3,304 results match your criteria Anesthesia Nose


Epidemiology and incidence of severe respiratory critical events in ear, nose and throat surgery in children in Europe: A prospective multicentre observational study.

Eur J Anaesthesiol 2019 Jan 10. Epub 2019 Jan 10.

From the Bolyai Institute, University of Szeged, Szeged, Hungary (KV), Département d'Anesthésie-Réanimation, Hôpital Armand Trousseau, Hôpitaux Universitaires Paris Est, Assistance Publique Hôpitaux de Paris, Paris, France (NS), Department of Anaesthesia, Great Ormond Street Hospital, London, UK (MT), Département d'Anesthésie-Réanimation pédiatrique, Hôpital Jeanne de Flandre, CHRU de Lille, Lille, France (FV) and Department of Anaesthesia, Pharmacology and Intensive Care, University Hospitals of Geneva and University of Geneva, Geneva, Switzerland (WH).

Background: Ear, nose and throat (ENT) surgery, the most frequently performed surgical procedure in children, is a strong predictor for peri-operative respiratory complications. However, there is no clear information about peri-operative respiratory severe critical events (SCEs) associated with anaesthesia management of ENT children in Europe.

Objective: To characterise the epidemiology and incidence of respiratory SCEs during and following ENT surgery in Europe and to identify the risk factors for their occurrence. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/EJA.0000000000000951DOI Listing
January 2019
1 Read

CT-guided nephrostomy-An expedient tool for complex clinical scenarios.

Eur J Radiol 2019 Jan 23;110:142-147. Epub 2018 Nov 23.

Department of Urology and Pediatric Urology, Mainz University Medical Center, Langenbeckstraße 1, 55131 Mainz, Germany.

Introduction & Objectives: Percutaneous nephrostomy [1] has emerged as a pivotal approach in the therapeutic management of the obstructed urinary tract. A consecutive incorporation of ultrasonic and radiographic guidance, the approach experienced an almost ubiquitious distribution while most centers currently applying either one or both of these tools jointly. However, success of ultrasound-guidance is limited in obese patients and non-dilated uropathy. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S0720048X183042
Publisher Site
http://dx.doi.org/10.1016/j.ejrad.2018.11.028DOI Listing
January 2019
10 Reads

Comparison of Isoflurane, Ketamine- Dexmedetomidine, and Ketamine-Xylazine for General Anesthesia during Oral Procedures in Rice Rats (Oryzomys palustris).

J Am Assoc Lab Anim Sci 2018 Dec 20. Epub 2018 Dec 20.

Rice rats (Oryzomys palustris) are an unconventional laboratory species that has been used to study photoperiodicity,periodontitis, and osteonecrosis of the jaw. Interventional procedures that require anesthesia, including oral procedures, aresometimes necessary in preclinical settings. The use of anesthetics including isoflurane and ketamine combined with α2-adrenoreceptor agonists, such as dexmedetomidine and xylazine, is well-established for laboratory rodents. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.30802/AALAS-JAALAS-18-000032DOI Listing
December 2018
1.118 Impact Factor

Perioperative intravenous ketamine for acute postoperative pain in adults.

Cochrane Database Syst Rev 2018 Dec 20;12:CD012033. Epub 2018 Dec 20.

Department of Anesthesiology, Intensive Care and Pain Medicine, Division of Anesthesiology, Töölö Hospital, Helsinki University and Helsinki University Hospital, Topeliuksenkatu 5, Helsinki, Finland, PB 266 00029.

Background: Inadequate pain management after surgery increases the risk of postoperative complications and may predispose for chronic postsurgical pain. Perioperative ketamine may enhance conventional analgesics in the acute postoperative setting.

Objectives: To evaluate the efficacy and safety of perioperative intravenous ketamine in adult patients when used for the treatment or prevention of acute pain following general anaesthesia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/14651858.CD012033.pub4DOI Listing
December 2018
21 Reads

Giant 'staghorn' rhinolith in a 15-year-old girl.

Authors:
Mohiyuddin Ali

BMJ Case Rep 2018 Dec 14;11(1). Epub 2018 Dec 14.

ENT Department, Ain Al-Khaleej Hospital, Al-Ain, United Arab Emirates.

We describe a case of a 15-year-old girl who presented to our clinic with long-standing right-sided rhinorrhoea which was occasionally foul-smelling and blood-stained with no other symptom of note. She had been treated many times with antibiotics. On examination, a rhinolith was discovered impacted posteriorly in right nasal cavity with mucopurulent discharge. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-227587DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6301478PMC
December 2018

A Rare Penetrating Trauma of Both Orbit and Nasal Cavity.

Iran J Otorhinolaryngol 2018 Nov;30(101):365-367

Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Introduction: Diagnosis of orbital foreign body (FB) penetration is usually obvious when part of the FB is still attached at the entry wound (1). However, the depth and course of the FB in this case was not visible.

