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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
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Mitral Stenosis IV: Nursing Management01:27

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A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
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First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...

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Step-by-Step Stapedotomy through Transcanal Exclusive Endoscopic Approach
09:20

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Published on: March 5, 2022

Hyposalivation after undergoing stapedectomy.

Louis Mandel1

  • 1Division of Oral and Maxillofacial Surgery, Columbia University College of Dental Medicine, New York City, NY 10032, USA. LM7@columbia.edu

Journal of the American Dental Association (1939)
|December 31, 2011
PubMed
Summary
This summary is machine-generated.

Stapedectomy can damage the chorda tympani nerve, leading to reduced salivary gland function and dry mouth. However, parotid gland stimulation remains independent, offering a way to manage hyposalivation.

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Area of Science:

  • Otolaryngology
  • Neurology
  • Dentistry

Background:

  • Stapedectomy for otosclerosis can inadvertently damage the chorda tympani nerve (CTN).
  • Damage to CTN's secretory fibers impairs submandibular (SMSG) and sublingual (SLSG) salivary gland function.
  • This leads to hyposalivation and xerostomia, particularly during resting periods when parotid gland secretion is minimal.

Observation:

  • A 52-year-old male patient presented with dry mouth after bilateral stapedectomy.
  • Examination revealed decreased SMSG and SLSG secretion.
  • The patient was advised to use sugarless gum/candy to stimulate parotid glands and oral lubricants/water as needed.

Findings:

  • Parotid gland secretion stimulation is independent of SMSG and SLSG activation.
  • Damage to CTN affects resting saliva production more than stimulated saliva production.

Implications:

  • Dental practitioners must understand salivary gland innervation.
  • Awareness of individual gland secretory capacity during rest and stimulation is crucial for managing post-surgical xerostomia.
  • This knowledge aids in developing effective patient management strategies for dry mouth after otosclerosis surgery.