IAO International Archives of Otorhinolaryngology
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Letters to the Editor
letters to the Editor Porphyria, Cardiopulmonary Bypass, and heart with additional hemorrhage into the pericardial sac (5). Peri- cardiocentesis, however, can be a temporizing measure in the se- Volatile Anesthetics verely compromised patient (4,7,8) until definitive surgical estab- lishment of a pericardial window. A pericardial window can be To the Editor: established under local anesthesia (9) via the subxiphoid or lateral We take issue with Stevens et al’s contentious statements in their thoracotomy approach (1,2,5,8,9). The subxiphoid approach is less discussion of volatile anesthetics in the patient with acute intermit- useful for trauma because limited surgical exposure may preclude tent porphyria undergoing mitral valve replacement (1). repair of cardiac wounds (2). However, a pericardial window dur- In the “pre-propofol” era, the safe and appropriate use of halo- ing awake lateral thoracotomy may be both poorly tolerated and thane and isoflurane in porphyric patients was established (2). dangerous in the distressed, moving patient (7). Recent reports of the successful use of isoflurane in porphyric A blunt trauma victim (2) recently presented for an emergent patients undergoing cardiac surgery also exist (3,4). As the authors surgical pericardial window for recurrent acute pericardial tampon- themselves allude to a report of elevated porphyrins after propofol ade. Although the patient was not hypotensive, jugular venous anesthesia in acute intermittent porphyria, favoring propofol over distention, pulsus paradoxus (1,3,7), patient distress (4), and echo- inhaled anesthetics because of the latter’s implied lack of a “safety cardiographic signs were present. As an alternative to endotracheal record” cannot be supported. -
ICD-9 Diagnosis Codes Effective 10/1/2011 (V29.0) Source: Centers for Medicare and Medicaid Services
ICD-9 Diagnosis Codes effective 10/1/2011 (v29.0) Source: Centers for Medicare and Medicaid Services 0010 Cholera d/t vib cholerae 00801 Int inf e coli entrpath 01086 Prim prg TB NEC-oth test 0011 Cholera d/t vib el tor 00802 Int inf e coli entrtoxgn 01090 Primary TB NOS-unspec 0019 Cholera NOS 00803 Int inf e coli entrnvsv 01091 Primary TB NOS-no exam 0020 Typhoid fever 00804 Int inf e coli entrhmrg 01092 Primary TB NOS-exam unkn 0021 Paratyphoid fever a 00809 Int inf e coli spcf NEC 01093 Primary TB NOS-micro dx 0022 Paratyphoid fever b 0081 Arizona enteritis 01094 Primary TB NOS-cult dx 0023 Paratyphoid fever c 0082 Aerobacter enteritis 01095 Primary TB NOS-histo dx 0029 Paratyphoid fever NOS 0083 Proteus enteritis 01096 Primary TB NOS-oth test 0030 Salmonella enteritis 00841 Staphylococc enteritis 01100 TB lung infiltr-unspec 0031 Salmonella septicemia 00842 Pseudomonas enteritis 01101 TB lung infiltr-no exam 00320 Local salmonella inf NOS 00843 Int infec campylobacter 01102 TB lung infiltr-exm unkn 00321 Salmonella meningitis 00844 Int inf yrsnia entrcltca 01103 TB lung infiltr-micro dx 00322 Salmonella pneumonia 00845 Int inf clstrdium dfcile 01104 TB lung infiltr-cult dx 00323 Salmonella arthritis 00846 Intes infec oth anerobes 01105 TB lung infiltr-histo dx 00324 Salmonella osteomyelitis 00847 Int inf oth grm neg bctr 01106 TB lung infiltr-oth test 00329 Local salmonella inf NEC 00849 Bacterial enteritis NEC 01110 TB lung nodular-unspec 0038 Salmonella infection NEC 0085 Bacterial enteritis NOS 01111 TB lung nodular-no exam 0039 -
Journal 2017
Journal of ENT masterclass ISSN 2047-959X Journal of ENT MASTERCLASS® Year Book 2017 Volume 10 Number 1 YEAR BOOK 2017 VOLUME 10 NUMBER 1 JOURNAL OF ENT MASTERCLASS® Volume 10 Issue 1 December 2017 Contents Free Courses for Trainees, Consultants, SAS grades, GPs & Nurses Welcome Message 3 CALENDER OF FREE RESOURCES 2018-19 Hesham Saleh Increased seats for specialist registrars & exam candidates ENT aspects of cystic fibrosis management 4 Gary J Connett ® 15th Annual International ENT Masterclass Paediatric swallowing disorders 8 Venue: Doncaster Royal Infirmary, 25-27th January 2019 Hayley Herbert and Shyan Vijayasekaran Special viva sessions for