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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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Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
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Chronic Pharyngitis01:23

Chronic Pharyngitis

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Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
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It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
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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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Anatomy of Respiratory System I: Upper Respiratory Tract01:29

Anatomy of Respiratory System I: Upper Respiratory Tract

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The upper respiratory tract plays a vital role in the respiratory system, comprising several structures that facilitate air intake and prepare air for the lungs. It also serves as the first line of defense against pathogens and particles. This tract includes the nose and nasal cavity, the oral cavity, the paranasal sinuses, and the pharynx, each with specific functions and features.
Nose and nasal cavity
The nose and nasal cavity represent the main external openings of the respiratory tract....
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Administering Oxygen by Nasal Cannula01:29

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Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
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Office Procedures in Refractory Chronic Rhinosinusitis.

Andrew Thamboo1, Zara M Patel1

  • 1Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, 801 Welch Road, Stanford, CA 94305-5739, USA.

Otolaryngologic Clinics of North America
|November 28, 2016
PubMed
Summary

This article discusses office-based procedures for refractory chronic rhinosinusitis (CRS) in patients who have not responded to prior treatments. It outlines practical procedural options for clinicians managing complex CRS cases in an outpatient setting.

Keywords:
Office procedures for rhinosinusitisOffice procedures for sinusitisOffice sinus surgeryOffice-based rhinologyOffice-based sinus surgery

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Area of Science:

  • Otolaryngology
  • Rhinology
  • Medical Procedures

Background:

  • Chronic rhinosinusitis (CRS) management often involves medical and surgical interventions.
  • Refractory CRS presents a challenge, indicating failure of standard treatment protocols.
  • Office-based procedures offer an alternative for managing complex CRS cases.

Purpose of the Study:

  • To review office-based procedural options for refractory chronic rhinosinusitis (CRS).
  • To guide clinicians on selecting appropriate procedures based on available resources and patient factors.
  • To detail indications, patient selection, complications, and postoperative care for these procedures.

Main Methods:

  • Review of current literature and clinical practice guidelines for refractory CRS.
  • Focus on procedures feasible in an office or clinic setting.
  • Analysis of factors influencing procedural choice, including surgeon experience and patient suitability.

Main Results:

  • Identification of various office-based procedures applicable to refractory CRS.
  • Discussion of the benefits and limitations of each procedure.
  • Emphasis on tailoring treatment to individual patient needs and clinic capabilities.

Conclusions:

  • Office-based procedures are a viable management strategy for refractory CRS.
  • Careful patient selection and consideration of procedural risks are crucial for successful outcomes.
  • These procedures can potentially improve patient quality of life by offering alternatives to more invasive treatments.