Base de dados : MEDLINE
Pesquisa : A02.165.257.625.211 [Categoria DeCS]
Referências encontradas : 2160 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 216 ir para página                         

  1 / 2160 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29429178
[Au] Autor:Tao L; Zhou L; Wu HT; Gong HL; Chen XL; Li XM; Li C; Zhou J
[Ad] Endereço:Shanghai Key Clinical Disciplines of Otorhinolaryngology, Department of Otorhinolaryngology, Eye, Ear, Nose, and Throat Hospital of Fudan University, Shanghai 200031, China.
[Ti] Título:[Long-term efficacy of supracricoid partial laryngectomy for 298 patients with laryngeal carcinoma].
[So] Source:Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi;53(2):97-104, 2018 Feb 07.
[Is] ISSN:1673-0860
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:To evaluate the oncologic and functional outcomes of supracricoid partial laryngectomy (SCPL) in the treatment of laryngeal carcinoma. A total of 298 laryngeal carcinoma patients who underwent SCPL treatment from January 2005 to December 2013 were reviewed retrospectively. Clinical data of demographic and clinical characteristics, postoperative complications, rehabilitation information, recurrence and metastasis were analysed. Survival and local control were used to evaluate the clinical outcome.Data were analyzed by SPSS 23.0 software. Thirty-one patients with supraglottic carcinoma underwent cricohyoidoepiglottopexy (CHEP)and 267 with glottic carcinoma underwent cricohyoidopexy (CHP) were enrolled in this study. The mean duration of followed up was 74 months, ranging from 12 to 146 months. Fifty-four cases died at last follow-up. With respect to 31 patients with supraglottic carcinoma, 5- and 10-year overall survival rates and disease specific survival rates all were 78.1%; 5- and 10-year disease free survival rates were 72.1% and 63.7% respectively; and 5- and 10-year local control rates were both 84.2%. In 267 patients with glottic carcinoma, 5- and 10-year overall survival rates were 85.8% and 77.1% respectively; 5- and 10-year disease specific survival rates were 86.6% and 78.4% respectively; 5- and 10-year disease free survival rates were 80.6% and 74.2% respectively; and 5- and 10-year local control rates were 90.0% and 89.4% respectively. The survival rate of patients with glottic carcinoma at stage T1 was higher than that at stage T2 or T3, and the disease free survival rate of patients with early stage was superior than that of patients with advance stage. Cox regression analysis showed that tumor stage T2, and T3, tumor recurrence, and tumor metastasis were independent risk factors for survival. Furthermore, nasogastric feeding tube removal rate was 100% and the decannulation rates of SCPL were 96% in the patients with SCPL. SCPL is a safe procedure with tumor resection for laryngeal carcinoma, with preserving of swallowing, respiration, and phonation functions, and has excellent survival and local control rates. This procedure could be considered as a standard function-sparing treatment for selected patients with laryngeal carcinoma of stages T1b-T3.
[Mh] Termos MeSH primário: Carcinoma/cirurgia
Cartilagem Cricoide/cirurgia
Neoplasias Laríngeas/cirurgia
Laringectomia/métodos
[Mh] Termos MeSH secundário: Carcinoma/mortalidade
Carcinoma/secundário
Carcinoma de Células Escamosas
Deglutição
Intervalo Livre de Doença
Seres Humanos
Neoplasias Laríngeas/mortalidade
Laringectomia/mortalidade
Recidiva Local de Neoplasia
Fonação
Complicações Pós-Operatórias
Estudos Retrospectivos
Fatores de Risco
Taxa de Sobrevida
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180213
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.1673-0860.2018.02.004


