Publications by authors named "Elzayat S"

Objectives: This study aims to validate and assess the reliability of the Arabic version of the Voice Handicap Index-Throat (VHI-T), as a self-reported questionnaire for patients with throat difficulties.

Study Design: A prospective, observational, cross-sectional, and descriptive study was performed in the ear, nose, and throat department of Kafr El-Sheikh University hospitals from October 2023 to July 2024.

Methods: The preliminary VHI-T was obtained through forward and backward translation.

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Objectives: This study aimed to assess the ability of preoperative computed tomography (CT) to predict the crista fenestra (CF) type during cochlear implantation and correlate these types with intraoperative findings. This may allow for precise preoperative planning with better surgical outcomes.

Study Design: A prospective observational study.

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Objectives: We aimed to assess the outcomes of fat graft myringoplasty augmented with hyaluronic acid in closing large-sized eardrum perforations compared to the traditional underlay cartilage-perichondrium composite myringoplasty (CPCM).

Study Design: It was a prospective randomised comparative study.

Settings: It was held in tertiary referral institutions between May 2020 and April 2022.

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Article Synopsis
  • The study focuses on analyzing the outcomes of aesthetic and functional rhinoplasty for Middle Eastern patients with crooked noses, using the Standardized Cosmesis Health Nasal Outcomes Survey (SCHNOS).
  • It involved a longitudinal cohort study of 41 patients, analyzing their preoperative satisfaction and postoperative results, revealing significant improvements in nasal obstruction and cosmetic scores after surgery.
  • The findings suggest that understanding the three-dimensional nasal pathology is crucial for achieving better outcomes, and using validated questionnaires like SCHNOS can help refine surgical techniques.
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Objectives: To evaluate the bacterial biofilm's role in mucosal chronic suppurative otitis media (CSOM) utilizing scanning electron microscopy (SEM).

Methods: This study involved 123 participating patients with active and inactive mucosal CSOM who underwent tympanomastoid surgery. SEM was used to examine middle ear mucosa biopsies for the development of biofilms.

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Objectives: To evaluate the effectiveness of cochlear implantation (CI) in case of far advanced otosclerosis and to evaluate the value of using intraoperative otoendoscopy to facilitate the identification of the round window membrane and the scala tympani without the need to remove the posterior canal wall or to perform a subtotal petrosectomy.

Study Design: Retrospective case-series study.

Setting: Tertiary academic CI center.

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Objective: The study aimed to compare the applicability of classic lateral lamellectomy versus submucosal conchoplasty techniques in managing concha bullosa during and after functional endoscopic sinus surgery.

Methods: The study randomly divided 56 patients with bilateral concha bullosa into two groups. One group of patients underwent the submucosal conchoplasty technique and the other group underwent the lateral lamellectomy technique.

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Background: This study proposed a classification of the vertical portion of the facial nerve (VPFN) location, incorporating the previous classifications regarding the posterior-to-anterior and medial-to-lateral dimensions. We also evaluated the implication of this proposed classification on the round window visibility during pediatric cochlear implantation (CI).

Methods: It was a retrospective multicenter observational cohort study.

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Objectives: This study proposes a preoperative radiologic scoring system for predicting posterior tympanotomy (PT) and mastoidectomy-associated difficulties during cochlear implantation (CI).

Study Design: It was a prospective case-series study.

Settings: The included CI surgeries were performed at tertiary referral institutions from October 2022 to April 2023.

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Objectives: We aimed to compare the results of both diode laser and coblation in the treatment of bilateral vocal fold immobility (BVFI).

Materials And Methods: This prospective clinical study was performed on 80 non-tracheostomised patients with bilateral vocal fold paralysis divided into two groups; Group A: diode laser, Group B: coblation. Medical Research Council "mMRC" Dyspnea scale, maximal phonatory time (MPT), Voice handicap index (VHI), and functional outcome swallowing scale (FOSS) were assessed preoperatively and postoperatively.

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Article Synopsis
  • The study aimed to evaluate the effectiveness and safety of budesonide, a steroid injection, for treating chronic rhinosinusitis with nasal polyps (CRSwNP) compared to oral steroids and a control group.
  • In a randomized clinical trial with 150 patients, results showed that both budesonide and oral steroids significantly improved symptoms and nasal polyp scores, while the control group did not show significant improvement.
  • The conclusion indicates that intrapolyp steroid injections, especially budesonide, are a safe and effective option for patients with recurrent nasal polyps, potentially reducing the need for systemic steroids.
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Problem: To assess the efficacy of budesonide intrapolyp injection in chronic rhinosinusitis with nasal polyps.

