ENT indications for Hyperbaric Oxygen Therapy.
Authors: Germonpre P, Levie P, Dehalleux C, Caers D
Abstract
ENT indications for Hyperbaric Oxygen Therapy. Hyperbaric Oxygen (HBO) therapy is a treatment where patients breathe 100% oxygen while exposed to high environmental pressure in a hyperbaric chamber. This hyperoxygenation has several beneficial effects as an adjunctive treatment in a number of ENT-related conditions and diseases. These can be summarized as anti-ischaemic effects (delivery of oxygen to otherwise ischaemic tissues, reduction of ischaemia-reperfusion damage), anti-infectious effects (bacteriostasis, improved leucocyte phagocytosis ba...
Source: B-ENT - February 23, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Management of burn wounds of the head and neck region.
Authors: Jennes S, Hanchart B, Keersebilck E, Rose T, Soete O, François PM, Engel H, Van Trimpont F, Davin C, Trippaerts M, Vanderheyden B, Etienne L, Lacroix C, Teodorescu S, Mashaekhi S, Persoons P, Baekelandt D, Hachimi Idrissil S, Watelet JB
Abstract
Management of burn wounds of the head and neck region. Management of the severely burned patient is ery often a challenge, not only due to major disturbances in anatomy and physiological processes, but also because the relatively low incidence of this pathology in both civilian and military practice results in care providers'lack of experience. The purpos...
Source: B-ENT - February 23, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Toxic exposure to caustics and respiratory irritants.
This article therefore aims to provide a comprehensive general approach to patients with suspected poisoning and to present a more elaborate discussion on the diagnosis and management of patients following exposure to caustics and respiratory irritants. This survey, however, does not intend to be a substitute for the need for consultation with an emergency physician and a clinical toxicologist qualified in the diagnosis and treatment of poisoned patients.
PMID: 29461738 [PubMed] (Source: B-ENT)
Source: B-ENT - February 23, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
At risk populations: from children to the elderly.
CONCLUSIONS: It is widely accepted that children require paediatric-specific assessment/treatment equipment and pharmacotherapy. When compared to adults, there is no difference in the Royal College of Physician guidelines for elderly people's reanimation, however, other criteria such as polypathology, co-morbidity, polypharmacy, fragility, risk of delirium, adverse drug reaction, poor outcome and quality of life should be considered.
PMID: 29461739 [PubMed] (Source: B-ENT)
Source: B-ENT - February 23, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Acute external ear lesions: clinical aspects, assessment and management.
Authors: Thill MP, Horoi M, Ostermann K, Depuydt C, Deschamps M, Ducène C
Abstract
Acute external ear lesions: clinical aspects, assessment and management. We reviewed the literature concerning the assessment and the management of the external ear traumas, which is not very rich. Nevertheless, we outlined the practical attitudes in the four major conditions met: the auricular haematoma, the auricular perichondritis, the auricular laceration and auricular bums. All these pathologies must be promptly treated because there is a risk of perichondritis, which can destroy the cartilage and will result in a seve...
Source: B-ENT - February 23, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Middle ear damages.
Authors: Van Hoecke H, Calus L, Dhooge I
Abstract
Middle ear damages. The eardrum and middle ear are often exposed to blunt and penetrating trauma, blasts, thermal or caustic injuries. These injuries may result in tympanic membrane perforation, middle ear haemorrhage, dislocation and fracture of the ossicular chain, perilymphatic fistula and damage to the chorda tympani and/or facial nerve. In case of life-threatening injuries and/or mass casualty incidents, middle ear trauma obviously does not take highest priority. However, middle ear lesions should be suspected and recognized as early as possible. After...
Source: B-ENT - February 23, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Speech-in-noise testing as a marker for noise-induced hearing loss and tinnitus.
Authors: Van Eynde C, Denys S, Desloovere C, Wouters J, Verhaert N
Abstract
Speech-in-noise testing as a marker for noise-induced hearing loss and tinnitus. Noise-induced hearing loss and tinnitus are auditory complaints that often co-occur. Often, there is no immediate indication of changes in the pure tone audiogram. Patients can still have clinically normal hearing thresholds while clearly experiencing reduced speech comprehension. This might be explained by the process of neurodegeneration of the innervated dendrites of the auditory nerve fibres and secondary degeneration of spiral ganglion neurons. Su...
