Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 6.711
Filtrar
1.
Artigo em Chinês | MEDLINE | ID: mdl-32086923

RESUMO

Objective:The aim of this study is to investigate the effect of fibreoptic endoscopic of sallowing (FEES) in the assessment of pharyngeal dysphagia in post-irradiated patients with nasopharyngeal carcinoma. Method:Fifty-three NPC patients with post-irradiated underwent FEES and video fluoroscopy(VF).The results were analyzed using the Bolus Residue Scale and Rosenbek's penetration aspiration scale. Result:The agreement in the detection of penetration and aspiration between FEES and VF of liquid(κ=0.56, 95%CI 0.38-0.73) and porridge(κ=0.64, 95%CI 0.43-0.81) was "fair". The detection rates of penetration on FEES with liquid and porridge were 60% and 51%, the detection rates of aspiration on VF with liquid and porridge were 70% and 53%. There were no statistical differences. The agreement in the detection of pharyngeal residue between FEES and VF of liquid (κ=0.38, 95%CI0.12-0.62) and porridge (κ=0.66, 95%CI 0.44-0.86) was "fair". The detection rates of pharyngeal residue on FEES and VF with porridge were 43% and 45%, the difference was not statistically significant. The detection rates of pharyngeal residue on FEES and VF with liquid were 44% and 24%, and the difference was statistically significant. Conclusion:FEES is an effective and valuable tool for evaluating pharyngeal dysphagia in post-irradiated patients with nasopharyngeal carcinoma.


Assuntos
Transtornos de Deglutição/diagnóstico por imagem , Endoscópios , Carcinoma Nasofaríngeo/complicações , Neoplasias Nasofaríngeas/complicações , Deglutição , Transtornos de Deglutição/etiologia , Tecnologia de Fibra Óptica , Humanos , Carcinoma Nasofaríngeo/radioterapia , Neoplasias Nasofaríngeas/radioterapia
2.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 55(2): 115-118, 2020 Feb 09.
Artigo em Chinês | MEDLINE | ID: mdl-32074673

RESUMO

Objective: To introduce a new surgical procedure for the treatment of neck benign tumors by endoscopic techniques. Methods: Seventeen patients with neck benign tumor underwent surgery by endoscope through a concealed incision in Department of Oral and Maxillofacial Surgery, Qilu Hospital of Shandong University from January 2018 to August 2019 were analyzed, which included 3 cases of tumor in the submental area, 2 cases in submandibular region, 9 cases in lower pole region of parotid gland, 1 case in superior region of sternocleidomastoid muscle, 1 case in central region of sternocleidomastoid muscle, 1 case in inferior region of sternocleidomastoid muscle. All patients underwent routine preoperative examination and CT examination to evaluate tumor size, boundary, morphology and nature. According to the area where the tumor located, concealed incisions in different sites were designed. Lumps in the submental area and submandibular area were treated with oral vestibular sulcus incision. Benign tumors located in the lower pole region of parotid gland and the sternocleidomastoid muscle region were treated with approach of the short hidden postauricular incision. During the operation, the self-developed "maxillofacial suspension device" was used to provide the operating space. The tumors were completely removed with endoscope and all patients were followed up every 3 months. Results: All surgical procedures were performed as expected. Visual analogue scale (VAS) was 9.3 on average at 3 months after operation, all the patients were satisfied with the incision design and the cosmetic effect. No recurrences were found in patients with a follow-up period ranged from 1-15 months. Conclusions: These studies have shown that endoscope-assisted neck benign tumor resection is a surgical procedure with covert incision and good cosmetic results.


Assuntos
Endoscopia , Neoplasias de Cabeça e Pescoço/cirurgia , Endoscópios , Humanos
3.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi ; 34(2): 256-259, 2020 Feb 15.
Artigo em Chinês | MEDLINE | ID: mdl-32030960

RESUMO

Objective: To review the research progress of total endoscopic minimally invasive technique in treating cervical nerve root canal stenosis (CNRCS). Methods: The related literature at home and abroad was extensively reviewed. The research history, current situation, research progress, advantages and disadvantages of minimally invasive treatment of CNRCS under total endoscope were summarized. Results: In recent years, with the continuous development of minimally invasive technique of total endoscope in spine surgery, the surgical treatment methods are also constantly innovated. Compared with the traditional open surgery, minimally invasive treatment of CNRCS under total endoscope can obtain better effectiveness, keep the stability of the cervical segment to the maximum extent, reduce the impact on the activity of the cervical spine and the occurrence of related surgical complications, which is an effective minimally invasive technology. Conclusion: The minimally invasive treatment of CNRCS under total endoscope has achieved some results, which is expected to be one of the indispensable means to treat CNRCS, but it still needs to be improved.