Case Report: A 5-year old female presented with a pencil penetrating the left orbit. Read More

View Article

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6291816PMC
November 2018

Non Surgical Rhinoplasty: Nasal Grid Analysis and Nasal Injecting protocol.

Plast Reconstr Surg 2018 Nov 26. Epub 2018 Nov 26.

Chief of Division of Dental and Maxillofacial Surgery, G.B. Rossi Hospital and Medical University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, Italy.

Objective: Non-surgical rhinoplasty using injectable fillers, in contrast to traditional but more invasive surgery, offers low morbidity, improved skin quality and texture, cost-effectiveness and quick recovery. The aim of this study was to provide a valid and customized protocol for injecting the nose with the aid of a nasal grid to achieve constant attractive results.

Materials And Methods: From January 2015 and October 2018 150 consecutive patients entered the non-surgical rhinoplasty trial. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PRS.0000000000005224DOI Listing
November 2018
1 Read

Novel Methods for Intranasal Administration Under Inhalation Anesthesia to Evaluate Nose-to-Brain Drug Delivery.

J Vis Exp 2018 Nov 14(141). Epub 2018 Nov 14.

Laboratory of Pharmaceutics, School of Pharmacy, Nihon University;

Intranasal administration has been reported to be a potential pathway for nose-to-brain delivery of therapeutic agents that circumvents the blood-brain barrier. However, there have been few reports regarding not only the quantitative analysis but also optimal administration conditions and dosing regimens for investigations of nose-to-brain delivery. The limited progress in research on nose-to-brain pathway mechanisms using rodents represents a significant impediment in terms of designing nose-to-brain delivery systems for candidate drugs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3791/58485DOI Listing
November 2018
1 Read

A follow-up survey of total intravenous anesthesia usage in children in the U.K. and Ireland.

Paediatr Anaesth 2018 Nov 25. Epub 2018 Nov 25.

Department of Anaesthesia, Plymouth Hospitals NHS Trust, Plymouth, UK.

Background: Total intravenous anesthesia usage in children remains relatively unpopular in the UK and Ireland. A postal survey by Hill et al in 2008 indicated that only 26% of Consultants used a propofol infusion at least once a month.

Aims: Following an increase in teaching and training opportunities in pediatric total intravenous anesthesia in the UK, we repeated the survey among Consultant members of Association of Paediatric Anaesthetists of Great Britain and Ireland and Society for Intravenous Anaesthesia, to see if this had affected total intravenous anesthesia usage in children and how practice may have changed. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/pan.13556
Publisher Site
http://dx.doi.org/10.1111/pan.13556DOI Listing
November 2018
13 Reads

Quality of recovery in patients undergoing endoscopic sinus surgery after general anesthesia: total intravenous anesthesia vs desflurane anesthesia.

Int Forum Allergy Rhinol 2018 Nov 19. Epub 2018 Nov 19.

Department of Anesthesiology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.

Background: For sinus surgery, some centers favor total intravenous anesthesia (TIVA) over inhalation anesthesia. However, whether TIVA affects the patient's perceived quality of recovery remains unclear. This study used the Quality of Recovery-40 questionnaire (QoR-40) to compare patient recovery between surgical patients who received TIVA and those who received desflurane (DES) anesthesia. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1002/alr.22246
Publisher Site
http://dx.doi.org/10.1002/alr.22246DOI Listing
November 2018
12 Reads

Perioperative management of tracheocutaneous fistula closure in children: A review of 96 cases.

Paediatr Anaesth 2018 Dec 19;28(12):1129-1135. Epub 2018 Nov 19.

Department of Anaesthesia, Great Ormond Street Hospital for Children, London, UK.

Background: A tracheocutaneous fistula is a known complication following tracheostomy decannulation. Although surgical techniques for its repair are well described, there is no consensus about perioperative management and this procedure may generate significant airway and respiratory complications intraoperatively, and in the early postoperative period. We aimed to describe variations in perioperative management in tracheocutaneous fistula closure, estimate the incidence of early airway and respiratory complications, and identify any predisposing factors. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/pan.13513
Publisher Site
http://dx.doi.org/10.1111/pan.13513DOI Listing
December 2018
25 Reads

Injectable profiloplasty: Forehead, nose, lips, and chin filler treatment.

J Cosmet Dermatol 2018 Nov 15. Epub 2018 Nov 15.

Division of Dental and Maxillofacial Surgery, G.B. Rossi Hospital and Medical University of Verona, Piazzale L.A. Scuro 10, 37134, Verona, Italy.

Introduction: We propose a medical filler treatment algorithm of the profile which includes forehead, nose, and chin and to evaluate profilometric results and complications.

