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https://www.readbyqxmd.com/read/29033733/anesthesia-management-for-a-case-of-laryngeal-keel-placement
#1
Kundan Gosavi, Paulomi Dey, Sachin Swami, Akshay Salunke
Congenital laryngeal web is a rare anomaly with incidence of 1 in 10,000 births. Its clinical presentation may range from an asymptomatic patient or mild hoarseness of voice to severe respiratory stridor. The primary goals of surgical intervention for congenital laryngeal web are to establish a patent airway and to achieve a good voice quality. As recurrence rate after plain excision of laryngeal web is very high, its removal may be coupled by placement of a silastic keel in between vocal cords. Endolaryngeal placement of a keel is definitely less invasive than laryngofissure, but little is known about its anesthesia management...
October 2017: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/29021425/a-cat-with-suspected-laryngeal-metastasis-with-mucosal-irregularity-resulting-from-apocrine-salivary-gland-adenocarcinoma-in-the-head
#2
Aki Fujiwara-Igarashi, Koichi Shimizu, Masaki Michishita, Yoshihiko Yu, Yuji Hamamoto, Daisuke Hasegawa, Michio Fujita
A 16-year-old castrated male mongrel cat presented with swelling under the left pinna and a 3 -month history of voice change. Laryngeal endoscopy revealed circumferential oedema around the arytenoid cartilages and hypersecretion of saliva. Histopathological examination of the mass around the left ear canal was considered the primary lesion that originated from cutaneous apocrine adenocarcinoma or parotid gland adenocarcinoma, and it metastasized to the larynx, lung and medial retropharyngeal lymph nodes. This report provides new insights into feline laryngeal diseases which could result in laryngeal metastasis with slight mucosal irregularity alone and without obvious radiographic abnormalities...
October 11, 2017: Journal of Veterinary Medical Science
https://www.readbyqxmd.com/read/28994202/beak-technique-use-of-modified-fuller-s-bivalve-tracheostomy-tube-for-emergency-dilation-of-tracheostomy-stenosis
#3
Rajshekhar Halkud, Sreelekha Ray, Ashok M Shenoy, Gururaj Arakeri, Peter A Brennan
Loss of an already established airway causing stridor is a common condition seen in busy oncology centres of India and other third world countries. Patients attend with acute respiratory distress, and are unable to reinsert the tracheostomy tube, sometimes days after having successfully mastered the technique. We have therefore developed a simple nonsurgical technique to widen simple tracheostomies to establish an emergency airway. In our opinion, since this is an easy non surgical procedure to perform and, can be performed rapidly without the need for any specialized types of equipment...
October 10, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28976473/does-timing-duration-dose-and-route-of-corticosteroids-matter-in-prevention-of-postextubation-stridor
#4
Suresh Kumar Angurana
No abstract text is available yet for this article.
October 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/28975065/vanishing-lung-syndrome-compound-effect-of-tobacco-and-marijuana-use-on-the-development-of-bullous-lung-disease-a-joint-effort
#5
Shimshon Wiesel, Faraz Siddiqui, Tahir Khan, Sami Hossri, Dany El-Sayegh
Marijuana use has been increasing across the United States due to its legalization as both a medicinal and recreational product. A small number of case reports have described a pathological entity called vanishing lung syndrome (VLS), which is a rare bullous lung disease usually caused by tobacco smoking. Recent case reports have implicated marijuana in the development of VLS. We present a case of a 47-year-old man, who presented to our hospital with shortness of breath, fevers and a productive cough. On physical exam, he was tachypneic with audible stridor and absent right sided breath sounds...
July 31, 2017: Curēus
https://www.readbyqxmd.com/read/28974069/premedication-with-salbutamol-prior-to-surgery-does-not-decrease-the-risk-of-perioperative-respiratory-adverse-events-in-school-aged-children
#6
A Ramgolam, G L Hall, D Sommerfield, L Slevin, T F E Drake-Brockman, G Zhang, B S von Ungern-Sternberg
Background: Perioperative respiratory adverse events (PRAE) remain the leading cause of morbidity and mortality in the paediatric population. This double-blinded randomized control trial investigated whether inhaled salbutamol premedication decreased the occurrence of PRAE in children identified as being at high risk of PRAE. Methods: Children with at least two parentally reported risk factors for PRAE undergoing elective surgery were eligible for recruitment. They were randomized to receive either salbutamol (200 µg) or placebo prior to their surgery and PRAE (bronchospasm, laryngospasm, airway obstruction, desaturation, coughing and stridor) were recorded...
