RESUMO
A small percentage of patients with acute frontal or ethmoid sinusitis develop orbital, cranial or CNS complications. At selected University of Tennessee affiliated hospitals, from 1974 to 1978, there were 14 such cases which required major surgical intervention in addition to intensive medical therapy. The most common complication in this series was subperiosteal orbital abscess. The most common bacterial isolates were streptococcus and staphylococcus. A discussion of complications associated with frontal and ethmoid sinusitis is included as well as recommendations for medical and surgical management.
Assuntos
Abscesso/etiologia , Órbita , Sinusite/complicações , Doença Aguda , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Seio Etmoidal , Feminino , Seio Frontal , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Sinusite/cirurgia , Infecções Estafilocócicas/etiologia , Infecções Estreptocócicas/etiologiaRESUMO
Toxic shock syndrome is a recently discovered and widely publicized disease found to occur in young menstruating women and thought to be associated with the use of vaginal tampons. To this date, there has been no known report of a similar disease being caused by nasal or sinus packing. The following is a discussion of the toxic shock syndrome (TSS) and a presentation of two cases that demonstrated a striking similarity to that disease.
Assuntos
Bandagens/efeitos adversos , Septo Nasal/cirurgia , Choque Séptico/etiologia , Adulto , Feminino , Humanos , Masculino , Produtos de Higiene Menstrual/efeitos adversos , Menstruação , Complicações Pós-Operatórias , Choque Séptico/diagnóstico , Choque Séptico/microbiologia , Infecções Estafilocócicas/etiologiaRESUMO
Injuries from cocaine abuse are often seen and have been reported more often with the introduction of crack cocaine. Burns of the upper aerodigestive tract have been reported but no reports of esophageal obstruction have been located. We report ingestion of a foreign body from smoking crack cocaine and our management. A review of other possible aspiration and ingestion injuries is included.
Assuntos
Cocaína Crack , Esôfago , Corpos Estranhos/etiologia , Transtornos Relacionados ao Uso de Substâncias/complicações , Adulto , Humanos , MasculinoAssuntos
Veias Jugulares , Trombose/diagnóstico , Adulto , Humanos , Masculino , Faringite/diagnóstico , Embolia Pulmonar/diagnósticoAssuntos
Dermatoses Faciais , Queloide , Adolescente , Adulto , População Negra , Criança , Colágeno/metabolismo , Doenças do Colágeno/complicações , Doenças do Colágeno/tratamento farmacológico , Doenças do Colágeno/radioterapia , Doenças do Colágeno/cirurgia , Orelha Externa , Dermatoses Faciais/tratamento farmacológico , Dermatoses Faciais/etiologia , Dermatoses Faciais/radioterapia , Dermatoses Faciais/cirurgia , Feminino , Humanos , Queloide/tratamento farmacológico , Queloide/radioterapia , Queloide/cirurgia , Masculino , Estudos Prospectivos , Triancinolona/uso terapêutico , CicatrizaçãoRESUMO
Management of the airway in acute epiglottitis is still controversial. One argument against intubation as opposed to tracheostomy is the increased complications from prolonged intubation. We describe a study of 26 children treated for acute epiglottitis from 1971 to 1979. Included in this series are 16 consecutive patients who were treated by nasotracheal intubation and simultaneous medical therapy. Fifteen of the 16 patients extubated safely in less than 48 hours, significantly decreasing the possibility for complications.