Assuntos
Cavidade Pulpar , Constrição Patológica , Descompressão Cirúrgica , Endoscópios , Foraminotomia , Humanos , Procedimentos Cirúrgicos Minimamente Invasivos
5.
Int J Oral Maxillofac Surg ; 49(3): 310-316, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31353175

RESUMO

The endoscope-assisted hairline approach is becoming a preferred technique in several surgical disciplines because of its advantage of good cosmetic outcomes. However, such operations are not yet standard for benign lesions in the maxillofacial area due to the anatomical complexity of this region. This study describes an endoscope-assisted technique for resecting benign lesions in the maxillofacial area via a hairline approach. The clinical outcomes with this approach were compared to those obtained with the conventional transcutaneous approach. Benign maxillofacial lesions were excised via endoscope-assisted hairline approach in 27 patients and via transcutaneous approach in 28 patients. Clinical outcomes and complications related to the procedures were evaluated; the primary outcome was the efficacy of the procedure and the secondary outcome was cosmetic satisfaction. There were no significant differences with respect to overall demographic characteristics between the groups, although the operation time was longer for the hairline approach (P=0.001). Cosmetic satisfaction showed much better results for the hairline approach (P=0.001). Endoscope-assisted excision of benign maxillofacial lesions via the hairline approach is a feasible method with excellent cosmetic results.


Assuntos
Endoscópios , Endoscopia , Humanos , Duração da Cirurgia , Satisfação Pessoal
6.
Yonsei Med J ; 61(1): 94-99, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31887805

RESUMO

Developing new surgical instruments is challenging. While making surgical instruments could be a good field of application for 3D printers, attempts to do so have proven limited. We designed a new endoscope-assisted spine surgery system, and using a 3D printer, attempted to create a complex surgical instrument and to evaluate the feasibility thereof. Developing the new surgical instruments using a 3D printer consisted of two parts: one part was the creation of a prototype instrument, and the other was the production of a patient model. We designed a new endoscope-assisted spine surgery system with a cannula for the endoscope and working instruments and extra cannula that could be easily added. Using custom-made patient-specific 3D models, we conducted discectomies for paramedian and foraminal discs with both the newly designed spine surgery system and conventional tubular surgery. The new spine surgery system had an extra portal that can be well bonded in by a magnetic connector and greatly expanded the range of access for instruments without unnecessary bone destruction. In foraminal discectomy, the newly designed spine surgery system showed less facet resection, compared to conventional surgery. We were able to develop and demonstrate the usefulness of a new endoscope-assisted spine surgery system relying on 3D printing technology. Using the extra portal, the usability of endoscope-assisted surgery could be greatly increased. We suggest that 3D printing technology can be very useful for the realization and evaluation of complex surgical instrument systems.


Assuntos
Endoscópios , Impressão Tridimensional/instrumentação , Coluna Vertebral/cirurgia , Instrumentos Cirúrgicos , Discotomia , Humanos
8.
Tech Vasc Interv Radiol ; 22(3): 119-124, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31623750

RESUMO

Endoscopy is an underutilized technique in the practice of interventional radiology. The objectives of this article are to discuss potential uses of interventional radiology-operated endoscopy and to outline basic endoscopy setup and equipment uses. Endoscopy represents a new frontier to the fluoroscopically-guided procedures in biliary, gastrointestinal, and genitourinary disease that interventional radiologists commonly perform. It shows promise to improve interventional radiology procedure success rates and reduce procedure-associated risk for patients. Endoscopy has been traditionally performed by gastroenterologists and urologists and is relatively new in the practice of interventional radiology. The hand-eye coordination and manual dexterity required to perform standard image-guided procedures places interventional radiologists in a unique position to introduce endoscopy into standard practice. A focused and collaborative effort is needed by interventional radiologists to learn the techniques required to successfully integrate endoscopy into practice.


