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https://www.readbyqxmd.com/read/28219673/lipoma-of-the-pre-epiglottic-space-a-common-pathology-in-an-uncommon-place
#1
Nuno Ribeiro Costa, Delfim Duarte, Miguel Viana
No abstract text is available yet for this article.
February 17, 2017: Acta Otorrinolaringológica Española
https://www.readbyqxmd.com/read/28190872/upper-airway-obstruction-requiring-emergent-tracheostomy-secondary-to-laryngeal-sarcoidosis-a-case-report
#2
Changwan Ryu, Erica L Herzog, Hongyi Pan, Robert Homer, Mridu Gulati
BACKGROUND Laryngeal sarcoidosis is a rare extrapulmonary manifestation of sarcoidosis, accounting for 0.33-2.1% of cases. A life-threatening complication of laryngeal sarcoidosis is upper airway obstruction. In this report we describe our experience in the acute and chronic care of a patient who required an emergent tracheostomy, with the aim to provide further insight into this difficult to manage disease. CASE REPORT A 37-year-old African American female with a 10-year history of stage 1 sarcoidosis presented with severe dyspnea...
February 13, 2017: American Journal of Case Reports
https://www.readbyqxmd.com/read/28177321/the-crystal-structure-of-pd1-a-haemophilus-surface-fibril-domain
#3
Jack Wright, Maren Thomsen, Robert Kolodziejczyk, Joshua Ridley, Jessica Sinclair, Glenn Carrington, Birendra Singh, Kristian Riesbeck, Adrian Goldman
The Haemophilus surface fibril (Hsf) is an unusually large trimeric autotransporter adhesin (TAA) expressed by the most virulent strains of H. influenzae. Hsf is known to mediate adhesion between pathogen and host, allowing the establishment of potentially deadly diseases such as epiglottitis, meningitis and pneumonia. While recent research has suggested that this TAA might adopt a novel `hairpin-like' architecture, the characterization of Hsf has been limited to in silico modelling and electron micrographs, with no high-resolution structural data available...
February 1, 2017: Acta Crystallographica. Section F, Structural Biology Communications
https://www.readbyqxmd.com/read/28043981/acute-epiglottitis-in-an-older-person
#4
Calver Pang, Rasheed Mohammed
No abstract text is available yet for this article.
January 1, 2017: Age and Ageing
https://www.readbyqxmd.com/read/28028010/haemophilus-influenzae-serotype-f-epiglottitis-a-case-report-and-review
#5
Stephen M Gorga, Janet R Gilsdorf, Kerry P Mychaliska
No abstract text is available yet for this article.
January 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28012827/comparison-of-level-and-degree-of-upper-airway-obstruction-by-m%C3%A3-ller-s-maneuver-and-drug-induced-sleep-endoscopy-in-obstructive-sleep-apnea-patients
#6
Ah Ra Jung, Tae Kyung Koh, Su Jin Kim, Kun Hee Lee, Joong Saeng Cho, Sung Wan Kim
OBJECTIVE: This study aimed to compare and analyze the level and degree of observed upper airway obstruction in patients with obstructive sleep apnea (OSA) using Müller's maneuver (MM) and drug-induced sleep endoscopy (DISE). We sought to find a method for evaluating the upper airway that could be used to determine surgical sites. METHODS: This study included 80 OSA patients who visited Kyung Hee Medical Center and underwent polysomnography (PSG) from March 2013 to March 2014...
December 21, 2016: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/27942053/ultrasonography-a-viable-tool-for-airway-assessment
#7
Preethi B Reddy, Pankaj Punetha, Kolli S Chalam
BACKGROUND AND AIMS: Accurate prediction of the Cormack-Lehane (CL) grade preoperatively can help in better airway management of the patient during induction of anaesthesia. Our aim was to determine the utility of ultrasonography in predicting CL grade. METHODS: We studied 100 patients undergoing general endotracheal anaesthesia. Mallampati (MP) class, thyromental distance (TMD) and sternomental distance (SMD) were noted. Ultrasound measurements of the anterior neck soft tissue thickness at the level of the hyoid (ANS-Hyoid), anterior neck soft tissue thickness at the level of the vocal cords (ANS-VC) and ratio of the depth of the pre-epiglottic space (Pre-E) to the distance from the epiglottis to the mid-point of the distance between the vocal cords (E-VC) were obtained...
