- Evolution of sleep-disordered breathing and blood pressure during menopausal transition. [Journal Article]J Sleep Res. 2023 Feb 03 [Online ahead of print]JS
- The purpose of this study was to investigate how the blood pressure increase observed during menopausal transition is affected by sleep-disordered breathing and the menopause itself. Further, we aimed to find new sleep-disordered breathing related markers that would predict the development of hypertension. Sixty-four community-dwelling premenopausal women aged 45-47 years were studied. Polysomnog…
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- Effect of Sleep Position on Sleep-Disordered Breathing in Young Children With Unrepaired Incomplete Cleft Palates. [Journal Article]J Craniofac Surg. 2022 Aug 17 [Online ahead of print]JC
- Children with cleft lip/palate are usually faced with upper airway problems after surgical repair. The severity of upper airway obstruction is more likely associated with the age and preoperative diagnosis of obstructive sleep apnea (OSA). This study aimed to investigate the severity of OSA in toddlers before palatoplasty from the perspective of polysomnography. In this retrospective cohort study…
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- "The Use of Endonasal Spreader Grafts in Preservation Rhinoplasty". [Journal Article]Plast Reconstr Surg. 2022 Nov 21 [Online ahead of print]PR
- CONCLUSIONS: Rhinoplasty is a complicated procedure that requires surgical finesse and precision to sculpt a framework that suits each patient's unique anatomical needs. Extensive resection may lead to nasal valve incompetence, causing obstructive symptoms associated with reduced quality of life. Numerous techniques have been described to help preserve and open the nasal airway, thereby mitigating valvular obstructive problems. In particular, the endonasal spreader graft is a common technique used to widen the internal nasal valve cross-sectional area while limiting external incisions and preserving local nasal structures. Preservation rhinoplasty is a variation of the traditional rhinoplasty that can lower the nasal dorsum without causing major disruption to the nasal keystone area, the junction between the middle and upper thirds of the nose. This study describes the successful and safe combination of these two surgical operations, demonstrating 3 case examples, who all reported improved post-operative nasal obstruction symptoms. Using endonasal spreader grafts in preservation rhinoplasty allows providers to manage the nasal valve and nasal dorsum similarly to the external approach without extensive deconstruction and reconstruction.
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- Potential Fatal Complication of Neurofibromatosis Type 1: Acute Upper Airway Obstruction Due to Ruptured Transverse Cervical Artery Aneurysm. [Case Reports]Cureus. 2022 Dec; 14(12):e32910.C
- Neurofibromatosis type 1 (NF1) can cause vascular complications even in undiagnosed NF1 patients. A ruptured aneurysm of the branches of the subclavian artery is a rare but life-threatening event, and the hemorrhage can cause upper airway obstruction. We present a case of NF1 patient with a ruptured transverse cervical artery aneurysm, which led to a nearly obstructed airway. A 52-year-old man wh…
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- Randomised, controlled crossover trial of intermittent and continuous transcutaneous electrical stimulation of the genioglossus muscle for obstructive sleep apnoea. [Journal Article]Thorax. 2022 Sep 07 [Online ahead of print]T
- CONCLUSIONS: ITES improved upper airway obstruction in patients with OSA, suggesting that further prospective validation of the intermittent approach is warranted.
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- Anesthesia mumps with airway obstruction after radical nephrectomy: A case report and literature review. [Journal Article]
- Anesthesia mumps have rarely been reported. This article presents the diagnosis and treatment of a case of anesthesia mumps with airway obstruction in the urology department and reviews previous cases of the disease. A 58-year-old man had a history of hypertension and diabetes, and his blood pressure and glucose levels were well controlled. He underwent laparoscopic radical nephrectomy for a righ…
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- Chronic Otitis Media in Patients with Chronic Rhinosinusitis: A Systematic Review. [Review]
- Introduction: Chronic otitis media (COM) and chronic rhinosinusitis (CRS) are two of the most common otolaryngological disorders. CRS and COM share pathophysiological mechanisms such as bacterial infection, biofilm, and the persistence of the obstruction state of ventilation routes. The purpose of this systematic review was to evaluate all available information on the association between COM and …
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- Prospective Evaluation of Children with Robin Sequence following Tübingen Palatal Plate Therapy. [Journal Article]
- CONCLUSIONS: Children with RS treated with the TPP showed normal long-term functional orthodontic outcomes, thanks to the functional adaption of the stomatognathic system. However, soft tissue growth did not completely match skeletal growth, resulting in a more convex facial profile.
