Auris, nasus, larynx
-
Auris, nasus, larynx · Apr 2012
Acute supraglottitis in adults: what's the optimal airway intervention?
To validate the Friedman stage and define the proper timing for airway intervention in adult cases of acute supraglottitis, we evaluated the clinical courses and management of adult patients. ⋯ The airway intervention threshold should be raised from Friedman stages II-III. And, airway intervention should not be needed if patients are tolerant of their respiratory discomfort.
-
Auris, nasus, larynx · Apr 2012
Clinical impact of iodine staining for diagnosis of carcinoma in situ in the floor of mouth, and decision of adequate surgical margin.
The use of iodine staining has been recommended for the early detection of squamous cell carcinoma (SCC) in the upper aerodigestive tract. The purpose was to verify the effectiveness of iodine staining in detecting early squamous cell carcinoma in the floor of mouth. ⋯ The use of iodine staining as a part of otolaryngological examinations may be beneficial for the early detection of CFOM, including carcinoma in situ and micro-invasive SCC. Moreover, it would be very useful to determine an adequate surgical margin for locally mucosal resection.
-
Auris, nasus, larynx · Feb 2012
Randomized Controlled TrialNasal splinting using silicone plates without gauze packing following septoplasty combined with inferior turbinate surgery.
Nasal packing after septoplasty is uncomfortable and painful for patients. The aim of this study was to determine the efficacy of nasal splinting using silicone plates to prevent complications and decrease the pain after septoplasty compared with the conventional gauze packing. ⋯ The use of silicone plates in lieu of conventional gauze packing decreased post-septoplasty nasal pain and pain due to postoperative cleaning of the nasal cavity. We conclude that nasal splinting using silicone plates after septoplasty is an effective method for managing pain and preventing complications.
-
Auris, nasus, larynx · Dec 2011
Case ReportsTracheoesophageal fistula with tracheal stenosis resulting from retained esophageal foreign body.
Although a foreign body ingestion is common in infants and young children, serious complication such as penetration of the esophagus is a relatively rare event. Delayed diagnosis may result from lack of classical symptoms and history, leading to serious result, even to death. A 2-year-old boy was admitted to the emergency room with dyspnea. ⋯ Chest X-ray and cervical CT scan revealed esophageal foreign body. Intraoperative findings showed a plastic material in the esophagus and tracheoesophageal fistula with tracheal stenosis as a complication of the retained foreign body. Therefore, we should keep in mind that foreign body can present atypical symptoms like respiratory symptoms, especially in infant and young children.
-
Auris, nasus, larynx · Dec 2011
Case ReportsManagement of intraoral needle migration into the posterior cervical space.
Foreign bodies within the deep spaces of the neck pose infrequent but substantial risks involving migration, including infection, pseudoaneurysm formation, pneumothorax, hemopericardium, and embolization to the central circulation. A rare case of foreign body migration through the parapharyngeal space into the posterior cervical space is described from an intraoral needle shard. A 48-year-old male presented with a right neck tenderness, referred otalgia, and intermittent neck twitching after a needle fragment was lost during an inferior alveolar nerve block. ⋯ Sharp foreign bodies in the head and neck introduce an uncommon but high-impact risk of complications. Migration is often unpredictable in trajectory and time course. Early surgical removal is recommended for persistent symptoms, sustained migration, and localization to sites with critical structures.