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Pharyngitis

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1. Nonsteroidal anti-inflammatory drugs in pharyngitis: risk of peritonsillar abscess

Nonsteroidal anti-inflammatory drugs in pharyngitis: risk of peritonsillar abscess Prescrire IN ENGLISH - Spotlight ''Nonsteroidal anti-inflammatory drugs in pharyngitis: risk of peritonsillar abscess'', 1 January 2019 {1} {1} {1} | | > > > Nonsteroidal anti-inflammatory drugs in pharyngitis: risk of peritonsillar abscess Spotlight Every month, the subjects in Prescrire’s Spotlight. 100 most recent :  |   |   |   |   |   |   |   |  (...)  |  Spotlight Nonsteroidal anti-inflammatory drugs in pharyngitis: risk of peritonsillar abscess To relieve fever or sore throat, it is better not to use nonsteroidal anti-inflammatory drugs (NSAIDs), but to use paracetamol instead. In 2017, an epidemiological study was carried out on the risks of peritonsillar abscess after pharyngitis. From the database of the Observatory of General Medicine based on input from more than 120 doctors in France, the analysis covered 105 802 pharyngitis

2019 Prescrire

8. Acute pharyngitis

Acute pharyngitis Acute pharyngitis - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Acute pharyngitis Last reviewed: February 2019 Last updated: March 2018 Summary Hallmarked by acute onset of sore throat; the absence of cough, nasal congestion and discharge suggests a bacterial aetiology. Rapid antigen detection tests allow immediate point-of-care assessment of group A Streptococcus (GAS) pharyngitis. The goal (...) of treatment of GAS is to prevent acute rheumatic fever, reduce the severity and duration of symptoms, and prevent transmission. Acute pharyngitis is generally a self-limited condition with resolution within two weeks. Infected individuals are not, however, immune to reinfection with most aetiological pathogens. The only situation in which antibiotic prophylaxis to prevent GAS infections is recommended is for individuals with a history of rheumatic fever. Definition Acute pharyngitis is characterised

2018 BMJ Best Practice

9. A case report of application of posterior pharyngeal flap in resection and reconstruction of posterior pharyngeal wall carcinomas located at the level of the cricoid cartilage. (PubMed)

A case report of application of posterior pharyngeal flap in resection and reconstruction of posterior pharyngeal wall carcinomas located at the level of the cricoid cartilage. posterior pharyngeal wall carcinomas located at the level of the cricoid cartilage is a rare occurrence. Surgical treatment is a dilemma owing to the retention of laryngeal function PATIENT CONCERNS:: A 56-year-old man underwent a "resection of left cervical tumor" at another hospital. Postoperative pathological report (...) noted a left metastatic squamous cell carcinoma of the neck. Neck-enhanced computed tomography (CT) revealed thickening of the right posterior pharyngeal wall, and an image of soft tissue density was present on the posterior pharyngeal wall with a size of approximately 1.0 × 1.5 cm.Hypopharyngeal carcinoma (T1N2M0).We performed operation on a patient who suffered from posterior pharyngeal wall carcinomas at the level of the cricoid cartilage. The postoperative defects were repaired with posterior

2019 Medicine

10. Rapid antigen detection test for group A streptococcus in children with pharyngitis. (PubMed)

Rapid antigen detection test for group A streptococcus in children with pharyngitis. Group A streptococcus (GAS) accounts for 20% to 40% of cases of pharyngitis in children; the remaining cases are caused by viruses. Compared with throat culture, rapid antigen detection tests (RADTs) offer diagnosis at the point of care (within five to 10 minutes).To determine the diagnostic accuracy of RADTs for diagnosing GAS in children with pharyngitis. To assess the relative diagnostic accuracy of the two (...) major types of RADTs (enzyme immunoassays (EIA) and optical immunoassays (OIA)) by indirect and direct comparison.We searched CENTRAL, MEDLINE, EMBASE, Web of Science, CDSR, DARE, MEDION and TRIP (January 1980 to July 2015). We also conducted related citations tracking via PubMed, handsearched reference lists of included studies and relevant review articles, and screened all articles citing included studies via Google Scholar.We included studies that compared RADT for GAS pharyngitis with throat

2016 Cochrane

11. Different antibiotic treatments for group A streptococcal pharyngitis. (Full text)

Different antibiotic treatments for group A streptococcal pharyngitis. Antibiotics provide only modest benefit in treating sore throat, although effectiveness increases in participants with positive throat swabs for group A beta-haemolytic streptococci (GABHS). It is unclear which antibiotic is the best choice if antibiotics are indicated.To assess the evidence on the comparative efficacy of different antibiotics in: (a) alleviating symptoms (pain, fever); (b) shortening the duration

