Juvenile laryngeal papillomatosis tracheostomy,


Având în vedere rata crescută a morbidităţii şi mortalităţii tra­heotomiei la copil, se consideră juvenile laryngeal papillomatosis tracheostomy intervenţie chirurgicală di­fi­cilă. În lucrare se prezintă managementul şi dificultăţile tehnice ale juvenile laryngeal papillomatosis tracheostomy pediatrice. Juvenile laryngeal papillomatosis tracheostomy şi metodă. În Clinica ORL Ti­mi­şoa­ra, în perioadaau fost efectuate 18 traheotomii la co­pii cu vârsta cuprinsă între 1 și 15 ani.

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Indicaţiile traheotomiilor au fost pentru obstrucţie de căi aeriene superioare, ventilaţie asistată sau toaletă juvenile laryngeal papillomatosis tracheostomy. Au fost utilizate diferite tipuri de canule tra­he­ale. Alegerea canulelor trebuie să ţină cont de indicaţia tra­heo­to­miei. Canula ideală trebuie să fie din silicon, uşor de curăţat şi dis­po­nibilă în diferite dimensiuni.

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Toate traheotomiile au fost efectuate pe incizie cervicală inferioară orizontală. S-a utilizat anes­te­zia generală cu sondă de intubaţie orotraheală, regiunea cer­vi­cală fiind în hiperextensie.

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Complicaţiile intraoperatorii au fost minime: uşoa­re hemoragii şi probleme cu canulele traheale. Complicaţiile post­ope­ratorii s-au manifestat ca: decanulare accidentală, emfizem sub­cutanat, dificultăţi de alimentaţie, infecţie. Tra­heo­to­mia este considerată o intervenţie cu risc vital, neavând con­traindicaţii absolute.

Specificații

Este o intervenţie dificilă din cauza par­ti­cu­larităţilor anatomice la juvenile laryngeal papillomatosis tracheostomy vârste. Traheotomia ar trebui efec­tuată în situaţii controlate cu intubaţie orotraheală pe sondă sau bron­hoscop. Cuvinte-cheie: traheotomie, copil, canulă, complicaţii Eustachian tube causes Adriana Neagoş MD, PhD, University of Medicine and Pharmacy Târgu-Mureş, Otorhinolringology Department, Târgu-Mureş, Romania Eustachian juvenile laryngeal papillomatosis tracheostomy is an important source of middle ear pathogenesis and has been linked to causing middle ear and mastoid aeration pathology.

It can appear alone or in association juvenile laryngeal papillomatosis tracheostomy other factors as sinusitis and epipharingeal tumours. Otitis media with effusion is the most frequent pathology that appears after Eustachian tube disfunction.

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The tympanic membrane retraction is one of objective symptomathology. Many causes of Eustachian tube function and dysfunction are described in the literature including cleft palate, surfactants, tympanic membrane athelectasis, and long term middle ear ventilation. The epidemiological studies illustrated that poor Eustachian tube function plays a major role in the pathogenesis of otits media, so it is juvenile laryngeal papillomatosis tracheostomy important to have a good function of the tube before and after a surgical procedures.

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Evaluation of hearing results demonstrates that preoperative and postoperative tubal function is important for a good surgical outcome juvenile laryngeal papillomatosis tracheostomy case of chronic otitis media and cholesteatoma.

In children the Eustachian tube dysfunction evaluated by impedance audiometer is important to document neutralization of positive juvenile laryngeal papillomatosis tracheostomy negative middle ear pressures. This can be the explanation that Eustachian tube is an essential part of the pressure regulating system of the middle ear.

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The physiologic function of the tube is to equalize the pressure from the middle ear with the atmosphere. The Eustachian tube closing failure and the induction of negative middle ear pressure are important juvenile laryngeal papillomatosis tracheostomy in the development of chronic ear disease.

Pediatric Resident doctor First described injuvenile laryngeal papillomatosis tracheostomy caused by congenital cyto­me­ga­lo­virus juvenile laryngeal papillomatosis tracheostomy - a major problem of public health - is today the most frequent cause of sensorineural deafness in children. The pre­valence of congenital cytomegalovirus infection is between 0.

Source: ORL. Warty growths in the upper airway and may cause significant airway obstruction or voice change. The mode of infection in adults is still not known, but sexual transmission is likely.

Diagnosis of congenital cytomegalovirus in­fection is possible if the virus is isolated during the first 3 weeks of life or if the serum IgM antibodies are found at birth or shortly af­ter birth. Deafness caused by juvenile laryngeal papillomatosis tracheostomy infection can be progressive or with late onset at pre­schoolers or in the first years of schoolrequiring more frequent audio­logy monitoring at birth, at 3, 6, 9, 12, 18, 24, 30, and 36 months and annually until school age in order to detect and to treat deaf­ness.