exam candidates Paediatric tongue-tie 14 Steven Frampton, Ciba Paul, Andrea Burgess and Hasnaa Ismail-Koch rd ® 3 ENT Masterclass China Paediatric oesophageal foreign bodies 20 Beijing, China, 12-13th May 2018 Emily Lowe, Jessica Chapman, Ori Ron and Michael Stanton Biofilms in paediatric otorhinolaryngology 26 3rd ENT Masterclass® Europe S Goldie, H Ismail-Koch, P.G. Harries and R J Salib Berlin, Germany, 14-15th Sept 2018 Intracranial complications of ear, nose and throat infections in childhood 34 Alice Lording, Sanjay Patel and Andrea Whitney ® ENT Masterclass Switzerland The superior canal dehiscence syndrome 41 Lausanne, 5-6th Oct 2018 Simon Richard Mackenzie Freeman Tympanosclerosis 46 ® ENT Masterclass Sri Lanka Priya Achar and Harry Powell Colombo, 16-17th Nov 2018 Endoscopic ear surgery 49 Carolina Wuesthoff, Nicholas Jufas and Nirmal Patel o Limited places, on first come basis. Early applications advised. o Masterclass lectures, Panel discussions, Clinical Grand Rounds Vestibular function testing 57 o Oncology, Plastics, Pathology, Radiology, Audiology, Medico-legal Karen Lindley and Charlie Huins Auditory brainstem implantation 63 Website: www.entmasterclass.com Harry R F Powell and Shakeel S Saeed CYBER TEXTBOOK on operative surgery, Journal of ENT Masterclass®, Surgical management of temporal bone meningo-encephalocoele and CSF leaks 69 Application forms Mr. -
Surgical Management of Primary Palatoplasty - a Systematic Review
ISSN: 2455-2631 © April 2021 IJSDR | Volume 6, Issue 4 Surgical management of primary palatoplasty - A systematic Review Type of Manuscript: Review Study Running Title: Surgical management of primary palatoplasty MONISHA K Undergraduate student Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences.(SIMATS) Saveetha University, Chennai, India CORRESPONDING AUTHOR DR.SENTHIL MURUGAN.P Reader Department of Oral surgery Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences (SIMATS) Saveetha University, Tamilnadu, India Abstract: Clefts of the secondary palate, either isolated or accompanying, a cleft lip, are characterized by a defect in the palate of varying extent and by abnormal insertion of the levator veli palatini muscles. It is argued that repair of the palate should be carried out in one stage, shortly before or after 1 year of age, and should include intralveloplasty. Surgical corrections of cleft lip and palate primary lip repair such as (surgery for lip correction) and primary palatoplasty (reconstruction of hard and/or soft palate), are recommended in the first year of life. Primary palate surgery can be performed through various surgical techniques, of which the best for the type and the extent of the cleft is chosen, always seeking correction from the anatomic and functional point of view. Surgical failure may occur due to the surgical technique, the surgeon's skill, and/or the extent of the cleft palate. A Cleft palate repair is of concern to plastic surgeons, speech pathologists, otolaryngologists and orthodontists with respect to the timing of the operation, the type of palatoplasty to be considered and the effect of the repair on speech, facial growth and eustachian tube function. -
Adult Snoring: Clinical Assessment and a Review on the Management Options V Visvanathan, W Aucott
The Internet Journal of Otorhinolaryngology ISPUB.COM Volume 9 Number 1 Adult snoring: Clinical assessment and a review on the management options V Visvanathan, W Aucott Citation V Visvanathan, W Aucott. Adult snoring: Clinical assessment and a review on the management options. The Internet Journal of Otorhinolaryngology. 