45 research outputs found

    The end of catheter dislodgement? Three facile steps to secure a tunneled central venous catheter

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    Central Venous Line (CVL) catheter can easily dislodge. An improvised technique in three easily reproducible steps is described in detail. The placement of the cuff approximately 1cm from the exit wound with the placement of additional sutures at the neck area helps prevent its displacement

    An international survey on the pragmatic management of epistaxis

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    Epistaxis is one of the most common ear, nose and throat emergencies. The management of epistaxis has evolved significantly in recent years, including the use of nasal cautery and packs. However, a correct treatment requires the knowledge of nasal anatomy, potential risks, and complications of treatment. Epistaxis is often a simple and readily treatable condition, even though a significant bleed may have potentially severe consequences. At present, there are very few guidelines concerning this topic. The current Survey explored the pragmatic approach in managing epistaxis. A questionnaire, including 7 practical questions has been used. The current International Survey on epistaxis management reported a relevant prevalence (21.7%), mainly during childhood and senescence, an important hospitalization rate (11.8%), the common use of anterior packing and electrocoagulation, and the popular prescription of a vitamin supplement and intranasal creams

    Inhaled Foreign Body Impaction: A Review of Literature in Malaysian Children

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    Foreign body aspiration in children is a problem that can lead to several complications, including death. In this retrospective publication review from 1970 to 2015, there were altogether 42 Malaysian children below the age of 15 y reported with foreign body (FB) ingestion. There were 31 boys and 11 girls between 2 and 177 mo of age. The incidence of FB ingestion in children varied with dietary practices. Peanut was the most common food-related substance inhaled followed by watermelon seed and coconut kernel. The most common non-food related substances were metal objects (toys, springs, hair clips) and plastic objects (ballpoint tips, pencil caps and whistles). Successful removal of FB by bronchoscopy is achieved in the vast majority of cases except for a case of impacted whistle inhalation and a neglected laryngeal FB which required a tracheostomy. One child required thoracotomy for the removal of a peanut in the right bronchus. The incidence of food-related substance inhalation was more common than non-food related substance (30:7). From this review, the key messages are two: first, prevention can be achieved by educating parents not to allow access to small objects or dangerous foods to children below 3 y age; Second, emergency first aid home measures, in the combination form of back blows in the head down position and chest or abdominal thrusts, should be early performed according to the pediatric age group and can be quite effective. \ua9 2019, Dr. K C Chaudhuri Foundation

    NASAL INVERTED PAPILLOMA OF UNUSUAL ORIGIN

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    Two cases of Schneiderian papilloma of the nasal septum are presented. The condition is rare, as indicated by a review of previously published cases. The clinical course of the lesion suggests that it behaves like Schneiderian papillomas elsewhere in the nasal cavity and paranasal sinuses. The need for aggressive surgical management and careful follow-up is emphasized. Key words: Nasal septum -Schneiderian Papillomas 

    Case Report: Infantile Orbital Lymphangioma with a Rare ENT Presentation

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    Abstract: We are reporting a rare case of 22-year-old Malay female with history of left orbital swelling which was noted since the age of 2 month and treated conservatively. Four years later noted the swelling increase gradually in size involving the bridge of the nose associated with proptosis and left intermittent epistaxis. Examination revealed a soft and boggy swelling at the medial canthus of the left orbit extending to the nasal bridge with mild proptosis. Left intranasal endoscopic examination revealed hemorrhagic spots at the septum with bulging at the lateral wall of the nose and intact mucosa. The radiological examinations with biopsy were consistent with lymphangioma of the left orbit. Orbital Lymphangiomas are rare and it is not reported to present with recurrent epistaxis

    An unusual foreign body presenting in the nasopharynx

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