BACKGROUND: The following position statement from the Union of the European Phoniatricians, updated on 25th May 2020 (superseding the previous statement issued on 21st April 2020), contains a series of recommendations for phoniatricians and ENT surgeons who provide and/or run voice, swallowing, speech and language, or paediatric audiology services. OBJECTIVES: This material specifically aims to inform clinical practices in countries where clinics and operating theatres are reopening for elective work. It endeavours to present a current European view in relation to common procedures, many of which fall under the aegis of aerosol generating procedures. CONCLUSION: As evidence continues to build, some of the recommended practices will undoubtedly evolve, but it is hoped that the updated position statement will offer clinicians precepts on safe clinical practice.
- MeSH
- audiologie metody normy MeSH
- Betacoronavirus izolace a purifikace MeSH
- COVID-19 MeSH
- dítě MeSH
- koronavirové infekce epidemiologie prevence a kontrola virologie MeSH
- lidé MeSH
- osobní ochranné prostředky normy zásobování a distribuce MeSH
- otorinolaryngologie metody normy MeSH
- pandemie prevence a kontrola MeSH
- pediatrie normy MeSH
- poruchy hlasu diagnóza chirurgie virologie MeSH
- poruchy polykání diagnóza chirurgie virologie MeSH
- povinné vyšetření normy MeSH
- předškolní dítě MeSH
- SARS-CoV-2 MeSH
- směrnice pro lékařskou praxi jako téma MeSH
- společnosti lékařské organizace a řízení MeSH
- virová pneumonie epidemiologie prevence a kontrola virologie MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- předškolní dítě MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Evropa MeSH
OBJECTIVE: There is currently no general consensus on patulous Eustachian tube management. Injection of autologous fat, cartilage or hydroxylapatite has been described for Eustachian tube occlusion, with promising results. However, complete resolution of symptoms is not achieved in all cases. This could be connected to the amount of material injected into the surroundings of the Eustachian tube, as this greatly differs among existing studies. Identifying the appropriate volume of injected material could be challenging because anatomical conditions vary among patients, and there is always a risk of chronic Eustachian tube obstruction and its related complications when too much long-standing material is injected.Case reportA case is presented wherein saline was injected under local anaesthesia to determine the volume required and to predict the success of patulous Eustachian tube augmentation with long-standing material. CONCLUSION: This approach could allow more personalised treatment and help identify patients likely to benefit from the procedure.
- MeSH
- dospělí MeSH
- Eustachova trubice chirurgie MeSH
- individualizovaná medicína MeSH
- injekce MeSH
- lidé MeSH
- nemoci ucha chirurgie MeSH
- otologické chirurgické výkony metody MeSH
- solný roztok aplikace a dávkování MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
OBJECTIVE: To identify deep neck infection factors related to life-threatening complications. METHODS: This retrospective multi-institutional study comprised 586 patients treated for deep neck infections between 2002 and 2012. The statistical significance of variables associated with life-threatening complications of deep neck infections was assessed. RESULTS: During treatment, life-threatening complications occurred in 60 out of 586 cases. On univariate analysis, life-threatening complications were linked to: dyspnoea, neck movement disturbance and dysphonia (all p < 0.001); and parapharyngeal, anterior visceral or pretracheal deep neck involvement (all p < 0.002). Aetiology was significantly linked to tonsils (p < 0.001). Regarding infection type, fasciitis was a significant factor (p < 0.001). Candida albicans was a significant bacterial culture (p < 0.001). A multivariate step-wise model disclosed fewer significant variables: retropharyngeal space (p = 0.005) and major blood vessels area (p = 0.006) involvement, and bacterial culture C albicans (p < 0.001). CONCLUSION: It can be predicted that patients with deep neck infections, with neck movement disturbances, dysphonia, dyspnoea and swelling of the external neck, accompanied by severe pain, and inflammatory changes in the retropharyngeal space and large vessel areas, with culture-confirmed infection of C albicans, are likely to develop life-threatening complications.
