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Procedure: Laryngoscopy

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Total 44 results found since Jan 2013.

Otitis Media Leads to Brain Abscess Presenting as Stroke
By Mikhail Elfond, DO; Esi Quayson, MD; & Joseph V.M. Kelly, MD, MBA A 65-year-old man presented to the ED via EMS with symptoms of stroke. The paramedics stated his right-sided weakness and speech difficulty started 40 minutes prior to presentation in the ED. En route to the hospital, paramedics observed four episodes of facial twitching.       Vitals signs were significant for a rectal temperature of 100.2°F and a fingerstick blood sugar of 220 mg/dL. History of present illness was significant for a diagnosis of left otitis media treated with Augmentin and Vicodin at an urgent care center ...
Source: The Case Files - January 20, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Characteristics of dysphagia in older patients evaluated at a tertiary center
ConclusionsSwallowing problems in older patients are not uncommon. The clinician needs to be diligent to inquire about dysphagia because a large number of these patients will require treatment. Level of Evidence4. Laryngoscope, 2014
Source: The Laryngoscope - September 5, 2014 Category: ENT & OMF Authors: Pelin Kocdor, Eric R. Siegel, Rachel Giese, Ozlem E. Tulunay‐Ugur Tags: Laryngology Source Type: research

Management of airway compromise following thyroid cyst hemorrhage after thrombolytic therapy
We present a case of a 62‐year‐old female with undiagnosed thyroid goiter who received tPA for acute ischemic stroke and developed acute airway compromise. The surgical airway response team was called due to inability to ventilate or intubate. An incision into the mass during attempted tracheotomy released colloid and blood, decompressing the airway and facilitating ventilation and intubation. Hemithyroidectomy for mass removal was delayed for 3 days to allow normalization of post‐tPA coagulopathy. Laryngoscope, 2014
Source: The Laryngoscope - July 14, 2014 Category: ENT & OMF Authors: Sara C. Gallant, Mark A. Fritz, Benjamin C. Paul, Peter D. Costantino Tags: General Otolaryngology Source Type: research

Acute camptocormia as the presenting symptom of tetanus
We report an unusual case of tetanus with camptocormia as the initial symptom. Case presentation A 77-year-old female farmer with unremarkable medical history arrived at our hospital due to difficulty in swallowing and a dropped head which were noticed 4 days prior to the visit. On examination at arrival, she had camptocormia with increased tonus of rectus abdominis muscle. She also had hoarseness in speech and mild limitation in opening her mouth. No wound was observed. Investigation On laryngoscopy, saliva was pooling around the epiglottis with decreased mobility. Therefore, she was admitted to the intensive care un...
Source: Journal of Neurology, Neurosurgery and Psychiatry - July 9, 2014 Category: Neurosurgery Authors: Kaji, S., Shibayama, H., Sato, S., Fukutake, T. Tags: Immunology (including allergy), Muscle disease, Neuromuscular disease, Pain (neurology), Stroke, Ophthalmology, Radiology, Drugs: musculoskeletal and joint diseases, Musculoskeletal syndromes, Surgical diagnostic tests, Radiology (diagnostics), Ear, nose Source Type: research

Intravenous mesenchymal stem cell therapy after recurrent laryngeal nerve injury: A preliminary study
ConclusionsThese pilot data indicate that with complete nerve transection by crush injury of the RLN in rat, there is complete recovery of vocal fold mobility at 2 weeks. At 1 week postinjury, animals receiving intravenous infusion of MSCs showed a trend for greater functional recovery, suggesting a potential beneficial effect of MSCs; however, this did not reach statistical significance. Therefore, no definite conclusions can be drawn from these data and further study is required. Level of EvidenceN/A. Laryngoscope, 2014
Source: The Laryngoscope - July 7, 2014 Category: ENT & OMF Authors: Michael Z. Lerner, Takashi Matsushita, Karen L. Lankford, Christine Radtke, Jeffery D. Kocsis, Nwanmegha O. Young Tags: Laryngology Source Type: research

The effect of fidelity: How expert behavior changes in a virtual reality environment
ConclusionSlight differences in drill interaction between a virtual environment and the real world can have measurable effects on surgical technique, particularly in terms of stroke length, duration, and curvature. It is important to understand these effects when designing and implementing surgical training programs based on VR simulation—and when improving the fidelity of VR simulators to facilitate use of a similar technique in both real and simulated situations. Level of EvidenceAnimal studies and basic research (N/A). Laryngoscope, 2014
Source: The Laryngoscope - June 3, 2014 Category: ENT & OMF Authors: Ioanna Ioannou, Alex Avery, Yun Zhou, Jacek Szudek, Gregor Kennedy, Stephen O'Leary Tags: Otology/Neurotology Source Type: research

