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The effect of deviated nasal septum on sphenoid sinus exposure in endoscopic endonasal transphenoid approach / (Record no. 171087)

MARC details
000 -LEADER
fixed length control field 07194namaa22004451i 4500
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - أخر تعامل مع التسجيلة
control field 20250303131103.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 250303s2024 |||a|||f m||| 000 0 eng d
040 ## - CATALOGING SOURCE
Original cataloguing agency EG-GICUC
Language of cataloging eng
Transcribing agency EG-GICUC
Modifying agency EG-GICUC
Description conventions rda
041 0# - LANGUAGE CODE
Language code of text/sound track or separate title eng
Language code of summary or abstract eng
-- ara
049 ## - Acquisition Source
Acquisition Source Deposit
082 04 - DEWEY DECIMAL CLASSIFICATION NUMBER
Classification number 617.523
092 ## - LOCALLY ASSIGNED DEWEY CALL NUMBER (OCLC)
Classification number 617.523
Edition number 21
097 ## - Degree
Degree Ph.D
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
Local Call Number Cai01.11.12.Ph.D.2024.Ra.E
100 0# - MAIN ENTRY--PERSONAL NAME
Authority record control number or standard number Raed Mohammed Abdu AL-Latif,
Preparation preparation.
245 14 - TITLE STATEMENT
Title The effect of deviated nasal septum on sphenoid sinus exposure in endoscopic endonasal transphenoid approach /
Statement of responsibility, etc. by Raed Mohammed Abdu AL-Latif ; Supervised Prof. Hazem Mohamed Ragheb Dewidar, Prof. Khaled Omar Hassan Azooz, Prof. Mohamed Abd ELmottaleb Sabaa, Prof.Wael Shehata Mohamed.
Remainder of title Remainder of title /
246 15 - VARYING FORM OF TITLE
Title proper/short title ﺗﺄﺛﯿﺮ اﻧﺤﺮاف اﻟﺤﺎﺟﺰ اﻷﻧﻔﻲ ﻋﻠﻰ اﻟﺘﻌﺮض ﻟﻠﺠﯿﻮب اﻟﻮﺗﺪﯾﺔ ﺑﻮاﺳﻄﺔ ﻣﻨﻈﺎر اﻷﻧﻒ واﻟﺠﯿﻮب اﻷﻧﻔﯿﺔ /
264 #0 - PRODUCTION, PUBLICATION, DISTRIBUTION, MANUFACTURE, AND COPYRIGHT NOTICE
Date of production, publication, distribution, manufacture, or copyright notice 2024.
300 ## - PHYSICAL DESCRIPTION
Extent 54 pages :
Other physical details illustrations ;
Dimensions 25 cm. +
Accompanying material CD.
336 ## - CONTENT TYPE
Content type term text
Source rda content
337 ## - MEDIA TYPE
Media type term Unmediated
Source rdamedia
338 ## - CARRIER TYPE
Carrier type term volume
Source rdacarrier
502 ## - DISSERTATION NOTE
Dissertation note Thesis (Ph.D)-Cairo University, 2024.
504 ## - BIBLIOGRAPHY, ETC. NOTE
Bibliography, etc. note Bibliography: pages 48-54.
520 ## - SUMMARY, ETC.
Summary, etc. Background: Endoscopic endonasal transsphenoidal surgery, has recently gained popularity , simple and manageable . The ostium to the sphenoid sinus should ideally be clear, allowing easy anatomical alignment and access to the sphenoid sinus.<br/>Objective: The effect of deviated nasal septum on sphenoid sinus exposure in endoscopic endonasal transsphenoid approach and the correlation between the site and angle of deviation of nasal septum with the success of approaching the sphenoid sinus ostium, also determining the needs in performing middle turbinate resection and/or septoplasty .<br/>Methods : This study was conducted at the otorhinolaryngology department at Kasr Al Aini medical hospital as well as the otorhinolaryngology department at 6 October university the study conducted on 30 patients with sphenoid or para sphenoid lesions with septal deviation ,who underwent endoscopic endonasal trans sphenoid approach in the period of 19/9/2022 till 1/12/2023. Preoperative: CT paranasal sinus was performed to all patients to detect the angle of deviation and site of deviation in order to calculate the angle of deviation, a line was drawn from the crista galli to the premaxilla, and a second line was drawn from the crista galli to most prominent point of the septal cartilage at the level of ostiomeatal unit.<br/>Results: the deviation angle cutoff of the nasal septum at 11.5 is a good discriminating with a sensitivity of 90% &specificity of 70%, Area Under the Curve=0.920, p value <0.001, Confidence Interval (0.816-1.000)<br/>Regarding the width cutoff of the nasal cavity at 1.15 may be a discriminating point but not good point with a sensitivity of 85% & specificity = 50%, Area Under the Curve=0.655, p value=0.173, Confidence Interval (0.438-0.872), intervention was done in one third of cases while two third of cases no intervention was done. About 60% of cases underwent septoplasty, 20% of cases underwent MT resection & finally 20% of cases underwent both septoplasty/MT resection<br/>Conclusion : Septal deviations of angle more than 20 degrees affected visibility of the operative bed which mandated intervention to improve the visibility .We concluded that deviation angle is a better predictor than width of the nasal cavity
520 ## - SUMMARY, ETC.