- MeSH
- analýza přežití MeSH
- bakteriální infekce klasifikace mikrobiologie mortalita MeSH
- dospělí MeSH
- krk mikrobiologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- retrospektivní studie MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- stupeň závažnosti nemoci MeSH
- teoretické modely MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
BACKGROUND: A significant percentage of children with cleft palate suffer from otitis media with effusion and its consequences, such as deafness, chronic adhesive otitis and cholesteatoma. This study aimed to determine whether these effects can be minimised by selecting pharyngofixation as the surgical technique for cleft palate correction. METHODS: A retrospective study was performed of 155 patients (308 ears) who underwent surgery from age 5 months to 8 years and were followed up for 36-84 months. RESULTS: In all, 125 ears (41 per cent) had epitympanic retraction, 45 ears (14 per cent) had sinus tympani retraction and 5 patients (3 per cent) had cholesteatoma. Use of the pharyngofixation technique did not significantly correlate with (1) the severity of otological findings or (2) the incidence of retraction pockets in the epitympanum and sinus tympani (p = 0.53). CONCLUSION: Pharyngofixation did not significantly alter the severity of long-term otological findings.
- MeSH
- chronická nemoc MeSH
- dítě MeSH
- farynx chirurgie MeSH
- kojenec MeSH
- lidé MeSH
- následné studie MeSH
- otitis media s výpotkem etiologie MeSH
- pooperační komplikace etiologie MeSH
- předškolní dítě MeSH
- retrospektivní studie MeSH
- rizikové faktory MeSH
- rozštěp patra chirurgie MeSH
- Check Tag
- dítě MeSH
- kojenec MeSH
- lidé MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
AIM: To present a rare case of lingual thyroid detected using a hybrid of single photon emission computed tomography and standard computed tomography in a young woman with hypothyroidism. MATERIALS AND METHODS: A 29-year-old woman was screened for autoimmune thyroid disorders in early pregnancy, and found to have subclinical hypothyroidism. No thyroid tissue was found in the anterior neck upon ultrasonography, raising suspicions of an ectopic thyroid. The patient was treated with levothyroxine throughout the remainder of her pregnancy, and developed postpartum thyroiditis requiring an increase in levothyroxine dosage. Whole-body scintigraphy and zoomed static head and neck scintigraphy were performed. Abnormal 99mTc-pertechnetate uptake was observed in the oral region, whereas no uptake was found in the usual thyroid location. Hybrid imaging using single photon emission computed tomography and standard computed tomography was performed to improve three-dimensional representation of the area of increased activity. RESULTS: The latter imaging modality detected ectopic thyroid tissue in the tongue. CONCLUSION: Whole body 99mTc-pertechnetate scintigraphy and a hybrid of single photon emission computed tomography and standard computed tomography are effective imaging modalities for the investigation of ectopic thyroid tissue. The latter modality is particularly recommended, as it allows more precise spatial visualisation of increased isotope uptake activity in the head and neck.
- MeSH
- dospělí MeSH
- dysgeneze štítné žlázy MeSH
- hypotyreóza diagnóza MeSH
- jednofotonová emisní výpočetní tomografie * MeSH
- lidé středního věku MeSH
- lidé MeSH
- lingvální ektopie štítné žlázy diagnóza MeSH
- mladý dospělý MeSH
- počítačová rentgenová tomografie * MeSH
- senioři MeSH
- štítná žláza MeSH
- těhotenství MeSH
- tomografie emisní počítačová MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- senioři MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- práce podpořená grantem MeSH
- MeSH
- CD antigeny analýza MeSH
- Ewingův sarkom diagnóza chirurgie patologie MeSH
- lidé MeSH
- molekuly buněčné adheze MeSH
- nádory nosu diagnóza chirurgie patologie MeSH
- nosní sliznice MeSH
- vimentin analýza MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- chronické selhání ledvin komplikace terapie MeSH
- granulom etiologie patologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- nemoci nosu etiologie patologie MeSH
- nosní dutina patologie MeSH
- peritoneální dialýza škodlivé účinky MeSH
- šťavelan vápenatý analýza MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- aktinomykóza farmakoterapie chirurgie patologie MeSH
- dítě MeSH
- lidé MeSH
- střední ucho mikrobiologie patologie MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
