The Experts below are selected from a list of 285 Experts worldwide ranked by ideXlab platform
Jian Fei - One of the best experts on this subject based on the ideXlab platform.
-
Efficacy of sniffing position in alleviating Glossoptosis during emergence from anesthesia in children
Chinese Journal of Anesthesiology, 2015Co-Authors: Longde Zhao, Jue Chen, Jian FeiAbstract:Objective To evaluate the efficacy of sniffing position in alleviating Glossoptosis during the emergence from anesthesia in children. Methods Two hundred pediatric patients who developed Glossoptosis during the emergence from anesthesia, aged 2-8 yr, of American Society of Anesthesiologists physical statusⅠ or Ⅱ, were randomly divided into 4 groups (n=50 each) using a random number table: head extension position group (group A), head tilted position group (group B), oropharyngeal airway group (group C) and sniffing position group (group D). Alleviation of Glossoptosis, and occurrence of laryngospasm, agitation, vomiting and oral hemorrhage were recorded.Alleviation rate was calculated. Results Compared with group A, the alleviation rate was significantly increased in C and D groups, the alleviation rate was decreased in group B, and the incidence of laryngospasm, agitation and oral hemorrhage was increased in group C (P
-
efficacy of sniffing position in alleviating Glossoptosis during emergence from anesthesia in children
Chinese Journal of Anesthesiology, 2015Co-Authors: Longde Zhao, Jue Chen, Jian FeiAbstract:Objective To evaluate the efficacy of sniffing position in alleviating Glossoptosis during the emergence from anesthesia in children. Methods Two hundred pediatric patients who developed Glossoptosis during the emergence from anesthesia, aged 2-8 yr, of American Society of Anesthesiologists physical statusⅠ or Ⅱ, were randomly divided into 4 groups (n=50 each) using a random number table: head extension position group (group A), head tilted position group (group B), oropharyngeal airway group (group C) and sniffing position group (group D). Alleviation of Glossoptosis, and occurrence of laryngospasm, agitation, vomiting and oral hemorrhage were recorded.Alleviation rate was calculated. Results Compared with group A, the alleviation rate was significantly increased in C and D groups, the alleviation rate was decreased in group B, and the incidence of laryngospasm, agitation and oral hemorrhage was increased in group C (P<0.05). Conclusion Sniffing position can effectively alleviate Glossoptosis during the emergence from anesthesia in children with good safety. Key words: Posture; Tongue diseases; Postoperative complications; Anesthesia recovery period; Child
A. Damen - One of the best experts on this subject based on the ideXlab platform.
-
Glossopexie als Therapie der ersten Wahl bei hochgradiger Glossoptosis
Monatsschrift Kinderheilkunde, 2004Co-Authors: B. Kremer, D. A. Waardenburg, M. Frints, A. DamenAbstract:Background Glossoptosis is a dangerous but often overlooked cause of upper airway obstruction in infants. An operation may be necessary in serious cases. Two operative methods are available: tracheostomy and glossopexy. Tracheostomy guarantees a definite solution for the airway obstruction, but is known to have a considerable morbidity and mortality risk. In contrast, the effectiveness of glossopexy is often judged to be uncertain. We present our experience with glossopexy procedures and discuss the prerequisites for successful therapy. Method and patients Between 1997 and 2002 we conducted five glossopexy procedures in infants with Glossoptosis. In all patients a standardized airway endoscopy under spontaneous respiration was conducted before operation. For glossopexy a modification of the technique by Randall was used. Results In all patients airway obstruction disappeared directly after operation. No intra- or postoperative complications and no delays in swallowing or speech development were observed. Discussion We therefore recommend glossopexy as the treatment of first choice for patients with severe true Glossoptosis. Fragestellung Die Glossoptosis ist eine ernst zu nehmende, jedoch häufig übersehene Ursache einer hohen Luftwegsobstruktion im Säuglingsalter, die in schweren Fällen durch Tracheotomie oder Glossopexie operativ behandelt werden muss. Erstere garantiert eine Beseitigung der Luftwegsobstruktion, ist aber im Vergleich zur Glossopexie, deren Wirksamkeit jedoch umstritten ist, mit einer höheren Morbidität und Mortalität belastet. Patienten und Methode Im Zeitraum von 1997–2002 führten wir bei 5 Säuglingen eine Glossopexie durch, nachdem mit Hilfe einer standardisierten Endoskopie unter spontaner Atmung eine echte Glossoptosis nachgewiesen worden war. Hierbei wurde eine Modifikation der Technik von Randall angewendet. Ergebnisse Es kam in allen Fällen direkt postoperativ zu einer Normalisierung der Atmung. Es traten keine per- oder postoperativen Komplikationen und keine Schluck- oder Sprachentwicklungsstörungen auf. Schlussfolgerungen Wir empfehlen die Glossopexie bei echter, hochgradiger Glossoptosis als Operationsmethode der ersten Wahl.
-
Glossopexie als Therapie der ersten Wahl bei hochgradiger Glossoptosis
Monatsschrift Kinderheilkunde, 2004Co-Authors: B. Kremer, M. Frints, D. A. Van Waardenburg, A. DamenAbstract:Fragestellung Die Glossoptosis ist eine ernst zu nehmende, jedoch haufig ubersehene Ursache einer hohen Luftwegsobstruktion im Sauglingsalter, die in schweren Fallen durch Tracheotomie oder Glossopexie operativ behandelt werden muss. Erstere garantiert eine Beseitigung der Luftwegsobstruktion, ist aber im Vergleich zur Glossopexie, deren Wirksamkeit jedoch umstritten ist, mit einer hoheren Morbiditat und Mortalitat belastet.