July 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/28966463/sinonasal-and-laryngeal-sarcoidosis
#7
Hawa Edriss, John Kelley, Joshua Demke
Sarcoidosis is a chronic granulomatous inflammation of uncertain etiology that can involve any organ system in the body. Sinonasal and laryngeal involvement is rare, poorly understood, and difficult to diagnose. Additionally, the extent of the disease is variable, and the response to systemic corticosteroids is often poor. We report a case of a 55-year-old woman with prior cutaneous sarcoidosis who presented with chronic nasal congestion, difficulty breathing, dysphonia, and stridor, and biopsy of the nasal vestibule revealed noncaseating granulomatous inflammation...
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28960733/tubeless-tracheal-resection-and-reconstruction-for-management-of-benign-stenosis
#8
Francesco Paolo Caronia, Domenico Loizzi, Tommaso Nicolosi, Sergio Castorina, Alfonso Fiorelli
BACKGROUND: We reported a tubeless tracheal resection and reconstruction for the management of benign posttracheostomy tracheal stenosis. METHODS: A 34-year-old man with stridor, severe respiratory distress, and recurrent pneumonia was referred to our attention for treatment of benign posttracheostomy tracheal stenosis. As he refused general anesthesia, the procedure was performed while he was under local anesthesia and spontaneous ventilation. RESULTS: Sedation was started with infusion of dexmedetomidine 0...
September 27, 2017: Head & Neck
https://www.readbyqxmd.com/read/28947548/laryngeal-stridor-in-rheumatoid-arthritis
#9
Kun Huang, Jason Kur
No abstract text is available yet for this article.
September 25, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/28929066/surgical-treatment-of-retrosternal-goitre
#10
Kiera Welman, Richard Heyes, Paras Dalal, Sarah Hough, Marciano Bunalade, Vladimir Anikin
This study aims to evaluate surgical approaches to the management of retrosternal goitre. Between 2004 and 2014, 35 patients (eight males; mean age 67.4 ± 10.9 years) with retrosternal goitre (mainly right-sided in 9, left-sided in 14 and bilateral in 12) underwent surgery. A palpable neck mass was found in 11 (31.4%), stridor in 10 (28.6%) and thyrotoxicosis in 4 (11.4%) cases. 4 (11.4%) patients were asymptomatic. Tracheal compression was detected radiologically in 27 (77.2%) patients with deviation in 18 (51...
September 2017: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/28899875/stridor-is-not-always-croup-infantile-haemangioma-in-the-airway
#11
Joana Cunha Oliveira, Inês Azevedo, Augusta Gonçalves, Carla Moreira
No abstract text is available yet for this article.
September 12, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28886900/clinical-and-imaging-differences-between-neonates-and-children-with-pyriform-sinus-fistula-which-is-preferred-for-diagnosis-computed-tomography-or-barium-esophagography
#12
Jing Pan, Yan Zou, Le Li, Tian-You Yang, Ji-Liang Yang, Chao Hu
PURPOSE: Pyriform sinus fistula (PSF) is very rare. It is difficult to make an accurate diagnosis preoperatively. The aim of this study is to summarize the characteristics of clinical and radiologic presentations in neonates and children with PSF and to assess which examination is more helpful for diagnosis. METHODS: A retrospective review was performed in 29 patients with PSF at a single center from January 2013 to September 2016. The clinical presentation, computed tomography (CT) scan/magnetic resonance imaging (MRI), and barium esophagogram were evaluated between neonates and children...
August 15, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28884075/laryngeal-paralysis-associated-with-a-muscle-pseudotumour-in-a-young-dog
#13
Francesca Rizzo, Cecilia Benetti, Consuelo Ballatori, Diana Binanti
An 18-month-old male entire Bloodhound dog was presented with a six-week history of progressive inspiratory dyspnoea, stridor, dysphonia and exercise intolerance. CT scan performed elsewhere had revealed the presence of an unencapsulated nodular mass (3x1x5 cm) dorsal to the larynx and first tracheal rings. Laryngoscopy demonstrated the presence of bilateral laryngeal paralysis and distorted laryngeal architecture suggestive of extraluminal compression. Histopathology results of incisional biopsies from the mass were suggestive of a benign non-neoplastic muscular lesion...