  2 / 2160 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28460647
[Au] Autor:Ono Y; Kunii M; Miura T; Shinohara K
[Ad] Endereço:Emergency and Critical Care Medical Center, Fukushima Medical University Hospital, 1 Hikarigaoka, Fukushima, Fukushima, 960-1295, Japan. windmill@fmu.ac.jp.
[Ti] Título:"Cannot ventilate, cannot intubate" situation after penetration of the tongue root through to the epipharynx by a surfboard: a case report.
[So] Source:J Med Case Rep;11(1):121, 2017 May 01.
[Is] ISSN:1752-1947
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Surfing is an increasingly popular activity and surfing-related injuries have increased accordingly. However, to the best of our knowledge, there are no reports of penetrating upper airway injuries in surfers. We present a "cannot ventilate, cannot intubate" situation following penetrating neck injury by a surfboard fin. CASE PRESENTATION: A previously healthy 29-year-old Japanese man was swept off his board by a large wave and his left mandible, tongue root, and right epipharynx were penetrated by the surfboard fin. He presented with severe hypovolemic shock because of copious bleeding from his mouth. Direct laryngoscopy failed, as did manual ventilation, because of the exacerbated upper airway bleeding and distorted upper airway anatomy. Open cricothyrotomy was immediately performed, followed by surgical exploration, which revealed extensive ablation of his tongue root and laceration of his lingual artery. After definitive hemostasis and intensive care, he returned home with no sequelae. CONCLUSIONS: The long, semi-sharp surfboard fin created both extensive crushing upper airway lesions and a sharp vascular injury, resulting in a difficult airway. This case illustrates that surfing injuries can prompt a life-threatening airway emergency and serves as a caution for both surfers and health care professionals.
[Mh] Termos MeSH primário: Tratamento de Emergência
Intubação Intratraqueal/instrumentação
Lesões do Pescoço/terapia
Língua/lesões
Traqueotomia/métodos
Esportes Aquáticos/lesões
Ferimentos Penetrantes/terapia
[Mh] Termos MeSH secundário: Adulto
Cartilagem Cricoide
Cuidados Críticos
Tratamento de Emergência/instrumentação
Tratamento de Emergência/métodos
Seres Humanos
Intubação Intratraqueal/métodos
Masculino
Lesões do Pescoço/fisiopatologia
Glândula Tireoide
Resultado do Tratamento
Ferimentos Penetrantes/fisiopatologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1186/s13256-017-1284-5


  3 / 2160 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29245332
[Au] Autor:Xia Y; Qi C; Zhang S; Huang Z; Chen Y
[Ad] Endereço:Department of Nuclear Medicine, The Affiliated Hospital, Southwest Medical University, Luzhou, Sichuan, PR China.
[Ti] Título:Elevated 18F-NaF uptake in cricoid cartilage in a patient with laryngeal carcinoma: A case report and literature review.
[So] Source:Medicine (Baltimore);96(49):e9090, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Laryngeal cancer is aggressive tumor that arises from the tissues of the larynx. Although any bone can be affected, involvement of cricoid cartilage was reported very rarely, and there has been no report of 18F-sodium fluoride positron emission tomography-computed tomography (F-NaF PET-CT) and 3D PET-CT for the evaluation of cricoid cartilage invasion. PATIENT CONCERNS: A 54-year-old male discovered a protruding mass in the right anterior neck, which had rapidly increased in size over a period of 2 months. Subsequently, hoarseness, dysphagia, and dyspnea were gradually developed. DIAGNOSES: F-FDG PET-CT demonstrated that the abnormal activity was located in a soft tissue mass, which was about 4.2 cm × 3.8 cm × 3.6 cm in largest dimension in the laryngeal cavity of supraglottic portion (SUVmax: 23.6). A swollen lymph node was revealed in the right submandibular region, which had intense FDG activity with a SUVmax of 18.4. However, there is a high uptake of F-FDG in the region near the bone, which is uncertain whether there is any skeletal invasion. NaF PET-CT and 3D PET-CT demonstrated increased uptake in the right side of cricoid cartilage (SUVmax: 13.2). The histopathologic examination confirmed squamous cell carcinoma of larynx. INTERVENTIONS: The patient underwent tracheotomy and received anti-infective treatment to relieve symptoms of dyspnea and prevent asphyxia. OUTCOMES: Clinical follow up of the patient revealed that dyspnea was significantly relieved. LESSONS: The case report shows the imaging features of cricoid cartilage invasion, including F-FDG PET/CT, 18F-sodium fluoride positron emission tomography-computed tomography (F-NaF PET-CT), and 3D PET-CT. Precise understanding of the invasion scope, accurately staging of laryngeal carcinoma, and choosing of the most suitable surgical scheme are the factors that lead to the optimal treatment of laryngeal neoplasms.
[Mh] Termos MeSH primário: Carcinoma de Células Escamosas/patologia
Cartilagem Cricoide/patologia
Neoplasias Laríngeas/patologia
Tomografia Computadorizada com Tomografia por Emissão de Pósitrons/métodos
[Mh] Termos MeSH secundário: Carcinoma de Células Escamosas/diagnóstico por imagem
Carcinoma de Células Escamosas/cirurgia
Cartilagem Cricoide/diagnóstico por imagem
Fluordesoxiglucose F18
Seres Humanos
Neoplasias Laríngeas/diagnóstico por imagem
Neoplasias Laríngeas/cirurgia
Masculino
Meia-Idade
Compostos Radiofarmacêuticos
Fluoreto de Sódio
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Radiopharmaceuticals); 0Z5B2CJX4D (Fluorodeoxyglucose F18); 8ZYQ1474W7 (Sodium Fluoride)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171217
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009090


