Summary of ‘Intranasal corticosteroids for nasal airway obstruction in children with moderate to severe adenoidal hypertrophy’, including tables of key findings and quality of included trials

2009 ◽  
Vol 4 (3) ◽  
pp. 1187-1189
Author(s):  
L. Zhang ◽  
R. A. Mendoza-Sassi ◽  
J. A. César ◽  
N. K. Chadha ◽  
E. C. van Dalen ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Nasal Airway ◽  
Intranasal Corticosteroids ◽  
Adenoidal Hypertrophy

scholarly journals Improving the quality of assessment and management of nasal trauma in a major trauma centre (MTC): Queen Elizabeth Hospital, Birmingham

2019 ◽  
Vol 8 (4) ◽  
pp. e000632
Author(s):  
Apoorva Khajuria ◽  
Max Sallis Osborne ◽  
Lisha McClleland ◽  
Sandip Ghosh
Keyword(s):  
Airway Obstruction ◽  
Queen Elizabeth Hospital ◽  
Facial Trauma ◽  
Junior Doctors ◽  
Trauma Patients ◽  
Nasal Airway ◽  
Pdsa Cycle ◽  
Major Trauma Centre ◽  
Nasal Trauma

BackgroundNasal fractures present in 39% of patients with facial trauma. These patients are assessed in the emergency department followed by outpatient review in the senior house officer-led emergency ear, nose and throat (ENT) clinic. Inadequate treatment of nasal trauma can result in debilitating functional and aesthetic problems. Inexperienced junior doctors may be apprehensive in assessing nasal trauma resulting in time pressured clinics and suboptimal management.MeasuresA retrospective review of clinical noting over 3 months was carried out to gauge the extent of the problem. Three baseline measurements for satisfactory quality of assessments included: (1) 3/5 key symptoms elicited by the clinician (epistaxis, rhinorrhoea, nasal airway obstruction, dental malocclusion and diplopia). (2) Presence/absence of ‘septal haematoma’ (SH) and ‘deviated nasal septum’ (DNS) documented. (3) Patient follow-up within 2 weeks after the initial injury. Three Plan-Do-Study-Act (PDSA) cycles were conducted with implementation of interventions (proforma, clinic poster, patient information leaflet and training) as visualised in our ‘driver diagram’.ResultsThe quality of nasal trauma assessments improved following each intervention. There was an increase from 86% to 100% patients being seen within 2 weeks of the injury. There was an improvement in quality of assessments following the teaching as two-thirds (PDSA cycle 2) followed by 100% (PDSA cycle 3) of clinical documentation included ‘rhinorrhoea’ and 83% (PDSA cycle 2) to 100% (PDSA cycle 3) included ‘nasal airway obstruction’. Similarly, two thirds (PDSA cycle 2) followed by 100% (PDSA cycle 3) examined and documented the presence/absence of SH and DNS. A 100% improvement in trainee confidence was reported. We are now conducting more comprehensive assessments of nasal trauma patients.ConclusionThe need to provide relevant training and support to ENT junior doctors is crucial in their development, as well as to ensure delivery of high-quality patient-centred care.

PEDIATRIC ADENOIDAL HYPERTROPHY AND NASAL AIRWAY OBSTRUCTION: REDUCTION WITH AQUEOUS NASAL BECLOMETHASONE

PEDIATRICS ◽  
1996 ◽  
Vol 98 (2) ◽  
pp. 327-328
Author(s):  
James M. Tracy ◽  
Roger H. Kobayashi
Keyword(s):  
Airway Obstruction ◽  
Nasal Airway ◽  
Adenoidal Hypertrophy

Significant reductions in adenoidal hypertrophy and nasal airway obstructive symptoms followed administration of aqueous nasal beclomethasone.

Quality of Life Assessment in Nasal Airway Obstruction

2003 ◽  
Vol 113 (7) ◽  
pp. 1118-1122 ◽  
Author(s):  
John S. Rhee ◽  
David T. Book ◽  
Mary Burzynski ◽  
Timothy L. Smith
Keyword(s):  
Quality Of Life ◽  
Airway Obstruction ◽  
Life Assessment ◽  
Nasal Airway ◽  
Quality Of Life Assessment

scholarly journals MP-AzeFlu in Moderate-to-Severe Allergic Rhinitis: A Literature Review

2021 ◽  
pp. 1-10
Author(s):  
Ludger Klimek ◽  
William E. Berger ◽  
Jean Bousquet ◽  
Paul K. Keith ◽  
Peter Smith ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Allergic Rhinitis ◽  
Fluticasone Propionate ◽  
Treatment Options ◽  
Symptomatic Disease ◽  
Intranasal Corticosteroids ◽  
Need For Treatment ◽  
Ocular Symptoms ◽  
Symptom Complex

Allergic rhinitis (AR) is prevalent, and many patients present with moderate-to-severe symptomatic disease. The majority of patients are not satisfied with their AR treatment, despite the use of concurrent medications. These gaps underscore the need for treatment with more effective options for moderate-to-severe AR. The authors’ objective was to review systematically the efficacy and safety of MP-AzeFlu for the treatment of AR. The primary outcomes studied were nasal, ocular, and total symptoms. Other outcomes included time to onset and of AR control, quality of life, and safety. Searches of PubMed and Cochrane databases were conducted on May 14, 2020, with no date restrictions, to identify publications reporting data on MP-AzeFlu. Clinical studies of any phase were included. Studies were excluded if they were not in English, were review articles, did not discuss the safety and efficacy of MP-AzeFlu for AR symptoms. Treatment of AR with MP-AzeFlu results in effective, sustained relief of nasal and ocular symptoms, and faster onset and time to control compared with intranasal azelastine or fluticasone propionate. Long-term use of MP-AzeFlu was safe, with benefits in children, adults, and adults aged ≥65 years. Other treatment options, including fluticasone propionate and azelastine alone or the combination of intranasal corticosteroids and oral antihistamine, do not provide the same level of efficacy as MP-AzeFlu in terms of rapid and sustained relief of the entire AR symptom complex. Furthermore, MP-AzeFlu significantly improves patient quality of life. MP-AzeFlu is a currently available combination that may satisfy all these patient needs and expectations.

scholarly journals The Deviated Nose and the Nasal Airway

1979 ◽  
Vol 72 (11) ◽  
pp. 848-851
Author(s):  
A G D Maran
Keyword(s):  
Airway Obstruction ◽  
Experimental Work ◽  
Septal Cartilage ◽  
Nasal Airway ◽  
Deviated Nose ◽  
Bony Segment ◽  
Submucous Resection ◽  
And Cartilage ◽  
Valve Area ◽  
Taking Care

The pathology of the deviated nose is discussed in relation to its bony and cartilaginous components. The importance of the interlocking stresses within the septal cartilage is pointed out especially with respect to continuing deformation after trauma. The methods of rhinometry are analysed and normal airflow through the nose is described. The effects on the nasal airway of a caudal dislocation of the septum, an angulation at the valve area, a high septal deflection and an excessively wide choana are discussed. In the treatment of a deviated bony segment the difficulties of medial and lateral osteotomies are described. The indications for a septoplasty are thought to be a dislocated caudal end, a tip deviation and an external lateral angulation. The submucous resection of the septum should be reserved for resolved haematoma and cartilage absorption. The importance of the patient's priorities in deciding what operation to do are pointed out. Finally the experimental work on the effect of cartilage and mucoperichondrium resection on nasal growth is reviewed. It is suggested that a child with a severe septal deflection and airway obstruction should be offered a septoplasty taking care not to damage the mucoperichondrium.

Sign in / Sign up

Export Citation Format

Share Document