Assuntos
Doenças Biliares/terapia , Endoscopia/tendências , Doenças Urogenitais Femininas/terapia , Gastroenteropatias/terapia , Doenças Urogenitais Masculinas/terapia , Radiografia Intervencionista/tendências , Doenças Biliares/diagnóstico por imagem , Competência Clínica , Difusão de Inovações , Endoscópios/tendências , Endoscopia/instrumentação , Endoscopia Gastrointestinal/tendências , Feminino , Doenças Urogenitais Femininas/diagnóstico por imagem , Gastroenteropatias/diagnóstico por imagem , Humanos , Masculino , Doenças Urogenitais Masculinas/diagnóstico por imagem , Destreza Motora , Radiografia Intervencionista/instrumentação , Radiologistas
9.
Zhongguo Yi Liao Qi Xie Za Zhi ; 43(5): 384-387, 2019 Sep 30.
Artigo em Chinês | MEDLINE | ID: mdl-31625343

RESUMO

According to the national soft endoscope cleaning standard and the difference between the previous and latest version, the origin decontamination equipment is upgraded. Sensory control monitoring results in the last year shows that the average cleaning time for a single endoscope has been reduced from 20 min 55 s to 17 min 16 s. The number of bacterial colony has been reduced from 6.8 to 3.1. The pass rate of sensory control monitoring keeps steady. The upgraded decontamination equipment not only meets the requirements of the latest version of the standard,but also improves the efficiency and effectiveness of electronic endoscope disinfection.


Assuntos
Desinfecção , Endoscópios , Contaminação de Equipamentos
10.
Vestn Otorinolaringol ; 84(3): 5-11, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31486419

RESUMO

Active progress in otosurgery opens up new opportunities for minimally invasive surgeries and significantly improves the results of treatment, but a number of problems remain unsolved, including in children. Despite the general positive trend of using the endoscope in otosurgery, in pediatric practice the data are insufficient and extremely contradictory. Literary sources show that, with certain advantages, the existing techniques of endoscopic tympanoplasty are far from perfect and inferior in effectiveness to classical microscopic techniques, which also necessitates further research in this field.


Assuntos
Endoscopia , Timpanoplastia , Criança , Endoscópios , Humanos
11.
Eur Arch Otorhinolaryngol ; 276(11): 3035-3041, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31392458

RESUMO

BACKGROUND: Although, both the microscopic and endoscopic stapes surgery have claimed a parallel audiological outcome, the comparison between two standard endoscopes (4 mm and 3 mm) in endoscopic stapedotomy is not well documented. We have compared the clinical utility and audiological outcomes of the 3 mm and 4 mm rigid nasal endoscopes in the primary endoscopic stapedotomy. MATERIALS AND METHODS: This is a retrospective study conducted in the Department of Otorhinolaryngology between June 2015 and May 2018. Total 46 patients of primary otosclerosis had undergone endoscopic stapedotomy where 3 mm and 4 mm nasal endoscopes have been used in 22 (group A) and 24 patients (group B) respectively. The preoperative, intraoperative and postoperative surgical findings including the hearing outcomes were compared between the two groups. RESULTS: One patient (4.5%) in group A and 6 (25%) patients in group B required canaloplasty (p = 0.00, χ2 test) and 7 (31.18%) patients in group A and 18(75%) in group B had required curettage of the bony canal wall (p = 0.04, χ2 test). There was no significant difference in the air-bone gap between the two groups (p = 0.85). CONCLUSION: Both 3 mm and 4 mm nasal endoscopes can be successfully used in the endoscopic stapedotomy providing a parallel visual field. Although, comparable results can be obtained in preserving the chorda tympani nerve, tympanic membrane, facial nerve, and postoperative giddiness including the audiological outcomes, the requirement of the canaloplasty and curettage of posterior bony canal can be significantly reduced in patients operated with 3 mm nasal endoscope, especially in patients with narrow/over angulated external auditory canal.


Assuntos
Endoscópios , Endoscopia/instrumentação , Otosclerose/cirurgia , Cirurgia do Estribo/instrumentação , Adulto , Endoscopia/métodos , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Cirurgia do Estribo/métodos , Resultado do Tratamento , Adulto Jovem
13.
World J Gastroenterol ; 25(24): 3091-3107, 2019 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-31293344

