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https://www.readbyqxmd.com/read/29461744/ear-nose-and-throat-and-non-acoustic-barotrauma
#1
J Claes, P Germonpre, V Van Rompaey, E Bourmanne
The organs of the ear, nose and throat (ENT) contain air- or gas-filled cavities, which make them sensitive to pressure changes. There is a specific pathophysiology involved when these structures are exposed to non-acoustic press ure changes, which are usually not traumatic in normals. The concepts of pathophysiology, diagnosis and treatment of these traumas in an emergency setting are reviewed.
2016: B-ENT
https://www.readbyqxmd.com/read/29461743/basilar-skull-fractures-the-petrous-bone
#2
F Gordts, I Foulon, S Hachimi-Idrissi
Basilar skullfractures: the petrous bone. OBJECTIVES: to provide suggestions for the management of three of the most dangerous or important lesions (internal carotid artery lesions, cerebrospinal fluid leaks and facial nerve paralysis) associated with the petrous part of basilar skull fractures, thereby trying to assess categories of evidence and determine strengths of recommendation. METHODOLOGY: A PubMed-based literature review was carried out, as well as a consultation of online sources as encountered in the literature review...
2016: B-ENT
https://www.readbyqxmd.com/read/29461742/speech-in-noise-testing-as-a-marker-for-noise-induced-hearing-loss-and-tinnitus
#3
C Van Eynde, S Denys, C Desloovere, J Wouters, N Verhaert
Speech-in-noise testing as a marker for noise-induced hearing loss and tinnitus. Noise-induced hearing loss and tinnitus are auditory complaints that often co-occur. Often, there is no immediate indication of changes in the pure tone audiogram. Patients can still have clinically normal hearing thresholds while clearly experiencing reduced speech comprehension. This might be explained by the process of neurodegeneration of the innervated dendrites of the auditory nerve fibres and secondary degeneration of spiral ganglion neurons...
2016: B-ENT
https://www.readbyqxmd.com/read/29461741/middle-ear-damages
#4
H Van Hoecke, L Calus, I Dhooge
Middle ear damages. The eardrum and middle ear are often exposed to blunt and penetrating trauma, blasts, thermal or caustic injuries. These injuries may result in tympanic membrane perforation, middle ear haemorrhage, dislocation and fracture of the ossicular chain, perilymphatic fistula and damage to the chorda tympani and/or facial nerve. In case of life-threatening injuries and/or mass casualty incidents, middle ear trauma obviously does not take highest priority. However, middle ear lesions should be suspected and recognized as early as possible...
2016: B-ENT
https://www.readbyqxmd.com/read/29461740/acute-external-ear-lesions-clinical-aspects-assessment-and-management
#5
M-P Thill, M Horoi, K Ostermann, C Depuydt, M Deschamps, C Ducène
Acute external ear lesions: clinical aspects, assessment and management. We reviewed the literature concerning the assessment and the management of the external ear traumas, which is not very rich. Nevertheless, we outlined the practical attitudes in the four major conditions met: the auricular haematoma, the auricular perichondritis, the auricular laceration and auricular bums. All these pathologies must be promptly treated because there is a risk of perichondritis, which can destroy the cartilage and will result in a severely deformed ear...
2016: B-ENT
https://www.readbyqxmd.com/read/29461739/at-risk-populations-from-children-to-the-elderly
#6
A Higuet, S Hachimi Idrissi, J-B Watelet
At risk populations:from children to the elderly. PROBLEMS/OBJECTIVES: When considering emergencies in children and elderly people, the risks and consequences are considerably different. For example, the anatomical differences of children have direct consequences on intubation and airway physiology influences breathing, circulation and neurological outcomes.Pharmacotherapy should be adapted for children according to their differences (maturational changes) where drug metabolism and disposition is concerned and for the elderly, to geriatric pharmacokinetics, pharmacodynamics, the existence of poly-medications and the risk of adverse drug reactions...
2016: B-ENT
https://www.readbyqxmd.com/read/29461738/toxic-exposure-to-caustics-and-respiratory-irritants
#7
E Steen, P De Paepe
Toxic exposure to caustics and respiratory irritants. Toxic emergencies for which the ENT physician is con- sulted mainly involve toxic exposure of the upper airway and digestive tract to caustics and respiratory irritants. The ENT physician may, however, also be involved as a first responder in the case of poisoned patients. This article therefore aims to provide a comprehensive general approach to patients with suspected poisoning and to present a more elaborate discussion on the diagnosis and management of patients following exposure to caustics and respiratory irritants...