Summary, etc. ﯾﻌﺘﺒﺮ اﺳﺘﺨﺪام ﻣﻨﻈﺎر اﻻﻧﻒ واﻟﺠﯿﻮب اﻻﻧﻔﯿﺔ ﻟﻠﻮﺻﻮل اﻟﻰ ﻓﺘﺤﺔ اﻟﺠﯿﺐ اﻟﻮﺗﺪي ﻓﻲ<br/>ﺟﺮاﺣﺎت ﻗﺎع اﻟﺠﻤﺠﻤﮫ واورام اﻟﻐﺪة اﻟﻨﺨﺎﻣﯿﺔ ﺧﻄﻮه ھﺎﻣﮫ ﺟﺮاﺣﯿﺎ ﻗﺪ ﯾﻌﻮق اﻟﺠﺮاح اﻧﺤﺮاﻓﺎ<br/> ﯾﻤﻨﻊ رؤﯾﺔ ﻓﺘﺤﺔ اﻟﺠﯿﺐ اﻟﻮﺗﺪي ﻣﻤﺎ ﯾﺘﻄﻠﺐ ذﻟﻚ ﺗﺪﺧﻼ ﻻزاﻟﺔ اﻟﺠﺰء<br/> ﺷﺪﯾﺪا ﻓﻲ اﻟﺤﺎﺟﺰ اﻻﻧﻔﻲ<br/>اﻟﺒﺎرز ﻓﻲ اﻟﺤﺎﺟﺰ اﻻﻧﻔﻲ.<br/>ﺳﻨﺔ،<br/>۳٫۳٤±۷۳٫٤۱<br/> اﻟﻤﺸﺎرﻛﯿﻦ <br/>ﻋﻤﺮ<br/> ﺣﺎﻟﺔ، وﻛﺎن ﻣﺘﻮﺳﻂ<br/> <br/>ﺷﻤﻠﺖ ھﺬه اﻟﺪراﺳﺔ ۰۳<br/> وﺗﺮاوح ﺑﯿﻦ )٤۱-۲۷ ﺳﻨﺔ.( وﻛﺎن اﻟﻨﻮع اﻷﻛﺜﺮ ﺷﯿﻮﻋﺎً ﻣﻦ اﻧﺤﺮاف اﻟﺤﺎﺟﺰ اﻻﻧﻔﻲ ھﻮ اﻷﻣﺎﻣﻲ<br/>)۷٫٦۷.(% ﺗﻢ اﻟﺘﺪﺧﻞ ﻓﻲ ﺛﻠﺚ اﻟﺤﺎﻻت ﺑﯿﻨﻤﺎ ﻟﻢ ﯾﻜﻦ ھﻨﺎك ﺗﺪﺧﻞ ﺿﺮوري ﻓﻲ ﺛﻠﺜﻲ اﻟﺤﺎﻻت.<br/>ﻣﻦ اﻟﺤﺎﻻت ﺧﻀﻌﺖ<br/>ﻣﻦ اﻟﺤﺎﻻت ﺧﻀﻌﺖ ﻟﺠﺮاﺣﺔ اﻟﺤﺎﺟﺰ اﻷﻧﻔﻲ، و۰۲%<br/>۰٦%<br/> ﺣﻮاﻟﻲ<br/>ﻻﺳﺘﺌﺼﺎل ﻗﺮﻧﯿﺎت اﻻﻧﻒ اﻟﻮﺳﻄﻰ ، وأﺧﯿﺮا ۰۲% ﻣﻦ اﻟﺤﺎﻻت ﺧﻀﻌﺖ ﻟﻜﻞ ﻣﻦ ﺟﺮاﺣﺔ اﻟﺤﺎﺟﺰ اﻷﻧﻔﻲ/ ﻻﺳﺘﺌﺼﺎل ﻗﺮﻧﯿﺎت اﻻﻧﻒ اﻟﻮﺳﻄﻰ. ﻛﺎن ﻣﺘﻮﺳﻂ زاوﯾﺔ اﻧﺤﺮاف اﻟﺤﺎﺟﺰ اﻻﻧﻔﻲ ﻟﻠﻤﺸﺎرﻛﯿﻦ<br/>ﺗﺠﻮﯾﻒ اﻻﻧﻒ ﻟﻠﻤﺸﺎرﻛﯿﻦ<br/> ﻋﺮض<br/>۷۷٫۳۱±٦۱٫٥، وﺗﺮاوح ﺑﯿﻦ )۷-۰۳( وﻣﺘﻮﺳﻂ<br/>٤٤٫۱±۰۳٫۰، وﺗﺮاوح ﺑﯿﻦ )۱-۲.(<br/>ﻟﻘﺪ ﺧﻠﺼﻨﺎ إﻟﻰ أن زاوﯾﺔ اﻻﻧﺤﺮاف ھﻲ ﻣﺆﺷﺮ أﻓﻀﻞ ﻣﻦ ﻋﺮض ﺗﺠﻮﯾﻒ اﻻﻧﻒ<br/>أﺛﺮت اﻧﺤﺮاﻓﺎت اﻟﺤﺎﺟﺰ اﻻﻧﻔﻲ ﻟﻠﺰاوﯾﺔ اﻟﺘﻲ ﺗﺰﯾﺪ ﻋﻦ ۰۲ درﺟﺔ ﻋﻠﻰ رؤﯾﺔ ﻓﺘﺤﺔ اﻟﺠﯿﺐ<br/>اﻟﻮﺗﺪي ﻣﻤﺎ ﯾﺘﻄﻠﺐ اﻟﺘﺪﺧﻞ ﻟﺘﺤﺴﯿﻦ اﻟﺮؤﯾﺔ.<br/>ﯾﻮﺻﻲ اﻟﺒﺎﺣﺜﻮن ﺑﺰﯾﺎدة ﻋﺪد اﻟﻤﺮﺿﻰ ﻓﻲ اﻟﺪراﺳﺎت اﻟﻤﺴﺘﻘﺒﻠﯿﺔ اﻟﺘﻲ ﻗﺪ ﺗﻜﺘﺸﻒ ﺑﯿﺎﻧﺎت<br/>أﻛﺜﺮ أھﻤﯿﺔ ﺣﻮل ﺗﺄﺛﯿﺮ ﻋﺮض ﺗﺠﻮﯾﻒ اﻷﻧﻒ ﻋﻠﻰ اﻟﺤﺎﺟﺔ إﻟﻰ اﻟﺘﺪﺧﻞ. واﻟﺘﻲ ﯾﻤﻜﻦ أن ﺗﻜﻮن ﻧﻘﻄﺔ<br/>ﻣﺜﯿﺮة ﻟﻼھﺘﻤﺎم ﻟﻠﺒﺤﺚ اﻟﻤﺴﺘﻘﺒﻠﻲ
530 ## - ADDITIONAL PHYSICAL FORM AVAILABLE NOTE
Issues CD Issues also as CD.
546 ## - LANGUAGE NOTE
Text Language Text in English and abstract in Arabic & English.
