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Nasopharyngeal stenosis

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https://www.readbyqxmd.com/read/28931196/endoscopy-assisted-coblation-for-nasopharyngeal-stenosis-a-report-of-2-cases
#1
Omer Karakoc, Bahtiyar Polat, M Timur Akcam, Mustafa Gerek
Acquired nasopharyngeal stenosis, the standard treatments for which carry a high risk of restenosis, is an uncommon complication of both velopharyngeal surgery and radiotherapy to the nasopharynx. We present the cases of 2 men, aged 41 and 52 years, who underwent surgical treatment for nasopharyngeal stenosis with endoscopy-assisted Coblation. The two surgeries lasted 23 and 18 minutes, respectively. Neither patient experienced any surgical complication, and a nasopharyngeal stent was not needed in either case...
September 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/28688570/congenital-nasal-obstruction-in-infants-a-retrospective-study-and-literature-review
#2
REVIEW
Vijay A Patel, Michele M Carr
OBJECTIVES: To identify etiologies of congenital nasal obstruction and describe clinical practice patterns in the evaluation, diagnosis, and treatment of symptomatic infants. METHODS: An electronic chart review from 1/1/2006-10/1/2016 for all patients with a diagnosis of nasal obstruction within the first six months of life using ICD-9 and 10 codes 478.19 and J34.89. RESULTS: A total of 34 patients were evaluated by the Division of Otolaryngology for this chief complaint...
August 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28533859/-a-particular-type-of-cicatricial-pemphigoid-with-unique-iga-deposit
#3
Amina Aounallah, Mariem Jrad, Mehdi Ksiaa, Sana Mokni, Wafa Saidi, Lobna Boussofara, Badreddine Sriha, Mohamed Denguezli, Najet Ghariani, Colandane Belajouza, Rafia Nouira
Cicatricial Pemphigoid is a subepithelial bullous dermatosis which essentially involves the mucous membranes with cicatricial evolution We report the case of a 66-year old patient hospitalized with erosive gingivitis associated with dysphagia, dyspnea and blurred vision. Dermatologic examination showed erosive lesions involving the palate and the pharynx. Ophthalmologic examination showed symblepharons, ectropion and bilateral cataract. Gingival biopsy revealed a necrotic detachment of the buccal epithelium...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28196560/surgical-management-of-nasal-stenosis-following-chemoradiation-for-nasopharyngeal-carcinoma
#4
V V Wilmot, I Hathorn
BACKGROUND: Nasal stenosis is a rare but significant complication of chemoradiation treatment for nasopharyngeal carcinoma. It can cause distressing obstructive symptoms for the patient and potentially interfere with monitoring for recurrence. Quality-of-life indicators are known to be very poor in this group of patients; however, there is very little evidence in the literature as to management of this complication. METHODS: This paper presents an endoscopic day-case surgical procedure to address total posterior nasal stenosis, as conducted in three patients, which involves division of adhesions and removal of the posterior septum and posterior inferior turbinates, without the need for packing or stenting...
May 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27928446/gastrostomy-with-peritoneal-collar-versus-percutaneous-endoscopic-gastrostomy
#5
COMPARATIVE STUDY
C Tudor, C Branescu, C Savlovschi, A El-Khatib, H Pantu, A Nica, A M Dascalu, B Masoumeh, A S Tudor, S M Oprescu, D Serban
Aim. The present study aimed to perform a medico-surgical comparative analysis of the 2 most widely used techniques: gastrostomy with peritoneal collar versus percutaneous endoscopic gastrostomy, based on the vast clinical experience in an Upper Digestive Surgery Clinic. Materials and method. A retrospective study was carried out between January 2010 and January 2015 on the patients admitted for a surgical solution for feeding. The indications, preoperative preparation, surgical techniques, and postoperative outcomes were analyzed...
October 2016: Journal of Medicine and Life
https://www.readbyqxmd.com/read/27729138/palatal-eversion-for-the-treatment-of-combined-nasopharyngeal-stenosis-and-tonsillar-pillars-adhesion
#6
Gamal Abdel-Fattah
OBJECTIVE: Rarely the tonsillar pillars and the soft palate became adherent to the posterior nasopharyngeal wall by strong fibrous tissue due to excessive dissection and cauterization during surgery leading to nasopharyngeal stenosis. Therefore, many treatment modalities are being tried to cure this problem. The aim of this study is to explore our results of modifying the basic technique to accommodate those patients with combined nasopharyngeal stenosis and tonsillar pillars adhesions in one stage...
