bluuebunny/crossref_metadata_2025_split huggingface dataset:
Selenium supplement for treatment of geriatric rhinitis
Authors: Yalcinkaya Esin , Yazici Hasmet , Kayir Hakan , Soy Fatih K. , Negm Hesham 
Published: September 2023

AbstractWith the aging of population, the incidence of geriatric problems is increasing. However, the diagnosis and treatment of geriatric problems are usually ignored. This study investigated the efficacy of supplemental selenium in patients with geriatric rhinitis (GR). The study was conducted at an academic secondary referral center in a prospective design. Patients were divided into two groups, and they were compared with healthy volunteers. The treatment group, including patients with GR, was given nasal saline wash four times daily and 100 μg of seleno-6 dietary supplements twice daily. The patient control group and the healthy volunteers were given only the nasal saline wash four times daily. Glutathione peroxidase, superoxide dismutase, and catalase levels were measured in all participants before and after treatment. In addition, the sino-nasal outcome test-20 and visual analog scale were applied before and after treatment. In the selenium supplement group, the visual analog scale, sino-nasal outcome test-20 scores, and enzyme levels were significantly improved compared with the untreated group. No adverse effects occurred in the selenium supplement group during the study. Supplemental selenium might be effective in the treatment of GR in terms of aging physiology and the oxidative system. However, large-scale randomized studies are needed to determine the optimal treatment.
Unicentric Castleman disease in the paediatric neck: an unusual case of a rare diagnosis
Authors: Leckenby Simon P. , Dawe Nicholas , Abinun Mario , Powell Steven M. 
Published: September 2023

AbstractWe present a rare case of unicentric Castleman disease (CD) in the paediatric neck. A 12-year-old Caucasian girl was referred to us due to a slowly enlarging, painless right-sided neck mass. Our thorough investigative approach identified unicentric CD, with previously undocumented CD-like features occurring simultaneously in a separate lesion from the lymph node group involved in unicentric CD. Recognition of CD in the paediatric patient is essential, despite the condition’s rarity, to ensure adequate diagnostic work-up and management. We discuss features of unicentric CD, current concepts surrounding histology of the two separate variants of unicentric and multicentric CD, and the implications for management.
Impact of voice disorders and microlaryngeal surgery on psychological profiles of Arabic-speaking professional and nonprofessional voice users
Authors: Sheikhany Ayatallah , Atef Ahmed , Refaat Osama , Al Ali Ahmad 
Published: September 2023

Abstract
Introduction
Voice disorders that impair normal social communication may cause subsequent emotional distress and are significantly associated with greater risk of anxiety and depression. The occurrence of vocal symptoms and voice disorders in professions where voice is an essential tool may cause stress and anxiety to the professionals suffering from them. Voice disorders in professionals have a major psychoemotional and social impact because they can threaten, shorten, or even end teachers’ and singers’ careers.

Aim of the work
Psychological impact of various voice disorders of professional and nonprofessional voice users has not yet been adequately studied according to the authors’ knowledge in the Egyptian population. It is therefore of great importance to shed light on the psychological impact of voice disorders on patients in an attempt to improve the quality of life of those patients.

Patients and methods
During the period of 6 months from June 2014 to December 2014, 40 patients were included prospectively in this work.

Results and conclusion
Professional voice users are more susceptible to psychological diseases than nonprofessional voice users. The degree of improvement postoperatively in professional voice users was statistically significant in all assessments of this study when compared with the nonprofessional voice users except in self-confidence and worth (Rosenberg self-esteem test). The best degree of improvement postoperatively was detected in the professional voice physically according to Jacobson scoring guidelines. There was a moderate relation between dysphonia and anxiety and depression according to the Voice Handicap Index and Kessler psychological distress scale results in this study.
Audiovestibular findings in autoimmune diseases
Authors: Gabr Takwa A. , Kotait Mona A. , Abdel Noor Rasha A. 
Published: September 2023

Abstract
Background
Audiovestibular manifestations are reported in autoimmune diseases including hearing loss and vestibular symptoms.

