The role of serial physical examinations in the management of angioedema involving the head and neck: A prospective observational study

Objective: To elucidate the progression of angioedema of the head and neck with routine management and to assess the utility of serial physical exams and fiberoptic laryngoscopy in its management. Methods: This study was a prospective observational research. From 2013 to 2014, a prospective observat...

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Autores principales: Gary Linkov, Jennifer R. Cracchiolo, Norman J. Chan, Megan Healy, Nausheen Jamal, Ahmed M.S. Soliman
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Lenguaje:EN
Publicado: KeAi Communications Co., Ltd. 2016
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Acceso en línea:https://doaj.org/article/34c5356d9e88435d96305861685b00c6
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spelling oai:doaj.org-article:34c5356d9e88435d96305861685b00c62021-12-02T17:31:08ZThe role of serial physical examinations in the management of angioedema involving the head and neck: A prospective observational study2095-881110.1016/j.wjorl.2016.01.002https://doaj.org/article/34c5356d9e88435d96305861685b00c62016-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881115300342https://doaj.org/toc/2095-8811Objective: To elucidate the progression of angioedema of the head and neck with routine management and to assess the utility of serial physical exams and fiberoptic laryngoscopy in its management. Methods: This study was a prospective observational research. From 2013 to 2014, a prospective observational study was conducted at a tertiary referral center. Forty patient were approached, 7 refused, 33 (18â90 years old) were enrolled. Patients presented with angioedema involving the head and neck over a 12 month period were asked to participate in the study. Physical examination and fiberoptic laryngoscopy were performed at presentation and then repeated at least 1 h later. Results: Thirty-three patients with head and neck angioedema from any cause were enrolled (mean age 58, range 23â89 years). The upper lip was the most commonly involved site (58%). On reevaluation, 82% of patients reported subjective improvement in symptoms. The association between subjective improvement and the physical exam, including fiberoptic laryngoscopy findings, was statistically significant (P < 0.001). Conclusion: In stable patients with angioedema of any head and neck subsite, self-reported symptoms are associated with clinical stability or improvement as assessed by physical signs and fiberoptic laryngoscopy. Patients' symptoms may be an appropriate surrogate to monitor clinical status without the need for routine serial physical examinations or fiberoptic laryngoscopy, though further study is needed. Keywords: Angioedema, Physical examination, Fiberoptic laryngoscopyGary LinkovJennifer R. CracchioloNorman J. ChanMegan HealyNausheen JamalAhmed M.S. SolimanKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 2, Iss 1, Pp 7-12 (2016)
institution DOAJ
collection DOAJ
language EN
topic Otorhinolaryngology
RF1-547
Surgery
RD1-811
spellingShingle Otorhinolaryngology
RF1-547
Surgery
RD1-811
Gary Linkov
Jennifer R. Cracchiolo
Norman J. Chan
Megan Healy
Nausheen Jamal
Ahmed M.S. Soliman
The role of serial physical examinations in the management of angioedema involving the head and neck: A prospective observational study
description Objective: To elucidate the progression of angioedema of the head and neck with routine management and to assess the utility of serial physical exams and fiberoptic laryngoscopy in its management. Methods: This study was a prospective observational research. From 2013 to 2014, a prospective observational study was conducted at a tertiary referral center. Forty patient were approached, 7 refused, 33 (18â90 years old) were enrolled. Patients presented with angioedema involving the head and neck over a 12 month period were asked to participate in the study. Physical examination and fiberoptic laryngoscopy were performed at presentation and then repeated at least 1 h later. Results: Thirty-three patients with head and neck angioedema from any cause were enrolled (mean age 58, range 23â89 years). The upper lip was the most commonly involved site (58%). On reevaluation, 82% of patients reported subjective improvement in symptoms. The association between subjective improvement and the physical exam, including fiberoptic laryngoscopy findings, was statistically significant (P < 0.001). Conclusion: In stable patients with angioedema of any head and neck subsite, self-reported symptoms are associated with clinical stability or improvement as assessed by physical signs and fiberoptic laryngoscopy. Patients' symptoms may be an appropriate surrogate to monitor clinical status without the need for routine serial physical examinations or fiberoptic laryngoscopy, though further study is needed. Keywords: Angioedema, Physical examination, Fiberoptic laryngoscopy
format article
author Gary Linkov
Jennifer R. Cracchiolo
Norman J. Chan
Megan Healy
Nausheen Jamal
Ahmed M.S. Soliman
author_facet Gary Linkov
Jennifer R. Cracchiolo
Norman J. Chan
Megan Healy
Nausheen Jamal
Ahmed M.S. Soliman
author_sort Gary Linkov
title The role of serial physical examinations in the management of angioedema involving the head and neck: A prospective observational study
title_short The role of serial physical examinations in the management of angioedema involving the head and neck: A prospective observational study
title_full The role of serial physical examinations in the management of angioedema involving the head and neck: A prospective observational study
title_fullStr The role of serial physical examinations in the management of angioedema involving the head and neck: A prospective observational study
title_full_unstemmed The role of serial physical examinations in the management of angioedema involving the head and neck: A prospective observational study
title_sort role of serial physical examinations in the management of angioedema involving the head and neck: a prospective observational study
publisher KeAi Communications Co., Ltd.
publishDate 2016
url https://doaj.org/article/34c5356d9e88435d96305861685b00c6
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