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William Shomali, Katherine Holman
No abstract text is available yet for this article.
October 2016: Cleveland Clinic Journal of Medicine
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...
September 8, 2016: American Journal of Forensic Medicine and Pathology
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
Joji Inamasu, Kiyonori Kuwahara, Yushi Kawazoe, Shunsuke Nakae, Yuichi Hirose
No abstract text is available yet for this article.
June 14, 2016: American Journal of Emergency Medicine
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
Michael Laschat, Jost Kaufmann, Frank Wappler
No abstract text is available yet for this article.
August 2016: Anesthesiology
William G Pearson, Brandon K Taylor, Julie Blair, Bonnie Martin-Harris
OBJECTIVES/HYPOTHESIS: Determine swallowing mechanics associated with the first and second epiglottic movements, that is, movement to horizontal and full inversion, respectively, to provide a clinical interpretation of impaired epiglottic function. STUDY DESIGN: Retrospective cohort study. METHODS: A heterogeneous cohort of patients with swallowing difficulties was identified (n = 92). Two speech-language pathologists reviewed 5-mL thin and 5-mL pudding videofluoroscopic swallow studies per subject, and assigned epiglottic component scores of 0 = complete inversion, 1 = partial inversion, and 2 = no inversion, forming three groups of videos for comparison...
August 2016: Laryngoscope
Sun Jian, Zang Chuanshan, Qiu Jie
No abstract text is available yet for this article.
February 2016: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Claire Boutet, Syad Abdirahman Mohamed Moussa, Sébastien Celle, Bernard Laurent, Jean-Claude Barthélémy, Fabrice-Guy Barral, Frédéric Roche
OBJECTIVE: Small upper airway measurements areas and high body mass index are recognized risk factors for obstructive sleep apnea syndrome (OSAS) in non-elderly populations; however, there is limited information regarding elderly patients. We evaluated whether upper airway volume is associated with OSAS and OSAS treated with continuous positive airway pressure (CPAP) treatment and whether BMI is correlated with upper airway volume and measurements in elderly subjects. METHODS: In 60 volunteers aged 75...
2016: PloS One
Yasuyuki Chida, Ryota Inokuchi, Yoshibumi Kumada, Kazuaki Shinohara
No abstract text is available yet for this article.
September 2016: Intensive Care Medicine
Kohtaro Eguchi, Masami Suzuki, Shota Ida, Shigehiro Kudo, Ken Ando, Takeshi Ebara, Keiko Higuchi
Presently, the relationship between laryngopharyngeal reflux (LPR) and radiation-induced mucositis has not been fully explored. In the present study, we report 2 cases of laryngeal cancer in which radiation-induced mucositis ameliorated after proton pump inhibitor (PPI) administration. Case 1 was diagnosed with T1aN0M0 right glottis carcinoma and was treated with radiation therapy. Grade 3 mucositis occurred after administration of 46Gy irradiation. PPI was administered and mucositis ameliorated quickly without cessation of radiation therapy...
June 2, 2016: Auris, Nasus, Larynx
Mina Takata, Tatsuya Fujikawa, Rieko Goto
No abstract text is available yet for this article.
2016: BMJ Case Reports
Changxing Liu, Sean Delaney, Tamara N Brown
Extranodal presentation of B-cell lymphoma is uncommon. Isolated primary epiglottic B-cell lymphoma is even rarer. To our knowledge, there has been only one description of isolated B-cell lymphoma presenting as a large epiglottic mass. We report an unusual type of B-cell lymphoma of the epiglottis, as it could not be subtyped based on routine staining and hybridization. The lymphoma presented as a large isolated globular mass pedicled to the epiglottis, occupying most of the oropharynx, but did not have any ball-valving effect or increased respiratory efforts...
2016: Case Reports in Otolaryngology
Zacharias Vourexakis
No abstract text is available yet for this article.
May 2016: Cleveland Clinic Journal of Medicine
Ruby Paul, Karen Greaves, Siba Prosad Paul
No abstract text is available yet for this article.
May 2016: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
Noppadol Larbcharoensub, Suda Sanpaphant, Patamintita Witoonpanich, Lojana Tuntiyatorn, Jumroon Tungkeeratichai, Wichit Cheewaruangroj
Polymorphous low-grade adenocarcinoma is an uncommon malignant tumor derived from the terminal duct cells of the salivary glands. The present study described a rare case of polymorphous low-grade adenocarcinoma, T2N0M0 stage 2, in a 65-year-old man, who presented with a sore throat and painful dysphagia. Computed tomography revealed an infiltrative heterogenous enhancing mass involving the left aryepiglottic fold. He underwent a tumor removal with frozen section for evaluating the surgical margin. Subsequent supraglottic laryngectomy was performed...
May 2016: Molecular and Clinical Oncology
Helen Campbell, Sydel R Parikh, Ray Borrow, Ed Kaczmarski, Mary E Ramsay, Shamez N Ladhani
Atypical clinical presentations associated with group W meningococcal disease (MenW) are well-described and include pneumonia, septic arthritis, endocarditis and epiglottitis/supraglottitis. Following anecdotal reports of teenagers presenting with predominantly gastrointestinal symptoms, we undertook a case review of MenW cases in 15 to 19 year-olds diagnosed in England between July 2015 and January 2016. Of the 15 cases, seven presented with a short history of nausea, vomiting and diarrhoea; five of these seven cases died within 24 hours of presentation to hospital...
2016: Euro Surveillance: Bulletin Européen sur les Maladies Transmissibles, European Communicable Disease Bulletin
J Lance Lichtor, Maricarmen Roche Rodriguez, Nicole L Aaronson, Todd Spock, T Rob Goodman, Eric D Baum
No abstract text is available yet for this article.
June 2016: Anesthesiology
Adrian A Ong, Alexander W Murphey, Shaun A Nguyen, Ryan J Soose, B Tucker Woodson, Olivier M Vanderveken, Nico de Vries, M Boyd Gillespie
OBJECTIVE: To describe upper airway collapse patterns observed on drug-induced sedation endoscopy (DISE) during screening for a clinical trial and to evaluate the impact of collapse patterns found on preoperative DISE on response rates to upper airway stimulation (UAS) therapy. STUDY DESIGN: Retrospective review of an ongoing prospective multi-institutional cohort study. SETTING: Twenty-two participating institutions of the STAR trial. SUBJECTS AND METHOD: In total, 222 subjects were screened with DISE to determine eligibility for an implantable UAS device...
May 2016: Otolaryngology—Head and Neck Surgery
Luigi Taranto-Montemurro, Bradley A Edwards, Scott A Sands, Melania Marques, Danny J Eckert, David P White, Andrew Wellman
RATIONALE: Obstructive sleep apnea is a state-dependent disease. One of the key factors that triggers upper airway collapse is decreased pharyngeal dilator muscle activity during sleep. To date there have not been effective methods to pharmacologically reverse pharyngeal hypotonia in sleeping humans. OBJECTIVES: We tested the hypothesis that administration of desipramine 200 mg prevents the state-related reduction in genioglossus activity that occurs during sleep and thereby decreases pharyngeal collapsibility...
March 11, 2016: American Journal of Respiratory and Critical Care Medicine
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