Objectives
This study is designed to evaluate the audiovestibular manifestations in patients with different autoimmune diseases especially asymptomatic cases.

Subjects and Methods
This work included two groups: study group (29 cases with different autoimmune diseases) and control group (20 healthy subjects). All participantswere subjected to basic audiologic evaluation, Sinusoidal harmonic acceleration (SHA) test of the rotatory chair at different frequencies (.01-.64Hz).

Results
patients with ADs showed elevated hearing thresholds (>25dBHL) at all tested frequencies. As regard SHA test, only 5 cases from the study grop showed normal results, while the rest of cases showed vestibular hypofunction (bilateral in 22 cases and unilateral in 3 cases).

Conclusion
Audiovestibular symptoms are common in different autoimmune diseases even asymptomatic cases. SHA test showed that vestibular affection is much more frequent than expected. So, regular screening of hearing and vestibular functions in patients with autoimmune should be done, for better and early management.
Voice outcome after cold phonomicrosurgery for minimal-associated pathological lesions of the vocal folds
Authors: Merwad Ezzat A. , Mohamed Abd El Raof S. , Quriba Amal S. , Abd Al Badea Amany M. 
Published: September 2023

Abstract
Objective
The aim was to assess the voice outcomes of cold phonomicrosurgery for minimal-associated pathological lesions of the vocal folds.

Materials and methods
A total of 26 patients with either unilateral or bilateral minimal-associated pathological lesions of the vocal folds from the Otorhinolaryngology Department in Zagazig University Hospitals between 2013 and 2014 were enrolled in the case group. Cold phonomicrosurgeries were performed. The control group comprised of 20 matched normal individuals. Matching was based on sex, age, and socioeconomic rank.

Results
All patients had videoendoscopic laryngeal evaluations in the preoperative and postoperative periods (3 months after surgery), and the results showed the absence of the lesion in comparison with the preoperative findings in 22 (84.62%) patients. All patients had perceptual voice analysis in the preoperative and postoperative periods (3 months after surgery), with all P values below 0.05, indicating statistically significant difference among the cases after the operation.

Conclusion
Although voice therapy is the cornerstone in treating benign vocal fold lesions, phonosurgery has an important role in some lesions.
Endoscopic evaluation of completeness of conventional curettage adenoidectomy: a single-blinded observational study
Authors: Navalakhe Milind M. , Mogre Dilesh A. 
Published: September 2023

Abstract
Background
Conventional curettage adenoidectomy is a blind procedure, which performed in a confined postnasal space produces surgical challenges. The aim was to examine the completeness of conventional adenoidectomy and compare it with surgeon satisfaction and to identify the need to objectively assess the residual tissue at the end of procedure.

Aim
The primary aim was to objectively assess the residual adenoid mass after curettage adenoidectomy and compare it with surgeon satisfaction using digital palpation.

Settings and design
A prospective single-blinded observational study was conducted at a tertiary care hospital between February 2015 and September 2015.

Patients and methods
A total of 45 cases that underwent conventional curettage adenoidectomy were included in the study. Intraoperative images of the postnasal space were recorded and compared with surgeon satisfaction score by a single-blinded observer.

Statistical analysis
Statistical analysis of interobserver correlation was performed using Cohen’s κ statistics using Graphpad Prism, version-6.07 (trial).

Results
The 45 cases had a mean±SD age of 8.45±2.47 years, and female to male ratio was 1.4 : 1. The kappa analysis of surgeon satisfaction in relation to the presence of residual adenoid tissue showed that the strength of agreement was worse than that expected by chance (κ=−0.383, SE=0.129).

Conclusion
The study showed that surgeon satisfaction via digital palpation alone fails to assess residual adenoid tissue, and we recommend endoscopic visualization of the nasopharynx to assess completeness of adenoidectomy.
Developing an Arabic speech intelligibility test for adolescents and adults
Authors: Hegazi Mona A. , Abdelhamid Ahmed 
Published: September 2023

Abstract
Objectives
The improvement of speech intelligibility of many patients is one of the primary aims of the therapy of communication disorders. The standard evaluations lack an Arabic test to measure speech intelligibility among adolescents and adults.

