Otolaryngologia polska. The Polish otolaryngology
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Case Reports
Pneumomediastinum and emphysema in a case of a soft bronchial foreign body aspiration in a child. A case report.
Foreign body aspiration is a frequent cause of hospitalization in pediatric ENT units. Pneumomediastinum and subcutaneous emphysema are possible complications of tracheobronchoscopy with foreign body removal, but it is rare, that the foreign body causes the complications itself. The authors present a very rare case of a soft bronchial foreign body aspiration in a child with such complications.
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Comparative Study
[Use of isotonic NaCl solution in patients with acute rhinosinusitis].
The mucous membrane of the nose and paranasal sinuses has several important physiological functions. Inflammation of the nose and paranasal sinuses impairs filtration, humidification and warming of the inhaled air. It also affects the beating of cilia and the mucociliary clearance within the nose and lumen of the sinuses. The result is impairment of the mechanism by which the removal of the stagnant pathological discharge from the paranasal sinuses and of foreign matter (environmental pollutants) from the nasal mucosa would be otherwise effected. The use of special products to cleanse the nasal mucosa may considerably improve its function. Day-to-day ENT practice offers evidence of beneficial effects of nasal douching with isotonic sea water solutions. Products which cleanse nasal mucosa are now used as an adjunct to treatment of rhinosinusitis and rhinitis co-existing with nasal polyps. ⋯ The findings of the present study support the investigators' opinion that the isotonic solution (0.9% NaCl) should be recommended for nasal douching may be a valuable adjunct to the standard medical treatment of acute rhinosinusitis.