Miscellaneous conditions

Author(s):  
Patricia Sylla

Airway obstruction 432 Foreign bodies (FBs) 434 Stridor 438 Epistaxis (non-traumatic) 439 Urticaria and angioedema 440 Dizzyness/'vertigo' 441 Sore throat 442 Drugs and dressings commonly used in head and neck surgery 444 The upper airway is at risk when the following findings are present: •...

Anaesthesia ◽  
2000 ◽  
Vol 55 (3) ◽  
pp. 290-291 ◽  
Author(s):  
S. Bonner ◽  
M. Taylor

1995 ◽  
Vol 113 (3) ◽  
pp. 262-265 ◽  
Author(s):  
Frank L. Rimell ◽  
Andrew M. Shapiro ◽  
David L. Shoemaker ◽  
Margaret A. Kenna

Beckwith-Wiedemann syndrome is a congenital disorder manifested by organomegaly, omphalocele, hypoglycemia, and macroglossia. We have found a significant number of these children to be at risk for upper airway obstruction during infancy or childhood. In this review of 13 children, 2 required tracheotomy during infancy for cor pulmonale caused by macroglossia. Seven of nine children older than 1 year required tonsillectomy and adenoidectomy to relieve upper airway obstruction. Although macroglossia can be a cause of airway obstruction in infants with Beckwith-Wiedemann syndrome, we have found that airway obstruction during childhood is related to tonsillar and adenoidal hypertrophy and not to macroglossia. Anterior tongue reduction is reserved for the correction of malocclusion, articulation errors, or cosmesis, whereas tonsillectomy and adenoidectomy may be curative of obstructive symptoms.


2020 ◽  
pp. 019459982093874 ◽  
Author(s):  
Jane Y. Tong ◽  
Luke J. Pasick ◽  
Daniel A. Benito ◽  
Robert T. Sataloff

Objective Surgical lasers are used extensively in head and neck surgery. Laser use in the upper airway offers many advantages but also presents risks to patients and operators that are not reported comprehensively. This study aims to summarize device malfunctions, patient complications, and subsequent interventions related to laser use in the upper airway. Methods The US Food and Drug Administration’s Manufacturer and User Facility Device Experience database was queried for reports of surgical laser adverse events from January 2010 to March 2020. Data were extracted from reports pertaining to the upper airway. Results Sixty-two reports involving upper airway laser use in an operating room were identified, from which 95 events were extracted. Of these, 40 (42.1%) were adverse events to patients, 2 (2.1%) adverse events to operators, and 53 (55.8%) device malfunctions. Dislodgement of laser fiber in the airway (23 [57.5%]), burn (8 [20%]), and scar (5 [12.5%]) were the most common adverse events to patients. Two incidents of eye exposure through unfiltered microscope lenses were the only adverse events to operators. Fiber break (26 [49.1%]) and flare (12 [22.6%]) were the most common device malfunctions. Discussion Surgical lasers have demonstrated utility in head and neck surgery but are associated with risks. This study discusses adverse events and device malfunctions associated with airway laser surgery and emphasizes shortcomings in current reporting. Implications for Practice Standardized reporting and multi-institutional research are needed to better understand adverse events related to surgical laser use and to allow accurate estimation of their prevalence.


2018 ◽  
Vol 29 (7) ◽  
pp. e723-e726 ◽  
Author(s):  
Yefeng Ji ◽  
Hongbing Jiang ◽  
Linzhong Wan ◽  
Hua Yuan

e-CliniC ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Illan P. Wallah ◽  
Steward K. Mengko ◽  
R. E.C. Tumbel

