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https://www.readbyqxmd.com/read/27903040/tonsillotomy-an-alternative-surgical-option-to-total-tonsillectomy-in-children-with-obstructive-sleep-apnoea
#1
Sabin Smith
BACKGROUND: Total tonsillectomy remains one of the most common ear, nose and throat (ENT) procedures performed in children. General practitioners (GPs) are commonly involved in the referral of children with obstructive sleep apnoea (OSA). Intracapsular tonsilltomy (partial tonsillectomy) is fast becoming a popular surgical option to total tonsillectomy in children with OSA. OBJECTIVE: The objective of this article is to provide information about partial tonsillectomy and its potential benefits over total tonsillectomy in the treatment of children with OSA for referring GPs...
December 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27845826/withdrawn-interventions-for-ear-discharge-associated-with-grommets-ventilation-tubes
#2
REVIEW
Louise Vaile, Tim Williamson, Angus Waddell, Gordon J Taylor
BACKGROUND: The insertion of grommets (also known as ventilation or tympanostomy tubes) is one of the most common surgical procedures performed on children. Postoperative otorrhoea (discharge) is the most common complication with a reported incidence ranging from 10% to 50%. In the UK, many ENT surgeons treat with topical antibiotics/steroid combinations, but general practitioners, mainly through fears of ototoxicity, are unlikely to prescribe these and choose systemic broad-spectrum antibiotics...
November 15, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27833963/anterior-commissure-laryngeal-neoplasm-endoscopic-management
#3
Nicolae Constantin Balica, Mărioara Poenaru, Eugen HoraŢiu Ştefănescu, Eugen Radu Boia, Caius Ion Doroş, Flavia Baderca, Octavian Mazilu
The CO2 laser surgery represents a treatment method of laryngeal bicordal and anterior commissure glottic cancer T1b, T2, N0. In Department of ENT, Timisoara, Romania, during 1.01.2001-31.12.2011 were analyzed 781 files from patients with laryngeal neoplasm. One hundred twenty-seven patients presented the tumor that involved both vocal cords and anterior commissure, stages T1b, T2 and T3. Therapeutic options included CO2 laser microsurgical excision for 55 (43.30%) patients, frontolateral hemilaryngectomy for 16 (12...
2016: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/27833875/endoscopic-septoplasty-two-handed-technique-with-endoscope-holder-a-novel-approach
#4
Mubarak M Khan, Sapna R Parab
The popularity of endoscopes has been expanding not only in diagnostics but also in therapeutics. The traditional septal surgery also has come under the purview of endoscopic surgery in the last few decades. Endoscopic septoplasty has definitely many advantages over the conventional procedure. But the only disadvantage of endoscopic surgery is that it is a single handed technique as the other hand is used for holding the endoscope which may compromise the overall surgical time as the hemostasis and suctioning of the surgical field off the blood cannot be done simultaneously, in addition to the surgeon fatigue associated with holding the endoscope in the left hand...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27776803/hypoparathyroidism-following-thyroidectomy-predictive-factors
#5
Cristiana Coimbra, Francisco Monteiro, Pedro Oliveira, Leandro Ribeiro, Mário Giesteira de Almeida, Artur Condé
OBJECTIVE: To evaluate the incidence and predictive factors for transient and permanent hypocalcemia and hypoparathyroidism following thyroidectomy. METHOD: We studied all the 162 patients that underwent thyroid surgery in the ENT department of the Centro Hospitalar Vila Nova Gaia/Espinho from January 2005 to December 2014. We reviewed pre-operative, 6h and 12h after surgery ionized calcium and PTH levels. All patients were reviewed and evaluated according to the following criteria: gender, age, thyroid function, histologic diagnosis of the specimen, surgery extension and presence or absence of hypoparathyroidism...
October 21, 2016: Acta Otorrinolaringológica Española
https://www.readbyqxmd.com/read/27729123/multiple-delayed-post-tonsillectomy-bleedings-in-11-year-old-girl-as-a-result-of-vascular-abnormality-and-anastomosis-case-report
#6
Beata Pucher, Jaroslaw Szydlowski, Wieslaw Smoczyk, Katarzyna Jonczyk-Potoczna, Michal Grzegorowski, Aleksandra Korytowska
Tonsillectomy and adenoidectomy are the most common surgical procedures in pediatric otolaryngology. The incidence of primary hemorrhage after tonsillectomy in children ranges from 0.38 to 6%. The prevalence of secondary bleeding occurs in 0.5%-9.3% cases [1]. Authors present a case of an 11-year-old girl who experienced 6 delayed, massive post-tonsillectomy bleedings as a result of presence of vascular malformation and the activation of collateral circulation as a result of the left ECA ligature.