Materials And Methods: 83 case reviews of associated liquid forehead, nose, and chin plasty performed consecutively from 2014 to 2016. We monitored the horizontal and vertical sagittal stability into two age group: <40 y. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/jocd.12792
Publisher Site
http://dx.doi.org/10.1111/jocd.12792DOI Listing
November 2018
10 Reads

Respiratory measurement using infrared thermography and respiratory volume monitor during sedation in patients undergoing endoscopic urologic procedures under spinal anesthesia.

J Clin Monit Comput 2018 Nov 14. Epub 2018 Nov 14.

Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, South Korea.

We aimed to evaluate changes in respiratory pattern after sedation by simultaneously applying a respiratory volume monitor (ExSpiron1Xi, RVM) and infrared thermography (IRT) to patients undergoing spinal anesthesia during endoscopic urologic surgeries. After spinal anesthesia was performed, the patient was placed in a lithotomy position for surgery. Then, we established the baseline of the RVM, and started monitoring the mouth and nose with the infrared camera. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10877-018-0214-4
Publisher Site
http://dx.doi.org/10.1007/s10877-018-0214-4DOI Listing
November 2018
4 Reads

Peak airway pressure is lower during pressure-controlled than during manual facemask ventilation for induction of anesthesia in pediatric patients-a randomized, clinical crossover trial.

J Anesth 2018 Nov 12. Epub 2018 Nov 12.

Department of Anesthesiology and Critical Care, Medical Center, University of Freiburg, Freiburg, Germany.

Purpose: Facemask ventilation during the induction of general anesthesia in paediatric patients remains a challenge as it may result in hypoxic conditions and gastric insufflation with subsequent regurgitation and aspiration. So far, it is unclear if pressure-controlled or manual facemask ventilation is preferable in children. We hypothesized that pressure-controlled ventilation in apnoeic children results in lower peak airway pressure and flow rates compared to manual ventilation at comparable respiratory rates and tidal volumes. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s00540-018-2580-y
Publisher Site
http://dx.doi.org/10.1007/s00540-018-2580-yDOI Listing
November 2018
13 Reads

High flow nasal therapy in perioperative medicine: from operating room to general ward.

BMC Anesthesiol 2018 Nov 10;18(1):166. Epub 2018 Nov 10.

Department of Surgical, Oncological and Oral Science (Di.Chir.On.S.). Section of Anesthesia, Analgesia, Intensive Care and Emergency. Policlinico Paolo Giaccone, University of Palermo, Via del vespro 129, 90127, Palermo, Italy.

Background: High flow nasal therapy (HFNT) is a technique in which humidified and heated gas is delivered to the airways through the nose via small nasal prongs at flows that are higher than the rates generally applied during conventional oxygen therapy. The delivered high flow rates combine mixtures of air and oxygen and enable different inspired oxygen fractions ranging from 0.21 to 1. Read More

View Article

Download full-text PDF

Source
https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
Publisher Site
http://dx.doi.org/10.1186/s12871-018-0623-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6230300PMC
November 2018
11 Reads

A retrospective observational study of acquired subglottic stenosis using low-pressure, high-volume cuffed endotracheal tubes.

Paediatr Anaesth 2018 Dec 29;28(12):1136-1141. Epub 2018 Oct 29.

Department of Pediatric Critical Care and Anaesthesia, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland.

Introduction: The safety of cuffed endotracheal tubes in the neonatal and critically ill pediatric population continues to be questioned due to the theoretical risk of acquired subglottic stenosis. The incidence of acquired subglottic stenosis in the high-risk mixed surgical and medical critically ill pediatric cohort using high-volume, low-pressure cuffed endotracheal tube policy has not yet been described. The aim of our study was to describe and evaluate the use and complication rate of cuffed ETT's in our unit over a 5-year period. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/pan.13519
Publisher Site
http://dx.doi.org/10.1111/pan.13519DOI Listing
December 2018
2 Reads

Comparison of professional and laypeople evaluation of nasolabial esthetics following unilateral cleft lip repair.

Eur J Dent 2018 Oct-Dec;12(4):516-522

Department of Oral and Maxillofacial Surgery, Lagos University Teaching Hospital, Lagos State, Nigeria.

Objectives: The objective is to know the extent of agreement of clinicians' perception of nasolabial esthetic compared to that of laypeople (parents).

Materials And Methods: This was a prospective study of comparison of clinician's perception of nasolabial esthetics with that of laypeople following surgical repair of UCL. Participants were recruited from the Cleft Clinic of the Lagos University Teaching Hospital, and surgical repair of the cleft was performed under general anesthesia. Read More

View Article

Download full-text PDF

Source
http://www.eurjdent.com/text.asp?2018/12/4/516/242598
Publisher Site
http://dx.doi.org/10.4103/ejd.ejd_31_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178684PMC
October 2018
7 Reads

Predictive ability of bedside nasal endoscopy to diagnose invasive fungal sinusitis in a pediatric population.

