scholarly journals An Exploratory Study on the Treatment of Obstructive Apnea-Hypopnea Syndrome by Nasal Cavity Expansion

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Ling He ◽  
Zhijin Lin
Keyword(s):  
Nasal Cavity ◽  
Nasal Congestion ◽  
Upper Airway ◽  
Effective Rate ◽  
Cavity Expansion ◽  
Upper Respiratory Tract ◽  
Obstructive Apnea ◽  
Upper Respiratory ◽  
Hypopnea Syndrome ◽  
Objective Indicators

Background. Respiratory disorder is a disease with a very high incidence, in which obstructive apnea-hypopnea syndrome is the most harmful. It has become a common and frequently occurring disease, which seriously influences the health of the affected population. The pathogenesis of obstructive sleep apnea/hypopnea syndrome (OSAHS) is numerous. With the continuous research on OSAHS disease, it has been found that one of its main pathogeneses is caused by the anatomical characteristics of upper airway obstruction induced during sleep. The narrowing and collapse of any plane can affect the ventilation of the upper respiratory tract. In recent years, with the deepening of research, the importance of the upper respiratory tract obstruction as a source of the disease has attracted increasing attention. Nasal stenosis can cause increased nasal resistance, increased pharyngeal inhalation negative pressure, soft palate collapse, and narrow pharyngeal cavity, resulting in open mouth breathing, which can be the initiating factor of the upper airway obstruction. With the development and popularization of nasal endoscopy technology, domestic and foreign scholars have reported more on the treatment of rhinogenic OSAHS with nasal cavity expansion, but they are different. There is still more controversy; the main controversy centered on the effective rate of surgical treatment and the improvement of objective indicators. Therefore, this study performed individualized nasal cavity expansion for patients with OSAHS who are mainly rhinogenic, from subjective symptoms, objective indicators, and effective rate of surgery. Methods and Patients. Conduct research and analysis to provide references for the clinical treatment of such patients. For patients with the obstructive apnea-hypopnea syndrome with nasal congestion, individualized nasal cavity expansion was performed to study the clinical effect of nasal cavity expansion in the treatment of OSAHS. This article mainly screens cases through big data and selects a large hospital in China to perform individualized nasal cavity expansion surgery to treat 43 adult OSAHS patients with nasal congestion. Results. There are uploaded sleep monitoring, nasal reflex, nasal resistance, and nasal symptoms before and after surgery. Conclusion. Spirometer examination records, along with apnea-hypopnea index and minimum arterial blood oxygen saturation, the minimum cross-sectional area of the nasal cavity, nasal cavity volume, nasal airway resistance, total nasal respiratory volume, and other information. Also we fill in the nasal obstruction symptom assessment scale, sleepiness scale, and study and analyze the surgical effect of nasal cavity expansion.

Changes in the parameters of nasal breathing and parameters of the upper respiratory tract during orthognathic operations in patients with II and III skeletal class of jaw anomalies

2020 ◽  
pp. 22-27
Author(s):  
S.Sh. Gammadaeva ◽  
M.I. Misirkhanova ◽  
A.Yu. Drobyshev
Keyword(s):  
Respiratory Tract ◽  
Nasal Cavity ◽  
Nasal Septum ◽  
Cross Sectional Area ◽  
Upper Respiratory Tract ◽  
Sectional Area ◽  
Nasal Breathing ◽  
Cross Sectional ◽  
Skeletal Class ◽  
Upper Respiratory

The study analyzed the functional parameters of nasal breathing, linear parameters of the nasal aperture, nasal cavity and nasopharynx, volumetric parameters of the upper airways in patients with II and III skeletal class of jaw anomalies before and after orthognathic surgery. The respiratory function of the nose was assessed using a rhinomanometric complex. According to rhinoresistometry data, nasal resistance and hydraulic diameter were assessed. According to the data of acoustic rhinometry, the minimum cross-sectional area along the internal valve, the minimum cross-sectional area on the head of the inferior turbinate and nasal septum and related parameters were estimated. According to the CBCT data, the state of the nasal septum, the inferior turbinates, the nasal aperture, the state of the nasal cavity, and the linear values of the upper respiratory tract (nasopharynx) were analyzed. The patients were divided into 4 groups according to the classification of the patency of the nasal passages by

Photography and the flexible fibreoptic rhinolaryngoscope

1986 ◽  
Vol 100 (1) ◽  
pp. 41-46 ◽  
Author(s):  
J. M. Lancer
Keyword(s):  
Respiratory Tract ◽  
Nasal Cavity ◽  
Upper Respiratory Tract ◽  
Pathological Anatomy ◽  
Medical Practitioners ◽  
Upper Respiratory