November 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27916282/repair-of-complex-pharyngocutaneous-fistula-using-a-staged-temporoparietal-fascial-flap
#8
Nicholas B Abt, Priya Srikanth, Sidharth V Puram, Daniel G Deschler
INTRODUCTION: PCF is the most common major complication after salvage total laryngectomy (TL), especially for previously irradiated patients with laryngeal or hypopharyngeal cancer. METHODS/RESULTS: A 65-year-old woman presented with recurrent bilateral supraglottic SCC requiring salvage TL 5.5years after initial T1N0M0 epiglottic SCC resection. Her post-operative course was complicated by PCF development one month post-operatively and surgical fistula closure was delayed for adjuvant chemoradiotherapy...
November 25, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27879384/videolaryngoscopy-with-noninvasive-ventilation-in-subjects-with-upper-airway-obstruction
#9
Javier Sayas Catalán, Ignacio Jiménez Huerta, Pedro Benavides Mañas, Manel Luján, Daniel López-Padilla, Eva Arias Arias, Ana Hernández Voth, Claudio Rabec
BACKGROUND: Noninvasive ventilation (NIV) titration may be difficult when dynamic airway obstruction episodes persist, even with high expiratory positive airway pressure (EPAP). We aimed to determine the usefulness of videolaryngoscopy during NIV for identifying mechanisms and sites of obstruction and for providing a guide for their resolution in difficult-to-titrate subjects. METHODS: When obstructions during NIV were present in the built-in software, EPAP was raised to 12 cm H2O...
February 2017: Respiratory Care
https://www.readbyqxmd.com/read/27859573/intra-and-interobserver-reliability-estimates-for-identification-and-grading-of-upper-respiratory-tract-abnormalities-recorded-in-horses-at-rest-and-during-overground-endoscopy
#10
C L McGivney, J Sweeney, F David, J M O'Leary, E W Hill, L M Katz
BACKGROUND: Previous studies support good intra- and interobserver agreements for endoscopic evaluation of various upper respiratory tract (URT) diseases in horses. However, these studies mainly assessed resting endoscopic examination videos and/or focussed on a single URT abnormality. OBJECTIVES: To estimate intra- and interobserver agreement for identification and grading of all URT abnormalities from resting and overground endoscopy (OGE) videos of Thoroughbreds...
November 14, 2016: Equine Veterinary Journal
https://www.readbyqxmd.com/read/27836649/sensory-detection-of-threshold-intensity-resistive-loads-in-severe-obstructive-sleep-apnoea
#11
Warren R Ruehland, Peter D Rochford, Robert J Pierce, Kate E Webster, John A Trinder, Amy S Jordan, Fergal J O'Donoghue
Respiratory related evoked potentials (RREPs) were used to investigate whether sensory detection of small mid-inspiratory resistive loads (≈1.2-6.2 cmH2OL(-1)s), delivered during wakefulness, was impaired in obstructive sleep apnoea (OSA). It was reasoned that impaired detection of minor airway patency challenge may lead to difficult-to-remedy further collapse. There was a significant reduction in OSA (n=16) vs. control (n=17) participants in the slope of the relationship between the P1 RREP component amplitude, which reflects arrival of somatosensory information at the cortex, and stimulus intensity, expressed as change in epiglottic pressure (mean [95% confidence intervals]: -0...
February 2017: Respiratory Physiology & Neurobiology
https://www.readbyqxmd.com/read/27821835/airway-obstruction-secondary-to-emphysematous-epiglottitis-a-case-report
#12
Marc R Rohrbach, Sepehr Shabani, Aaron Wieland
BACKGROUND Despite a shift in the epidemiology of epiglottitis following the introduction of the Haemophilus influenzae type B vaccine, acute infectious epiglottitis continues to be a relatively common and potentially life-threatening infection in adults. Epiglottitis complicated by abscess is rare, and emphysematous abscess is even less common. Early diagnosis and intervention is paramount in reducing morbidity and mortality. Although case reports exist, photographic depiction of this complication is not readily available...
November 8, 2016: American Journal of Case Reports
https://www.readbyqxmd.com/read/27810188/drug-induced-sedation-endoscopy-in-surgically-naive-children-with-down-syndrome-and-obstructive-sleep-apnea
#13
Mieke Maris, Stijn Verhulst, Vera Saldien, Paul Van de Heyning, Marek Wojciechowski, An Boudewyns
OBJECTIVE: To describe the pattern of upper airway (UA) obstruction in surgically naive children with Down syndrome and obstructive sleep apnea (OSA), and to evaluate the outcome of drug-induced sedation endoscopy (DISE)-directed treatment. METHODS: A prospective study of DISE in surgically naive children with Down syndrome and OSA was performed. Treatment was individually tailored based on the DISE findings and was evaluated by control polysomnography (PGS). Results are presented as median (lower-upper quartile) unless otherwise stated...