Int J Pediatr Otorhinolaryngol 2018 Dec 19;115:82-88. Epub 2018 Sep 19.

Division of Otolaryngology, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.

Introduction: Invasive fungal sinusitis (IFS) is a rare but deadly clinical entity that occurs in immunocompromised patients. Diagnosis in children typically requires operative biopsies under general anesthesia, which has associated risks. Findings on bedside nasal endoscopy (BNE) can be used with history, exam, and imaging to determine the need for surgery, however, the accuracy of this tool has not been established among pediatric patients. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S01655876183047
Publisher Site
http://dx.doi.org/10.1016/j.ijporl.2018.09.019DOI Listing
December 2018
17 Reads

Adenoid hypertrophy affects screening for primary ciliary dyskinesia using nasal nitric oxide.

Int J Pediatr Otorhinolaryngol 2018 Dec 14;115:6-9. Epub 2018 Sep 14.

Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Hradec Kralove, Charles University, Faculty of Medicine in Hradec Kralove, Czech Republic.

Aim: In patients with primary ciliary dyskinesia (PCD), the release of nitric oxide (NO) is extremely low by epithelia of the nasopharynx and sinuses. Measurement of nasal NO (nNO) is recommended as a screening test for PCD. The study aimed to evaluate if adenoids affects nNO and may deteriorate the performance of the test. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S01655876183046
Publisher Site
http://dx.doi.org/10.1016/j.ijporl.2018.09.007DOI Listing
December 2018
16 Reads

Lateral Proboscis (Elephant Tusk) with Orofacial Clefts: A Report of a Rare Case.

Case Rep Pediatr 2018 27;2018:6820972. Epub 2018 Sep 27.

Department of Histopathology, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State, Nigeria.

Lateral proboscis is a rare congenital anomaly. Lateral proboscis is a rare craniofacial malformation characterized by a rudimentary tubular, nose-like structure occurring in association with a wide spectrum of other anomalies. We presented a seven-month-old girl's lateral proboscis, cleft lip, and palate. Read More

View Article

Download full-text PDF

Source
https://www.hindawi.com/journals/cripe/2018/6820972/
Publisher Site
http://dx.doi.org/10.1155/2018/6820972DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6180999PMC
September 2018
8 Reads

Surgical Approach for Hypoplastic Mirror Circumflex Aortic Arch.

Ann Thorac Surg 2018 Oct 22. Epub 2018 Oct 22.

Pediatric Cardiology, Royal Hospital for Children Glasgow, Scotland.

Surgical approach for mirror-form of circumflex aortic arch with a long-segment hypoplasia is described. Instead of "uncrossing" the arch, posterior aortic translocation aorta is required for the mirror-form. These surgical strategies addressed all the associated patho-mechanisms: (i) relief of vascular ring, (ii) removal of posterior arch compression on the trachea, and (iii) correct any arch obstruction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.athoracsur.2018.08.080DOI Listing
October 2018

Sinus arrest with prolonged asystole due to the trigeminocardiac reflex during application of local anaesthetic in the nasal mucosa.

BMJ Case Rep 2018 Oct 16;2018. Epub 2018 Oct 16.

Faculty of Medicine, University of Zurich, Zurich, Switzerland.

The trigeminocardiac reflex (TCR) is defined as a sudden onset of parasympathetic dysrhythmias during stimulation of the trigeminal nerve. We describe a peripheral variation of TCR during manipulation of the nasal mucosa. A 42-year-old patient suffering from severe obstructive sleep apnoea was scheduled for surgical treatment. Read More

View Article

Download full-text PDF

Source
http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22642
Publisher Site
http://dx.doi.org/10.1136/bcr-2018-226427DOI Listing
October 2018
9 Reads

Minimally invasive treatment of sino-nasal aspergillosis in dogs.

J Vet Intern Med 2018 Nov 16;32(6):2069-2073. Epub 2018 Oct 16.

Hospital for Small Animals, University of Edinburgh, Edinburgh, EH25 9RG, United Kingdom.

Background: Sino-nasal aspergillosis is a common nasal disease in dogs. Recommended treatment protocols typically involve trephination of the frontal sinuses or the use of an antifungal solution instilled into the frontal sinus under anesthesia, both of which have associated morbidity and complications.

Objectives: To assess a minimally-invasive topical treatment protocol for sino-nasal aspergillosis in dogs. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/jvim.15311
Publisher Site
http://dx.doi.org/10.1111/jvim.15311DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6271301PMC
November 2018
21 Reads

Comparison of Endoscopic Versus Microsurgical Resection of Pituitary Adenomas with Parasellar Extension and Evaluation of the Predictive Value of a Simple 4-Quadrant Radiologic Classification.

