scholarly journals Rarely seen nasal congenital problems causing neonatal upper respiratory obstruction: a case series

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Yeşim Başal ◽  
Abdullah Bariş Akcan ◽  
Yasemin Durum Polat ◽  
Ceren Günel ◽  
Aylin Eryilmaz ◽  
...  
Keyword(s):  
Nasal Cavity ◽  
Choanal Atresia ◽  
Case Series ◽  
Charge Syndrome ◽  
Diagnosis And Treatment ◽  
Upper Respiratory Tract ◽  
Respiratory Obstruction ◽  
Life Threatening ◽  
Upper Respiratory ◽  
Choanal Stenosis

Since newborns are obligatory nasal breathers, upper respiratory tract problems may sometimes be life threatening. The most common pathology causing dyspnea and stridor in newborns is laryngomalacia. Nasal cavity pathologies that risk the neonatal airway are more rarely met. These anomalies may be seen either as solitary anomalies or as a part of a syndrome. While choanal atresia is one of the best-known nasal cavity anomalies, choanal stenosis, congenital nasal mid-line masses, congenital nasal pyriform aperture stenosis, and nasal tip anomalies are more rarely seen structural pathologies. Choanal atresia may be present either as an isolated congenital anomaly or as a part of CHARGE syndrome. Some rare chromosome anomalies may also cause significant problems during nasal respiration in newborns. With this study, we presented a case series of newborns with pathologies that affected nasal respiration. Although the diagnosis and treatment of choanal atresia and congenital dacryocystocele are well known, the information on the diagnosis and treatment of the other two uncommon cases are limited. With this study, we aimed to contribute to the literature by presenting our approach in six cases having congenital pathologies that cause nasal respiratory obstruction.

scholarly journals Bilateral inferior conchae and turbinate hypertrophy causing choanal pseudoatresia

2018 ◽  
Author(s):  
Wan Nabila Wan Mansor ◽  
Azrina Ahmad ◽  
Jeyanthi Kulasegarah
Keyword(s):  
Differential Diagnosis ◽  
Respiratory Distress ◽  
Choanal Atresia ◽  
Inferior Turbinate ◽  
Radiographic Imaging ◽  
Upper Respiratory Tract ◽  
Turbinate Hypertrophy ◽  
Life Threatening ◽  
Upper Respiratory ◽  
Inferior Turbinate Hypertrophy

Respiratory distress in neonates is an emergency which requires a thorough investigation to determine the cause, whether it is due to the upper respiratory or lower respiratory entity. Nasal cavity pathologies rarely compromise the neonatal airway. Newborns are obligatory nasal breathers; thus, upper respiratory tract problems could potentially become life-threatening. We report a case of a newborn boy with inferior turbinate hypertrophy (ITH) causing respiratory distress treated successfully by nasal dilatation and posterior septoplasty. Congenital bilateral ITH is rarely seen and can mimic choanal atresia. Congenital ITH would be missed at initial presentation without radiographic imaging and physical evaluation. It should be considered as one of the differential diagnosis in cases suspected for choanal atresia.

ANALYSIS OF DIAGNOSIS AND TREATMENT APPROACHES FOR ACUTE INFLAMMATORY DISEASES OF THE UPPER RESPIRATORY TRACT ACCORDING POLYCLINICS DATA OF THE OUTPATIENT SERVICE OF THE PRESIDENTIAL ADMINISTRATION OF THE RUSSIAN FEDERATION

2021 ◽  
Vol 100 (1) ◽  
pp. 136-144
Author(s):  
E.L. Savlevich ◽  
◽  
S.A. Gorbunov ◽  
D.I. Felshin ◽  
A.N. Gerasimov ◽  
...  
Keyword(s):  
Respiratory Tract ◽  
Nasal Cavity ◽  
Russian Federation ◽  
Outpatient Service ◽  
Diagnosis And Treatment ◽  
Upper Respiratory Tract ◽  
Bacteriological Study ◽  
Topical Drugs ◽  
The Russian Federation ◽  
Upper Respiratory

