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Nasendoscopy to Predict Difficult Videolaryngoscopy: A Multivariable Model Development Study.
J Clin Med
May 2023
Department of Anesthesiology, Center for Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany.
Background: Transnasal videoendoscopy (TVE) is the standard of care when staging pharyngolaryngeal lesions. This prospective study determined if preoperative TVE improves the prediction of difficult videolaryngoscopic intubation in adults with expected difficult airway management in addition to the Simplified Airway Risk Index (SARI).
Methods: 374 anesthetics were included (252 with preoperative TVE).
Incorporating Velopharyngeal MRI into the Clinical Decision-Making Process for a Patient Presenting with Velopharyngeal Dysfunction Following a Failed Palatoplasty.
Cleft Palate Craniofac J
September 2024
Division of Plastic Surgery, University of Virginia Health System, Charlottesville, VA, USA.
This clinical report describes the implementation of magnetic resonance imaging (MRI) to evaluate a patient with long-standing velopharyngeal dysfunction. She was referred to the craniofacial clinic at age 10 with no prior surgical history and subsequently completed a Furlow palatoplasty due to a suspected submucous cleft palate. However, results were unfavorable with minimal improvement in speech or resonance.
View Article and Find Full Text PDFA combined microinvasive trans-submandibular and nasendoscopy surgical approach to dissect recurrent or radiotherapy-insensitive nasopharyngeal carcinoma.
Front Oncol
August 2022
Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Objective: To investigate a novel combined microinvasive trans-submandibular and nasendoscopy surgical approach for nasopharyngeal carcinoma involving the parapharyngeal space.
Methods: Seven patients diagnosed with nasopharyngeal carcinoma involving the parapharyngeal space between May 2018 and April 2021, two males and five females, aged 37-63 years.Six of the 7 patients underwent submental flap preparation and dissection of the lymph nodes in the upper neck and parapharyngeal space on the lesion side.
Recurrent Carotid artery blow out in a head & neck patient.
Int J Surg Case Rep
May 2022
Department of Otolaryngology/Head & Neck Surgery, St James' Hospital, Dublin 8, Ireland.
Introduction And Importance: Carotid artery blowout syndrome is a rare complication of head and neck cancer treatment. It defines a rupture of the carotid artery wall through vessel wall necrosis. This is typically precipitated by radiotherapy, direct tumour invasion, or a combination of these factors.
View Article and Find Full Text PDFConversion Furlow Palatoplasty and the Use of Preoperative Video Nasendoscopy.
Cleft Palate Craniofac J
May 2022
Speech-Language Pathology, Children's Mercy Kansas City, Kansas City, MO, USA.
Article Synopsis
- The study investigates the effectiveness of routine preoperative flexible fiberoptic video nasendoscopy (FFVN) in children undergoing conversion Furlow palatoplasty for velopharyngeal insufficiency (VPI) after initial palatoplasty.
- The research involved 87 patients aged over 3, comparing outcomes based on whether they had FFVN before their secondary surgery.
- Results showed no significant improvement in speech outcomes or need for further surgery with FFVN; in fact, it delayed surgical timing for those patients.
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