World Neurosurg 2019 Jan 9;121:e769-e774. Epub 2018 Oct 9.

Department of Neurosurgery, Università degli Studi "G. D'Annunzio", Pescara, Italy.

Background: The amount of parasellar extension is a known limitation for gross total resection (GTR) of pituitary adenomas. Endoscopic technique seems to improve resection of adenomas extending laterally. Knosp classification is used to evaluate the extent of parasellar invasion: increasing Knosp grades correspond with lower rates of GTR. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2018.09.215DOI Listing
January 2019
3 Reads

Minimally invasive injection laryngoplasty in the management of unilateral vocal cord paralysis after video-assisted mediastinal lymph adenectomy.

Wideochir Inne Tech Maloinwazyjne 2018 Sep 22;13(3):388-393. Epub 2018 May 22.

Department of Thoracic Surgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.

Introduction: Video-assisted mediastinal lymphadenectomy (VAMLA) is a valuable tool for invasive staging of the mediastinum. Unilateral vocal cord paralysis (UVCP) may occur in patients following VAMLA and may result in secretion retention within the lungs, atelectasis and associated infectious situations such as pneumonia. Minimally invasive injection laryngoplasty (ILP) is the treatment of choice in UVCP. Read More

View Article

Download full-text PDF

Source
https://www.termedia.pl/doi/10.5114/wiitm.2018.75886
Publisher Site
http://dx.doi.org/10.5114/wiitm.2018.75886DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174176PMC
September 2018
3 Reads

Role of Lignocaine Nebulization as an Adjunct to Airway Blocks for Awake Fiber-Optic Intubation: A Comparative Study.

Anesth Essays Res 2018 Jul-Sep;12(3):735-741

Department of Anaesthesia, RUHS College of Medical Sciences, Jaipur, Rajasthan, India.

Context: Airway management is a crucial skill and area of concern for the anesthesiologist. Awake fiber-optic intubation (AFOI) remains the gold standard in managing difficult airway. Anaesthetizing the airway along with psychological assurance is the mainstay for Preparation of AFOI. Read More

View Article

Download full-text PDF

Source
http://www.aeronline.org/text.asp?2018/12/3/735/240865
Publisher Site
http://dx.doi.org/10.4103/aer.AER_112_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6157241PMC
October 2018
22 Reads

Clinical features and management of antrochoanal polyps in children: Cues from a clinical series of 58 patients.

Int J Pediatr Otorhinolaryngol 2018 Nov 29;114:87-91. Epub 2018 Aug 29.

ENT Department, University Hospital of Ferrara, Italy.

Objective: To review the clinical features of pediatric patients affected by antrochoanal polyps (ACPs) and surgically treated at three University settings.

Methods: Retrospective study. The present research includes the clinical data of subjects affected by ACPs, aged <18 years and referred to three ENT Departments, between January 1st 2003 and September 30th 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijporl.2018.08.033DOI Listing
November 2018
7 Reads

Cushing's reflex secondary to neck haematoma following thyroidectomy.

BMJ Case Rep 2018 Sep 25;2018. Epub 2018 Sep 25.

Nuclear Medicine Division, Radiotherapy, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Neck haematoma following thyroid surgery can present with respiratory distress which is generally attributed to airway obstruction. We recently had a 63-year-old female patient who underwent total thyroidectomy for toxic nodular goitre. However, within 4 hours of surgery, she developed sudden respiratory distress which was managed by prompt evacuation of the neck haematoma. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-226639DOI Listing
September 2018
5 Reads

A 2-Year Follow-up Study of an Absorbable Implant to Treat Nasal Valve Collapse.

Facial Plast Surg 2018 Oct 18;34(5):545-550. Epub 2018 Sep 18.

Department of Otorhinolaryngology, Head and Neck Surgery, Ludwig Maximilian University of Munich, Munich, Germany.

The safety and effectiveness of an absorbable implant for lateral cartilage support have been recently demonstrated in subjects with nasal valve collapse (NVC) at 12 months postprocedure. This follow-up study aimed to assess whether the safety and effectiveness of the implant persist in these patients for 24 months after the procedure. Thirty subjects with Nasal Obstruction Symptom Evaluation (NOSE) score ≥ 55 and isolated NVC were treated; 14 cases were performed in an operating suite under general anesthesia and 16 cases were performed in a clinic-based setting under local anesthesia. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1672213
Publisher Site
http://dx.doi.org/10.1055/s-0038-1672213DOI Listing
October 2018
16 Reads

The Smell of Hypoxia: using an electronic nose at altitude and proof of concept of its role in the prediction and diagnosis of acute mountain sickness.