November 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27652126/carotid-blowout-syndrome-after-nasopharyngeal-carcinoma-radiotherapy-successful-treatment-by-internal-carotid-artery-occlusion-after-stent-implantation-failure
#7
Fei Dong, Qian Li, JianJun Wu, MinMing Zhang, GuangQiang Zhang, Bin Li, Kai Jin, Jie Min, WeiRen Liang, Ming Chao
INTRODUCTION: Carotid blowout syndrome (CBS) secondary to radiation therapy is life-threatening and requires emergency treatment. More recently, endovascular treatment has provided an effective way to control CBS-related bleeding. CASE DESCRIPTION: We present a case of CBS with a rupture of the internal carotid artery (ICA) pseudo-aneurysm after Gamma Knife radiation therapy for nasopharyngeal carcinoma (NPC). The patient was a 55-year-old man who was transferred to our hospital with severe repetitive epistaxis...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27448412/palatopharyngoplasty-for-treatment-of-nasopharyngeal-stenosis-secondary-to-extra-laryngeal-tuberculosis
#8
Jeffrey Cranford, Sameep Kadakia, Craig Berzofsky
Nasopharyngeal stenosis is a rare sequela of extra-laryngeal tuberculosis that can adversely impact the quality of life of afflicted patients. Relying solely on the oropharyngeal airway, patients often complain of inspiratory dryness and decreased sensation of airflow as the nasal mucosa and turbinate complex is entirely excluded from the breathing mechanism. Often times, the oropharyngeal inlet can be narrowed as well, limiting the air flow through the oropharyngeal airway. In those circumstances, patients often require tracheostomy for establishment of a reliable airway...
November 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27059368/diagnosis-and-management-of-nasopharyngeal-stenosis
#9
REVIEW
Allyson C Berent
Choanal atresia is rare in small animal veterinary medicine, and most cases are misdiagnosed and are actually a nasopharyngeal stenosis (NPS), which is frustrating to treat because of the high recurrence rates encountered after surgical intervention. Minimally invasive treatment options like balloon dilation (BD), metallic stent placement (MS), or covered metallic stent (CMS) placement have been met with success but are associated with various complications that must be considered. The most common complication with BD alone is stenosis recurrence...
July 2016: Veterinary Clinics of North America. Small Animal Practice
https://www.readbyqxmd.com/read/26934603/middle-cerebral-artery-stenosis-in-patients-with-nasopharyngeal-carcinoma-after-radiotherapy-the-incidence-of-stenosis-and-the-risk-factors
#10
Lijuan Zhou, Pengfei Xing, Li Zou, Junkang Shen, Ye Tian, Xueguan Lu
OBJECTIVE: The purpose of the present study was to investigate the incidence of middle cerebral artery (MCA) stenosis by contrast-enhanced MR angiography (CE-MRA), and to evaluate the risk factors for significant (>50%) MCA stenosis in patients with nasopharyngeal carcinoma (NPC) after radiotherapy. METHODS: 116 patients with NPC after radiotherapy were recruited into the irradiation group to investigate the incidence and degree of MCA stenosis by CE-MRA. The results were compared with those of the control group, which comprised 57 newly diagnosed patients with NPC who did not receive radiotherapy...
2016: British Journal of Radiology
https://www.readbyqxmd.com/read/26923571/robotic-assisted-surgery-for-the-management-of-velopharyngeal-insufficiency-and-nasopharyngeal-stenosis
#11
C Vicini, G D'Agostino, G Meccariello, A De Virgilio, F Montevecchi
No abstract text is available yet for this article.
February 28, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/26698675/treatment-of-canine-nasopharyngeal-stenosis-using-balloon-expandable-metallic-stents-long-term-follow-up-of-four-cases
#12
L Bird, P Nelissen, R A S White, S W Tappin
Four dogs were diagnosed with nasopharyngeal stenosis using endoscopy and magnetic resonance imaging. Treatment using balloon-expandable metallic stent, placed under fluoroscopic and endoscopic guidance, resulted in immediate resolution of clinical signs. All dogs were clinically normal 40 to 62 months following stent placement.
December 24, 2015: Journal of Small Animal Practice
https://www.readbyqxmd.com/read/26495165/semilobar-holoprosencephaly-with-congenital-oropharyngeal-stenosis-in-a-term-neonate
#13
Kenji Hishikawa, Hideshi Fujinaga, Chie Nagata, Masataka Higuchi, Yushi Ito
Background Holoprosencephaly (HPE) is often accompanied by a deficit in midline facial development; however, congenital oropharyngeal stenosis in neonates with HPE has not been reported before. We describe a case of a neonate with prenatally diagnosed semilobar HPE accompanied by congenital oropharyngeal stenosis. Case Report The patient was born at 39 weeks of gestation and developed dyspnea shortly after. Laryngoscopic test revealed oropharyngeal stenosis. Nasal continuous positive airway pressure, high-flow nasal cannula, and nasopharyngeal airway did not resolve her dyspnea; tracheostomy was required...
October 2015: American Journal of Perinatology Reports
https://www.readbyqxmd.com/read/26077184/massive-epistaxis-from-internal-carotid-pseudoaneurysm-during-acute-ischemic-stroke-in-a-patient-with-nasopharyngeal-carcinoma
#14
Cheng-Lun Hsiao, Yueh-Hua Tsai, Shinn-Kuang Lin
PURPOSE: Carotid blowout syndrome due to rupture of internal carotid artery pseudoaneurysm in NPC patients with prior neck radiation is an uncommon but life-threatening complication. Concomitant carotid stenosis with ischemic stroke and carotid rupture from pseudoaneurysm is rare. CASE REPORT: A 71-year-old man had a history of NPC treated with radiation therapy 26 years ago. He was admitted to the hospital because of minor ischemic stroke and tarry stool. The carotid duplex sonography disclosed severe stenotic lesion in the proximal right internal carotid artery...
