Coexistence of Upper Airway Obstruction and Primary and Secondary Enuresis Nocturna in Children and the Effect of Surgical Treatment for the Resolution of Enuresis Nocturna

Objective.The aim of this study is to investigate the coexistence of upper airway obstruction (UAO) and primary enuresis nocturna (PEN) and secondary enuresis nocturna (SEN) in children. Besides, the efficacy of surgery on resolution of enuresis nocturna is evaluated.Materials and Methods.The children with PEN and SEN were included in the first group and investigated for UAO in the Department of Otorhinolaryngology. During the same period, children who had been planned for an operation to treat UAO over 5 years old were included in the second group and were evaluated in the Department of Urology for PEN and SEN before the operation.Results.A hundred patients completed the study (50 patients in Group 1, 50 patients in Group 2). According to the otolaryngologic examination, 20 of 25 PEN patients and 9 of 25 SEN patients also had UAO. The difference was statistically different (P<0.05). The second group consisted of fifty patients on the surgery list for upper airway obstructive pathologies. Coexistence of PEN and SEN is found in 12 and 3 of children, respectively. These ratios were statistically significant (P<0.05). The improvement rate of PEN and SEN after operation in the second group was 83.3% and 33.3%, respectively. The difference was statistically significant (P<0.05).Conclusion.There is a strong relationship between PEN and UAO, but it cannot be declared for SEN patients. UAO should be kept in mind as a possible etiologic factor for PEN.

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Mouth and nose resistance in newborn kittens and puppies

Journal of Applied Physiology ◽

10.1152/jappl.1981.51.3.641 ◽

1981 ◽

Vol 51 (3) ◽

pp. 641-645 ◽

Cited By ~ 7

Author(s):

J. P. Mortola ◽

J. T. Fisher

Keyword(s):

Mechanical Properties ◽

Airway Obstruction ◽

Flow Rate ◽

Muscle Tone ◽

Upper Airway ◽

Upper Airway Obstruction ◽

Upper Airways ◽

Airway Patency ◽

The Difference ◽

Adult Cats

Newborn mammals, including infants, have difficulties in mouth breathing when the nasal passages are occluded. In this study we examined the possibility that differences in the passive mechanical properties of the upper airways could fully explain this behavior. Steady inspiratory flows through the upper airways in anesthetized supine newborn kittens and puppies resulted in upper airway obstruction, even at flows less than those occurring during resting breathing, suggesting that in the unanesthetized condition muscle tone plays an important role in maintaining upper airway patency. Mouth (Rm) and nose (Rn) resistances have been measured during steady expiratory flows with nostrils closed and mouth passively open or nostrils open and mouth closed. In all the newborns, Rn was substantially smaller than Rm. In contrast, the Rn/Rm in adult dogs is greater than unity. In adult cats Rn/Rm is above or below unity depending upon the flow rate, but the ratio is always larger than in newborn kittens. The difference between newborns and adults is entirely due to the small Rn of the newborn, as Rm is not greater in the newborn than in the adult. We conclude that the obligatory nose breathing behavior of newborns is not fully explained by the passive mechanical properties of the upper airways.

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Nasopharyngeal Tuberculosis in a Patient Presenting With Upper Airway Obstruction

Philippine Journal of Otolaryngology Head and Neck Surgery ◽

10.32412/pjohns.v25i1.653 ◽

2010 ◽

Vol 25 (1) ◽

pp. 20-22

Author(s):

Cristina S. Nieves ◽

Rubiliza D. Onofre ◽

Fortuna Corazon A. Aberin-Roldan ◽

Rene Louie C. Gutierrez

Keyword(s):

Case Report ◽

Airway Obstruction ◽

Rare Case ◽

Upper Airway ◽

Upper Airway Obstruction ◽

Government Hospital ◽

Keywords Tuberculosis ◽

Design Case ◽

The Difference ◽

Nasopharyngeal Masses

Objective: To report a rare case of upper airway obstruction from multiple pharyngeal masses due to nasopharyngeal tuberculosis in a 22-year-old male. Methods: Design: Case Report Setting: Tertiary Government Hospital Patient: One Result: A 22-year-old Filipino male with upper airway obstruction from multiple pharyngeal masses was diagnosed to have nasopharyngeal tuberculosis by histopathology. He improved after six months of anti-tuberculosis medications. Conclusion: Tuberculosis should not be overlooked in the differential diagnoses of nasopharyngeal masses because of the difference in its management, and swift and adequate cure, compared to other nasopharyngeal pathologies. Keywords: tuberculosis, nasopharynx, mycobacteria, hypopharyngeal mass, upper airway obstruction

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Enuresis Nocturna and the Symptoms of Upper Airway Obstruction in Primary School Age Children : Is There a Relationship ?

World Family Medicine Journal/Middle East Journal of Family Medicine ◽

10.5742/mewfm.2014.92541 ◽

2014 ◽

Vol 12 (7) ◽

pp. 4-9 ◽

Cited By ~ 1

Author(s):

Doganer Yusuf Cetin ◽

Aydogan Umit ◽

Ashfaq Tabinda ◽

Burmaoglu Serhat ◽

Sari Oktay ◽

...

Keyword(s):

Primary School ◽

Airway Obstruction ◽

Upper Airway ◽

Upper Airway Obstruction ◽

School Age Children ◽

School Age ◽

Enuresis Nocturna ◽

Primary School Age

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Retrospective Analysis of Pediatric Tracheostomy

Advances in Otolaryngology ◽

10.1155/2014/848262 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Mehmet Akdag ◽

Zeynep Baysal ◽

Ayfer Gozu Pirinccioglu ◽

Aylin Gul ◽

Fazıl Emre Ozkurt ◽

...

Keyword(s):

Airway Obstruction ◽

Patient Population ◽

Chart Review ◽

Genetic Diseases ◽

Upper Airway ◽

Retrospective Chart Review ◽

Upper Airway Obstruction ◽

Prolonged Intubation ◽

Significant Difference ◽

The Difference

Purpose. This paper reviews analyses for tracheostomy within our patient population over the last 6 years. Methods. We conducted a retrospective chart review of consecutive patients undergoing tracheostomy at the tertiary Dicle University Medical hospital, Turkey, from January 2006 to December 2012. Patient age, sex, emergency, planned tracheostomy, indications, complications, and decannulation time were all assessed. Results. Fifty-six (34 male, 22 female) adult Pediatric patients undergoing tracheostomy between 2006 and 2013 were investigated. The most common indication for tracheostomy was upper airway obstruction (66.7%), followed by prolonged intubation (33.3%). Mean decannulation times after tracheostomy ranged between 1 and 131 days, the difference being statistically significant (P=0.040). There was no significant difference in terms of mean age (9.8±6.0; P=0.26). There was also no statistical difference between emergency and planned tracheotomies (P=0.606). Conclusion. In our patient population, there was a significant decline in the number of tracheotomies performed for prolonged intubation and an increasing number of patient tracheostomy for upper airway obstruction. According to the literature, permanent decannulation rates were slightly higher with an increase in genetic diseases such as neuromuscular disease.

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