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VV-ECMO for surgical cure of a critical central airway obstruction.

Extracorporeal membrane oxygenation (ECMO) is a form of prolonged cardiopulmonary bypass that has extensively been used in critically ill patients in an intensive care setting. Both veno-venous (VV-) and veno-arterial (VA-) ECMO have been described as a perioperative rescue or replacement of endotracheal intubation in the setting of extrinsic airway compression due to a mediastinal mass. In this paper, we will outline the utility of ECMO in the context of extrinsic airway compression and will use an illustrative case to examine how ECMO can be useful during severe airway obstruction. Our patie

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… He began to develop 2 days of evolving shortness of breath on exertion with worsening hoarseness of his voice. His physical exam was only notable for a hoarse voice. … He is now back to his baseline quality of life, though his hoarseness persists due to recurrent laryngeal nerve dysfunction. Discussion As demonstrated by this case, ECMO can be used as a support for gas-exchange intraoperatively when it is deemed too risky to pursue endotracheal intubation. …

[Comparative study on simultaneous bilateral and unilateral posterior vocal cord resection using CO2 laser for bilateral vocal cord paralysis].

Objective: To compare and analyze the efficacy of bilateral and unilateral posterior vocal cord resection with CO2 laser under endoscopy in … y group, which was 5.05 (4.52, 5.62) mm (Z=-4.103, P<0.05). Among the GRBAS parameters, G (grade of hoarseness), B (breathiness), and A (asthenia), as well as VHI-10 scores and objective voice analysis parameters [jitter, shimmer, harmonic-noise ratio (HNR), and maximum phonation time (MPT)], were significantly better in the unilateral cordotomy group compar …

Impact of the fear of catching COVID-19 on mental health in undergraduate students: A Predictive Model for anxiety, depression, and insomnia.

INTRODUCTION: The incidence of asthma exacerbations in patients receiving salmeterol/fluticasone propionate (Seretidetrade mark or Advair((R … ations, muscle cramps and headache) and fluticasone propionate-related events (oral candidiasis and hoarseness) occurred in a similar percentage of subjects in each treatment group. The treatment differences for morning and evening HR measurements showed small differences between the two groups (<2 beats/min). The adjusted mean treatment difference (double d …

[Effect of Bryan cervical disc replacement on cervical curvature and replacement segment in treating cervical spondylosis].

OBJECTIVE: To investigate the effect of Bryan cervical disc replacement on cervical curvature and replacement segment in the treatment of ce … significant difference preoperatively and at the last follow-up(P>0.05). Pharyngeal discomfort and hoarseness occurred in 5 cases, and were recovered within 2 weeks after operation;heterotopic ossification occurred in 1 case at 6 months after operation;displacement of prosthesis occurred in 1 case at 12 months after operation. Based on Odom standard to eval …

Surgical results and complications of anterior decompression and fusion as a revision surgery after initial posterior surgery for cervical myelopathy due to ossification of the posterior longitudinal ligament.

OBJECTIVE Ossification of the posterior longitudinal ligament (OPLL) is a progressive disease. An anterior cervical decompression and fusion … ied in 1 patient, and C-5 palsy that gradually recovered in 3 patients. Reintubation, delirium, and hoarseness were observed in 1 patient each (5%). No patient required reoperation for reconstruction failure, and all patients eventually had a solid bony fusion. CONCLUSIONS ACDF as revision surgery after initial posterior surgery for cervical myelopathy due t …

Randomized comparison of the i-gel(TM) with the LMA Supreme (TM) in anesthetized adult patients.

BACKGROUND: The LMA Supreme(TM) (LMA-S) and i-gel(TM) are two of the most commonly used supraglottic airway devices (SADs) with an inbuilt d … 23, respectively). There were no differences relating to the incidence of sore throat, dysphagia or hoarseness at 10 min postoperatively between groups (p = 0.088). The i-gel group complained about a higher sore throat score at 2 h postoperatively (p = 0.009), specifically patients receiving i-gel suffered more from sore throats with 0.24 more points on the …

[LOCATION CHANGE OF ROTATION CENTER AFTER SINGLE SEGMENTAL CERVICAL DISC REPLACEMENT WITH ProDisc-C].

