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Posterior pharyngitis

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https://www.readbyqxmd.com/read/29690004/a-new-species-of-temnocephala-platyhelminthes-with-an-unusual-pharynx-including-an-amendment-of-the-diagnosis-of-the-genus
#1
Rodrigo Ponce De leÓn, Odile Volonterio
Three species of Temnocephala have been reported on Aegla from Uruguay: Temnocephala axenos, Temnocephala mertoni and Temnocephala talicei. As part of a systematic review of the Uruguayan species of Temnocephala, a fourth species was found on Aegla platensis and Aegla uruguayana. This species, new for the genus, has the following diagnostic characters: Large temnocephalan; slightly curved penial stylet (225 µm in length) with a symmetrical introvert (27 long by 18 µm in diameter) that has at least 44 spine-like projections, each bearing 7 rows of internal spines; a seminal vesicle that opens sub-polarly into the contractile vesicle; a muscular vagina with a strong asymmetrical sphincter; preequatorial nephridiopores close to the internal borders of the elongate-oval excretory syncytia; a large pharynx with anterior and posterior sphincters of about the same diameter and a narrow pharyngeal lumen with nearly uniform width...
February 8, 2018: Zootaxa
https://www.readbyqxmd.com/read/29689900/eudorylaimus-kahaqensis-sp-n-nematoda-dorylaimida-qudsianematidae-an-interesting-new-species-from-iran
#2
E Kazemi, G Niknam, H Jabbari, R PeÑa-Santiago
A new species of the genus Eudorylaimus is described from Kahaq region, Maragheh, East Azarbaijan province in Iran. Eudorylaimus kahaqensis sp. n. is characterized by its 1.40-1.75 mm long body, lip region nearly continuous and 17-21 µm wide and bearing a weakly sclerotized but distinct cephalic framework, cheilostom broad and with convex walls, odontostyle 21-23 µm long with aperture occupying 33-44% of its length, presence of a dorsal coelomocyte a short distance behind the nerve ring, neck 347-397 µm long, DN rather posterior (66-70%), pharyngeal expansion 162-205 µm or occupying 45-53% of total neck length, presence a dorsal cell mass at level of pharyngo-intestinal junction, V = 48-52, caudal region conical elongate (50-73 µm, c = 24-30, c' = 1...
January 2, 2018: Zootaxa
https://www.readbyqxmd.com/read/29659421/air-splinting-maneuver-during-flexible-bronchoscopy-a-cross-sectional-study
#3
Rahul Magazine, Bharti Chogtu
BACKGROUND: Magazine's maneuver was developed for ease of insertion of the flexible bronchoscope, on encountering a closed lumen at the nasopharynx-oropharynx junction. The purposes of this study were to find the frequency of occurrence of such luminal closures and to compare the efficacy of Magazine's maneuver, with other variations of the maneuver, in improving visualization of the upper airway. MATERIALS AND METHODS: Patients aged 18 years and above who were undergoing flexible bronchoscopy were included, and their demographic and clinical data were noted...
April 13, 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/29561407/primary-cervical-ganglioneuroblastoma-a-case-report
#4
Dan Lu, Jun Liu, Yuan Chen, Fei Chen, Hui Yang
RATIONALE: Ganglioneuroblastoma is usually located in the adrenal gland, retroperitoneal ganglia, or posterior mediastinum, but rarely occurs in the parapharyngeal space. PATIENT CONCERNS: A 4-year-old girl presented with complaint of progressive inspiratory dyspnea and dysphagia, accompanying left-side Horner's syndrome. DIAGNOSE: Computed tomography (CT) scan revealed a giant mass with irregular low density in left oropharyngeal and posterior pharyngeal wall...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29559880/acute-calcific-tendonitis-of-the-longus-colli
#5
Blake S Raggio, Samuel C Ficenec, Jason Pou, Brian Moore
Background: Acute calcific tendonitis of the longus colli (ACTLC) is an aseptic inflammatory response to deposition of calcium in the longus colli muscle tendons. Although reports in the literature are scarce, ACTLC likely represents an underreported disease process that routinely goes misdiagnosed. We report a case of ACTLC and provide a brief review of the literature. Case Report: A 45-year-old otherwise healthy female presented with a 3-day history of progressive neck pain, decreased neck mobility, and odynophagia...
