Geriatric Otolaryngology

2021 ◽  
Author(s):  
Christian Caceres ◽  
Kourosh Parham
Keyword(s):  
Obstructive Sleep Apnea ◽  
Hearing Loss ◽  
Sleep Apnea ◽  
Head And Neck ◽  
Malignant Neoplasms ◽  
Geriatric Syndromes ◽  
Healthcare Needs ◽  
Age Related ◽  
Obstructive Sleep ◽  
Age Related Hearing Loss

With increasing life expectancy, the unique healthcare needs of the older patient are being better appreciated. To address these growing needs, which differ from those of the average adult patient, otolaryngologists must acquire new knowledge and competencies. This chapter provides a broad overview of geriatric otolaryngology and highlights subspecialty topics where otolaryngologists are called upon to administer care. These include age-related hearing loss, balance disorders, sinonasal disease, voice and swallowing disorders, obstructive sleep apnea and head and neck cancer. Geriatric concerns in each of these specific areas have to be addressed in the broader context of geriatric syndromes in coordination with geriatricians or other geriatric-trained providers to advance an integrated, team-based approach to maintaining or restoring the older patients’ well-being. This review contains 3 figures, 2 tables and 161 references Keywords: Cognitive decline, delirium, frailty, age-related hearing loss, presbystasis, presbylarynx, immunosenecense, presbynasalis, vasomotor rhinitis, chronic sinusitis, age-related oflactory decline, dysphagia, head and neck malignant neoplasms, obstructive sleep apnea, geriatric syndromes and perioperative optimization.

Geriatric Otolaryngology

2021 ◽  
Author(s):  
Christian Caceres ◽  
Kourosh Parham
Keyword(s):  
Obstructive Sleep Apnea ◽  
Hearing Loss ◽  
Sleep Apnea ◽  
Head And Neck ◽  
Malignant Neoplasms ◽  
Geriatric Syndromes ◽  
Healthcare Needs ◽  
Age Related ◽  
Obstructive Sleep ◽  
Age Related Hearing Loss

With increasing life expectancy, the unique healthcare needs of the older patient are being better appreciated. To address these growing needs, which differ from those of the average adult patient, otolaryngologists must acquire new knowledge and competencies. This chapter provides a broad overview of geriatric otolaryngology and highlights subspecialty topics where otolaryngologists are called upon to administer care. These include age-related hearing loss, balance disorders, sinonasal disease, voice and swallowing disorders, obstructive sleep apnea and head and neck cancer. Geriatric concerns in each of these specific areas have to be addressed in the broader context of geriatric syndromes in coordination with geriatricians or other geriatric-trained providers to advance an integrated, team-based approach to maintaining or restoring the older patients’ well-being. This review contains 3 figures, 2 tables and 161 references Keywords: Cognitive decline, delirium, frailty, age-related hearing loss, presbystasis, presbylarynx, immunosenecense, presbynasalis, vasomotor rhinitis, chronic sinusitis, age-related oflactory decline, dysphagia, head and neck malignant neoplasms, obstructive sleep apnea, geriatric syndromes and perioperative optimization.

Obstructive Sleep Apnea Syndrome and Age-Related Hypogonadism

2018 ◽  
Vol 49 (1) ◽  
pp. 64-68
Author(s):  
I. M. Madaeva ◽  
O. N. Berdina ◽  
N. V. Semenova ◽  
V. V. Madaev ◽  
L. V. Rychkova ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Sleep Apnea Syndrome ◽  
Age Related ◽  
Obstructive Sleep ◽  
Apnea Syndrome

scholarly journals Obstructive Sleep Apnea as an Acceleration Trigger of Cellular Senescence Processes through Telomere Shortening

2021 ◽  
Vol 22 (22) ◽  
pp. 12536
Author(s):  
Szymon Turkiewicz ◽  
Marta Ditmer ◽  
Marcin Sochal ◽  
Piotr Białasiewicz ◽  
Dominik Strzelecki ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Circadian Clock ◽  
Chronic Inflammation ◽  
Cellular Senescence ◽  
Molecular Mechanisms ◽  
Telomere Shortening ◽  
Age Related ◽  
Obstructive Sleep

