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Elgarhy AMM, Abdelhameed SM, Yahia OS, Ibrahim WME, Ewieda TMA, Elsayed MM, Abdel-aziz MM, Elshehawy NA, Abdelkader HM, Al Boghdady MH, Abbas AY. Use of K-Y Jelly on Throat Packs for Postoperative Sore Throat after Nasal Surgery: A Randomized Controlled Trial. Int Arch Otorhinolaryngol 2024; 28:e314-e318. [PMID: 38618605 PMCID: PMC11008937 DOI: 10.1055/s-0043-1776724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Accepted: 09/08/2023] [Indexed: 04/16/2024] Open
Abstract
Introduction Postoperative sore throat (POST) is a fairly common side effect of general anesthesia. The K-Y jelly is a well-known lubricant used in many medical procedures. Objective In this randomized study, we evaluated the use of throat packs soaked with K-Y jelly for POST outcomes in patients submitted to nasal surgery. Methods The present double-blinded, randomized, controlled study included 140 ASA I-II patients undergoing nasal surgery under general anesthesia. Patients received either or K-Y jelly or water-soaked X-ray detectable throat packs fully inserted into the mouth to occlude the oropharynx. Results Comparison between the studied groups regarding the severity of POST assessed by visual analog scale revealed significantly lower POST levels in the K-Y jelly group on recovery from anesthesia, and at 2, 4, and 6 hours postoperatively. Conclusions The use of K-Y jelly-soaked throat packs was associated with less severe POST after nasal surgery.
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Affiliation(s)
- Ahmed Mahmoud M.M. Elgarhy
- Department of Intensive Care and Pain Management, Division of Anesthesia, Al-Azhar University, Cairo, Egypt
| | - Saeed Mostafa Abdelhameed
- Department of Intensive Care and Pain Management, Division of Anesthesia, Al-Azhar University, Cairo, Egypt
| | - Othman Saadeldien Yahia
- Department of Intensive Care and Pain Management, Division of Anesthesia, Al-Azhar University, Cairo, Egypt
| | | | - Tamer Mohamed Ahmed Ewieda
- Department of Intensive Care and Pain Management, Division of Anesthesia, Al-Azhar University, Cairo, Egypt
| | - Mahmoud M. Elsayed
- Department of Intensive Care and Pain Management, Division of Anesthesia, Al-Azhar University, Cairo, Egypt
| | - Marwa M. Abdel-aziz
- Department of Intensive Care and Pain Management, Division of Anesthesia, Al-Azhar University, Cairo, Egypt
| | - Naglaa A. Elshehawy
- Department of Intensive Care and Pain Management, Division of Anesthesia, Al-Azhar University, Cairo, Egypt
| | - Hussein Magdy Abdelkader
- Department of Otorhinolaryngology, Al-Azhar University-Assuit Branch, Al-Azhar University, Assuit, Egypt
| | - Mahmoud Hamdy Al Boghdady
- Department of Otorhinolaryngology, Al-Azhar University-Assuit Branch, Al-Azhar University, Assuit, Egypt
| | - Ayman Yehia Abbas
- Department of Otorhinolaryngology, Al-Azhar University-Assuit Branch, Al-Azhar University, Assuit, Egypt
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Abdelkader HM, Ibrahim MA, Ahmed EHR, Fouda AYY. Prevalence of Chronic Middle Ear Effusion in Cases of Cleft Palate. Indian J Otolaryngol Head Neck Surg 2024; 76:26-29. [PMID: 38440444 PMCID: PMC10908988 DOI: 10.1007/s12070-023-04013-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Accepted: 06/19/2023] [Indexed: 03/06/2024] Open
Abstract
Chronic middle ear effusion is generally present in children with cleft palate (CP) associated with or without cleft lips. The aim of our study was to assessment of how common middle ear effusion is in patients with cleft palates and to evaluate the presence of these symptoms by performing a Basic Audiological Evaluation (BAE). A retrospective randomized study was conducted on 50 children (29 male and 21 female) aged 2 to 16 years who had CPs (associated with or without cleft lips) with symptoms of middle ear effusion. The study was conducted from March 2021 to February 2022. Data review included the results of otoscopic findings and BAE. The Fundamentals of BAE comprise the testing of middle ear function with tympanometry and a pure tone audiometry to determine the kind and degree of hearing impairment. Regarding the BAE, we found that 70% of the children with normal hearing, 24% with conductive type of hearing loss, and 6% with mixed type of hearing loss. The tympanometric results revealed that 66% of the children with type A tympanogram, 24% with type C tympanogram, and 10% with type B tympanogram. The contralateral stapedial reflex was present in 60% of the patients while in 40% of cases not present. The results confirmed the great prevalence of chronic middle ear effusion in children with CPs. Furthermore, the hearing impairment associated with middle ear effusion was visible, demonstrating that middle ear effusion was linked with the prevalence of moderate conductive type of hearing loss. The OME in cases of CP necessitates early prediction and in turn early treatment.
