Australian Journal of Otolaryngology最新文献_第6页

Establishing an endoscopic laser service within the head and neck multidisciplinary team: a tertiary centre experience 在头颈部多学科团队中建立内窥镜激光服务:三级中心经验

Australian Journal of Otolaryngology Pub Date : 2022-07-01 DOI: 10.21037/ajo-21-38

J. Fussey, Navid Ahmadi, F. Riffat, C. Palme

引用次数: 0

Impact of coronavirus disease 2019 (COVID-19) on Ear, Nose and Throat (ENT) surgery waitlists in regional centres 2019冠状病毒病(COVID-19)对区域中心耳鼻喉科(ENT)手术候诊名单的影响

Australian Journal of Otolaryngology Pub Date : 2022-07-01 DOI: 10.21037/ajo-22-1

Samantha Jaensch, E. Tweddle

{"title":"Impact of coronavirus disease 2019 (COVID-19) on Ear, Nose and Throat (ENT) surgery waitlists in regional centres","authors":"Samantha Jaensch, E. Tweddle","doi":"10.21037/ajo-22-1","DOIUrl":"https://doi.org/10.21037/ajo-22-1","url":null,"abstract":"Background: Severe acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2) [coronavirus disease 2019 (COVID-19)] impacted many aspects of healthcare in Australia, particularly already strained elective surgery waiting lists in regional areas. Elective operating was suspended throughout New South Wales (NSW) and Victoria (Vic) despite cases being predominantly located in metropolitan centres. The aim of this study was to quantify the effect of COVID-19 on patients' time spent on Ear, Nose and Throat (ENT) elective surgery waiting lists and the likelihood of breaching recommended waiting times. Methods: Elective ENT operating data was collected from Albury Wodonga Health (AWH) and Dubbo Health Service (DHS) between March 2019 and February 2021. Data was analysed based on the time period (March 2019-February 2020 = pre-COVID, March 2020-February 2021 = COVID) and priority category (1, 2 or 3 based on clinical urgency). Results: A total of 2,915 operations were recorded across the two sites during the study period. There were statistically significant increases in both the length of time spent on waiting lists as well as the likelihood of breaching recommended waiting times following the arrival of COVID-19. This was true for both sites as well as across all priority categories. Conclusions: This study demonstrated a significant increase on the length of time patients spent on elective surgery waiting lists as well as the likelihood of these patients breaching recommended surgery waiting times following COVID-19 pandemic. The shutdown of elective surgery due to the pandemic has had an unnecessarily large impact on regional areas where case numbers were initially low and local services are already stretched. During future waves, a region-specific response involving elective surgery shutdown is recommended, rather than a state-wide or nationwide approach. © 2022 Australian Journal of Otolaryngology. All rights reserved.","PeriodicalId":165885,"journal":{"name":"Australian Journal of Otolaryngology","volume":"295 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134274269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Magnetic resonance imaging evaluation of choanal atresia in newborns 新生儿后肛门闭锁的磁共振成像评价

Australian Journal of Otolaryngology Pub Date : 2022-07-01 DOI: 10.21037/ajo-22-8

Hannah B. Tan, Chatura Rathnayake, S. Selvam, R. Berkowitz

引用次数: 0

Dysphagia in laryngomalacia: a prospective cohort study 喉软化症患者吞咽困难:一项前瞻性队列研究

Australian Journal of Otolaryngology Pub Date : 2022-06-01 DOI: 10.21037/ajo-21-44

J. Ha

{"title":"Dysphagia in laryngomalacia: a prospective cohort study","authors":"J. Ha","doi":"10.21037/ajo-21-44","DOIUrl":"https://doi.org/10.21037/ajo-21-44","url":null,"abstract":"Background: Dysphagia is an under recognised co-morbidity in patients with laryngomalacia. Its rate is variable reported in the literature. We aim to describe the incidence of dysphagia in laryngomalacia, the effect of interventions on this, and the period it persists in these infants. Methods: A prospective cohort from August 2017 to May 2018 of patients with laryngomalacia referred to the tertiary paediatric otolaryngology swallow clinic to a single surgeon were analysed for demographics, dysphagia risk factors, swallow function, and management. Results: There were 20 patients, with a mean age at diagnosis of 2.28 months. Gender was equally distributed in each group. The primary presentation was stridor (n=13, 65%), followed by both stridor and dysphagia (n=5, 25%), and dysphagia alone (n=2, 10%). Nine (45%) had supraglottoplasty. Pre-operative diet modification was instituted in 4 (44.44%). In the immediate post-operative period, this increased to 7 (77.78%) patients: 1 level 1 and 6 (30%) level 2. The median dysphagia time was 191.5 days. Oral aversion developed in 1/3. In the conservative group, diet modification was instituted in 4 (36.36%) patients: 3 level 1 and 1 level 2. The median dysphagia time for this population was 69 days. Conclusions: Dysphagia is an important co-morbidity that often co-exist with laryngomalacia. It persists long after the airway symptoms of laryngomalacia have resolved, especially in those who had supraglottoplasty. It is important to recognise this early to allow for appropriate management and follow up.","PeriodicalId":165885,"journal":{"name":"Australian Journal of Otolaryngology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133557862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laryngeal electromyography for vocal fold palsies—a modified technique in the Australian paediatric population 声带麻痹的喉肌电图-在澳大利亚儿科人群中的改良技术

