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Modified Z-Palatoplasty for Correction of Acquired Nasopharyngeal Stenosis Following Palatal Surgery: A Case Series رأب الحنك المعدل لتصحيح ضيق البلعوم الأنفي المكتسب بعد جراحة الحلق: سلسلة حالات
Faculty
Medicine
Year:
2021
Type of Publication:
ZU Hosted
Pages:
Authors:
Mohamed Hassan Mohamed Isa
Staff Zu Site
Abstract In Staff Site
Journal:
The Cleft Palate-Craniofacial Journal The Cleft Palate-Craniofacial Journal
Volume:
Keywords :
Modified Z-Palatoplasty , Correction , Acquired Nasopharyngeal Stenosis Following
Abstract:
Objectives: To evaluate the efficacy of a novel surgical technique in management of nasopharyngeal stenosis (NPS), describing its steps and results. Study Design: Prospective clinical trial. Setting: This study was conducted at the Otolaryngology, Head and Neck Surgery Department, Zagazig University. Methods: This prospective study was conducted on patients with snoring + obstructive sleep apnea due to acquired postsurgical NPS of grade I and II. New surgical repair was employed on the patients and the pre and postoperative results were statistically compared. Results: The grade of NPS improved significantly postoperatively (P ¼ .00136) throughout a follow-up of 1 year. Postoperatively, there was statistically significant improvement of apnea hypopnea index (P ¼ .0005), Visual Analog Scale (VAS) of nasal obstruction (P < .0001) and VAS of snoring (P < .0001). Dysphagia showed early worsening, but it improved completely at 3 months postoperatively. Conclusion: The utilized novel procedure appears effective, low cost, and easily applicable, and it does not require implants, special tools, or suture materials. Furthermore, it gives excellent results, with negligible pain, and rapid recovery without significant complications. Level of Evidence: 4.
Author Related Publications
Mohamed Hassan Mohamed Isa, "Swallowing outcome after TORS for sleep apnea: short- and long-term evaluation", springer link, 2015
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Mohamed Hassan Mohamed Isa, "Olfactory Bulb Volume Changes in Patients with Sinonasal Polyposis A Magnetic Resonance Imaging Study", SAGE journals, 2012
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Mohamed Hassan Mohamed Isa, "Barbed reposition pharyngoplasty (BRP) for OSAHS: a feasibility, safety, efficacy and teachability pilot study. “We are on the giant’s shoulders”", springer link, 2015
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Mohamed Hassan Mohamed Isa, "Powered intracapsular tonsillotomy vs. conventional extracapsular tonsillectomy for pediatric OSA: A retrospective study about efficacy, complications and quality of life", elsevier, 2015
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Mohamed Hassan Mohamed Isa, "Tips and Tricks in Transoral Robotic Surgery for Challenging Vascular Tumors", wolters kluwer, 2015
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Department Related Publications
Mohamed Elsayed Abdel Bary, "Effect of Surgery for Nasal Obstruction on Improvement of Eustachian Tube Functions", springer, 2025
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Tarek Abdelzaher Mohamed Emara, "antero lateral advancement pharyngoplasty anew technique for treatment of obstructive sleep apnea", american academy of otoryngology, 2016
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Magdy Abdullah Ahmed Sayed Elahl, "Endoscopic repair of bilateral choanal atresia starting with vomer resection; evaluation study", OceanSide Publications, Inc, 2016
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Ahmed Abdelfattah Bayoumy Noufal, "Endoscopic repair of bilateral choanal atresia starting with vomer resection; evaluation study", OceanSide Publications, Inc, 2016
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Mohammad Waheed Mohammad ElAnwar, "Endoscopic repair of bilateral choanal atresia starting with vomer resection; evaluation study", OceanSide Publications, Inc, 2016
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