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Biomedical subjects

V M McNamara

Publications and source records attributed to V M McNamara.

2 recordsLinked to original sources

Tracheomalacia.

Tracheomalacia is a rare condition characterised by collapse of the trachea during respiration. The condition is seen most often in infants and young children. Mild cases can be managed expectantly; however, severe cases can be associated with life-threatening cyanotic attacks and intervention to stabilise the airway is invariably necessary. Most commonly this involves an aortopexy to suspend the anterior wall of the trachea but other options include endoluminal or extraluminal stenting, long-term positive pressure ventilation and tracheostomy. Although tracheomalacia resolves spontaneously in most infants within the first few years of life, severe tracheomalacia is associated with significant morbidity and mortality that should not be underestimated.

Cartilage Diseases↗

Goitre: a cause of obstructive sleep apnoea in euthyroid patients.

While hypothyroidism is considered to predispose to obstructive sleep apnoea (OSA), the presence of a goitre itself is not a recognized cause of OSA. We present the cases of two euthyroid patients with large goitres and clinical evidence of OSA, whose OSA symptoms significantly improved following partial thyroidectomy. This finding suggests that the goitre contributed to their symptoms.

Aged↗