Effect of Combined Respiratory Muscle Training (cRMT) on Dysphonia following Single CVA: A Retrospective Pilot Study

xlomafota13 shared this article with you from Inoreader Effect of Combined Respiratory Muscle Training (cRMT) on Dysphonia following Single CVA: A Retrospective Pilot Study Via Journal of Voice Although dysphonia is less prevalent than dysphagia following cerebrovascular accidents, dysphonia does contribute to the burden of disease resulting from stroke. Strengthening muscles of the larynx and respiratory tract through respiratory muscle training (RMT) has proven effective in improving voice after neurological insult. However, approaches to strengthen only the expiratory muscle groups (EMST) dominate the clinical study literature, with variable outcomes. By focusing on exhalation, the contribution of inspiratory muscles to phonation may have been overlooked. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Nystagmus in adult patients with acute otitis media or otitis media with effusion without dizziness

xlomafota13 shared this article with you from Inoreader Nystagmus in adult patients with acute otitis media or otitis media with effusion without dizziness Via Otitis media by Chang-Hee Kim, Jiyeon Lee, BoYoon Choi, Jung Eun Shin The present study aimed to investigate the incidence and patterns of nystagmus in adult patients with acute otitis media (AOM) or otitis media with effusion (OME) without dizziness or vertigo, and discuss possible mechanisms. From February 2018 to November 2018, 34 consecutive patients with AOM or OME without dizziness were included. Nystagmus was examined with video Frenzel glasses. Of 34 adult AOM or OME patients without dizziness, nystagmus was observed in 28 patients (82%). In unilateral AOM or OME (n = 30), the most commonly observed nystagmus pattern was irritative-type direction-fixed nystagmus (n = 13), followed by paretic-type direction-fixed nystagmus (n = 8), and direction-changing positional nystagmus (n = 4). In bilateral AOM or OME (n = 4), direction-fixed nystagmus and direction-changing positional nystagmus were observed in two and one patients, respectively. Nystagmus was observed in as many as 82% of adult AOM or OME patients even though they did not complain of dizziness, and the pattern of nystagmus was either direction-fixed or direction-changing. Direct effect of inflammatory mediators penetrated from the middle ear and biochemical alteration in the inner ear fluids due to blood-perilymph barrier dysfunction may result in the presence of nystagmus in AOM or OME patients without dizziness. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Quantitative laryngoscopy with computer-aided diagnostic system for laryngeal lesions

xlomafota13 shared this article with you from Inoreader Quantitative laryngoscopy with computer-aided diagnostic system for laryngeal lesions Via Polyps Sci Rep. 2021 May 12;11(1):10147. doi: 10.1038/s41598-021-89680-9. ABSTRACT Laryngoscopes are widely used in the clinical diagnosis of laryngeal lesions, but such diagnosis relies heavily on the physician's subjective experience. The purpose of this study was to develop a computer-aided diagnostic system for the detection of laryngeal lesions based on objective criteria. This study used the distinct features of the image contour to find the clearest image in the laryngoscopic video. First to reduce the illumination problem caused by the laryngoscope lens, which could not fix the position of the light source, this study proposed image compensation to provide the image with a consistent brightness range for better performance. Second, we also proposed a method to automatically screen clear images from laryngoscopic film. Third, we used ACM to segment automatically them based on structural features of the pharynx and larynx, using hue and geomet ric analysis in the vocal cords and other zones. Finally, the support vector machine was used to classify laryngeal lesions based on a decision tree. This study evaluated the performance of the proposed system by assessing the laryngeal images of 284 patients. The accuracy of the detection for vocal cord polyps, cysts, leukoplakia, tumors, and healthy vocal cords were 93.15%, 95.16%, 100%, 96.42%, and 100%, respectively. The cross-validation accuracy for the five classes were 93.1%, 94.95%, 99.4%, 96.01% and 100%, respectively, and the average test accuracy for the laryngeal lesions was 93.33%. Our results showed that it was feasible to take the hue and geometric features of the larynx as signs to identify laryngeal lesions and that they could effectively assist physicians in diagnosing laryngeal lesions. PMID:33980940 | DOI:10.1038/s41598-021-89680-9 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

The 'Parachute' technique for the endoscopic repair of high-flow anterior skull-base CSF leaks

