bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison between functional outcomes in patients with unilateral vocal fold paralysis undergoing injection laryngoplasty under general anesthesia versus local anesthesia
Authors: El-Badrawy Amr R. , El-Hoshy Hassan M. , Sheikhany Ayatallah R. , El-Rehim Wael S. A. 
Published: September 2023

Abstract
Introduction
Injection laryngoplasty (IL) continues to evolve, as new techniques, approaches, and injection materials are continuously being developed. Although it was performed under general anesthesia in the operating room, IL is now increasingly being performed in an office-based setting.

Aim
The aim of this study was to compare functional voice outcomes in patients with unilateral vocal fold paralysis undergoing injection laryngoplasty local versus general anesthesia.

Patients and Methods
A prospective interventional study was done to compare functional outcomes and patient satisfaction between group A (15 patients) with unilateral vocal fold paralysis undergoing injection laryngoplasty under local anesthesia, versus group B (15 patients) with unilateral vocal fold paralysis undergoing injection laryngoplasty under general anesthesia, by analyzing total Arabic Voice Handicap Index (VHI) scores and subscale scores preoperatively and post operatively.

Results
All results obtained in this study showed that there was no significant difference for the functional outcomes and patient satisfaction obtained for both groups under study.

Conclusion
In conclusion, IL under local anesthesia gives similar results as general anesthesia regarding functional outcomes and patient satisfaction of voice quality by themselves as well as by using the voice handicap index.
Papillary carcinoma thyroid coexisting with squamous cell carcinoma: series of two cases
Authors: Vamanshankar Hemanth , Ganesan Sivaraman , Alexander Arun , Saxena Sunil Kumar 
Published: September 2023

AbstractPapillary thyroid cancer metastasizing to cervical nodes coexisting with squamous cell carcinoma of the upper aerodigestive tract is a rare finding. To the best of our knowledge, nearly 43 such cases have been reported in the literature. We present two such cases that were managed in our hospital. The first was a case of carcinoma of the lower alveolus with papillary carcinoma thyroid; the other was a case of carcinoma of the hypopharynx with an associated papillary carcinoma. The rarity of its presentation along with the dilemma in the management in such a patient has been discussed here, with a review of the relevant literature.
Video head impulse test in different age groups
Authors: Asal Samir I. , Sobhy Ossama A. , Raof Diana M. E. Abdel 
Published: September 2023

Abstract
Background and objective
The head impulse test is a well-known clinical test that uses video-oculography to quantify vestibulo-ocular reflex (VOR). Normative data for VOR gain are accessible, but most studies just report horizontal-plane VOR characteristics, overlooking variations in vertical-plane VOR gains. The aim of this study is to supply normative data for different age groups to permit future comparison of results to the matching norms.

Patients and Methods
The study was accomplished on 50 individuals who have normal peripheral hearing sensitivity, no otological disorder, and have no history of vestibular disorder, and were divided according to age into five groups, each one comprising 10 participants: individuals in the first group were aged 10–25 years, individuals in the second group were aged 25–35 years, individuals in the third group were aged 35–45 years, individuals in the fourth group were aged 45–55 years, and individuals in the fifth group were aged more than 55 years. Video head impulse test was done using GN Otometrics ICS Impulse in the lateral, left anterior right posterior, and right anterior left posterior semicircular canal planes.

Results
This study demonstrated that age has no impact on VOR gain, and it can be applied indifferently to all ages.

Conclusion
These normative values permit the correlation between the results of any specific patient and the values of healthy people of the same age range.
Safety and efficacy of extraturbinal microdebrider-assisted inferior turbinoplasty in children
Authors: Awad Osama Galal Abdelnaby 
Published: September 2023

Abstract
Background
Nasal obstruction is commonly seen in children and can be caused by a variety of factors. Turbinate hypertrophy has become a more frequent entity in pediatric patients presenting with nasal obstruction.

Aim
This study aims to assess the effectiveness and safety of extraturbinal microdebrider-assisted inferior turbinoplasty (MAIT) in relieving inferior turbinate hypertrophy in children.

Patients and methods
This prospective study was conducted from May 2016 to May 2017 in a tertiary referral hospital. Fifty pediatric patients with chronic hypertrophic rhinitis were enrolled in the study. We tried the extraturbinal MAIT technique to reduce inferior turbinate size. The degree of nasal obstruction was assessed using subjective, clinical symptom grading tools, visual analogue scale, and saccharin clearance test at 1 and 6 months postoperatively. Any postoperative complications were also noted.

