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Background: Practice of Pranayama and “swara” have been found to affect cardiovascular, respiratory, and autonomic functions. The regulation of autonomic functions in a positive direction helps reduce anxiety and stress. Studies have suggested that right and left nostril breathing produce specific autonomic changes. Aim and Objectives: The aim of the study was to find the relationship between right unilateral nostril breathing (RUNB) and sympathetic arousal and that between left unilateral nostril breathing (LUNB) and parasympathetic arousal. Materials and Methods: This is a randomized parallel-group study. Fifty consenting students were chosen by simple random sampling technique and divided into two groups of 25 each, randomly. One group was made to practice RUNB and the other, LUNB for ten minutes daily for 2 months. Systolic blood pressure (SBP), diastolic blood pressure, mean arterial pressure, heart rate (HR), and respiratory rates were measured before and after the intervention. Results were analyzed using SPSS version 21. Comparisons were made by conducting a repeated-measures ANOVA. Results: The RUNB intervention contributed statistically significant changes in SBP and HR after 2-month practice. LUNB did not result in statistically significant changes in the studied parameters. Conclusions: RUNB was found to have significant sympathetic arousal but LUNB could not be linked to parasympathetic arousal.
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RESUMEN Introducción: La presencia de cuerpo extraño en cavidad nasal u ótica es un problema frecuente en pediatría, porque puede producir secuelas severas para la salud del paciente. Estratificar por edades nos ayudaría a definir las medidas más apropiadas ente estos eventos en las distintas edades. Objetivo: Conocer la diferencia de media de edades entre pacientes con cuerpo extraño ótico y nasal. Metodología: Estudio observacional descriptivo con componentes analíticos, de muestreo aleatorio simple. De pacientes pediátricos del Hospital de Clínicas con antecedentes de introducción de cuerpo extraño en fosas nasales y conducto auditivo externo de enero a junio del 2019. Resultados: Fueron analizadas 182 interconsultas al servicio de otorrinolaringología, de pacientes pediátricos con antecedente de cuerpo extraño en oído o fosa nasal. El 47,81 % era del sexo femenino. En el 58,79 % de los casos el motivo de consulta era cuerpo extraño en fosa nasal y en el 41,21 % en oído. Los métodos de extracción más frecuentes fueron la cureta nasal (87,85 %) y el lavado de oído (54,67 %). Los cuerpos extraños más frecuente fue piezas de bijouteri. Solo 2 (1,09 %) pacientes requirieron internación (ambos con retraso en el desarrollo sicomotor) y extracción bajo sedación. El tratamiento más usado posterior a la extracción de oído fue antibióticos tópicos (52 %) y; antibióticos orales combinados con lavados nasales (28,97 %) para los de fosa nasal. La media de edades de pacientes con cuerpo extraño en fosa nasal fue de 2,97 años y en oído 5,59 años, significativamente mayor (p<0,05). Conclusión: Las guías refieren que los niños a partir de los 5 años distinguen lo bueno y lo malo, disminuyen las autointroducciones y esto se vuelve algo más bien accidental; sin embargo, en nuestra experiencia la edad promedio de introducción oído era mayor a 5 años.
ABSTRACT Introduction: The presence of a foreign body in the nasal or otic cavity is a frequent problem in pediatrics, because it can produce severe sequels for the patient's health. Stratifying by age would help us to define the most appropriate measures between these events at different ages. Objective: To know the average age difference between patients with otic and nasal foreign bodies. Methods: Descriptive observational study with analytical components, simple random sampling. Pediatric patients at the Hospital de Clínicas with a history of introduction of foreign body into the nostrils and external auditory canal from January to June 2019. Results: 182 interconsultations were analyzed in the otolaryngology service of pediatric patients with a history of foreign body in the ear or nostril. 47.81% were female. In 58.79% of the cases the reason for consultation was foreign body in the nostril and in 41.21% in the ear. The most frequent extraction methods were nasal curettage (87.85%) and earwashing (54.67%). The most frequent foreign bodies were pieces of bijouteri. Only 2 (1.09%) patients required hospitalization (both with delayed psychomotor development) and extraction under sedation. The most commonly used treatment after ear removal was topical antibiotics (52%) and oral antibiotics combined with nasal lavage (28.97%) for nasal fossa. The mean age of patients with foreign body in the nasal fossa was 2.97 years and in the ear 5.59 years (p<0.05). Conclusion: The guidelines state that children from 5 years onwards distinguish good and bad, decrease autointroductions and this becomes rather accidental; however, in our experience the average age of ear introduction was greater than 5 years.
