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Complications of ventilation tubes: - Dr. Nassem Talaat

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3- Progestin, which is respiratory stimulus (doubtful)<br />

4- Theophylline; increases the hypoxic drive.<br />

5- Protriptyline (non sedating tricyclic anti-depressant).<br />

6- Oxygen therapy. 7- Nasopharyngeal intubation.<br />

8- Tongue retaining devices. 9- Nasal continuous positive air pressure (CPAP).<br />

B. Surgical:<br />

Nasal surgery: for all cases for nasal obstruction<br />

Uvulopalatopharyngoplasty( U.P.P.P.)<br />

Laser assisted uvuloplasty(L.A.U.P.)<br />

Palate stiffening (somoplasty)<br />

Maxill<strong>of</strong>acial surgery: Mandibular advancement<br />

Tracheostomy: as a last resort<br />

Halitosis (foetor oris)<br />

Def: Bad mouth odour.<br />

Hyoid advancement<br />

Tongue advancement<br />

Aet: dental: bad hygiene, dental caries & pyorrhea.<br />

Oral: poor hygiene, stomatitis, ulcers (vincints), chronic tonsillitis with debris<br />

in the crypts, ulcerating tumors & mouth dryness (mouth breathing,<br />

irradiation, dehydration, smoking & atropine)<br />

Nasal: FB, atrophic rhinitis, sinusitis especially dental & ulcerating tumors<br />

Hypopharynx & esophagus: pharyngeal pouch & gastro-esophageal reflux<br />

Pulmonary: chronic bronchitis, bronchiectasis & lung abscess<br />

Metabolic: diabetic ketoacidosis(acetone like)<br />

Renal failure (urineferous)<br />

Hepatic failure<br />

Physiological: hunger<br />

Neurosis (non existing halitosis)

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