November 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27720721/what-name-best-represents-our-specialty-oral-and-maxillofacial-surgeon-versus-oral-and-facial-surgeon
#7
Andre V Guerrero, Jeffrey A Elo, Ho-Hyun Brian Sun, Alan S Herford
PURPOSE: To determine whether changing "oral and maxillofacial surgeon" (OMS) to "oral and facial surgeon" would improve the perception and awareness of the OMS's role and surgical scope of practice in undergraduate biomedical and dental students. MATERIALS AND METHODS: This cross-sectional study requested undergraduate and dental students to select 1 of 5 specialists to treat 21 conditions. Two different surveys were presented: 1 designating specialists as "oral and maxillofacial surgeons" and 1 designating specialists as "oral and facial surgeons...
September 14, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27717107/management-of-patients-with-ocular-manifestations-in-vesiculobullous-disorders-affecting-the-mouth
#8
REVIEW
M S Hansen, O N Klefter, H O Julian, A M Lynge Pedersen, S Heegaard
Pemphigoid and pemphigus diseases as well as Stevens-Johnson syndrome present as vesiculobullous disorders of the skin and may additionally involve both the oral cavity and the ocular surface. Ocular involvement ranges from mild irritation and dry eye disease to chronic conjunctivitis, symblepharon, eyelid malposition, ocular surface scarring and severe visual loss. In addition to diagnostic assessments, ophthalmologists must treat the dry eye and meibomian gland dysfunction components of these diseases using a stepladder approach, including eyelid hygiene and lubricants...
October 7, 2016: Oral Diseases
https://www.readbyqxmd.com/read/27707422/current-demand-of-paediatric-otolaryngology-input-for-children-with-down-s-syndrome-in-a-tertiary-referral-centre
#9
M Khalid-Raja, K Tzifa
OBJECTIVE: This study aimed to evaluate the activity of paediatric otolaryngology services required for children with Down's syndrome in a tertiary referral centre. METHODS: A review of the paediatric otolaryngology input for children with Down's syndrome was performed; data were obtained from the coding department for a two-year period and compared with other surgical specialties. RESULTS: Between June 2011 and May 2013, 106 otolaryngology procedures were performed on children with Down's syndrome...
October 6, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27706117/the-effect-of-routine-availability-of-sugammadex-on-postoperative-respiratory-complications-a-historical-cohort-study
#10
Benjamin L Olesnicky, Catherine Traill, Frank B Marroquin-Harris
BACKGROUND: Postoperative residual curarisationf is a preventable cause of postoperative morbidity. Although sugammadex has been shown to reduce the risk of residual curarisation, it has not yet been shown if this directly translates to a reduction in morbidity. We aimed to demonstrate whether the introduction of unrestricted sugammadex for routine reversal changed the incidence of post-operative respiratory diagnoses and the rate of airway and respiratory complications in the post-operative care unit...
October 5, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27699162/bovine-aortic-arch-and-bilateral-retroesophageal-course-of-common-carotid-arteries-in-a-symptomatic-patient
#11
Daniele Bissacco, Maurizio Domanin, Giuseppina Schinco, Livio Gabrielli
Anatomical variations of carotid arteries may be related to their development (agenesis, aplasia, hypoplasia) or course (coiling, kinking, tortuosity). Partial or total aberrancies in carotid vessel anatomy rarely occur. We describe the case of a 95-year-old woman presented with sudden onset of confusion and disorientation together with upper limb clonus. Computed tomography (CT)-scan revealed a left frontal brain injury with a not conclusive carotid doppler ultrasound. CT angiography reported a bovine aortic arch with bilateral retroesophageal course of both common carotid arteries and left severe (>70%) internal carotid artery stenosis...
September 2016: Vascular Specialist International
https://www.readbyqxmd.com/read/27695542/intracranial-abscesses-retrospective-analysis-of-32-patients-and-review-of-literature
#12
David O Udoh, Emmanuel Ibadin, Mojisola O Udoh
BACKGROUND: Intracranial abscess collections, though uncommon, are dreaded complications of head trauma, neurosurgical operations, meningitis, and otogenic, mastoid, and paranasal air sinus infections. Combining surgical evacuation with the appropriate antibiotic therapy is the effective treatment for intracranial abscesses. However, literature on surgical treatment is replete with several procedures which, on their own, may not. OBJECTIVES: To determine the epidemiology and outcomes (of various treatment modalities) of intracranial abscesses in our institution, a major referral center for neurosurgical conditions in the midwestern region of Nigeria...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27681601/the-effect-of-an-educational-pre-operative-dvd-on-parents-and-children-s-outcomes-after-a-same-day-surgery-a-randomized-controlled-trial
#13
Julie Chartrand, Jocelyne Tourigny, Johnna MacCormick
AIMS: To examine the effect of a pre-operative DVD on parents' knowledge, participation and anxiety and on children's distress, pain, analgesic requirements and length of recovery after same-day surgery. BACKGROUND: Very few parents are adequately prepared to participate in their child's care during a same-day surgery. An educational DVD was developed to educate parents on how to actively support their child in the recovery room. DESIGN: Single-blind, post-test randomized controlled trial...