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Background: Changes in vital signs such as tachycardia, dyspnea, tachipnea, decreased oxygenation, caused by the inability of the heart to pump enough blood to meet the needs of oxygen and nutrients needed by the tissue, so that alternative therapies are needed: alternate nostril breathing exercise (ANBE) as a companion to pharmacological therapy for congestive heart failure (CHF) patients. The purpose of this study was to see the effect of ANBE on the vital sign of CHF patients.Methods: This Quasy experimental study was used one group pretest and Posttes design, conducted at one of the Padang City Hospitals from March to August 2019. Study population includes CHF sufferers, with a sample of 16 people, using accidental sampling technique. Univariate data analysis to get the mean of vital sign and bivariate measurements using parametric test i.e. Paired t-test to see the effect of this therapy.Results: Mean vital signs pretest and posttest was given in a row The observations are: respiratory rate (RR): 5.4978; 4.6078, pulse: 10.1804; 8,7770, systolic blood pressure (SBP): 12,5963; 11,1481, and diastolic blood pressure (DBP): 10,3009; 8.8606. Paired t-test obtained p-value of RR, pulse, SBP and DBP: 0.000, and existing t count> from t table (t count> 2.13145), so that there is an effect of ANBE on vital signs.Conclusions: ANBE affects the vital sign of CHF patients and can be continued as an intervention that can be carried out independently by CHF sufferers.
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Objective This article reported a patient with severe bilateral nostril stenosis secondary to bilateral cleft lip nasal deformity correction surgery.Methods The surgical procedure included columellar flap and local soft tissue flap was transferred to nasal inside,columellar was narrowed,reconstruction of nasal dome,increased nostrils height and nasal vestibular mucosa area.Results Effective improvement of nasal profile and reduction of ventilation features obstacles was observed.Nasal retainer was used for half a year postoperatively.After two years' follow-up,it showed good results.Conclusions This article is to introduce the therapeutic process and detailed literature review of clinical study of nostril stenosis abnormalities.
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Objective@#This study is to repair nostril sill deformity in the cleft lip patients by reconstructing the first auxiliary muscle tension line group and to assess the therapeutic outcome.@*Methods@#437 cleft lip patients with nostril sill deformity underwent the surgery from January 1, 2012 to November 1, 2016.They were treated using the technique of first auxiliary muscle tension line group reconstruction to repair the deformity. Aesthetic correction evaluations were rated by the GAIS. Random digit was used to randomly select 24 patients during the follow-up for three-dimensional measurement and analysis. The preoperative and postoperative symmetry of the nostril sills were evaluated by paired t test.@*Results@#Mucosal ischemia or wound infection occurred in 11 cases, left obvious scar on the nostril floor. Surgical incisions of the other patients were primary healing. After 6 months to 3 years follow up, GAIS questionnaires of 378 patients demonstrated that 84% patients reported great or moderate improvement of nostril sills. Three-dimensional measurements of 24 patients suggested that there were no significant differences of the nostril sill and the nasal ala between the cleft side and the normal side.@*Conclusions@#First auxiliary tension line group reconstruction, which is to restore biomechanical balance rather than merely increase muscle volume, is an effective method of nostril sill repair in the cleft lip patients. Post-operatively, the patients achieved a stable and natural nostril sill, a middle columella, as well as a narrowed nasal ala.
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Background and Objectives: In recent years, there has been considerable interest in scientific research on yoga, especially on Pranayama. Nostril breathing exercises including Alternate nostril breathing, Left nostril breathing and right nostril breathing exercises is getting attention in the east and in the west. Left nostril breathing exercises is also called Chandra Nadisuddhi Pranayama or Chandra anulomaa vilomaa Pranayama (CAV). Very few have carried out research on Chandra Anuloma Viloma Pranayama (CAV). This study was carried out to see the effects of CAV on experienced yoga practitioners and naïves.Material and Methods: The study consisted of 36 subjects divided into two groups, first group consist of 26 medical students who were naïve and the next group consist of 10 yoga practitioners. All the subjects performed 12 rounds of Chandra Nadisuddhi Pranayama in each session for 24 days. Variables were entered into SPSS Program and were analyzed.Results: This study depicts fall in Pulse rate, respiratory rate, systolic blood pressure and Diastolic blood pressure after CAV Pranayama in both Naïves and Yoga practitioners. But the significant drop was observed in SBP only (at p < 0.05) among Naives and in all parameters except respiratory rate among Yoga Practitioners.Conclusion: The effect of the Chandra Anuloma Viloma (CAV) in this study was more eminent in the yoga practitioners than in the naïve group.