SummaryDocumentation of normal and pathological anatomy is important to all medical practitioners. The ability to visualize and photograph the upper respiratory tract has been revolutionized by the advent of the flexible fibreoptic rhinolaryngoscope (FFRL), which demonstrates a one-instrument capability for the examination and photodocumentation of the ears, nasal cavity, nasopharynx, larynx, hypopharynx and trachea (Selkin, 1984). If a large natural maxillary ostium, or surgical window, is present, the antrum may also be examined.

scholarly journals Complex treatment of diseases of the nasal cavity and paranasal sinuses at the present time

2021 ◽  
pp. 134-139
Author(s):  
V. M. Svistushkin ◽  
K. V. Eremeeva
Keyword(s):  
Nasal Cavity ◽  
Paranasal Sinuses ◽  
Clinical Symptoms ◽  
Local Treatment ◽  
Silver Ions ◽  
Upper Respiratory Tract ◽  
Drug Induced ◽  
High Incidence ◽  
Upper Respiratory ◽  
Pain Symptoms

The search for rational treatment of diseases of the nasal cavity and paranasal sinuses is due to the high incidence among the world's population. Despite the absolutely clear recommendations that would seem to greatly facilitate the choice and scope of therapy, it is extremely important to have a differentiated approach to each patient, depending on age, concomitant pathology, the nature of the course of the disease, the severity of clinical, primarily pain symptoms, and the presence of rhinogenic complications. Differential diagnosis of viral and bacterial acute rhinosinusitis (ARS) allows to avoid unreasonable prescription of antibiotics in the former case and choose therapy in such a way as to help relieve clinical symptoms, timely cure the disease and prevent complications. A systematic review of the literature was conducted with the analysis of scientific research data on the evaluation of the effectiveness of protargol or silver proteinate in the local treatment of upper respiratory tract diseases. A review of studies shows that silver proteinate has astringent, antiseptic and anti-inflammatory effects. The spectrum of antimicrobial action of silver is much wider than many antibiotics and sulfonamides. At the same time, pathogenic microflora is more sensitive to silver ions than non-pathogenic microflora. The analysis of the works also demonstrates the absence of adverse reactions when using this drug. The obtained data allow us to recommend preparations based on silver proteinate as a complex therapy for acute and chronic diseases of the nasal cavity and nasopharynx. The vasoconstrictive effect of protargol allows it to be used as an alternative to decongestants in order to avoid the development of drug-induced rhinitis and tachyphylaxis. Sialor® is a new, convenient, affordable, longer-shelf-life form of silver proteinate.

scholarly journals Preventive and therapeutic role of nasal irrigation in management of acute respiratory disease during COVID-19 pandemic and beyond

2021 ◽  
pp. 58-64
Author(s):  
V. M. Svistushkin ◽  
Zh. T. Mokoyan
Keyword(s):  
Respiratory Tract ◽  
Nasal Cavity ◽  
Distribution Area ◽  
Upper Respiratory Tract ◽  
Saline Irrigation ◽  
Nasal Irrigation ◽  
Wide Range ◽  
Upper Respiratory ◽  
Nasal Saline Irrigation ◽  
Tract Infections

It has long been known, that nasal saline irrigation is a safe and effective method, which is routinely prescribed by otorhinolaryngologists to prevent and to treat a wide range of pathologies. There are a lot of publications on different irrigation techniques and methods. This literature review discusses the key parameters of nasal irrigation, including tonicity, pH, and the additional components, and explains how they affect the effectiveness of the procedure. The vast majority of available publications did not found any possible changes in the effectiveness of solutions with different pH close to neutral meaning. Whereas, the volume of the irrigated solution, increases the efficiency of the irrigation in direct proportion. Thus, the largest distribution area of the solute is noted when washing with a large volume of liquid. Nasal saline irrigation is an effective treatment option for patients with several acute and chronic diseases and for postoperative care after rhinosurgery. Moreover, nasal irrigation might be used as an effective non-specific method for prevention of acute upper respiratory tract infections. Irrigation of the nasal cavity reduces the mucus viscosity and promotes its faster elimination, along with pathogens fixed in it. Additionally, irrigation with isotonic saline solutions increases the hydration of the underlying water base, which enhances the frequency of ciliary beat and reduces the concentration of local inflammatory mediators. COVID-19 pandemic situation due to lack of any specific antiviral drugs dictates the necessity of an effective non-specific preventive option, which could be introduced worldwide. The so-called full volume lavage of the nasal cavity allows for better cleaning of the nasal cavity and effective moisturizing of the mucous membrane. It is the timely cleansing and moisturizing that are most important for maintaining the normal activity of the local protective mechanisms of the upper respiratory tract.