  4 / 2160 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29232240
[Au] Autor:Priebe HJ
[Ad] Endereço:University Hospital Freiburg, Freiburg, Germany. hans-joachim.priebe@uniklinik-freiburg.de.
[Ti] Título:Cricoid Pressure: Effective Measure or Ritual?
[So] Source:Anesthesiology;128(1):233-234, 2018 01.
[Is] ISSN:1528-1175
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Cartilagem Cricoide
Intubação Intratraqueal
[Mh] Termos MeSH secundário: Seres Humanos
Pressão
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180104
[Lr] Data última revisão:
180104
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.1097/ALN.0000000000001951


  5 / 2160 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29232239
[Au] Autor:Roth JV
[Ad] Endereço:Albert Einstein Medical Center, Philadelphia, Pennsylvania. Rothj@einstein.edu.
[Ti] Título:Should the Dominant or Nondominant Hand Be Used for Applying Cricoid Pressure?
[So] Source:Anesthesiology;128(1):233, 2018 01.
[Is] ISSN:1528-1175
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Mãos
Pressão
[Mh] Termos MeSH secundário: Cartilagem Cricoide
Seres Humanos
Intubação Intratraqueal
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180103
[Lr] Data última revisão:
180103
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.1097/ALN.0000000000001950


  6 / 2160 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29095310
[Au] Autor:Xia C; Zhu Q; Yue C; Hu M; Li P; Li Z
[Ad] Endereço:aDepartment of Diagnostic Ultrasound, Beijing Tongren Hospital, Capital Medical University bDepartment of Pathology, Beijing Tongren Hospital, Capital Medical University cDepartment of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University dDepartment of Diagnostic Ultrasound, Beijing Aerospace General Hospital, Beijing, China.
[Ti] Título:Sonography used in the infantile desmoid fibromatosis of postcricoid area: A case report.
[So] Source:Medicine (Baltimore);96(44):e8500, 2017 Nov.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Infantile desmoid fibromatosis of the postcricoid area is a rare disease and is characterized by a proliferation of fibrous tissue with non-metastasis, local infiltration, and a high rate of recurrence after surgical resection. Currently, ultrasound is scarcely used in the hypopharynx and larynx area. PATIENT CONCERNS: A 4-year-old boy presented with hoarseness, deep voice and snoring for 2∼4 years without any surgical history. On sonography, the lesion was found in the postcricoid area, and the left larynx showed impaired mobility in real time observation. Complete excision with a negative margin in this pivotal anatomic area is impossible, and necessitates a long-time surveillance. DIAGNOSES: Infantile desmoid fibromatosis of the postcricoid area was diagnosed according to surgery and histopathology. INTERVENTIONS: Local excision was carried out to relieve the upper airway narrowing. OUTCOMES: Relieved hoarseness and snoring were reported on the latest follow-up. A residual lesion was seen in the surgical bed and maintained a stable extent on ultrasound and MR imaging after a year. LESSONS: Considering the non-radiation merit and diagnostic ability, ultrasonography is advocated as a valuable supplementary imaging method to CT, MR and laryngoscopy in the juvenile larynx and hypopharynx.
[Mh] Termos MeSH primário: Cartilagem Cricoide/diagnóstico por imagem
Fibromatose Agressiva/diagnóstico por imagem
Rouquidão/diagnóstico por imagem
Neoplasias Laríngeas/diagnóstico por imagem
[Mh] Termos MeSH secundário: Pré-Escolar
Rouquidão/etiologia
Seres Humanos
Neoplasias Laríngeas/complicações
Masculino
Ultrassonografia/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171103
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008500


