ABSTRACT
BACKGROUND: In the literature we found only five reports about noninvasive ventilation in cases with central hypoventilation syndrome. PATIENT AND METHOD: We report about a 4-year-old boy with severe late onset hypoventilation syndrome. During an interval of 3 months with nasal mask ventilation during sleep he showed an excellent cognitive and statomotoric development. After this time, he needed a noninvasive ventilation with a negative pressure system. RESULTS AND DISCUSSION: In our opinion, noninvasive nasal mask ventilation is a modern method in the treatment of patients with central hypoventilation syndrome. Tracheotomy is only necessary during the first year of life.
Subject(s)
Intermittent Positive-Pressure Ventilation , Sleep Apnea Syndromes/therapy , Child, Preschool , Follow-Up Studies , Humans , Male , PolysomnographyABSTRACT
BACKGROUND: There are only small experiences with mechanical ventilation via nasal mask in childhood. PATIENTS AND METHODS: Eleven patients using NIPPV (9 patients aged 4 to 18 years and 2 patients with cystic fibrosis aged 20 and 25 years). RESULTS: NIPPV was effective in all 11 patients. Seven patients needed supplemental oxygen. Theophyllin, Almitrin and Salbutamol could support the nasal ventilation in special conditions. CONCLUSION: Intermittent ventilation via nasal mask is a noninvasive and effective treatment of chronic respiratory failure in childhood. Monitoring with continuous pulse-oximetry is necessary.
Subject(s)
Cystic Fibrosis/rehabilitation , Intermittent Positive-Pressure Breathing/instrumentation , Masks , Neuromuscular Diseases/rehabilitation , Respiratory Insufficiency/rehabilitation , Scoliosis/rehabilitation , Sleep Wake Disorders/rehabilitation , Adolescent , Child , Child, Preschool , Female , Home Care Services , Humans , Male , Patient Acceptance of Health Care , PolysomnographySubject(s)
Hypercapnia/etiology , Pulmonary Heart Disease/etiology , Respiration, Artificial/instrumentation , Respiratory Insufficiency/etiology , Respiratory Insufficiency/therapy , Scoliosis/congenital , Scoliosis/complications , Blood Gas Monitoring, Transcutaneous , Child , Female , Humans , Pulmonary Heart Disease/physiopathology , Radiography , Respiration, Artificial/methods , Respiratory Insufficiency/blood , Scoliosis/diagnostic imaging , Scoliosis/physiopathology , Sleep, REM/physiology , Thoracic VertebraeABSTRACT
The general performance and correlations of voice and speech are explained. The speech function is characterized in its spheres of activity, its development and acquisition are described.
Subject(s)
Dentistry , Speech/physiology , Voice/physiology , Communication , Humans , Phonation/physiology , PsychophysiologyABSTRACT
Prostheses and tooth-related aspects are related to voice and speech function. Phonetic points of view are discussed within prosthetic therapy. It is drawn the attention to possible improvements in the speech sound formation especially in connection with surgical prosthetic cares.
Subject(s)
Dental Restoration, Permanent , Dentures , Speech/physiology , Voice/physiology , Humans , Oral Surgical Procedures, Preprosthetic , Phonetics , Tooth/physiologyABSTRACT
Selected subjective and objective test methods for the assessment of the voice and speech function are presented. Special attention is drawn to sonography as an important objective method at present. Examples of electroacoustic examination methods complete the test possibilities.
Subject(s)
Speech/physiology , Voice/physiology , Humans , Palate/physiology , Phonetics , Sound Spectrography , Speech Intelligibility , Voice Quality/physiologySubject(s)
Dentures , Maxillofacial Prosthesis , Speech , Cleft Lip/surgery , Cleft Palate/surgery , Humans , Nose/surgery , Orthognathic Surgical ProceduresSubject(s)
Denture, Overlay , Denture, Partial, Removable , Dental Abutments , Denture Retention , HumansABSTRACT
The author describes a malformation of the cartilage of the external auditory meatus. This malformation might be repaired by a surgical intervention. The patient in question needed prosthetic treatment. The resultant problems are dealt with, and a solution is suggested.
Subject(s)
Ear, External/abnormalities , Hearing Aids , Hearing Disorders/etiology , Hearing Disorders/therapy , Humans , Male , Middle Aged , Plastics , Prostheses and ImplantsABSTRACT
The results obtained by the authors permit the conclusion that cover dentures within the telescoping system cannot be considered profitable owing to loosening of the abutment teeth, irreparable injuries to the marginal periodontium and relatively considerable repair requirements. The injuries observed are so aggravating that the aesthetically pleasant designing of these prostheses, their relatively low laboratory fees and the possible saving of metal do not justify their use.
Subject(s)
Denture, Overlay , Denture, Overlay/adverse effects , Gingivitis/etiology , Humans , Metals , PlasticsABSTRACT
Follow-up examinations revealed in general positive results with telescoping partial dentures. Corresponding to their indications, subtotal constructions are very suited as a transitional solution for the period prior to changing over to full dentures.