Stridor

2018 ◽  
pp. 63-66
Author(s):  
Sean Donovan ◽  
Heidi Cordi
Keyword(s):  
Respiratory Distress ◽  
Symptom Control ◽  
Upper Airway ◽  
Upper Respiratory Tract ◽  
Short Time Period ◽  
Time Period ◽  
Mucosal Edema ◽  
Upper Respiratory ◽  
Nebulized Epinephrine ◽  
Short Time

This case illustrates acute respiratory distress in pediatric patient populations. More specifically, it highlights signs of upper airway obstruction, including stridor. This type of presentation most frequently occurs with croup, also known as laryngotracheobronchitis, but can also occur in other pathologic conditions, which are briefly discussed. Croup is a viral infection that causes upper respiratory tract symptoms, including a harsh “seal-like” barking cough, secondary to mucosal edema in the upper airway. Significant swelling can cause respiratory distress with development of stridor, prompting treatment with nebulized epinephrine. In addition, steroid medication is often administered for longer term symptom control. Most children recover well in a relatively short time period.

scholarly journals Friend or Foe: Interbacterial Competition in the Nasal Cavity

2020 ◽  
Author(s):  
Britney L. Hardy ◽  
D. Scott Merrell
Keyword(s):  
Immune System ◽  
Nasal Cavity ◽  
Human Body ◽  
Molecular Mechanisms ◽  
Upper Respiratory Tract ◽  
Competition And Cooperation ◽  
Age Dependent ◽  
Upper Respiratory ◽  
Physical And Chemical ◽  
Nasal Microbiota

Like other microbes that live on or in the human body, the bacteria that inhabit the upper respiratory tract, in particular the nasal cavity, have evolved to survive in an environment that presents a number of physical and chemical challenges; these microbes are constantly bombarded with nutritional fluctuations, changes in humidity, the presence of inhaled particulate matter (odorants, allergens), and competition with other microbes. Indeed, only a specialized set of species are able to colonize this niche and successfully contend with the host's immune system and the constant threat from competitors. To this end, bacteria that live in the nasal cavity have evolved a variety of approaches to outcompete contenders for the limited nutrients and space; broadly speaking, these strategies may be considered a type of ‘bacterial warfare’. A greater molecular understanding of bacterial warfare has the potential to reveal new approaches or molecules that can be developed as novel therapeutics. As such, there are many studies within the last decade that have sought to understand the complex polymicrobial interactions that occur in various environments. Herein, we review what is currently known about the age-dependent structure and interbacterial relationships within the nasal microbiota and summarize the molecular mechanisms that are predicted to dictate bacterial warfare in this niche. Though the currently described interactions are complex, in reality we have likely only scratched the surface in terms of a true understanding of the types of interbacterial competition and cooperation that are thought to take place in and on the human body.

scholarly journals Upper airway reactivity and upper respiratory tract infection: effect of nebulized lidocaine

1999 ◽  
Vol 82 (6) ◽  
pp. 857-860 ◽  
Author(s):  
A P Hall ◽  
A J Fox ◽  
J H Raphael ◽  
N Nandwani ◽  
G Smith
Keyword(s):  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Upper Airway ◽  
Upper Respiratory Tract Infection ◽  
Upper Respiratory Tract ◽  
Airway Reactivity ◽  
Upper Respiratory

scholarly journals Bacterial Phosphorylcholine Decreases Susceptibility to the Antimicrobial Peptide LL-37/hCAP18 Expressed in the Upper Respiratory Tract

2000 ◽  
Vol 68 (3) ◽  
pp. 1664-1671 ◽  
Author(s):  
Elena S. Lysenko ◽  
Jane Gould ◽  
Robert Bals ◽  
James M. Wilson ◽  
Jeffrey N. Weiser
Keyword(s):  
Cell Surface ◽  
Respiratory Tract ◽  
Antimicrobial Peptide ◽  
Membrane Lipids ◽  
Upper Airway ◽  
Phase Variable ◽  
Upper Respiratory Tract ◽  
Epithelial Surface ◽  
Host Membrane ◽  
Upper Respiratory

