International Journal of Otolaryngology最新文献_第9页

Does Microscope Assistance in Cold Steel Tonsillectomy Reduce the Risk of Postoperative Hemorrhage? Results of a Prospective Cohort Study. 显微镜辅助冷钢扁桃体切除术能降低术后出血的风险吗?前瞻性队列研究的结果。

International Journal of Otolaryngology Pub Date : 2017-01-01 Epub Date: 2017-08-08 DOI: 10.1155/2017/8430907

Thomas Wilhelm, Jan Wittlinger, Robert Georgiew, Christian Güldner, Stephan Hoch, Afshin Teymoortash, Thomas Günzel, Petar Stankovic

{"title":"Does Microscope Assistance in Cold Steel Tonsillectomy Reduce the Risk of Postoperative Hemorrhage? Results of a Prospective Cohort Study.","authors":"Thomas Wilhelm, Jan Wittlinger, Robert Georgiew, Christian Güldner, Stephan Hoch, Afshin Teymoortash, Thomas Günzel, Petar Stankovic","doi":"10.1155/2017/8430907","DOIUrl":"https://doi.org/10.1155/2017/8430907","url":null,"abstract":"Background: Posttonsillectomy hemorrhage (PTH) is the most feared complication. Dissection near the tonsillar capsule under microscopic view (TEmic) could be assumed to decrease PTH compared to traditional tonsillectomy (TEtrad).Methods: In this study, patients were evaluated with respect to the need for surgical control (R/N: return/no return to theater (RTT): the day of surgery [0] or thereafter [1]). The findings at resection site and pain were measured.Results: 869 patients were included (183 TEmic; 686 TEtrad). PTH requiring RTT was not seen in the TEmic group on the day of surgery (R0) while PTH requiring RTT subsequently (R1) was seen in 1.1% of the cases. In the TEmic group, hemorrhages without a need for surgical control were observed in 0.6% (N0) and 3.4% (N1), respectively. The corresponding rates for TEtrad were as follows: R0, 0.3%; R1, 1.7%; N0, 0.6%; and N1, 3.6% (p > 0.05). Postoperative edema and local infection at resection site were proven to be predictive of PTH (p = 0.007).Conclusion: Microscope assistance in tonsillectomy did not statistically have an influence on the PTH even though there was a trend towards lower PTH rate in the TEmic group. Benefit for TEmic was observed in high-volume and long experienced surgeons.","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":"2017 ","pages":"8430907"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/8430907","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35531634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Management of Intractable Nasal Hyperreactivity by Selective Resection of Posterior Nasal Nerve Branches. 选择性切除鼻后神经支治疗顽固性鼻高反应性。

International Journal of Otolaryngology Pub Date : 2017-01-01 Epub Date: 2017-12-12 DOI: 10.1155/2017/1907862

Daisuke Takahara, Sachio Takeno, Takao Hamamoto, Takashi Ishino, Katsuhiro Hirakawa

{"title":"Management of Intractable Nasal Hyperreactivity by Selective Resection of Posterior Nasal Nerve Branches.","authors":"Daisuke Takahara, Sachio Takeno, Takao Hamamoto, Takashi Ishino, Katsuhiro Hirakawa","doi":"10.1155/2017/1907862","DOIUrl":"https://doi.org/10.1155/2017/1907862","url":null,"abstract":"The posterior nasal nerves emerge from the sphenopalatine foramen and contain sensory and autonomic nerve components. Posterior nasal neurectomy is an effective method to remove pathological neural networks surrounding the inferior turbinate that cause unregulated nasal hypersensitivity with excess secretion in patients with severe allergic rhinitis (AR). We describe the sophisticated endoscopic surgical procedure that allows feasible access to the confined area and selective resection of the nerve branches with the preservation of the sphenopalatine artery (SPA). We retrospectively analyzed the cases of 23 symptomatic severe AR patients who failed to respond to standard medical treatment and underwent surgery. There have been no major complications after surgery including nasal bleeding or transient numbness of the upper teeth. The mean total nasal symptom scores (TNSS) were decreased by 70.2% at 12 months after the procedure. Our comparison of the clinical effectiveness based on the number of severed nerve branches revealed that the improvement of the TNSS was significantly higher in patients with >2 branches. We conclude that this minimally invasive technique that preserves the SPA is clinically useful and decreases the rate of postoperative complications. This trial is registered with UMIN000029025.","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":"2017 ","pages":"1907862"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/1907862","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35774867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 26