2018: Ochsner Journal
https://www.readbyqxmd.com/read/29554458/in-utero-glossoptosis-in-fetuses-with-robin-sequence-measurements-from-prenatal-mri
#6
Cory M Resnick, Tessa D Kooiman, Carly E Calabrese, Ryne Didier, Bonnie L Padwa, Judy A Estroff, Maarten J Koudstaal
OBJECTIVE: Glossoptosis causes airway obstruction in patients with Robin sequence (RS), but little is known about the in-utero tongue. The purpose of this study was to assess shape and position of the fetal tongue on prenatal magnetic resonance imaging (MRI) to determine if this is predictive of postnatal RS. DESIGN: Retrospective case-control study including fetuses with prenatal MRIs performed from 2002 to 2017. Inclusion criteria were (1) prenatal MRI of adequate quality, (2) live born and evaluated postnatally for craniofacial findings...
April 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29554452/treatment-of-stress-velopharyngeal-incompetence-with-injection-of-hyaluronic-acid
#7
Steven Koprowski, Michael J VanLue, Michael E McCormick
Stress velopharyngeal incompetence (VPI) is a challenging clinical entity that can be managed by a variety of surgical and nonsurgical approaches. We describe the case of a clarinetist who presented with nasal air escape while playing. She had successful improvement in her symptoms after targeted injection of a hyaluronic acid compound to her posterior pharyngeal wall. Our objective is to describe the safety and efficacy of this technique, to emphasize the multidisciplinary management of patients with stress VPI, and to review the importance of both nasopharyngoscopy and videofluoroscopy in their evaluation...
April 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29554407/aerophagia-and-subcutaneous-emphysema-in-a-patient-with-rett-syndrome
#8
Christine M Clark, Shivani Shah-Becker, Abraham Mathew, Neerav Goyal
A patient with Rett syndrome presented to our Emergency Department with extensive subcutaneous emphysema in the cervical region, chest wall, upper extremities, and back. Diagnostic evaluation revealed a mucosal tear in the posterior pharyngeal wall and an abscessed retropharyngeal lymph node, but she had no known history of trauma to account for these findings. This report discusses the occurrence of subcutaneous emphysema in the context of a rare neurodevelopmental disorder and proposes accentuated aerophagia, a sequela of Rett syndrome, as the most likely underlying mechanism...
March 2018: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/29543213/-ventral-decompression-techniques-in-patients-with-traumatic-and-non-traumatic-atlanto-axial-dislocations
#9
I S Lvov, A A Grin', M A Nekrasov, A Yu Kordonskiy, A V Sytnik
Compression of the caudal medulla oblongata and ventral portions of the spinal cord is the most dangerous complication of atlanto-axial dislocation (AAD). AIM: The study objective was to improve surgical management of patients with ventral compression of the spinal cord in the setting of AAD of various genesis. MATERIAL AND METHODS: We analyzed treatment outcomes in 250 patients with C1 and C2 injuries and diseases for the period between 2002 and 2016. Persistent ventral compression of the neural structures in the setting of AAD was detected in 34 (13...
2018: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://www.readbyqxmd.com/read/29502798/correlation-of-preoperative-findings-in-computed-axial-tomography-with-the-presence-of-difficult-airway-in-patients-undergoing-head-and-neck-otorhinolaryngological-surgery
#10
J C Gutiérrez, S Merino, P de la Calle, C Perrino, M Represa, P Moral
OBJECTIVES: To establish a correlation between 4 measurements made on preoperative computed axial tomography and the presence of difficult airway, as well as its clinical prediction in patients undergoing otorhinolaryngological surgery. MATERIAL AND METHODS: A retrospective, observational study was carried out using the information gathered from the clinical notes of 104 patients undergoing general anaesthesia and endotracheal intubation for oncological otorhinolaryngological surgery over a period of 36 months...
