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Article History

Received: 15 July 2025

Accepted: 19 September 2025

First Online: 11 October 2025

Declarations

:

: Ethical approval was obtained from the University of Suez Canal and Faculty of medicine Research Ethics Committee prior to the study. Written informed consent to participate in this study was obtained from all adult participants. For participants under 16 years of age, written informed consent was obtained from their parents or legal guardians. No actual or potential harm. Confidentiality and personal privacy will be respected at all levels of the study and their data were not used for any other purpose. Participants have the right to refuse participation without giving a reason and with no consequences. Participants have the right to withdraw at any time without giving reason and with no consequences.

: Written informed consent for publication of anonymized data, images, or case details was obtained from all participants included in this study (or from their parents or legal guardians in the case of participants under 16 years old).

: The authors declare that they have no competing interests.