phenylephrine-hydrochloride and Sensation-Disorders

Nasal obstruction is often multifactorial and knowledge of the contributing factors is critical to appropriate evaluation, diagnosis, and execution of a treatment plan. Recognizing and appropriately managing all components of nasal obstruction will increase the likelihood of symptomatic improvement and patient satisfaction.

Topics: Gastroesophageal Reflux; Nasal Obstruction; Nose; Rhinitis; Sensation Disorders; Smoking

The aim of this study was to define if the alterations in sensory modalities could be a predictive factor in the prognostic recovery of the ION. Ten patients that had suffered facial trauma, associated with sensitivity alterations of the ION were evaluated prospectively. Touch detection thresholds (TD) were measured using Von Frey's filaments aesthesiometer. A warm/cold discrimination (W/C) was also done to the patients, on the same areas. The patients were examined in both sides of the face, using the non-traumatized side as control. The tests were done before surgery and several times postoperatively. For statistical analysis of the results, the two-sample t test was used. A significant difference (P < 0.0001) in the mean tactile recovery time between the areas without thermal sensitivity before surgery and those with normal thermal sensitivity before surgery was observed. Therefore, we propose that during the preoperative examination, the surgeon examines the thermal discrimination in order to establish prognosis and approximate recovery times.

Topics: Adult; Cheek; Cold Temperature; Eyelids; Female; Follow-Up Studies; Forecasting; Gingiva; Hot Temperature; Humans; Lip; Male; Maxillary Fractures; Nose; Orbit; Prognosis; Prospective Studies; Recovery of Function; Sensation Disorders; Sensory Thresholds; Tooth; Touch; Zygomatic Fractures

Topics: Chronic Disease; Cranial Nerve Diseases; Female; Habits; Humans; Middle Aged; Nose; Reflex; Sensation Disorders; Skin Ulcer; Syndrome; Trigeminal Nerve

Seventy-six patients with oroantral communications after tooth extraction and chronic maxillary sinusitis were treated as follows: bacterial cultures were taken in all of them and maxillary sinuses were irrigated with an antibiotic from the cephalosporin group. Then, in 36 patients, drainage using the Caldwell Luc procedure was performed, including a naso-antral window. In all patients operations were completed by closing oroantral communications with flaps of the mucosa of the alveolar process close to the fistula. Antibiotics according to antibiogram were administered to all patients at least 10 days after surgery. Retrospective comparison between the results obtained in the first group and those in the second group 1, 3 and 6 months after operation was based on objective findings (condition of the oroantral communication, maxillary sinusitis), side effects (pain, numbness of the operated area, headache) and control radiographs (clear maxillary sinus or with mucosal thickening). The study suggests that transnasal drainage is not required in maxillary sinus surgery and in the closure of oroantral communications. Equally good results are achieved by treating with antibiotics and without drainage of the maxillary sinus into the nose.

Topics: Cephalosporins; Chronic Disease; Drainage; Follow-Up Studies; Headache; Humans; Maxillary Sinus; Maxillary Sinusitis; Mouth Mucosa; Nose; Oroantral Fistula; Pain, Postoperative; Radiography; Recurrence; Retrospective Studies; Sensation Disorders; Staphylococcal Infections; Streptococcal Infections; Surgical Flaps; Therapeutic Irrigation; Tooth Extraction

Alterations of nasal sensibility following open rhinoplasty were studied both subjectively and objectively. In a prospective study, 25 patients were included. All patients underwent open rhinoplasty using a middle columellar incision. Subjective questioning and objective testing of nasal sensibility using the Semmes-Weinstein monofilaments were obtained preoperatively and both 3 weeks and 1 year after surgery. The match-paired Student's t-test was used for statistical analysis. At 3 weeks after surgery, there was subjective and significant objective alteration of sensibility in the area of skin supplied by the external nasal nerve (nasal tip and adjacent upper columella). This altered sensibility, however, recovered by 1 year after surgery. The recovery was thought to be due either to recovery of the external nasal nerve itself, or to collateral sprouting from the nerves supplying the adjacent areas of nasal skin.

Topics: Adult; Female; Follow-Up Studies; Humans; Male; Nose; Pressure; Prospective Studies; Rhinoplasty; Sensation Disorders; Sensory Thresholds

The zygomaticomaxillary cheek pedicled flap (ZMCF) involves the intentional section of the infraorbital nerve to reflect the flap laterally in order to give access to the rhinopharynx, clivus and upper cervical spine. The aim of this trial was to examine the recovery of sensation of the infraorbital nerve, both quantitatively (touch sensation, localisation test, two-point discrimination) and qualitatively (sharp/blunt test, temperature sensation, pain sensitivity, dental sensitivity) in 7 patients, at least 12 months after surgery. In each patient, four cutaneous areas (lower eyelid, nose ala, upper lip, cheek) and the upper vestibulum were tested. Results of each test in all the examined areas were evaluated and compared with the data obtained on the nonoperated side (control side). Results of neurosensory tests indicated good recovery of sensation with little difference in comparison with the control side, showing that the functional consequence of ZMCF should actually be considered only as a transitory event.

Topics: Adolescent; Adult; Cheek; Discrimination, Psychological; Eyelids; Female; Head and Neck Neoplasms; Humans; Male; Middle Aged; Nerve Regeneration; Neurologic Examination; Nose; Orbit; Pain Measurement; Sensation Disorders; Skin; Surgical Flaps; Thermosensing; Tooth; Touch

Some patients complain of altered sensation in the mouth following nasal surgery. A prospective study of 60 consecutive patients who underwent a total of 83 intranasal procedures revealed that this was a common complication, particularly following submucous resection (SMR) or intranasal antrostomies. The area affected by pain/parasthesia appears to be anatomically related to the surgical procedure(s) performed.

Topics: Adolescent; Adult; Female; Humans; Male; Middle Aged; Nasal Mucosa; Nasal Septum; Nose; Pain; Paresthesia; Postoperative Complications; Prospective Studies; Sensation Disorders; Tooth Diseases

Topics: Disease; Humans; Nose; Olfactory Nerve; Osteitis Deformans; Sensation Disorders; Smell