The main objective of treatment of acute respiratory diseases of the upper respiratory tract (URT) is to reduce symptoms severity, prevent the development of complications, and improve the quality of life of sick children. Objective of the research: to analyze the actual tactics of diagnosis and treatment of patients with acute nasopharyngitis (AN) in children according to the data of the clinics of the Administrative Department of the President of the Russian Federation. Materials and methods: a retrospective analysis of 499 outpatient case histories of patients (mean age 8,0±2,5 years) who were on outpatient treatment with a diagnosis of AN for the period from March 2018 to April 2019 was performed. Inclusion criteria: the patient's visit within 1–3 days from the onset of the disease, observation period – at least 7 days, compliance by patients and/or their parents/legal representatives with medical recommendations based on informed consent. Results were processed using the standard package of statistical programs IBM SPSS Statistics 23.0. Results: bacteriological examination of nasal cavity and oropharynx microflora was performed in 27 (5,4%) children with AN, the results mainly showed Staphylococcus aureus. Systemic antibiotics, most often (96,5%) pill form of protected penicillins, were taken by 28 (5,6%) children. Homeopathic medicines were prescribed in 11% of cases (55 children), antihistamines – in 36,8% (194), intranasal glucocorticosteroids (GCS) – in 39,5% (197), immunotropic drugs – in 12,4 % (62). In most AN topical drugs were recommended for sanitizing the oropharynx and nasal cavity (in 89% and 86%, respectively). Rinsing with antiseptic solutions was prescribed in 43,3% of all cases (216 children), half of them (50,5% – 109 children) – miramistin, less often (21,6% – 108 children) – phytopreparations. Decongestants were prescribed to AN patients in 70,7% (353 children) of cases, topical preparations for the nasal cavity containing antiseptics or antibiotics – in 32,3% (161 children). Conclusion: in the system of children's outpatient service of the Presidential Administration of the Russian Federation in the majority of cases, topical drugs were prescribed for AN treatment. Bacteriological study of nasopharyngeal microbiome in AN is not informative and was carried out in 5,4% of cases to exclude bacterial pathogens. The use of intranasal corticosteroids (39,5%), immunotropic drugs (12,4%), antihistamines (36,8%) and homeopathic (11%) drugs should be considered unreasonable.

Changes in the parameters of nasal breathing and parameters of the upper respiratory tract during orthognathic operations in patients with II and III skeletal class of jaw anomalies

2020 ◽  
pp. 22-27
Author(s):  
S.Sh. Gammadaeva ◽  
M.I. Misirkhanova ◽  
A.Yu. Drobyshev
Keyword(s):  
Respiratory Tract ◽  
Nasal Cavity ◽  
Nasal Septum ◽  
Cross Sectional Area ◽  
Upper Respiratory Tract ◽  
Sectional Area ◽  
Nasal Breathing ◽  
Cross Sectional ◽  
Skeletal Class ◽  
Upper Respiratory

The study analyzed the functional parameters of nasal breathing, linear parameters of the nasal aperture, nasal cavity and nasopharynx, volumetric parameters of the upper airways in patients with II and III skeletal class of jaw anomalies before and after orthognathic surgery. The respiratory function of the nose was assessed using a rhinomanometric complex. According to rhinoresistometry data, nasal resistance and hydraulic diameter were assessed. According to the data of acoustic rhinometry, the minimum cross-sectional area along the internal valve, the minimum cross-sectional area on the head of the inferior turbinate and nasal septum and related parameters were estimated. According to the CBCT data, the state of the nasal septum, the inferior turbinates, the nasal aperture, the state of the nasal cavity, and the linear values of the upper respiratory tract (nasopharynx) were analyzed. The patients were divided into 4 groups according to the classification of the patency of the nasal passages by