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BACKGROUND: Supernumerary nostril is a congenital anomaly that contains additional nostril with or without accessory cartilage. These rare congenital nasal deformities result from embryological defects. Since 1906, Lindsay (Trans Pathol Soc Lond. 57:329–330, 1906) has published the first research of bilateral supernumerary nostrils, and only 34 cases have been reported so far in the English literature. CASE PRESENTATION: A 1-year-old female baby was brought to our department group for the treatment of an accessory opening above the left nostril which had been presented since her birth. Medical history was non-specific and her birth was normal. The size of a supernumerary nostril was about 0.2 cm diameter and connected to the left nostril. The right one was normal. Minimal procedure was operated for the anomaly. After 1 year, rhinoplasty was performed for the nostril asymmetry. CONCLUSIONS: At 1 year follow-up, the functional and cosmetic result was satisfactory. In this case, it is important that we have early preoperative diagnosis. Also, it is desirable that we should perform a corrective surgery as soon as possible for the patient's psychosocial growth.
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Female , Humans , Cartilage , Congenital Abnormalities , Diagnosis , Follow-Up Studies , Parturition , RhinoplastyABSTRACT
The fine anatomy of the nostril sill has a great deal of variability among the individuals.The nostril sill deformity is included in the nasal deformities after cleft lip repair,which has been paid more attention.In this article,we review the anatomy of the nostril sill,the features of nostril sill in cleft lip deformities,and the techniques of the nostril sill deformity repair.
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Objective To evaluate the accuracy of nostril width method in intubation model choose in children with cerebral pal‐sy FSPR surgery .Methods Three hundred and fifty six cases of cerebral palsy FSPR surgery were selected ,the endotracheal intu‐bation were selected by nose width method and modified weight method ,and then we made a comparison between the two methods . Kappa consistency test and rank correlation analysis were both used to analyze the consistency .Results With Kappa=0 .81 ,rank correlation coefficient 0 .905 ,we could know that there was high degree of consistency between the two methods (P<0 .01) ,of which 298 cases (83 .7% ) children selected the same model intubation strengthen model in different method ,58 cases (16 .3% ) pe‐diatric intubation choice of two methods differ by one model .Conclusion Nostril width method was simple and reliable to select in‐tubation in pediatric surgery to strengthen FSPR model .
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PURPOSE: Supernumerary nostril, also known as triple nostril or accessory nostril, is one of the extremely rare congenital nasal deformities which includes an additional nostril. Since Lindsey reported the first case of a supernumerary nostril, only 34 cases of supernumerary nostril have been reported world widely. And there was no any domestic case. In the present case, we described a case of supernumerary nostril and reviewed all the literature cases of supernumerary nostril. METHODS: A 10-month-old female patient visited to the authors with an additional nostril located above her right nostril, which had been present since birth. Antenatal history was uneventful and the infant's birth was normal. On physical examination there were no other abnormalities and additional nostril was communicating with ipsilateral normal nasal cavity. We performed fistulectomy and local flap for the correction. RESULTS: After 7 months postoperatively, the patient was doing well. The functional outcome was excellent and the cosmetic result was satisfactory. During the long term follow-up for 8 years, there were no specific problems. CONCLUSION: In supernumerary nostril, preoperative evaluation of other abnormalities is very important and we advocate that corrective surgery can be performed at an early age for patient's psychosocial development.
