Pub Date : 2024-04-24DOI: 10.1186/s43163-024-00607-3
Mohsen Mahmoud Abd El Raziq, Poussy Yehia Hamed, A. Abdelsamie
{"title":"Prevalence and clinical implications of high anterior septal deviation on sinus access: a retrospective cross-sectional study","authors":"Mohsen Mahmoud Abd El Raziq, Poussy Yehia Hamed, A. Abdelsamie","doi":"10.1186/s43163-024-00607-3","DOIUrl":"https://doi.org/10.1186/s43163-024-00607-3","url":null,"abstract":"","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"30 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140663324","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 : 2024-04-11DOI: 10.1186/s43163-024-00601-9
Ahmed Osama Tolba Keshk, Sabry Magdy Sabry, Samia Ahmed Fawaz, Manal Ibrahim Salman, Heba Mahmoud Abd El-Megeed
Abstract Expression of serotonergic (5HT) receptors in patients with chronic rhinosinusitis with nasal polyposis and in normal nasal mucosa: a case-control study. Background Chronic rhinosinusitis with nasal polyposis is one of the challenging conditions regarding treatment and management. Many recent studies introduced new modalities for treatment like targeted immunomodulating drugs rather than antihistamines, local and systemic steroids, and endoscopic sinus surgery. Understanding the pathology behind the disease by studying its immunologic pathways and substances that take part in the inflammatory process can help in the introduction of new treatment options that can improve outcomes and decrease the costs of treatment. Objective The aim of our study is to demonstrate the presence of 5-HT receptors in nasal polyps and inferior turbinate mucosa in patients with chronic rhinosinusitis with nasal polyposis and then compare this expression of 5-HT receptors with inferior turbinate mucosa of the normal control group. Methods A case-control study was conducted on 80 patients. Specimens from nasal polypi and turbinate mucosa of patients with chronic rhinosinusitis (cases) and specimens from normal turbinate mucosa (controls) were stained with serotonin receptor Immunohistochemical staining by automated immunostainer in the pathology department laboratory in Ain Shams University Hospital with ratio 1:200–400 as recommended by the manufacturing company. Then, compared as regards stain distribution and intensity of mucosal lining, glands, and blood vessels. Results There was a significant difference between polyp cases and controls as regards lining epithelium and mucosal gland stain distribution and stain intensity. Also significant difference between the polyp cases and controls as regards blood vessel strain distribution. However, no significant difference was found as regards blood vessel stain intensity. There was a significant difference between turbinate cases and controls as regards lining epithelium stain distribution, and stain intensity. There was no significant difference between turbinate cases and controls as regards gland stain distribution. However, a significant difference was found between turbinate and controls as regards gland stain intensity. There was a significant difference between turbinate cases and controls as regards blood vessel stain distribution; however, no significant difference was present as regards stain intensity. There was no significant difference between polyp and turbinate cases as regards lining epithelium and blood vessel stain distribution and stain intensity. There was no significant difference between polyp and turbinate cases as regards gland stain distribution; however, a highly significant difference between polyp and turbinate cases as regards gland stain intensity. Conclusion Serotonin receptors are highly expressed in patients with chronic rhinosinusitis with nasal polyposis in both turbinate and poly
{"title":"Expression of serotonergic (5HT) receptors in patients with chronic rhinosinusitis with nasal polyposis and in normal nasal mucosa","authors":"Ahmed Osama Tolba Keshk, Sabry Magdy Sabry, Samia Ahmed Fawaz, Manal Ibrahim Salman, Heba Mahmoud Abd El-Megeed","doi":"10.1186/s43163-024-00601-9","DOIUrl":"https://doi.org/10.1186/s43163-024-00601-9","url":null,"abstract":"Abstract Expression of serotonergic (5HT) receptors in patients with chronic rhinosinusitis with nasal polyposis and in normal nasal mucosa: a case-control study. Background Chronic rhinosinusitis with nasal polyposis is one of the challenging conditions regarding treatment and management. Many recent studies introduced new modalities for treatment like targeted immunomodulating drugs rather than antihistamines, local and systemic steroids, and endoscopic