Results
Mean age of patients were 12.7±9.5 years (range: 6–18 years). Significant postoperative improvement (P<0.001) was noted in the degree of nasal obstruction in 1 month and was maintained after a follow-up period of 6 months. Majority of patients had minimal crusting with good tissue healing with no adhesions or atrophic changes and with significant improvement of saccharin clearance time at 6 months postoperatively.

Conclusion
Extraturbinal MAIT is an effective and safe procedure in children compared with other reported procedures.
The impact of high intensity versus low intensity behavioral therapy in establishment of functional routines in Egyptian autistic children
Authors: Aboras Yehia A. , Abdou Rania M. , Gaber Heba E. 
Published: September 2023

AbstractObjectiveTo compare the effect of high-intensity versus low-intensity treatment in the establishment of functional routines in autistic children.Patients and MethodsThis quasi-experimental study was conducted on 25 children of 2–6 years of age of both sexes at the Unit of Phoniatrics, Department of Otorhinolaryngology, Alexandria Main University Hospitals. An informed consent was taken from all patients in this part of the study. All cases included in the study underwent thorough history taking, comprehensive neurological examination, and diagnosis of autism based onDiagnostic and Statistical Manual of Mental Disorders, fifth ed., Childhood Autism Rating Scale, and Autism diagnostic interview-revised. The children were trained for 1 year using the STAR program. The children were divided into two groups: group I included 15 children who were trained 5 days per week, and group II included 10 children who were trained 3 days per week owing to family commitments.ResultsThere was significant improvement in both groups in all lessons when comparing pretherapy and post-therapy results; however, group I showed significant degree of improvement when compared with group II in specific items.ConclusionEarly intervention for autistic children helps in improving their prognosis and yields better results. The need to apply the treatment on daily basis is highly recommended.
Incus buttress approach as an alternative safe technique for cochlear implantation; preliminary results with review of literature
Authors: Mandour Mahmoud F. , Khalifa Mohammed A. , Khalifa Hossam M. Adel 
Published: September 2023

Abstract
Aim
Report our preliminary experience with an alternative technique for cochlear implantation.

Setting
Tertiary referral cochlear implant center.

Study design
Retrospective case series.

Subjects and method
Fifteen patients have been operated using incus buttress approach. The procedure involves classical cortical mastoidectomy and identification of short process of the incus. Bony incus buttress was removed moving inferiorly toward facial recess. Round window was identified then marginal cochleostmy was performed and finally insertion of the electrode into the cochlea via the widened aditus.

Results
Fifteen implants were performed on 15 patients. All were children (mean age of 3.2 years). All the children were pre-lingual. A Med-el SONATA implant (MED-EL, Innsbruck, Austria) was used in all patients. Mean duration of surgery was 12015 minutes. The minimum follow-up was 6 months. No complications were observed during the procedure or during postoperative follow-up.

Conclusion
Here, we describe a new alternative technique for cochlear implantation and report our preliminary results. The procedure has advantages over the existing alternatives techniques and avoids the potential complications of posterior tympanotomy.
Large oroantral fistula repair using combined buccal and palatal flaps: a case series
Authors: Abdelhamid Ahmed N. , Youssef Tamer 
Published: September 2023

Abstract
Aim
The aim was to detect the efficacy of combined buccal advancement and palatal rotational flaps in closure of large oroantral fistulas (OAFs) after dental extraction.

Materials and methods
A 3-year prospective study was conducted between February 2014 and May 2017. A total of 11 patients with large OAF after dental extraction were included in the study. Seven patients developed OAF after dental extraction of the maxillary first molar teeth, whereas two patients developed an OAF after dental extraction of the second maxillary premolars. The last two patients developed an OAF after dental extraction of the second maxillary molars.

Results
Closure of the defect was achieved in 10 cases, whereas only one case had failure. In addition to postoperative pain, swelling, and reduction of the vestibular sulcus, one patient experienced postoperative nasal adhesions between the nasal septum and inferior turbinate.