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Affiliation(s)
- Hussein Magdy Abdelkader
- Department of Otorhinolaryngology, Head and Neck Surgery, School of Medicine, Al.-A.zhar University Hospitals, Assuit, Egypt
| | - Marwan Ahmed Ibrahim
- Department of Otorhinolaryngology, Head and Neck Surgery, School of Medicine, Al.-A.zhar University Hospitals, Cairo, Egypt
| | | | - Ahmed Yahia Yahia Fouda
- Department of Otorhinolaryngology, Head and Neck Surgery, School of Medicine, Al.-A.zhar University Hospitals, Cairo, Egypt
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Fouda AYY, Abdelkader HM, Ahmed EHR, Ibrahim MA. Role of Loupes Magnification in Tracheal Resection and Anastomosis. Indian J Otolaryngol Head Neck Surg 2024; 76:153-157. [PMID: 38440634 PMCID: PMC10908748 DOI: 10.1007/s12070-023-04115-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 07/24/2023] [Indexed: 03/06/2024] Open
Abstract
Tracheal resection and anastomosis is characterized in the last years by significant innovations which are well codified and standardized. Although the mortality rate is markedly reduced, the operation is still not free from risk of complications such as recurrent laryngeal nerve injury, anastomosis dehiscence, granulation tissue formation and restenosis. Pearson FG, Cooper ID, Nelems JL (1975) Primary tracheal anastomosis after resection of the cricoide cartilage with preservation of the recurrent laryngeal nerves. J Thorac Cardiovasc Surg 70:806-16. Supplementary Information The online version contains supplementary material available at 10.1007/s12070-023-04115-3.
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Affiliation(s)
- Ahmed Yahia Yahia Fouda
- Department of Otorhinolaryngology, Head and Neck Surgery, School of Medicine, Al.-A.zhar University Hospitals, Cairo, Egypt
| | - Hussein Magdy Abdelkader
- Department of Otorhinolaryngology, Head and Neck Surgery, School of Medicine, Al.-A.zhar University Hospitals, Assuit, Egypt
| | | | - Marwan Ahmed Ibrahim
- Department of Otorhinolaryngology, Head and Neck Surgery, School of Medicine, Al.-A.zhar University Hospitals, Cairo, Egypt
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El-Asmar KM, Hassan MA, Abdelkader HM, Hamza AF. Topical mitomycin C can effectively alleviate dysphagia in children with long-segment caustic esophageal strictures. Dis Esophagus 2015; 28:422-7. [PMID: 24708423 DOI: 10.1111/dote.12218] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Caustic ingestion in children and the resulting long esophageal strictures are usually difficult to be managed, and eventually, esophageal replacement was required for cases refractory to frequent dilatation sessions. Topical mitomycin C (MMC) application has been used recently to improve the results of endoscopic dilatation for short esophageal strictures. The study aims to assess the role of MMC application in management of long-segment caustic esophageal strictures. From January 2009 to June December 2013, patients presented with long caustic esophageal stricture (>3 cm in length) were included in this study and subjected to topical MMC application after endoscopic esophageal dilatation on multiple sessions. Regular follow-up and re-evaluation were done. A dysphagia score was used for close follow-up clinically; verification was done radiologically and endoscopically. During the specified follow-up period, 21 patients with long caustic esophageal stricture were subjected to topical MMC application sessions. Clinical, radiological, and endoscopic resolution of strictures occurred in 18 patients (85.7% cure rate). Number of dilatation sessions to achieve resolution of dysphagia was (n = 14.3 ± 5.7) with application of mitomycin two to six times. There was no recurrence in short- and mid-term follow-up. No complications were encountered related to topical MMC application. MMC is a promising agent in management of long-segment caustic esophageal strictures. Long-term follow-up is needed to prove its efficacy and to evaluate potential long-term side-effects of MMC application.
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Affiliation(s)
- K M El-Asmar
- Department of Pediatric Surgery, Ain Shams University, Cairo, Egypt
| | - M A Hassan
- Department of Otolaryngology, Ain Shams University, Cairo, Egypt
| | - H M Abdelkader
- Department of Pediatric Surgery, Ain Shams University, Cairo, Egypt
| | - A F Hamza
- Department of Pediatric Surgery, Ain Shams University, Cairo, Egypt
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