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Sudden Asthma during Extubation in a Patient without Asthma History: A Case Report
Acute asthma is very dangerous and frequently presents with sudden narrowing of the airways especially during perioperative period. Asthma poses many challenges to the perioperative anesthesia management. This article describes a refractory acute asthma during extubation period in a 35 year old man without any history of asthma... Read More
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Background: Bromelain is a phytotherapeutic drug that is well established in medicinal use for the treatment of injuries and postoperative swelling. It is frequently recommended in otorhinolaryngological indications. However, there is lack of recent clinical data on its use in this setting. Methods: We conducted a non-interventi.. Read More
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Mucociliary Clearance: Measures and Therapies
Mucociliary Clearance can be measured clinically with the Saccharine Test in the sino-nasal system. When clearance is slow, treat mucus viscosity and slow ciliary beat frequency. Chronic sinusitis and bronchitis are often due to poor MCC. Therapy to upper or lower respiratory system benefits both. Therapy for Mucociliary Clearan.. Read More
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The Use of Vestibular Rehabilitation for Individuals with Migraines: A Systematic Review
Introduction: Up to 50% of all individuals with migraines experience vertigo. The purpose of this systematic review was to evaluate the effectiveness of vestibular rehabilitation at managing individuals who experience vertigo associated with their migraine headaches. Methods: The CINAHL Complete, ProQuest Medical Library and Pub.. Read More
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Metastasis of Meningioma: A Rare Differential Diagnosis in Subcutaneous Masses of the Scalp
Background: Subcutaneous masses of the scalp have a wide range of differential diagnosis. After removal of a meningioma in the patient’s history, scalp metastasis from the previously resected meningioma should be considered. Methods: A 86 year old patient presented with a local swelling on the left temporal forehead and no.. Read More
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Evaluation of Type I Tympanoplasty in Children in Upper Egypt
Objective: This study was undertaken to evaluate the surgical outcome of type1 tympanoplasty in selected cases of children with tympanic membrane perforation and asses factors influencing their outcome. Subjects and Method: The study includes a total of 82 children of age group 7 to 14 years who underwent type 1 tympanoplasty in.. Read More
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Time for Complete Vocal Recovery in Voice Professionals Undergoing Polyp Surgery
Introduction: The voice is an important element for an individual in his personal and professional relationships. By means of it, we convey a message and are able to maintain communication. Some people use it as a working tool; they are called voice professionals and are classified into Koufman’s levels. Improper and stren.. Read More
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Collar Fixation as a Management Tool for Posterior Canal BPPV: Is it of Value
Objective: To determine the necessity of use the collar after canalith repositioning maneuver on success rate of management of posterior canal BPPV. Methodology: 60 patients with posterior canal BPPV were included in this study. They were divided into two groups. Group I: Managed by Epply Maneuver and received post-maneuver inst.. Read More
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Toxoplasmic Cervical Lymphadenopathy Precedes Lymphoma
A 35 years old male presented to the outpatient clinic in Alexandria University Hospital with right neck swelling appeared 1 year ago and finally diagnosed, 9 months ago, by histopathologists in the same institute via ultrasound guided FNAC, as Toxoplasmic lymphadenitis. However, the patient represented by sudden increase in the.. Read More
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Background: Liuzijue Qigong (LQG), a traditional Chinese health exercise (TCHE), is often speculated to help improve respiratory function but few studies support this for improving vocal function. Case presentation: We studied LQG for individuals who experienced unilateral vocal fold paralysis (UVFP) after thyroidectomy and we .. Read More
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Objective: To present surgical technique and treatment outcomes after extended open partial laryngectomy with titanium-based laryngeal framework reconstruction performed on 8 patients with T2-T3 squamous cell cancer of larynx. Method: To evaluate respiratory, phoniatric and swallowing function of larynx, titanium plate toleranc.. Read More
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Objective: The purpose of this study was to explore the utility of the Choi Criteria in judging response to axitinib therapy in unresectable recurrent or distant metastatic head and neck squamous cell carcinoma. Methods: Radiologic and clinical data was evaluated in a retrospective fashion from a single-arm phase II clinical tr.. Read More
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Prediction of Fluid Characteristics in Pediatric Otitis Media with Effusion from the Tympanometry
Objective: To correlate the characteristics of type B tympanogram with the type of middle ear fluid in children suffering from persistent OME. Methodology: A prospective study was conducted on children with persistent OME for more than 3 months who failed to respond to medical treatment with type B tympanogram in one or both ea.. Read More
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Surgical Induction of Burning Mouth Syndrome: Hemicolectomy and Hyperalimentation
Background: Burning Mouth Syndrome (BMS) is a chronic, idiopathic condition characterized by changes in sensory perceptions in the tongue and other oral sites, despite the normal clinical appearance of the oral mucosa. Vitamin B1 (thiamine) amongst other vitamin B complex deficiencies have been associated with BMS. While vitamin.. Read More
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Kimura's Disease Presenting as a Post Cricoid Mass - A Diagnostic Challenge
Kimura’s disease (KD) is a rare immune mediated chronic inflammatory disorder of unknown etiology which involves subcutaneous plane and is usually seen in parotid region. It is also known to affect cervical lymph nodes and pharynx. There has been no report of this disease isolated to post cricoid region. We report a case o.. Read More
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Functional Rhinoplasty: Short Review
Examination of anatomical structures including the septum, internal and external nasal valve regions is essential in planning for functional rhinoplasty. In modern rhinoplasty procedures nasal functions (breathing and olfaction) beside its cosmetic role; should not be ignored for a successful operation. We should respect support.. Read More
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Cranial Nerve Examination for Neurogenic Dysphagia Patients
This cross-sectional study aimed to validate a cranial nerve assessment for swallowing against fiber optic-endoscopic examination of swallowing (FEES) in a group of neurological patients. A specific cranial nerve evaluation was designed, comprising semi-qualitative evaluations of the main five cranial nerves involved in swallowi.. Read More
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Introduction: The purpose of this study was to evaluate the effectiveness of a vestibular rehabilitation therapy (VRT) on the static and dynamic postural control and on the quality of life in patients after a surgical microvascular decompression of the cochleo-vestibular nerve. Method: Eight patients with a neurovascular conflic.. Read More
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Application of Skin Stretching Technique for Closure of Large Surface Skin Defects
Closure of large defects skin surface after extensive burns remains an important issue in plastic and reconstructive surgery. Deficit of intact skin dictates a careful and creative approach to surfaces of normal skin. Skin stretching technique using tissue expansion device is a promising approach to treat the little patients wit.. Read More
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Economic Testing of Unilateral Vestibular Failure
Identifying unilateral vestibular failure of the semicircular canals (SCC) is important in vertigo and dizziness disease. There are different vestibular tests available: rotatory testing (RT), bithermal caloric irrigation (CI) and the video-head-impulse test (vHIT). This review comments on the current knowledge and on economic a.. Read More
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