sinus surgery. Understanding the pathology behind the disease by studying its immunologic pathways and substances that take part in the inflammatory process can help in the introduction of new treatment options that can improve outcomes and decrease the costs of treatment. Objective The aim of our study is to demonstrate the presence of 5-HT receptors in nasal polyps and inferior turbinate mucosa in patients with chronic rhinosinusitis with nasal polyposis and then compare this expression of 5-HT receptors with inferior turbinate mucosa of the normal control group. Methods A case-control study was conducted on 80 patients. Specimens from nasal polypi and turbinate mucosa of patients with chronic rhinosinusitis (cases) and specimens from normal turbinate mucosa (controls) were stained with serotonin receptor Immunohistochemical staining by automated immunostainer in the pathology department laboratory in Ain Shams University Hospital with ratio 1:200–400 as recommended by the manufacturing company. Then, compared as regards stain distribution and intensity of mucosal lining, glands, and blood vessels. Results There was a significant difference between polyp cases and controls as regards lining epithelium and mucosal gland stain distribution and stain intensity. Also significant difference between the polyp cases and controls as regards blood vessel strain distribution. However, no significant difference was found as regards blood vessel stain intensity. There was a significant difference between turbinate cases and controls as regards lining epithelium stain distribution, and stain intensity. There was no significant difference between turbinate cases and controls as regards gland stain distribution. However, a significant difference was found between turbinate and controls as regards gland stain intensity. There was a significant difference between turbinate cases and controls as regards blood vessel stain distribution; however, no significant difference was present as regards stain intensity. There was no significant difference between polyp and turbinate cases as regards lining epithelium and blood vessel stain distribution and stain intensity. There was no significant difference between polyp and turbinate cases as regards gland stain distribution; however, a highly significant difference between polyp and turbinate cases as regards gland stain intensity. Conclusion Serotonin receptors are highly expressed in patients with chronic rhinosinusitis with nasal polyposis in both turbinate and poly","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140594891","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 : 2024-04-05DOI: 10.1186/s43163-024-00603-7
Sara Magdy Ibrahim, Ossama Ahmed Sobhy, Riham Mohamed ElMaghraby, Nesrine Hazem Hamouda
The significance of narrative skills is evident due to their role in the development of language and their connection to significant social and academic skills. This study aimed to translate, adapt, and validate the Test of Narrative Language-Second Edition (TNL-2) for its use as a tool for the assessment of narrative language in Arabic-speaking Egyptian children. In a cross-sectional study design, the Arabic-translated version of the TNL-2 was administered to 200 typically developing Arabic-speaking Egyptian children ranging in age from 4 years to 15 years and 11 months for validation. The participants were categorized according to their age into ten groups and their scores were analyzed. Face validity was assessed by asking five expert phoniatricians to review the Arabic version of the TNL-2 and complete a questionnaire that assessed the test’s effectiveness in measuring different narrative skills. A statistically significant difference was found when comparing the TNL-2 scores among the age groups under study. In addition, there was a significant correlation between standardized Arabic language test scores and the total comprehension and total production subtests’ raw scores of the TNL-2. The test-retest reliability and inter-rater agreement demonstrated a high level of reliability and inter-rater agreement. Experts have reached a consensus that the Arabic version of the TNL-2 is capable of evaluating the primary microstructural and macrostructural components of Arabic narratives. Furthermore, it can provide insights into the overall narrative skills of Egyptian Arabic-speaking children. The Arabic-translated version of the TNL-2 demonstrated validity and reliability as an instrument for assessing narrative language comprehension and production skills in Arabic-speaking Egyptian children.
