scholarly journals Ear, Nose and Throat Emergencies and Anesthesia

2015 ◽  
Vol 7 (1) ◽  
pp. 28-34
Author(s):  
Tushar Bawankar
Keyword(s):  
Difficult Intubation ◽  
Foreign Bodies ◽  
Acute Onset ◽  
Team Work ◽  
Inhalational Induction ◽  
Emergency Procedures ◽  
Parapharyngeal Abscess ◽  
Emergency Tracheostomy ◽  
Deep Neck Space Infections ◽  
Nose And Throat

ABSTRACT Ear, nose and throat (ENT) emergency procedures demand significant anesthetic challenges. Variety of emergency conditions like deep neck space infections (Ludwig's angina, retropharyngeal, parapharyngeal abscess), acute onset of stridor, epiglottitis, laryngotracheobronchitis, inhaled foreign bodies, facial injuries, etc. are a challenge to both the surgeon and the anesthesiologist and communication and cooperation is vital. Priority in emergency is to clear and secure the airway and consider requirement of ‘shared airway’. Preferred anesthesia and airway technique include awake flexible fiberoptic (FOB) guided intubation in cooperative patients’ and an inhalational induction in uncooperative patient or tracheostomy. Anticipation, vigilance, readiness for difficult intubation, emergency tracheostomy and team work is essential while managing ENT emergency procedures. How to cite this article Harde M, Bawankar T, Bhadade R. Ear, Nose and Throat Emergencies and Anesthesia. Int J Otorhinolaryngol Clin 2015;7(1):28-34.

scholarly journals Foreign Body Aspiration in Northern Ghana: A Review of Pediatric Patients

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Theophilus Adjeso ◽  
Michael Chanalu Damah ◽  
James Patrick Murphy ◽  
Theophilus Teddy Kojo Anyomih
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Foreign Body Aspiration ◽  
Northern Ghana ◽  
Emergency Tracheostomy ◽  
Body Location ◽  
The Right ◽  
High Index Of Suspicion ◽  
Tamale Teaching Hospital ◽  
Nose And Throat

Background. Foreign body (FB) aspiration requires a high index of suspicion for diagnosis and prompt management to avoid morbidity and mortality. This retrospective study was conducted to review pediatric foreign body aspiration at the Ear, Nose and Throat (ENT) Unit of the Tamale Teaching Hospital (TTH). Materials and Methods. The theater records of children managed for foreign body aspiration from January 2010 to December 2016 at the ENT Unit of TTH were retrieved and data summarized with respect to age, gender, indications for bronchoscopy, nature of foreign body, location of foreign body, and outcome of the bronchoscopy procedure. Results. A total of 33 children were managed within the five-year study period and comprised 16 (48.5%) males and 17 (51.5%) females. The commonly aspirated FBs were groundnuts (13, 39.4%) and metallic objects (7, 21.1%). The peak incidence occurred in children aged ≤ 3 years. The foreign bodies (FBs) were commonly localized to the right (24.2%) and left (24.2%) main bronchi, respectively. One patient had emergency tracheostomy for failed bronchoscopy. Conclusion. Groundnuts were the most commonly aspirated foreign body with most of the FBs localized in the bronchi.

scholarly journals Dysphagia in a Young Man

2020 ◽  
Vol 12 (3) ◽  
pp. 410-415
Author(s):  
Jing-Hwa Wey ◽  
Jin-Er Lee ◽  
Kwang-Hwa Chang ◽  
Yen-Nung Lin ◽  
Wen-Kuei Chung
Keyword(s):  
Aseptic Meningitis ◽  
Multidisciplinary Approach ◽  
Body Weight Gain ◽  
Oropharyngeal Dysphagia ◽  
Acute Onset ◽  
Team Work ◽  
Optimal Outcome ◽  
Significant Weight Loss ◽  
Videofluoroscopic Swallowing Study ◽  
Laryngeal Muscles

This case report presents oropharyngeal dysphagia due to oromandibular and cervical dystonia, a rare consequence of aseptic meningitis. A 19-year-old male who was diagnosed with aseptic meningitis visited the rehabilitation outpatient clinic for a sense of foreign body in his throat and odynophagia. Repetitive involuntary movements of his facial, tongue, and laryngeal muscles accompanied by lateroanterior torticollis were observed. Videofluoroscopic swallowing study showed inefficient bolus formation due to repetitive rolling of his tongue and vallecular stasis without penetration or aspiration. Dysphagia and odynophagia had brought the patient significant weight loss and frustration. We provided swallowing training to improve the efficiency and safety of swallowing. The patient’s symptoms improved gradually along with body weight gain and emotional stability. Acute-onset oropharyngeal dysphagia is devastating for young adults. A multidisciplinary approach is mandatory for optimal outcome. We share our experience as a team work and emphasize the rehabilitation aspect.

scholarly journals Foreign bodies in the ear, nose, and throat in Japan: association with sociocultural and geographical conditions

2020 ◽  
Vol 123 (11) ◽  
pp. 1337-1338
Author(s):  
Ryohei Oya ◽  
Arata Horii ◽  
Atsuhiko Uno ◽  
Yoshiaki Kawasaki ◽  
Hidenori Inohara
Keyword(s):  
Foreign Bodies ◽  
Nose And Throat

scholarly journals Tracheo-bronchial foreign bodies: our experience at a tertiary care hospital

