Although otolaryngologic surgeons commonly focus on the palate when treating patients with obstructive sleep apnea (OSA), they also need to look at the tongue.
Sensory Testing of Swallowing Reflex Expands Diagnostic and Treatment Potential
Until 1980, the primary technique for assessing patients with dysphagia was the modified barium swallow (MBS). It was then that fiberoptic endoscopic evaluation of swallowing was added to the diagnostic armamentarium.
Botulinum Toxin Injections for ADSD and Chronic Salivary Aspiration
Presenters at several scientific sessions at the Combined Otolaryngology Spring Meeting (COSM) reported on their recent studies involving the use of botulinum toxin type A (Botox® [BTX]; Allergan, Inc., Irvine, CA) injections to treat adductor spasmodic dysphonia (ADSD) and chronic salivary aspiration.
Tracheotomy Management Update
Two abstracts presented at the 2007 Combined Otolaryngology Spring Meeting (COSM) reflect where the news lies with the subject of tracheotomy: raising the index for suspicion for tracheal stenosis following percutaneous tracheotomy and better educating non-otolaryngologists who manage tracheotomy patients.
Foreign Body Aspiration in Pediatric Patients: Bronchoscopy Delay May Be Beneficial
Does the time between aspiration and retrieval of an airway foreign body affected the pediatric patient’s outcome?
Monitoring Tracheal Tube Cuff Pressures in the ICU Can Prevent Injury
“Despite increasing awareness among intensivists and respiratory therapists and more widespread use of low-pressure, high-volume cuffs, the incidence of tracheal tube cuff overinflation remains high in the contemporary American intensive care unit [ICU],” said Luc Morris, MD, from the Head and Neck Service in the Department of Otolaryngology at New York University School of Medicine during his scientific session presentation at the April 2007 meeting of the American Broncho-Esophagological Association at the Combined Otolaryngology Spring Meeting.
Sublingual Immunotherapy (SLIT) Quality of Life Outcomes
Sublingual immunotherapy (SLIT) is effective in controlling allergic symptoms in a preliminary patient cohort, according to a study presented April 27 at the Combined Otolaryngology Spring Meeting.
Late-Onset Laryngomalacia: A Variant of Disease
Although the most commonly seen cases of laryngomalacia (LM) are in very young children, clinicians should consider late-onset LM as a potential cause of feeding difficulties in toddlers, sleep apnea in children, and teenage exercise intolerance, according to researchers at Cincinnati Children’s Hospital Medical Center and the Mayo Clinic.
The Unified Airway: Do We Fully Appreciate Its Impact in Otolaryngology?
NSAIDs Do Not Increase Post-Tonsillectomy Hemorrhage Risk
The use of nonsteroidal anti-inflammatory drugs (NSAIDs) does not lead to increased postoperative bleeding following tonsillectomy, according to two research studies reported during the April 29 American Society of Pediatric Otolaryngology program at the Combined Otolaryngology Spring Meeting.
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