Acupuncture Therapy for Fever Induced by Viral Upper Respiratory Tract Infection (Urti) in Military Medical Service: A Case Series

2014 ◽  
Vol 32 (6) ◽  
pp. 509-511 ◽  
Author(s):  
SeungWon Kwon ◽  
KyoungHo Shin ◽  
WooSang Jung ◽  
SangKwan Moon ◽  
KiHo Cho
Keyword(s):  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Medical Service ◽  
Case Series ◽  
Treatment Session ◽  
Upper Respiratory Tract Infection ◽  
Upper Respiratory Tract ◽  
Upper Respiratory ◽  
Accompanying Symptoms

We report the cases of eight military patients with fever (≥38°C) induced by viral upper respiratory tract infection (URTI) who requested treatment with acupuncture in the military medical service room. All patients were treated immediately after diagnosis with classical acupuncture (GV14, GB20, TE8 points) and a new type of acupuncture, equilibrium acupuncture ( Feibing and Ganmao points). After one treatment session (20 min), reduction of body temperature was confirmed in all patients. Accompanying symptoms such as headache, myalgia and nasal obstruction also showed a tendency to decrease. Within 3 days of treatment, six of the eight patients had recovered from the URTI. No adverse effects of acupuncture treatment were reported.

Photography and the flexible fibreoptic rhinolaryngoscope

1986 ◽  
Vol 100 (1) ◽  
pp. 41-46 ◽  
Author(s):  
J. M. Lancer
Keyword(s):  
Respiratory Tract ◽  
Nasal Cavity ◽  
Upper Respiratory Tract ◽  
Pathological Anatomy ◽  
Medical Practitioners ◽  
Upper Respiratory

SummaryDocumentation of normal and pathological anatomy is important to all medical practitioners. The ability to visualize and photograph the upper respiratory tract has been revolutionized by the advent of the flexible fibreoptic rhinolaryngoscope (FFRL), which demonstrates a one-instrument capability for the examination and photodocumentation of the ears, nasal cavity, nasopharynx, larynx, hypopharynx and trachea (Selkin, 1984). If a large natural maxillary ostium, or surgical window, is present, the antrum may also be examined.

scholarly journals Complex treatment of diseases of the nasal cavity and paranasal sinuses at the present time

2021 ◽  
pp. 134-139
Author(s):  
V. M. Svistushkin ◽  
K. V. Eremeeva
Keyword(s):  
Nasal Cavity ◽  
Paranasal Sinuses ◽  
Clinical Symptoms ◽  
Local Treatment ◽  
Silver Ions ◽  
Upper Respiratory Tract ◽  
Drug Induced ◽  
High Incidence ◽  
Upper Respiratory ◽  
Pain Symptoms

The search for rational treatment of diseases of the nasal cavity and paranasal sinuses is due to the high incidence among the world's population. Despite the absolutely clear recommendations that would seem to greatly facilitate the choice and scope of therapy, it is extremely important to have a differentiated approach to each patient, depending on age, concomitant pathology, the nature of the course of the disease, the severity of clinical, primarily pain symptoms, and the presence of rhinogenic complications. Differential diagnosis of viral and bacterial acute rhinosinusitis (ARS) allows to avoid unreasonable prescription of antibiotics in the former case and choose therapy in such a way as to help relieve clinical symptoms, timely cure the disease and prevent complications. A systematic review of the literature was conducted with the analysis of scientific research data on the evaluation of the effectiveness of protargol or silver proteinate in the local treatment of upper respiratory tract diseases. A review of studies shows that silver proteinate has astringent, antiseptic and anti-inflammatory effects. The spectrum of antimicrobial action of silver is much wider than many antibiotics and sulfonamides. At the same time, pathogenic microflora is more sensitive to silver ions than non-pathogenic microflora. The analysis of the works also demonstrates the absence of adverse reactions when using this drug. The obtained data allow us to recommend preparations based on silver proteinate as a complex therapy for acute and chronic diseases of the nasal cavity and nasopharynx. The vasoconstrictive effect of protargol allows it to be used as an alternative to decongestants in order to avoid the development of drug-induced rhinitis and tachyphylaxis. Sialor® is a new, convenient, affordable, longer-shelf-life form of silver proteinate.

