We report a 60-year-old case diagnosed as the amyotrophic lateral sclerosis with patulous eustachian tube (ET). To our knowledge, this is the first case report of the amyotrophic lateral sclerosis complicating patulous ET in the literature, demonstrating the movement of the tympanic membrane, the pharyngeal orifice of the ET and abnormal movement of the uvula because of paralysis of the soft pa...

All rights reserved. www.PRSGlobalOpen.com 1 Shingo Hara, PhD, DDS Masaharu Mitsugi, PhD, DDS Department of Oral and Maxillofacial Surgery Kochi Health Sciences Center Kochi City, Kochi, Japan Seiji Sugimoto, PhD, MD Department of Anesthesiology Kochi Health Sciences Center Kochi City, Kochi, Japan Yukihiro Tatemoto, PhD, DDS Department of Oral and Maxillofacial Surgery Kochi Health Sciences Ce...

BACKGROUND Lubrication of cuffed tracheal tubes (CTTs) reduces liquid leakage. However, it is not clear how cuff lubrication influences air leakage. We aimed to test the hypothesis that pretreatment with K-Y jelly, a water-soluble lubricant, would improve the air-sealing performance of pediatric CTTs in a model study. METHODS We placed Parker Flex-Tip™ CTT with 4.0- and 5.0-mm internal diamet...

Intraluminal oesophageal pressures were measured in dogs after tracheostomy and intubation with either uncuffed or cuffed tracheostomy tubes. Possible explanations for disordered swallowing following tracheostomy were found in those animals intubated with cuffed tracheostomy tubes: (a) Increased intraluminal pressures were measured in the oesophagus at the level of the cuffs. (b) Significantly ...

OBJECTIVE To study the safety, efficacy, patient tolerance, and patient satisfaction of the Blom Tracheostomy Tube and Speech Cannula (Pulmodyne, Indianapolis, Indiana), a new device that allows the patient to speak while the tracheostomy tube cuff is fully inflated. METHODS With 10 tracheostomized mechanically ventilated patients we recorded ventilator settings and physiologic variables at b...