xlomafota13 shared this article with you from Inoreader The "Parachute" technique for the endoscopic repair of high-flow anterior skull-base CSF leaks Via leak of cerebrospinal fluid World Neurosurg. 2021 May 8:S1878-8750(21)00689-6. doi: 10.1016/j.wneu.2021.05.006. Online ahead of print. ABSTRACT OBJECTIVE: This study aims to assess the feasibility and reliability of our endoscopic trans-nasal technique for the repair of cribriform and sellar high-flow CSF leaks. METHODS: A comparison between patients suffering from high-flow rhinorrhea and treated through a free grafting endoscopic technique or the "parachute" technique, our nasal packing proposal, was performed. RESULTS: Thirty-three patients were included. The mean age was 52 years (range 36-68). The etiology of the CSF leaks was iatrogenic in 16 cases (48,5%), traumatic in 5 cases (15,2%), spontaneous in 11 cases (33,3%) and related to anterior skull base tumors in one case (3%). The bone defect affected the sphenoidal sinus in 20 cases (60,6%), the cribriform plate of the ethmoid in 10 cases (30,3%), and both the sphenoid and ethmoid in 3 cases (9,1%). T he mean size of bone defects was 8,5 ± 3,9 mm. The median follow-up was 28 (64) months. A CSF leak recurrence occurred in no cases treated with the "parachute" technique and in three cases that underwent conventional endoscopic treatments. The CSF leak recurrences were associated with two iatrogenic and one post-traumatic fistula. All the CSF leak recurrences underwent the parachute technique, not showing second recurrences. CONCLUSION: Our results suggest that the "parachute" technique is simple, safe and effective. We recommend it as an alternative treatment to vascular flaps for the treatment of high-flow and recurrent fistulas. PMID:33974988 | DOI:10.1016/j.wneu.2021.05.006 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Central Retinal Artery Occlusion Due to Subperiosteal Orbital Abscess Caused by Acute Sinusitis in a Child: A Case Report

xlomafota13 shared this article with you from Inoreader Central Retinal Artery Occlusion Due to Subperiosteal Orbital Abscess Caused by Acute Sinusitis in a Child: A Case Report Via ear nose throat Ear Nose Throat J. 2021 May 12:1455613211016731. doi: 10.1177/01455613211016731. Online ahead of print. ABSTRACT Central retinal artery occlusion (CRAO) is an ophthalmic emergency and has poor visual prognosis. It is commonly found in elderly people and very rare in child. We reported an 8-year-old girl who suffered from acute sinusitis, periorbital swelling, and the visual acuity of her right eye was only light perception. She was diagnosed with CRAO, SPOA (subperiosteal or bital abscess), and acute sinusitis. Emergency treatments including surgery, antibiotics, glucocorticoids, intraocular-pressure-lowering drugs, and vasodilators were taken immediately in order to save the eyesight. The visual acuity of the right eye returned to 20/400. Conclusions: Severe intraorbital complications of acute sinusitis can lead to CRAO. Timely drainage, strong antibiotics, and glucocorticoids are the most effective methods for the treatments. PMID:33975449 | DOI:10.1177/01455613211016731 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Safety of a New Sinus Irrigation Device in Rhinosinusitis: A Pilot Study

xlomafota13 shared this article with you from Inoreader Safety of a New Sinus Irrigation Device in Rhinosinusitis: A Pilot Study Via ear nose throat Ear Nose Throat J. 2021 May 12:1455613211015417. doi: 10.1177/01455613211015417. Online ahead of print. ABSTRACT BACKGROUND: Puncture and lavage of the paranasal sinuses, previously the primary treatment for unresponsive acute bacterial rhinosinusitis before surgery, has been abandoned due to procedural discomfort and advancements in antibiotic efficacy and endoscopic surgery. The rise in antibiotic-resistant bacteria has renewed the interest in minimally invasive sinus lava ge to both avoid aggressive surgical interventions and identify appropriate antibiotic therapy. In this article, we describe the safety and feasibility of a new device in human patients and evaluate its efficacy as a treatment before the traditional sinus surgery in acute rhinosinusitis. METHODS: The device with its seeker-shaped guiding tube and rotating wire can enter the sinus cavity through the natural ostium, pulverize the inspissated mucus, and enable lavage and culture sampling without the need for sinus puncturing. It was tested in 6 patients with chronic sinusitis under general anesthesia during endoscopic sinus surgery and in additional 10 patients with maxillary acute bacterial rhinosinusitis in outpatient settings under local anesthesia. RESULTS: The device enabled rapid, efficient, and atraumatic insertion of the wire into the occluded sinuses. The rotating wire permitted pulverization of the thick mucus, which enabled irrigation without mucosal damage or ad verse events. Overall, 9 of 10 patients with acute bacterial rhinosinusitis demonstrated remarkable improvements and were discharged the following day with no acute symptoms. The visual analog scale score for pain dropped from 8.9 to 0.4. The remaining one patient underwent endoscopic sinus surgery subsequently. None of the patients treated during endoscopic sinus surgery developed any adverse events. PMID:33975441 | DOI:10.1177/01455613211015417 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Nasal Septum Hemangioma in a 9-Year-Old Boy

xlomafota13 shared this article with you from Inoreader Nasal Septum Hemangioma in a 9-Year-Old Boy Via ear nose throat Ear Nose Throat J. 2021 May 12:1455613211018128. doi: 10.1177/01455613211018128. Online ahead of print. ABSTRACT Hemangiomas of the head and neck account for about 7% of all benign tumors in children. Τhey are rare in the nasal cavity and especially in the nasal septum. Only 16 cases of intranasal hemangiomas in childhood have been previously described in the literature and 6 of them arising from the nasal septum. We present a rare case of a nasal septum hemangioma (NSH) in a 9-year-old boy who was treated with transnasal endoscopic resection. PMID:33975443 | DOI:10.1177/01455613211018128 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.