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- Role of functional and anatomic study in sleep endoscopy for treatment of OSA. [Journal Article]Acta Otorhinolaryngol Ital. 2022 Dec; 42(6):554-559.AO
- CONCLUSIONS: DISE is fundamental to determine the collapse site in patients affected by obstructive sleep apnoea syndrome. The velopharyngeal region is the most common site of obstruction and lateral pharyngeal wall collapse is the major determining factor. DISE can lead to a deeper understanding of the obstructive dynamic patterns and a more precise identification of the muscle bundles responsible for upper airway collapse.
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- Cyanoacrylate glue foreign body after CT-guided localization of a pulmonary nodule during video-assisted thoracoscopic surgery: a case report. [Case Reports]
- CONCLUSIONS: There is a risk of complications from iatrogenic airway foreign bodies for preoperative localization of pulmonary nodules by injecting cyanoacrylate glue.
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- New approach to establish a surgical planning in infantile vallecular cyst synchronous with laryngomalacia based on aerodynamic analysis. [Journal Article]Comput Methods Programs Biomed. 2023 Jan 04; 230:107335.CM
- CONCLUSIONS: The state of epiglottis needs to be carefully checked to evaluate the necessity of performing further SGP in the patients with VC accompanied with LM. CFD and CAD could be developed as a new approach to help surgeons predict the post-operative outcomes through quantification of the airflow dynamics, and make the optimal and individualized surgical approaches for patients with airway obstruction.
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- Clinical manifestations of COVID-19 versus other upper respiratory tract infections in pediatric patients. [Journal Article]Saudi Med J. 2023 Jan; 44(1):74-79.SM
- CONCLUSIONS: Taste disturbances increase the probability of COVID-19 infections, whereas sore throat, dyspnea, nasal obstruction, and otalgia increase the likelihood of other URTIs. The described differences might aid physicians in their differential diagnosis and treatment during the pandemic.
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- Differences in analysis and treatment of upper airway obstruction in Robin sequence across different countries in Europe. [Journal Article]Eur J Pediatr. 2023 Jan 12 [Online ahead of print]EJ
- The goal of this study was to explore the availability of diagnostic and treatment options for managing upper airway obstruction (UAO) in infants with Robin Sequence (RS) in Europe. Countries were divided in lower- (LHECs, i.e., PPP per capita < $4000) and higher-health expenditure countries (HHECs, i.e., PPP per capita ≥ $4000). An online survey was sent to European healthcare professionals who …
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- General anaesthesia for photodynamic therapy of port-wine stain in children: A retrospective study. [Journal Article]Photodiagnosis Photodyn Ther. 2023 Jan 07; 41:103273.PP
- CONCLUSIONS: General anaesthesia with preserved spontaneous breathing has few complications and appears safe and feasible for PDT in most children with PWS.
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- Transient Atrial Fibrillation After Epinephrine Use for Anaphylaxis. [Case Reports]
- Anaphylaxis is defined as a generalized or systemic hypersensitivity reaction that occurs after exposure to certain antigens. Clinical presentations vary but life-threatening symptoms include upper and lower airway obstruction, which requires immediate treatment. Current standard treatment for anaphylactic shock includes epinephrine and volume resuscitation. Cardiac symptoms after epinephrine tre…
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- Negative-pressure pulmonary edema after upper airway obstruction during transesophageal echocardiogram. [Case Reports]
- Negative-pressure pulmonary edema (NPPE) has become a well-recognized, though uncommon, complication of acute upper airway obstruction. While initially described in the setting of peri-operative endotracheal intubation, NPPE has been increasingly observed in numerous other clinical scenarios. In this report, we describe a case of NPPE that occurred after a scheduled cardioversion and transesophag…
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- Invisalign Treatment of a Three-Year-Old Child with Bilateral Posterior Scissor Bite and Multisite Upper Airway Obstruction: A Case Report. [Case Reports]
- CONCLUSIONS: Positive treatment outcomes rely on patients' good compliance in this case. In addition, we hope that clinicians will consider our situation in terms of alternative treatments and interprofessional experience.
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- Evaluation of Propofol-Sparing Effect of Intravenous Lignocaine in Patients Undergoing Daycare Upper Gastrointestinal Endoscopic Procedures. [Journal Article]
- Background Propofol is the most common sedative for endoscopies. Propofol alone may require larger doses for adequate level of sedation. Lignocaine is known for its anesthetic-sparing effect. We tested whether the addition of intravenous lignocaine to propofol-based sedation reduces its dose. Methods This prospective, randomized study was performed on 90 patients of 18 to 60 years of age, of eith…
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- Anesthetic management for emergency tracheostomy in patients with head and neck cancer: a case series. [Case Reports]
- Tracheostomy is a surgical procedure that is commonly used to treat upper airway obstruction. In particular, patients with head and neck cancer may require elective or emergency tracheostomy because of airway obstruction due to massive bleeding of the intraoral tumor mass and rapid growth of the tumor mass in the neck area. Here, we report four cases of tracheostomy in patients with head and neck…
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- Automatic scoring of drug-induced sleep endoscopy for obstructive sleep apnea using deep learning. [Journal Article]Sleep Med. 2022 Dec 20; 102:19-29.SM
- CONCLUSIONS: This study demonstrates that automating scoring of DISE examinations show high validity and feasibility in degree of upper airway collapse.