scholarly journals Preventive and therapeutic role of nasal irrigation in management of acute respiratory disease during COVID-19 pandemic and beyond

2021 ◽  
pp. 58-64
Author(s):  
V. M. Svistushkin ◽  
Zh. T. Mokoyan
Keyword(s):  
Respiratory Tract ◽  
Nasal Cavity ◽  
Distribution Area ◽  
Upper Respiratory Tract ◽  
Saline Irrigation ◽  
Nasal Irrigation ◽  
Wide Range ◽  
Upper Respiratory ◽  
Nasal Saline Irrigation ◽  
Tract Infections

It has long been known, that nasal saline irrigation is a safe and effective method, which is routinely prescribed by otorhinolaryngologists to prevent and to treat a wide range of pathologies. There are a lot of publications on different irrigation techniques and methods. This literature review discusses the key parameters of nasal irrigation, including tonicity, pH, and the additional components, and explains how they affect the effectiveness of the procedure. The vast majority of available publications did not found any possible changes in the effectiveness of solutions with different pH close to neutral meaning. Whereas, the volume of the irrigated solution, increases the efficiency of the irrigation in direct proportion. Thus, the largest distribution area of the solute is noted when washing with a large volume of liquid. Nasal saline irrigation is an effective treatment option for patients with several acute and chronic diseases and for postoperative care after rhinosurgery. Moreover, nasal irrigation might be used as an effective non-specific method for prevention of acute upper respiratory tract infections. Irrigation of the nasal cavity reduces the mucus viscosity and promotes its faster elimination, along with pathogens fixed in it. Additionally, irrigation with isotonic saline solutions increases the hydration of the underlying water base, which enhances the frequency of ciliary beat and reduces the concentration of local inflammatory mediators. COVID-19 pandemic situation due to lack of any specific antiviral drugs dictates the necessity of an effective non-specific preventive option, which could be introduced worldwide. The so-called full volume lavage of the nasal cavity allows for better cleaning of the nasal cavity and effective moisturizing of the mucous membrane. It is the timely cleansing and moisturizing that are most important for maintaining the normal activity of the local protective mechanisms of the upper respiratory tract.

FEATURES OF RESIDUAL PHENOMENA AND CONSEQUENCES OF COVID-19 (REVIEW)

Vestnik ◽  
2021 ◽  
pp. 335-340
Author(s):  
Г.Н. Абуова ◽  
Г.А. Айтмуратова ◽  
Т.В. Полукчи ◽  
Ф.А. Бердалиева ◽  
Г.Г. Шаймерденова
Keyword(s):  
Asymptomatic Infection ◽  
Multiple Organ ◽  
Upper Respiratory Tract ◽  
Respiratory Tract Disease ◽  
Infected People ◽  
Life Threatening ◽  
Upper Respiratory ◽  
Tract Disease ◽  
Timely Treatment

