Shetty, Saidan https://orcid.org/0000-0001-6852-5178
Rao KG, Mohandas https://orcid.org/0000-0001-5832-0718
Vijayan, Sandeep https://orcid.org/0000-0003-3842-4290
Maiya, G. Arun https://orcid.org/0000-0002-3811-1350
George, Bincy M. https://orcid.org/0000-0001-8924-2484
Funding for this research was provided by:
Manipal Academy of Higher Education, Manipal
Article History
Received: 6 August 2025
Accepted: 2 December 2025
First Online: 5 December 2025
Declarations
:
: The authors declare no competing interests.
: The Institutional Ethics Committee (IEC) of the tertiary care hospital provided ethical approval (IEC1–20 − 2022). This study was conducted in accordance with the Code of Ethics of the World Medical Association (Declaration of Helsinki). The study protocol was registered with the Clinical Trial Registry-India (CTRI/2022/07/043642).
: Written informed consent was obtained from all participants for the publication of any identifying images or clinical data included in this manuscript. All participants were informed that their information and images may be published in a scientific journal and that their identities would be protected to the fullest extent possible.