2016 ◽  
Author(s):  
Shashidhar S. Suligavi ◽  
Mallikarjun N. Patil ◽  
S. S. Doddamani ◽  
Chandrashekarayya S. Hiremath ◽  
Afshan Fathima
Keyword(s):  
Foreign Body ◽  
Early Diagnosis ◽  
Foreign Bodies ◽  
Tertiary Care ◽  
Case Series ◽  
Team Work ◽  
Care Hospital ◽  
Retrospective Case ◽  
Presenting Symptoms ◽  
Case Series Study

<p class="abstract"><strong><span lang="EN-US">Background:</span></strong>Tracheo- bronchial foreign bodies have always posed a challenge to the ENT surgeon as they present with varied symptomatology ranging from a simple cough and fever to more grave respiratory distress. It requires a strong suspicion, early diagnosis and timely intervention to reduce the overall morbidity and mortality .This study was undertaken to highlight our experiences in handling cases of tracheo- bronchial foreign bodies (FB) at our setup.</p><p class="abstract"><strong><span lang="EN-US">Methods:</span></strong>It is a retrospective case series study conducted in S. Nijalingappa Medical College between January 2011 and January 2015.  </p><p class="abstract"><strong><span lang="EN-US">Results:</span></strong>Most commonly affected were children between 1year to 3years of age. Chronic cough and wheeze were the commonest presenting symptoms. Vegetative foreign body was found to be the commonest variety of foreign body. The mortality rate in our study was 4.7% (n=3).</p><p class="abstract"><strong><span lang="EN-US">Conclusions:</span></strong>A good clinical acumen, team work, early diagnosis and timely intervention are all needed to reduce the overall mortality and morbidity associated with tracheo- bronchial foreign bodies.</p>

Acute tonsillitis and its complications: an overview

2015 ◽  
Vol 101 (1) ◽  
pp. 69-73 ◽  
Author(s):  
A Bartlett ◽  
S Bola ◽  
R Williams
Keyword(s):  
Hospital Admission ◽  
Antimicrobial Treatment ◽  
Basic Knowledge ◽  
Acute Tonsillitis ◽  
Parapharyngeal Abscess ◽  
Adequate Hydration ◽  
Life Threatening ◽  
Supportive Management ◽  
Nose And Throat ◽  
Formation Specific

AbstractAcute tonsillitis may be defined as inflammation of the tonsils, predominantly due to infection. It is part of the spectrum of pharyngitis, which ranges from localised tonsillar infection to generalised infection of the pharynx and commonly affects young healthy adults. Simple sore throats secondary to viral or bacterial pharyngitis are very common and generally do not require hospital admission or antimicrobial treatment. Supportive management in the form of analgesia and adequate hydration is often sufficient. However, there is potential for life-threatening complications to develop, highlighting the need for basic knowledge in the management of these conditions.This article aims to provide an overview of acute tonsillitis and its complications, including peritonsillar and parapharyngeal abscess formation. Specific attention will be given to the pathogenesis, diagnosis, investigation and management of each condition, in particular advising on emergency pre-shore treatment and indications for referral to an Ear, Nose and Throat Department. We will also summarise important guidelines and evidence from the literature to support these management decisions.

ENT emergencies

2019 ◽  
pp. 441-464
Author(s):  
Rogan Corbridge ◽  
Nicholas Steventon
Keyword(s):  
Hearing Loss ◽  
Blood Loss ◽  
Facial Palsy ◽  
Foreign Bodies ◽  
Sudden Hearing Loss ◽  
Severe Epistaxis ◽  
Nose And Throat

This chapter outlines the management of common ear, nose, and throat (ENT) emergencies. The assessment of blood loss and its treatment in the context of severe epistaxis or post-tonsillectomy haemorrhage are detailed. Protocols for dealing with fractured noses, sudden hearing loss, sudden facial palsy, and foreign bodies are discussed.

scholarly journals Clinical spectrum of ear, nose and throat foreign bodies in North Western Nigeria

2016 ◽  
Vol 16 (1) ◽  
pp. 292 ◽  
Author(s):  
Taiwo Olugbemiga Adedeji ◽  
Olusola Ayodele Sogebi ◽  
Sahabi Bande
Keyword(s):  
Foreign Bodies ◽  
Clinical Spectrum ◽  
North Western ◽  
Nose And Throat

scholarly journals Will children ever learn? Removal of nasal and aural foreign bodies: a study of hospital episode statistics

2018 ◽  
Vol 100 (8) ◽  
pp. 632-634 ◽  
Author(s):  
S Morris ◽  
MS Osborne ◽  
AL McDermott
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Hospital Episode Statistics ◽  
Hospital Data ◽  
Foreign Body Removal ◽  
Hospital Episode ◽  
Risk Of Injury ◽  
Adults And Children ◽  
Button Batteries ◽  
Nose And Throat

Introduction Foreign body removal is a common reason for children to attend the emergency department. Generally, aural and nasal foreign bodies are not associated with immediate morbidity unless they are button batteries. There can be consequences of migration and removal. Methods Hospital Episode Statistics for 2010–2016 were used to calculate the number of nasal and aural foreign bodies that have been removed in hospital. Data for adults and children have been compared. Results 8752 nasal and 17,325 aural foreign bodies have been removed from adults and children over the course of 6 years. Children were responsible for 95% of the 8353 nasal and 85% of the 14,875 aural foreign body presentations. Children aged 1–4 years are most at risk of injury. Conclusion Children are more likely to present to hospital than adults with a foreign body in the ear or nose. Aural bodies were more likely to need removal in hospital for both populations. Authors believe that these require identification and removal by an ear, nose and throat specialist to prevent morbidity. The overall number of procedures performed annually in children has not reduced over the study period; an average of 1218 nasal and 2479 aural foreign body removals are performed each year with an annual cost of £2,880,148 to NHS England.

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