{"title":"Translation, cultural adaptation, and validation of an Arabic version of the test of narrative language—second edition","authors":"Sara Magdy Ibrahim, Ossama Ahmed Sobhy, Riham Mohamed ElMaghraby, Nesrine Hazem Hamouda","doi":"10.1186/s43163-024-00603-7","DOIUrl":"https://doi.org/10.1186/s43163-024-00603-7","url":null,"abstract":"The significance of narrative skills is evident due to their role in the development of language and their connection to significant social and academic skills. This study aimed to translate, adapt, and validate the Test of Narrative Language-Second Edition (TNL-2) for its use as a tool for the assessment of narrative language in Arabic-speaking Egyptian children. In a cross-sectional study design, the Arabic-translated version of the TNL-2 was administered to 200 typically developing Arabic-speaking Egyptian children ranging in age from 4 years to 15 years and 11 months for validation. The participants were categorized according to their age into ten groups and their scores were analyzed. Face validity was assessed by asking five expert phoniatricians to review the Arabic version of the TNL-2 and complete a questionnaire that assessed the test’s effectiveness in measuring different narrative skills. A statistically significant difference was found when comparing the TNL-2 scores among the age groups under study. In addition, there was a significant correlation between standardized Arabic language test scores and the total comprehension and total production subtests’ raw scores of the TNL-2. The test-retest reliability and inter-rater agreement demonstrated a high level of reliability and inter-rater agreement. Experts have reached a consensus that the Arabic version of the TNL-2 is capable of evaluating the primary microstructural and macrostructural components of Arabic narratives. Furthermore, it can provide insights into the overall narrative skills of Egyptian Arabic-speaking children. The Arabic-translated version of the TNL-2 demonstrated validity and reliability as an instrument for assessing narrative language comprehension and production skills in Arabic-speaking Egyptian children.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140595108","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 : 2024-04-02DOI: 10.1186/s43163-024-00602-8
Talal Aljeraisi
Odontogenic sinusitis (ODS) has clinical features like rhinogenic sinusitis. Although it is usually unilateral, diagnostic overlap could happen. However, ODS necessitates different management which includes dental intervention to eliminate the dental infection source. In some patients, ODS may persist even after management of dental pathology. The aim of this study was to assess the clinical features, and diagnostic criteria of ODS that is persistent after management of dental pathology, and to evaluate the efficacy of endoscopic sinus surgery (ESS) as a therapeutic option of the disease. Twenty patients were included in this study. All patients were presented with ODS refractory to medical treatment after management of their dental problems. Clinical features of the patients were analyzed. Also, endoscopic nasal examination and computed tomography of paranasal sinuses (CT) were performed for all patients. ESS were used, with widening of the maxillary ostium for drainage. Follow-up was carried out for at least 6 months. All patients had unilateral disease, with 3 main complaints: malodourous nasal discharge (90%), facial pain (75%), and nasal obstruction (45%). Endoscopic nasal examination showed either middle meatal purulence (70%) or polypoid mucosa (30%). CT showed either thickened maxillary sinus mucosa (50%), or complete maxillary opacity (50%) with retained foreign body in 2 patients (10%). After ESS, all patients reported relieve of their sinonasal symptoms, and nasal endoscopy showed patent middle meatus, with one patient demonstrated adhesions between the middle turbinate and lateral nasal wall which was asymptomatic. Prior dental intervention is a suspicious diagnostic landmark for ODS, and unilateral foul nasal discharge is the main prevalent complaint. Nasal endoscopy usually shows purulence or polypoid mucosa in the middle meatus, and CT is a good diagnostic tool for ODS. ESS with good widening of the maxillary ostium is an effective therapeutic option for those patients.
