, second time while wearing a surgical mask, third time while wearing a face shield, and fourth time while wearing an N95 mask. The study also included forty patients using unilateral cochlear implants (group A) and forty children with normal peripheral hearing (group B). The phoniatricians again uttered the Ling’s six sounds to assess auditory discrimination in both groups. This subjective auditory discrimination was also tested in both groups four times: first time without wearing any mask, second time while wearing a surgical mask, third time while wearing a face shield, and fourth time while wearing an N95 mask. The intensity of Ling’s six sounds was significantly lowest in the face shield. Regardless of the PPE type, patients with unilateral cochlear implants showed less consonant discrimination of (mm) sound. Surgical masks and N95 provided the best acoustic performance, while face shields had the worst.
{"title":"Effect of different personal protective equipment on sound discrimination in children using unilateral cochlear implants during the COVID-19 pandemic","authors":"Ayatallah Raouf Sheikhany, Safinaz Nageib Azzab, Mohamed Ayman Mohamed Shawky, Ahmed Ali Abdelmonem","doi":"10.1186/s43163-024-00621-5","DOIUrl":"https://doi.org/10.1186/s43163-024-00621-5","url":null,"abstract":"The COVID-19 pandemic obliged people to wear personal protective equipment (PPEs), which can harm verbal communication and speech intelligibility. The first aim was to study the impact of wearing PPEs on the voice and speech parameters of phoniatricians during therapy sessions. The second aim was to study the effect of phoniatricians wearing these PPEs on auditory discrimination of the Ling’s six sounds in children using unilateral cochlear implants. The study was a case–control one, done in the phoniatrics outpatient clinics at Beni-Suef University and Cairo University hospitals. Four phoniatricians participated in this study, and the Dr. Speech software analyzed their speech and voice parameters during utterance of the Ling’s six sounds. Each phoniatrician uttered each Ling sound individually four times to assess fundamental frequency and intensity: first time without wearing any mask, second time while wearing a surgical mask, third time while wearing a face shield, and fourth time while wearing an N95 mask. The study also included forty patients using unilateral cochlear implants (group A) and forty children with normal peripheral hearing (group B). The phoniatricians again uttered the Ling’s six sounds to assess auditory discrimination in both groups. This subjective auditory discrimination was also tested in both groups four times: first time without wearing any mask, second time while wearing a surgical mask, third time while wearing a face shield, and fourth time while wearing an N95 mask. The intensity of Ling’s six sounds was significantly lowest in the face shield. Regardless of the PPE type, patients with unilateral cochlear implants showed less consonant discrimination of (mm) sound. Surgical masks and N95 provided the best acoustic performance, while face shields had the worst.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141255668","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}
Subtotal petrosectomy (STP) has attracted massive interest over last two decades. The aim is to present our experience of this uncommon surgery. The indications, outcomes, and our variation in surgical technique would be presented and literature reviewed. A retrospective observational study of all patients who underwent STP at a tertiary care center in India was analyzed. A total of 9 ears (in 8 patients) underwent STP over last 5 years at our center. The pathological conditions for which STP was done included chronic otitis media squamous (four ears), middle ear tumors (three ears), petrous apicitis (one ear), and traumatic cerebrospinal fluid (CSF) otorhinorrhea (one ear). The indication of STP included disease clearance (eight ears), unserviceable hearing (seven ears), hearing rehabilitation with otological implants (six ears), and intraoperative CSF gusher (one ear). Intraoperative indications included CSF gusher, large tegmen defect with erosion of apical turn of cochlea, and erosion of anterior bony wall of external auditory canal. The mean follow-up period was 36 months (range of 6 months to 60 months). None of the patients had any dehiscence of blind sac closure or secondary acquired cholesteatoma on imaging. STP facilitates disease clearance by providing unmatchable exposure in difficult otological scenarios and additionally isolates middle ear cleft from external environment, thereby eliminating problems of mastoid cavity. Furthermore, it also prepares ear for second stage otological implants. It is a safe surgery with minimal complications.
