Eustachian Tube Function Assessment after Radiofrequency Turbinate Reduction in Atopic and Non-Atopic Patients

Martines, Francesco; Sireci, Federico; Gallina, Salvatore; Salvago, Pietro

doi:10.3390/ijerph18030881

Cited by 9 publications

(8 citation statements)

References 33 publications

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“…[14,15] Enteral nutrition through a nasoenteral tube holds significant clinical importance for critically ill patients, as it can effectively reduce the likelihood of aspiration pneumonia resulting from gastrointestinal reflux. [16] Conventional methods for nasointestinal tube placement include endoscopic-assisted tube placement, X-ray fluoroscopyassisted tube placement, and blind insertion. [12,17,18] Endoscopicassisted catheterization currently boasts one of the highest success rates, but its invasiveness, complex procedure, timeconsuming nature, high cost, and associated risks limit its usage and promotion for nasointestinal tube implantation.…”

Section: Discussionmentioning

confidence: 99%

Application of B-ultrasound for localization and its impact on first-attempt success rates of nasogastric tube insertion in critically ill patients

Gao,

Luo,

Deng

et al. 2023

Medicine

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The objective of this study is to explore the application effect of B-ultrasound positioning in assisting nasointestinal tube implantation in critically ill patients. This study is a retrospective study. In this study, 90 cases of severe patients with nasointestinal tube implantation were included. According to the different ways of nasointestinal tube insertion received by patients, 61 patients with conventional blind insertion methods were included in the blind insertion group, and 29 patients with conventional methods and B-ultrasound assisted positioning were included in the B-ultrasound positioning group. The general clinical data, success rate of catheterization, catheterization time, pyloric passage rate, and target nutritional value time of the 2 groups were compared. The changes of the 2 groups after catheterization were compared by SOFA and APACHE II. The contents of albumin and lymphocyte count were compared between the 2 groups before and after catheterization. The time of target nutritional value of the patients of the B-ultrasound positioning group was markedly decreased comparing with the patients of the blind insertion group. The index of catheterization time of the patients between the blind insertion group and B-ultrasound positioning group had no obvious contrast. The APACHE II score and SOFA score of the patients of the B-ultrasound positioning group were obviously lower than the blind insertion group. The contents of lymphocyte count of the patients of the B-ultrasound positioning group were markedly increased comparing with the patients of the blind insertion group after catheterization, but the contents of albumin content had no obvious change. The scores of respiratory system, circulatory system, nervous system, and urinary system in the B-ultrasound positioning group were significantly higher than those in the blind insertion group, while the COPT scores were significantly lower than those in the blind insertion group. B-ultrasound assisted nasointestinal tube implantation is well tolerated in critically ill patients, and can effectively ameliorate the nutritional status and of the ill patients.

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Section: Discussionmentioning

confidence: 99%

Application of B-ultrasound for localization and its impact on first-attempt success rates of nasogastric tube insertion in critically ill patients

Gao,

Luo,

Deng

et al. 2023

Medicine

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“…ACE2 and TMPRSS2 are also present in the eustachian tube, middle ear and cochlea, suggesting that these tissues are susceptible to SARS-CoV-2 infection [ 18 ]. Furthermore, the congestion of the turbinates and eustachian tube can promote the transition of viruses and bacteria in the middle ear [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Evidence of SARS-CoV-2 Virus in the Middle Ear of Deceased COVID-19 Patients

Jeican

Aluaș

Lazăr³

et al. 2021

Diagnostics

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The presence of SARS-CoV-2 in the middle ear reveals the etiopathogenesis of otitis media in COVID-19, as well as an epidemiological risk during otologic examination and surgical procedures in COVID-19 patients. The study included 8 deceased patients with COVID-19. Tissue samples from the middle ear were subjected to virology, histopathology, scanning (SEM) and transmission (TEM) electron microscopy investigation. Ethmoidal mucosa samples were processed for virology analyses. qPCR resulted positive for 75% of nasal mucosa samples and 50% of middle ear samples. Ct values showed lower viral loads in middle ear samples. A proportion of 66.6% patients with positive results in the nasal mucosa showed positive results in the middle ear, and the subtype analysis of the complete genome sequences indicated B.1.1.7 lineage for all samples. In histopathological and SEM samples, no pathological aspects were identified. TEM revealed on the background of death critical alteration of cellular morphology, suggestive structures resembling SARS-CoV-2, goblet cells and immune cells. SARS-CoV-2 can be present in the middle ear of COVID-19 patients even if there is not clinical evidence of acute otitis media. Otolaryngologists could be particularly exposed to COVID-19 infection.

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“…A study by Martines et al compared ETD symptoms in atopic and non‐atopic patients before and after radiofrequency turbinate reduction 4 . Initially, 113 participants were enrolled in an observational cohort study of patients with a confirmed diagnosis of bilateral ITH, at least one ETD symptom and no response to medical management after 3 months.…”

Section: Literature Reviewmentioning

confidence: 99%

“…A study by Martines et al compared ETD symptoms in atopic and non-atopic patients before and after radiofrequency turbinate reduction. 4 Initially, 113 participants were enrolled in an observational cohort study of patients with a confirmed diagnosis of bilateral ITH, at least one ETD symptom and no response to medical management after 3 months. Study metrics included ETDQ-7 scores, William's test (audiometer measuring ear pressure under three conditions: during rest, swallow, and Valsalva), tympanometry, and allergy skin tests.…”

Section: Literature Reviewmentioning

confidence: 99%