In den letzten Jahrzehnten hat sich die Kieferorthopädie kontinuierlich weiterentwickelt. Neueste Technologien ermöglichen hochpräzise und schonende Zahnregulierungen. Dennoch bleiben Kieferform und ...Zahnstellung lebenslang in der funktionellen Matrix eingebunden. Ein kieferorthopädisches Präventionsprogramm gibt es bisher nicht. Der vorliegende Beitrag geht der Frage nach, welche Merkmale kieferorthopädische Risikokinder in bestimmten Altersgruppen aufweisen. Was kann bereits vor der Geburt, im Säuglingsalter, in der Milchgebissphase, in der ersten Phase des Zahnwechsels und beim späten Wechselgebiss erkannt und unternommen werden, damit Kinder früher und besser ihr naturgegebenes Potenzial entfalten können. Ein kieferorthopädisches Präventionskonzept wird vorgestellt, das die Säulen Information, Aufklärung, Förderung der Entwicklung der Kiefer, begleitete Anleitung zur Verhaltensänderung und Ernährung beinhaltet.
Neonatal Lateral Epiglottic Defects Peterson, Joseph D.; Goyal, Vinay; Puricelli, Michael D. ...
Annals of otology, rhinology & laryngology,
03/2021, Letnik:
130, Številka:
3
Journal Article
Recenzirano
Introduction:
Multiple congenital abnormalities of the epiglottis have been reported and iatrogenic injuries to the larynx and subglottis are well known. We present a new pattern of defect not ...previously reported in the literature.
Methods:
Epiglottic abnormalities at two institutions are reviewed. Cases of defects involving the lateral aspect of the epiglottis and aryepiglottic fold are identified. A literature review of known epiglottic defects is performed.
Results:
Two children possessing lateral notch injuries at the aryepiglottic attachment to the epiglottis are described. Both children have a history of multiple laryngeal instrumentation attempts and prolonged intubation. Both have swallowing difficulties and are gastrostomy dependent. Congenital epiglottic defects include aplasia and midline bifidity, however, no lateral congenital epiglottic defects have been reported.
Conclusion:
Epiglottic defects, while rare, should be part of the differential for children with aspiration and feeding difficulties. A new pattern of defect is described and iatrogenic etiology proposed.
•Multiple treatment modalities are available for early-stage larynx cancer.•Treatment decisions should be made with the intent for organ preservation.•Single-modality therapy is the preferred upfront ...approach for early stage larynx cancer.
Over the course of the last several decades, the treatment options for early laryngeal cancers (T1 and T2) have evolved; however, simultaneously the mortality rate has increased. As larynx preservation approaches have become the standard of care, the selection of the proper treatment modality has become paramount. Radiation therapy or transoral laser microsurgery are the most common options for treatment of these early lesions. Oncologic and functional outcomes are considered equivalent between the two modalities for early glottic cancers; however, no direct comparisons exist for robust analysis. In terms of larynx preservation, there also is not compelling data favoring one treatment option or another. For early stage lesions, the goal for any larynx-sparing technique, either radiation or surgery, should be the intent to cure with single modality treatment and minimal short- and long-term toxicity. This article is designed to create a frame of reference for managing early stage disease with respect to lesions of the glottis and supraglottis while weighing treatment implications from an oncologic, functional, and cost perspective.
S2822 An Unusual Cause of Dysphagia Ko, John; Salvo, Rebecca; Sandhu, Jeevin ...
The American journal of gastroenterology,
10/2023, Letnik:
118, Številka:
10S
Journal Article
PDF