{"title":"Indications and outcomes of subtotal petrosectomy: our experience and review of literature","authors":"Sunil Goyal, Rajeev Chugh, Tanuj Madan, Gunjan Dwivedi, Vijay Bhalla, Parul Verma","doi":"10.1186/s43163-024-00623-3","DOIUrl":"https://doi.org/10.1186/s43163-024-00623-3","url":null,"abstract":"Subtotal petrosectomy (STP) has attracted massive interest over last two decades. The aim is to present our experience of this uncommon surgery. The indications, outcomes, and our variation in surgical technique would be presented and literature reviewed. A retrospective observational study of all patients who underwent STP at a tertiary care center in India was analyzed. A total of 9 ears (in 8 patients) underwent STP over last 5 years at our center. The pathological conditions for which STP was done included chronic otitis media squamous (four ears), middle ear tumors (three ears), petrous apicitis (one ear), and traumatic cerebrospinal fluid (CSF) otorhinorrhea (one ear). The indication of STP included disease clearance (eight ears), unserviceable hearing (seven ears), hearing rehabilitation with otological implants (six ears), and intraoperative CSF gusher (one ear). Intraoperative indications included CSF gusher, large tegmen defect with erosion of apical turn of cochlea, and erosion of anterior bony wall of external auditory canal. The mean follow-up period was 36 months (range of 6 months to 60 months). None of the patients had any dehiscence of blind sac closure or secondary acquired cholesteatoma on imaging. STP facilitates disease clearance by providing unmatchable exposure in difficult otological scenarios and additionally isolates middle ear cleft from external environment, thereby eliminating problems of mastoid cavity. Furthermore, it also prepares ear for second stage otological implants. It is a safe surgery with minimal complications.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141255595","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 : 2024-06-04DOI: 10.1186/s43163-024-00620-6
Nahed Mohamed Negm, Trandil Hassan Elmahalawy, Enaas Ahmad Kolkaila, Mona Ahmed Kotait
Frequency discrimination underlies more complicated auditory activities like speech comprehension and interpretation. However, intensity differences indicate how far apart noises are. This study aimed to evaluate and compare results of frequency modulation and difference limen for intensity in children with cochlear Implants (CI) as well as normal hearing children. This case–control work was performed on 40 children, aged from 5–18 years, divided into two equal groups: a study group with unilateral CI and a control group with normal peripheral hearing. All patients were subjected to otological examination, audiological evaluation, frequency modulation difference limen (FMDL) and difference limen for intensity (DLI) tests. Patients with CI, as compared to normal hearing (NH) subjects, required significantly higher frequencies to discriminate FMDL and DLI respectively (P value = 0.001). At 2000 and 4000 Hz: FMDL had a significant diagnostic power for patients with CI (AUC = 0.980, 0.998 respectively, P < 0.001), at cut off 1.5, with 100% sensitivity and 100% specificity. While, at 4000 Hz: DLI had a significant diagnostic power for patients with CI (AUC = 0.999, P < 0.001), at cut off 1.5, with 100% sensitivity and 100% specificity. A statistically substantial variation was observed among CI and NH children in FMDL and DLI at all frequencies tested. Patients with CI required significantly higher frequencies to discriminate as compared to NH subjects. Frequencies at 2000 Hz and 4000 Hz possess the best specificity and sensitivity of FMDL. While frequency 4000 Hz possess the best specificity and sensitivity of DLI.