2016: B-ENT
https://www.readbyqxmd.com/read/29461737/management-of-burn-wounds-of-the-head-and-neck-region
#8
S Jennes, B Hanchart, E Keersebilck, T Rose, O Soete, P M François, H Engel, F Van Trimpont, C Davin, M Trippaerts, B Vanderheyden, L Etienne, C Lacroix, S Teodorescu, S Mashaekhi, P Persoons, D Baekelandt, S Hachimi Idrissil, J-B Watelet
Management of burn wounds of the head and neck region. Management of the severely burned patient is ery often a challenge, not only due to major disturbances in anatomy and physiological processes, but also because the relatively low incidence of this pathology in both civilian and military practice results in care providers'lack of experience. The purpose of this educational document is to provide doctors confronted with these formidable trauma patients with basic management guidelines as well as some practical tips...
2016: B-ENT
https://www.readbyqxmd.com/read/29461736/ent-indications-for-hyperbaric-oxygen-therapy
#9
P Germonpre, P Levie, C Dehalleux, D Caers
ENT indications for Hyperbaric Oxygen Therapy. Hyperbaric Oxygen (HBO) therapy is a treatment where patients breathe 100% oxygen while exposed to high environmental pressure in a hyperbaric chamber. This hyperoxygenation has several beneficial effects as an adjunctive treatment in a number of ENT-related conditions and diseases. These can be summarized as anti-ischaemic effects (delivery of oxygen to otherwise ischaemic tissues, reduction of ischaemia-reperfusion damage), anti-infectious effects (bacteriostasis, improved leucocyte phagocytosis bactericidal activity and optimization of antibiotic therapy) and wound-healing effects (stimulation of granulation tissue formation and stabilization)...
2016: B-ENT
https://www.readbyqxmd.com/read/29461735/facing-coagulation-disorders-after-acute-trauma
#10
F Mullier, S Lessire, J-C De Schoutheete, B Chatelain, V Deneys, V Mathieux, S Hachimi Idrissi, J-M Dogne, J-B Watelet, M Gourdin, A-S Dincq
Facing coagulation disorders after acute trauma. PROBLEMS/OBJECTIVES: Trauma is the leading cause of mortality for persons between one and 44 years of age, essentially due to bleeding complications. METHODOLOGY: We screened the PubMed, Scopus and Cochrane Library databases, using specific keywords. Only publications in English were considered. MAIN RESULTS: The pathophysiology of trauma-induced coagulopathy (TIC) is complex and includes the classic "lethal triad" (i...
2016: B-ENT
https://www.readbyqxmd.com/read/29461734/protection-of-respiratory-integrity-and-haemodynamic-stabilization
#11
X Muschart, V Domjan, E Mergny, J-B Watelet
Protection of respiratory integrity and haemodynamic stabilization. OBJECTIVES: To perform an analysis of the protection of respiratory integrity and haemodynamic stabilization based on the literature review and the experiences and perspectives of emergency and ENT specialists. METHODOLOGY: A comprehensive literature search was undertaken through PubMed and MEDLINE, using the following keywords: [protection of the respiratory integrity], [intubation], [hypotension] and [haemodynamic stabilization]...
2016: B-ENT
https://www.readbyqxmd.com/read/29461733/pre-hospital-interventions-introduction-to-life-support-systems
#12
J-C de Schoutheete, S Hachimi Idrissi, J-B Watelet
Pre-hospital interventions: introduction to life support systems. Crucial decisions in pre-hospital emergency care are often made; therefore, a tactical emergency medical support team (TEMS) should maintain the capacity to capture the situation instantaneously and in all circumstances. However, low exposure to severe trauma cases can be a weakness for emergency specialists, which makes pre-hospital assessment more difficult. Pre-hospital interventions (PHI) are usually classified in Western countries into BLS (basic life support) and ALS (ad- vanced life support) levels, according to the methods used...
2016: B-ENT
https://www.readbyqxmd.com/read/29461732/first-line-attitudes-in-acute-medicine
#13
S Hachimi-Idrissi, J B Watelet
First-line attitudes in acute medicine. The often complex problems of the trauma and/or severely ill patient present many challenges to front-line emergency staff. Multiple injuries and/or systems of the body involved require careful and timely prioritization and intervention. Optimum evaluation and resuscitation involves repetitive, systematic ipproaches that are known as the "primary", "secondary" and "tertiary" surveys. The primary survey focuses in general on the ABCDE approach of "Airway, Breathing, Circulation, Disability, Expoure", and is designed to recognize and to treat immediate life-threatening conditions within the initial minutes...
