questionsmedicales.fr
Procédures de chirurgie opératoire
Procédures de chirurgie oto-rhino-laryngologique
Pharyngostomie
Pharyngostomie : Questions médicales fréquentes
Termes MeSH sélectionnés :
Diagnostic
5
Obstruction des voies respiratoires
Pharyngoscopie
Tests de fonction pulmonaire
Déglutition
Détresse respiratoire
Alimentation par sonde
Évaluation clinique
Imagerie médicale
Symptômes d'obstruction
Aspiration
Symptômes
5
Difficulté respiratoire
Dysphagie
Complications chirurgicales
Saignement
Révision chirurgicale
Infection
Déshydratation
Muqueuses sèches
Prévention
5
Prévention des infections
Hygiène
Antécédents médicaux
Médicaments
Complications respiratoires
Oxygénothérapie
Récupération
Recommandations médicales
Obstruction post-opératoire
Surveillance
Traitements
5
Alimentation par sonde
Surveillance médicale
Antibiotiques
Analgésiques
Gestion de la douleur
Analgésie
Réhabilitation
Rééducation de la déglutition
Intervention chirurgicale
Complications
Complications
5
Déshydratation
Alimentation par sonde
Obstruction
Surveillance médicale
Hospitalisation
Complications sévères
Facteurs de risque
5
Maladies respiratoires
Cancers de la tête et du cou
Antécédents médicaux
Chirurgie cervicale
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{
"@type": "Question",
"name": "Quels tests sont nécessaires avant une pharyngostomie ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des tests de fonction respiratoire et des évaluations de déglutition sont effectués."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une nécessité de pharyngostomie ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une détresse respiratoire sévère ou une incapacité à s'alimenter par voie orale."
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{
"@type": "Question",
"name": "Comment évaluer la gravité d'une obstruction ?",
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"@type": "Question",
"name": "Quels symptômes nécessitent une intervention chirurgicale ?",
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{
"@type": "Question",
"name": "Quels sont les symptômes d'une obstruction pharyngée ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Difficulté à respirer, à parler ou à avaler, et sensation de gêne dans la gorge."
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"@type": "Question",
"name": "Comment se manifeste une infection après pharyngostomie ?",
"position": 7,
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"@type": "Question",
"name": "Quels signes indiquent une complication post-opératoire ?",
"position": 8,
"acceptedAnswer": {
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"text": "Saignement, fièvre persistante ou détérioration de l'état général."
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"@type": "Question",
"name": "Quels symptômes peuvent nécessiter une révision chirurgicale ?",
"position": 9,
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"@type": "Question",
"name": "Comment reconnaître une déshydratation après pharyngostomie ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Par une soif intense, une sécheresse des muqueuses et une urine foncée."
}
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"@type": "Question",
"name": "Comment prévenir les infections après une pharyngostomie ?",
"position": 11,
"acceptedAnswer": {
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"text": "En maintenant une bonne hygiène et en suivant les soins post-opératoires."
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{
"@type": "Question",
"name": "Quelles précautions prendre avant la chirurgie ?",
"position": 12,
"acceptedAnswer": {
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"text": "Évaluer les antécédents médicaux et arrêter certains médicaments si nécessaire."
}
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{
"@type": "Question",
"name": "Comment éviter les complications respiratoires ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "En surveillant les signes de détresse respiratoire et en administrant de l'oxygène si besoin."
}
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"@type": "Question",
"name": "Quels conseils donner pour une bonne récupération ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Suivre les recommandations médicales et éviter les efforts physiques intenses."
}
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{
"@type": "Question",
"name": "Comment surveiller les signes d'une obstruction post-opératoire ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Être attentif à la difficulté respiratoire ou à des bruits anormaux lors de la respiration."
}
},
{
"@type": "Question",
"name": "Quel est le traitement principal après une pharyngostomie ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'alimentation par sonde et la surveillance des voies respiratoires."