  7 / 2160 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28964284
[Au] Autor:Marchica C; Zawawi F; Daniel SJ
[Ad] Endereço:Department of Pediatric Otolaryngology Head and Neck Surgery, McGill University Health Center, Montreal Children's Hospital, Montreal, Quebec, Canada.
[Ti] Título:Management of cricopharyngeal achalasia in an 8-month child using endoscopic cricopharyngeal myotomy.
[So] Source:Int J Pediatr Otorhinolaryngol;101:137-140, 2017 Oct.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:A term baby was transferred to our tertiary care center with desaturations and inability to manage upper airway secretions. Rigid bronchoscopy and swallowing study revealed cricopharyngeal (CP) achalasia. A gastrostomy tube insertion and Botulinum Toxin-A injection were performed at 6 weeks of age. Improvement of symptoms was observed, however were short-lived requiring recurrent injections. Given the symptom severity, at 8 months, a successful endoscopic CP myotomy was performed. Patient was able to tolerate oral feeds as early as 2 months post-operatively. This is the youngest patient, to our knowledge, treated with endoscopic CP myotomy. Intraoperative pictures and video are presented.
[Mh] Termos MeSH primário: Toxinas Botulínicas Tipo A/uso terapêutico
Cartilagem Cricoide/cirurgia
Endoscopia/métodos
Acalasia Esofágica/cirurgia
Músculos Faríngeos/cirurgia
[Mh] Termos MeSH secundário: Deglutição
Feminino
Seres Humanos
Lactente
Masculino
Doenças Faríngeas/diagnóstico
Doenças Faríngeas/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
EC 3.4.24.69 (Botulinum Toxins, Type A)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171002
[St] Status:MEDLINE


  8 / 2160 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28577852
[Au] Autor:Baujat B; Struk S; Lesnik M; de Crouy Chanel O; Barbut J; Lefevre M; Périé S; Lacau St Guily J
[Ad] Endereço:Head and Neck Surgery Department, Tenon Hospital, Paris, France; Department of Medicine, Paris VI University, Paris, France. Electronic address: bertrand.baujat@aphp.fr.
[Ti] Título:Fascia Temporalis Free Flap for Cricotracheal Reconstruction: A Novel Approach.
[So] Source:Ann Thorac Surg;104(3):1040-1046, 2017 Sep.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The aim of tracheal reconstruction is to provide an airtight and noncollapsible airway covered with a suitable epithelial lining. To date, no ideal treatment is available for large tracheal defects. METHODS: We report 4 patients who underwent one-stage reconstruction for a cricotracheal stenosis with a free temporoparietal fascia flap and costal cartilage grafts. RESULTS: Closure of tracheostoma was achieved for all patients. The main advantage of this flap compared with the free radial forearm flap is that it supplies a more suitable lining allowing the reepithelialization process with respiratory epithelium. CONCLUSIONS: This one-stage procedure provides a reliable construct to substitute for large tracheal defects, even in areas previously exposed to an operation or radiotherapy.
[Mh] Termos MeSH primário: Cartilagem Cricoide/cirurgia
Fáscia/transplante
Retalhos de Tecido Biológico
Microcirurgia/métodos
Procedimentos Cirúrgicos Reconstrutivos/métodos
Traqueia/cirurgia
Estenose Traqueal/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seguimentos
Seres Humanos
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170605
[St] Status:MEDLINE