{"title":"Efficacy of endoscopic sinus surgery in management of odontogenic maxillary sinusitis after control of dental pathology","authors":"Talal Aljeraisi","doi":"10.1186/s43163-024-00602-8","DOIUrl":"https://doi.org/10.1186/s43163-024-00602-8","url":null,"abstract":"Odontogenic sinusitis (ODS) has clinical features like rhinogenic sinusitis. Although it is usually unilateral, diagnostic overlap could happen. However, ODS necessitates different management which includes dental intervention to eliminate the dental infection source. In some patients, ODS may persist even after management of dental pathology. The aim of this study was to assess the clinical features, and diagnostic criteria of ODS that is persistent after management of dental pathology, and to evaluate the efficacy of endoscopic sinus surgery (ESS) as a therapeutic option of the disease. Twenty patients were included in this study. All patients were presented with ODS refractory to medical treatment after management of their dental problems. Clinical features of the patients were analyzed. Also, endoscopic nasal examination and computed tomography of paranasal sinuses (CT) were performed for all patients. ESS were used, with widening of the maxillary ostium for drainage. Follow-up was carried out for at least 6 months. All patients had unilateral disease, with 3 main complaints: malodourous nasal discharge (90%), facial pain (75%), and nasal obstruction (45%). Endoscopic nasal examination showed either middle meatal purulence (70%) or polypoid mucosa (30%). CT showed either thickened maxillary sinus mucosa (50%), or complete maxillary opacity (50%) with retained foreign body in 2 patients (10%). After ESS, all patients reported relieve of their sinonasal symptoms, and nasal endoscopy showed patent middle meatus, with one patient demonstrated adhesions between the middle turbinate and lateral nasal wall which was asymptomatic. Prior dental intervention is a suspicious diagnostic landmark for ODS, and unilateral foul nasal discharge is the main prevalent complaint. Nasal endoscopy usually shows purulence or polypoid mucosa in the middle meatus, and CT is a good diagnostic tool for ODS. ESS with good widening of the maxillary ostium is an effective therapeutic option for those patients.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140594890","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 : 2024-03-27DOI: 10.1186/s43163-024-00597-2
Vibha Singh, Annanya Soni, Arijit Jotdar, Amit Kumar Gupta
It is unusual to get an isolated thyroid abscess. Thyroid abscess or acute suppurative thyroiditis accounts for 0.7–1% of all instances of thyroid diseases. The thyroid gland typically has a high level of iodine, a well-enveloped capsule, and resistance to infections. The diagnosis and treatment of this unusual entity are covered in this paper. Case presentation. An adult male patient presented with anterior neck swelling for 15 days and pus discharge for 2 days. The neck ultrasound revealed characteristics that could indicate a thyroid abscess. The thyroid function test and other laboratory data were within normal bounds. A neck contrast-enhanced computed tomography scan was performed, and it only revealed a single thyroid abscess and no other abnormalities. After starting the patient on intravenous antibiotics, the abscess was incised and drained. The patient’s symptoms got better. In the era of advanced antibiotics incidence of thyroid abscess is extremely rare. Early diagnosis and intervention may improve the outcome of this condition. Knowledge of disease and its potential complications can prevent morbidity.
{"title":"Thyroid abscess presenting as a discharging sinus: a case report","authors":"Vibha Singh, Annanya Soni, Arijit Jotdar, Amit Kumar Gupta","doi":"10.1186/s43163-024-00597-2","DOIUrl":"https://doi.org/10.1186/s43163-024-00597-2","url":null,"abstract":"It is unusual to get an isolated thyroid abscess. Thyroid abscess or acute suppurative thyroiditis accounts for 0.7–1% of all instances of thyroid diseases. The thyroid gland typically has a high level of iodine, a well-enveloped capsule, and resistance to infections. The diagnosis and treatment of this unusual entity are covered in this paper. Case presentation. An adult male patient presented with anterior neck swelling for 15 days and pus discharge for 2 days. The neck ultrasound revealed characteristics that could indicate a thyroid abscess. The thyroid function test and other laboratory data were within normal bounds. A neck contrast-enhanced computed tomography scan was performed, and it only revealed a single thyroid abscess and no other abnormalities. After starting the patient on intravenous antibiotics, the abscess was incised and drained. The patient’s symptoms got better. In the era of advanced antibiotics incidence of thyroid abscess is extremely rare. Early diagnosis and intervention may improve the outcome of this condition. Knowledge of disease and its potential complications can prevent morbidity.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140316690","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 : 2024-03-26DOI: 10.1186/s43163-024-00599-0
Seyede Faranak Emami
Stress is an integral part of human life, small amounts of which can be effective in adapting to conditions, while its continuous increase is a predisposing factor for all diseases. The aim of this article is to determine the effect of stress on auditory system. The full text of 51 articles published between 2000 and 2023 was extracted from Scopus, PubMed, and Web of Sciences websites and became the source of this research. Positive and negative emotions cause the release of stress hormones that affect all human cognitive behaviors, perceptions, and peripheral senses. They can have destructive effects on the functioning of the auditory system. Abnormal release of stress hormones can increase susceptibility to hearing disorders. A healthy lifestyle is essential to reduce the harmful effects of stress. The most important aspects of a healthy lifestyle are regular and uninterrupted night sleep, drinking enough water, avoiding high amounts of caffeine, a Mediterranean diet, staying away from noise/light/industrial pollution and social crimes, listening to relaxing music and doing movements in harmony with their rhythm, laughing constantly, writing down negative emotions, having true love in life, deep emotional connections with kind people, and receiving positive energy from their intentions.
