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Article History

Received: 25 August 2025

Accepted: 23 February 2026

First Online: 10 March 2026

Declarations

:

: Before starting the study, Ear, Nose and Throat Department of Kasr Alainy Faculty of Medicine, Cairo University, received ethical committee clearance on November 2022 with registration number N-271. Additionally, this study has secured the four patients’ necessary consent to handle their medical data in accordance with the rules.

: Informed written consent to participate in the study and for publication of their data was provided by all the participants or their legal guardians.

: The authors declare no competing interests.