The Experts below are selected from a list of 327 Experts worldwide ranked by ideXlab platform

Cumhur F Oner - One of the best experts on this subject based on the ideXlab platform.

  • diffuse idiopathic skeletal hyperostosis of the cervical spine an underestimated cause of dysphagia and Airway Obstruction
    The Spine Journal, 2011
    Co-Authors: Jorritjan Verlaan, Petronella F E Boswijk, Wouter J A Dhert, Cumhur F Oner
    Abstract:

    BACKGROUND CONTEXT: Diffuse idiopathic skeletal hyperostosis (DISH) is a common but underdiagnosed condition relating to ossification of spinal ligaments that can cause compression of the esophagus and trachea. According to case reports, dysphagia or Airway Obstruction resulting from DISH is a rare occurrence. PURPOSE: This study was intended to identify all published cases of dysphagia and/or Airway Obstruction resulting from DISH to increase the epidemiologic/clinical knowledge of these related conditions. STUDY DESIGN: A systematic review of the literature was performed. METHODS: The articles resulting from the systematic PubMed/EMBASE search of the literature were closely read, and predefined parameters were scored. RESULTS: The search yielded a total of 118 articles (95 case reports and 23 case series) describing 204 patients with dysphagia and/or Airway Obstruction resulting from DISH. The number of cases demonstrated a steady increase from 1980 to 2009. This might be a real effect not ascribable to publication bias or expansion of the medical literature alone. CONCLUSIONS: Diffuse idiopathic skeletal hyperostosis as a cause of dysphagia and/or Airway Obstruction may be an increasing and underappreciated phenomenon. Diffuse idiopathic skeletal hyperostosis should be included in the differential diagnosis of dysphagia and Airway Obstruction.

Douglas E Wood - One of the best experts on this subject based on the ideXlab platform.

  • surgical management of Airway Obstruction
    2002
    Co-Authors: Douglas E Wood
    Abstract:

    Central Airway Obstruction produces symptoms of dyspnea, stridor and obstructive pneumonia and is frequently life threatening. In benign disease and primary malignant tumors, resection and surgical reconstruction provide the best opportunity for definitive management. However, bronchoscopic management is the first step in providing a diagnosis, stabilizing the obstructed Airway, and evaluating resectability. In patients that are unresectable due to anatomic limitation, metastatic disease, or overall medical condition, endoscopic techniques are minimally invasive and can provide significant palliation.

  • bronchoscopic management of central Airway Obstruction
    The Journal of Thoracic and Cardiovascular Surgery, 2000
    Co-Authors: Kenton E Stephens, Douglas E Wood
    Abstract:

    Abstract Objectives: Patients with central Airway Obstruction are critically ill, with impending suffocation. They are seen with diverse anatomic and functional deficits caused by both benign and malignant Obstructions. Such cases were reviewed to examine the indications, techniques, and outcomes of an algorithm approach to bronchoscopic management. Methods: Between July 1992 and April 1996, 97 patients underwent bronchoscopic procedures for the management of central Airway Obstruction, and their cases were used for a retrospective review of the Airway management. Results: There were 48 male and 49 female patients, aged 13 to 85 years. There were 48 benign and 49 malignant pathologic conditions that gave rise to 108 stenoses. These were treated with 199 endoscopic procedures with an average of 1.7 interventions per endoscopy, including mechanical core-out (62), dilation (135), laser ablation (44), placement of brachytherapy catheters (9), and stent placement (88). Diagnoses included lung cancer, primary tracheobronchial tumors, tumors metastatic to the Airway or mediastinum, and a variety of benign Obstructions. In the group of 97 patients there were 2 (2%) perioperative deaths and 34 (34%) late deaths, 29 in the malignant group and 5 in the benign group. Median survival was 7.6 months (range 1 week–31 months). There were 7 (7%) complications among the group of 97, 4 in the malignant group, and 3 in the benign group. Conclusions: Endobronchial surgical techniques can be used safely and systematically for the relief of benign and malignant central Airway Obstructions; a diversity of approaches and interventions are required to produce and maintain palliation of Airway symptoms. (J Thorac Cardiovasc Surg 2000; 119:289-96)

N E Robinson - One of the best experts on this subject based on the ideXlab platform.