压力是人类生活中不可或缺的一部分，少量的压力可以有效地适应环境，而持续增加的压力则是所有疾病的诱发因素。本文旨在确定压力对听觉系统的影响。本研究从 Scopus、PubMed 和 Web of Sciences 网站上提取了 2000 年至 2023 年间发表的 51 篇文章的全文。积极和消极情绪都会导致压力荷尔蒙的释放，从而影响人类的所有认知行为、知觉和外围感官。它们会对听觉系统的功能产生破坏性影响。压力荷尔蒙的异常释放会增加听力障碍的易感性。健康的生活方式对于减少压力的有害影响至关重要。健康生活方式最重要的方面包括：有规律且不间断的夜间睡眠、饮用足够的水、避免大量咖啡因、地中海式饮食、远离噪音/光线/工业污染和社会犯罪、聆听轻松的音乐并做与其节奏相协调的动作、经常大笑、写下负面情绪、在生活中拥有真爱、与善良的人建立深厚的情感联系以及从他们的意图中接收正能量。
{"title":"The effects of stress on auditory system: a narrative review","authors":"Seyede Faranak Emami","doi":"10.1186/s43163-024-00599-0","DOIUrl":"https://doi.org/10.1186/s43163-024-00599-0","url":null,"abstract":"Stress is an integral part of human life, small amounts of which can be effective in adapting to conditions, while its continuous increase is a predisposing factor for all diseases. The aim of this article is to determine the effect of stress on auditory system. The full text of 51 articles published between 2000 and 2023 was extracted from Scopus, PubMed, and Web of Sciences websites and became the source of this research. Positive and negative emotions cause the release of stress hormones that affect all human cognitive behaviors, perceptions, and peripheral senses. They can have destructive effects on the functioning of the auditory system. Abnormal release of stress hormones can increase susceptibility to hearing disorders. A healthy lifestyle is essential to reduce the harmful effects of stress. The most important aspects of a healthy lifestyle are regular and uninterrupted night sleep, drinking enough water, avoiding high amounts of caffeine, a Mediterranean diet, staying away from noise/light/industrial pollution and social crimes, listening to relaxing music and doing movements in harmony with their rhythm, laughing constantly, writing down negative emotions, having true love in life, deep emotional connections with kind people, and receiving positive energy from their intentions.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140300617","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 : 2024-03-26DOI: 10.1186/s43163-024-00598-1
Alisha Saleem, Ashar Masood Khan, Rahim Dhanani, Muhammad Wasif, Mubasher Ikram, Ruby Shabbir
Tracheostomy is considered the oldest and the most effective operative procedure for patients admitted to intensive care units and in emergencies. The study’s objective was to evaluate healthcare providers’ knowledge regarding tracheostomy care. All healthcare professionals directly involved in the provision of care to patients with tracheostomy were included and asked to fill out the questionnaire. The response rate was 87.63%. Out of 50, the mean comfort score was 37.69. 70.6% of participants reported having a comfort score equal to or more than 70%. Out of 10, the mean score was 5.29. Only 20.9% of participants were able to score equal to or more than 70%. The results demonstrate that healthcare professionals’ knowledge of tracheostomy care was below par. Only those who were experienced in this field were able to score above average. The assessment of knowledge in tracheostomy care highlights the significance of ongoing education and training in the healthcare field. As medical practices evolve, it is imperative for healthcare providers to stay updated with the latest guidelines and techniques to provide the highest standard of care.