March 1, 2018: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/29496371/effects-of-bimaxillary-orthognathic-surgery-on-pharyngeal-airway-and-respiratory-function-at-sleep-in-patients-with-class-iii-skeletal-relationship
#11
Tahsin Tepecik, Ümit Ertaş, Metin Akgün
PURPOSE: The aim of this study was to examine the effects of bimaxillary orthognathic surgery on pharyngeal airway space (PAS) and respiratory function during sleep. MATERIALS AND METHODS: The subjects were 21 patients with class III skeletal relationship, and all of the patients underwent bimaxillary surgery (Le Fort I advancement and bilateral sagittal split ramus setback osteotomies simultaneously). Pharyngeal volumes of nasopharyngeal (V-NPA), retropalatal (V-RPA), retrolingual (V-RLA), oropharyngeal (V-ORO) and total pharyngeal airways (V-TOT); minimum axial areas of retropalatal (MA-RPA), retrolingual (MA-RLA) and oropharyngeal airways (MA-ORO); and position of the hyoid were studied in order to detect dimensional PAS changes using cone-beam computed tomography (CBCT) with Dolphin 11...
February 2, 2018: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29494399/clinicopathologic-characteristics-of-thyroid-like-low-grade-nasopharyngeal-papillary-adenocarcinoma-a-case-report
#12
Liang Li, Fengjuan Zhou, Fanzhong Lin, Cuihong Han
Thyroid-like low-grade nasopharyngeal papillary adenocarcinoma (TL-LGNPPA) is an extremely rare neoplasm. It morphologically resembles papillary thyroid carcinoma and is immunochemically positive for thyroid transcription factor 1. Herein, we reported a case of TL-LGNPPA in a female patient of 35 years old. She felt pharyngeal foreign body sensation of unknown cause and subsequently developed dyspnea after activities. Nasopharyngeal plain computerized tomography showed no abnormalities, but laryngoscopy showed a peanut-sized smooth neoplasm with a pedicel at the posterior edge of the nasal septum...
February 28, 2018: Applied Immunohistochemistry & Molecular Morphology: AIMM
https://www.readbyqxmd.com/read/29471585/ripply3-is-required-for-the-maintenance-of-epithelial-sheets-in-the-morphogenesis-of-pharyngeal-pouches
#13
Yoshihiro Tsuchiya, Yusuke Mii, Kazunori Okada, Mikio Furuse, Tadashi Okubo, Shinji Takada
During tissue development, the morphogenesis of epithelial sheets is regulated by many factors, including mechanical force, although the underlying mechanisms remain largely unknown. In the pharyngeal region of the vertebrate embryo, endodermal epithelium is reiteratively folded outward to form pharyngeal pouches, making partitions between the pharyngeal arches. Ripply3, encoding a member of the Ripply family of adaptor proteins, is required for the pouch formation posterior to the 2nd pharyngeal pouch. In this study, we found that the expression of mouse Ripply3 was specifically activated in accordance with the bending of the endodermal epithelium during the pouch formation...
February 22, 2018: Development, Growth & Differentiation
https://www.readbyqxmd.com/read/29470127/telemedicine-physical-examination-utilizing-a-consumer-device-demonstrates-poor-concordance-with-in-person-physical-examination-in-emergency-department-patients-with-sore-throat-a-prospective-blinded-study
#14
Moneeb Akhtar, Paul G Van Heukelom, Azeemuddin Ahmed, Rachel D Tranter, Erinn White, Nathaniel Shekem, David Walz, Catherine Fairfield, J Priyanka Vakkalanka, Nicholas M Mohr
BACKGROUND: Telemedicine allows patients to connect with healthcare providers remotely. It has recently expanded to evaluate low-acuity illnesses such as pharyngitis by using patients' personal communication devices. The purpose of our study was to compare the telemedicine-facilitated physical examination with an in-person examination in emergency department (ED) patients with sore throat. MATERIALS AND METHODS: This was a prospective, observational, blinded diagnostic concordance study of patients being seen for sore throat in a 60,000-visit Midwestern academic ED...
February 22, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29438218/full-endoscopic-uniportal-odontoidectomy-and-decompression-of-the-anterior-cervicomedullary-junction-using-the-retropharyngeal-approach
#15
Sebastian Ruetten, Patrick Hahn, Semih Oezdemir, Xenophon Baraliakos, Harry Merk, Georgios Godolias, Martin Komp
STUDY DESIGN: A study of a series of consecutive full-endoscopic uniportal decompressions of the anterior craniocervical junction with retropharyngeal approach. OBJECTIVE: The aim of this study was to evaluate the direct anterior decompression of the craniocervical junction in patients with bulbomedullary compression using a full-endoscopic uniportal technique via an anterolateral retropharyngeal approach. SUMMARY OF BACKGROUND DATA: Acute or progressive myelopathy may necessitate direct anterior decompression of the craniocervical junction and odontoidectomy...