Abstract: Ingested foreign bodies are one of the most common emergencies in Ear, Nose and Throat (ENT)-Head and Neck Surgery that can be found in all ages throughout the world. Ingested foreign bodies can usually be lodged in oropharynx, hypopharynx, or esophagus. This study was aimed to describe the profile of pharyngeal and esophageal foreign body patients in the Department of ENT-Head and Neck Surgery Prof. Dr. R. D. Kandou Hospital Manado in the period of January 2014-December 2016. This was a descriptive retrospective study. Samples were patients recorded in the register book and the medical record database which from their history, physical examination and diagnostic investigation were firstly diagnosed as pharyngeal or esophageal foreign body. Variables in this study were gender, age, type of foreign body, location of foreign body, and treatment success rate. The results showed that there were 25% of pharyngeal foreign bodiy cases and 75% of esophageal foreign body cases. Most cases were males (57.3%), age ≥51 years (25.3%) and 0-10 years (24.0%). The most common types of foreign bodies found were bones and dentures, each of 25 cases. The most common location written was in general. Conclusion: In foreign body cases of ENT-Head and Neck Surgery, esophageal foreign body cases were more common compared to pharyngeal foreign body cases.Keywords: foreign bodies, pharynx, esophagus Abstrak: Benda asing yang tertelan merupakan salah satu kegawatdaruratan bidang THT-KL yang tersering dan dapat ditemukan pada semua usia di seluruh dunia. Benda asing yang tertelan biasanya dapat tersangkut pada orofaring, hipofaring atau esofagus. Penelitian ini bertujuan untuk menguraikan profil penderita benda asing faring esofagus di Bagian/KSM THT-KL RSUP Prof. Dr. R. D. Kandou Manado pada periode Januari 2014 – Desember 2016. Jenis penelitian ialah retrospektif deskriptif. Sampel ialah pasien yang tercatat pada buku register dan database rekam medis yang dari anamnesis, pemeriksaan fisik dan penunjang terdiagnosis sebagai benda asing faring esofagus pertama kali di Bagian/KSM THT-KL RSUP Prof. Dr. R. D. Kandou Manado pada periode pengamatan. Variabel penelitian ini ialah jenis kelamin, umur, jenis benda asing, lokasi benda asing, dan tingkat keberhasilan penanganan. Terdapat 25% kasus benda asing faring dan 75% kasus benda asing esofagus. Kasus benda asing lebih sering terjadi pada jenis kelamin laki-laki (57,3%), usia ≥51 tahun (25,3%) dan 0-10 tahun (24,0%). Jenis benda asing yang tersering ditemukan ialah tulang dan gigi palsu, masing-masing 25 kasus. Penulisan lokasi paling sering ialah secara umum. Simpulan: Pada kasus benda asing THT-KL dalam periode pengamatan tiga tahun ini, kasus benda asing esofagus lebih sering ditemukan dibanding kasus benda asing faring.Kata kunci: benda asing, faring, esofagus


2016 ◽  
Vol 21 (2) ◽  
pp. 102-109
Author(s):  
Md Abdur Rahman ◽  
Mesbah Uddin Ahmed ◽  
Md Abdullah Al Harun ◽  
Mohammad Harun OR Rashid ◽  
MA Kalam Prodhan

Objectives: To evaluate 113 cases of nasal foreign body removal with regard to type of foreign body, location, complications, techniques for removal, age , genderand to present the results of theevaluation.Methods: Between April 2009 to May 2011, a total of 113 nasal foreign bodies were attended inOutpatient Department ofENT, Head and Neck Surgery in Sir Salimullah Medical College, MitfordHospital,Dhaka. A retrospective reviewwas undertaken to evaluate the parameters related to the nasal foreign body and their removal and the data wereanalyzed.Results:113 cases of nasal foreign bodies were attended in Outpatient department of ENT, Head and Neck Surgery in Sir Salimullah Medical College, Mitford Hospital, Dhaka. Of these 113 cases, 101cases were removed in outpatient department and 12 cases were admitted and were removed under general anaesthesia. We found higher incidence in patients between ages 2 and 5 years. The distribution of nasal foreign body was 44.25% in male and 55.75% in female.Conclusion:Nasal foreign bodies are encountered daily in our routine clinical practice in the pediatric age group. General anaesthesia is required in uncooperative agitated patients or impacted foreign body to avoid complications.Button batteries and penetrating foreign body must be treated immediately.Bangladesh J Otorhinolaryngol; October 2015; 21(2): 102-109


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