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Related Concept Videos

Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

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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.
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Epistaxis01:30

Epistaxis

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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
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Suctioning the Oropharyngeal Airway01:25

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In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Tracheostomy Suctioning I: Pre-Procedural Steps01:26

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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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Tracheostomy Suctioning II: Procedure01:23

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Office surgery for paranasal sinus recirculation.

John M DelGaudio1, Matthew C Ochsner

  • 1Department of Otolaryngology-Head and Neck Surgery, Emory Sinus, Nasal, and Allergy Center, Emory University Hospital Midtown, Atlanta, GA.

International Forum of Allergy & Rhinology
|January 23, 2015
PubMed
Summary

Office-based treatment effectively resolves mucus recirculation, a condition causing persistent sinonasal symptoms. This minimally invasive approach offers significant healthcare savings and reduced patient downtime.

Keywords:
Sinus recirculationchronic sinusitismucus recirculationoffice sinus surgeryrecirculationsinus surgery

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Area of Science:

  • Otolaryngology
  • Rhinosinusitis Management

Background:

  • Mucus recirculation, a circular flow between sinus ostia, causes chronic sinonasal symptoms.
  • Surgical correction aims to reconnect natural and surgical ostia, restoring physiologic mucociliary drainage.
  • Traditionally performed in operating rooms, office-based procedures are now feasible, even with intervening bone.

Purpose of the Study:

  • To evaluate the efficacy of in-office treatment for mucus recirculation.
  • To assess the feasibility of treating mucus recirculation across bony structures in an outpatient setting.

Main Methods:

  • A prospective study included 10 patients diagnosed with mucus recirculation (9 maxillary, 1 sphenoid) and prior sinus surgery.
  • All patients underwent in-office endoscopic removal of bridging tissues between ostia under local anesthesia.
  • Treatments addressed mucosal bands, intervening mucosa and bone, or bony structures within the sphenoid sinus.

Main Results:

  • All 10 patients experienced significant symptom improvement or complete resolution.
  • No endoscopic evidence of mucus recirculation was observed post-treatment.
  • The procedure was successfully performed in an office setting for all participants.

Conclusions:

  • In-office treatment is a viable and effective solution for mucus recirculation, even when bony structures are involved.
  • This approach offers considerable healthcare cost savings and minimizes work or school absence.
  • Office-based endoscopic sinus procedures represent a practical advancement in managing sinonasal conditions.