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Article History

Received: 2 September 2025

Accepted: 16 December 2025

First Online: 21 February 2026

Declarations

Conflict of Interest: The authors declare that no conflict of interest was present.

Ethical Approval: The current study was reviewed and approved by Research Ethics Committee at the Faculty of Medicine, Ain Shams University (FMASU MS 689/2024). All procedures performed in this study were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent: Informed written consents to participate and to publish were obtained from all participants included in the study.

Consent To Publish: We hereby affirm that informed consent has been obtained from the patient(s) or their legal guardian(s) for the use of their photographs in our manuscript. This consent encompasses all forms of media, including print, digital, and electronic formats, as part of the publication process. The patient(s) or their legal guardian(s) have been thoroughly informed about the nature of the publication, the context in which the photographs will be used, and the potential audience. They have been reassured that their anonymity will be preserved and that no personal or identifiable information will be disclosed. The consent was obtained in a manner that adheres to ethical standards and respects the rights and dignity of the patient(s).