  • persistent mucin glycoprotein alterations in equine recurrent Airway Obstruction
    American Journal of Physiology-lung Cellular and Molecular Physiology, 2001
    Co-Authors: A M Jefcoat, V Gerber, Jon A Hotchkiss, Jack R Harkema, Carol Basbaum, N E Robinson
    Abstract:

    Horses with the episodic asthmalike condition of recurrent Airway Obstruction (RAO) have bouts of inflammation and bronchoconstriction associated with indoor housing. To assess the potential differ...

  • tidal breathing flow volume loops in horses with recurrent Airway Obstruction heaves
    American Journal of Veterinary Research, 1994
    Co-Authors: V M Petsche, F J Derksen, N E Robinson
    Abstract:

    Tidal breathing flow-volume (TBFV) loops were determined in a group of control horses and in horses affected with recurrent Airway Obstruction (heaves). The latter group was studied when the condition was in remission and under increasing amounts of Airway Obstruction as reflected by measurements of change in pleural pressure, pulmonary resistance, and dynamic compliance. The TBFV loops of control horses had biphasic inspiratory and expiratory patterns; peak inspiratory and peak expiratory flows were detected early in inspiration and expiration, respectively. Tidal volume was unaffected by heaves, but at all stages of heaves, respiratory frequency was increased principally because of shorter inspiratory time, and therefore, inspiratory flow rate was increased. In horses with heaves, TBFV loops did not have a biphasic pattern; peak inspiratory flow was observed late in inspiration, and peak expiratory flow was observed early in expiration. As Airway Obstruction became more severe, peak expiratory flow increased as pulmonary resistance increased so that, during severe Airway Obstruction, TBFV loops had a characteristic appearance with high peak expiratory flow early in expiration followed by low flow rate.

Jorritjan Verlaan - One of the best experts on this subject based on the ideXlab platform.

  • diffuse idiopathic skeletal hyperostosis of the cervical spine an underestimated cause of dysphagia and Airway Obstruction
    The Spine Journal, 2011
    Co-Authors: Jorritjan Verlaan, Petronella F E Boswijk, Wouter J A Dhert, Cumhur F Oner
    Abstract:

    BACKGROUND CONTEXT: Diffuse idiopathic skeletal hyperostosis (DISH) is a common but underdiagnosed condition relating to ossification of spinal ligaments that can cause compression of the esophagus and trachea. According to case reports, dysphagia or Airway Obstruction resulting from DISH is a rare occurrence. PURPOSE: This study was intended to identify all published cases of dysphagia and/or Airway Obstruction resulting from DISH to increase the epidemiologic/clinical knowledge of these related conditions. STUDY DESIGN: A systematic review of the literature was performed. METHODS: The articles resulting from the systematic PubMed/EMBASE search of the literature were closely read, and predefined parameters were scored. RESULTS: The search yielded a total of 118 articles (95 case reports and 23 case series) describing 204 patients with dysphagia and/or Airway Obstruction resulting from DISH. The number of cases demonstrated a steady increase from 1980 to 2009. This might be a real effect not ascribable to publication bias or expansion of the medical literature alone. CONCLUSIONS: Diffuse idiopathic skeletal hyperostosis as a cause of dysphagia and/or Airway Obstruction may be an increasing and underappreciated phenomenon. Diffuse idiopathic skeletal hyperostosis should be included in the differential diagnosis of dysphagia and Airway Obstruction.

Atul C Mehta - One of the best experts on this subject based on the ideXlab platform.

  • central Airway Obstruction
    American Journal of Respiratory and Critical Care Medicine, 2004
    Co-Authors: Armin Ernst, David Fellerkopman, Heinrich D Becker, Atul C Mehta
    Abstract:

    Central Airway Obstruction is a problem facing all medical and surgical subspecialists caring for patients with chest diseases. The incidence of this disorder appears to be rising because of the epidemic of lung cancer; however, benign causes of central Airway Obstruction are being seen more frequently as well. The morbidity is significant and if left untreated, death from suffocation is a frequent outcome. Management of these patients is difficult, but therapeutic and diagnostic tools are now available that are beneficial to most patients and almost all Airway Obstruction can be relieved expeditiously. This review examines current approaches in the workup and treatment of patients suffering from Airway impairment. Although large, randomized, comparative studies are not available, data show significant improvement in patient outcomes and quality of life with treatment of central Airway Obstruction. Clearly, more studies assessing the relative utility of specific Airway interventions and their impact on morbidity and mortality are needed. Currently, the most comprehensive approach can be offered at centers with expertise in the management of complex Airway disorders and availability of all endoscopic and surgical options.