Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0262471 (ENT)
 5,307 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

An absent gag reflex is often employed clinically as an indicator of aspiration risk. Dysphagia clinic records of 120 neurological patients who had undergone speech therapy and ENT assessment, followed by videofluoroscopy, were retrospectively analysed to ascertain if any link between an absent gag reflex and aspiration could be demonstrated. No association between an absent gag reflex and aspiration or laryngeal overspill was found (Mann-Whitney U-test; 2-tailed P = 0.11). Abnormalities on indirect laryngoscopy were seen in 34/120 patients (28%), and these were more closely related to aspiration risk (Mann-Whitney U-test: 2-tailed P = 0.06). An absent gag reflex is not a useful predictor of aspiration, and assessment of the gag reflex should not be relied upon to predict airway safety. However, indirect laryngoscopy is a useful adjunct to standard speech therapy assessment of the dysphagic patient.
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PMID:The gag reflex and aspiration: a retrospective analysis of 120 patients assessed by videofluoroscopy. 887 91

The aim of the paper was to assess the value of endoral ultrasound in tongue tumors diagnostics. It was performed by the evaluation of the tumor advancement and its comparison with palpation, assessment of neoplastic tissue infiltration, detection of satellite foci surrounding the main tumor mass. Endoral ultrasound vs transcutaneous ultrasound was compared. Follow-up by means of transoral ultrasound was applied. The limitations of the method were presented. 65 patients with tongue tumors, treated in ENT Department K. Marcinkowski University School of Medical Sciences between 1995-1999 were under study. 9 patients with suspicion of local recurrence were included to the examined group. Not able value of the method was proved. In 81.5% of cases the method occurred to be much more precise than palpation and revealed the bigger dimension of the tumor then stated clinically. The satellite foci and small lesions, not possible to be detect by means of transcutaneous ultrasound, were find out and thanks to it treated radically. This method allows to differentiate the scarred and neoplastic tissue, especially in patients with clinical suspicion of relapse. The limitations of the method: trismus, big extension of the lesion, surface bleeding and gag reflex are to be listed.
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PMID:[The value of endoscopic ultrasound examination for tongue neoplasms]. 1126 86

Kevin Kane has written about the painting by Barbara Hepworth of Garnett Passe performing a tonsillectomy, and wondered about the way in which the gag appears to be suspended. This article traces historically the various methods of holding the gag for tonsillectomy, and postulates that what is illustrated in the Hepworth painting is a jack owned by the late Dr Sydney Cocks, who not only was a friend of Passe but who also commenced the discussions with Passe's widow, Barbara, concerning the formation by her of a trust to support young Australian ENT surgeons, which eventually became The Garnett Passe and Rodney Williams Memorial Foundation.
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PMID:Garnett Passe and the tonsillectomy gag. 2678 72