  9 / 2160 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28577552
[Au] Autor:Oliveira KF; Arzola C; Ye XY; Clivatti J; Siddiqui N; You-Ten KE
[Ad] Endereço:Department of Anesthesia and Pain Management, Mount Sinai Hospital-Mount Sinai Health System, 600 University Avenue, Toronto, ON, M5G 1X5, Canada.
[Ti] Título:Determining the amount of training needed for competency of anesthesia trainees in ultrasonographic identification of the cricothyroid membrane.
[So] Source:BMC Anesthesiol;17(1):74, 2017 Jun 02.
[Is] ISSN:1471-2253
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Airway guidelines recommend the use of ultrasound to localize the cricothyroid membrane prior to airway manipulation in difficult airways. In this study, we aimed to determine the amount of training anesthesia trainees would need to achieve competence in bedside ultrasound to identify the cricothyroid membrane. METHODS: This is a prospective non-randomized cohort study in the Department of Anesthesia at Mount Sinai Hospital (Toronto, Ontario, Canada). Following institutional ethics approval, six anesthesia trainees consisting of four residents and two fellows underwent a 2-h training session on neck ultrasound to identify neck landmarks and the cricothyroid membrane. The trainees had no previous airway ultrasound experience. One-two weeks later, each trainee performed consecutive neck ultrasound scans on 20 healthy volunteers to identify the cricothyroid membrane. Cumulative sum (CUSUM) learning curves were constructed for each trainee. Primary outcome was the number of ultrasound examinations required to achieve competence, defined as 90% success rate in a series of 20 ultrasound scans. Secondary outcomes were the overall success rate, the time (sec.) required to perform the task, and 3-month skills assessment. RESULTS: CUSUM analysis showed four trainees achieved competence with a mean [range] success rate of 94.0% [90-100%] and a median [range] number of attempts of 14 [9-18]. Two trainees did not achieve competence, but obtained a success rate of 75.0 and 80.0% each. Overall (number of attempts) success rate was 88.3% (106/120) with a mean (SD) time of 36.9 (9.0) sec. Three months after training, ultrasound of five consecutive neck scans showed a mean success rate of 86.7% (26/30) and mean (SD) time of 47.7 (16.0) sec. CONCLUSIONS: After a short 2-h training session, most anesthesia trainees (n = 4/6) achieved competence in ultrasound-identification of the cricothyroid membrane with less than 20 scans in a mean time less than 60 s., and that they remain reasonably competent 3 months later. The learning curve for ultrasound identification of the cricothyroid membrane seems to be short even without prior airway ultrasound experience.
[Mh] Termos MeSH primário: Anestesiologia/educação
Competência Clínica
Cartilagem Cricoide/diagnóstico por imagem
Mucosa Laríngea/diagnóstico por imagem
Cartilagem Tireóidea/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Estudos de Coortes
Feminino
Seres Humanos
Internato e Residência
Curva de Aprendizado
Masculino
Ontário
Sistemas Automatizados de Assistência Junto ao Leito
Ultrassonografia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170605
[St] Status:MEDLINE
[do] DOI:10.1186/s12871-017-0366-7


  10 / 2160 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28543926
[Au] Autor:Mei L; Jiao H; Sharma T; Dua A; Sanvanson P; Jadcherla SR; Shaker R
[Ad] Endereço:Division of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, Wisconsin, U.S.A.
[Ti] Título:Comparative effect of the sites of anterior cervical pressure on the geometry of the upper esophageal sphincter high-pressure zone.
[So] Source:Laryngoscope;127(11):2466-2474, 2017 Nov.
[Is] ISSN:1531-4995
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES/HYPOTHESIS: External cricoid pressure is increasingly used to augment the upper esophageal sphincter (UES). Our objective was to determine the effect of 1) pressures applied to cricoid, supracricoid, and subcricoid regions on the length and amplitude of the UES high-pressure zone (UESHPZ), and 2) the external cricoid pressure on lower esophageal sphincter (LES) tone. STUDY DESIGN: Case-control study. METHODS: We studied 11 patients with supraesophageal reflux (mean age 58 ± 12 years) and 10 healthy volunteers (mean age 47 ± 19 years). We tested 20, 30, and 40 mm Hg pressures to cricoid, 1 cm proximal and 1 cm distal to the cricoid. In an additional 15 healthy volunteers (mean age 46 ± 23 years), we studied the effect of external cricoid pressure on LES tone. UES and LES pressures were determined using high-resolution manometry. RESULTS: There was significant increase of UESHPZ length with application of pressure at all sites. The increase of UESHPZ length was relatively symmetric, more orad, and more caudad when the pressure was applied at the cricoid, supracricoid, and subcricoid levels, respectively. The magnitude of pressure increase was greatest at the middle and orad part of the UESHPZ when the pressure was applied at the cricoid and supracricoid levels, respectively. The corresponding magnitude of increase in the caudad part of the UESHPZ was not observed with pressure at the subcricoid level. There was no change of the LES pressure with application of cricoid pressure. CONCLUSIONS: The effect of external pressure on the UESHPZ is site dependent. Subcricoid pressure has the least effect on UESHPZ. External cricoid pressure at 20 to 40 mm Hg has no effect on the LES pressure. LEVEL OF EVIDENCE: 3b. Laryngoscope, 127:2466-2474, 2017.
[Mh] Termos MeSH primário: Cartilagem Cricoide/fisiopatologia
Esfíncter Esofágico Superior/fisiopatologia
Refluxo Laringofaríngeo/prevenção & controle
Refluxo Laringofaríngeo/fisiopatologia
[Mh] Termos MeSH secundário: Estudos de Casos e Controles
Feminino
Seres Humanos
Masculino
Manometria/instrumentação
Meia-Idade
Pressão
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.1002/lary.26642



página 1 de 216 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde