Prosthetic Rehabilitation of Patients After Surgical Treatment of Maxillary Tumors with Respect to Upper Airway Protection

2015 ◽  
pp. 83-88 ◽  
Author(s):  
D. Rolski ◽  
J. Kostrzewa-Janicka ◽  
R. Nieborak ◽  
D. Przybyłowska ◽  
Z. Stopa ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Upper Airway ◽  
Airway Protection ◽  
Prosthetic Rehabilitation

scholarly journals Diagnosis and treatment of snoring and sleep apnea syndrome

2012 ◽  
Vol 93 (2) ◽  
pp. 273-276
Author(s):  
R G Batyrshin ◽  
L Ya Shagiakhmetova ◽  
T R Batyrshin ◽  
T A Gaysina
Keyword(s):  
Obstructive Sleep Apnea ◽  
Surgical Treatment ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Sleep Apnea Syndrome ◽  
Upper Airway ◽  
Blood Oxygen Saturation ◽  
Obstructive Sleep ◽  
Apnea Syndrome ◽  
Radiofrequency Coagulation

Aim. To assess the effectiveness of modern methods of diagnosis and surgical treatment of night snoring. Methods. Conducted was polysomnography in 117 patients suffering from snoring at night. In the case of evident signs of obstruction, patients were offered surgical treatment. Results. Out of 117 people with snoring polysomnography revealed obstructive sleep apnea syndrome: in 35 - mild form, 11 - moderate severity, 1 - severe. In 69 patients benign snoring was revealed, which does not lead to a decrease in blood oxygen saturation. Simultaneous complex surgical treatment was performed in 38 patients who according to polysomnography revealed upper airway obstruction. The obstruction was eliminated by endoscopic surgical correction of the intranasal structures and the nasopharynx, and minimally invasive uvuloplasty using the method of radiofrequency coagulation. Postoperatively the patients received local medications biclotymol (hexaspray), fusafungine (bioparox), rinsing of the pharynx with antiseptics. Positive effect (disappearance of snoring) was achieved in 29 patients after an average of 1.5-2 months after surgery, in 6 patients with obstructive sleep apnea syndrome of the II and III degree of severity and co-morbidities the episodes of apnea and hypopnea decreased significantly. In 3 patients with recurrent polypous rhinosinusitis secondary to bronchial asthma (2 patients) and encephalopathy (1 patient), surgical intervention (endoscopic polysinusotomy, radiofrequency uvuloplasty) did not achieve the desired effect and the patients were referred for conservative treatment. Conclusion. The method of polysomnography and surgical treatment strategy of night snoring meet the modern requirements and in most cases have shown to be effective.

Persistence of Respiratory-Swallowing Coordination After Laryngectomy

2005 ◽  
Vol 48 (1) ◽  
pp. 34-44 ◽  
Author(s):  
Isabelle Charbonneau ◽  
James P. Lund ◽  
David H. McFarland
Keyword(s):  
Upper Airway ◽  
Neural Mechanisms ◽  
Respiratory Pattern ◽  
Airway Protection ◽  
Movement Coordination ◽  
Respiratory Phase ◽  
Stability Data ◽  
Pattern Generators ◽  
Primary Measure ◽  
Age And Sex

The present study was designed to provide additional insights into the neural mechanisms underlying respiratory-swallowing coupling by studying potential alterations in movement coordination when upper airway protection is no longer necessary. Twelve laryngectomized participants, all at least 3 years postsurgery, were compared to age- and sex-matched controls. Respiration and swallowing were monitored before, during, and after mastication. No significant differences were found between the laryngectomized and normal control participants in the distribution of the respiratory phase in which swallowing occurs, our primary measure of respiratory-swallowing stability. Data suggest that the coupling between the swallowing and respiratory pattern generators is highly stable. Pronounced masticatory-related apnea was observed in 3 of the laryngectomized participants but in none of the controls, suggesting that masticatory/respiratory interactions may become abnormal in these patients.

scholarly journals Aspiration and Swallowing Dysfunction in Pediatric Patients

2011 ◽  
Vol 3 (6) ◽  
pp. 336-343 ◽  
Author(s):  
Claire Kane Miller
Keyword(s):  
Pediatric Patients ◽  
Respiratory Health ◽  
Pediatric Population ◽  
Upper Airway ◽  
Oral Intake ◽  
Therapeutic Strategies ◽  
Infants And Children ◽  
Airway Protection ◽  
Swallowing Dysfunction ◽  
Structural Abnormalities