2008 Volume 9 Number 1. Abstract Simple snoring is common in the UK and the estimated prevalence is 14% to 50%. It can be a frustrating problem for patients and partners alike. It is vital to differentiate simple snoring from obstructive sleep apnoea as the clinical management differs for these two conditions. This article highlights the assessment of an adult presenting with snoring and reviews the current literature in the management of troublesome snoring. CASE REPORT It is vital to ascertain coexisting obstructive sleep apnoea A 45-year-old man presents to the clinic along with his (OSA) i.e. witnessed apnoeic attacks, nocturnal choking, partner who complains of his excessive snoring habit forcing daytime somnolence, early morning headaches, or her to sleep in a separate room. poor concentration as OSA will require further management HISTORY which includes continuous positive airway pressure (CPAP). Simple snoring is common in the U.K and the estimated 5. Are there symptoms of nasal disease? prevalence is 14% to 50% 1,2. It can be quite frustrating for partners and patients alike. Snoring is the sound produced by Nasal airway obstruction is a contributing factor to snoring the vibration of the upper airway walls in the presence of and if identified should be dealt with appropriately. partial airway obstruction. -
Chronic Sinusitis
CHRONIC SINUSITIS BY DR AYUB AHMAD KHAN MBBS,MCPS(ENT),FCPS(ENT),MCPS(HPE), BACO FELLOWSHIP(UK),HOUSE EAR INSTITUTE FELLOWSHIP(USA) Professor/consultant ENT Head of E.N.T. Department Medical educationist CPSP & UHS certified faculty master trainer University college of medicine University of Lahore 1 Ground Rules • Be on time • Put your mobile phones on silent • Participate actively • Have a little fun on the way 2 3 4 5 6 7 8 9 10 Learning outcomes By the end of the session the participants will be able to Describe Chronic Sinusitis and its types Describe clinical presentations of Chronic sinusitis Describe the investigations required to be done for Chronic sinusitis Describe the treatment options for different types of Chronic sinusitis 12 Rhinosinusitis May be Better Term Because Allergic or nonallergic rhinitis nearly always precedes sinusitis Sinusitis without rhinitis is rare Nasal discharge and congestion are prominent symptoms of sinusitis Nasal mucosa and sinus mucosa are similar and are contiguous Differentiating Sinusitis from Rhinitis Rhinitis Sinusitis Nasal congestion Nasal congestion Rhinorrhea clear Purulent rhinorrhea Itching, red eyes Postnasal drip Seasonal symptoms Headache Nasal crease Facial pain Cough, fever Anosmia 15 16 Normal Sinus Sinus health depends on: Mucous secretion of normal viscosity, volume, and composition. Normal muco-ciliary flow to prevent mucous stasis and subsequent infection. Open sinus ostia to allow adequate drainage and aeration. Definition Inflammation of the mucosal lining of the paranasal sinuses. Acute, subacute, and chronic. One of the most common diseases. Definition Acute-up to 3 weeks Subacute-3 weeks to 3 months Chronic-more than 3 months Epidemiology Affects 30-35 million persons/year. -
New Emergency Room Requirement for Hospital and Autopay List of Diagnosis Codes
Provider update New emergency room requirement for hospitals Dell Children’s Health Plan reviewed our emergency room (ER) claims data and identified numerous reimbursements for services with diagnoses that are not indicative of urgent or emergent conditions. As a managed care organization, we promote the provision of services in the most appropriate setting and reinforce the need for members to coordinate care with their PCP unless the injury or sudden onset of illness requires immediate medical attention. Effective on or after August 1, 2020, for nonparticipating hospitals and on or after October 1, 2020, for participating hospitals, Dell Children’s Health Plan will only process an ER claim for a hospital as emergent and reimburse at the applicable contracted rate or valid out‐ of‐network Medicaid fee‐for‐service rate when a diagnosis from a designated auto‐pay list is billed as the primary diagnosis on the claim. If the primary diagnosis is not on the auto‐pay list, the provider must submit medical records with the claim. Upon receipt, the claim and records will be reviewed by a prudent layperson standard to determine if the presenting symptoms qualify the patient’s condition as emergent. If the reviewer confirms the visit was emergent, according to the prudent layperson criteria, the claim will pay at the applicable contracted rate or valid out‐of‐network Medicaid fee‐for‐service rate. If it is determined to be nonemergent, the claim will pay a triage fee. In the event a claim from a hospital is submitted without a diagnosis from the auto‐pay list as the primary diagnosis and no medical records are attached, the claim for the ER visit will automatically pay a triage fee. -