Participants and methods
This study was conducted on 200 participants with an age range from 12 to 60 years who can read Arabic. All participants were randomly selected from the outpatient clinic of phoniatrics from five speech disorders affecting speech intelligibility. Each participant included in the study was subjected to two evaluations: a subjective rating of the participant’s speech intelligibility and the developed Arabic speech intelligibility test, which is meant to be an objective measure.

Results
The results showed highly significant correlation between the scores of the Arabic speech intelligibility test and the average scores of the raters.

Conclusion
The developed test proved to be valid and reliable for measuring speech intelligibility and could be categorically classified into ranges of severity.
Public awareness of delayed language development in Upper Egypt
Authors: Mostafa Eman , Ahmed Mona El-Rabie 
Published: September 2023

Abstract
Aim
The aim of this study was to investigate public awareness and the attitude of delayed language development (DLD) in children in Sohag, Upper Egypt.

Patients and Methods
The Phoniatric Unit at Sohag University Hospital receives a considerable number of belated cases of children with DLD. No Egyptian surveys were found collecting information about public awareness and knowledge of DLD and speech–language pathology services. A cross-sectional survey was done of both male and female participants who were asked to fill in a questionnaire. The questionnaire contains participant’s demographic information, eight closed-ended questions, and one open-ended question, addressing their knowledge and attitudes toward DLD.

Results
The questionnaire was introduced to 1500 questionnaires (1380 have returned; 92% response). Good awareness of DLD in children was recognized in 74.49% of the study group. The age of 2 years was thought to be the most suitable age to seek medical advice for children with DLD in 48.84% of the study group. Some occupations such as teachers did not value early intervention of language delay. Language therapy was thought to be the best way to treat DLD in 68.7% of the study group.

Conclusion
There is limited awareness of the value of early language learning and the best treatment of DLD. Awareness should be raised and changing the attitude of individuals in some occupations, especially teachers, toward DLD should be addressed.
Effect of vitiligo on the cochlea
Authors: ElGohary Mohamed Abd Elatif , Behairy Reda Mohamed Abd Alwahab , Awida Amal Mahmoud 
Published: September 2023

Abstract
Background
Vitiligo is the disappearance of functional melanocytes (MCs) from the involved skin by a mechanism(s) that has not yet been identified.

Objective
The aim was to study the effects of different types of vitiligo on cochlear function.

Patients and Methods
This study involved 30 vitiligo patients who constituted the study group and 30 matched healthy individuals who served as the control group. Cochlear function was studied using pure-tone audiometry and transient-evoked otoacoustic emission.

Results
Normal pure-tone thresholds were found in vitiligo patients with no statistically significant difference between the control and vitiligo groups on both ears. There was a statistically significant difference between control and vitiligo groups as regards the signal-to-noise ratio at a frequency band of 4 kHz on both ears. Cochlear function is affected equally in both generalized and localized vitiligo subgroups. The duration of vitiligo does not have an effect on cochlear function.
Submandibular abscess caused by Salmonella spp. in a diabetic patient: a case report
Authors: Alaqeeli Abdul-Aziz , Alani Belal , Al Khalil Moustafa 
Published: September 2023

AbstractHead and neck infections normally arise from Streptococcus, Staphylococcus, or other anaerobic species, and infection by Salmonella spp. is rare. Patients with significant underlying conditions are at increased risk for the development of focal infection. This has been observed in patients with HIV, diabetes, and malignancy.
Efficacy of intranasal corticosteroids in improving nasal airway obstruction in children with symptomatic adenoidal hypertrophy: a meta-analysis and systematic review
Authors: Elbeltagy Yasser M. , Ibrahim Samer A. , Hasaballah Mohamed S. , Sowilem Omar M. 
Published: September 2023

Abstract
Background
Adenoidal hypertrophy is considered one of the most common diseases in otolaryngology. It is usually associated with nasal obstruction symptoms like snoring and hyponasality. If not treated well, children will encounter many complications like otitis media with effusion and craniofacial abnormalities. Adenoidectomy is the main line of treatment for many otolaryngologists, but recently medical treatment by using intranasal corticosteroids (INCS) has shown beneficial effects in reducing the size of adenoids or improving the obstruction symptoms.