Conclusion
A combined buccal and palatal flap is efficient in closure of large delayed OAF secondary to dental extraction. Further study is required to assess new bone formation after repair of large OAF using this technique.
Vitamin D levels in children diagnosed with acute otitis media
Authors: Salem Mohamed A. M. , Abdullah Mohamed M. , Mohamed Zakria A. , Gad Mohamed O. A. , Gadalla Walla G. 
Published: September 2023

Abstract
Objective
To investigate the relationship between acute otitis media (AOM) and vitamin D level in children.

Patients and methods
This prospective study was conducted at Assiut University Hospital between December 2016 and March 2017. The study group comprised ambulatory children who were diagnosed with AOM and healthy controls. The blood sample (5 cm) was taken immediately after the diagnosis of AOM in the laboratory for measuring serum 25-hydroxyvitamin D. Abnormal value=deficiency+insufficiency.

Results
Of the 40 children included in this study, 30 were the cases and 10 were controls. The mean age of the cases was 4.92±3.08 and 5.92±4.04 years for the controls besides 18 (60%) of the AOM group were boys and 12 (40%) were girls, compared with five (50%) boys and five (50%) were girls in the control group. Otalgia and congested tympanic membrane were present in all children of the diseased group. Also 70% had upper respiratory tract infection preceding the attack of AOM and 33.3% had previous attack of AOM. Twenty-two (73.3%) out of 30 children of the AOM group have an abnormal value of vitamin D and it was statistically significant than the control group.

Conclusion
Both vitamin D deficiency and insufficiency were significant in children suffering from AOM than normal children.
Comparison between local steroids and local steroids plus itraconazole effect in prevention of recurrence of allergic fungal sinusitis in hypertensive and/or diabetic patients
Authors: Reda Ramez , Wageh Wael , Fawaz Mohammed , Mikhaiel Wassim 
Published: September 2023

Abstract
Background
Allergic fungal rhinosinusitis (AFRS) is the most common type of fungal diseases in nose and paranasal sinuses. It is due to hypersensitivity to fungal antigens. The standard treatment for control of AFRS is endoscopic sinus surgery followed by systemic and/or topical steroids. In spite of steroids known to have promising results for the management of AFRS, their prolonged use is not always advised. So, some authors have tried to decrease the recurrence rate of AFRS by using antifungal treatment. In this study, we compared the efficacy of local steroids (Fluticasone nasal spray) versus local steroids plus itraconazole postoperatively in the prevention of recurrence of allergic fungal sinusitis in patients known to be hypertensive or diabetic.

Patients and Methods
A total of 60 patients with AFRS and nasal polyposis were included in the study. Patients were divided randomly into two groups: group A used local steroid and group B used local steroid and itraconazole. Clinical parameters were compared at the end of 6 months.

Results
Patients of group B were better clinically and also by endoscopic examination.

Conclusion
Itraconazole is better to be added in the postoperative treatment of AFRS patients especially for patients who have contraindications for systemic steroids intake.
Subepithelial hydrodissection improves voice outcome of microflap surgery for vocal cord cyst
Authors: Merwad Ezzat A. , AbdElftah Magdy M. , Abdelmonem Said , Hasan Elham M. , El-Anwar Mohammad W. 
Published: September 2023

Abstract
Objective
The aim was to evaluate voice outcomes of microflap surgery with subepithelial infiltration for vocal fold cysts and to compare voice outcomes of microsurgery with and without subepithelial infiltration for vocal fold cysts.

Patients and Methods
This study was conducted on patients with vocal folds cysts. Patients who met selection criteria were divided into two groups: group A was operated by microflap surgery with subepithelial infiltration, and group B was operated by microflap surgery without subepithelial infiltration.

Results
Within the included 24 patients (12 in each group), a significant improvement of average fundamental frequency/fundamental frequency, jitter, shimmer, noise-to-harmonic ratio, maximal phonation time (MPT), and dysphonia was detected postoperatively in group A (with subepithelial infiltration), with 58.3% of patients resorted to grade 0 dysphonia. Statistically significant improvement of MPT and dysphonia was registered after intervention in group B (without hydrodissection). However, average fundamental frequency/fundamental frequency, jitter, shimmer, and harmonic to noise ratio (HNR) showed nonsignificant improvement after intervention. It was clear that dysphonia improved significantly more in hydrodissection group than nonhydrodissection group (P=0.0063). However, there was no significant difference in postoperative MPT (P=0.3138).

