NASAL COMPLIANCE ON PATIENT WITH PTSD
.Prof Livije Kalogjera
City hospital Pakrac .Kojić Psychiatry dep
ENT Clinic
Zag...
PTSD
• Trigger- enviromental event
• Abnormal or disordered reaction to
stress
• Amygdala and hyppocampus
BERSERK
“Tight me, my friends, because
When I will hear this warrior song,
I lost consciousness and I will
hurt anyone
AMOK
If you accepted a stress impulse,
you are going run to the street and
try to kill so many people with your
short ...
MAD DOG WHO WANT S TO
DIE
If you a Crow warrior, and
you dissappointing in combat
You have two possibilities
1. Becam...
NOWADAY s
• PTSD expression is very painfull for
patients, family and society
• PTSD going to most popular in modern
s...
Nowaday s we know (two
way) pathways
WELL KNOWN
Olfactory n.
Trigeminal
Sympathetic
parasymphatetic
HYPOTHETIC
Cra...
HYPOTHESIS
• PTSD aggravate sympotms of CRS
• Similar like chronic fatigue syndroma
METHODS
• 15 patinets with CRS
• 15 patients with PTSD/CRS
• either obstruction or hypersecretion/postnasal
drip,
• +...
METHODS
• Medical outcome survey short form SF-
36
• Sinonasal outcome test 22 SNOT 22
• VAS
60
58
56
54
52
50
48
46
44
49 58
SNOT 22
CRS
PTSD/CRS
20
10
0
-10
-20
-30
-40
-50
PTSP/CRS
GROUP
.1...
70
60
50
40
30
20
10
0
SF 36
CRS
PTSD/CRS
90
80
70
60
50
40
30
20
10
0
CRS PTSD/CRS
Physical
functi...
60
50
40
30
20
10
0
¸VAS SCORE
CRS
PTSD/CRS
39 56
80
70
60
50
40
30
20
10
0
Nasal crusts Vomiting Diar...
80
70
60
50
40
30
20
10
0
Headache
obstruction
Nasal
Runny nose
Discharge
Feeling of
fullness
CRS
PTSP/CR...
VAS
70
60
50
40
30
20
10
0
Facial pain Tooth pain General
health
Tiredness
CRS
PTSP/CRS
Discussion
PTSD/CRS vrs. CRS
• Basic research
• Questionarre
• education
• Advanced
• interview
Discussion
• Basic reserch vrs. Advanced
• Quoestionarre vrs. Interview
• Education between group?
• Serching for bene...
Nasal Compliance on Patients With PTSD
of 18

Nasal Compliance on Patients With PTSD

Posttraumatic stress disorder, Chronic rhinosinusitis, comorbidity
Published on: Mar 3, 2016
Published in: Health & Medicine      
Source: www.slideshare.net


Transcripts - Nasal Compliance on Patients With PTSD

  • 1. NASAL COMPLIANCE ON PATIENT WITH PTSD .Prof Livije Kalogjera City hospital Pakrac .Kojić Psychiatry dep ENT Clinic Zagreb . Dražen Shejbal ENT dep Siniša Stevanović ENT dep City hospital Virovitica . We are here .
  • 2. PTSD • Trigger- enviromental event • Abnormal or disordered reaction to stress • Amygdala and hyppocampus
  • 3. BERSERK “Tight me, my friends, because When I will hear this warrior song, I lost consciousness and I will hurt anyone
  • 4. AMOK If you accepted a stress impulse, you are going run to the street and try to kill so many people with your short knife and pedestrians try to stop you with (longer than your knife) wooden pitch fork. ( killing animal is strongly forbidden)
  • 5. MAD DOG WHO WANT S TO DIE If you a Crow warrior, and you dissappointing in combat You have two possibilities 1. Became a “Mad dog who wants to die” and going in Another combat without Armours, only with howl 2. Became a woman
  • 6. NOWADAY s • PTSD expression is very painfull for patients, family and society • PTSD going to most popular in modern science and entertaiment
  • 7. Nowaday s we know (two way) pathways WELL KNOWN Olfactory n. Trigeminal Sympathetic parasymphatetic HYPOTHETIC Cranial nerve zero Vomeronasal Nose shape
  • 8. HYPOTHESIS • PTSD aggravate sympotms of CRS • Similar like chronic fatigue syndroma
  • 9. METHODS • 15 patinets with CRS • 15 patients with PTSD/CRS • either obstruction or hypersecretion/postnasal drip, • + hyposmia or facial pressure/headache longer than 3 months, confirmed either by endoscopy and/or CT score Lund-Mackay greater than 5.
  • 10. METHODS • Medical outcome survey short form SF- 36 • Sinonasal outcome test 22 SNOT 22 • VAS
  • 11. 60 58 56 54 52 50 48 46 44 49 58 SNOT 22 CRS PTSD/CRS 20 10 0 -10 -20 -30 -40 -50 PTSP/CRS GROUP .12! Nasal symptoms Emotional Sleep fatigue 50 40 .Nasal 30 symptoms 20 10 12! 0 -10 -20 CRS GROUP Emotional Sleep fatigue 5 most important items CRS PTSD/CRS 3. Runny nose 13. difficulty falling asleep 4. Nasal obstruction 14. wake up at night
  • 12. 70 60 50 40 30 20 10 0 SF 36 CRS PTSD/CRS 90 80 70 60 50 40 30 20 10 0 CRS PTSD/CRS Physical function Limit. Physical health Limit. Emo. Probl. Energy fatigue Emo Well being Social Func. pain General health 64 32
  • 13. 60 50 40 30 20 10 0 ¸VAS SCORE CRS PTSD/CRS 39 56 80 70 60 50 40 30 20 10 0 Nasal crusts Vomiting Diarrhea CRS PTSD/CRS
  • 14. 80 70 60 50 40 30 20 10 0 Headache obstruction Nasal Runny nose Discharge Feeling of fullness CRS PTSP/CRS VAS
  • 15. VAS 70 60 50 40 30 20 10 0 Facial pain Tooth pain General health Tiredness CRS PTSP/CRS
  • 16. Discussion PTSD/CRS vrs. CRS • Basic research • Questionarre • education • Advanced • interview
  • 17. Discussion • Basic reserch vrs. Advanced • Quoestionarre vrs. Interview • Education between group? • Serching for benefit between group • PTSD-drugs- nasal congestion

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