}
},
{
"@type": "Question",
"name": "Quels médicaments sont utilisés après une pharyngostomie ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antibiotiques pour prévenir les infections et des analgésiques pour la douleur."
}
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{
"@type": "Question",
"name": "Comment gérer la douleur post-opératoire ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Avec des analgésiques prescrits et des techniques de relaxation."
}
},
{
"@type": "Question",
"name": "Quelles sont les options de réhabilitation après l'intervention ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "La rééducation de la déglutition et des exercices respiratoires."
}
},
{
"@type": "Question",
"name": "Quand envisager une intervention chirurgicale supplémentaire ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Si des complications surviennent ou si l'obstruction persiste."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles d'une pharyngostomie ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Infections, saignements, et obstruction des voies respiratoires."
}
},
{
"@type": "Question",
"name": "Comment reconnaître une infection post-opératoire ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Par des signes comme la fièvre, des douleurs accrues et des rougeurs."
}
},
{
"@type": "Question",
"name": "Quels sont les risques de déshydratation après l'intervention ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "La déshydratation peut survenir si l'alimentation par sonde n'est pas adéquate."
}
},
{
"@type": "Question",
"name": "Comment gérer une obstruction post-pharyngostomie ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "En assurant une surveillance étroite et en intervenant rapidement si nécessaire."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une nécessité d'hospitalisation ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une détérioration rapide de l'état général ou des complications sévères."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque de pharyngostomie ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les maladies respiratoires chroniques et les cancers de la tête et du cou."
}
},
{
"@type": "Question",
"name": "Comment l'âge influence-t-il le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les personnes âgées ont un risque accru en raison de la fragilité des voies respiratoires."
}
},
{
"@type": "Question",
"name": "Quels comportements augmentent le risque d'obstruction ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le tabagisme et la consommation excessive d'alcool peuvent aggraver les problèmes respiratoires."
}
},
{
"@type": "Question",
"name": "Comment les antécédents médicaux influencent-ils le risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antécédents de chirurgie cervicale ou de radiothérapie augmentent le risque."
}
},
{
"@type": "Question",
"name": "Quels facteurs environnementaux peuvent jouer un rôle ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'exposition à des irritants comme la pollution ou des produits chimiques peut augmenter le risque."
}
}
]
}
]
}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 11/04/2025
Contenu vérifié selon les dernières recommandations médicales
1 publication dans cette catégorie
Affiliations :
Surgery Department, 5786Ochsner Clinic Foundation, New Orleans, LA, USA.
Publications dans "Pharyngostomie" :
1 publication dans cette catégorie
Affiliations :
Surgery Department, 5786Ochsner Clinic Foundation, New Orleans, LA, USA.
Publications dans "Pharyngostomie" :
1 publication dans cette catégorie
Affiliations :
Surgery Department, 5786Ochsner Clinic Foundation, New Orleans, LA, USA.
Publications dans "Pharyngostomie" :
Ocular cysticercosis is a sparsely reported condition, requiring urgent management. The gold standard for diagnosis is an in toto extraction of the cyst with subsequent histopathology. The procedure c...
The reliable ultrasound (US) measurements of papillary thyroid microcarcinoma (PTMC) are very important during active surveillance. This prospective study was design to investigate the inter-observer ...
This prospective study included 51 consecutive patients with solitary PTMC confirmed by biopsy. Two independent observers performed measurements of each tumor using a standardized measurement protocol...
The maximum diameter was 0.78 ± 0.14 cm. Volume measured by 3DUS was significantly smaller than that by 2DUS(0.163 ± 0.074 cm...
Maximum diameter had the lowest degree of observer variation among all the measurements. Volume measured by 3DUS had lower variability and higher repeatability than that by 2DUS, which might be helpfu...
Artificial intelligence and radiomics have the potential to revolutionise cancer prognostication and personalised treatment. Manual outlining of the tumour volume for extraction of radiomics features ...