{"title":"Evaluation of knowledge of healthcare professionals regarding tracheostomy care: a cross-sectional study at a tertiary care hospital in Pakistan","authors":"Alisha Saleem, Ashar Masood Khan, Rahim Dhanani, Muhammad Wasif, Mubasher Ikram, Ruby Shabbir","doi":"10.1186/s43163-024-00598-1","DOIUrl":"https://doi.org/10.1186/s43163-024-00598-1","url":null,"abstract":"Tracheostomy is considered the oldest and the most effective operative procedure for patients admitted to intensive care units and in emergencies. The study’s objective was to evaluate healthcare providers’ knowledge regarding tracheostomy care. All healthcare professionals directly involved in the provision of care to patients with tracheostomy were included and asked to fill out the questionnaire. The response rate was 87.63%. Out of 50, the mean comfort score was 37.69. 70.6% of participants reported having a comfort score equal to or more than 70%. Out of 10, the mean score was 5.29. Only 20.9% of participants were able to score equal to or more than 70%. The results demonstrate that healthcare professionals’ knowledge of tracheostomy care was below par. Only those who were experienced in this field were able to score above average. The assessment of knowledge in tracheostomy care highlights the significance of ongoing education and training in the healthcare field. As medical practices evolve, it is imperative for healthcare providers to stay updated with the latest guidelines and techniques to provide the highest standard of care.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140300303","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 : 2024-03-22DOI: 10.1186/s43163-024-00590-9
Sujoy Kumar Makar
The objective of the present study was to compare the effectiveness of the selected tinnitus management protocols for the experimental groups, based on the scores obtained for psychosocial variables, quality of life and severity of tinnitus between the four experimental groups following the various treatment protocols. Two-hundred adults ages ranged from 20 to 55 years (mean age 44.14, SD = 6.16) with mild-to-moderate sensorineural hearing loss without tinnitus were randomly selected for the control group, whereas the experimental group comprised 200 adults with mild-to-moderate sensorineural hearing loss with tinnitus without any other associated medical problems. Participants of both control and experimental groups underwent audiological tests and were administered the QoL questionnaire. The experimental group, in addition, was also administered the PSQ, TSI and THI questionnaire and psychoacoustic tests, i.e. measuring pitch, loudness and MML of tinnitus. Participants of experimental group were randomly assigned to 4 groups, each of 50 participants, and treatment was given as below: Group 1: only tinnitus masking sound was administered, Group 2: only counselling was given, Group 3: masking with counselling was given and Group 4: tinnitus masking combined with counselling and attention diversion task therapy was given. The patients without tinnitus had significantly better quality of life in comparison to the patients with tinnitus. Pre-post comparisons of the treatment groups revealed that “masking + counselling + attention diversion task” group showed highly significant differences for psychosocial aspects, QoL and severity of tinnitus. Further, pairwise comparison based on differences in mean scores indicated significant impact of “masking + counselling + attention diversion task” as compared to both in combination like “masking + counselling” or independently, i.e. masking or counselling alone. It appears that an integrated package of intervention (masking + counselling + attention diversion task) might be preferable for providing immediate tinnitus relief by masking through reducing tinnitus loudness and pitch by altering neuroplasticity (tonotopicity); in the long term, it reduces tinnitus impact through positive thinking by counselling treatment and also diverts attention to daily activity through attention training.
