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Article History

Received: 18 November 2025

Accepted: 26 May 2026

First Online: 5 June 2026

Declarations

:

: This study was approved by the Institutional Review Board (0969-09/2024-IORG 0008839) at Alexandria University. Informed consent was obtained from all participants before they participated in the study. Participants were provided with detailed information about the study, including the objectives, procedures, potential risks, and benefits, and were given the opportunity to ask questions before providing written consent. This study was conducted in full accordance with the ethical standards of the Declaration of Helsinki and its later amendments.

: Written informed consent for publication of clinical images and study-related data was obtained prospectively from all participants prior to enrollment. A signed patient consent for publication form and an English translated informed consent form were provided as supplementary files.

: The authors declare no competing interests.