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Total 241 results found since Jan 2013.

Discussion Related to “Maxillomandibular Advancement for Obstructive Sleep Apnea Is Associated with Very Long-Term Overall Sleep-Related Quality-of-Life Improvement.”
Obstructive sleep apnea (OSA) is a common chronic disease resulting from repetitive collapse of the airway during sleep, causing hypoxemia and sleep fragmentation. Untreated OSA at varying severity levels has been linked to hypertension, cardiac arrhythmias, stroke, diabetes, decreased work performance, decreased quality of life (QOL), and increased all-cause mortality. It is a costly global health concern as the increasing prevalence of OSA parallels the rising rates of obesity. OSA affects approximately 22% of men and 17% of women, while severe OSA is present in 2-4% of the adult population1.
Source: Journal of Oral and Maxillofacial Surgery - January 28, 2020 Category: ENT & OMF Authors: Jennifer M. Dolan, Ashleigh M. Weyh, Juliana Gomez, Salam O. Salman Source Type: research

Commentary - “Maxillomandibular Advancement for Obstructive Sleep Apnea Is Associated with Very Long-Term Overall Sleep-Related Quality-of-Life Improvement”
Obstructive sleep apnea (OSA) is a common chronic disease resulting from repetitive collapse of the airway during sleep, causing hypoxemia and sleep fragmentation. Untreated OSA at varying severity levels has been linked to hypertension, cardiac arrhythmias, stroke, diabetes mellitus, decreased work performance, decreased quality of life, and increased all-cause mortality. OSA is a costly global health concern because the increasing prevalence of OSA has paralleled the increasing rates of obesity.
Source: Journal of Oral and Maxillofacial Surgery - January 28, 2020 Category: ENT & OMF Authors: Jennifer M. Dolan, Ashleigh M. Weyh, Juliana Gomez, Salam O. Salman Tags: Resident corner Source Type: research

Pharyngeal motility in patients submitted to type I thyroplasty
ConclusionPharyngeal motility is affected by thyroplasty Type I in patients with dysphagia and low vagal injury.ResumoIntroduçãoA tireoplastia tipo 1 é realizada para melhorar o fechamento da glote e os sintomas disfágicos em pacientes com paralisia unilateral de prega vocal.ObjetivosEste estudo tem como objetivo comparar a motilidade da faringe e do esfíncter esofágico superior (ponto levantado nos comentários do revisor) em pacientes com paralisia unilateral de prega vocal antes e depois da tireoplastia tipo I.MétodoForam estudados prospectivamente 15 pacientes com paralisia unilateral de prega vocal submetidos ...
Source: Brazilian Journal of Otorhinolaryngology - December 18, 2019 Category: ENT & OMF Source Type: research

Myiasis in oral cavity: a report of 2 cases
Myiasis is a disease caused by the invasion of tissues by the larvae of flies. Herein, we present 2 cases of this disease. Case 1: a 47-year-old male patient with diabetes mellitus, hypertension, malnutrition, and mental disorders was hospitalized for sequelae of stroke. The intraoral examination revealed poor hygiene and the presence of an ulcerated lesion with a whitish border in the left upper lip mucosa showing larvae with wriggling movement. Case 2: an 11-year-old male patient diagnosed with cerebral palsy and West syndrome.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - December 15, 2019 Category: ENT & OMF Authors: JULIA TURRA RIBEIRO, FERNANDA BROCHIER CARDOSO, MICHELLE ROXO GON ÇALVES, LUAN NATHIEL SANTANA KOVALSKI, VINICIUS COELHO CARRARD, MANOELA DOMINGUES MARTINS, MARCO ANTONIO TREVIZANI MARTINS Source Type: research

Reaction in oral mucosa due to intensive therapy polypharmacy: case report
A 51-year-old white female patient hospitalized in the intensive care unit because of acute ischemic stroke who needed tracheostomy and vasoactive drugs in high dosage evolved with aspiration pneumonia and septic shock. At 30 days of hospitalization, intraoral examination revealed multiple superficial ulcers on the lips, buccal mucosa, tongue, and mouth floor, circumscribed by erythematous halo and covered by pseudomembrane with severe pain symptomatology and evolution of 15 days. Concomitantly, the patient presented bilateral conjunctivitis with erythema in the sclera and periocular region.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - December 15, 2019 Category: ENT & OMF Authors: ANDRESSA COUTINHO RIBEIRO, CLAUDIA CRISTIANE BAISEREDO DE CARVALHO, ANA FL ÁVIA SCHUELER DE ASSUMPÇÃO LEITE, ADRIANA TEREZINHA NEVES NOVELLINO ALVES, SIMONE DE QUEIROZ CHAVES LOURENÇO, JOSIANE COSTA RODRIGUES DE SÁ Source Type: research

Carotid artery dissection and stroke in association with mandibular fracture
Publication date: December 2019Source: British Journal of Oral and Maxillofacial Surgery, Volume 57, Issue 10Author(s): Thomas Pepper, Rebecca Dixon, Helen Witherow
Source: British Journal of Oral and Maxillofacial Surgery - December 12, 2019 Category: ENT & OMF Source Type: research

Central auditory processing: behavioral and electrophysiological assessment of children and adolescents diagnosed with stroke
ConclusionChildren and adolescents diagnosed with stroke present a worse performance in the electrophysiological and behavioral evaluations of central auditory processing when compared to a control group.ResumoIntroduçãoO processamento auditivo central refere-se à eficiência e eficácia com que o sistema nervoso central utiliza informações auditivas e pode estar alterado em distúrbios neurológicos e lesões cerebrais, como acidentes vasculares cerebrais. No entanto, apesar das evidências de possíveis alterações na população pediátrica, as habilidades funcionais e as limitações pós- acidente vascular cereb...
Source: Brazilian Journal of Otorhinolaryngology - December 10, 2019 Category: ENT & OMF Source Type: research