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Female , Humans , Infant , Congenital Abnormalities , Cosmetics , Follow-Up Studies , Nasal Cavity , Parturition , Physical ExaminationABSTRACT
PURPOSE: Supernumerary nostril, also known as triple nostril or accessory nostril, is one of the extremely rare congenital nasal deformities which includes an additional nostril. Since Lindsey reported the first case of a supernumerary nostril, only 34 cases of supernumerary nostril have been reported world widely. And there was no any domestic case. In the present case, we described a case of supernumerary nostril and reviewed all the literature cases of supernumerary nostril. METHODS: A 10-month-old female patient visited to the authors with an additional nostril located above her right nostril, which had been present since birth. Antenatal history was uneventful and the infant's birth was normal. On physical examination there were no other abnormalities and additional nostril was communicating with ipsilateral normal nasal cavity. We performed fistulectomy and local flap for the correction. RESULTS: After 7 months postoperatively, the patient was doing well. The functional outcome was excellent and the cosmetic result was satisfactory. During the long term follow-up for 8 years, there were no specific problems. CONCLUSION: In supernumerary nostril, preoperative evaluation of other abnormalities is very important and we advocate that corrective surgery can be performed at an early age for patient's psychosocial development.
Subject(s)
Female , Humans , Infant , Congenital Abnormalities , Cosmetics , Follow-Up Studies , Nasal Cavity , Parturition , Physical ExaminationABSTRACT
Objective To summarize the experience of pituitary adenoma resection by single-nostril transsphenoidal approach and analyze the indications,intraoperative and postoperative common problems in order to improve the technique and quality of life.Methods Summarize the clinical data of 611 pituitary adenoma resections by single-nostril transsphenoidal approach from January 2005 to June 2010 retrospectively,reanalyze the choice of operative indications,analyze the bleeding during the operation and sums up the relevant pro cessing suggestions,and summarize the reasons and countermeasures of postoperative visual impairment.Results The tumors were totally removed in 538 cases,sub-resections in 59 cases,sub-totally removed in 14 cases,and no deaths.Eleven cases were poor gasification or concha sphenoid sinus in 11 totally removed patients.The bleeding came from diploe,emissarium,mucosa of sphenoid sinus,diploe,epidural space,dura matter of the sella turcica region,intercavernous sinuses,tumor or the tumor bed.The bleeding was controlled effectively with different approaches.There were 3 patients who underwent visual impairment,and the impairment was improved after treatment.Conclusion Following the correct operation principle,we can improve the rate of total resection; the single-nostril transsphenoidal approach is also suitable for the poor gasification; The prognosis can improve after deal with the intraoperative and postoperative common problems.
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The self-control study on thirty normal subjects of both genders (mean age 25.83±3.41 years) were taken in a self control study group and were tested for three types of Nostril breathing practices and Breath Awareness (BA) effects. Namely verbal recall performance of numerical data such as Digit Span Forward (DSF) and Digit Span Backward (DSB) as well associate learning memory function using Wechsler Memory Scale. The interventions included Right Nostril Breathing (RNB), Left Nostril Breathing (LNB), Alternate Nostril Breathing (ANB) and Breathe Awareness for duration of 30 minutes daily, four consecutive days. The Repeated Measure ANOVA analysis revealed a significant increase in both DSF and DSB recall performance due to RNB at P<0.001 level and increased DSB score due to ANB at P<0.014 level with a non- significant increase due to LNB suggests that the RNB facilitates both DSF and DBF recall performance. However, the LNB effect on left hemisphere helps to restore the memory function of right hemisphere. This study concludes that the RNB enhances numerical data retrieval mostly as a result of left brain activation.
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PURPOSE: Nostril stenosis is an uncommon deformity that develops as a consequence of smallpox, chickenpox, tuberculosis, syphilis, congenital malformations etc. There have been several studies on the surgical techniques to treat it. However, it is difficult to maintain the result for a long time. The goal of this study is to evaluate the use of W-plasty, perialar flap as an operative techniques and expansion exercise using Foley catheter as a method to keep the patency of nostril. METHODS: This is a retrospective review of the senior surgeon's(Y.L.) patients who underwent W-plasty and a perialar flap. Patients treated from 2005 to 2009 were reviewed and the postoperative results were evaluated. Average patient age was 24 years, ranged from 1 to 61 years, average follow-up period was 27.5 months, ranged from 3 to 77 months. The mild deformity was released with an incision and expansion by the ballooning of a Foley catheter and corrected by W-plasty only. However, a severe deformity required an additional procedure including perialar flap transposition. During the postoperative period, the patients maintained a nasal stent and exercise using a Foley catheter to prevent recurrence. RESULTS: Five cases of nostril stenosis in four patients were treated using this technique. One case was corrected with W-plasty only, but four cases were more severe and were corrected with W-plasty and a perialar flap. There were no perioperative complications. The patients were satisfied with the results and retained a good shape during the follow-up periods. CONCLUSION: Nostril stenosis can be corrected with W-plasty and a perialar flap. A perialar flap is added if W-plasty is unable to correct the deformity. A postoperative nasal stent and expansion with a Foley catheter can help in preventing recurrences.