650 #7 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Nose
Source of heading or term qrmak
653 #0 - INDEX TERM--UNCONTROLLED
Uncontrolled term the angle of deviation of nasal septum
-- sphenoid sinus ostium
-- endoscopic endonasal tranasphenoid approach
700 0# - ADDED ENTRY--PERSONAL NAME
Personal name Hazem Mohamed Ragheb Dewidar
Relator term thesis advisor.
700 0# - ADDED ENTRY--PERSONAL NAME
Personal name Khaled Omar Hassan Azooz
Relator term thesis advisor.
700 0# - ADDED ENTRY--PERSONAL NAME
Personal name Mohamed Abd ELmottaleb Sabaa
Relator term thesis advisor.
700 0# - ADDED ENTRY--PERSONAL NAME
Personal name Wael Shehata Mohamed
Relator term thesis advisor.
900 ## - Thesis Information
Grant date 01-01-2024
Supervisory body Hazem Mohamed Ragheb Dewidar
-- Khaled Omar Hassan Azooz
-- Mohamed Abd ELmottaleb Sabaa
-- Wael Shehata Mohamed
Universities Cairo University
Faculties Faculty of Medicine
Department Department of Otorhinolaryngology
905 ## - Cataloger and Reviser Names
Cataloger Name Shimaa
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Dewey Decimal Classification
Koha item type Thesis
Edition 21
Suppress in OPAC No
Holdings
Source of classification or shelving scheme Home library Current library Date acquired Full call number Barcode Date last seen Effective from Koha item type
Dewey Decimal Classification المكتبة المركزبة الجديدة - جامعة القاهرة قاعة الرسائل الجامعية - الدور الاول 03.03.2025 Cai01.11.12.Ph.D.2024.Ra.E 01010110090756000 03.03.2025 03.03.2025 Thesis