Early identification and management of aspiration associated with oral intake will help contribute to the best possible outcome for infants and children who have airway protection issues with swallowing. Though the incidence and prevalence of aspiration specifically related to swallowing dysfunction across medical conditions in the pediatric population is unknown, there is accumulating evidence of swallowing-related aspiration in infants and children with diagnoses that include structural abnormalities of the upper airway, central nervous system abnormalities, and progressive neurological disease. Chronic aspiration is associated with compromised respiratory health, progressive lung disease, bronchiectasis, and respiratory failure; thus, early detection and appropriate management is crucial. Determining the etiology and effect of aspiration is complex, and multiple evaluations are often required. This article will focus on instrumental studies of swallowing physiology used in the diagnosis and management of swallowing dysfunction and aspiration. Therapeutic strategies to improve airway protection during swallowing will also be described.

scholarly journals A Direct Investment Method of Closed Two-Piece Hollow Bulb Obturator

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Suryakant C. Deogade ◽  
Sneha S. Mantri ◽  
Dinesh Naitam ◽  
Gunjan Dube ◽  
Pushkar Gupta ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Oral Cavity ◽  
Maxillary Sinus ◽  
Congenital Malformation ◽  
Direct Investment ◽  
Malignant Tumors ◽  
Prosthetic Rehabilitation ◽  
Nasal Cavities ◽  
Hollow Bulb Obturator ◽  
Maxillary Defects

Maxillary defects occur due to surgical treatment of benign and malignant tumors, congenital malformation, and trauma. Prosthetic rehabilitation in such patients is influenced by the size and location of the defect. The most common of all intraoral defects are seen in the maxilla, in the form of an opening into the maxillary sinus and nasopharynx. These defects create disabilities in speech, deglutition, and mastication. The prosthesis which closes such an opening and recreates the functional separation of the oral cavity and sinus and nasal cavities is referred to as an obturator. Numerous techniques of hollow bulb fabrication have been mentioned in the literature from time to time. But there are only a few methods for bulb fabrication in two-piece obturator. This technique describes a direct investment method of waxed-up closed hollow bulb two-piece obturator.

Spontaneous Thyroid Haemorrhage: A Cause of Upper Airway Obstruction

2019 ◽  
Vol 18 (4) ◽  
pp. 248-250
Author(s):  
Micheal Wong ◽  
◽  
Yogesvaran Kanapaty ◽  
Yew Toong Liew ◽  
Adzreil Bakri ◽  
...  
Keyword(s):  
Unusual Case ◽  
Clinical Signs ◽  
Upper Airway ◽  
Rare Condition ◽  
Clinical Findings ◽  
Airway Compromise ◽  
Airway Protection ◽  
Anterior Neck ◽  
Life Threatening ◽  
Intravenous Steroids

Background: Spontaneous thyroid haemorrhage is a very rare condition that is potentially life-threatening. We report an unusual case of spontaneous thyroid haemorrhage leading to airway compromise requiring urgent intervention. We highlight key clinical findings and management steps with comparison to similar cases in the literature. Case Summary: An adult male presented with sudden anterior neck swelling and bruises on his neck and chest with hoarseness and dysphagia. Clinical assessment and CT scan revealed a thyroid haemorrhage with laryngopharyngeal, neck and chest haematoma. He was intubated for airway protection and given intravenous steroids and antibiotics. He was extubated well after 3 days. Conclusion: Careful prompt management of the patient’s airway is of vital importance as worsening haematoma can lead to rapid airway compromise. Acute physicians should be aware of the clinical signs of thyroid haemorrhage, as this rare condition may present to the acute medical take.

Unusual cause of acute upper airway obstruction: spontaneous pharyngeal haematoma

2021 ◽  
Vol 14 (3) ◽  
pp. e242061
Author(s):  
Kohei Okada ◽  
Yuji Okazaki ◽  
Toshihisa Ichiba ◽  
Yusuke Higashi
Keyword(s):  
Airway Obstruction ◽  
Sore Throat ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Airway Protection ◽  
Emergency Airway ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
Life Threatening

Spontaneous pharyngeal haematoma is a rare but life-threatening cause of acute upper airway obstruction, and the clinical manifestation may mimic haemoptysis. A 65-year-old man presented to our emergency department with symptoms of sore throat and haemoptysis. He had no medical history. At arrival, O2 saturation was 95% on 5 L/min of oxygen with a mask. Results of a blood examination including a coagulation test were normal. Laryngoscopy showed enlargement of the left pharynx and a narrowed airway. Contrast-enhanced CT showed extravascular leakage of contrast medium inside the left pharyngeal haematoma. Fortunately, the haematoma did not lead to airway obstruction, and it decreased spontaneously. We finally diagnosed this case as spontaneous pharyngeal haematoma. When we examine a patient with a symptom of haemoptysis accompanied by sore throat, it is necessary to consider pharyngeal haematoma and to prepare emergency airway protection for acute upper airway obstruction.

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