Complications of ventilation tubes: - Dr. Nassem Talaat
Complications of ventilation tubes: - Dr. Nassem Talaat
Complications of ventilation tubes: - Dr. Nassem Talaat
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4- Injury:<br />
- Dental from intubation or mouth gag - TMJ dislocation<br />
- Injury to uvula, s<strong>of</strong>t palate, tongue - Atrophy <strong>of</strong> the uvula<br />
5- Infection: Otitis media, para pharyngeal abscess, cervical adenitis, bacteraemia<br />
6- Incomplete removal: Remnants regrow & become infected (revision surgery).<br />
Hypo pharynx<br />
Plummer vinson syndrome (paterson – brown kelly syndrome)<br />
Def: Chronic atrophic pharyngo oesophagitis<br />
Aet : Fe deficiency Incid : more in females<br />
Path : Atrophy <strong>of</strong> mucosa, submucosal fibrosis with stricture & web formation<br />
Clinical picture :<br />
1-Dysphagia: due to stricture or web<br />
2-Glossitis, fissured angle <strong>of</strong> the mouth<br />
3-Koilonychia: spooning <strong>of</strong> nails<br />
4-Achlorhydria due to atrophic gastritis<br />
5-splenomegaly<br />
6-Fe deficiency anemia<br />
Treatment : 1- Fe supplements & proper nutrition<br />
2-repeated dilatation 3-Regular follow up<br />
Complication: Condition is precancerous……..post cricoid carcinoma<br />
Hypo pharyngeal carcinoma<br />
Def: Malignant tumor <strong>of</strong> the hypo pharynx<br />
Aet: Predisposing factors: 1-tobacco smoking & alcohol consumption<br />
Incid : Old age > 50 more, in males<br />
Path :<br />
2- Irradiation 3- plummer vinson syndrome<br />
Post cricoid occurs in young ( 20-40 y ) female if on top <strong>of</strong> P.V.S<br />
- Site Piriform fossa 50%, post cricoid 40%, post pharyngeal wall 10%<br />
- G.P Malignant ulcer or fungating mass
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