2016 Cochrane PubMed

12. Tiny Tips: Modified Centor Score for Streptococcal Pharyngitis

Tiny Tips: Modified Centor Score for Streptococcal Pharyngitis Tiny Tips: Modified Centor Score for Streptococcal Pharyngitis - CanadiEM Tiny Tips: Modified Centor Score for Streptococcal Pharyngitis In , , by Richard Tang January 18, 2017 Upper Respiratory Infection symptoms like cough or sore throat are still some of the top reasons for Canadian emergency department visits, and will likely be even higher in the upcoming months and in Urgent Care Centres. 1 The most common organisms (...) responsible for uncomplicated acute pharyngitis are viral agents at 50-80% and Streptococcal agents, specifically Group A Beta-Hemolytic Strep, at 5-36%. 2 It is clinically significant to differentiate between these two pathogens as patients with the latter would benefit from antibiotic therapy, and patients with the former should not have antibiotic therapy due to deriving no benefit. Modified Centor Score Symptoms or Signs Points 1. History of Fever or measured temperature >38 o C +1 2. Absence of Cough

2017 CandiEM

13. Mandibular Advancement Appliances Used in Adolescent Orthodontic Treatment for Mandibular Recessive Class II Patients Increase the Pharyngeal Airway

Mandibular Advancement Appliances Used in Adolescent Orthodontic Treatment for Mandibular Recessive Class II Patients Increase the Pharyngeal Airway UTCAT3186, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Mandibular Advancement Appliances Used in Adolescent Orthodontic Treatment for Mandibular Recessive Class II Patients Increase the Pharyngeal Airway Clinical Question Does the use of a mandibular advancement (...) appliance during orthodontic treatment improve the airway in adolescent patients? Clinical Bottom Line Clinicians in many dental specialties will interact with adolescent patients who have a recessive mandible and excessive overbite/overjet requiring orthodontic therapy. Evidence appears to indicate an improvement in oral pharyngeal airway space through the use of mandibular advancement appliances. Given these studies, perhaps airway analysis should be considered when there is clinical evidence

2017 UTHSCSA Dental School CAT Library

14. Defining pharyngeal contractile integral during high-resolution manometry in neonates: a neuromotor marker of pharyngeal vigor. (PubMed)

Defining pharyngeal contractile integral during high-resolution manometry in neonates: a neuromotor marker of pharyngeal vigor. Pharyngeal contractility is critical for safe bolus propulsion. Pharyngeal contractile vigor can be measured by Pharyngeal Contractile Integral (PhCI): product of mean pharyngeal contractile amplitude, length, and duration. We characterized PhCI in neonates and examined the hypothesis that PhCI differs with mode of stimulation.Nineteen neonates born at 38.6 (34-41 (...) ) weeks gestation were evaluated at 42.9 (40.4-44.0) weeks postmenstrual age using high-resolution manometry (HRM). PhCI was calculated using: (a) Conventional and (b) Automated Swallow Detection algorithm (ASDA) methods. Contractility metrics of all pharyngeal regions were examined using mixed statistical models during spontaneous and adaptive state (pharyngeal and oral stimulus) swallowing.PhCI of oral stimuli swallows were distinct from pharyngeal stimuli and spontaneous swallows (P < 0.05

2018 Pediatric Research

15. Group A Streptococcus pharyngitis and pharyngeal carriage: A meta-analysis (Full text)

Group A Streptococcus pharyngitis and pharyngeal carriage: A meta-analysis Antibiotic treatment of Group A Streptococcus (GAS) pharyngitis is important in acute rheumatic fever (ARF) prevention, however clinical guidelines for prescription vary. GAS carriers with acute viral infections may receive antibiotics unnecessarily. This review assessed the prevalence of GAS pharyngitis and carriage in different settings.A random-effects meta-analysis was performed. Prevalence estimates for GAS+ve (...) pharyngitis, serologically-confirmed GAS pharyngitis and asymptomatic pharyngeal carriage were generated. Findings were stratified by age group, recruitment method and country income level. Medline and EMBASE databases were searched for relevant literature published between 1 January 1946 and 7 April 2017. Studies reporting prevalence data on GAS+ve or serologically-confirmed GAS pharyngitis that stated participants exhibited symptoms of pharyngitis or upper respiratory tract infection (URTI) were

2018 PLoS neglected tropical diseases PubMed

16. A three‐dimensional placoderm (stem‐group gnathostome) pharyngeal skeleton and its implications for primitive gnathostome pharyngeal architecture (Full text)

A three‐dimensional placoderm (stem‐group gnathostome) pharyngeal skeleton and its implications for primitive gnathostome pharyngeal architecture The pharyngeal skeleton is a key vertebrate anatomical system in debates on the origin of jaws and gnathostome (jawed vertebrate) feeding. Furthermore, it offers considerable potential as a source of phylogenetic data. Well-preserved examples of pharyngeal skeletons from stem-group gnathostomes remain poorly known. Here, we describe an articulated (...) , nearly complete pharyngeal skeleton in an Early Devonian placoderm fish, Paraplesiobatis heinrichsi Broili, from Hunsrück Slate of Germany. Using synchrotron light tomography, we resolve and reconstruct the three-dimensional gill arch architecture of Paraplesiobatis and compare it with other gnathostomes. The preserved pharyngeal skeleton comprises elements of the hyoid arch (probable ceratohyal) and a series of branchial arches. Limited resolution in the tomography scan causes some uncertainty