RESUMO

BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) in patients with Billroth II gastrectomy has been considered a challenging procedure due to the surgically altered gastrointestinal anatomy. However, there has been a paucity of comparative studies regarding ERCP in Billroth II gastrectomy cases because of procedure-related morbidity and mortality and practical and ethical limitations. This systematic and comprehensive review was performed to obtain a recent perspective on ERCP in Billroth II gastrectomy patients. AIM: To systematically review the literature regarding ERCP in Billroth II gastrectomy patients. METHODS: A systematic review was performed on the literature published between May 1975 and January 2019. The following electronic databases were searched: PubMed, EMBASE, and Cochrane Library. The outcomes of successful afferent loop intubation and successful selective cannulation and occurrence of adverse events were assessed. RESULTS: A total of 43 studies involving 2669 patients were included. The study designs were 36 (83.7%) retrospective cohort studies, 4 (9.3%) retrospective comparative studies, 2 (4.7%) prospective comparative studies, and 1 (2.3%) prospective cohort study. Of a total of 2669 patients, there were 1432 cases (55.6%) of side-viewing endoscopy, 664 (25.8%) cases of forward-viewing endoscopy, 171 (6.6%) cases of balloon-assisted enteroscopy, 169 (6.6%) cases of anterior oblique-viewing endoscopy, 64 (2.5%) cases of dual-lumen endoscopy, 31 (1.2%) cases of colonoscopy, and 14 (0.5%) cases of multiple bending endoscopy. The overall success rate of afferent loop intubation was 91.3% (2437/2669), and the overall success rate of selective cannulation was 87.9% (2346/2437). A total of 195 cases (7.3%) of adverse events occurred. The success rates of afferent loop intubation and the selective cannulation rate for each type of endoscopy were as follows: side-viewing endoscopy 98.2% and 95.3%; forward-viewing endoscopy 97.4% and 95.2%; balloon-assisted enteroscopy 95.4% and 97.5%; oblique-viewing endoscopy 94.1% and 97.5%; and dual-lumen endoscopy 82.8% and 100%, respectively. The rate of bowel perforation was slightly higher in side-viewing endoscopy (3.6%) and balloon-assisted enteroscopy (4.1%) compared with forward-viewing endoscopy (1.7%) and anterior oblique-viewing endoscopy (1.2%). Mortality only occurred in side-viewing endoscopy (n = 9, 0.6%). CONCLUSION: The performance of ERCP in the Billroth II gastrectomy population has been improving with choice of various type of endoscope and sphincter management. More comparative studies are needed to determine the optimal strategy to perform safe and effective ERCP in Billroth II gastrectomy patients.


Assuntos
Colangiopancreatografia Retrógrada Endoscópica/métodos , Endoscópios , Gastrectomia/efeitos adversos , Gastroenterostomia/efeitos adversos , Colangiopancreatografia Retrógrada Endoscópica/efeitos adversos , Colangiopancreatografia Retrógrada Endoscópica/instrumentação , Gastrectomia/métodos , Gastroenterostomia/métodos , Humanos , Resultado do Tratamento
15.
Eur Arch Otorhinolaryngol ; 276(9): 2499-2505, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31278497

RESUMO

PURPOSE: To carry out a pilot study to evaluate the efficacy of a novel, drivable endoscope (the Peregrine™ Drivable ENT Scope), compared to standard rigid endoscopes in the access, visualization, and irrigation of the paranasal sinus anatomy. METHODS: A prospective, multi-center, feasibility study was conducted on seventeen subjects who underwent primary functional endoscopic sinus surgery and were evaluated with the drivable endoscope and standard, rigid endoscopes (0°, 30° and 70°, as applicable). A CT scan was available for image guidance, as needed. The primary efficacy endpoint was the ability to access and visualize sinonasal anatomic landmarks. Secondary endpoints included device usability, as measured by a usability questionnaire given to surgeons postoperatively; the device's ability to irrigate the sinuses and patient reports of tolerability and pain during postoperative procedures. RESULTS: The drivable endoscope success rate in visualizing all paranasal sinus anatomic landmarks was 55.6% better than the standard rigid endoscopes: 98.3% (178/181) versus 42.7% (76/178); p < 0.001. Surgeons rated scores of over 4 (on a 1-5 scale) for the usability of the drivable endoscope to enter the maxillary, frontal and sphenoid sinuses. The ability to irrigate the sinuses using the drivable endoscope was given a mean score of 4.3, and image quality was given a mean score of 3.4. The three patients evaluated postoperatively reported low pain and high tolerability scores with the drivable endoscope. CONCLUSIONS: These preliminary results indicate that the drivable endoscope is effective, easy to use and highly tolerable in sinonasal endoscopy.