Evaluation of Upper Airway Changes Following Surgical Removal of the Adenoids Using 3-D Cone Beam CT
University of Nebraska Medical Center DigitalCommons@UNMC Theses & Dissertations Graduate Studies Fall 12-18-2015 Evaluation of Upper Airway Changes Following Surgical Removal of the Adenoids Using 3-D Cone Beam CT Christopher C. Schultz University of Nebraska Medical Center Follow this and additional works at: https://digitalcommons.unmc.edu/etd Part of the Other Medical Specialties Commons Recommended Citation Schultz, Christopher C., "Evaluation of Upper Airway Changes Following Surgical Removal of the Adenoids Using 3-D Cone Beam CT" (2015). Theses & Dissertations. 54. https://digitalcommons.unmc.edu/etd/54 This Thesis is brought to you for free and open access by the Graduate Studies at DigitalCommons@UNMC. It has been accepted for inclusion in Theses & Dissertations by an authorized administrator of DigitalCommons@UNMC. For more information, please contact [email protected]. EVALUATION OF UPPER AIRWAY CHANGES FOLLOWING SURGICAL REMOVAL OF THE ADENOIDS USING 3-D CONE BEAM CT By Christopher C. Schultz, D.D.S A THESIS Presented to the Faculty of The Graduate College in the University of Nebraska In Partial Fulfillment of Requirements For the Degree of Master of Science Medical Sciences Interdepartmental Area Oral Biology University of Nebraska Medical Center Omaha, Nebraska December, 2015 Advisory Committee: Sundaralingam Premaraj, BDS, MS, PhD, FRCD(C) Sheela Premaraj, BDS, PhD Peter J. Giannini, DDS, MS Stanton D. Harn, PhD i ACKNOWLEDGEMENTS I would like to express my thanks and gratitude to the members of my thesis committee: Dr. Sundaralingam Premaraj, Dr. Sheela Premaraj, Dr. Peter Giannini, and Dr. Stanton Harn. Your advice and assistance has been vital for the completion of the project. -
Pathological Basis of Respiratory System Diseases
Pathological basis of respiratory system diseases Jasim M A Al-Diab Professor of Pathology Basrah Medical college Learning Objectives (2018/2019) Nose, Nasal sinuses & Nasopharynx -Pathology of inflammatory diseases; rhinitis, sinusitis, and nasopharyngitis -Granulomatous lesions -Benign and malignant tumors and tumor like lesions -Tumors of the larynx Obstructive pulmonary diseases (airway diseases) -Pathological bases of decreased expiratory flow rate -Pathology of bronchial asthma -Pathology of bronchiectasis -Pathology of chronic bronchitis -Pathology of pulmonary emphysema Restrictive pulmonary diseases -Diffuse interstitial lung diseases -Pathology of acute respiratory destress syndrome (ARDS) -Pathology of chronic restrictive pulmonary diseases -Pneumoconiosis -Interstitial fibrosis of unknown etiology -Infiltrative conditions -The outcome of chronic restrictive pulmonary diseases -Honey comb lung Lung Atelectasis -Definition -Types -Pathology and effects Pneumonia Jasim M Al-Diab Professor of Pathology Basrah Medical College 2018-2019 -Definition -Classification -Pathology of bronchopeumonia -Pathology of lobar pneumonia Pulomonary hypertension -Definitiom -Pathogenesis and causes -Pathological changes in pulmonary microcirculation Tumors of the lungs and bronchi -WHO classification of lung carcinoma -The four major histological types - Pancoast’s tumor -Pancoast’s syndrom Tumors of the pleura -Benign mesothelioma -Malignant mesothelioma Nose, Nasal sinuses & Nasopharynx Acute Rhinitis Infectious rhinitis (common cold); viral -
Icd-9-Cm (2010)
ICD-9-CM (2010) PROCEDURE CODE LONG DESCRIPTION SHORT DESCRIPTION 0001 Therapeutic ultrasound of vessels of head and neck Ther ult head & neck ves 0002 Therapeutic ultrasound of heart Ther ultrasound of heart 0003 Therapeutic ultrasound of peripheral vascular vessels Ther ult peripheral ves 0009 Other therapeutic ultrasound Other therapeutic ultsnd 0010 Implantation of chemotherapeutic agent Implant chemothera agent 0011 Infusion of drotrecogin alfa (activated) Infus drotrecogin alfa 0012 Administration of inhaled nitric oxide Adm inhal nitric oxide 0013 Injection or infusion of nesiritide Inject/infus nesiritide 0014 Injection or infusion of oxazolidinone