Physiol Rep 2018 Sep;6(17):e13854

University College London Centre for Altitude Space and Extreme Environment (CASE) Medicine, UCLH NIHR Biomedical Research Centre, Institute of Sport and Exercise Health, London, United Kingdom.

Electronic nose (e-nose) devices may be used to identify volatile organic compounds (VOCs) in exhaled breath. VOCs generated via metabolic processes are candidate biomarkers of (patho)physiological pathways. We explored the feasibility of using an e-nose to generate human "breathprints" at high altitude. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.14814/phy2.13854DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6125242PMC
September 2018
1 Read

Transnasal Endoscopic Removal of a Knife Causing Penetrating Brain Injury in a Child.

J Craniofac Surg 2018 Oct;29(7):e694-e695

Department of Otorhinolaryngology, Konya Research and Education Hospital, University of Health Sciences, Konya, Turkey.

Transnasal penetrating brain injuries are rare and a medical emergency, which needs to be treated promptly. A 4-year-old male patient was brought to our emergency room with a knife sticking out of his nose. The patient was immediately taken to the operating room and the knife was removed under general anesthesia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000004940DOI Listing
October 2018
16 Reads

Dacryocystorhinostomy with a thulium:YAG laser-a case series.

Ear Nose Throat J 2018 Aug;97(8):E39-E42

Department of Head and Neck Surgery, Kaiser Permanente Medical Center, 450 6th Ave., 2nd Floor, San Francisco, CA 94118, USA.

We conducted a retrospective chart review of 27 patients-7 men and 20 women, aged 47 to 94 years (mean: 71.3)-with symptomatic epiphora secondary to dacryostenosis who had undergone thulium: YAG (Tm:YAG) laser dacryocystorhinostomy (DCR). Among them, dacryostenosis had been documented in 35 eyes by dacryocystography. Read More

View Article

Download full-text PDF

Source
August 2018
21 Reads

Perioperative local anaesthesia for reducing pain following septal surgery.

Cochrane Database Syst Rev 2018 08 23;8:CD012047. Epub 2018 Aug 23.

Department of Otolaryngology, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, Okayama, Japan, 710-8602.

Background: Septal surgery is a well-established procedure used to treat nasal obstruction due to deviation of the nasal septum, which is carried out under local or general anaesthesia. Local anaesthesia is used for postoperative pain control, but its effectiveness and safety are unclear.

Objectives: To assess the effectiveness of perioperative local anaesthesia for reducing pain in septal surgery and to evaluate the risk of associated complications. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/14651858.CD012047.pub2DOI Listing
August 2018
10 Reads

European position paper on drug-induced sleep endoscopy: 2017 Update.

Clin Otolaryngol 2018 Dec 30;43(6):1541-1552. Epub 2018 Sep 30.

Head and Neck Department, AUSL of Romagna, ENT & Oral Surgery Unit, Morgagni-Pierantoni Hospital, Forlì, Italy.

Background: The first edition of the European position paper (EPP) on drug-induced sleep endoscopy (DISE) was published in 2014 with the aim to standardise the procedure, to provide an in-depth insight into the main aspects of this technique and to have a basis for future research. Since 2014, new studies have been published concerning new sedative agents or new insights into the pattern/levels of the obstruction depending on the depth of sedation. Therefore, an enlarged group of European experts in the field of sleep breathing disorders (SBD), including the most of the first DISE EPP main authors, has decided to publish an update of the European position paper on DISE, in order to include new evidence and to find a common language useful for reporting the findings of this endoscopic evaluation in adult population affected by SBD. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/coa.13213
Publisher Site
http://dx.doi.org/10.1111/coa.13213DOI Listing
December 2018
35 Reads

Association between children's emotional/behavioral problems before adenotonsillectomy and postoperative pain scores at home.

Paediatr Anaesth 2018 09 5;28(9):803-812. Epub 2018 Aug 5.

Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC - Sophia Children's Hospital, Rotterdam, The Netherlands.

Background: Children undergoing adenotonsillectomy are at risk of severe postoperative pain and sleep problems. Little is known about the specific child risk factors for these problems.

Aims: The aim of this study was to assess the occurrence of postoperative pain, sleep problems, and medication adherence, and assess the influence of internalizing and externalizing problems on postoperative pain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13450DOI Listing
September 2018
2 Reads

Cost-effectiveness of anesthesia maintained with sevoflurane or propofol with and without additional monitoring: a prospective, randomized controlled trial.

BMC Anesthesiol 2018 Jul 28;18(1):100. Epub 2018 Jul 28.

Department of Otorhinolaryngology, University of Pécs, Medical School, Pécs, Hungary.

Background: We compared cost-effectiveness of anesthesia maintained with sevoflurane or propofol with and without additional monitoring, in the clinical setting of ear-nose-throat surgery.