OBJECTIVE: To evaluate the effectiveness of the single segmental cervical disc replacement with ProDisc-C, and to explore the location chang … graphic results were analyzed. RESULTS: All the operations were completed successfully; 1 case had hoarseness after operation, which disappeared at 3 months after operation. All cases were followed up 18.3 months on average (range, 6-36 months). There was no device migration, loosening, subsidence, or fracture at last follow-up. The JOA score increased sign …

Hypothyroidism in adults. Levothyroxine if warranted by clinical and laboratory findings, not for simple TSH elevation.

Hypothyroidism is a common disorder due to inadequate thyroid hormone secretion. When a patient has signs and symptoms suggestive of hypothyroidism, how is it determined whether thyroid hormone replacement therapy will have a favourable harm-benefit balance? How should treatment be managed? To answer these questions, we conducted a review of the literature using the standard Prescrire methodology. The symptoms of hypothyroidism are due to slow metabolism (constipation, fatigue, sensitivity to cold, weight gain, etc.) and to polysaccharide accumulation in certain tissues, leading to hoarseness,…

[Anterior revision surgery for the treatment of cervical spondylosis after anterior decompression and titanium mesh fusion].

OBJECTIVE: To analyze the reasons why anterior decompression and titanium mesh fusion for cervical spondylosis always show poor therapeutic … re incision healed in grade A after 10 days. Other patients had no complications such as dysdipsia, hoarseness, and laryngeal edema, etc. All patients were followed up for 12 to 28 months with an average of 16 months. Two months after operation and at last follow-up, JOA scores and ODI index had obviously improved than preoperation (P < 0.01), and there was …

Anterior cervical discectomy and fusion with structural allograft and plates for the treatment of unstable posterior cervical spine injuries.

OBJECT: The purpose of this study was to evaluate complications and radiographic and functional outcomes of isolated anterior stabilization … onstrated complete resolution of this condition. Complications occurred in 1 patient with transient hoarseness and 1 with transient swallowing difficulty. There were no wound complications. Screw breakage occurred in 1 patient, and an additional patient required revision surgery for pseudarthrosis. CONCLUSIONS: Anterior cervical discectomy and fusion perfor …

Management of laryngo-tracheal injuries associated with craniomaxillofacial trauma.

PURPOSE: Laryngeal fractures can occur in association with maxillofacial injuries and may lead to life-threatening airway obstruction. Becau … ver, all patients were successfully decannulated, maintained patent airways, and ate a normal diet. Hoarseness was common in patients who underwent surgical exploration; however, long-term perioperative complications were rare and included infection requiring hardware removal (n = 1), unilateral vocal cord paralysis (n = 1), and subjective dysphagia. CONCLU …

[Effectiveness analysis of anterior intervertebral osteotomy and fusion assisted by inflection point of uncinate process for treatment of cervical spondylotic myelopathy].

OBJECTIVE: To compare the effectiveness of anterior intervertebral osteotomy and fusion (AIOF), utilizing the inflection point of the uncina … group, showing no significant difference ( P>0.05). Neither group experienced complications such as hoarseness, cerebrospinal fluid leakage, dural tear, spinal cord injury, choking on water, or C 5 nerve root palsy. All patients completed the follow-up, with the follow-up durations of (14.6±2.3) months in the AIOF group and (15.1±2.1) months in the ACDF grou …

Efficacy of ultrasound-guided combined sphenopalatine and stellate ganglion block in the treatment of allergic rhinitis.

BACKGROUND: Although ultrasound-guided nerve blocks have shown potential efficacy in the treatment of allergic rhinitis (AR), high-quality c … or follow-up. Some patients experienced transient adverse effects, including facial numbness, pain, hoarseness, ptosis, and dysphagia, which resolved spontaneously without residual disability or need for long-term treatment. CONCLUSIONS: In this single‑center retrospective cohort, ultrasound-guided combined sphenopalatine and stellate ganglion block effecti …

Clinical, Histopathological, and Radiological Profile of Patients Presenting With Thyroid Malignancies Among the Kerala Population.