February 12, 2018: Spine
https://www.readbyqxmd.com/read/29437504/surgery-for-velopharyngeal-dysfunction-a-systematic-review-of-interventions-and-outcomes
#16
Catherine de Blacam, Susan Smith, David Orr
OBJECTIVE: This systematic review sought to evaluate the consensus in the literature regarding the surgical management of VPD and to determine whether a particular procedure results in superior speech outcome or less morbidity Design: A systematic review was carried out according to PRISMA-P guidelines. Systematic review software was used to facilitate 3-stage screening and data extraction by 2 reviewers. SETTING: University teaching hospital. PATIENTS, PARTICIPANTS: Studies that reported perceptual speech assessment or obstructive sleep apnea (OSA) in patients who had undergone surgery for VPD were included in the review...
March 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29423955/new-and-emerging-techniques-for-endoscopic-treatment-of-zenker-s-diverticulum-state-of-the-art-review
#17
REVIEW
Sauid Ishaq, Haleema Sultan, Keith Siau, Toshio Kuwai, Chris J Mulder, Helmut Neumann
Zenker's diverticulum (ZD), or pharyngeal pouch, is an anatomical defect characterized by herniation of the posterior pharyngeal wall through Killian's dehiscence, and may result in dysphagia and regurgitation. Multiple therapeutic modalities including surgery, rigid and flexible endoscopy have been developed to manage ZD. Although surgical management with open and endoscopically assisted techniques have historically been the mainstay of ZD treatment, minimally invasive flexible endoscopic techniques, carried out under conscious sedation, are increasingly favored...
February 9, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29383317/retropharyngeal-space-schwannoma-a-rare-entity
#18
Stefania Gallo, Francesco Bandi, Marco-Paolo Maffioli, Marco Giudice, Paolo Castelnuovo, Enrico Fazio, Apostolos Karligkiotis
Introduction: Retropharyngeal space schwannomas are rare entities. About 20-45% of schwannomas occur in the head and neck region; however, they represent less than 1% of all head and neck tumors. Case Report: We present the case of a 36-year-old woman complaining of dysphagia caused by a large schwannoma arising in the posterior pharyngeal wall with remarkable reduction of the oropharyngeal space. The tumor was resected through a combined transoral and cervicotomic transmandibular approach due to its dimension...
November 2017: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29284434/clinicopathological-factors-influencing-the-outcomes-of-surgical-treatment-in-patients-with-t4a-hypopharyngeal-cancer
#19
Sang-Yeon Kim, Young-Soo Rho, Eun-Chang Choi, Min-Sik Kim, Joo-Hyun Woo, Dong Hoon Lee, Eun Jae Chung, Min Woo Park, Da-Hee Kim, Young-Hoon Joo
BACKGROUND: The purpose of this study was to determine prognostic factors influencing outcomes of surgical treatment in patients with T4a hypopharyngeal cancer. METHODS: The present study enrolled 93 patients diagnosed with T4a hypopharyngeal cancer who underwent primary surgery between January 2005 and December 2015 at six medical centers in Korea. Primary tumor sites included pyriform sinus in 71 patients, posterior pharyngeal wall in 14 patients, and postcricoid region in 8 patients...
December 29, 2017: BMC Cancer
https://www.readbyqxmd.com/read/29260103/crystalline-lens-dislocation-secondary-to-bacterial-endogenous-endophthalmitis
#20
Amit Sangave, Rahul Komati, Allison Weinmann, Linoj Samuel, Uday Desai
Purpose: To present an unusual case of endogenous endophthalmitis secondary to Group A streptococcus (GAS) that resulted in dislocation of the crystalline lens. Observations: An immunocompetent 51-year-old man presented to the emergency room (ER) with upper respiratory infection (URI) symptoms and painful right eye. He was diagnosed with URI and viral conjunctivitis and discharged on oral azithromycin and polytrim eyedrops. He returned to the ER 30 h later with sepsis and findings consistent with endophthalmitis, including light perception only vision...
September 2017: American Journal of Ophthalmology Case Reports
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