Distinct features of malignant carotid body tumors and surgical techniques for challengeable lesions: a case series of 11 patients
ConclusionsWith more advanced Shamblin classification and larger tumor size, malignant CBTs remain challengeable for surgery due to severe intra-operative hemorrhage, need of vascular reconstruction and cervical nerve injury. Specific surgical techniques including pre-reconstruction technique and carotid shunt are safe and effective to improve the outcome.
Source: European Archives of Oto-Rhino-Laryngology - December 4, 2019 Category: ENT & OMF Source Type: research

Carotid artery dissection and stroke in association with mandibular fracture
We present a rare case of carotid artery dissection in association with an isolated low-energy mandibular fracture.
Source: The British Journal of Oral and Maxillofacial Surgery - November 30, 2019 Category: ENT & OMF Authors: Thomas Pepper, Rebecca Dixon, Helen Witherow Tags: P217 Source Type: research

What Does Head Impulse Testing Really Test?
To the Editor Walther et al ignore a fundamental rule of neurology: the pattern of the clinical or physiological deficit indicates the site and not the pathology of the lesion. This is the principle of neurological localization —there are textbooks written about it. The head impulse test, just like the caloric test, or the vestibular evoked myogenic potential, or an extensor plantar response can localize a lesion but reveal nothing about its pathology. For that, one needs to consider the history and results of ancillary investigations, say magnetic resonance imaging or spinal fluid test results. Impulsive testing can loc...
Source: JAMA Otolaryngology - Head and Neck Surgery - September 26, 2019 Category: ENT & OMF Source Type: research

Dysphagia in cervical spine diseases.
Authors: Riepl R, Hoffmann TK, Goldberg-Bockhorn E, Richter P, Reiter R Abstract Dysphagia is a common symptom and can be indicative of a variety of heterogeneous diseases. "Classical" diseases of the head and neck region, such as acute tonsillitis, peritonsillar abscesses, diverticula, and benign or malignant tumors are common causes of dysphagia. However, it can also occur in the context of neurological diseases, e.g., as a result of stroke or as an age-related phenomenon (presbyphagia). Pathologies of the cervical spine can also be a cause of dysphagia. In this context, congenital or acquired diseases, infla...
Source: HNO - September 7, 2019 Category: ENT & OMF Tags: HNO Source Type: research

Transcutaneous Electrical Neuromuscular Stimulation (TENS) Along with Traditional Dysphagia Therapy in Patients with Posterior Stroke: A Case Study
AbstractSwallowing is a complicated, multilevel and neuromuscular physiological function. Transcutaneous neuromuscular electrical stimulation is a relatively new therapeutic intervention for the treatment of swallowing disorders. The aim was to administer and focus on pre and post therapy effects of traditional dysphagia therapy and electrical stimulation (TENS) in 2 participants with posterior stroke. Electrical current along with traditional dysphagia therapy on regular intervals with adequate current levels post stroke. These cumulative therapeutic strategies helped in improving the swallowing mechanism. TENS is one of ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 18, 2019 Category: ENT & OMF Source Type: research

An Educational Intervention for Acute Dizziness Care: A Randomized, Vignette-based Study
Importance: Benign paroxysmal positional vertigo (BPPV) is a common cause of acute dizziness. Strong evidence exists for diagnosing BPPV using the Dix-Hallpike Test (DHT) and treating it with the canalith repositioning maneuver (CRM). Despite this, both are infrequently used in the emergency department (ED). Objective: As an early method to evaluate a BPPV-focused educational intervention, we evaluated whether an educational intervention improved ED provider performance on hypothetical stroke and BPPV cases delivered by vignette. Design: A randomized, controlled, educational intervention study in ED physicians. The...
Source: Otology and Neurotology - August 17, 2019 Category: ENT & OMF Tags: VESTIBULAR DISORDERS Source Type: research

Modified Minerva Cervical Thoracic Orthosis for Postoperative Management of Cricotracheal Resection.
Abstract The worst complication of cricotracheal resection (CTR) is anastomotic dehiscence, and to limit it, postoperative management at Michigan Medicine included the use of a modified Minerva cervical-thoracic orthosis (MMCTO). To date, there has been no analysis of the risks and benefits of the brace's use following CTR. We analyze this with our retrospective study. A search with the keywords "cricotracheal resection" and "laryngotracheal reconstruction" was performed in the Electronic Medical Record Search Engine to identify patients retrospectively. The Statistical Package for Social Sciences was used for ana...
Source: Ear, Nose and Throat Journal - July 10, 2019 Category: ENT & OMF Authors: Baerg TN, Ha JF, Christ M, Green GE Tags: Ear Nose Throat J Source Type: research

Acute vestibular asymmetry disorder: a new disease entity in acute vestibular syndrome?
CONCLUSIONS AND SIGNIFICANCE: Our study suggests that a normal HIT in AVS is not always a dangerous sign indicating an acute stroke. From our observations, we propose that AVAD would be a new disease entity within AVS. PMID: 31035836 [PubMed - as supplied by publisher]
Source: Acta Oto-Laryngologica - April 28, 2019 Category: ENT & OMF Authors: Lee SA, Lee ES, Kim BG, Lee TK, Sung KB, Hwang K, Lee JD Tags: Acta Otolaryngol Source Type: research