2017 Journal of morphology PubMed

17. The Pharyngeal Contractile Integral is a Useful Indicator of Pharyngeal Swallowing Impairment (Full text)

The Pharyngeal Contractile Integral is a Useful Indicator of Pharyngeal Swallowing Impairment A limitation to the expanded use of high-resolution pharyngeal manometry (HRPM) in clinical practice is the lack of useful pharyngeal parameters that are easy to interpret, generalizable between patients, and do not require specialized software. In this study, we sought to test the relationship between the pharyngeal contractile integral (PhCI) with videofluoroscopic abnormalities as assessed (...) with the Modified Barium Swallow Impairment Profile© ™.Adult dysphagic patients were recruited to undergo simultaneous HRPM and videofluoroscopy during a standardized swallowing protocol.Thirty-six patients were included in the study. The mean PhCI was 247 mm Hg·cm·s (range 2-488 mm Hg·cm·s). The lower pharyngeal total (PT) group (N=20; mean PT=3.9) had a mean PhCI of 299 mm Hg·cm·s, while the higher PT group (N=16; mean PT=12.7) had a mean PhCI score of 188 mm Hg·cm·s (P=.01). There was also a significant

2017 Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society PubMed

18. New Swallowing Method to Improve Pharyngeal Passage of a Bolus by Creating Negative Pressure in the Esophagus—Vacuum Swallowing (Full text)

New Swallowing Method to Improve Pharyngeal Passage of a Bolus by Creating Negative Pressure in the Esophagus—Vacuum Swallowing Herein, we present a case of a patient with Wallenberg syndrome with severe bulbar dysphagia who discovered a unique swallowing method: creating strong negative pressure in the esophagus to improve pharyngeal passage of a bolus. A 47-yr-old man presented with a subarachnoid hemorrhage secondary to a ruptured aneurysm in the right vertebral artery. After coil (...) swallowing." Ultimately, the patient was able to eat an ordinary diet via the use of this technique. Vacuum swallowing is a unique method of improving pharyngeal passage of a bolus by creating strong negative pressure in the esophagus. Additional studies are necessary to determine whether vacuum swallowing can be successfully used for other forms of dysphagia.

2018 American journal of physical medicine & rehabilitation PubMed

19. Analysis of pharyngeal edema post‐chemoradiation for head and neck cancer: Impact on swallow function (Full text)

Analysis of pharyngeal edema post‐chemoradiation for head and neck cancer: Impact on swallow function Edema is a frequent clinical observation following chemoradiation treatment (CRT) of oral/oropharyngeal cancer and is thought to contribute to post-CRT swallowing impairment. Our aims were to reliably quantify pharyngeal edema pre- and post-CRT from videofluoroscopic (VF) swallowing studies and to explore the relationship between edema and swallowing impairment. Swallowing impairment (...) was captured using patient-reported swallowing outcomes (EAT-10) and with VF confirmation of impairment (DIGEST).40 patients (24 M, age 38-76) with oral/oropharyngeal cancer received radiotherapy (70 Gy, 7 weeks) and 3 weekly doses of cisplatin. VF and EAT-10 were completed pre- and 1-month post-CRT. Edema was captured by measuring posterior pharyngeal wall (PPW) thickness, vallecular space, and pharyngeal area (PA) on a single post-swallow rest frame. Wilcoxon sign rank tests and paired t-tests evaluated

2018 Laryngoscope investigative otolaryngology PubMed

20. Evaluation of the pharyngeal airway using computational fluid dynamics in patients with acromegaly (Full text)

Evaluation of the pharyngeal airway using computational fluid dynamics in patients with acromegaly Perioperative airway management may be particularly challenging in patients with acromegaly undergoing trans-sphenoidal pituitary surgery (TSS). Management for airway obstruction is required prior to pituitary surgery to minimize perioperative hypoxia. The purpose of this retrospective study was to evaluate airway obstruction by simulation of computational fluid dynamics (CFD) using computed (...) tomography (CT) images in patients who had undergone TSS.CT images of the nasopharyngeal airways of patients with acromegaly (n = 5) or nonfunctional pituitary adenoma (n = 6) undergoing TSS from April 2012 to January 2017 were used to construct these airways in three dimensions. Estimated airflow pressure and velocity in the retropalatal airway (RA), oropharyngeal airway (OA), and hypopharyngeal airway (HA) were simulated using CFD.Estimated pharyngeal airflow pressure in the HA, OA, and RA

2018 Laryngoscope investigative otolaryngology PubMed

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