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The role of positional changes in optimizing OSA treatment: evidence from DISE.
Eur Arch Otorhinolaryngol
March 2025
Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Ostrava, 17. Listopadu 1790, 70800, Ostrava, Czech Republic.
Purpose: This study aimed to assess the impact of positional changes on upper airway obstruction patterns during drug-induced sleep endoscopy (DISE) in patients with obstructive sleep apnea (OSA) and identify the airway regions most responsive to this change. Special focus was placed on the tongue base, a critical area in OSA pathophysiology.
Methods: This prospective study was conducted from June 2021 to June 2024.
A Rare Case of Adolescent Epiglottitis Secondary to Streptococcus dysgalactiae Septicemia.
Cureus
February 2025
Pediatric Infectious Diseases, Children's Mercy Kansas City, Kansas City, USA.
()is a relatively uncommon pathogen in the pediatric populations, often overshadowed by ()in causing diseases such as cellulitis, severe seep tissue necrotizing infections, and streptococcal toxic shock syndrome. This case report presents the case of a 15-year-old recent immigrant male patient from Egypt who developed an extensive neck infection with complications from septicemia. Initially misdiagnosed as viral pharyngitis, the patient was later admitted with high fevers, dysphagia, and progressive respiratory distress.
View Article and Find Full Text PDFRefractory and Relapsing Laryngeal Edema Possibly Associated With Chronic Tonsillitis and Mycoplasma Infection, Requiring Reintubation and Tracheostomy.
Case Rep Med
January 2025
Department of Clinical Medicine, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.
Relapsing epiglottitis has rarely been reported, and its etiology is not well established. A 44-year-old previously healthy Japanese man presented with a quickly progressing choking sensation. He had been experiencing refractory and relapsing laryngeal edema and probably acute epiglottitis (three episodes within 2 weeks), with rash and elevated pancreatic amylase.
View Article and Find Full Text PDFManaging Epiglottitis in Adults: A Comprehensive Case Study.
Cureus
November 2024
Radiology, Tempe St. Luke's Hospital, Tempe, USA.
Epiglottitis is an inflammatory condition involving the epiglottis and surrounding tissues. While it can develop at any age, it was traditionally more common in children, largely due to infections with type B (Hib). Since the introduction of the Hib vaccine, the incidence in children has significantly decreased, while cases in adults have become more prevalent.
View Article and Find Full Text PDFAirway Watch: A Rare Case of Adult Epiglottitis.
Cureus
November 2024
Emergency Medicine, Madigan Army Medical Center, Tacoma, USA.
Article Synopsis
- Epiglottitis is an inflammation of the epiglottis that can cause airway obstruction, previously mostly affecting children due to Hib infections, but now more common in adults following widespread vaccinations.
- A case of a fully vaccinated 58-year-old woman revealed severe symptoms and a successful bedside nasopharyngoscopy by emergency medicine, preventing the need for intubation.
- The report emphasizes recognizing epiglottitis in adults, the role of emergency physicians in performing nasopharyngoscopy, and the effectiveness of early treatment with antibiotics and corticosteroids for better recovery outcomes.
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