Publications by authors named "El-Kholy N"

Congenital esophageal diverticulum is an extremely rare condition with few reports published in the literature. Although its typical presentation is related to feeding problem, stridor and respiratory distress can be the leading symptoms in some cases. In this report, we present a case of esophageal diverticulum in a one-year-old child came primarily with airway problems associated with large neck swelling.

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  • Tracheal resection anastomosis is the standard surgery for high-grade postintubation subglottic stenosis, and this study compares the effects of two laryngeal release techniques on postoperative swallowing outcomes.
  • The study involved 71 patients, split into two groups based on the type of infrahyoid laryngeal release: mini infrahyoid release (no fracture of the thyroid horn) and full infrahyoid release (with fracture).
  • Results showed that group A (mini release) had significantly better swallowing outcomes post-surgery than group B (full release), as evidenced by higher GUSS scores and improved assessments in the month following surgery.
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T lymphocytes play a primary role in the adaptive antiviral immunity. Both lymphocytosis and lymphopenia were found to be associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). While lymphocytosis indicates an active anti-viral response, lymphopenia is a sign of poor prognosis.

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  • The study focuses on exploratory tympanotomy for traumatic ossicular disruption in patients with an intact tympanic membrane, highlighting the growing use of endoscopy for diagnosis and treatment.
  • A review of 136 ears showed that incudostapedial dislocation was the most common type of disruption, and surgical intervention led to significant improvements in hearing.
  • The findings suggest that endoscopic ear surgery is an effective approach for diagnosing and managing complex cases of ossicular disruption following trauma.
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  • - Kawasaki disease (KD) is the leading cause of acquired heart disease in children from developed countries, necessitating detailed studies within Arab nations to enhance diagnosis and care.
  • - Kawarabi is a collaborative initiative involving North American and Arab experts aimed at improving knowledge and management of KD and similar conditions, primarily initiated during the COVID-19 pandemic's emergence of multisystem inflammatory syndrome in children.
  • - Founded in 2021, Kawarabi has identified gaps in awareness and resources concerning KD in Arab countries, and it has organized educational webinars and meetings to promote better understanding of the disease and its long-term outcomes.
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  • - Kawasaki Disease (KD) remains the leading acquired heart disease in children under five, with limited data available from Arab nations, prompting the creation of the KD Arab Initiative (Kawarabi) in 2021 to enhance research and access to care.
  • - A survey conducted across thirteen Arab countries revealed that while access to KD care was generally equal in urban and rural areas for over half of the countries surveyed, many rural areas still experienced significant disparities in healthcare access, especially in mid-size cities.
  • - The survey indicated a difference in the quality of medical services for KD, with urban children receiving better care, and highlighted that the availability of intravenous immunoglobulin (IVIG) was critically low in rural and mid-size areas,
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Objective: This study aimed to present experience with surgical treatment of laryngeal cleft cases through both open and endoscopic approaches.

Method: A retrospective evaluation of all patients diagnosed as having a laryngeal cleft in a tertiary hospital over 10 years was performed. Pre-operative data, conservative and surgical management of cases, and outcomes were collected, tabulated and analysed.

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Purpose: Pediatric laryngotracheal reconstruction (LTR) for laryngotracheal stenosis (LTS) mandates stenting in certain situations. This study presents a novel commercially available and cost-effective stent, a refashioned foley catheter.

Methods: This prospective clinical study was performed on pediatric cases with LTS up to 8 years.

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Objectives: This study aims to evaluate Eustachian tube (ET) function tests and their impact on outcomes of tympanoplasty in patients with inactive chronic suppurative otitis media.

Materials And Methods: A prospective study was conducted involving patients diagnosed with chronic suppurative otitis media (CSOM) and having a central dry perforation. Assessment of the ET function was done for all included cases by three tests; pressure swallow equalization test, saccharine test and methylene blue test.

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This study aims to compare the results of both CO laser and diode laser combined arytenoidectomy with posterior cordectomy in managing patients with bilateral vocal fold paralysis. A prospective study involved 80 bilateral vocal cord immobility patients in adduction. They are divided into two groups according to the laser used, whether CO (with a wavelength of 10.

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  • Studies on Kawasaki disease in Arab countries show limited data, leading to the formation of the KD Arab Initiative (Kawarabi) consortium for collaborative research.
  • An anonymous survey among 19 physicians from 12 institutions revealed that while 79% refer to American Heart Association guidelines, there are significant variations in treatment availability, particularly with intravenous immunoglobulin (IVIG).
  • The survey found low awareness of Kawasaki disease among the general population (median score 3) but relatively higher knowledge within the medical community (median score 7), highlighting the need for more proactive collaboration and education.
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Objective: Laryngotracheal reconstruction with costal cartilage graft is a cornerstone procedure in treatment of multiple paediatric airway pathologies. The current study aimed to report on the experience of laryngotracheal reconstruction and document post-operative outcomes and complications.

Method: Records of laryngotracheal reconstruction procedures performed between 2016 and 2020 were retrospectively reviewed.

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Objectives: This study aims to compare results of endoscopic transcanal tympanoplasty with attico-antrostomy with endoscopic-assisted canal wall up mastoidectomy in treatment of cases of limited attic cholesteatoma.

Materials And Methods: A prospective randomized single-blinded study involving 40 patients with limited attic cholesteatoma was conducted. Randomization of the patients into two groups was done; 20 patients are managed by endoscopic transcanal tympanoplasty with attico-antrostomy, while the other 20 patients are managed by endoscopic-assisted canal wall up mastoidectomy.

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  • - Rice is a vital crop for many countries, but climate change-induced water shortages pose significant challenges for breeders, prompting the development of 19 new rice lines from specific parent cultivars to test their resilience under water stress.
  • - The study found that the new lines significantly outperformed traditional Egyptian cultivars in yield when water was not limited, with two specific lines showing the best results even under drought conditions.
  • - Genetic analysis revealed that these top-performing lines carry specific quantitative trait loci (QTLs) linked to better yield under stress and identified molecular markers that could aid in future breeding programs focused on improving drought resistance in rice.
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Purpose: The present study aims to review the outcomes of coblation supraglottoplasty performed for children with different types of laryngomalacia, and we discuss the factors affecting these outcomes.

Methods: We retrospectively reviewed the medical records of laryngomalacia patients admitted to the Otorhinolaryngology Department, Mansoura University, from 2010 to 2020. We examined the patient's demography, symptoms, comorbidities, type of laryngomalacia, oxygen saturation, and final outcomes.

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Objectives: Occurrence of invasive fungal respiratory superinfections in patients with COVID-19 has gained increasing attention in the latest studies. Yet, description of acute invasive fungal sinusitis with its management in those patients is still scarce. This study aims to describe this recently increasing clinical entity in relation to COVID-19 patients.

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Purpose: This study aims to assess the role of diode laser-assisted posterior cordectomy with partial arytenoidectomy in the management of bilateral vocal fold paralysis patients.

Methods: Posterior cordectomy with partial arytenoidectomy using diode laser was performed to thirty-nine patients with bilateral vocal fold paralysis. Voice was evaluated by maximal phonation time and Arabic version of the voice handicap index, while breathing difficulty was assessed by mMRC (Modified Medical Research Council) dyspnea scale.

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Objectives: Endoscopic supraglottoplasty is the mainstay surgical procedure in treatment of laryngomalacia. Various instruments have been used with coblation recently gaining widespread attention. Regarding the technique used, cutting the aryepiglottic folds is associated with rapid improvement but carries risk of restenosis while outer scar contracture method has delayed but established result.

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Objective: This study aims to compare the results of endoscopic over-underlay tympanoplasty, single flap technique, with endoscopic over-underlay tympanoplasty combined with an anterior tab, double flap technique, in repair of the challenging total and subtotal tympanic membrane perforations with inadequate anterior remnant. This is to determine whether highly adequate visualization at the anterior meatal angle area offered by endoscopy can eliminate the need for anterior tab reinforcement.

Subjects And Methods: A prospective randomized single-blinded study involving 104 patients with total or subtotal tympanic membrane perforations was conducted.

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Aim: To study the relationship between melatonin levels and Melatonin membrane receptor 1A () SNP (rs13140012) in end-stage renal disease patients (ESRD) in Alexandria, Egypt on maintenance hemodialysis with or without atherosclerosis.

Materials And Methods: 40 end-stage renal disease patients on regular hemodialysis were divided into 2 subgroups, one with (n = 20) and one without atherosclerosis (n = 20) and normal subjects (n = 40). Serum melatonin, carotid intimal medial thickness (CIMT) were measured.

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Objective: Endoscopic supraglottoplasty is the procedure of choice in treatment of laryngomalacia with CO2 laser and cold steel being the most common instruments used with excellent results. However, bleeding, supraglottic stenosis and aspiration may occur leading to serious complications. Using coblation in management of laryngomalacia was found to be beneficial.

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Objective: To develop a systematic method for anatomic mapping of juvenile nasopharyngeal angiofibroma (JNA) tumors to standardize communication, facilitate surgical planning, and convey prognosis.

Study Design: Retrospective cohort.

Setting: Tertiary referral center.

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The construction and performance characteristics of Biperiden (BP) polyvinyl chloride (PVC) electrodes are described. Different methods for electrode fabrication are tested including; incorporation of BP-ion pairs (BP-IPs), incorporation of ion pairing agents, or soaking the plain electrode in BP-ion pairs suspension solution. Electrode matrices were optimized referring to the effect of modifier content and nature, plasticizer and the method of modification.

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Indoleamine 2,3-dioxygenase (IDO), a catabolizing enzyme of tryptophan, is a novel immunosuppressive agent blocking T-cell activation in neoplastic cells, including acute myeloid leukemia (AML) cells. IDO inhibitors as 1-methyl tryptophan (1MT) can abrogate IDO enzymatic activity and may result in an effective immune response. Mononuclear cells (MNCs) were separated from peripheral blood of 25 AML patients and 25 normal adults.

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This study was undertaken to evaluate selenium (Se) and glutathione peroxidase (GPX) status in patients with newly diagnosed acute myeloid leukemia (AML) before and after induction therapy. Twenty-five patients with newly diagnosed AML and 15 healthy age- and sex-matched control subjects were included in this study. Serum Se level by the graphite furnace atomic absorption spectrometric technique and GPX activity by an adaptation of Beutler method was performed for the patients before and after receiving the induction therapy.

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