scholarly journals Retrograde fiberoptic endoscopy evaluation for patients with laryngeal edema

2020 ◽  
Vol 5 (3) ◽  
pp. 473-476
Author(s):  
Abdullah Mohammed Alfaris ◽  
Samir Mohammed Bawazir ◽  
Nisreen Naser Al Awaji
Author(s):  
Ainaz Sourati ◽  
Ahmad Ameri ◽  
Mona Malekzadeh
Keyword(s):  

2021 ◽  
Vol 04 (01) ◽  
pp. e11-e16
Author(s):  
Risa Wakisaka ◽  
Takumi Kumai ◽  
Kan Kishibe ◽  
Miki Takahara ◽  
Akihiro Katada ◽  
...  

AbstractWe conducted a retrospective analysis of the data of 107 cases of peritonsillar abscess treated at our hospital between January 2014 and December 2018. Data on age, sex, affected site, duration of hospitalization, method of drainage, presence/absence of laryngeal edema, antibacterial drugs used, and isolated bacteria were analyzed. Of the 107 patients, 71 were males and 36 were females; the median age was 44 years (range: 18–88 years).The left side was affected in 55 patients, the right side in 50 patients, and both sides in two patients. The abscess was localized in the superior pole in 71 patients, and in the inferior pole in 36 patients. Thirty-five patients had laryngeal edema, of which three underwent tracheotomy. Recurrence of the abscess was observed in 15 cases, with the recurrence developing within 3 months in 7 cases, and over a period of 3 years in 4 cases. As for the sensitivity of the causative bacteria to antibacterial drugs, 17% of the causative bacteria showed resistance to clindamycin, while none showed resistance to ampicillin/sulbactam (ABPC/SBT). We concluded that ABPC/SBT might be suitable for the initial treatment of peritonsillar abscess, and that we need to bear in mind the possibility of long-term recurrence.


Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 117
Author(s):  
Massimiliano Esposito ◽  
Angelo Montana ◽  
Aldo Liberto ◽  
Veronica Filetti ◽  
Nunzio Di Nunno ◽  
...  

Anaphylaxis is a life-threatening or fatal clinical emergency characterized by rapid onset, and death may be sudden. The margin of certainty about the diagnosis of anaphylactic death is not well established. The application of immunohistochemical techniques combined with the evaluation of blood tryptase concentrations opened up a new field of investigation into anaphylactic death. The present study investigated eleven autopsy cases of anaphylactic death, carried out between 2005 and 2017, by the Departments of Forensic Pathology of the Universities of Foggia and Catania (Italy). An analysis of the medical records was carried out in all autopsies. Seven autopsies were carried out on males and four on females. Of the eleven cases, one showed a history of asthma, one of food ingestion, two of oral administration of medications, six did not refer any allergy history, and one subject was unknown. All cases (100%) showed pulmonary congestion and edema; 7/11 (64%) of the cases had pharyngeal/laryngeal edema and mucus plugging in the airway; only one case (9%) had a skin reaction that was found during external examination. Serum tryptase concentration was measured in ten cases, and the mean value was 133.5 µg/L ± 177.9. The immunohistochemical examination using an anti-tryptase antibody on samples from the lungs, pharynx/larynx, and skin site of medication injection showed that all cases (100%) were strongly immunopositive for anti-tryptase antibody staining on lung samples; three cases (30%) were strongly immunopositive for anti-tryptase antibody staining on pharyngeal/laryngeal samples; and eight cases (80%) were strongly immunopositive for anti-tryptase antibody staining on skin samples. We conclude that a typical clinical history, blood tryptase level >40 µg/L, and strongly positive anti-tryptase antibody staining in the immunohistochemical investigation may represent reliable parameters in the determination of anaphylactic death with the accuracy needed for forensic purposes.


Author(s):  
Hiroki Matsushita ◽  
Kazuhiro Shirozu ◽  
Kaoru Umehara ◽  
Kenji Uehara ◽  
Makoto Takatori ◽  
...  

JAMA ◽  
1973 ◽  
Vol 226 (3) ◽  
pp. 353
Author(s):  
William F. Spence
Keyword(s):  

2013 ◽  
Vol 144 (5) ◽  
pp. S-482
Author(s):  
Nobuyuki Ara ◽  
Kaname Uno ◽  
Naoki Asano ◽  
Katsunori Iijima ◽  
Tomoyuki Koike ◽  
...  

1989 ◽  
Vol 33 (3) ◽  
pp. 194-198
Author(s):  
Allen Boysen ◽  
Paul Haber

The normal process of swallowing is an extremely complicated and highly integrated process, only part of which is under voluntary control. The normal process of swallowing requires that the neuromuscular structure, the cartilaginous and bony elements and their innervation will be intact. A number of high technology and semitechnology procedures have been developed which will help elucidate the cause of the swallowing problem. These include: videofluoroscopy, scintigraphy, manometry, fiberoptic endoscopy, ultra-sound, and clinical auscultation. A deglutition team consisting of otolaryn-gologist, neurologist, speech-language pathologist, radiologist, nurse practitioner, and dietitian can have a major impact on determining the cause of the swallowing dificulty and correcting it.


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