Obstructive sleep apnea (OSA) is chronic disorder which is characterized by recurrent pauses of breathing during sleep which leads to hypoxia and its two main pathological sequelae: oxidative stress and chronic inflammation. Both are also associated with cellular senescence. As OSA patients present with higher prevalence of age-related disorders, such as atrial hypertension or diabetes mellitus type 2, a relationship between OSA and accelerated aging is observable. Furthermore, it has been established that these OSA are associated with telomere shortening. This process in OSA is likely caused by increased oxidative DNA damage due to increased reactive oxygen species levels, DNA repair disruptions, hypoxia, chronic inflammation, and circadian clock disturbances. The aim of the review is to summarize study outcomes on changes in leukocyte telomere length (LTL) in OSA patients and describe possible molecular mechanisms which connect cellular senescence and the pathophysiology of OSA. The majority of OSA patients are characterized by LTL attrition due to oxidative stress, hypoxia and inflammation, which make a kind of positive feedback loop, and circadian clock disturbance.

High Prevalence of Obstructive Sleep Apnea among Patients with Head and Neck Cancer

2005 ◽  
Vol 34 (05) ◽  
pp. 304 ◽  
Author(s):  
Richard J. Payne ◽  
Michael P. Hier ◽  
Karen M. Kost ◽  
Martin J. Black ◽  
Anthony G. Zeitouni ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Head And Neck Cancer ◽  
Sleep Apnea ◽  
Head And Neck ◽  
Neck Cancer ◽  
Obstructive Sleep ◽  
High Prevalence

scholarly journals Management of Obstructive Sleep Apnea Syndrome in Obese Children

2013 ◽  
Vol 1 (3) ◽  
Author(s):  
Vina Rosalina ◽  
Maria Mexitalia ◽  
Dwi Wastoro
Keyword(s):  
Obstructive Sleep Apnea ◽  
Hearing Loss ◽  
Sleep Apnea ◽  
Conductive Hearing Loss ◽  
Severe Hypertension ◽  
Sleep Apnea Syndrome ◽  
Obese Children ◽  
Obstructive Sleep ◽  
Apnea Syndrome ◽  
Conductive Hearing

Background : Obstructive Sleep Apnea Syndrome (OSAS) is strongly associated with obesity. The common presenting complaints are excessive daytime sleepiness and loud snoring which potential for significant comorbidity of metabolic syndrome and decreasing in quality of life. Case : An 11-year-old obese boy was refereed to Dr. Kariadi Hospital with complaints of fatique and frontal headache. His mother reported the loud snoring, apneic events during the night, excessive daytime sleepiness, increased irritability, and difficulty of school learning. Imaging studies showed cardiomegaly, adenoidal/nasopharyngeal ratio 0.714; opaque mass on cervical and airway space narrowing. Tympanometric audiogram showed mild right conductive hearing loss. The patient was diagnosed with OSAS, chronic and hypertrophic adenotonsillitis, severe hypertension, dilated right ventricle, right conductive hearing loss, obesity. The boy was undergone adenotonsillectomy and management of weight lossed. Antihipertensive and other supportive medication were given and good results. Discussion : The recommended initial treatment, even in obese children, consists of surgical removal of the adenoids and tonsils.5,6 Several studies have shown that adenotonsillectomy reverses the symptoms and confirm the beneficial effects for OSAS on children's growth, school performance, improvements in PSG, behavior, QoL and cardiac function. The success rate for adenotonsillectomy in the context of OSA was approximately 85%. Conclusion : Adenotonsillectomy and weight reduction is considered to be the primary intervention for OSAS children. Because the case had also severe hypertension, antihypertensive and other supportive medicine were give and had a good result. Keywords : OSAS, obesity, children, adenotonsillectomy  

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