Speciality
Spotlight

 




 

Otolaryngology


 

    

  




Pharynx

      

  • Friedman M, Venkatesan TK, et al (Rush Presbyterian-St.Luke’s Med Ctr, Chicago; Illinois Masonic Med Ctr, Chicago)

    Early Detection and Treatment of Postoperative Pharyngocutaneous Fistula.

    Otolaryngol Head Neck Surg 121: 378-380, 1999

        

    This is postoperative complication which causes morbidity and prolonged stay in hospital was studied in 200 operated patients. Complete medical records were found in 138 patients.

         

    Common factor noted was development of fever in the first 48 hrs and was derived to be predictable cause of fistula in absence of other factors.

         
  • Narne S, Cutrone C, Bonavina L, et al
    (Univ of Padua, Italy; Univ of Milan, Italy)

    Endoscopic Diverticulotomy for the Treatment of Zenker’s Diverticulum: Results in 102 Patients with Staple-assisted Endoscopy.

    Ann Otol Rhinol Laryngol 108: 810-815, 1999

         

    This role of endoscopy is very controversial and few reports have appeared.

       

    This is large series reporting success in 98 patients with only 4 patients needign conversion to open surgery.

        

    The results are comparable to those with treatment with external approach.

    Advantages are short hospitalization, rapid convalescence, short operating time, absence of skin incision, predictable symptom resolution and decreased morbidity.

        

    R.A. Otto comment’s:The technique described results in appropriate opposition of the serosal surfaces. 

        
  • Ahsan SF, Meleca RJ, Dworkin JP (Wayne State Univ, Detroit)

    Botulinum Toxin Injection of the Cricopharyngeus Muscle for the Treatment of Dysphagia 

    Otolaryngol Head Neck Surg 122: 691-695, 2000

           

    Hypertonicity of the upper esophageal sphincter (UES) causing dysphasia has been treated by Botulinum Toxin (Botox) injection in the muscle and can provide alternative treatment to myotomy.

           

    5 patients were treated with 3 injections about 20 U/injection, laterally and into the posterior midline of the CP.

          

    This improved swallowing in patients and lasted from 2 to 14 months. No complications were reported. The response to botox injections can help confirm the diagnosis of hypertonicity of the UES.

         

    According to G. R. Holt this technique also should be considered in patients where it is caused by CNS disorder, which has a good chance of improvement within 3 to 9 months, as the effect of toxin will have disappeared by that time.

          

 



 

Speciality Spotlight

 

    
  

Pharynx
      

  • Friedman M, Venkatesan TK, et al (Rush Presbyterian-St.Luke’s Med Ctr, Chicago; Illinois Masonic Med Ctr, Chicago)
    Early Detection and Treatment of Postoperative Pharyngocutaneous Fistula.
    Otolaryngol Head Neck Surg 121: 378-380, 1999
        
    This is postoperative complication which causes morbidity and prolonged stay in hospital was studied in 200 operated patients. Complete medical records were found in 138 patients.
         
    Common factor noted was development of fever in the first 48 hrs and was derived to be predictable cause of fistula in absence of other factors.
         
  • Narne S, Cutrone C, Bonavina L, et al (Univ of Padua, Italy; Univ of Milan, Italy)
    Endoscopic Diverticulotomy for the Treatment of Zenker’s Diverticulum: Results in 102 Patients with Staple-assisted Endoscopy.
    Ann Otol Rhinol Laryngol 108: 810-815, 1999
         
    This role of endoscopy is very controversial and few reports have appeared.
       
    This is large series reporting success in 98 patients with only 4 patients needign conversion to open surgery.
        
    The results are comparable to those with treatment with external approach.
    Advantages are short hospitalization, rapid convalescence, short operating time, absence of skin incision, predictable symptom resolution and decreased morbidity.
        
    R.A. Otto comment’s:The technique described results in appropriate opposition of the serosal surfaces. 
        
  • Ahsan SF, Meleca RJ, Dworkin JP (Wayne State Univ, Detroit)
    Botulinum Toxin Injection of the Cricopharyngeus Muscle for the Treatment of Dysphagia 
    Otolaryngol Head Neck Surg 122: 691-695, 2000
           
    Hypertonicity of the upper esophageal sphincter (UES) causing dysphasia has been treated by Botulinum Toxin (Botox) injection in the muscle and can provide alternative treatment to myotomy.
           
    5 patients were treated with 3 injections about 20 U/injection, laterally and into the posterior midline of the CP.
          
    This improved swallowing in patients and lasted from 2 to 14 months. No complications were reported. The response to botox injections can help confirm the diagnosis of hypertonicity of the UES.
         
    According to G. R. Holt this technique also should be considered in patients where it is caused by CNS disorder, which has a good chance of improvement within 3 to 9 months, as the effect of toxin will have disappeared by that time.
          

 

 

By |2022-07-20T16:43:23+00:00July 20, 2022|Uncategorized|Comments Off on Pharynx

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