{"title":"Frequency and intensity discrimination in children with cochlear implants","authors":"Nahed Mohamed Negm, Trandil Hassan Elmahalawy, Enaas Ahmad Kolkaila, Mona Ahmed Kotait","doi":"10.1186/s43163-024-00620-6","DOIUrl":"https://doi.org/10.1186/s43163-024-00620-6","url":null,"abstract":"Frequency discrimination underlies more complicated auditory activities like speech comprehension and interpretation. However, intensity differences indicate how far apart noises are. This study aimed to evaluate and compare results of frequency modulation and difference limen for intensity in children with cochlear Implants (CI) as well as normal hearing children. This case–control work was performed on 40 children, aged from 5–18 years, divided into two equal groups: a study group with unilateral CI and a control group with normal peripheral hearing. All patients were subjected to otological examination, audiological evaluation, frequency modulation difference limen (FMDL) and difference limen for intensity (DLI) tests. Patients with CI, as compared to normal hearing (NH) subjects, required significantly higher frequencies to discriminate FMDL and DLI respectively (P value = 0.001). At 2000 and 4000 Hz: FMDL had a significant diagnostic power for patients with CI (AUC = 0.980, 0.998 respectively, P < 0.001), at cut off 1.5, with 100% sensitivity and 100% specificity. While, at 4000 Hz: DLI had a significant diagnostic power for patients with CI (AUC = 0.999, P < 0.001), at cut off 1.5, with 100% sensitivity and 100% specificity. A statistically substantial variation was observed among CI and NH children in FMDL and DLI at all frequencies tested. Patients with CI required significantly higher frequencies to discriminate as compared to NH subjects. Frequencies at 2000 Hz and 4000 Hz possess the best specificity and sensitivity of FMDL. While frequency 4000 Hz possess the best specificity and sensitivity of DLI.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141255456","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 : 2024-05-30DOI: 10.1186/s43163-024-00619-z
Amani Ahmed Shalaby, Wafaa Abdel-Hay El-Kholy, Rasha Hamdy El-kabarity, Mona Abd-Alfattah, Noha Ali Shafik
To evaluate the clinical use of acoustic change complex (ACC) as an objective tool in children who use hearing aids (H.As) and explore how far ACC threshold could be correlated to behavioral measures. Sixty Arabic-speaking children (34 boys & 26 girls) using binaural H.As participated in the present study. Their age ranged from 6 to 12 years. The short stimulus used in the present study to elicit ACC response was “gap in tone.” Evaluation of H.As of children was performed in the form of questionnaire, aided sound field thresholds, central auditory tests, and aided/unaided cortical ACC recordings. The replicated ACC waveforms were collected and analyzed, and the aided ACC responses were compared with unaided ACC in addition to correlation of ACC-GDT to behavioral thresholds/scores. The highest percent of ACC detectability achieved with gap in tone with 50-ms duration. Percent detectability reached 65% in aided condition and decreased to 25% in unaided test condition. The aided ACC wave morphology showed no significant difference when compared with unaided condition; however, a significant decrease in ACC latency was observed in the aided condition. The ACC response was elicited easily at 40-dB sensation levels or at MCL in both conditions. The ACC-GDT showed correlation to questionnaire scores rather than behavioral test (AFT). ACC to relatively short duration stimulus can be successfully recorded in hearing-impaired children in aided and unaided conditions. ACC response parameters (detectability and P1 latency) can reflect the benefit from H.As as an objective measure in evaluation of young children and difficult to test subjects with the usual subjective measures, and finally, ACC-GDT may add a predictive value to questionnaire scores which may help in case of inability of parents or caregivers to fulfill the entire questionnaire items.
{"title":"Acoustic change complex (ACC) as a new tool in assessment of hearing aid performance in children","authors":"Amani Ahmed Shalaby, Wafaa Abdel-Hay El-Kholy, Rasha Hamdy El-kabarity, Mona Abd-Alfattah, Noha Ali Shafik","doi":"10.1186/s43163-024-00619-z","DOIUrl":"https://doi.org/10.1186/s43163-024-00619-z","url":null,"abstract":"To evaluate the clinical use of acoustic change complex (ACC) as an objective tool in children who use hearing aids (H.As) and explore how far ACC threshold could be correlated to behavioral measures. Sixty Arabic-speaking children (34 boys & 26 girls) using binaural H.As participated in the present study. Their age ranged from 6 to 12 years. The short stimulus used in the present study to elicit ACC response was “gap in tone.” Evaluation of H.As of children was performed in the form of questionnaire, aided sound field thresholds, central auditory tests, and aided/unaided cortical ACC recordings. The replicated ACC waveforms were collected and analyzed, and