Objectives
To assess the efficacy of nasal corticosteroids in improving nasal airway obstruction in children with symptomatic adenoidal hypertrophy.

Patients and Methods
A comprehensive search in MEDLINE and CENTRAL was undertaken (1985–2017). We identified all randomized controlled trials in children with adenoidal hypertrophy that compared the effects of nasal corticosteroids and normal saline nasal spray on different outcomes. The primary outcomes were improvement of nasal obstruction symptoms assessed by any symptoms score and reduction in adenoid size as demonstrated by fiberoptic nasopharyngoscopy or lateral nasopharynx radiograph.

Results
Twenty-three relevant potential citations were identified and screened for retrieval; nine articles were suitable for these meta-analyses. The included randomized controlled trials were enrolled in five meta-analyses. Three meta-analyses showed significant improvement in adenoid size after the use of INCS with a risk ratio of 0.68, standardized mean difference (SMD)=−2.97, SMD=−0.67, respectively. Two meta-analyses showed insignificant improvement in nasal obstruction symptoms with SMD=−1.53 and SMD=0.67, respectively.

Conclusion
INCS can be used in children with moderate to severe adenoid hypertrophy to reduce the adenoid size and improve the associated symptoms. Close monitoring of improving of the symptoms is a must to predict the need of nonmedical management.
Endoscopic detection of fast mucociliary pathways in endoscopic sinus surgery: a marker for local mucociliary function
Authors: Amin Sameh M. , Baky Amr A. , Fawzy Tamer O. , Hussein Mohamed 
Published: September 2023

Abstract
Introduction
The mucociliary transport velocity is heterogenous showing areas of slow and fast pathways. The aim of this study was to assess fast mucociliary pathways (FMP) in the maxillary sinus in chronic rhinosinusitis.

Patients and Methods
Endoscopic recording of mucociliary clearance (MCC) and FMP was performed on the posterior wall of the maxillary sinus in 22 chronic rhinosinusitis patients subjected to endoscopic sinus surgery and 12 normal volunteers undergoing septal or turbinate surgery. MCC was assessed intraoperatively using methylene blue over 20 min. MCC was designated as complete, incomplete, or absent. For all patients and controls, the preoperative and postoperative sinonasal outcome scores (SNOT 20) were determined, and the transnasal and transmaxillary saccharin test, and preoperative computed tomography radiological staging were performed.

Results
FMP were more frequent in the controls (75%) than the patients (40%), with no statistical significance. Delay, direction, site, and duration of FMP were not statistically different in both groups. Six patients with no FMP (absent MMC in five and partial in one) had extremely prolonged transmaxillary saccharin times, with no postoperative improvement. Otherwise, SNOT 20, transnasal, and transmaxillary saccharin times improved significantly in the patients. Controls showed a significant improvement in the SNOT 20 and transmaxillary sacchrin time. FMP correlated significantly with MCC (r=0.636; P<0.01), transnasal (r=−0.7, P<0.05), and transmaxillary (r=−0.553; P<0.05) saccharin times. In a discriminant model, the only predictive variables of FMP detection were MCC (positive) and transnasal saccharin time (negative) with total correction classification (91.2%). This study describes the different characteristics of FMP. Our results suggest that FMP can be used as a marker of local MCC.
The relation between chronic rhinosinusitis and sleep-disordered breathing
Authors: El-Beltagy Yasser F. , Ghita Alaa F. , Mady Ossama M. , Ibrahim Ahmed M. 
Published: September 2023

Abstract
Background
Chronic sinusitis is one of the most prevalent chronic illnesses affecting persons of all age groups. It is an inflammatory process that involves the paranasal sinuses and persists for 12 weeks or longer.