class of antibiotics Injection oxazolidinone 0015 High-dose infusion interleukin-2 [IL-2] High-dose infusion IL-2 0016 Pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance Pressurized treat graft 0017 Infusion of vasopressor agent Infusion of vasopressor 0018 Infusion of immunosuppressive antibody therapy Infus immunosup antibody 0019 Disruption of blood brain barrier via infusion [BBBD] BBBD via infusion 0021 Intravascular imaging of extracranial cerebral vessels IVUS extracran cereb ves 0022 Intravascular imaging of intrathoracic vessels IVUS intrathoracic ves 0023 Intravascular imaging of peripheral vessels IVUS peripheral vessels 0024 Intravascular imaging of coronary vessels IVUS coronary vessels 0025 Intravascular imaging of renal vessels IVUS renal vessels 0028 Intravascular imaging, other specified vessel(s) Intravascul imaging NEC 0029 Intravascular -
Xellia Pharmaceuticals, Aps Advisory Committee Background Document
BACITRACIN for Injection (bacitracin) Advisory Committee Background Document Staphylococcal pneumonia and empyema in infants Xellia Pharmaceuticals, ApS Advisory Committee Background Document Meeting of the Antimicrobial Drugs Advisory Committee (AMDAC) on Safety and Efficacy of Bacitracin for Intramuscular Injection BACITRACIN for Injection (bacitracin) AVAILABLE FOR PUBLIC DISCLOSURE WITHOUT REDACTION Issue/Report Date: 28 March 2019 Approved date: 27 March 2019 Page 1 of 52 BACITRACIN for Injection (bacitracin) Advisory Committee Background Document Staphylococcal pneumonia and empyema in infants Table of Contents 1 EXECUTIVE SUMMARY ............................................................................................................5 2 Introduction .....................................................................................................................................7 3 Clinical data on effectiveness of bacitracin for injection ................................................................8 3.1 Approved Indication: Staphylococcal Pneumonia and Empyema in Infants ........................... 8 3.1.1 Supporting data on the treatment of lung infections in adults ........................................... 9 3.1.2 Data on intrapleural administration in infants and children with empyema ...................... 9 3.2 Alternate uses for Bacitracin for injection .............................................................................. 10 3.2.1 Surgical Site Infection (SSI) Prophylaxis ....................................................................... -
Robert S. Glade, MD, FAAP Co-Director, VPI Multidisciplinary Clinic of Oklahoma Pediatric ENT of Oklahoma
Robert S. Glade, MD, FAAP Co-Director, VPI Multidisciplinary Clinic of Oklahoma Pediatric ENT of Oklahoma Velopharyngeal dysfunction Velopharyngeal Velopharyngeal Velopharyngeal mislearning incompetance insufficiency (pharyngeal sound (neurolophysiologic (structural or substitution for oral dysfunction causing anatomic deficiency) sound) poor movement) Velopharyngeal Mislearning Speech Therapy Velopharyngeal Incompetence Ideal Patient Pharyngeal Flap-Surgery Incompetent palate, surgical candidate Pharyngeal Bulb Poor surgical candidate, short palate Pharyngeal Lift Poor surgical candidate, long palate Velopharyngeal Insufficiency - Surgery Ideal patient Posterior wall augmentation Small central gap, post adenoidectomy VPI Furlow palatoplasty Submucous , occult submucous cleft palate, and secondary cleft palate repair with small gap (less than 5mm-1cm) Sphincter pharyngoplasty Coronal or bowtie closure pattern with lateral gaps Pharyngeal flap Sagittal or central closure pattern with large, central gap, inadequate palatal length, palatal hypotonia • Muscles of VP closure – Levator veli palatini • Principle elevator (most important for VP closure) – Tensor veli palatini • Opens eustachian tube • ? Tension to velum – Musculus uvulae • Only intrinsic velar muscle • Adds bulk to dorsal uvula – Superior constrictor • Produces inward movement of lateral pharyngeal walls • Passavants ridge – Not universal Passavant’s Ridge Velopharyngeal Dysfunction Robert Glade, MD FAAP After repair – 20-50% develop VPD •Levator orientation •Scar tissue •Palatal