Balloon Catheter Dilatation for Treatment of a Patient With Cricopharyngeal Dysfunction After Thermal Burn Injury

AbstractDeglutition disorder is a clinical symptom that has been associated with inhalation and cutaneous thermal burn injuries. Deglutition disorder is present in approximately 11% of patients with burn injury and is known to persist for weeks to months postinjury. Here, we report a case of deglutition disorder associated with cricopharyngeal dysfunction in a patient with thermal burn injury. Two patients presented with deglutition disorder lasting for several weeks after thermal injury. Clinically, it manifested as combined liquid and solid food dysphagia. The findings of videofluoroscopic swallow study (VFSS) were poor relaxation of the pharyngoesophageal sphincter (PES), decreased elevation of the laryngohyoid, and inadequate pharyngeal contraction. The PES was dilated with a 20-mm expansion balloon catheter multiple times. The symptoms of deglutition disorder were relieved immediately after the procedure. Balloon catheter dilatation was performed four times at 1- to 2-week intervals. Follow-up VFSS showed that poor relaxation of the PES was improved. The VFSS showed no recurrence at the 3-month follow-up. We found that balloon catheter dilatation for treatment of a patient with cricopharyngeal dysfunction after thermal burn injury was effective, ease of use, and safe.

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Burns and Electrical Injuries

Mayo Clinic Critical and Neurocritical Care Board Review ◽

10.1093/med/9780190862923.003.0065 ◽

2019 ◽

pp. 409-414

Author(s):

Brandon T. Nokes ◽

Ayan Sen

Keyword(s):

Critical Care ◽

Surface Area ◽

Body Surface ◽

Burn Injury ◽

Total Body Surface Area ◽

Burn Injuries ◽

Burn Severity ◽

Thermal Burn ◽

Total Body ◽

Electrical Injuries

Burn injuries may cause morbidity and death, and patients may have widely variable presentations and outcomes. This chapter focuses on the critical care aspects of burn injury and management issues of burn and electrical injuries. Burns are classified according to the amount of total body surface area (TBSA) affected, the depth of burn, and the type of exposure associated with the burn. More specifically, burns can be chemical, electrical, or thermal. Burn severity is determined by the depth of involvement.

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Thermal burn in a 30 minutes old newborn: Report and two years follow up of the youngest patient with iatrogenic burn injury

10.26226/morressier.594bbebfd462b8028d893f8d ◽

2017 ◽

Author(s):

Georges GHANIME

Keyword(s):

Burn Injury ◽

Thermal Burn

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Role of Autophagy Biomarkers In Burn-Age Estimation and Progression

Academic Forensic Pathology ◽

10.1177/1925362119891705 ◽

2019 ◽

Vol 9 (3-4) ◽

pp. 163-171

Author(s):

Heba A. Yassa ◽

Randa T. Hanna ◽

Hala Zein El Abdin

Keyword(s):

Normal Level ◽

Burn Injury ◽

Burn Injuries ◽

Male Rats ◽

Thermal Burn ◽

Histopathological Effects ◽

Skin Samples ◽

Second Degree

Background: Determination of time passed since burn injury in the living is critical in forensic science. Autophagy biomarkers and vitronectin can play an important role in determination of the age of burn injuries through their levels in the tissue. Objective: The aim of this study was to investigate the role of autophagy biomarkers in dating burn injury and to correlate them with the histopathological effects of deep second-degree thermal burn. Method: Fifty-four male rats were used in this study after infliction of second-degree thermal burns to their skin. Samples were taken from them after 30 minutes and one, four, 24, 48, and 72 hours following burn to be examined histologically and also for autophagy biomarkers and vitronectin. Results: Significant reduction in the autophagy biomarkers (p < 0.001) over the first 24 hours then began to increase but still not reach the normal level up to 72 hours after burn. Vitronectin level increased after burn infliction 1.5-fold after first hour, then up to four-fold after four hours and after that began to decline but still did not reach the normal level up to 72 hours. Conclusion: Autophagy biomarkers can be used as a forensic tool in determination of the time passed since burn infliction in living.

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Balloon Catheter Dilatation for Frontal Sinus Ostium Stenosis in the Office Setting

American Journal of Rhinology ◽

10.2500/ajr.2008.22.3240 ◽

2008 ◽

Vol 22 (6) ◽

pp. 621-624 ◽

Cited By ~ 35

Author(s):

Amber Luong ◽

Pete S. Batra ◽

Samer Fakhri ◽

Martin J. Citardi

Keyword(s):