Microvascular free tissue reconstruction in the patient with multiple courses of radiation
ConclusionsMicrovascular free tissue transfer to the head and neck is expected to provide a successful reconstruction in patients who have received multiple courses of radiation and who develop second primary tumors, recurrence of disease, or who suffer from late complications of their radiation therapy. Level of Evidence4. Laryngoscope 124:2252–2256, 2014
Source: The Laryngoscope - May 2, 2014 Category: ENT & OMF Authors: Eli A. Gordin, Yadranko Ducic Tags: Facial Plastics and Reconstructive Surgery Source Type: research

The effect of fidelity: How expert behaviour changes in a virtual reality environment
Conclusion: Slight differences in drill interaction between a virtual environment and the real world can have measurable effects on surgical technique, particularly in terms of stroke length, duration, and curvature. It is important to understand these effects when designing and implementing surgical training programs based on VR simulation, and in improving the fidelity of VR simulators to facilitate use of similar technique in both real and simulated situations.
Source: The Laryngoscope - April 9, 2014 Category: ENT & OMF Authors: Ioanna Ioannou, Alex Avery, Yun Zhou, Jacek Szudek, Gregor Kennedy, Stephen O'Leary Tags: Original Report Source Type: research

Microvascular free tissue reconstruction in the multiply irradiated patient
Conclusion: Microvascular free tissue transfer to the head and neck is expected to provide a successful reconstruction in patients who have received multiple courses of radiation who develop second primary tumors, recurrence of disease, or who suffer from late complications of their radiation therapy.
Source: The Laryngoscope - March 20, 2014 Category: ENT & OMF Authors: Eli A. Gordin, Yadranko Ducic Tags: Original Report Source Type: research

Indications and outcomes of endoscopic CO2 laser cricopharyngeal myotomy
ConclusionsEndoscopic CO2 laser CPM is a safe treatment for cricopharyngeal dysfunction of various causes, though swallowing outcomes may vary depending on the surgical indication. Early feeding postoperatively after CPM is safe and facilitates early hospital discharge. Level of Evidence4. Laryngoscope, 2013
Source: The Laryngoscope - October 29, 2013 Category: ENT & OMF Authors: Jennifer L. Bergeron, Dinesh K. Chhetri Tags: Laryngology Source Type: research

Relationship between idiopathic sudden sensorineural hearing loss and subsequent stroke
Conclusions:Idiopathic sudden sensorineural hearing loss did not increase stroke risk. The average annual stroke incidence rate after idiopathic sudden sensorineural hearing loss was comparable with that in the general Taiwanese population. The study patients experienced stroke because they carried the risk factors for stroke. In patients with modified risk factors for stroke, efforts should be made to prevent stroke rather than idiopathic sudden sensorineural hearing loss.
Source: The Laryngoscope - March 15, 2013 Category: ENT & OMF Authors: Chia‐Fan Chang, Yen‐Ling Kuo, Shih‐Pin Chen, Mao‐Che Wang, Wen‐Huei Liao, Tzong‐Yang Tu, An‐Suey Shiao Tags: Otology/Neurotology Source Type: research

Risks of radiation versus risks from injury: A clinical decision analysis for the management of penetrating palatal trauma in children
ConclusionsRoutine use of computed tomography with angiography for well‐appearing children with palatal trauma should be reconsidered, as the risk of radiation‐induced malignancy may outweigh the benefit of identifying the rare carotid injury. Level of Evidence2b. Laryngoscope, 2013
Source: The Laryngoscope - February 12, 2013 Category: ENT & OMF Authors: Kara E. Hennelly, Andrew M. Fine, Dwight T. Jones, Stephen Porter Tags: Pediatrics Source Type: research

Chronic rhinosinusitis increased the risk of stroke: A 5‐year follow‐up study
ConclusionsPatients with CRS were at higher risk for stroke occurrence during the 5 year follow‐up. Level of Evidence2b. Laryngoscope, 2013
Source: The Laryngoscope - February 1, 2013 Category: ENT & OMF Authors: Jiunn‐Horng Kang, Chuan‐Song Wu, Joseph J. Keller, Herng‐Ching Lin Tags: Allergy/Rhinology Source Type: research

Isolated Myoclonus of the Vocal Folds
Conclusion: Isolated VFM is an unusual manifestation of pontine injury, resulting in a sudden, involuntary, and non-rhythmic vocal fold movement. This laryngeal pathology is not associated with either dyspnea or dysphonia and most likely not with inefficient swallowing.
Source: Journal of Voice - October 29, 2012 Category: ENT & OMF Authors: Tal Marom, Haim Flaksman, Nophar Ben-David, Ron Dabby, Ronit Gilad, Yael Oestreicher-Kedem, Yehudah Roth Source Type: research