the aided ACC responses were compared with unaided ACC in addition to correlation of ACC-GDT to behavioral thresholds/scores. The highest percent of ACC detectability achieved with gap in tone with 50-ms duration. Percent detectability reached 65% in aided condition and decreased to 25% in unaided test condition. The aided ACC wave morphology showed no significant difference when compared with unaided condition; however, a significant decrease in ACC latency was observed in the aided condition. The ACC response was elicited easily at 40-dB sensation levels or at MCL in both conditions. The ACC-GDT showed correlation to questionnaire scores rather than behavioral test (AFT). ACC to relatively short duration stimulus can be successfully recorded in hearing-impaired children in aided and unaided conditions. ACC response parameters (detectability and P1 latency) can reflect the benefit from H.As as an objective measure in evaluation of young children and difficult to test subjects with the usual subjective measures, and finally, ACC-GDT may add a predictive value to questionnaire scores which may help in case of inability of parents or caregivers to fulfill the entire questionnaire items.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"80 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141190142","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 : 2024-05-28DOI: 10.1186/s43163-024-00605-5
Sara Hesham, Omayma Afsah, Hemmat Baz
Phonological awareness (PA) is the awareness of speech sounds and the ability to reflect on and manipulate the phonemic segments of speech. Research on PA skills in children with borderline intellectual functioning (BIF) is scarce. The objective of this study was to explore PA skills in Arabic-speaking children with BIF and poor reading in comparison to dyslexic children using a modified version of the Arabic PA test. A sample of 98 Egyptian children in the age range 6 years and 6 months to 11 years and 5 months was subjected to assessment by the modified Arabic PA test. The sample included 50 typically developing children, 24 dyslexic children, and 24 children with BIF and poor reading. Children with BIF and poor reading demonstrated poor PA skills. Their performance on the modified Arabic PA test was significantly lower than the performance of normal as well as dyslexic children in younger age groups (6 years and 6 months to 8 years). However, in the older age group (8 years and 1 month to 11 years and 5 months), the performance of BIF and dyslexic children was comparable and significantly lower than normal children. The modified Arabic PA test shows evidence for its validity and reliability and can be used for the assessment of PA skills of children with average intelligence as well as children with intellectual dysfunction.
语音意识（PA）是指对语音的认识，以及反映和处理语音音段的能力。有关边缘智力功能（BIF）儿童语音意识（PA）技能的研究很少。本研究的目的是使用改良版的阿拉伯语 PA 测试，与阅读障碍儿童相比，探索讲阿拉伯语的边缘智力功能（BIF）和阅读能力差儿童的 PA 技能。本研究以 98 名 6 岁 6 个月至 11 岁 5 个月的埃及儿童为样本，采用改良版阿拉伯语 PA 测试进行评估。样本中包括 50 名发育正常的儿童、24 名阅读障碍儿童和 24 名有 BIF 且阅读能力差的儿童。BIF和阅读能力差的儿童表现出较低的 PA 技能。他们在经改良的阿拉伯语 PA 测试中的表现明显低于正常儿童以及低年龄组（6 岁和 6 个月至 8 岁）有阅读障碍的儿童。然而，在较大年龄组（8 岁零 1 个月至 11 岁零 5 个月），BIF 和阅读障碍儿童的成绩相当，但明显低于正常儿童。修改后的阿拉伯语 PA 测试显示了其有效性和可靠性，可用于评估智力一般儿童和智力障碍儿童的 PA 技能。
{"title":"Exploring phonological awareness skills in Arabic-speaking children with borderline intellectual functioning and poor reading","authors":"Sara Hesham, Omayma Afsah, Hemmat Baz","doi":"10.1186/s43163-024-00605-5","DOIUrl":"https://doi.org/10.1186/s43163-024-00605-5","url":null,"abstract":"Phonological awareness (PA) is the awareness of speech sounds and the ability to reflect on and manipulate the phonemic segments of speech. Research on PA skills in children with borderline intellectual functioning (BIF) is scarce. The objective of this study was to explore PA skills in Arabic-speaking children with BIF and poor reading in comparison to dyslexic children using a modified version of the Arabic PA test. A sample of 98 Egyptian children in the age range 6 years and 6 months to 11 years and 5 months was subjected to assessment by the modified Arabic PA test. The sample included 50 typically developing children, 24 dyslexic children, and 24 children with BIF and poor reading. Children with BIF and poor reading demonstrated poor PA skills. Their performance on the modified Arabic PA test was significantly lower than the performance of normal as well as dyslexic children in younger age groups (6 years and 6 months to 8 years). However, in the older age group (8 years and 1 month to 11 years and 5 months), the performance of BIF and dyslexic children was comparable and significantly lower than normal children. The modified Arabic PA test shows evidence for its validity and reliability and can be used for the assessment of PA skills of children with average intelligence as well as children with intellectual dysfunction.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141167290","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}
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