Purpose
The aim of this study was to investigate the effect of chronic rhinosinusitis (CRS) on sleep-disordered breathing.

Patients and methods
This study was conducted prospectively during the period spanning from June 2017 to June 2018 on 100 patients with CRS who attended to the ENT Departments of El-Maadi Armed Forces Medical Complex, Kobry El-Kobba Armed Forces Medical Complex, and El-Demerdash Hospitals. An additional 10 control patients were included in the study. All these patients gave informed consent to participate in this study.

Results
As regards apnea–hypopnea index, a comparative study between preoperative and postoperative measurements revealed a nonsignificant difference (P>0.05). As regards snore index and snore episodic measurements, the comparative study between preoperative and postoperative measurements revealed a highly significant decrease (P<0.01). As regards sleep efficiency and minimal and basal oxygen saturation measurements, the comparative study between preoperative and postoperative measurements revealed a highly significant increase (P<0.05).

Conclusion
Surgery decreased snoring and Epworth Sleepiness Scale scores, increased sleep efficiency and minimal and basal oxygen saturation measurements without changes in the apnea–hypopnea index, and improved sleep quality.
Microdebrider-assisted powered adenoidectomy: a prospective study
Authors: Alharbi Fahd , Ahmed Mohammed Rifaat , Al Juraibi Wael 
Published: September 2023

Abstract
Objective
To assess the use of powered instrumentation and endoscopes to evaluate the efficacy and safety of this procedure in comparison to classic adenoidectomy using an adenoid curette.

Patients and Methods
A prospective study performed at the Department of Otolaryngology, Head and Neck Surgery in Jazan General Hospital, Kingdom of Saudi Arabia. It includes 70 patients subjected to adenoidectomy who were divided into two equal groups: conventional curette adenoidectomy (CCA) group and microdebrider-assisted powered adenoidectomy (MPA) group. Both groups were assessed for operative time, average operative blood loss, duration of postoperative pain, return to normal diet and activities.

Results
There was no statistical significance between two groups regarding the operative time: the mean operative time in the CCA group was 13.7±3.5 min, while 12.9±4.3 min in the MPA group. The mean operative blood loss in the CCA group was 14.2±3.4 ml, while it was 13.5±2.9 in MPA group without any statically significant difference between the two groups.

Conclusion
MPA proved to be a good alternative to CCA technique as both techniques provide complete adenoid resection with fewer traumas to the adjacent tissue. Level of Evidence: 3b.
Correlation between preoperative endoscopic findings and computed tomography with postoperative histopathology in the staging of laryngeal carcinoma
Authors: El-Sharkawy Louay , El-Antably Adel , Gharib Fadi , Hareedy Amal , Algarf Tareq 
Published: September 2023

Abstract
Background
Laryngeal cancers represent 4.5% of all malignancies and 28% of malignancies of the upper aerodigestive tract. Different modalities for pretherapeutic assessment have been advocated including endoscopy and radiology.

Aim
The objective of the current study is to assess the accuracy of preoperative CT and clinical/endoscopic staging of laryngeal tumors by comparing clinical and imaging findings of each modality with histologic cross-sections of surgical specimens.

Methods
This prospective study included thirty patients with cancer larynx who underwent surgical treatment. All patients underwent transnasal fiberoptic laryngoscopy with photographic documentation. CT scan axial slices of 2-mm thickness with contrast were obtained. The surgical specimens were cut in whole-organ slices parallel to the plane of the axial CT.

Results
The T stage was correctly determined by both endoscope and CT scan in 23 cases. The agreement between perceived T stage by endoscope and CT with histopathological analysis was 100% for T1, 66.7% for T2, 80% for T3 and 66.6% for T4.

Conclusion
Multi Slice CT scan is superior to laryngoscopy in the evaluation of T3 and T4 tumors. However, laryngoscopy is better than MSCT in the evaluation of T1 and T2 lesions.