-
Glossopexy over tracheostomy in the treatment of Glossoptosis
European Journal of Plastic Surgery, 2001Co-Authors: F. De Lorenzi, B. Kremer, D. A. Van Waardenburg, M. Buncamper, A. DamenAbstract:We present our series of patients with Glossoptosis requiring surgical intervention who were treated successfully by glossopexy, and our reasons for preferring this technique over tracheostomy. We used the technique as described by Randall and we consider this procedure a simple operation with a high success rate and low morbidity.
Charles M. Myer - One of the best experts on this subject based on the ideXlab platform.
-
Glossoptosis (posterior displacement of the tongue) during sleep : A frequent cause of sleep apnea in pediatric patients referred for dynamic sleep fluoroscopy
AJR. American journal of roentgenology, 2000Co-Authors: Lane F. Donnelly, Janet L. Strife, Charles M. MyerAbstract:OBJECTIVE. The purpose of this study was to evaluate the frequency of Glossoptosis (posterior displacement of the tongue) as a cause of sleep apnea in pediatric patients referred for fluoroscopic sleep studies.MATERIALS AND METHODS. Seventy consecutive dynamic fluoroscopic sleep studies performed to evaluate sleep apnea were reviewed. All patients had been sedated and examined with lateral fluoroscopy during sleep. Anatomic changes in the airway were correlated with episodes of oxygen desaturation. Cases of Glossoptosis, in which the tongue moved posteriorly during sleep and abutted the posterior pharynx, resulting in airway obstruction and oxygen desaturation, were identified. Associated factors were reviewed.RESULTS. Of 70 sleep studies reviewed, Glossoptosis was the cause of airway obstruction in 17 patients (24%). Mean age in these 17 patients was 3 years (range, 5 days to 13 years). Seven of the 17 children were younger than 1 year old. Only three patients had no underlying medical problems. Four pat...
Longde Zhao - One of the best experts on this subject based on the ideXlab platform.
-
Efficacy of sniffing position in alleviating Glossoptosis during emergence from anesthesia in children
Chinese Journal of Anesthesiology, 2015Co-Authors: Longde Zhao, Jue Chen, Jian FeiAbstract:Objective To evaluate the efficacy of sniffing position in alleviating Glossoptosis during the emergence from anesthesia in children. Methods Two hundred pediatric patients who developed Glossoptosis during the emergence from anesthesia, aged 2-8 yr, of American Society of Anesthesiologists physical statusⅠ or Ⅱ, were randomly divided into 4 groups (n=50 each) using a random number table: head extension position group (group A), head tilted position group (group B), oropharyngeal airway group (group C) and sniffing position group (group D). Alleviation of Glossoptosis, and occurrence of laryngospasm, agitation, vomiting and oral hemorrhage were recorded.Alleviation rate was calculated. Results Compared with group A, the alleviation rate was significantly increased in C and D groups, the alleviation rate was decreased in group B, and the incidence of laryngospasm, agitation and oral hemorrhage was increased in group C (P
-
efficacy of sniffing position in alleviating Glossoptosis during emergence from anesthesia in children
Chinese Journal of Anesthesiology, 2015Co-Authors: Longde Zhao, Jue Chen, Jian FeiAbstract:Objective To evaluate the efficacy of sniffing position in alleviating Glossoptosis during the emergence from anesthesia in children. Methods Two hundred pediatric patients who developed Glossoptosis during the emergence from anesthesia, aged 2-8 yr, of American Society of Anesthesiologists physical statusⅠ or Ⅱ, were randomly divided into 4 groups (n=50 each) using a random number table: head extension position group (group A), head tilted position group (group B), oropharyngeal airway group (group C) and sniffing position group (group D). Alleviation of Glossoptosis, and occurrence of laryngospasm, agitation, vomiting and oral hemorrhage were recorded.Alleviation rate was calculated. Results Compared with group A, the alleviation rate was significantly increased in C and D groups, the alleviation rate was decreased in group B, and the incidence of laryngospasm, agitation and oral hemorrhage was increased in group C (P<0.05). Conclusion Sniffing position can effectively alleviate Glossoptosis during the emergence from anesthesia in children with good safety. Key words: Posture; Tongue diseases; Postoperative complications; Anesthesia recovery period; Child
Lane F. Donnelly - One of the best experts on this subject based on the ideXlab platform.
-
Glossoptosis (posterior displacement of the tongue) during sleep : A frequent cause of sleep apnea in pediatric patients referred for dynamic sleep fluoroscopy
AJR. American journal of roentgenology, 2000Co-Authors: Lane F. Donnelly, Janet L. Strife, Charles M. MyerAbstract:OBJECTIVE. The purpose of this study was to evaluate the frequency of Glossoptosis (posterior displacement of the tongue) as a cause of sleep apnea in pediatric patients referred for fluoroscopic sleep studies.MATERIALS AND METHODS. Seventy consecutive dynamic fluoroscopic sleep studies performed to evaluate sleep apnea were reviewed. All patients had been sedated and examined with lateral fluoroscopy during sleep. Anatomic changes in the airway were correlated with episodes of oxygen desaturation. Cases of Glossoptosis, in which the tongue moved posteriorly during sleep and abutted the posterior pharynx, resulting in airway obstruction and oxygen desaturation, were identified. Associated factors were reviewed.RESULTS. Of 70 sleep studies reviewed, Glossoptosis was the cause of airway obstruction in 17 patients (24%). Mean age in these 17 patients was 3 years (range, 5 days to 13 years). Seven of the 17 children were younger than 1 year old. Only three patients had no underlying medical problems. Four pat...