Sinonasal Characteristics in Patients with Obstructive Sleep Apnea Compared to Healthy Controls. 阻塞性睡眠呼吸暂停患者与健康对照组的鼻窦特征比较

International Journal of Otolaryngology Pub Date : 2017-01-01 Epub Date: 2017-05-04 DOI: 10.1155/2017/1935284

Mads Henrik Strand Moxness, Vegard Bugten, Wenche Moe Thorstensen, Ståle Nordgård

{"title":"Sinonasal Characteristics in Patients with Obstructive Sleep Apnea Compared to Healthy Controls.","authors":"Mads Henrik Strand Moxness, Vegard Bugten, Wenche Moe Thorstensen, Ståle Nordgård","doi":"10.1155/2017/1935284","DOIUrl":"https://doi.org/10.1155/2017/1935284","url":null,"abstract":"Background. The difference in nasal obstruction between OSA patients and healthy individuals is not adequately documented. Our aim was to describe the sinonasal quality of life and nasal function in OSA patients and healthy controls using the sinonasal outcome test-20 (SNOT-20), nasal obstruction visual analog scale (NO-VAS), and peak nasal inspiratory flow (PNIF). Methodology and Principal. Ninety-three OSA patients and 92 controls were included in a case-control study from 2010 to 2015. Results. Mean SNOT-20 score in the OSA group was 1.69 (SD 0.84) compared to 0.55 (SD 0.69) in controls (p < 0.001, 95% CI [0.9, 1.4]). The mean NO-VAS score was 41.3 (SD 12.8) and 14.7 (SD 14.4) in the OSA group and controls, respectively, (p < 0.001, 95% CI [22.7, 30.6]). PNIF measured 105 litres/minute in the OSA group and 117 litres/minute in controls (p < 0.01, 95% CI [-21.8, -3.71]). There was a positive correlation between subjective nasal obstruction and change in PNIF after decongestion in the control group alone. Conclusions. OSA patients have a reduced sinonasal QoL and lower peak nasal inspiratory flow compared to controls. Treatment of nasal obstruction in OSA patients should be made a priority along with treatment of the ailment itself.","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":"2017 ","pages":"1935284"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/1935284","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35031628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Absence of Relationship between Mitochondrial DNA Haplogroups and Cisplatin-Induced Hearing Loss. 线粒体DNA单倍群与顺铂致听力损失的关系缺失。

International Journal of Otolaryngology Pub Date : 2017-01-01 Epub Date: 2017-07-03 DOI: 10.1155/2017/5185268

D Graterol, C Mir, C Garcia-Vaquero, I Braña, A N Pardo, M I Rochera-Villach, A Lyakhovich, M E LLeonart, J Lorente

{"title":"Absence of Relationship between Mitochondrial DNA Haplogroups and Cisplatin-Induced Hearing Loss.","authors":"D Graterol, C Mir, C Garcia-Vaquero, I Braña, A N Pardo, M I Rochera-Villach, A Lyakhovich, M E LLeonart, J Lorente","doi":"10.1155/2017/5185268","DOIUrl":"https://doi.org/10.1155/2017/5185268","url":null,"abstract":"Background: Many drugs used for cancer chemotherapy produce reactive oxygen species, thus leading to various complications including nephrotoxicity, cardiotoxicity, and ototoxicity.Objective: We have provided a haplogroup analysis of a cohort of cancer patients treated with chemotherapy and compared factors associated with associated hearing loss.Study design and methods: This observational cohort study includes a pure-tone audiometry of the patients who underwent chemotherapeutic treatment. Medical history, presence of risk factors for hearing loss, toxic habits, and association with haplogroups have been determined.Results: 40% of patients developed hearing loss after administration of cisplatin, which was bilateral and symmetrical and of high frequencies. The most frequent haplogroup was H with a slight overexpression of groups V and K and a low frequency of groups J and T. No association of the haplogroup types with the hearing loss has been found; however age was revealed as an important determining factor.Conclusions: Ototoxicity caused by cisplatin is manifested as bilateral, symmetrical, and predominantly high frequency hearing loss. Although we did not find a strong correlation of haplogroups with ototoxicity, our results revealed the existence of a risk group of elderly patients over 60, which are more susceptible to hearing loss induced by cisplatin, than young adults, regardless of preexisting hearing loss.","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":"2017 ","pages":"5185268"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/5185268","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35279226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Time between First and Second Posttonsillectomy Bleeds. 第一次和第二次扁桃体切除术后出血间隔时间。