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Humans , Catheters , Chickenpox , Congenital Abnormalities , Constriction, Pathologic , Follow-Up Studies , Postoperative Period , Recurrence , Retrospective Studies , Smallpox , Stents , Syphilis, Congenital , TuberculosisABSTRACT
Objective: To explore the effect of single-nostril transsphenoidal approach on pituitary adenoma. Methods: We retrospectively analyzed 46 cases of pituitary tumors treated with single-nostril transsphenoidal approach and the effects and complications of surgery.Dunng the surgery,a nasal speculum was inserted through right nostril slowly towards the anterior wall of sphenoid sinus.A nasal mucosa incision of about 1.5cm was made in the right nasal cavity at the level of the middle nasal turbinate.With a fracture of the bony septum,a space was developed between the bilateral nasal mucosa and bony septum to the sphenoid sinus.Then,the face of the sphenoid sinus was exposed.The remainder of the bony septum,the anterior sphenoid sinus wall,and the sphenoid mucosa were removed.The antenor sphenoidotomy should be less than 1.5cm wide.After confirming the tumor by dural puncture,a cross incision of dura was made and the tumor was removed.The saddle was usually Collapsed and visible after total tumor removal.When the tumor was resected,sevaral gelatin sponges were stuffed into the Surgical cavity to stop bleeding. Results: Thirty-four cases had total resection and 12 cases had subtotal resection.No deaths or disability occurred.Hormone levels in almost all patients were improved.Seventeen cases had a sign of diabetes insipidus.Electrolyte disturbance occuwed in 5 cases.NO postoperative cerebrospinal fluid rhinorrhea was observed. Conclusion: Single-nostril transsphenoidal approach has many advantages in treating pituitary adenomas such as simplified approach,brief technology and high security.
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Supernumerary nostril is a very rare congenital anomaly, which includes additional nostril with or without accessory cartilage. In the present case of the left supernumerary nostril, a small cavity of around 3 mm diameter and accessory lower lateral cartilage were present. The cavity was lined with mucous membrane and filled with mucoid discharge .Nasal endoscopy of accessory nasal cavity revealed that it was small as compared to normal nasal cavity and did not communicate with the ipsilateral nasal cavity. The diameter of the normal anterior nasal opening was less on left side as compared to right side. Unilateral supernumerary nostril may occur because of the Assuring of the lateral nasal process during fetal growth.
Fosa nasal supernumeraria es una anomalía congénita muy poco frecuente, que incluye una nueva fosa nasal con o sin cartílago accesorio. En el presente caso de fosa nasal supernumeraria izquierda estaban presentes, una pequeña cavidad de unos 3 mm de diámetro y cartílago lateral accesorio inferior. La cavidad estaba revestida con membranas mucosas y llena con descarga mucoide. La endoscopía nasal de la cavidad nasal accesoria reveló que ésta era pequeña en comparación con la cavidad nasal normal y que no se comunicaba con la cavidad nasal ipsilateral. El diámetro normal de la apertura nasal anterior fue menor en el lado izquierdo en comparación con el lado derecho. La fosa nasal unilateral supernumeraria puede ocurrir a causa de las fisuras del proceso lateral nasal durante el crecimiento fetal.
