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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
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Tonsillitis II: Management01:26

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This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Related Experiment Video

Updated: Dec 22, 2025

Nasal Brushing Sampling and Processing Using Digital High Speed Ciliary Videomicroscopy – Adaptation for the COVID-19 Pandemic
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COVID-19 and ENT Surgery.

V Couloigner1, S Schmerber2, R Nicollas3

  • 1Paediatric ENT Department, Necker-Enfants Malades University Hospital, AP-HP, Paris, France.

European Annals of Otorhinolaryngology, Head and Neck Diseases
|May 5, 2020
PubMed
Summary
This summary is machine-generated.

During the COVID-19 pandemic, Otorhinolaryngology - Head and Neck Surgery faced transmission risks. Guidelines were issued to postpone non-urgent procedures and adapt ENT surgery to minimize SARS-CoV-2 spread.

Keywords:
COVID-19Droplet-based transmissionInfectious diseasePersonal protective equipment (PPE)SARS-CoV-2

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Area of Science:

  • Otorhinolaryngology - Head and Neck Surgery
  • Infectious Disease Epidemiology

Background:

  • Clinical examinations and invasive procedures in ENT carry direct and indirect SARS-CoV-2 transmission risks.
  • High COVID-19 transmissibility (R0 ≈ 3) necessitated postponing non-urgent consultations and increasing teleconsultation.
  • Public health recommendations prioritized critical care capacity and reduced healthcare facility contamination risks.

Framework:

  • Guidance for adapting Ear, Nose, and Throat (ENT) surgical practices during the pandemic.
  • Recommendations for managing postponed ENT operations.
  • Emphasis on adapting best practices based on regional epidemic status and local resources.

Implementation:

  • Cancellation of non-urgent medical or surgical activities to preserve patient outcomes.
  • Prioritization of COVID-19 patient reception, staff allocation, and equipment provision.
  • Strategies to reduce patient contamination within healthcare settings.

Implications:

  • Ensuring patient safety and healthcare worker protection from SARS-CoV-2.
  • Maintaining essential ENT surgical services while mitigating pandemic-related risks.
  • Collaborative decision-making between ENT teams, hygiene units, and other specialties for local application of guidelines.