Australian Journal of Otolaryngology Pub Date : 2022-05-01 DOI: 10.21037/ajo-21-11

Aaron Esmaili, M. Kava, J. Ha

引用次数: 0

Viral presence and the bacterial microbiome in chronic rhinosinusitis 慢性鼻窦炎的病毒存在和细菌微生物组

Australian Journal of Otolaryngology Pub Date : 2022-05-01 DOI: 10.21037/ajo-21-53

Rachel K Goggin, Catherine A. Bennett, C. Cooksley, A. Bassiouni, S. Bialasiewicz, P. Wormald, S. Vreugde, A. Psaltis

引用次数: 0

Bedside voice assessments cannot be used as a screening test for laryngeal injury following prolonged intubation in an intensive care population 在重症监护人群中，床边声音评估不能作为长期插管后喉损伤的筛查试验

Australian Journal of Otolaryngology Pub Date : 2022-04-01 DOI: 10.21037/ajo-21-42

Lucy Huang, T. Athanasiadis, M. Schar, C. Woods, A. Bassiouni, S. Martin, J. Bickford, S. Bihari, E. Ooi

引用次数: 0

Xylitol nasal preparations in sinonasal disease: a literature review and meta-analysis 木糖醇鼻制剂治疗鼻窦疾病:文献回顾和荟萃分析

Australian Journal of Otolaryngology Pub Date : 2022-04-01 DOI: 10.21037/ajo-21-45

Nathan Hui, Nathan Yii, D. Robinson

引用次数: 2

Herpes zoster isolated in the glossopharyngeal nerve: a case report and literature review 孤立于舌咽神经的带状疱疹1例报告并文献复习

Australian Journal of Otolaryngology Pub Date : 2022-04-01 DOI: 10.21037/ajo-21-29

M. Barton, Craig McCombe, M. Todorovic, Mikaela L. Stiver, B. McMonagle

引用次数: 0

Head and neck cancer surgery during the COVID-19 pandemic: the Chris O’Brien Lifehouse experience and narrative review 2019冠状病毒病大流行期间的头颈癌手术:克里斯·奥布莱恩生命之家的经历和叙事回顾

Australian Journal of Otolaryngology Pub Date : 2022-03-01 DOI: 10.21037/ajo-21-12

D. Phung, R. Dawson, S. McInnes, M. Stokan, Ruta Gupta, Jonathan Clark, T. Low, M. Boyer, C. Milross, M. Elliott, C. Palme

{"title":"Head and neck cancer surgery during the COVID-19 pandemic: the Chris O’Brien Lifehouse experience and narrative review","authors":"D. Phung, R. Dawson, S. McInnes, M. Stokan, Ruta Gupta, Jonathan Clark, T. Low, M. Boyer, C. Milross, M. Elliott, C. Palme","doi":"10.21037/ajo-21-12","DOIUrl":"https://doi.org/10.21037/ajo-21-12","url":null,"abstract":"Background: Head and neck cancer (HNC) treatment has been significantly affected worldwide by the SARS-Cov-2 pandemic due to high viral loads in the upper aerodigestive tract. We present a single-institution experience of successful continued management of HNC patients during the pandemic. Methods: A retrospective audit was conducted comparing operative time, anaesthetic time, case volume and type (aerosol generating vs. non aerosol generating) between equivalent time periods from 2019 and 2020 during the peak of the pandemic in Australia, from a single high-volume, tertiary, academic head and neck centre. Furthermore, we document the multi-level changes instituted for each department involved in the patient cancer journey. Results: The average operative time for aerosol generating procedures (AGPs) was 85 minutes (IQR 455) in March 2019 compared with 180 minutes in March 2020 (IQR 366). Case volume and case type was similar between the two years. With appropriate patient screening, perioperative planning and judicious use of personal protective equipment (PPE), higher-risk AGPs were able to continue essentially as normal. Conclusions: HNC requires timely investigation and treatment, even in the midst of a pandemic, which can be achieved at a dedicated, COVID-free oncology centre utilising clear, rapid communication and a multidisciplinary approach. © Australian Journal of Otolaryngology. All rights reserved.","PeriodicalId":165885,"journal":{"name":"Australian Journal of Otolaryngology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129732872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0