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Humans , Male , Female , Nasal Cavity/abnormalities , Nasal Cavity/embryology , Congenital Abnormalities/embryology , Craniofacial Abnormalities/genetics , Nose/abnormalities , Nose/embryologyABSTRACT
PURPOSE: Most unilateral secondary cleft lip nose deformities have depressed nostril base and sill on the cleft side. To obtain a symmetric nose, correction of the recession on nostril is critical. The authors have worked out effective methods to elevate the nostril of the cleft side according to the extent of the depression. METHODS: A total of 115 unilateral secondary cleft lip nose deformity patients with nostril depression were evaluated. Data were acquired from patients' charts and photography with special reference to the height difference of the nostrils between the cleft side and the non-cleft side. Patients were divided into three groups based on the difference and operated with various techniques :(1) mild degree( 3mm) with graft, C-flap and suspension suture. Follow-up period averaged 21.3 months. RESULTS: Forty-six patients(40 percent) were in mild group, and forty-two(37 percent) were in moderate. In twenty-seven patients(23 percent), nostril recession was more than 3mm. The elevated nostril base and sill were maintained without height alteration during follow-up. CONCLUSION: The symmetry of the nostril base, especially projection of nostril sill influences successful correction of unilateral cleft lip nose deformity. Our tolerable techniques can be applied to most deformities with nostril depression and can present a new guideline.
Subject(s)
Humans , Cleft Lip , Congenital Abnormalities , Depression , Follow-Up Studies , Nose , Photography , Sutures , TransplantsABSTRACT
PURPOSE: The aim of this study is to establish anatomical dimension of the nose and nostril shape in Korean twenties. METHODS: Authors measured anthropometry of nose in Korean youths 1,000 individuals(male 363, female 637) and analyzed stastically them. RESULTS: The mean measurements are as follows. 1. The shape of nostrils was classified into 7 types by the angle between both long axis of nostril(male/ female). Type I(180degrees) 0%/0.47%. 2. Lengths(male/female). Width of nasal root: 25.29+/-2.25mm/24.72+/-2.40mm, Width of nose: 37.63+/-2.46mm/34.77+/-2.11mm, Width of columella: 7.18+/-0.92mm/6.92+/-0.86mm, Width of alar: 4.99+/-1.00mm/4.74+/-0.91mm, Width of nostril floor: 10.98+/-1.40mm/10.13+/-1.73mm, Protrusion of nasal tip: 17.12+/-1.95mm/16.88+/-1.84mm, Length of alar: 27.10+/-2.21mm/24.66+/-2.18mm, Length of nasal root: 17.37+/-2.51mm/16.08+/-2.90mm, Depth of nasal root: 7.83+/-1.63mm/6.82+/-1.36mm, Length of columella: 8.13+/-1.40mm/7.30+/-1.46mm, Height of nose: 60.50+/-8.90mm/59.14+/-9.22mm, Height of nasal bridge: 52.68+/-7.49mm/50.57+/-7.71mm. 3.Angles. Nasofacial angle: 30.19+/-3.43degrees/29.13+/-6.31degrees, Nasofrontal angle: 134.88+/-7.25degrees/139.94+/-6.33degrees, Nasolabial angle: 95.08+/-8.95degrees/95.80+/-8.93degrees. 4.Nasal index: 72.60+/-9.57%/68.21+/-7.03%, Nasal tip protrusion-nasal height index: 45.64+/-5.21% /47.09+/- 5.21%, Nasal tip protrusion-nasal width index: 32.61+/-6.83% /31.63+/-6.71% CONCLUSION: These data could be useful reference for anthropometry of nose in Korean twenties.
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Adolescent , Female , Humans , Anthropometry , Axis, Cervical Vertebra , NoseABSTRACT
Objective To analysis the therapeutic effect of microsurgery through single-nostril transsphenoidal approach on pituitary adenomas and to study the surgical skill and postoperative complications about microsurgery for pituitary adenomas.Methods The clinical manifestations,pathological type, removal percentage,postoperative complications and follow-up data of 241 cases with pituitary ademoma by microsurgery through single-nostril transsphenoidal approach were analysed retrospectively.Results 171(7 1%)cases were achieved total tumor removal,28(11.6%)cases were achieved subtotal tumor removal,26(10.7%)cases were achieved most tumor removal and 16(6.6%)cases were achieved partial tumor removal.Most of patients achieved better results,however there were 38(15.8%)eases with diabetes insipidus,12(4.9%)cases with transient worse sight,4(1.6%)cases with cerebrospinal fluid leakage,2(0.8%)cases with oculomotor paralysis,and no death.The postoperative complications were cured and outcome was considered as good.The follow-up period was 1-36 months in 241 patients and the clinical symptoms were improved by different degrees.Conclusion Pituitary adenomas can be treated by microsurgery through single-nostril transsphenoidal approach due to the time of operation shorten,the postoperative complications.