“…3). This may, in part, be due to local management of the intubated child in the intensive care setting but also as a result of improved survival of premature infants, higher diagnostic rates, safety and implementation of paediatric endoscopy or MLBs [10].…”
“…3). This may, in part, be due to local management of the intubated child in the intensive care setting but also as a result of improved survival of premature infants, higher diagnostic rates, safety and implementation of paediatric endoscopy or MLBs [10].…”
“…................................................................................................................................................................................................................................................... ............................................................................................................................................................................................................................ gland malignancies. Up to 90% occur in the parotid gland, and the degree of differentiation dictates the behaviour of the tumour (Warner et al, 2009). Undifferentiated tumours have a poor prognosis, due to early metastasis.…”
Section: Mucoepidermoid Carcinomamentioning
confidence: 99%
“…This arises from the gland anteriorly crossing the masseter, piercing the buccinator muscle and opening into the oral cavity opposite the second upper molar tooth (Fig. 1) (Warner, Thirlwall, Corbridge, Patel, & Martinez-Devesa, 2009). Figure 1.Location of parotid (Stenson’s duct) opening.…”
Section: Anatomymentioning
confidence: 99%
“…Eighty percent of cases affect the submandibular gland, and the parotid gland is least commonly affected. Sixty-five percent of submandibular stones are radio-opaque, thus floor-of-the-mouth X-rays can be a useful investigation tool (Warner et al., 2009). Stones are often palpable on bimanual examination, and can sometimes be expressed by this manipulation.…”
he presentation of salivary gland pathology to general practice is relatively infrequent. As a result, GPs often only experience limited exposure to salivary gland disorders; thus, their knowledge of the topic is often patchy. This article aims to provide an overview of the topic to help GPs manage these conditions and identify cases requiring urgent referral. The GP curriculum and salivary gland disorders Clinical example 3.15: Care of people with ENT and facial problems states that GPs should:. Know the epidemiology of head and neck cancers, including the risk factors, and identify unhealthy behaviour. Identify symptoms that are within the range of normal and require no treatment such as small neck lymph nodes in healthy children and 'geographic tongue'. Understand how to recognise rarer but potentially serious, conditions such as oral, head and neck cancer
“…Otoscopy is usually normal but the ear drum may have a ‘flamingo pink blush’ due to the underlying otospongiosis of the basal turn of the cochlea (Schwartz sign). Medical management is with fluoride therapy, and the use of hearing aids (Warner, Burgess, Patel, Martinez-Devesa, & Corbridge, 2009). Stapedotomy is an alternative or can be used in addition to hearing aids.…”
A feeling of blocked ears is a common presentation in general practice. Often this is caused by excess wax in the auditory canal, with subsequent ear irrigations for wax accounting for around 2 000 000 visits to primary care in England and Wales each year. There are many other causes of a blocked ear sensation, including important ones that should not be missed. GPs should therefore have knowledge of the causes and treatment, and appreciate when ear, nose and throat referral may be required. This article addresses the clinical assessment and management of the most common and serious pathologies.
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