Conclusion
Subepithelial infiltration is beneficial during microflap surgery for vocal fold cysts, with statistically significant better voice results. Therefore, we recommend using this technique during microflap surgery to enhance vocal outcomes; however, further studies are needed on a large number of patients and for a prolonged period of follow-up.
Frontal sinus nasopharyngeal carcinoma recurrence masquerading as chronic frontal sinusitis: a case report
Authors: Toong Liew Yew , Wah Lott Pooi , Bakri Adzreil , Prepageran Narayanan 
Published: September 2023

AbstractRecurrence of nasopharyngeal carcinoma (NPC) is still a worrying issue despite the advent and advancement of treatment strategies. Presentation of recurrent NPC is different from primary NPC and indicates poor prognosis. Frontal sinus metastasis without any involvement of other sinuses is very rare and could be mistaken as sinusitis or mucocele. Owing to its rare occurrence, it presents a great challenge for clinicians to make a prompt diagnosis. The background chronic rhinosinusitis symptoms as a result of irradiation for NPC may masquerade the underlying paranasal sinus recurrence.
Oropharyngeal dysphagia profile in early versus late stage dementia
Authors: Sheikhany Ayatallah Raouf , Hady Aisha Fawzy Abdel , Farag Sheikhany 
Published: September 2023

Abstract
Objective
The aim of this study was to evaluate swallowing in early and late stage dementia cases referred to the swallowing clinic with oropharyngeal dysphagia in order to have a comprehensive view about their characteristic oropharyngeal dysphagia profile toward different food textures to address them in their rehabilitation program.

Patients and Methods
Fiber-optic endoscopic examination of swallowing (FEES) was conducted to evaluate formally the oropharyngeal stage of swallowing in 26 individuals diagnosed with early mild Alzheimer dementia and late severe Alzheimer dementia. The FEES protocol included symptoms of presentation, route of feeding, bedside evaluation using different textures followed by evaluation of the oral preparatory stage, and the pharyngeal stage through FEES. In addition to observing the ability of the patient to imitate various oromotor actions and ability to follow commands related to the oral phase of swallowing.

Results
For early stage dementia, all food consistencies were considered safe except for mixed consistencies, large volumes of thin liquids and jelly, while the safest consistencies to use with the late stage dementia cases for quality of life and pleasurable feeds were thickened liquids and jelly consistency.

Conclusion
Oropharyngeal dysphagia profiles in early stage Alzheimer dementia is different from late stage Alzheimer dementia indicating that the mechanism behind dysphagia is different in the two groups.
Differences in the Presentation and Outcome between Premenopausal and Postmenopausal Primary Hyperparathyroidism Indian Women: A Single-Center Experience
Authors: Maldar Aasim N. , Shah Nishitkumar F. , Chauhan Phulrenu H. , Lala Murad , Kirtane Milind V. , Chadha Manoj 
Published: September 2023

Introduction:
Primary hyperparathyroidism (PHPT) is an endocrine disorder wherein enlargement of one or more of the parathyroid glands causes autonomous overproduction of the parathyroid hormone (PTH), which leads to high serum calcium levels.

Objective:
The objective of this study was to compare the clinical, laboratory, and operative variables between premenopausal (pre-M) and postmenopausal (post-M) women with PHPT.

Materials and Methods:
A retrospective analysis of the data of female patients who underwent surgery for PHPT at a single center, from January 2011 to December 2020, was done. Patients with familial PHPT and secondary hyperparathyroidism were not included.

Results:
Of the 130 women with PHPT, 44.6% were pre-M and 55.4% were post-M. A significantly higher number of pre-M females were symptomatic compared to post-M females (pre-M vs. post-M, 84.5% vs. 68.1%, P = 0.031). Renal calculi were more common in pre-M women (34.5% vs. 18.1%, P = 0.032), while the rest of the clinical features were comparable between the two groups. The proportion of women with osteoporosis (6.7% vs. 19.4%, P = 0.071), hypertension (13.8% vs. 34.7%, P = 0.012), and diabetes mellitus (3.5% vs. 16.7%, P = 0.033) was lesser in the pre-M group. Elevated serum alkaline phosphatase levels were significantly more prevalent in the pre-M group (37.9% vs. 20.8%, P = 0.032). The mean serum calcium (12.35 ± 1.28 vs. 11.96 ± 1.22 mg/dL, P = 0.079), median serum PTH (334 vs. 239 pg/mL, P = 0.051), and median weight of the operated adenomas (1.75 vs. 1.45 g, P = 0.075) were also higher in pre-M females. The proportion of ectopic adenomas and multiple adenomas, presurgery adenoma localization rates, and disease cure rates did not differ according to the menopausal status. The occurrence of postoperative hungry bone syndrome was higher in the pre-M women (15.5% vs. 1.4%, P = 0.008).

