Inspissated oral secretions and a review of their clinical, biological, and physiological significance
Identifieur interne : 003A16 ( Main/Exploration ); précédent : 003A15; suivant : 003A17Inspissated oral secretions and a review of their clinical, biological, and physiological significance
Auteurs : Dennis Flanagan [États-Unis]Source :
- Special Care in Dentistry [ 0275-1879 ] ; 2012-06.
English descriptors
- KwdEn :
- Airway, Airway obstruction, Aspiration, Aspiration pneumonia, Asthma, Bacterial colonies, Biological markers, Breast carcinoma, Candida infections, Cellular debris, Chronic diseases, Cystic, Cystic fibrosis, Food debris, Glycoprotein, Health status, Human mucins, Hydration, Inspissated, Inspissated oronasal, Inspissated secretions, Intubated ventilation, Long periods, Medical treatment, Mucin, Mucosal, Neck burns, Nieuw amerongen, Obstruction, Oral cavity, Oral cleansing, Oral dryness, Oral health, Oral hygiene, Oral mucosal surfaces, Pneumonia, Prosthesis cleansing, Saliva, Salivary, Salivary flow, Salivary mucins, Salivary proteins, Secretion, Sinus, Sublingual glands, Surgical sponge, Xerostomia.
- Teeft :
- Airway, Airway obstruction, Aspiration, Aspiration pneumonia, Asthma, Bacterial colonies, Biological markers, Breast carcinoma, Candida infections, Cellular debris, Chronic diseases, Cystic, Cystic fibrosis, Food debris, Glycoprotein, Health status, Human mucins, Hydration, Inspissated, Inspissated oronasal, Inspissated secretions, Intubated ventilation, Long periods, Medical treatment, Mucin, Mucosal, Neck burns, Nieuw amerongen, Obstruction, Oral cavity, Oral cleansing, Oral dryness, Oral health, Oral hygiene, Oral mucosal surfaces, Pneumonia, Prosthesis cleansing, Saliva, Salivary, Salivary flow, Salivary mucins, Salivary proteins, Secretion, Sinus, Sublingual glands, Surgical sponge, Xerostomia.
Abstract
ABSTRACT People with some chronic diseases may dehydrate and develop thick, viscous inspissated oronasal secretions that include cellular debris. This material can lead to ductal or airway obstructions that can prove to be life threatening. Asthma, allergy with superinfection, cystic fibrosis, intubated ventilation, burn injuries, and medication‐induced complications are discussed in this paper. Many patients with chronic debilitating conditions may also be unable to communicate, and so may be unable to verbally convey that they have a compromised airway or an obstruction. Therefore, it is essential to maintain hydration and good oral hygiene that not only addresses the teeth and prostheses, but also the oral mucosal surfaces. People who are institutionalized and bed‐ridden, in particular, need to be closely monitored to prevent adverse sequellae. A daily oral sweep with a 4 × 4 surgical sponge moistened with chlorhexidine may prevent aspiration pneumonia or a fatality due to an airway obstruction. Human oronasal secretions are involved with immunity, digestion, lubrication, and speech. Saliva is the most volumetrically important. These secretions moisturize inspired and expired air but can lose water, causing an increase in viscosity. The viscous secretions trap particles, food debris, and bacterial colonies, thereby increasing inspissations that may obstruct the airway.
Url:
DOI: 10.1111/j.1754-4505.2012.00241.x
Affiliations:
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Care in Dentistry</title><title level="j" type="alt">SPECIAL CARE IN DENTISTRY</title><idno type="ISSN">0275-1879</idno><idno type="eISSN">1754-4505</idno><imprint><biblScope unit="vol">32</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="99">99</biblScope><biblScope unit="page" to="104">104</biblScope><biblScope unit="page-count">6</biblScope><publisher>Blackwell Publishing Inc</publisher><pubPlace>Malden, USA</pubPlace><date type="published" when="2012-06">2012-06</date></imprint><idno type="ISSN">0275-1879</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0275-1879</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Airway</term><term>Airway obstruction</term><term>Aspiration</term><term>Aspiration pneumonia</term><term>Asthma</term><term>Bacterial colonies</term><term>Biological markers</term><term>Breast carcinoma</term><term>Candida infections</term><term>Cellular 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xml:lang="en"><term>Airway</term><term>Airway obstruction</term><term>Aspiration</term><term>Aspiration pneumonia</term><term>Asthma</term><term>Bacterial colonies</term><term>Biological markers</term><term>Breast carcinoma</term><term>Candida infections</term><term>Cellular debris</term><term>Chronic diseases</term><term>Cystic</term><term>Cystic fibrosis</term><term>Food debris</term><term>Glycoprotein</term><term>Health status</term><term>Human mucins</term><term>Hydration</term><term>Inspissated</term><term>Inspissated oronasal</term><term>Inspissated secretions</term><term>Intubated ventilation</term><term>Long periods</term><term>Medical treatment</term><term>Mucin</term><term>Mucosal</term><term>Neck burns</term><term>Nieuw amerongen</term><term>Obstruction</term><term>Oral cavity</term><term>Oral cleansing</term><term>Oral dryness</term><term>Oral health</term><term>Oral hygiene</term><term>Oral mucosal surfaces</term><term>Pneumonia</term><term>Prosthesis cleansing</term><term>Saliva</term><term>Salivary</term><term>Salivary flow</term><term>Salivary mucins</term><term>Salivary proteins</term><term>Secretion</term><term>Sinus</term><term>Sublingual glands</term><term>Surgical sponge</term><term>Xerostomia</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">ABSTRACT People with some chronic diseases may dehydrate and develop thick, viscous inspissated oronasal secretions that include cellular debris. This material can lead to ductal or airway obstructions that can prove to be life threatening. Asthma, allergy with superinfection, cystic fibrosis, intubated ventilation, burn injuries, and medication‐induced complications are discussed in this paper. Many patients with chronic debilitating conditions may also be unable to communicate, and so may be unable to verbally convey that they have a compromised airway or an obstruction. Therefore, it is essential to maintain hydration and good oral hygiene that not only addresses the teeth and prostheses, but also the oral mucosal surfaces. People who are institutionalized and bed‐ridden, in particular, need to be closely monitored to prevent adverse sequellae. A daily oral sweep with a 4 × 4 surgical sponge moistened with chlorhexidine may prevent aspiration pneumonia or a fatality due to an airway obstruction. Human oronasal secretions are involved with immunity, digestion, lubrication, and speech. Saliva is the most volumetrically important. These secretions moisturize inspired and expired air but can lose water, causing an increase in viscosity. The viscous secretions trap particles, food debris, and bacterial colonies, thereby increasing inspissations that may obstruct the airway.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Connecticut</li></region></list><tree><country name="États-Unis"><region name="Connecticut"><name sortKey="Flanagan, Dennis" sort="Flanagan, Dennis" uniqKey="Flanagan D" first="Dennis" last="Flanagan">Dennis Flanagan</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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