Interviewed health care workers to determine whether they had noticed a silent hand hygiene observer, thereby determining the legitimacy of the silent observers. Data supported the observers were typi...
Calculating size-specific dose estimates (SSDEs) requires measurement of the patient's anteroposterior (AP) and lateral thickness based on computed tomography (CT) images. However, these measurements ...
Four radiographers with 1-10 years of experience were invited to measure the AP and lateral thickness on 30 chest, abdomen, and pelvic CT images. The images were sourced from an internet-based databas...
The study revealed excellent inter-observer agreement for the calculated effective diameter and AP thickness measurements, with Intraclass correlation coefficients (ICC) values of 0.95 and 0.96, respe...
The study's findings suggest that the measurements required for calculating SSDEs are robust to inter-observer and intra-observer differences. This is important for the clinical use of SSDEs to set di...
Our aim was to evaluate the intra- and inter-operator agreement in cardiotocography (CTG) traces analysis using the 2015 FIGO classification guidelines, and whether the educational background and the ...
The need for incorporation of quantitative imaging biomarkers of pancreatic parenchymal and ductal structures has been highlighted in recent proposals for new scoring systems in chronic pancreatitis (...
Prospectively acquired pancreatic CT examinations from 50 CP patients were reviewed by 12 radiologists and four pancreatologists from 10 institutions. Assessment entailed measuring maximum diameter in...
The 16 observers completed 6400 caliper placements comprising a first and second measurement session. The widest inter-observer LOAM was seen with PDhead (± 9.1 mm), followed by PDbody (± 5.1 mm), MPD...
Substantial intra- and inter-observer variability was observed in pancreatic two-point measurements. This was especially pronounced for parenchymal and duct diameters of the pancreatic head. These fin...
The current gold standard for the diagnosis of functional constipation is the ROME IV criteria. European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and North American S...
Electronic records of 100 children seen in the emergency room for gastrointestinal symptoms who had an abdominal radiograph performed were included. Four physicians from each specialty including gastr...
For subjective interpretations, k values showed a fixed margin k of 0.18 indicating poor agreement among 12 observers. Intraobserver k to look for reproducibility showed significant variability rangin...
Reliability and reproducibility of X-rays for diagnosis and grading of constipation is questionable given poor to fair agreement for both inter and intraobserver comparisons. Our study supports the cu...
To evaluate interobserver variability for diagnosis of disease presence and extent of small bowel and colonic Crohn's disease using MR enterography (MRE)....
Data from the first 73 consecutive patients (mean age 32, 33F, 28 new diagnosis, 45 suspected relapse) recruited to a multicentre, prospective diagnostic accuracy trial evaluating MRE for small bowel ...
Agreement for small bowel disease presence for new diagnosis/relapsed patients was 68%(κ = 0.36)/ 78% (κ = 0.56) and 43%(κ = 0.14)/ 53% for disease extent (κ = 0.07), respectively. For disease presenc...
There is a reasonable agreement between radiologists for small bowel disease presence using MRE for newly diagnosed Crohn's disease, and patients with suspected relapse, respectively. Agreement is low...
There is reasonable agreement between radiologists for small bowel disease presence using MRE for newly diagnosed (68%) Crohn's disease, and patients with suspected relapse (78%). Agreement is lower f...
Skeletal age (SA) is an estimate of biological maturity status that is commonly used in sport-related medical examinations. This study considered intra-observer reproducibility and inter-observer agre...
SA was assessed with the Fels method in 97 male tennis players with chronological ages (CA) spanning 8.7-16.8 years. Radiographs were evaluated by two independent trained observers. Based on the diffe...
The magnitude of intra-individual differences between repeated SA assessments were d = 0.008 year (observer A) and d = 0.001 year (observer B); the respective coefficients of variation were 1.11% and ...
Fels SA assessments were highly reproducible and showed an acceptable level of inter-observer agreement between trained examiners. Classifications of players by skeletal maturity status based on asses...