2017: Open veterinary journal
https://www.readbyqxmd.com/read/28863098/nebulized-fluticasone-for-preventing-postextubation-stridor-is-it-really-effective
#14
Javed Ismail
No abstract text is available yet for this article.
September 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/28852841/association-of-breathing-sound-spectra-with-glottal-dimensions-in-exercise-induced-vocal-cord-dysfunction
#15
Ahmed Geneid, L-M Aaltonen, L Porra, J Peltonen, K Palmu, A Sovijärvi, P Piirilä
The objective of this study was to evaluate associations between the breathing sound spectra and glottal dimensions in exercise-induced vocal cord dysfunction (EIVCD) during a bicycle ergometry test. Nineteen subjects (mean age 21.8 years and range 13-39 years) with suspected EIVCD were studied. Vocal folds were continuously imaged with videolaryngoscopy and breathing sounds were recorded during the bicycle exercise test. Twelve subjects showed paradoxical movement of the vocal folds during inspiration by the end of the exercise...
November 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28822609/transient-vocal-cord-paralysis-following-central-venous-hemodialysis-catheter-insertion
#16
Gül Pamukçu Günaydın, Selahattin Gürü, Elif Aslan Taş, Fatih Tanrıverdi, Gülhan Kurtoğlu Çelik
In this article, we present a case of recurrent laryngeal nerve palsy not caused by nerve injury but due to local anesthetic infiltration that was applied prior to central venous catheterization. A 47-year-old female patient was admitted to emergency room with fatigue and nausea and was diagnosed with acute renal failure. Right jugular venous catheterization was performed for emergency hemodialysis with Seldinger technique using middle approach. Within minutes and immediately after the procedure the patient complained of hoarseness and shortness of breath, and she had stridor in her physical exam...
August 15, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28808368/uncommon-presentation-of-an-unusual-foreign-body
#17
Jayalaxmi S Aihole, Pragalath Kumar
Esophageal foreign bodies (FBs) are common and can be the serious cause of morbidity and mortality in children. One-third of FBs, retained in the gastrointestinal tract, are found in the esophagus. Their management depends on the anatomical location, shape, size, and the duration of impaction. In children, unwitnessed esophageal FBs can present with respiratory symptoms such as stridor. Therefore, a high index of suspicion is generally required to avoid significant morbidity and mortality. We are reporting an unusual FB with unusual symptoms in a 2-year-old female child...
July 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28806114/-endoscopic-ultra-dream-pulse-laser-surgery-of-laryngomalacia-our-experiences-gained-during-the-introduction-of-the-method-in-hungary
#18
Zoltán Tóbiás, Dóra Pálinkó, Balázs Sztanó, Miklós Csanády, Péter Gál, László Rovó
INTRODUCTION: Congenital stridor and dyspnoe are caused by laryngomalacia in most cases. AIM: In this article we present a new, surgical method for treating severe laryngomalacia in patients under the age of 1, where ultrapulsated (UDP) laser beam is used for supraglottoplasty. Ultra dream pulse laser creates lesser thermical side damage in the tissue, therefore the risk of postoperative laryngeal oedema and scarring is lower. METHOD: We present 10 cases and the endoscopic UDP-laser surgery of patients under the age of 1 with severe laryngomalacia...
August 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/28803450/manoeuvre-to-aid-endoscopic-division-of-aryepiglottic-folds-aryepiglottoplasty
#19
Salil Sood, Raymond Clarke, Andrew Bowhay, Sujata De
Laryngomalacia, a congenital malformation of larynx is the commonest cause of stridor in young infants. Ninety percent of cases resolve by the age of 2 years without any active intervention (1).The most consistent abnormality seen in non-resolving cases is shortening of the aryepiglottic folds (picture 1).(2) This article is protected by copyright. All rights reserved.
August 13, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28801330/anterior-cervical-osteophytosis-as-a-cause-of-dyspnoea-and-stridor
#20
Hugo Jorge Casimiro, Joana Carreira, Beatriz Navarro, Mã Rio Parreira
No abstract text is available yet for this article.
August 11, 2017: BMJ Case Reports
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