Methods: One hundred twenty adult patients were randomized to four groups. In groups SEVO and SEVO+ anesthesia was maintained with sevoflurane, in group SEVO+ with additional bispectral index (BIS) and train-of-four (TOF) monitoring. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12871-018-0563-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064626PMC
July 2018
9 Reads

Histopathological Findings in an Unclassifiable Case of Empty Nose Syndrome with Long-term Follow-up.

Cureus 2018 May 20;10(5):e2655. Epub 2018 May 20.

Department of Neurosurgery and Ent, Division of Ent, Faculty of Medicine, Medical University Varna "Prof. Dr. Paraskev Stoyanov", Varna, BGR.

One of the major components of the functional process in the nasal cavity is taken up by the respiratory epithelium covering the posterior two-thirds of the nasal cavity. Disruption in the cytoarchitectonics and subcellular changes in this epithelium results in a number of functional changes in the nasal cavity. One of the rare and usually iatrogenic disturbances of this type is described in 1996, although noticed and discussed significantly earlier, by Kern and Stenkvist empty nose syndrome (ENS) or secondary atrophic rhinitis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.2655DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6054367PMC
May 2018
11 Reads

Stapes surgery in patients with a small air-bone gap.

Ear Nose Throat J 2018 Jul;97(7):198-212

Department of Otology, The Royal National Throat Nose and Ear Hospital, 330 Gray's Inn Rd., London, WC1X8DA, UK.

The objective of this study was to determine hearing outcomes in patients undergoing stapes surgery with a preoperative air-bone gap (ABG) <21.25 dB. Patients with a unilateral or bilateral preoperative ABG <21. Read More

View Article

Download full-text PDF

Source
July 2018
1 Read

Nasal Potential Difference to Quantify Trans-epithelial Ion Transport in Mice.

J Vis Exp 2018 07 4(137). Epub 2018 Jul 4.

Louvain Center for Toxicology and Applied Pharmacology (LTAP), Institut de Recherche Expérimentale et Clinique (IREC), Université Catholique de Louvain;

The nasal potential difference test has been used for almost three decades to assist in the diagnosis of cystic fibrosis (CF). It has proven to be helpful in cases of attenuated, oligo- or mono-symptomatic forms of CF usually diagnosed later in life, and of CF-related disorders such as congenital bilateral absence of vas deferens, idiopathic chronic pancreatitis, allergic bronchopulmonary aspergillosis, and bronchiectasis. In both clinical and preclinical settings, the test has been used as a biomarker to quantify responses to targeted therapeutic strategies for CF. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3791/57934DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6124602PMC
July 2018
9 Reads

The comparison of single-dose preemptive intravenous ibuprofen and paracetamol on postoperative pain scores and opioid consumption after open septorhinoplasty: a randomized controlled study.

Eur Arch Otorhinolaryngol 2018 Sep 18;275(9):2259-2263. Epub 2018 Jul 18.

Department of Anesthesiology and Reanimation, Erzurum Regional Training and Research Hospital, Erzurum, Turkey.

Purpose: Septorhinoplasty is performed in combination with septoplasty and rhinoplasty operations and is characterized by severe postoperative pain. The aim of this study is to evaluate preemptive effects of intravenous (IV) ibuprofen and IV paracetamol on opioid consumption and pain scores after open septorhinoplasty.

Methods: The study included 150 patients who had undergone elective open septorhinoplasty. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00405-018-5065-6DOI Listing
September 2018
3 Reads

[Amyloidosis in larynx].

Ugeskr Laeger 2018 Jul;180(29)

Localised laryngeal amyloidosis is a rare tumour of the upper respiratory tract, which is characterised by extra-cellular accumulation of proteinaceous material in the submucosa. The aetiology is still unclear. This is a case report of localised multifocal amyloidosis located to larynx and rhinopharynx. Read More

View Article

Download full-text PDF

Source
July 2018
2 Reads

Intra and interobserver agreement of narrow band imaging for the detection of head and neck tumors.

Eur Arch Otorhinolaryngol 2018 Sep 17;275(9):2349-2354. Epub 2018 Jul 17.

Department of Otorhinolaryngology, Hospital Clínic, Villarroel 170, 08036, Barcelona, Catalunya, Spain.

Background: Narrow band imaging (NBI) in combination with white light endoscopy (WLE) has improved the accuracy for the diagnosis and follow-up of head and neck carcinomas by identifying changes in the vascular patterns of the mucosa. However, NBI evaluation is explorer-dependent and may be influenced by the learning curve. The aim of this study is to assess the intra and interobserver agreement of NBI and WLE at the office, under local anaesthesia, by either experienced or non-experienced observers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00405-018-5063-8DOI Listing
September 2018
1 Read

Prolonged Intubation Injuries of the Larynx: Endoscopic Diagnosis, Classification, And Treatment.