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- Traumatic retropharyngeal hematoma without spinal cord injury or spinal fracture: a retrospective multicenter analysis. [Journal Article]
- CONCLUSIONS: Early intubation and subsequent intensive care are important for patients with TREWISS. The patients typically require several weeks of hospitalization, although their outcomes are usually poor.
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- Executive Summary: International Clinical Practice Guidelines for Pediatric Ventilator Liberation, A Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network Document. [Journal Article]
- Rationale: Pediatric-specific ventilator liberation guidelines are lacking despite the many studies exploring elements of extubation readiness testing. The lack of clinical practice guidelines has led to significant and unnecessary variation in methods used to assess pediatric patients' readiness for extubation. Methods: Twenty-six international experts comprised a multiprofessional panel to esta…
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- A comparative study of three-dimensional airway changes after fibula flap reconstruction for benign and malignant tumours in the anterior mandible. [Journal Article]Int J Oral Maxillofac Surg. 2022 Dec 27 [Online ahead of print]IJ
- Surgical treatment of tumours in the anterior mandible and surrounding tissues may result in defects which can be restored by a fibula free flap. The upper airway may change during this process. The purpose of this retrospective study was to evaluate upper airway changes after fibula free flap reconstruction. A total of 37 patients who underwent anterior mandibulectomy and fibula free flap recons…
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- Do COVID-19 pandemic-related behavior changes affect perioperative respiratory adverse events in children undergoing cardiac interventional catheterization? [Journal Article]
- CONCLUSIONS: COVID-19 pandemic-related behavioral changes were associated with a reduction in PRAEs in non-URI and URI children undergoing elective therapeutic cardiac catheterization.
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- Alcohol and airway calibre: Does motor or muscle depression contribute to increased likelihood of obstruction? [Journal Article]Exp Physiol. 2022 Dec 26 [Online ahead of print]EP
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- Spontaneous Retropharyngeal Haematoma Causing Upper Airway Obstruction in a Child: Case Report. [Case Reports]
- Bleeding into the retropharyngeal region in children is an unusual cause of acute upper airway obstruction. Even in the absence of known risk factors or aetiology, this rare entity should be considered as one of the differential diagnoses of retropharyngeal swellings in children. Prompt surgical intervention is required whenever rapid progression to airway obstruction is observed. In this case re…
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- Tracheostomy and venovenous extracorporeal membrane oxygenation for difficult airway patient with carinal melanoma: A case report and literature review. [Case Reports]
- CONCLUSIONS: In a difficult airway patient with severe airway obstruction, emergency tracheostomy for rigid bronchoscopy access and standby VV-ECMO can be life-saving, and ECMO can be weaned smoothly after tumor excision. During anesthesia for patients with tracheal tumors causing critical airway obstruction, spontaneous ventilation should be maintained at least initially, and ECMO deployment should be prepared for high-risk patients, such as those with obstructive symptoms, obstructed tracheal lumen > 50%, or distal trachea location.
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- Sleep and neurocognitive outcomes in primary school children with Robin Sequence. [Journal Article]Sleep. 2022 Dec 25 [Online ahead of print]S
- CONCLUSIONS: These children with RS showed an increased risk of OSA and behavioral problems, suggesting regular screening for OSA throughout childhood. Neurocognitive scores in children with RS were within the normal range after adequate treatment of OSA during infancy.
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- Surgical tips and techniques to avoid complications of thyroid surgery. [Review]
- Surgery of the thyroid takes place in a body part with complicated anatomy and several vital physiologic functions. Thyroidectomy is rarely associated with mortality but can be followed by significant complications, (i.e. hypoparathyroidism, hemorrhage, upper airway obstruction, laryngeal nerve injuries and thyrotoxic storm). This review aims to indicate surgical tips and techniques to sustain a …
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- Sleep Endoscopy with Positive Airway Pressure: A Method for Better Compliance and Individualized Treatment of Patients with Obstructive Sleep Apnea. [Journal Article]
- In this study, we aimed to observe the effects of positive airway pressure (PAP) on individual levels of obstruction during drug-induced sleep endoscopy (DISE) of the upper airways (UA), to evaluate at which pressures the obstruction disappeared or worsened, and to identify cases in which PAP was ineffective. This prospective study was conducted from June 2018 to June 2022. PAP testing was perfor…
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