Conclusion:
The majority of women with PHPT are post-M, but symptomatic presentation is more common in pre-M females. The severity of the disease appears to be more in pre-M women; however, imaging and operative variables generally did not significantly differ between the two groups.
Menopause Osteoporosis and Bone Intervention Using Lifestyle Exercise: A Randomized Controlled Study
Authors: Forsyth Jacky J. 
Published: September 2023

Background:
The aim of the study was to examine the feasibility for postmenopausal women of a bone-strengthening jumping intervention, which has been previously successful for premenopausal women.

Materials and Methods:
Forty-nine participants (mean ± standard deviation [SD] age = 57.8 ± 4.3 years) were randomized into either an exercise intervention or sham-control group in a double-blinded fashion. The intervention consisted of 10 maximal, rest-inserted countermovement jumps, performed three times a week on a hard surface without shoes for 8 months. Sham-control participants performed unilateral balance exercises of equivalent duration.

Results:
The jumps were well tolerated, with women in the jumping group completing 95% of the prescribed exercise. Of the participants who completed the study (n = 23 intervention, n = 16 control), there were no significant differences in broadband ultrasound attenuation (BUA) using quantitative ultrasound (QUS) of the calcaneum within and between groups (mean ± SD BUA = 64.9 ± 7.3 and 66.6 ± 6.5 dB/MHz for intervention pre- and post-trial, respectively, versus mean ± SD BUA = 63.6 ± 4.2 and 64.4 ± 4.5 dB/MHz for sham-controls pre- and post-trial, respectively) or for any QUS parameters, although there was a 3% increase in BUA for intervention participants.

Conclusions:
Recruitment and participation rates were feasible for this duration of study and the exercise was acceptable. For a future study of this nature, 48 participants would be required to ensure adequate power, especially as lifestyle variations and post-menopausal hypoestrogenism prevent substantial gains in bone strength with high-impact exercise.
Frazeologija v mladinskem romanu Poletje pod lastovičjim zvonikom
Authors: Valenčič Arh Urška 
Published: September 2023

Slavko Pregl is a Slovenian writer of children's and young adult literature, interwining the everyday lives of young people with the world of adults. In his novel Poletje pod lastovičjim zvonikom, everyday life is interrupted by an unusual problem which is resolved by the characters and their cheerful mood. The everyday scenes that are depicted are spiced with humour and characterized by the frequent use of phraseological units. The data presented in the article are obtained by means of an analysis of phraseological material in the selected corpus. They show the tendency of using phraseology in literary works. The article presents to what an extent phraseology is a stylistic element, what the role of phraseology is, and how phraseology contributes to the creation of linguistic portraits.
PENGARUH PEMBELAJARAN MATEMATIKA MODEL PROBLEM BASED LEARNING DAN DISCOVERY LEARNING TERHADAP KEMAMPUAN BERPIKIR KRITIS SISWA KELAS VIII
Authors: Novianty Aurora , Chasanah Aprilia Nurul , Pamungkas Megita Dwi 
Published: September 2023

The purpose of this study was to compare the ability to critical thinking who were taught with PBL better than those taught with DL. The next objective’s the ability to critical thinking with PBL have achieved better completeness than with DL. This research uses research design that’s a quasi experiment form of nonequivalent post-test only control group design. Comparing the post-test results of two samples of 28 students from class VIII-B and 28 students from class VIII-C at SMPN 1 Secang who were selected randomly through a lottery. From Independent Sample t-Test test it produces a value of then is accepted, which means that the ability to critical thinking who were taught with PBL better than those taught with DL. Then the completeness proportion difference test’s carried out which produces a value of then is accepted which means the ability to critical thinking with PBL have achieved better classical completeness than with DL. From the results hypothesis testing, it can be concluded that the ability to critical thinking who were taught with PBL better than those taught with DL. Then the ability to critical thinking with PBL have achieved better completeness than with DL.