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https://www.readbyqxmd.com/read/27879384/videolaryngoscopy-with-noninvasive-ventilation-in-subjects-with-upper-airway-obstruction
#1
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 12cm H2O...
November 22, 2016: Respiratory Care
https://www.readbyqxmd.com/read/27859573/intra-and-inter-observer-reliability-estimates-for-identification-and-grading-of-upper-respiratory-tract-abnormalities-recorded-in-horses-at-rest-and-during-overground-endoscopy
#2
C L McGivney, J Sweeney, F David, J M O'Leary, E W Hill, L M Katz
BACKGROUND: Previous studies support good intra- and inter-observer 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 inter-observer 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
#3
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...
November 9, 2016: Respiratory Physiology & Neurobiology
https://www.readbyqxmd.com/read/27821835/airway-obstruction-secondary-to-emphysematous-epiglottitis-a-case-report
#4
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
#5
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
#6
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...
October 20, 2016: Sleep
https://www.readbyqxmd.com/read/27726831/concurrent-uvulitis-and-epiglottitis
#7
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
#8
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
https://www.readbyqxmd.com/read/27583413/laryngeal-elevation-velocity-and-aspiration-in-acute-ischemic-stroke-patients
#9
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
#10
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
https://www.readbyqxmd.com/read/27435577/functional-treatment-of-airway-obstruction-and-feeding-problems-in-infants-with-robin-sequence
#11
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
#12
Michael Laschat, Jost Kaufmann, Frank Wappler
No abstract text is available yet for this article.
August 2016: Anesthesiology
https://www.readbyqxmd.com/read/27426940/computational-analysis-of-swallowing-mechanics-underlying-impaired-epiglottic-inversion
#13
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
https://www.readbyqxmd.com/read/27373045/-application-of-fibroptic-bronchoscope-for-intubation-in-high-risk-epiglottic-cyst-surgery
#14
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
https://www.readbyqxmd.com/read/27336305/supra-epiglottic-upper-airway-volume-in-elderly-patients-with-obstructive-sleep-apnea-hypopnea-syndrome
#15
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
https://www.readbyqxmd.com/read/27276987/a-giant-epiglottic-cyst
#16
Yasuyuki Chida, Ryota Inokuchi, Yoshibumi Kumada, Kazuaki Shinohara
No abstract text is available yet for this article.
September 2016: Intensive Care Medicine
https://www.readbyqxmd.com/read/27264874/successful-treatment-of-radiation-induced-mucositis-with-proton-pump-inhibitor-administration-a-report-of-two-laryngeal-cancer-cases
#17
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
https://www.readbyqxmd.com/read/27247205/thumb-sign-acute-epiglottitis
#18
Mina Takata, Tatsuya Fujikawa, Rieko Goto
No abstract text is available yet for this article.
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27213065/an-unusual-presentation-of-b-cell-lymphoma-as-a-large-isolated-epiglottic-mass-case-report-and-literature-review
#19
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
https://www.readbyqxmd.com/read/27168507/epiglottic-cysts-in-clinical-practice
#20
Zacharias Vourexakis
No abstract text is available yet for this article.
May 2016: Cleveland Clinic Journal of Medicine
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