{"title":"Tinnitus treatment: an experimental study","authors":"Sujoy Kumar Makar","doi":"10.1186/s43163-024-00590-9","DOIUrl":"https://doi.org/10.1186/s43163-024-00590-9","url":null,"abstract":"The objective of the present study was to compare the effectiveness of the selected tinnitus management protocols for the experimental groups, based on the scores obtained for psychosocial variables, quality of life and severity of tinnitus between the four experimental groups following the various treatment protocols. Two-hundred adults ages ranged from 20 to 55 years (mean age 44.14, SD = 6.16) with mild-to-moderate sensorineural hearing loss without tinnitus were randomly selected for the control group, whereas the experimental group comprised 200 adults with mild-to-moderate sensorineural hearing loss with tinnitus without any other associated medical problems. Participants of both control and experimental groups underwent audiological tests and were administered the QoL questionnaire. The experimental group, in addition, was also administered the PSQ, TSI and THI questionnaire and psychoacoustic tests, i.e. measuring pitch, loudness and MML of tinnitus. Participants of experimental group were randomly assigned to 4 groups, each of 50 participants, and treatment was given as below: Group 1: only tinnitus masking sound was administered, Group 2: only counselling was given, Group 3: masking with counselling was given and Group 4: tinnitus masking combined with counselling and attention diversion task therapy was given. The patients without tinnitus had significantly better quality of life in comparison to the patients with tinnitus. Pre-post comparisons of the treatment groups revealed that “masking + counselling + attention diversion task” group showed highly significant differences for psychosocial aspects, QoL and severity of tinnitus. Further, pairwise comparison based on differences in mean scores indicated significant impact of “masking + counselling + attention diversion task” as compared to both in combination like “masking + counselling” or independently, i.e. masking or counselling alone. It appears that an integrated package of intervention (masking + counselling + attention diversion task) might be preferable for providing immediate tinnitus relief by masking through reducing tinnitus loudness and pitch by altering neuroplasticity (tonotopicity); in the long term, it reduces tinnitus impact through positive thinking by counselling treatment and also diverts attention to daily activity through attention training.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140204908","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}
Arytenoid asymmetry is usually an incidental finding during video-pharyngo-laryngoscopic examinations, and few otolaryngologists have described the clinical implications of this among patient with laryngeal disorders. The aim of the study is to document the prevalence of arytenoid adduction asymmetry in patients who had video-pharyngo-laryngoscopy and determine if there is any possible association between arytenoid adduction asymmetry and hoarseness. This is a retrospective descriptive study involving patients who had video-pharyngo-laryngoscopic examinations for various indications. The medical charts and video-pharyngo-laryngoscopic examination findings recorded in the stored database in ENT outpatient departments of two institutions over a 2-year period were retrospectively reviewed for age, sex, occupation, presenting complaint, and indication for video-pharyngo-laryngoscopic findings and diagnosis. Arytenoid adduction asymmetry was defined in relation to the position of the corniculate cartilages, cuneiform cartilages, and aryepiglottic angle. All the variables in the data were analyzed using Statistical Product and Service Solution (SPSS) version 25. A total of 152 out of 209 patients had complete information needed for the review, 59 were males and 93 females with age range 20–91 years, and mean age was 46 ± 15.5 years. The overall prevalence rate for adduction asymmetry was 44.7%. Arytenoid asymmetry was seen commonest among the 5th and 6th decades of life and highest among the professional voice users (55%), while the male-to-female ratio was 1.6:1. Hoarseness constituted 40.1% of all indications for video-pharyngo-laryngoscopy, with 71% of patients with hoarseness having a primary laryngeal lesion, 26% had laryngopharyngeal reflux, and 3.3% were due to pubertal voice changes. A significant association was found between arytenoid asymmetry of the male gender P-value 0.027 and hoarseness P-value 0.026. Arytenoid adduction asymmetry is prevalent in the 5th and 6th decades of life, among patients with hoarseness resulting from unilateral primary laryngeal disorders.