Authors:
Bruce Benjamin

Ann Otol Rhinol Laryngol 2018 Aug;127(8):492-507

Ear, Nose and Throat Department, Royal North Shore Hospital, and the Ear, Nose and Throat Department, Royal Alexandra Hospital for Children, Sydney, Australia.

Laryngeal trauma from prolonged endotracheal intubation occurs in patients of all ages. Most changes are superficial and heal quickly. Injuries that are found consistently during intubation include nonspecific changes, edema, granulation tissue, ulceration, and othermiscellaneous injuries. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0003489418790348DOI Listing
August 2018
3 Reads

Adenoid Cystic Carcinoma of the Maxillary Sinus with Isolated Trigeminal Anesthesia.

S D Med 2018 Jul;71(7):294-298

Department of Pathology, University of South Dakota Sanford School of Medicine.

Adenoid cystic carcinoma (ACC) is a rare malignant secretory gland tumor. It is characterized by slow growth, long clinical course, local recurrences, and distant metastases. In the sinonasal tract, it most commonly arises in the maxillary sinus. Read More

View Article

Download full-text PDF

Source
July 2018
15 Reads

Acute presentation of a partially obstructing laryngeal tumour: adjuvant agents to gaseous induction of anaesthesia.

BMJ Case Rep 2018 Jul 12;2018. Epub 2018 Jul 12.

Anaesthetics, Royal Derby Hospital, Derby, UK.

We present the case of a 53-year-old man who attended our emergency department with stridor. He had recently undergone investigation for possible glottic cancer. We discuss the airway management of such a case. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-224700DOI Listing
July 2018
10 Reads

Sevoflurane anesthesia during pregnancy in mice induces hearing impairment in the offspring.

Drug Des Devel Ther 2018 22;12:1827-1836. Epub 2018 Jun 22.

Department of Otorhinolaryngology, Shanghai Eye, Ear, Nose, and Throat Hospital, Fudan University, Shanghai 200031, People's Republic of China.

Introduction: Exposure to gamma-aminobutyric acid-mimetics and N-methyl-D-aspartate-receptor antagonists during pregnancy may lead to hearing loss and long-term behavioral abnormalities in the offspring. The purpose of this study was to explore the association between prenatal exposure to sevoflurane (SEV) anesthesia and hearing impairment in mice.

Materials And Methods: On gestational day 15, pregnant Kunming mice were exposed for 2 hours to 2. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2147/DDDT.S156040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020999PMC
October 2018
1 Read

Transsphenoidal Surgery for Elderly Patients with Acromegaly and Its Outcomes: Comparison with Younger Patients.

World Neurosurg 2018 Oct 30;118:e229-e234. Epub 2018 Jun 30.

Department of Neurosurgery, Graduate School of Medical Science, Kanazawa University, Ishikawa, Japan.

Background: Elderly patients with acromegaly who have comorbidities may increasingly encounter perioperative complications; however, little data are available on the risks and outcomes of surgical treatment in these patients. We aimed to analyze and compare the results of transnasal transsphenoidal surgery (TTS) in elderly and younger patients.

Methods: Eighty-seven consecutive patients with acromegaly who underwent TTS were included. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2018.06.165DOI Listing
October 2018
6 Reads

The Comparison of the Efficacy and Safety of Midazolam, Ketamine, and Midazolam Combined with Ketamine Administered Nasally for Premedication in Children.

Anesth Essays Res 2018 Apr-Jun;12(2):489-494

Department of Anesthesiology, University of Health Sciences, Ümraniye Training and Research Hospital, Istanbul, Turkey.

Background: In this prospective, randomized study, we evaluated the intranasal administration of Midazolam ketamine combination, midazolam, and ketamine in premedication for children.

Material And Methods: We studied 60 American Society of Anesthesiology physical status Classes I and II children aged between 1 and 10 years undergoing ear nose throat operations. All cases were premedicated 15 min before operation with intranasal administration of 0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/aer.AER_80_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020593PMC

Prospective Observational Investigation of Capnography and Pulse Oximetry Monitoring After Cesarean Delivery With Intrathecal Morphine.

Anesth Analg 2018 Jun 28. Epub 2018 Jun 28.

Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California.

Background: Intrathecal morphine provides excellent analgesia after cesarean delivery; however, respiratory events such as apnea, bradypnea, and hypoxemia have been reported. The primary study aim was to estimate the number of apneas per subject, termed "apnea alert events" (AAEs) defined by no breath for 30-120 seconds, using continuous capnography in women who underwent cesarean delivery.

Methods: We performed a prospective, observational study with institutional review board approval of women who underwent cesarean delivery with spinal anesthesia containing 150-µg intrathecal morphine. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1213/ANE.0000000000003503DOI Listing
June 2018
6 Reads