Source: B-ENT - February 23, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Basilar skull fractures: the petrous bone.
CONCLUSION: The ample amount of available literature allows for sound management decisions, with reference made to algorithms when available in the literature. Nevertheless, for most of the management/search questions, categories of evidence and strength of recommendation are low or lacking.
PMID: 29461743 [PubMed] (Source: B-ENT)
Source: B-ENT - February 23, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Ear, nose and throat and non-acoustic barotrauma.
Authors: Claes J, Germonpre P, Van Rompaey V, Bourmanne E
Abstract
The organs of the ear, nose and throat (ENT) contain air- or gas-filled cavities, which make them sensitive to pressure changes. There is a specific pathophysiology involved when these structures are exposed to non-acoustic press ure changes, which are usually not traumatic in normals. The concepts of pathophysiology, diagnosis and treatment of these traumas in an emergency setting are reviewed.
PMID: 29461744 [PubMed] (Source: B-ENT)
Source: B-ENT - February 23, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Treatment efficacy of a titratable oral appliance in obstructive sleep apnea patients: a prospective clinical trial.
CONCLUSIONS: This clinical trial indicates that treatment with a novel custom-made OAm can reduce the severity of sleep-disordered breathing by significantly decreasing the AHI and VAS scores.
PMID: 27097387 [PubMed - in process] (Source: B-ENT)
Source: B-ENT - April 23, 2016 Category: ENT & OMF Tags: B-ENT Source Type: research
Cauterization for epistaxis in hereditary hemorrhagic telangiectasia.
DISCUSSION: Although our results are preliminary and included few patients, they support a role for endonasal surgical arterial cauterization as a second-line treatment method for chronic epistaxis in patients with HHT.
PMID: 27097388 [PubMed - in process] (Source: B-ENT)
Source: B-ENT - April 23, 2016 Category: ENT & OMF Tags: B-ENT Source Type: research
How does electronic cigarette smoking affect sinonasal symptoms and nasal mucociliary clearance?
CONCLUSIONS: Although EC is widely used as a method of quitting smoking, it has negative effects on the sinonasal symptoms and MCC.
PMID: 27097389 [PubMed - in process] (Source: B-ENT)
Source: B-ENT - April 23, 2016 Category: ENT & OMF Tags: B-ENT Source Type: research
Bilateral dacryocystocele with an intranasal cyst as the cause of respiratory distress in a newborn.
Authors: Durmaz A, Yildizoğlu Ü, Arslan F, Uysal Y
Abstract
A congenital dacryocystocele with an intranasal cyst is an uncommon lesion that is usually treated by ophthalmologists, although sometimes an otorhinolaryngologist is consulted first because of nasal obstruction. The nasal cavity is narrow in newborns and can easily be obstructed, even by small lesions. Prolapse or expansion of the cyst into the nose may lead to respiratory distress and difficulty in feeding, since newborns are obligate nose breathers. Here we report a case of bilatera dacryocystocele with intranasal extension in a 3-day-old fem...
Source: B-ENT - April 23, 2016 Category: ENT & OMF Tags: B-ENT Source Type: research
Induction chemotherapy before surgery for unresectable head and neck cancer.
CONCLUSION: Concurrent radiation and chemotherapy is the standard treatment for locally advanced head and neck squamous cell carcinoma; however, induction chemotherapy may be beneficial in select patients.
PMID: 27097391 [PubMed - in process] (Source: B-ENT)
Source: B-ENT - April 23, 2016 Category: ENT & OMF Tags: B-ENT Source Type: research
Lipoblastomatosis of the retropharyngeal space: pathogenesis, presentation, and management, with a focus on head-neck lipoblastoma(toses).
CONCLUSION: This is the first report of lipoblastomatosis with the retropharyngeal space as the epicenter of involvement/ origin. Although rare and seldom diagnosed before surgery, lipoblastoma(tosis) may be more common in the head-neck area than thought previously and should be an important differential diagnosis for pediatric fibrolipomatous neoplasms in this anatomic subsite.
PMID: 27097392 [PubMed - in process] (Source: B-ENT)
Source: B-ENT - April 23, 2016 Category: ENT & OMF Tags: B-ENT Source Type: research