{"title":"Arytenoid adduction asymmetry among patients with laryngeal disorders","authors":"Babatunde Akinola Bamigboye, Moses Ayodele Akinola, Agboola Adebowale Ogunbiyi, Abayomi Oladapo Somefun","doi":"10.1186/s43163-024-00591-8","DOIUrl":"https://doi.org/10.1186/s43163-024-00591-8","url":null,"abstract":"Arytenoid asymmetry is usually an incidental finding during video-pharyngo-laryngoscopic examinations, and few otolaryngologists have described the clinical implications of this among patient with laryngeal disorders. The aim of the study is to document the prevalence of arytenoid adduction asymmetry in patients who had video-pharyngo-laryngoscopy and determine if there is any possible association between arytenoid adduction asymmetry and hoarseness. This is a retrospective descriptive study involving patients who had video-pharyngo-laryngoscopic examinations for various indications. The medical charts and video-pharyngo-laryngoscopic examination findings recorded in the stored database in ENT outpatient departments of two institutions over a 2-year period were retrospectively reviewed for age, sex, occupation, presenting complaint, and indication for video-pharyngo-laryngoscopic findings and diagnosis. Arytenoid adduction asymmetry was defined in relation to the position of the corniculate cartilages, cuneiform cartilages, and aryepiglottic angle. All the variables in the data were analyzed using Statistical Product and Service Solution (SPSS) version 25. A total of 152 out of 209 patients had complete information needed for the review, 59 were males and 93 females with age range 20–91 years, and mean age was 46 ± 15.5 years. The overall prevalence rate for adduction asymmetry was 44.7%. Arytenoid asymmetry was seen commonest among the 5th and 6th decades of life and highest among the professional voice users (55%), while the male-to-female ratio was 1.6:1. Hoarseness constituted 40.1% of all indications for video-pharyngo-laryngoscopy, with 71% of patients with hoarseness having a primary laryngeal lesion, 26% had laryngopharyngeal reflux, and 3.3% were due to pubertal voice changes. A significant association was found between arytenoid asymmetry of the male gender P-value 0.027 and hoarseness P-value 0.026. Arytenoid adduction asymmetry is prevalent in the 5th and 6th decades of life, among patients with hoarseness resulting from unilateral primary laryngeal disorders.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140155280","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 : 2024-03-18DOI: 10.1186/s43163-024-00595-4
Seyma Nur Tabak, Ozlem Konukseven
This study investigated the impact of age on dichotic listening performance by comparing results from the Turkish Dichotic Sentence Mobile Screening Test in young and elderly individuals with normal hearing. A total of 60 adults (30 young, 30 old) underwent otoscopic examination, audiological tests, and, for the elderly group, a mini-mental test. The Turkish Dichotic Sentence Mobile Screening Test was administered, and directed and undirected scores for the right and left ears were compared between age groups. In the young group, the directed left ear mean (96.67% ± 8.02%), directed right ear mean (98.33% ± 3.79%), undirected left ear mean (97.67% ± 6.26%), and undirected right ear mean (98.67% ± 5.71%) were obtained. In the elderly group, corresponding values were lower: directed left ear mean (49.00% ± 36.33%), directed right ear mean (54.67% ± 40.66%), undirected left ear mean (64.00% ± 32.86%), and undirected right ear mean (65.00% ± 30.82%). Statistically significant differences were found between the young and elderly groups (p < 0.001), with the young group consistently outperforming the elderly group. These results align with existing literature on dichotic listening tests, highlighting age-related declines in performance. The study contributes valuable insights into age-related changes in auditory processing and cognition, emphasizing the importance of considering dichotic listening as a marker of cognitive aging. Future research should explore potential interventions to mitigate age-related declines in dichotic listening performance.
{"title":"Turkish dichotic sentence mobile scan test results in young and elderly people","authors":"Seyma Nur Tabak, Ozlem Konukseven","doi":"10.1186/s43163-024-00595-4","DOIUrl":"https://doi.org/10.1186/s43163-024-00595-4","url":null,"abstract":"This study investigated the impact of age on dichotic listening performance by comparing results from the Turkish Dichotic Sentence Mobile Screening Test in young and elderly individuals with normal hearing. A total of 60 adults (30 young, 30 old) underwent otoscopic examination, audiological tests, and, for the elderly group, a mini-mental test. The Turkish Dichotic Sentence Mobile Screening Test was administered, and directed and undirected scores for the right and left ears were compared between age groups. In the young group, the directed left ear mean (96.67% ± 8.02%), directed right ear mean (98.33% ± 3.79%), undirected left ear mean (97.67% ± 6.26%), and undirected right ear mean (98.67% ± 5.71%) were obtained. In the elderly group, corresponding values were lower: directed left ear mean (49.00% ± 36.33%), directed right ear mean (54.67% ± 40.66%), undirected left ear mean (64.00% ± 32.86%), and undirected right ear mean (65.00% ± 30.82%). Statistically significant differences were found between the young and elderly groups (p < 0.001), with the young group consistently outperforming the elderly group. These results align with existing literature on dichotic listening tests, highlighting age-related declines in performance. The study contributes valuable insights into age-related changes in auditory processing and cognition, emphasizing the importance of considering dichotic listening as a marker of cognitive aging. Future research should explore potential interventions to mitigate age-related declines in dichotic listening performance.","PeriodicalId":501131,"journal":{"name":"The Egyptian Journal of Otolaryngology","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140155238","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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