Проведен литературный обзор об особенностях остаточных явлений и последствий COVID-19 на основе данных, опубликованных до настоящего времени. К началу января 2021 года COVID-19, сопровождающийся тяжелым острым респираторным синдромом, вызванным коронавирусом (SARS-CoV-2), привел к более чем 83 миллионам подтвержденных случаев и более чем 1,8 миллионам смертей. Клинический спектр инфекции SARS-CoV-2 широк, включая бессимптомную инфекцию, лихорадку, усталость, миалгии, легкое заболевание верхних дыхательных путей, тяжелую и опасную для жизни вирусную пневмонию, требующую госпитализации и летальный исход. COVID-19 - это новое заболевание, и остается неопределенность в отношении возможных долгосрочных последствий для здоровья. На сегодняшний день известно, что у большинства инфицированных, особенно в молодом возрасте, заболевание имеет легкое течение, по сравнению с лицами старшего возраста. У некоторых пациентов заболевание быстро прогрессирует и развиваются различные осложнения, в т.ч. полиорганная недостаточность. Поэтому раннее выявление и своевременное лечение критических случаев имеет решающее значение. A literature review on the features of residual phenomena and consequences of COVID-19 is analyzed on the basis of data published so far. By the beginning of January 2021, COVID-19, accompanied by severe acute respiratory syndrome caused by coronavirus 2 (SARS-CoV-2), led to more than 83 million confirmed cases and more than 1.8 million deaths. The clinical spectrum of SARS-CoV-2 infection is wide, including asymptomatic infection, fever, fatigue, myalgia, mild upper respiratory tract disease, severe and life-threatening viral pneumonia requiring hospitalization, and death. COVID-19 is a new disease, and uncertainty remains about possible long-term health consequences. To date, it is known that the majority of infected people, especially at a young age, have a mild course of the disease, compared with older people. In some patients, the disease progresses rapidly and various complications develop, including multiple organ failure. Therefore, early detection and timely treatment of critical cases is crucial.

scholarly journals Challenges in the delivery of critical care in India during the COVID-19 pandemic

2020 ◽  
pp. 175114372095259
Author(s):  
Bharath Kumar Tirupakuzhi Vijayaraghavan ◽  
Sheila Nainan Myatra ◽  
Meghena Mathew ◽  
Nirmalyo Lodh ◽  
Jigeeshu Vasishtha Divatia ◽  
...  
Keyword(s):  
Critical Care ◽  
Acute Respiratory Distress Syndrome ◽  
Intensive Care ◽  
Respiratory Tract ◽  
Respiratory Distress Syndrome ◽  
Distress Syndrome ◽  
Upper Respiratory Tract ◽  
Care Services ◽  
Life Threatening ◽  
Upper Respiratory

Coronavirus disease 2019 cases in India continue to increase and are expected to peak over the next few weeks. Based on some projection models, India is expected to have more than 10 million cases by September 2020. The spectrum of disease can vary from mild upper respiratory tract symptoms to life-threatening acute respiratory distress syndrome and multi-organ failure requiring intensive care. Even if less than 5% of patients require critical care services, this will still rapidly overwhelm the healthcare system in a country, where intensive care services and resources are scarce and unevenly distributed. In this perspective article, we highlight the critical care preparedness of India for the pandemic and the associated challenges.

scholarly journals Paroxysmal Cold Hemoglobinuria in an Adult with Respiratory Syncytial Virus

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Ryan Leibrandt ◽  
Kenneth Angelino ◽  
Monique Vizel-Schwartz ◽  
Ilan Shapira
Keyword(s):  
Respiratory Syncytial Virus ◽  
Upper Respiratory Tract ◽  
Rare Entity ◽  
Rare Form ◽  
Cold Temperatures ◽  
Tertiary Syphilis ◽  
Life Threatening ◽  
Upper Respiratory ◽  
Syncytial Virus ◽  
Paroxysmal Cold Hemoglobinuria

Paroxysmal cold hemoglobinuria (PCH) is a rare form of cold autoimmune hemolytic anemia first discovered in the early 20th century in adults with tertiary syphilis. Today, it is more commonly seen in children as a life-threatening anemia during a viral upper respiratory tract infection (URI). Although respiratory syncytial virus (RSV) has previously been reported to cause PCH in a child, herein we present the first documented case in an adult. The Donath–Landsteiner (DL) test, the diagnostic test for PCH, was positive on two separate occasions. The patient was treated successfully with warming and avoidance of cold temperatures. To facilitate identification of this rare entity by clinicians, we include a discussion about the pathophysiology, diagnosis, and treatment of PCH.

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