September 2014: Acta Neurologica Taiwanica
https://www.readbyqxmd.com/read/26048603/non-paraganglioma-tumors-of-the-jugular-foramen-growth-patterns-radiological-presentation-differential-diagnosis
#15
A Szymańska, M Szymański, E Czekajska-Chehab, M Szczerbo-Trojanowska
OBJECTIVE: Most common tumors of the jugular foramen are paragangliomas. However, other lesions, also malignant, may involve the jugular foramen and mimic radiographic presentation of paragangliomas. Therefore, a correct preoperative diagnosis is crucial for best treatment planning. This study analyzes imaging characteristics of non-paraganglioma neoplasms involving the jugular foramen, with attention given to features helpful in differential diagnosis. STUDY DESIGN: A retrospective chart search...
2015: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/26011421/airway-scleromas-and-their-extensions
#16
Charles P Molumi, Siba P Dubey
BACKGROUND: Scleroma is a rare, chronic, granulomatous infectious disease of the respiratory tract mucosa which begins in the nose and spreads to the respiratory tract and adjoining structures. We report on the extensions and the management of 134 cases of scleroma in the Highlands region of Papua New Guinea. METHODS: The charts and treatment records of 134 scleroma cases were retrospectively reviewed from 1995 to 2013. The staging, extensions, treatment and results of treatment were reviewed and analysed...
September 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/25875781/carotid-and-vertebral-artery-stenosis-evaluated-by-contrast-enhanced-mr-angiography-in-nasopharyngeal-carcinoma-patients-after-radiotherapy-a-prospective-cohort-study
#17
L Zhou, P Xing, Y Chen, X Xu, J Shen, X Lu
OBJECTIVE: To investigate the incidence of carotid artery (CA) and vertebral artery (VA) stenosis by contrast-enhanced MR angiography (CE-MRA) in patients with nasopharyngeal carcinoma (NPC) after radiotherapy. METHODS: 72 patients with NPC after radiotherapy more than 3 years ago were recruited as irradiation group to investigate the incidence and degree of CA and VA stenosis by CE-MRA. The results were compared with those of the control group, which comprised 50 newly diagnosed patients with NPC who had not received radiotherapy...
June 2015: British Journal of Radiology
https://www.readbyqxmd.com/read/25830344/ultrasound-evaluation-of-carotid-atherosclerosis-in-post-radiotherapy-nasopharyngeal-carcinoma-patients-type-2-diabetics-and-healthy-controls
#18
Chuang Yuan, Vincent Wc Wu, Shea Ping Yip, Dora Lw Kwong, Michael Ying
Purpose To comprehensively evaluate and compare the degree of carotid atherosclerosis in patients treated with radiotherapy (RT) for nasopharyngeal carcinoma (NPC) and in patients with type 2 diabetes mellitus (DM), and using healthy subjects as controls. Materials and Methods The present study recruited 69 post-RT NPC patients without conventional cardiovascular risk factors, 70 type 2 diabetic patients without previous RT, and 76 healthy controls without conventional cardiovascular risk factors and previous RT...
April 2017: Ultraschall in der Medizin
https://www.readbyqxmd.com/read/25617969/diagnosis-of-glossopharyngeal-obstruction-using-nasopharyngeal-tube-versus-ct-scan-in-obstructive-sleep-apnea-hypopnea-syndrome
#19
Min Song, Jimin Bao, Xiaoyan Wang, Shuhua Li
The polysomnography after nasopharyngeal tube insertion (NPT-PSG) was used to assess glossopharyngeal airway obstruction in patients with moderate-to-severe obstructive sleep apnea-hypopnea syndrome (OSAHS), and was compared with that obtained using spiral computed tomography (CT). A total of 125 patients diagnosed with moderate-to-severe OSAHS using PSG were subjected to PSG after NPT insertion, and spiral CT was used for continuous scan of the upper respiratory tract. The NPT-PSG and CT scan results were subjected to correlation analysis...
May 2015: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/25328699/famm-flap-in-reconstructing-postsurgical-nasopharyngeal-airway-stenosis
#20
Ferdinand Wanjala Nangole, Stanley Ominde Khainga
Introduction. Postsurgical nasopharyngeal airway stenosis can be a challenge to manage. The stenosis could be as a result of any surgical procedure in the nasopharyngeal region that heals extensive scarring and fibrosis. Objective. To evaluate patients with nasopharyngeal stenosis managed with FAMM flap. Study Design. Prospective study of patients with nasopharyngeal stenosis at the Kenyatta National Hospital between 2010 and 2013 managed with FAMM flap. Materials and Methods. Patients with severe nasopharyngeal airway stenosis were reviewed and managed with FAMM flaps at the Kenyatta National Hospital...
2014: Plastic Surgery International
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