2016: B-ENT
https://www.readbyqxmd.com/read/29461731/emergency-care-in-belgium
#14
S Hachimi-Idrissi
Emergency care in Belgium. Problems and objectives: Europe encompasses not only fifty or more different languages and cultures, but also a similar number of different systems of healthcare and medical practice. Each country has different medical traditions, different systems of professional registration and differing lists of medical specialties. METHODOLOGY: Literature, Report of The European Observatory on Health Systems, as well as World Health Organization health statistics analysis Results and conclusions: In this chapter, the Belgian healthcare system will be discussed, as well as the area of emergency medicine, which is currently recognized as an independent specialty...
2016: B-ENT
https://www.readbyqxmd.com/read/29461730/face-and-neck-airway-and-sensorial-capacities
#15
C Kastoer, R Leach, O Vanderveken
Face and neck: airway and sensorial capacities. For the assessment and the management of face and neck trauma knowledge of the neuro-anatomy and physiology of the ear, nose, throat (ENT) and head and neck (HN) region and structures is essential, as this area is particularly vulnerable to injury. Indeed, the complex anatomy and physiology in this specific area supports important basic functions. In addition, this review elaborates on upper airway and sensorial capacities. Upper airway dimensions are influenced by bony and soft tissues...
2016: B-ENT
https://www.readbyqxmd.com/read/29461729/introduction-to-the-annual-report-2016-a-joint-venture-in-the-field-of-acute-ent
#16
J B Watelet, J De Brouwer, P Van der Veken, Hachimi S Idrissil
No abstract text is available yet for this article.
2016: B-ENT
https://www.readbyqxmd.com/read/27097399/management-of-congenital-dacryocystocele-report-of-3-clinical-cases
#17
F Rogister, Y Goffart, J Daele
This case study describes three newborns referred to our otolaryngologic service for investigating and treating a cystic dilatation of the lacrimal duct. These dilatations corresponded to unilateral or bilateral dacryocystoceles, with or without complications. The first newborn exhibited respiratory distress at birth and received early surgery and endoscopic marsupialization of intranasal and bilateral cysts. The second newborn did not show any signs of complications, and after conservative treatment for a week, the cyst spontaneously resolved...
2016: B-ENT
https://www.readbyqxmd.com/read/27097398/nine-year-old-girl-with-a-respiratory-epithelial-cyst-of-the-orbit
#18
REVIEW
N Weegerink, J Van Goethem, S De Schepper, T Van de Velde, B Schmelzer
OBJECTIVE: Here we describe the clinical and histopathological characteristics of a nine-year-old girl with an intraorbital mass of the left orbit, and review the relevant literature. RESULTS: Imaging data and surgical biopsy revealed an intraconal cystic lesion in the medial-inferior quadrant of the left orbit. The cyst was lined with ciliated pseudostratified epithelium, consistent with a respiratory epithelial cyst of the orbit. Cyst marsupialisation and partial mass removal alleviated symptoms, and no cyst recurrence was observed during follow-up...
2016: B-ENT
https://www.readbyqxmd.com/read/27097397/ectopic-parathyroid-adenoma-presenting-as-facial-expansile-growths
#19
M Dhiwakar, S Damodharan, K M Rajeshwari, S Mehta
BACKGROUND: Giant cell reparative granuloma of the facial skeleton is a rare presentation of hyperparathyroidism. METHODOLOGY: A 17-year-old girl presented with progressive expansile bony growths of the mandible and maxilla. The case was investigated using biopsies, blood tests, imaging, and surgery. RESULTS: Biopsies confirmed giant cell reparative granuloma. Blood testing revealed very high parathyroid hormone levels, and brown tumours due to primary hyperparathyroidism weresuspected...
2016: B-ENT
https://www.readbyqxmd.com/read/27097396/case-report-lymphoma-in-a-nasopharyngeal-branchial-cleft-cyst
#20
REVIEW
N Segal, S Schneider, A S Parra, D Benharroch
OBJECTIVE: Nasopharyngeal branchial cleft cysts are rare, and only case reports have been published. We present a patient whose nasopharyngeal cyst contained a malignant lymphoma, and we review previous reports of this condition. METHODS: Case report with a relevant literature review. RESULTS: Sixteen case reports of nasopharyngeal branchial cleft cysts in 24 patients were included. The average age was 36 years; most cysts were on one side...
2016: B-ENT
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