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Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

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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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The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Method of Studying Palatal Fusion using Static Organ Culture
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Optimizing speech outcomes for cleft palate.

Michael M Lindeborg1, Pramila Shakya2, Shankar Man Rai2

  • 1Department of Otolaryngology, Massachusetts Eye & Ear, Harvard Medical School, Boston, Massachusetts, USA.

Current Opinion in Otolaryngology & Head and Neck Surgery
|June 11, 2020
PubMed
Summary
This summary is machine-generated.

For children with cleft palate, two surgical techniques, two-flap palatoplasty with intravelar veloplasty (IVVP) and Furlow palatoplasty, offer the best speech outcomes. Early repair at 10-14 months is crucial for optimal results.

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Area of Science:

  • Pediatric surgery
  • Speech pathology
  • Craniofacial anomalies

Background:

  • Cleft palate is a common birth defect causing speech difficulties.
  • These speech issues can persist post-surgery, impacting child development.
  • Optimal surgical techniques for cleft palate speech outcomes are not well-established.

Purpose of the Study:

  • To review recent literature on surgical techniques for optimizing speech in cleft palate patients.
  • To identify evidence-based surgical approaches for improving speech outcomes.

Main Methods:

  • Systematic review of recent literature on surgical techniques for cleft palate.
  • Analysis of studies comparing different palatoplasty and secondary speech surgery techniques.

Main Results:

  • Two-flap palatoplasty with intravelar veloplasty (IVVP) and Furlow double-opposing Z-plasty demonstrate the strongest evidence for optimal speech.
  • One-stage palatal repair between 10-14 months is associated with better speech outcomes.
  • Pharyngeal flap, sphincter pharyngoplasty, and posterior pharyngeal wall augmentation are comparable for correcting residual velopharyngeal insufficiency.

Conclusions:

  • Two-flap palatoplasty with IVVP and Furlow palatoplasty are recommended for best speech results.
  • Secondary surgical interventions for velopharyngeal insufficiency are effective.
  • Future research needs standardized measures and robust designs to further refine surgical recommendations.