Pathophysiology of deafness caused by cytomegalovirus infec­tion is not completely understood impaired endolymphatic struc­tures, cytopathic effect of the virus, host immune response to the inner ear structures.

Hearing loss can be unilateral frequency of kHz or bilateral, and varies from medium to severe. Hearing im­pair­ment has an impact on social and cognitive development of the juvenile laryngeal papillomatosis tracheostomy and his family, acquisition of speech being often delayed. The risk of permanent sequelae in case of symptomatic infection is higher in children from mothers suffering hpv cancer barbati primary infection, but disabilities were observed also in children from mothers with non-primary infections.

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In children with asymptomatic congenital cy­to­megalovirus infection, increased virulence in the first month of life is associated with sensorineural deafness. Balance problems invol­ving acoustic nerve should be taken in consideration in children with sensorineural deafness.

Abstracte ORL

The relation between high viral charge in infants and deafness probability suggests the role of antiviral the­rapy in juvenile laryngeal papillomatosis tracheostomy the incidence and the severity of deafness caused by cytomegalovirus.

Oral Valganciclovir represents today an al­ter­native to Ganciclovir, priory used intravenous.

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Valganciclovir has adverse ef­fects neutropeniathus the decision to initiate the anti­viral therapy is difficult to make. Cochlear implant juvenile laryngeal papillomatosis tracheostomy efficient in case of se­vere deafness in children with congenital cytomegalovirus infec­tion, but the evolution depends on associated psycho-neurological ma­nifestations.

Keywords: infection, cytomegalovirus, deafness, child Difficulties in the diagnosis of hearing loss in children Raluca Enache ENT Sarafoleanu Medical Clinic, Bucharest, Romania Hearing represents an important social and cognitive function, the hear­ing loss being an important health problem worldwide.

Hy­po­a­cusis is a common pathology found in juvenile laryngeal papillomatosis tracheostomy adults and children. Given these implications, the diagnosis of hearing loss in children must be done correctly and ra­pidly.

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The assessment of the auditory function is indicated in patients with subjective complaints and in those who belong to groups supposed to be at risk for a hearing loss. Paediatric population juvenile laryngeal papillomatosis tracheostomy part of the se­cond group, children being unable to report deafness occurrence.

Keywords: hypoacusis, audiometric evaluation, children Evaluarea beneficiului auditiv la pacienţii cu implant cohlear Mădălina Georgescu1,2, Magda Cernea2,3 1. Surditatea bilaterală in­sta­lată în primii doi ani de viață determină instalarea unui al doilea han­dicap senzorial - mutitatea, asociere care impietează grav asupra dez­voltării ulterioare a copilului pe multiple planuri: educațional, social și economic.

Soluția terapeutică adecvată pentru pacienții surzi este re­pre­zentată de implantul cohlear, dispozitiv medical semiimplantabil, care per­mite stimularea directă a nervului auditiv și, în consecință, audiția. Eva­luarea beneficiului auditiv al implantului cohlear nu trebuie papillomavirus caso clinico se li­mi­teze la evaluarea pacienților implantați prin audiogramă tonală, ci, obli­gatoriu, prin audiogramă vocală, singura în măsură să redea nivelul abilitării auditive în toată complexitatea sa.

Pe măsură ce copilul surd învață să utilizeze informațiile sonore și juvenile laryngeal papillomatosis tracheostomy dobândească limbajul articulat, evaluarea standardizată audiologică și logopedică a vorbirii trebuie să fie standardul cuantificării beneficiului implantării cohleare. Prezentăm în lucrare rezultatele obținute în I.

Papilomatoza laringiană la copil/Recurrent respiratory papillomatosis (RRP).

Sunt prezentate elemente virus del papiloma y tabaquismo tehnică chirurgicală apli­cate în cazul diferitelor entități patologice, pornind de la vegetațiile ade­noide și juvenile laryngeal papillomatosis tracheostomy la patologia bazei craniului. Se insistă pe pre­zen­tarea modalităților de tratament, pregătire preoperatorie și îngrijiri post­operatorii în cazul patologiei tumorale, cu accent pe prezentarea par­ti­cularităților fibroamelor nazofaringiene.

Se­ve­ral substances also can be analysed in saliva and this technique offers some ad­vantages.

juvenile laryngeal papillomatosis tracheostomy

Saliva sampling can be done anytime, anywhere and multiple collection and assessment of samples during the day could offer a better understanding of daily production of the biomarkers of the endocrine and autonomic nervous systems.

Salivary biomarker measures represent a reliable method of investigating hypothalamo-pituitary-adrenal axis and autonomic nervous system activities, avoiding the stressful event of venipuncture and offering the possibility of self-collection by juvenile laryngeal papillomatosis tracheostomy.