ABSTRACT A number of pathogens of the upper respiratory tract express an unusual prokaryotic structure, phosphorylcholine (ChoP), on their cell surface. We tested the hypothesis that ChoP, also found on host membrane lipids in the form of phosphatidylcholine, acts so as to decrease killing by antimicrobial peptides that target differences between bacterial and host membranes. In Haemophilus influenzae, ChoP is a phase-variable structure on the oligosaccharide portion of the lipopolysaccharide (LPS). There was a bactericidal effect of the peptide LL-37/hCAP18 on a nontypeableH. influenzae strain, with an increasing selection for the ChoP+ phase as the concentration of the peptide was raised from 0 to 10 μg/ml. Moreover, constitutive ChoP-expressing mutants of unrelated strains showed up to 1,000-fold-greater survival compared to mutants without ChoP. The effect of ChoP on resistance to killing by LL-37/hCAP18 was dependent on the salt concentration and was observed only when bacteria were grown in the presence of environmental choline, a requirement for the expression of ChoP on the LPS. Further studies established that there is transcription of the LL-37/hCAP18 gene on the epithelial surface of the human nasopharynx in situ and inducible transcription in epithelial cells derived from the upper airway. The presence of highly variable amounts of LL-37/hCAP18 in normal nasal secretions (<1.2 to >80 μg/ml) was demonstrated with an antibody against this peptide. It was concluded that ChoP alters the bacterial cell surface so as mimic host membrane lipids and decrease killing by LL-37/hCAP18, an antimicrobial peptide that may be expressed on the mucosal surface of the nasopharynx in bactericidal concentrations.

Measurement of Local Mass Transfer Coefficients in a Cast Model of the Human Upper Respiratory Tract

1986 ◽  
Vol 108 (1) ◽  
pp. 12-18 ◽  
Author(s):  
L. M. Hanna ◽  
P. W. Scherer
Keyword(s):  
Mass Transfer ◽  
Respiratory Tract ◽  
Nasal Cavity ◽  
Upper Respiratory Tract ◽  
Transfer Coefficients ◽  
Mass Transfer Coefficients ◽  
Local Mass ◽  
Local Mass Transfer ◽  
Cast Model ◽  
Upper Respiratory

Local mass transfer coefficients measured using the naphthalene sublimation technique in an acrylic cast model of the human upper respiratory tract are reported as the Sherwood numbers for the corresponding regions. A steady air flow rate of 12 L per min was used for all measurements. Values of the Sherwood number are seen to be highest in the nasal cavity and proximal nasopharynx while a minimum value occurs just downstream from the larynx. Local values of the Nusselt number obtained in the trachea and proximal nasal cavity assuming a complete heat and mass transfer analogy agree well with in-vivo physiological measurements. The mass transfer coefficients found can be incorporated into an analytical model of respiratory heat and water vapor transfer or into a model of pollutant gas uptake in the respiratory tract.

Computational Analysis of Fiber Dynamics in Human Nasal Cavity

2020 ◽  
Author(s):  
Jiawei Ma ◽  
Jiyuan Tu ◽  
Lin Tian ◽  
Goodarz Ahmadi
Keyword(s):  
Nasal Cavity ◽  
Transport Processes ◽  
Upper Respiratory Tract ◽  
Governing Equations ◽  
Aspect Ratios ◽  
Model Predictions ◽  
Fiber Dynamics ◽  
Upper Respiratory ◽  
Rotational Motions ◽  
Insight Into

Abstract Elongated particles, such as asbestos and mineral fibers, are considered severe inhalation hazards due to their ability to penetrate into the deep lung. Frequently the dynamic behavior of the fibrous particles is attributed to their unique needle-like geometry. Therefore, understanding the interactions of the inhaled elongated particles with the airflow environment is of great significance. In this study, the transport and deposition of elongated micro-fibers in a realistic human nasal cavity is investigated numerically. The motion of the micro-fiber is resolved by solving the system of equations governing its coupled translational and rotational motions. The governing equations included the drag, the hydrodynamic torques that were evaluated using the Jeffrey model. The influence of the shear lift force was also included in these simulations. The no-slip wall boundary condition for airflow in the airways was used. Since the surface of airways is covered with mucus, when a fiber touches the surface, it was assumed to be deposited with no rebound. The study allows a close look at the non-spherical particle-flow dynamics with respect to the translation, rotation, coupling, and how the rotation affects the particle’s macroscopic transport and deposition properties. A series of simulations for different microfiber diameters and aspect ratios were performed. The simulation results are compared with the existing experimental data, and earlier computational model predictions and good agreements were obtained. The present study also seeks to provide additional insight into the transport processes of microfibers in the upper respiratory tract.

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