Managing a patient with a huge intraoral mass is always challenging. Manipulation or even a simple biopsy of the mass may lead to hemorrhage and further compromise the airway. An examination under anesthesia is not without risk. The method of securing the airway itself may become an issue if the mass is fully occupying the airway before intubation. Usually a tracheostomy is indicated. We share a gentleman presented with a huge intraoral mass occupying the oropharynx, which initially necessitates tracheostomy. We utilized the ultrasonic scalpel-assisted instrument to biopsy by debulking the tumour, thus avoiding the tracheostomy while waiting for the definitive treatment.
Oropharynx

No abstract available.
Oropharynx* ; Tongue*

No abstract available.
Mouth* ; Oropharynx*

A simple diagnostic test has been performed for the evaluation of the patency of the lacrimal excretory system. A 1% Saccharine solution was instilled in the lower conjuctival cul-de-sac and then tastfd by the patknt when it reachd the oropharynx; this painless and effective test was performed in study using 100 subjects. The average time lapse between instillation and testing was 7 and 1/6 minutes. Of the 100 subjects, 46% had a positive taste response within 5 minutes, 79% within 10 minutes, 88% within 15 minutes, and 97% within 20 minutes.
Diagnostic Tests, Routine ; Oropharynx ; Saccharin

No abstract available.
Head* ; Hypopharynx* ; Mouth* ; Neck* ; Oropharynx*

A rare case of oropharyngeal branchial cyst in a fourteen-year-old boy is described. The cyst was located in the right lateral wall of the oropharynx. Histological examination revealed that the cyst was lined with a pseudostratified layer of the ciliated columnar epithelium and the lymphoid follicle. The position of the cyst and pathological feature were assumed to originate in the second branchial pouch.
Branchioma* ; Epithelium ; Humans ; Male ; Oropharynx

No abstract available.
Free Tissue Flaps* ; Mouth* ; Oropharynx* ; Rectus Abdominis*

Carotid Artery, Internal/diagnostic imaging* ; Humans ; Oropharynx

BACKGROUND: Difficult intubation is one of the major causes of anesthetic emergencies or catastrophe. Through the years, new and sophisticated devices have been developed to aid in endotracheal intubation. These devices are expensive and much skill is needed to master its use. It is this light that we have designed the J-Tex Laryngeal Mirror, an inexpensive accessory tool for endotracheal intubation METHODS: This study was done on 200 patients divided into 2 groups who were scheduled for surgery under general anesthesia. We compared Group I that had the J-Tex attached to the laryngoscope to Group II which used the laryngoscope alone RESULTS: Total intubation time was shorter with the J-Tex group. Success rates were comparable between the 2 groups. However, there was a higher success rate with the J-Tex group in patients who had a difficult airway (Mallampati III) CONCLUSION: We can proudly say that the J-Tex Laryngeal Mirror is an effective accessory tool for endotraceal intubation.
Human ; INTUBATION, INTRATRACHEAL ; ANESTHESIA ; OROPHARYNX ; LARYNGOSCOPES

Skeletal surgery for obstructive sleep apnea (OSA) aims to provide more space for the soft tissue in the oropharynx to prevent airway collapse during sleep. Conventional surgical techniques include genioglossus advancement (GA), hyoid myotomy/suspension (HMS), and maxillomandibular advancement (MMA). GA and HMS are usually performed with soft tissue surgery and/or other skeletal surgery in a combined manner. These combined procedures seem to have a higher success rate. MMA employs a different conceptual approach, so called whole upper airway reconstruction, because MMA can widen the entire upper airway with one procedure. Various modifications of skeletal surgery have been reported. Surgical techniques, efficacy and complications of skeletal surgery with my opinions and comments are introduced in this review. Furthermore, limitations and considerations in skeletal surgery that sleep surgeons have to realize and overcome will be discussed in this review.
Mandibular Advancement ; Oropharynx ; Sleep Apnea Syndromes ; Sleep Apnea, Obstructive*