Assuntos
Endoscópios , Endoscopia/instrumentação , Seios Paranasais/cirurgia , Sinusite/cirurgia , Adulto , Atitude do Pessoal de Saúde , Doença Crônica , Endoscopia/efeitos adversos , Endoscopia/métodos , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Estudos Prospectivos , Inquéritos e Questionários , Irrigação Terapêutica , Tomografia Computadorizada por Raios X
16.
Fertil Steril ; 112(2): 183-196, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31352957

RESUMO

Before the modern era of in vitro fertilization, reproductive surgery to deal with pelvic disease was the key intervention in the management of infertility. A series of clinical observations and animal experiments led to the development of microsurgical principles, which were applicable to all forms of gynecologic surgery. The evolution of endoscopy permitted minimally invasive approaches to most pelvic pathology. Assisted reproductive techniques now have primacy in the management of infertility, but women deserve to have fertility-enhancing or fertility-sparing surgery performed by a surgeon with relevant training. Thus, we have an obligation to maintain formal training programs in reproductive surgery.


Assuntos
Fertilização In Vitro/métodos , Procedimentos Cirúrgicos em Ginecologia , Laparoscopia , Laparotomia , Endoscópios , Tubas Uterinas/cirurgia , Feminino , Fertilização In Vitro/instrumentação , Procedimentos Cirúrgicos em Ginecologia/instrumentação , Procedimentos Cirúrgicos em Ginecologia/métodos , Procedimentos Cirúrgicos em Ginecologia/tendências , Humanos , Infertilidade/cirurgia , Infertilidade Feminina/cirurgia , Laparoscopia/instrumentação , Laparoscopia/métodos , Laparoscopia/tendências , Laparotomia/instrumentação , Laparotomia/métodos , Laparotomia/tendências , Microcirurgia/métodos , Técnicas de Reprodução Assistida/tendências
17.
Biomed Res Int ; 2019: 5321580, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31179327

RESUMO

Purpose: This study aimed to evaluate the clinical outcomes of endoscope-assisted and microscope-assisted tubular surgery for lumbar laminectomies and discectomies. Methods: Three hundred and seven patients with lumbar spinal stenosis (LSS) or lumbar disc herniation (LDH) at L3-4, L4-5, and L5-S1 were included in this study. The patients were treated with endoscope-assisted or microscope-assisted tubular surgery. Data on patient demographic characteristics and operative results, including ages, blood loss, operative times, hospital stay, and surgical complications were collected. Clinical outcomes were assessed based on pre- and postoperative Visual Analog Scale (VAS) scores for low-back pain (LBP) and leg pain, Oswestry Disability Index (ODI), and Japanese Orthopaedic Association (JOA) scale. Results: Both tubular-based endoscope-assisted and microscope-assisted surgery were effective in relieving acute radicular symptoms. The results showed characteristic differences in operating times between endoscope-assisted and microscope-assisted procedures and between discectomies and laminectomies. At the last follow-up, VAS scores of LBP and leg pain, JOA scores, and ODI scores were significantly better than preoperative correlates in all groups. There were no differences between endoscope-assisted and microscope-assisted discectomies for LDH in JOA scores, ODI scores, and VAS scores, while the microscope-assisted laminectomies related to better JOA recovery rate for LSS. Conclusions: Endoscope-assisted and microscope-assisted tubular discectomies resulted in similar clinical outcomes for LDH, while the microscope-assisted surgery may relate to better recovery rate for LSS, less surgical time, and less intraoperative dural tear.


Assuntos
Discotomia/métodos , Endoscopia/métodos , Degeneração do Disco Intervertebral/cirurgia , Deslocamento do Disco Intervertebral/cirurgia , Laminectomia/métodos , Estenose Espinal/cirurgia , Adolescente , Adulto , Idoso , Endoscópios , Feminino , Seguimentos , Humanos , Dor Lombar , Masculino , Pessoa de Meia-Idade , Reoperação , Estudos Retrospectivos , Espondilolistese/cirurgia , Resultado do Tratamento , Escala Visual Analógica , Adulto Jovem
18.
Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi ; 33(5): 468-469;473, 2019 May.
Artigo em Chinês | MEDLINE | ID: mdl-31163562

RESUMO

Parapharyngeal space refers to the potential space under skull base between masticatory muscles and pharyngeal muscles, ranging from skull base at the top to hyoid bone at the bottom. The outer lateral wall consists of medial pterygoid muscle, deep parotid lobe and lower jawbone, lateral pharyngeal wall, medial pterygoid, deep lobe of parotid gland and mandible constitute the lateral wall, lateral pharyngeal wall forms medial wall, and prevertebral fascia constitutes the posterior wall, generally forming an inverted pyramid lacuna. Parapharyngeal space is divided into prestyloid space and poststyloid space by stylopharygeal fascia. Prestyloid space is relatively small and contains levator veli palatinetensor veli palatine, branches of maxillary artery, mandibular nerve and its branches. Poststyloid space is relatively large. It includes internal jugular vein, internal carotid artery, posterior cranial nerves, etc. Poststyloid space tumors are relatively rare. In this report, a case of ganglioneuroma wrapping right internal carotid artery is described, which is resected through oral approach.