Method: Ninety patients were divided into three groups; group A was given oral prednisolone, group B was given budesonide intrapolyp injection weekly for five consecutive weeks and group C was given budesonide as nasal irrigation for one month. Patients were assessed using Sino-Nasal Outcome Test 22 score, total nasal polyp score, serum immunoglobulin E, absolute eosinophilic count, and morning cortisol level before treatment, one week and three months after completing their treatment.

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 The surgical management that achieves minimal morbidity and mortality for patients with glomus and non-glomus tumors involving the jugular foramen (JF) region requires a comprehensive understanding of the complex anatomy, anatomic variability, and pathological anatomy of this region.  The aim of this study is to propose a rational guideline to expose and preserve the lower cranial nerves (CNs) in the lateral approach of the JF.  The technique utilized is the gross and microdissection of 4 fixed cadaveric heads to revise the JF's surgical anatomy and high part of the carotid sheath compared with surgical cases to understand and preserve the integrity of lower CNs.

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Purpose: We aimed to identify the role of bacterial biofilms in the chronicity of otitis media with effusion and its resistance to antibiotics. We illustrated this role by reviewing, analyzing, and correlating the findings with the results of the included studies to reach clear evidence.

Methods: A comprehensive search of electronic databases (Scopus, PubMed, Web of Science, Cochrane, and GHL databases) was performed for all studies using the following strategy till April 2021 with the search terms: Biofilm and Middle ear effusion.

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Purpose: to evaluate the swallowing function in children with higher grades of glottic web and to detect the impact of surgical division of the glottic web on the swallowing parameters. We also performed a voice analysis as a secondary objective in this study.

Methods: This prospective case series study included 12 children with higher grades of the glottic web; grades 3 and 4.

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Purpose: This study aimed to propose a radiological classification of the incudo-stapedial angle by preoperative high-resolution computed tomography (HRCT) images and to highlight its importance for predicting the use of reversal-steps stapedotomy (RSS) rather than the traditional non-reversal technique.

Methods: We included 83 candidates for stapedotomy operation. Two physicians measured the radiological incudo-stapedial joint angle in the preoperative HRCT.

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Background: Body Dysmorphic Disorder (BDD) is a significant aspect that compromises patient satisfaction after rhinoplasty. BDDQ-AS (Body Dysmorphic Disorder Questionnaire-Aesthetic Surgery) is a validated, simple, reliable patient-reported outcome measure. It is a screening tool to detect body dysmorphic disorder in rhinoplasty patients.

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Purpose: This study aimed to evaluate the effect of adding platelet-rich plasma (PRP) during FGM to close medium-sized TM perforations.

Methods: This prospective randomized case-control study was conducted from February 2017 to March 2022. We included 320 patients with a medium-sized TM perforation with inactive mucosal otitis media.

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Background: This study aimed to analyze the behavior of acute invasive fungal rhinosinusitis (AIFRS) associated with COVID-19 infection as there has been an increase in the rate of AIFRS cases in the last two years, and many reports connected this rising with the COVID-19 infection. We studied most factors that may impact the prognosis as a trial to find the most affecting factors to improve the outcomes.

Methods: It was a retrospective observational study that included cases from four tertiary referral institutions between November 2020 to February 2022.

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Background: Caudal end correction is one of the main challenges during septoplasty that needs extra steps and skills. This complex area affects the shape of the nose. Moreover, the caudal end represents the medial boundary of the internal nasal valve.

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The inner ear can be insulted by various noxious stimuli, including drugs (cisplatin and aminoglycosides) and over-acoustic stimulation. These stimuli damage the hair cells giving rise to progressive hearing loss. Systemic drugs have attempted protection from ototoxicity.

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Article Synopsis
  • This study aimed to evaluate how the origin location of the chorda tympani nerve (CTN) affects the accessibility of the round window (RW) during cochlear implantation in children, and to validate a radiologic method for measuring the distance from the CTN's origin to the stylomastoid foramen.
  • Conducted between November 2018 and August 2021, the study involved 146 pediatric patients undergoing cochlear implantation, where the length between CTN origin and stylomastoid foramen was measured and correlated with RW accessibility during surgery.
  • Results indicated a significant correlation between CTN location and RW accessibility, with a CF-SM length greater than 5.4 mm strongly
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 The coronavirus disease 2019 (COVID-19) has made otolaryngologists more susceptible than their counterparts to its effect.  This study aimed to find if COVID-19 had a different impact on ear, nose, and throat (ENT) physicians' of various categories (residents, registrars, and consultants ) regarding many aspects of the quality of life (protection, training, financial, and psychological aspects).  We included 375 ENT physicians, of different categories (residents, registrars, and consultants), from 33 general hospitals and 26 university hospitals in Egypt.

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