September 28, 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27677599/practice-patterns-of-sleep-otolaryngologists-at-training-institutions-in-the-united-states
#14
Austin S Lam, Sarah K Wise, Raj C Dedhia
OBJECTIVE: To assess the practice characteristics of adult sleep otolaryngologists within US otolaryngology residency training programs. STUDY DESIGN: Cross-sectional online survey. SETTING: Otolaryngology residency training programs. SUBJECTS AND METHODS: Program directors from 106 otolaryngology training programs in the United States were contacted. Program directors were instructed to forward a survey to otolaryngologists within the institution who provided Accreditation Council for Graduate Medical Education (ACGME) Otolaryngology Milestone Project feedback in "sleep-disordered breathing...
September 27, 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27608941/the-introduction-of-emergency-cricothyroidotomy-simulation-training-in-zimbabwe-contributed-to-the-saving-of-two-lives
#15
M B Avnstorp, P V F Jensen, T Dzongodza, N Matinhira, C Chidziva, J Melchiors, C Von Buchwald
BACKGROUND: In developing countries with limited access to ENT services, performing emergency cricothyroidotomy in patients with upper airway obstruction may be a life-saving last resort. An established Danish-Zimbabwean collaboration of otorhinolaryngologists enrolled Zimbabwean doctors into a video-guided simulation training programme on emergency cricothyroidotomy. This paper presents the positive effect of this training, illustrated by two case reports. CASE REPORTS: A 56-year-old female presented with upper airway obstruction due to a rapidly progressing infectious swelling of the head and neck progressing to cardiac arrest...
September 9, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27606108/the-burden-of-surgical-cancellations-and-no-shows-quality-management-study-from-a-large-regional-hospital-in-oman
#16
Sivasubramanian T Appavu, Salim M Al-Shekaili, Ahmed M Al-Sharif, Mohamed M Elawdy
OBJECTIVES: The operating theatre (OT) is a vital facility that utilises a considerable portion of the hospital's budget; thus proper OT utilisation is essential. Surgical cancellation is a leading cause of OT underutilisation. This study aimed to report the rate and reasons for surgical cancellations and no-shows in a large regional hospital in Oman. METHODS: This study took place as part of a retrospective quality management project at the Ibri Regional Hospital, Ibri, Oman...
August 2016: Sultan Qaboos University Medical Journal
https://www.readbyqxmd.com/read/27566369/-intraoperative-navigation-with-focus-on-the-skull-base
#17
C R Wirtz
Intraoperative navigation systems are widely used in ENT, oral and maxillofacial, and neurosurgery. The benefits of such systems have been demonstrated in various applications, including intracranial and skull base surgery. Intraoperative shift, "brain shift" and changes in anatomy caused by the surgical procedure itself impair the accuracy of navigation and represent factors limiting its application, particularly in glioma and metastatic brain surgery. For this reason, intraoperative imaging was incorporated into neurosurgery...
September 2016: HNO
https://www.readbyqxmd.com/read/27544213/impact-of-anti-inflammatory-drug-consumption-in-peritonsillar-abscesses-a-retrospective-cohort-study
#18
Thomas Feasson, Mathilde Debeaupte, Clément Bidet, Florence Ader, François Disant, Tristan Ferry, Christian Chidiac, Florent Valour
BACKGROUND: The experience of clinicians in charge of the in-hospital management of peritonsillar abscesses supports the association between severe forms and anti-inflammatory drug (AID) consumption. However, this observation is based on a limited number of clinical studies. Our objective was to assess the prevalence and impact of AID consumption in patients with peritonsillar abscesses. METHODS: All patients referred to the ear, nose and throat surgery department for a peritonsillar abscess were included in a retrospective cohort study (2012-2014)...
2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27533126/association-between-computed-tomographic-scan-and-timing-and-treatment-of-peritonsillar-abscess-in-children
#19
Maria C Grant, J Lindhe Guarisco
Importance: There is not a consensus on the best diagnostic algorithm for children with a potential peritonsillar abscess. The association of computed tomographic (CT) scanning in children with a pertonsillar abscess and intervention chosen by the treating physician, or the potential delay of treatment associated with such imaging, has not yet been explored. Objectives: To determine if use of a CT scan is associated with a difference in clinical intervention for peritonsillar abscess and to determine if use of a CT scan is associated with delay of this intervention...
November 1, 2016: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/27513603/stakeholders-views-of-recurrent-sore-throat-tonsillitis-and-their-management-a-qualitative-interview-study-for-the-national-trial-of-tonsillectomy-in-adults-nattina-part-1
#20
Lorraine A McSweeney, Nikki S Rousseau, Janet A Wilson, Scott Wilkes, Catherine A Haighton
OBJECTIVES: To determine the impact of recurrent sore throats and tonsillitis in adults and stakeholder views of treatment pathways. DESIGN: Qualitative semi-structured interview design reporting novel data from a feasibility study for a UK national trial of tonsillectomy in adults. SETTING: Nine study sites linked to Ear, Nose and Throat departments in National Health Service hospitals located across the United Kingdom. PARTICIPANTS: Fifteen patients, 11 general practitioners and 22 Ear, Nose and Throat staff consented to in-depth interviews which were analysed using a Framework Analysis approach...
August 11, 2016: Clinical Otolaryngology
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