BACKGROUND AND OBJECTIVE: Thyroid cancer, though relatively uncommon among all cancer types, stands as the primary form of endocrine tumor. … ia or dyspnea. Pain was reported in two (5%) of the cases. Hypothyroidism, toxic manifestations, or hoarseness were observed in one (2.5%) of the patients. Regarding swelling characteristics, most were greater than 4 cm in size (29, 72%) and firm in consistency (25, 62.5%). Nodular surfaces were present in 19 (47.5%) of the cases, while 38 (95%) of the swell …

[Clinical features and surgical treatments of neurofibromas associated with neurofibromatosis type 1].

OBJECTIVE: To explore the clinical features, surgical treatment, and effectiveness of neurofibromas associated with neurofibromatosis type 1 … s had difficulty in shoulder abduction after surgery, 1 patient with PNF located in vagus developed hoarseness after surgery. Among the 8 patients with MPNST in PNF, 1 died of lung metastases and 1 died of systemic failure. The remaining 6 patients were in stable condition during follow-up, and no tumor recurrence or metastasis was observed. CONCLUSION: Acc …

[A clinical study on the determination of cuff pressure in artificial airway by minimum air leakage method].

OBJECTIVE: To compare the cuff pressure and leakage volume and the related complications of filling the tracheal tube cuff by minimum air le … group (airway mucosal edema: 14% vs. 12%, ulcer: 8% vs. 6%, tracheal esophageal fistula: 0% vs. 0%, hoarseness: 4% vs. 6%, cough: 30% vs. 34%, sore throat: 28% vs. 32%, tracheal softening: 0% vs. 0%, cuff rupture: 10% vs. 8%, all P > 0.05). CONCLUSIONS: The optimal cuff pressure is very important for preventing VAP and reducing airway complications. The min …

[Detection and clinical analysis of acute lower respiratory tract infection with human coronaviruses in children in Beijing area 2007-2015].

OBJECTIVE: To investigate human coronaviruses (HCoVs) infection in children with acute lower respiratory tract infection(ALRTI)and to explor … l manifestations included cough (14 cases), gasping (13 cases), dyspnea (9 cases), fever (6 cases), hoarseness (4 cases), laryngeal stridor (4 cases) and abnormality on chest X-ray (including fuzzy lung texture, patchy shadow and consolidation) (12 cases). (6) There were no significant differences in the incidence of clinical manifestations (including cough, …

Vagus nerve stimulation for conservative therapy-refractive epilepsy and depression.

Numerous studies confirm that the vagus nerve stimulation (VNS) is an efficient, indirect neuromodulatory therapy with electrically induced current for epilepsy that cannot be treated by epilepsy surgery and is therapy-refractory and for drug therapy-refractory depression. VNS is an established, evidence-based and in the long-term cost-effective therapy in an interdisciplinary overall concept.Long-term data on the safety and tolerance of the method are available despite the heterogeneity of the patient populations. Stimulation-related side effects like hoarseness, paresthesia, cough or dyspnea…

A rare instance of retrosternal goitre presenting with obstructive sleep apnoea in a middle-aged person.

INTRODUCTION: In endemic goitre areas, 20% of the population over 70 will have retrosternal goitre.(12) Obstructive sleep apnoea (OSA) occur … 8.8%), as was the case in the studied patient. Other modes of presentation include neck mass (75%), hoarseness of voice (37.5%), dysphagia (31.3%), stridor/wheezing (19%), or SVC obstruction. Upper airway obstruction due to thyroid gland has been reported up to 31%(2) and difficulty in intubation has been reported in 11%.(3) Central airway obstruction produc …

[Application of artificial pneumothorax in semi-prone position to the video-assisted thoracic surgery of esophageal carcinoma].

OBJECTIVE: To explore the safety and effectiveness of artificial pneumothorax in semi-prone position applied to video-assisted thoracoscopic … tula, and chylothorax occurred in our patient group. One case of arrhythmia, two cases of transient hoarseness, and two cases of pulmonary infection were all improved under symptomatic treatment. The overall complication rate was 9.8% (5/51). 714 lymph nodes were dissected in the 51 patient-group, with an average 14 lymph nodes per patient, including 512 che …