Introduction  Idiopathic sudden sensorineural hearing loss (ISSNHL) is hearing loss of at least 30 dB in at least 3 contiguous frequencies within at least 72 hours. There are many different theories to explain it, and many different modalities are used for its management, such as: systemic steroids (SSs), intratympanic steroid injection (ITSI), hyperbaric oxygen therapy (HOT), antiviral drugs, and vasodilators or vasoactive substances. Objectives  This study aims to evaluate the efficacy of the combination of the most common treatment modalities of ISSNHL and to compare the results if HOT was not one of the treatment modalities administered. Methods  The study was conducted with 22 ISSNHL patients with ages ranging from 34 to 58 years. The patients were divided into 2 groups; group A included 11 patients managed by SSs, ITSI, antiviral therapy, and HOT simultaneously, and group B included 11 patients exposed to the aforementioned modalities, with the exception of HOT. Results  After one month, all of the patients in group A showed total improvement in hearing in all frequencies, with pure tone average (PTA) of 18.1 ± 2.2, while in group B, 5/11 (45.5%) patients showed total improvement, and 6 /11 (54.5%) patients showed partial improvement, with a total mean PTA of 28.1 ± 8.7. Conclusion  The early administration of HOT in combination with other clinically approved modalities (SSs, ITSI, antiviral therapy) provides better results than the administration of the same modalities, with the exception of HOT, in the treatment of ISSNHL.

Background: Rhinoplasty is one of the most challenging procedures in plastic surgery. It is technically demanding, and tip surgery is an art form. It requires an in-depth knowledge of the complex three-dimensional anatomy of the nose, a complete understanding of its physiology, familiarity with the described techniques of nasal tip surgery, and a well-developed sense of aesthetics. Aim of the work: This article will describe different techniques used to create a refined, aesthetically pleasing nasal tip. Patients and methods: The patients in this study were selected from of Dr John Hodges, M.D' Office, Veterans Hospital, and Methodist hospital, USA, and Zagazig University hospital, Egypt. The study was carried out on 50 patients with different nasal tip deformities, who underwent rhinoplasty, they were 15 males and 35 females, their age ranging from 20 to 60 years old. Two approaches had been selected; an open approach had been done for 30% of our patients, and a closed approach had been done for 70% of our patients with different nasal tip techniques. Results: The results of this study for nasal tip refinement techniques demonstrated a decrease in reductive and irreversible techniques as cartilage transection, domal truncation , morselization, and scoring that had been done in 8% of our patients for each, with a concurrent increase in stabilizing, strengthening, and reorientation techniques as sutures and grafts techniques that had been done in 60% of our patients for each; so cartilage-dividing techniques and the vertical dome division are rarely necessary to reduce projection, broadness, and/or rotation of nasal tips, they have been used if suture and graft techniques do not achieve the adequate nasal tip definition. Conclusion: The simplest approach for refinement of nasal tip deformity that allows the planned surgical techniques to be performed without difficulty and cause the least disturbance to the tip's support, should be selected. Thus, we recommend the reversible, non destructive techniques as sutures and tip grafts for remodeling the tip deformities, with closed approach once indicated.

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Background: Adenoidectomy is a surgical removal of hypertrophic nasopharyngeal lymphoid tissue forming a part of the Waldeyer's ring. Adenoid hypertrophy causes nasal obstruction and airway problems such as snoring, obstructive sleep apnea, recurrent sinusitis, and/or Eustachian tube dysfunction. These complications frequently lead to a need for adenoidectomy. Objective: To compare between cold curettage and endoscopic assisted powered technique as regard operative time, blood loss, postoperative complications. Patients and Methods: This prospective study included 18 patients, both genders, all suffering from hypertrophied adenoid tissue, presented clinically with mouth breathing, snoring, bilateral nasal obstruction and/or discharge and evidenced radiologically with plain X-ray film lateral view to the nasopharynx. All cases presented to ENT Department Zagazag University, during the period from July 2019 to July 2021, seeking for management of their problem. Patients were divided into two groups (9 patients each); Group I: In which patients were undergone conventional adenoidectomy with adenoid curette. Group II: Patients were undergone endoscopic assisted powered adenoidectomy. Results: Conventional curettage method of adenoidectomy group was associated with more operative bleeding than endoscopic assisted powered adenoidectomy group, but there was no significant difference. Nasal packing of conventional curettage method of adenoidectomy group was distributed as following; one patient (11.1%) required mild packing, 3 patients (33.3%) required moderate packing. While in endoscopic assisted powered adenoidectomy group, one (11.1%) required moderate packing. Conclusions: Endoscope assisted powered adenoidectomy needs to be acknowledged as a safe alternative to conventional adenoidectomy.