Assuntos
Ganglioneuroma/cirurgia , Base do Crânio/cirurgia , Artérias Carótidas , Endoscópios , Humanos , Músculos da Mastigação , Pescoço , Músculos Faríngeos , Faringe
19.
Am J Otolaryngol ; 40(5): 631-635, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31178283

RESUMO

PURPOSE: To determine the thermal energy damage potential by heat sources, such as endoscopes and fiber optic light cables, in contact with materials commonly placed around an operating room (OR) table. MATERIALS AND METHOD: Injury by xenon and halogen light sources were tested by direct and indirect contact using fiber optic light bundle cables and scopes at light intensities between ranging from Standby to 100%. The scopes had diameters ranging from 2.7 mm to 10 mm and were set at varying angles. The materials tested were surgical drapes, cotton towels, child shirts, child pants, lap sponges, X-ray detectable sponges, and Mayo covers. The damage potential was determined qualitatively by presence of smoking or smell of burning. RESULTS: Permutations involving direct contact were able to cause thermal injury, while permutations involving indirect contact, endoscopes, or halogen lamp were not. The xenon light source with the fiber optic light cable created thermal injury at light intensities of 50%, 75%, and 100%. Time to injury increased as light intensity was decreased. Only the surgical drape, child shorts, and cotton towel showed evidence of burn injury. CONCLUSIONS: This report supports the potential for thermal injury to the patient secondary to fiber optic light sources, although this potential may be limited in extent. The injury risk can be reduced by avoiding direct contact to materials overlying the patient, confirming standby mode or 25% light intensity, and maintaining the endoscope connected to the fiber optic cable at all times.


Assuntos
Queimaduras/etiologia , Endoscópios/efeitos adversos , Luz/efeitos adversos , Salas Cirúrgicas , Fibras Ópticas/efeitos adversos , Segurança do Paciente , Queimaduras/epidemiologia , Desenho de Equipamento , Segurança de Equipamentos , Temperatura Alta/efeitos adversos , Humanos , Doença Iatrogênica , Modelos Teóricos , Medição de Risco , Estados Unidos
20.
Laryngoscope ; 129(10): 2249-2252, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31099422

RESUMO

OBJECTIVES/HYPOTHESIS: Flexible endoscopic evaluation of swallowing (FEES) is a relatively safe procedure to determine the safety of oral feeding, and consists of the introduction of food and liquid as well as a sensitivity test. However, the introduction of food and liquid can cause pneumonia or suffocation secondary to aspiration. To solve this problem, we investigated the possibility of performing FEES without introduction of food or liquid (referred to hereafter as FEES screen) to assess swallowing impairment severity. STUDY DESIGN: Retrospective study. METHODS: A total of 106 subjects with swallowing impairment underwent conventional FEES, and both their salivary pooling degree and larynx sensitivity were analyzed to detect swallowing impairment without the introduction of food or liquid. The subjects were divided into two groups: an undetectable swallowing impairment (USI) group and a detectable swallowing impairment (DSI) group. The general characteristics, functional impairment status, and clinical assistance requirements of the two groups were investigated and compared. RESULTS: The numbers of subjects in the USI and DSI groups were 64 and 42, respectively. The DSI group showed a significantly higher prevalence of aspiration during FEES, and their required levels of care were also significantly higher. Additionally, their levels of consciousness, oral intake ability, and activities of daily living were significantly low compared to the USI group. CONCLUSIONS: This study demonstrated the feasibility of FEES screen for assessment of swallowing impairment severity. Using our low-risk assessment, we were able to identify subjects with low oral intake ability as well as those who required intervention. LEVEL OF EVIDENCE: 4 Laryngoscope, 129:2249-2252, 2019.


Assuntos
Transtornos de Deglutição/diagnóstico , Endoscopia/métodos , Adulto , Idoso , Deglutição , Ingestão de Alimentos , Endoscópios , Endoscopia/efeitos adversos , Endoscopia/instrumentação , Desenho de Equipamento , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Estudos Retrospectivos , Medição de Risco/métodos , Índice de Gravidade de Doença
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA