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https://www.readbyqxmd.com/read/29763253/croup-diagnosis-and-management
#1
Dustin K Smith, Andrew J McDermott, John F Sullivan
Croup is a common respiratory illness affecting 3% of children six months to three years of age. It accounts for 7% of hospitalizations annually for fever and/or acute respiratory illness in children younger than five years. Croup is a manifestation of upper airway obstruction resulting from swelling of the larynx, trachea, and bronchi, leading to inspiratory stridor and a barking cough. Many patients experience low-grade fevers, but fever is not necessary for diagnosis. Less commonly, stridor can be associated with acute epiglottitis, bacterial tracheitis, and foreign body airway obstruction...
May 1, 2018: American Family Physician
https://www.readbyqxmd.com/read/29761077/anatomical-cadaver-study-of-endolaryngeal-vascularization-focus-on-the-glottis-supraglottis-and-subglottis-from-the-transoral-microsurgical-point-of-view
#2
Pietro Perotti, Marco Ferrari, Nausica Montalto, Davide Lancini, Alberto Paderno, Fabiola Incandela, Barbara Buffoli, Luigi Fabrizio Rodella, Cesare Piazza
Introduction: Carbon dioxide laser coagulation during transoral laser microsurgery (TLM) for laryngeal cancer allows control of bleeding from vessels smaller than 0.5 mm. Therefore, larger arteries and veins must be carefully managed by clipping and/or monopolar cautery. The aim of this paper is to detail endolaryngeal vascular anatomy and identify areas of possible bleeding during TLM. Methods: We performed an anatomical study on a series of 11 fresh-frozen human cadavers...
2018: Frontiers in Oncology
https://www.readbyqxmd.com/read/29731377/acoustic-characteristics-in-epiglottic-cyst
#3
YeonWoo Lee, GeunHyo Kim, SooGeun Wang, JeonYeob Jang, Wonjae Cha, HongSik Choi, HyangHee Kim
OBJECTIVE: The purpose of this study was to analyze the acoustic characteristics associated with alternation deformation of the vocal tract due to large epiglottic cyst, and to confirm the relation between the anatomical change and resonant function of the vocal tract. METHODS: Eight men with epiglottic cyst were enrolled in this study. The jitter, shimmer, noise-to-harmonic ratio, and first two formants were analyzed in vowels /a:/, /e:/, /i:/, /o:/, and /u:/. These values were analyzed before and after laryngeal microsurgery...
May 3, 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29681829/dysphagia-causes-symptom-fluctuations-after-oral-l-dopa-treatment-in-a-patient-with-parkinson-disease
#4
Hiromasa Sato, Toshiyuki Yamamoto, Masako Sato, Yoshihiko Furusawa, Miho Murata
Objective: The causes of "delayed-on" and "no-on" phenomena in Parkinson disease (PD) are thought to have some impact on the progress of L-DOPA from the time of ingestion until it reaches the brain and is converted to dopamine. Dysphagia can cause fluctuating symptom expression in L-DOPA therapy for PD. Case Description: A 69-year-old man with PD presented with "delayed-on" and "no-on" phenomena. The patient developed a gait disorder at age 60 years, and he began coughing on his food during breakfast at age 64 years...
January 2018: Case Reports in Neurology
https://www.readbyqxmd.com/read/29628843/point-of-care-ultrasound-in-the-airway-assessment-a-correlation-of-ultrasonography-guided-parameters-to-the-cormack-lehane-classification
#5
Shelly Rana, Versha Verma, Shyam Bhandari, Shalini Sharma, Vishal Koundal, Sudarshan Kumar Chaudhary
Background and Aim: The sonographic assessment of airway in the preoperative period has encouraging results in predicting difficult laryngoscopy. Materials and Methods: The prospective, observational study was conducted on 120 patients scheduled for elective surgery requiring general anesthesia and tracheal intubation. The depth of the pre-epiglottic space (Pre-E), the distance from the epiglottis to the midpoint of the distance between the vocal cords (E-VC) was measured sonographically...
April 2018: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/29572573/longitudinal-evaluation-of-swallowing-with-videofluoroscopy-in-patients-with-locally-advanced-head-and-neck-cancer-after-chemoradiation
#6
Ekaterini Xinou, Ioannis Chryssogonidis, Anna Kalogera-Fountzila, Dimitra Panagiotopoulou-Mpoukla, Athanasia Printza
The aim of this study was to investigate the prevalence, severity, and pattern of evolution of swallowing impairments encountered in head and neck cancer (HNC) patients before and after chemoradiation (CRT) with videofluoroscopy of swallowing study (VFSS), using the modified barium swallow impairment profile (MBSImP) protocol and scoring system, and to determine the appropriate time points in which these patients should undergo VFSS post-CRT. A prospective cohort of 69 patients with locally advanced HNC underwent VFSS with the MBSImP protocol at 5 evaluation points: pre-CRT, and 1, 3, 6, and 12 months post-CRT...
March 23, 2018: Dysphagia
https://www.readbyqxmd.com/read/29564363/acute-epiglottitis-in-the-immunocompromised-host-case-report-and-review-of-the-literature
#7
REVIEW
Cheng Chen, Mukil Natarajan, David Bianchi, Georg Aue, John H Powers
We present a case of acute epiglottitis in a 16-year-old with severe aplastic anemia. He was admitted with a history suggestive of a severe upper airway infection and an absolute neutrophil count of 0 per cubic millimeter. Despite his immunocompromised state, he presented with the classical signs and symptoms of epiglottitis. We review here the presentation and comorbidities of immunocompromised patients with epiglottitis. In addition, the appropriate choice of empirical antibiotic therapy is important for the management of epiglottitis in immunocompromised patients, especially in the post- Haemophilus influenza type B vaccination era...
March 2018: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/29562558/effect-of-chin-tuck-against-resistance-exercise-on-patients-with-dysphagia-following-stroke-a-randomized-pilot-study
#8
Ji-Su Park, Duk-Hyun An, Dong-Hwan Oh, Moon-Young Chang
BACKGROUND: Recently, chin tuck against resistance exercise (CTAR) has been reported as a remedial treatment for pharyngeal dysphagia. However, the clinical evidence of the effect is still lacking. OBJECTIVE: This study investigated the effect of CTAR on the swallowing function in patients with dysphagia following subacute stroke. METHODS: The patients were randomly assigned to an experimental (n = 11) or a control group (n = 11). The experimental group performed CTAR using the CTAR device...
2018: NeuroRehabilitation
https://www.readbyqxmd.com/read/29523424/clinical-mimics-an-emergency-medicine-focused-review-of-streptococcal-pharyngitis-mimics
#9
Michael Gottlieb, Brit Long, Alex Koyfman
BACKGROUND: Pharyngitis is a common disease in the emergency department (ED). Despite a relatively low incidence of complications, there are many dangerous conditions that can mimic this disease and are essential for the emergency physician to consider. OBJECTIVE: This article provides a review of the evaluation and management of group A β-hemolytic Streptococcal (GABHS) pharyngitis, as well as important medical conditions that can mimic this disease. DISCUSSION: GABHS pharyngitis often presents with fever, sore throat, tonsillar exudates, and anterior cervical lymphadenopathy...
March 6, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29514834/acute-epiglottitis-with-intramural-oesophageal-dissection
#10
Léa Didier, Thomas Madelaine, Martin Cour, Laurent Argaud
No abstract text is available yet for this article.
March 7, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29507021/meningococcal-serogroup-w135-epiglottitis-in-an-adolescent-patient
#11
Daniela Beltrami, Pierre Guilcher, David Longchamp, Pierre Alex Crisinel
Acute epiglottitis is a severe and potentially life-threatening condition. Since the implementation of Haemophilus influenzae vaccination, the number of cases of epiglottitis has decreased and the proportion of other infectious causes has increased. We report a case of acute epiglottitis in a teenager caused by Neisseria meningitidis , an unusual pathogen.
March 5, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29501310/risk-factors-for-laryngeal-trauma-and-granuloma-formation-in-pediatric-intubations
#12
REVIEW
Minyoung Jang, Krystyne Basa, Jessica Levi
OBJECTIVE: Intubation has been associated with laryngeal injury that often resolves spontaneously without complication. We present a case of a child intubated for less than 48 hours, who presented with dysphonia and intermittent dyspnea two months after intubation due to epiglottic and vocal process granulomas. This is unusual in that multiple granulomas were found in the posterior glottis and supraglottis after short-term intubation. Our objective was to determine if there are risk factors for developing persistent post-intubation sequelae, including the delayed presentation and unusual location of post-intubation granulomas in our case...
April 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29444914/palatal-prolapse-as-a-signature-of-expiratory-flow-limitation-and-inspiratory-palatal-collapse-in-patients-with-obstructive-sleep-apnoea
#13
Ali Azarbarzin, Scott A Sands, Melania Marques, Pedro R Genta, Luigi Taranto-Montemurro, Ludovico Messineo, David P White, Andrew Wellman
In some individuals with obstructive sleep apnoea (OSA), the palate prolapses into the velopharynx during expiration, limiting airflow through the nose or shunting it out of the mouth. We hypothesised that this phenomenon causes expiratory flow limitation (EFL) and is associated with inspiratory "isolated" palatal collapse. We also wanted to provide a robust noninvasive means to identify this mechanism of obstruction.Using natural sleep endoscopy, 1211 breaths from 22 OSA patients were scored as having or not having palatal prolapse...
February 2018: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
https://www.readbyqxmd.com/read/29443781/unexpected-custodial-death-due-to-acute-epiglottitis-a-rare-autopsy-case-report
#14
Shifan Wu, Luo Zhuo, Xingang Qiu, Zijiao Ding, Mingzhen Yang, Meichen Pan, Qian Liu
RATIONALE: Acute epiglottitis is a potentially life-threaten disease, which makes it more challenging to save the life for doctors. Unexpected deaths in custody are a primary cause of concern for the forensic community and doctor worldwide. PATIENT CONCERNS: We present a case of a 44-year-old male detainee who was clinically suspected of dying of acute epiglottitis. The man experienced failure of resuscitation and died after admitted to a hospital. DIAGNOSES: The autopsy, toxicological testing, the test of immunoglobulin E and bacterial culture suggested the patient died of acute epiglottitis...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29443747/supraglottoplasty-in-neonates-and-infants-a-radiofrequency-ablation-approach
#15
Shilei Pu, Hongming Xu, Xiaoyan Li
BACKGROUND: Supraglottoplasty is the mainstay of surgical treatment for laryngomalacia. A novel supraglottoplasty surgical technique is needed to achieve better efficacy. The purpose of this study was to introduce modified microscopic radiofrequency ablation supraglottoplasty (MMRAS) for the treatment of congenital laryngomalacia and to evaluate the outcome and effectiveness of this novel approach. METHODS: Seventeen children with severe laryngomalacia who underwent MMRAS were studied retrospectively...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29432066/evaluation-of-ct-changes-in-the-head-and-neck-after-cancer-treatment-development-of-a-measurement-tool
#16
Joseph M Aulino, Elizabeth M Wulff-Burchfield, Mary S Dietrich, Sheila H Ridner, Kenneth J Niermann, Jie Deng, Bethany A Rhoten, Jennifer K Doersam, Lee Ann Jarrett, Kyle Mannion, Barbara A Murphy
BACKGROUND: The late effect continuum of lymphedema and fibrosis (LEF) affects more than 70% of patients after treatment for head and neck cancer (HNC). LEF is associated with symptom burden and decreased function and quality of life. Although surveillance imaging is common posttreatment, objective assessment of soft tissues is not, likely due to the lack of objective evaluation methods and understanding of the significance of LEF. We undertook the development of a tool to measure LEF using CT scans in HNC patients...
February 2018: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/29383319/xanthoma-disseminatum-presenting-with-hoarseness
#17
Biswanath Behera, Munisamy Malathi, Devinder-Mohan Thappa, Hemanth Vamanshankar, Pradipta-Kumar Parida, Debasis Gochhait
Introduction: Xanthoma disseminatum (XD) is a rare, benign, non-Langerhans cell histiocytic disorder with unknown etio-pathology. It manifests with multiple, grouped, red-brown to yellow papules and nodules involving the skin, mucous membranes, and internal organs with a predilection for flexures and the face. Case Report: We report a patient who presented with disseminated xanthomatous papules and nodules involving the face, neck, trunk, axilla, groin, and oral cavity, along with hoarseness of voice...
November 2017: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29349680/ultrasound-evaluation-of-the-airway-in-the-ed-a-feasibility-study
#18
Elizabeth A Hall, Ibrahim Showaihi, Frances S Shofer, Nova L Panebianco, Anthony J Dean
BACKGROUND: Recognition of the difficult airway is a critical element of emergency practice. Mallampati score and body mass index (BMI) are not always predictive and they may be unavailable in critically ill patients. Ultrasonography provides high-resolution images that are rapidly obtainable, mobile, and non-invasive. Studies have shown correlation of ultrasound measurements with difficult laryngoscopy; however, none have been performed in the Emergency Department (ED) using a consistent scanning protocol...
January 18, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/29299092/calcification-of-the-epiglottis-presenting-as-foreign-body-sensation-in-the-neck
#19
Sunil Jeph, Michael Aidi, Ahmed Shah, Thu-Thao Ly, Oleg Bronov
The epiglottis plays an important role in preventing food of different consistencies from entering the airway during swallowing. Calcification of epiglottis can, potentially, alter and limit its movement causing aspiration amongst other swallowing problems. Isolated calcification of the epiglottis and its clinical presentation remains a poorly understood entity for radiologists as well as clinicians. Therefore, it is important to recognize the imaging features of epiglottic calcification, and it's known clinical presentations to help clinicians with early diagnosis and management...
June 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/29290238/antimicrobial-treatment-of-ent-infections
#20
R Cohen, H Haas, M Lorrot, S Biscardi, O Romain, F Vie Le Sage, V Hentgen, E Grimprel
ENT infections are the most common childhood infections and the leading causes of antibiotic prescriptions. These infections are mainly due to viruses and most of them (even if bacterial species are implicated) resolve spontaneously. Therefore, the first message is to not prescribe antibiotics in the following situations: common cold, non-streptococcal pharyngitis, laryngitis, non-purulent otitis media, etc. For sore throat/pharyngitis, the antibiotic treatment decision is based mainly on the use of group A streptococcus rapid diagnostic tests...
December 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
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