August 2016: Sleep Medicine
https://www.readbyqxmd.com/read/27784404/arousal-intensity-is-a-distinct-pathophysiological-trait-in-obstructive-sleep-apnea
#14
Jason Amatoury, Ali Azarbarzin, Magdy Younes, Amy S Jordan, Andrew Wellman, Danny J Eckert
STUDY OBJECTIVES: Arousals from sleep vary in duration and intensity. Accordingly, the physiological consequences of different types of arousals may also vary. Factors that influence arousal intensity are only partly understood. This study aimed to determine if arousal intensity is mediated by the strength of the preceding respiratory stimulus, and investigate other factors mediating arousal intensity and its role on post-arousal ventilatory and pharyngeal muscle responses. METHODS: Data were acquired in 71 adults (17 controls, 54 obstructive sleep apnea patients) instrumented with polysomnography equipment plus genioglossus and tensor palatini electromyography (EMG), a nasal mask and pneumotachograph, and an epiglottic pressure sensor...
December 1, 2016: Sleep
https://www.readbyqxmd.com/read/27726831/concurrent-uvulitis-and-epiglottitis
#15
William Shomali, Katherine Holman
No abstract text is available yet for this article.
October 2016: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/27617418/sudden-death-due-to-acute-epiglottitis-in-adults-a-retrospective-review-of-11-postmortem-cases
#16
Magdaleni Bellis, Jayantha Herath, Michael S Pollanen
We report a retrospective review of fatal acute epiglottitis cases in adults in the province of Ontario, Canada, between 2001 and 2014. Information on demographics, clinical history, gross, microscopic, and laboratory findings were collected and analyzed. Eleven cases, predominantly male (73%), with a mean age of 50 years were identified. Common presenting symptoms included sore throat, dysphagia, and low-grade fever. The predominant postmortem findings included hyperemia and edema of the epiglottis and aryepiglottic folds...
December 2016: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/27583413/laryngeal-elevation-velocity-and-aspiration-in-acute-ischemic-stroke-patients
#17
Jing Zhang, Yun Zhou, Na Wei, Bo Yang, Anxin Wang, Hai Zhou, Xingquan Zhao, Yongjun Wang, Liping Liu, Melody Ouyoung, Brenda Villegas, Michael Groher
OBJECTIVES: Aspiration after stroke has been associated with aspiration pneumonia, which contributes to increased mortality of stroke. Laryngeal elevation is a core mechanism for protection from aspiration. Few studies have explored the predictive value of laryngeal elevation velocity for aspiration after stroke. This study aimed to explore the ability of laryngeal elevation velocity to predict aspiration in patients with acute ischemic stroke. METHODS: This was a prospective cohort study that included consecutive acute ischemic stroke patients treated at a teaching hospital during a 10-month period...
2016: PloS One
https://www.readbyqxmd.com/read/27444111/hypertrophic-pachymeningitis-of-the-craniocervical-junction-mimicking-acute-epiglottitis
#18
Joji Inamasu, Kiyonori Kuwahara, Yushi Kawazoe, Shunsuke Nakae, Yuichi Hirose
No abstract text is available yet for this article.
December 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27435577/functional-treatment-of-airway-obstruction-and-feeding-problems-in-infants-with-robin-sequence
#19
Wolfgang Buchenau, Sarah Wenzel, Margit Bacher, Silvia Müller-Hagedorn, Joerg Arand, Christian F Poets
BACKGROUND: Robin sequence (RS), characterised by micrognathia/retrognathia and glossoptosis with or without cleft palate, presents with intermittent upper airway obstruction and feeding difficulties. Active intervention is required to reduce the risk of brain damage or sudden death. Most treatment options are poorly studied and/or invasive. Our group developed a functional approach including early feeding training and the pre-epiglottic baton plate (PEBP), an orthodontic appliance with a velar extension shifting the base of the tongue forward...
July 19, 2016: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://www.readbyqxmd.com/read/27433749/laryngomalacia-with-epiglottic-prolapse-obscuring-the-laryngeal-inlet
#20
Michael Laschat, Jost Kaufmann, Frank Wappler
No abstract text is available yet for this article.
August 2016: Anesthesiology
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