Frontal Sinus ◽

Balloon Catheter ◽

Case Series ◽

Sinus Surgery ◽

Office Setting ◽

Revision Sinus Surgery ◽

Feasible Alternative ◽

Sinus Ostium ◽

Catheter Dilatation

Background Frontal sinus ostium stenosis (FSOS) is problematic even for expert surgeons. Balloon catheter (BC) technology has been recently introduced to rhinology. The aim of this study is to assess technical feasibility and effectiveness of BC dilatation of FSOS in the office setting. Methods This retrospective, multi-institutional case series describes all patients who underwent BC dilatation of FSOS in the office setting in the year ending December 31, 2007. Results Six adult patients underwent a total of seven BC dilatations of FSOS in the clinical setting. The pretreatment ostium size was 1-2 mm. Four of the dilatations were performed with a 5-mm lacrimal BC (LacriCATH, Quest Medical, Allen, TX) and three dilatations were executed with a 7-mm sinus BC (SinuCATH, Quest Medical). All procedures were performed using topical anesthesia only. No complications occurred. Five of the six dilated FSOS dilatations were deemed successful after one BC dilatation. One ostium contracted >50% and required repeat BC dilatation. All ostia have remained patent with a follow-up range of 4-9 months. No subject has required formal surgical revision. Conclusion This preliminary report describes BC of FSOS in the office setting. The technique may serve as a safe and feasible alternative, potentially avoiding formal revision sinus surgery in select patients.

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Primary cricopharyngeal dysfunction: Treatment with balloon catheter dilatation

Gastrointestinal Endoscopy ◽

10.1067/mge.2001.118442 ◽

2001 ◽

Vol 54 (6) ◽

pp. 767-771 ◽

Cited By ~ 63

Author(s):

Jeno Solt ◽

Judit Bajor ◽

Mariann Moizs ◽

Erzsébet Grexa ◽

Péter Ö. Horváth

Keyword(s):

Balloon Catheter ◽

Cricopharyngeal Dysfunction ◽

Catheter Dilatation

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Balloon Catheter Dilatation of Stenotic Common Bile Duct Anastomoses in the Pig

Acta Radiologica ◽

10.1177/028418518702800123 ◽

1987 ◽

Vol 28 (1) ◽

pp. 115-120

Author(s):

U. Nilsson ◽

L. Ekelund ◽

L.-E. Hammarström ◽

T. Holmin ◽

N. Jonsson

Keyword(s):

Bile Duct ◽

Common Bile Duct ◽

Balloon Dilatation ◽

Thrombus Formation ◽

Balloon Catheter ◽

Percutaneous Transhepatic Cholangiography ◽

Bile Duct Wall ◽

Duct Wall ◽

Catheter Dilatation

Fibrotic stenosing anastomoses of the common bile duct were surgically created in pigs in order to investigate the effects of percutaneous transhepatic balloon catheter dilatation. In a group of 6 animals, not treated with balloon dilatation, percutaneous transhepatic cholangiography and microscopic examination of the stricture were performed 5 to 25 weeks postoperatively. A persistent stenosis and slight to moderate fibrosis of the bile duct wall and peribiliary tissue were observed. In 5 animals the stenotic anastomosis was dilated.4 to 10 weeks postoperatively and this resulted in widening of the stricture and necrosis of the mucosa at the stricture site. Rupture of the fibrotic tissue in the bile duct wall and thrombus formation in the peribiliary veins also occurred in one of these 5 animals. Short-term follow-up in 3 animals 4 to 6 weeks after balloon dilatation showed almost complete fibrotic healing and partial re-stenosis of the anastomoses.

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The Burden of Adverse Childhood Experiences in Children and Those of Their Parents in a Burn Population

Journal of Burn Care & Research ◽

10.1093/jbcr/irab009 ◽

2021 ◽

Author(s):

Jia Ern Ong ◽

Mikenzy Fassel ◽

Laura Scieszinski ◽

Sameen Hosseini ◽

Colette Galet ◽

...

Keyword(s):

Adverse Childhood Experiences ◽

Burn Injury ◽

Burn Injuries ◽

Family Needs ◽

Childhood Experiences ◽

Graded Response ◽

Adverse Childhood ◽

Child Age ◽

Family Distress

Abstract The aim of this study was to determine the prevalence, type, and associations of parental and child adverse childhood experiences (ACEs) in children presenting with burn injuries. Parents of burned children completed an ACE-18 survey, including questions on parent and child ACEs, needs, and resiliency. Demographics, burn injury, hospital course, and follow-up data were collected. Family needs and burn outcomes of children with and without ACEs’ exposure (no ACE vs one to two ACEs vs three or more ACEs) were analyzed. P <.05 was considered significant. Seventy-five children were enrolled—58.7% were male, 69.3% white. The average age was 6.0 ± 5.2 years. The average total burn surface area was 4.4 ± 5.7% (0.1–27%). Parent ACE exposure correlated with child ACE exposure (r = .57; P = .001) and this intensified by increasing child age (P = .004). Child ACE exposure showed a graded response to family needs, including food and housing insecurity and childcare needs. Stress and psychosocial distress of the parents was significantly associated with their children’s ACE burden. The ACE burden of parents of burned children can affect the ACE load of their children. Burned children with more ACEs tend to have significantly more needs and more family distress. Awareness of past trauma can help identify a vulnerable population to ensure successful burn recovery.

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