International Journal of Otolaryngology Pub Date : 2017-01-01 Epub Date: 2017-08-07 DOI: 10.1155/2017/3275683

Sheriza Hussain, Ashley P O'Connell Ferster, Michele M Carr

{"title":"Time between First and Second Posttonsillectomy Bleeds.","authors":"Sheriza Hussain, Ashley P O'Connell Ferster, Michele M Carr","doi":"10.1155/2017/3275683","DOIUrl":"https://doi.org/10.1155/2017/3275683","url":null,"abstract":"Objective: To determine the time between first and recurrent posttonsillectomy hemorrhages (PTHs) and find factors related to multiple PTHs.Methods: Retrospective chart review.Results: Of 112 patients, 91 had one PTH, while 21 had recurrent PTHs. Patients with recurrent bleeds had significant differences (P < 0.05) in indication for tonsillectomy (47.6% had recurrent tonsillitis), prior cardiac conditions (28.6%), transfusions (9.5%), and hematology consults during the initial PTH visit (19%). Bleeding occurred at a mean of 6.1 (range 1-13) days for the first episode and 10 (range 9-18) days for the second episode as compared to 6.65 (range 1-18) days for those who bled once. Recurrent PTH patients were less likely to have had surgical control of the initial bleed (P < 0.05). Patients who bled at 7 days or later were more likely to bleed again within one day (OR 23.0, RR 12). Regression analysis showed that age, failure to have operative control of PTH, and surgical indication were most important in predicting recurrent PTH.Conclusions: Operative control of PTH is associated with a better outcome than monitoring alone. Patients with PTH within 7 days of tonsillectomy are likely safe to discharge soon after treatment; those who bleed after 7 days should be monitored longer.","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":"2017 ","pages":"3275683"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/3275683","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35352872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Construct, Face, and Content Validation on Voxel-Man® Simulator for Otologic Surgical Training. 用于耳科外科训练的Voxel-Man®模拟器的结构、面部和内容验证。

International Journal of Otolaryngology Pub Date : 2017-01-01 Epub Date: 2017-05-03 DOI: 10.1155/2017/2707690

M Varoquier, C P Hoffmann, C Perrenot, N Tran, C Parietti-Winkler

{"title":"Construct, Face, and Content Validation on Voxel-Man® Simulator for Otologic Surgical Training.","authors":"M Varoquier, C P Hoffmann, C Perrenot, N Tran, C Parietti-Winkler","doi":"10.1155/2017/2707690","DOIUrl":"https://doi.org/10.1155/2017/2707690","url":null,"abstract":"Objective. To assess the face, content, and construct validity of the Voxel-Man TempoSurg Virtual Reality simulator. Participants and Methods. 74 ear, nose, and throat (ENT) surgeons participated. They were assigned to one of two groups according to their level of expertise: the expert group (n = 16) and the novice group (n = 58). The participants performed four temporal bone dissection tasks on the simulator. Performances were assessed by a global score and then compared to assess the construct validity of the simulator. Finally, the expert group assessed the face and content validity by means of a five-point Likert-type scale. Results. experienced surgeons performed better (p < .01) and faster (p < .001) than the novices. However, the groups did not differ in terms of bone volume removed (p = .11) or number of injuries (p = .37). 93.7% of experienced surgeons stated they would recommend this simulator for anatomical learning. Most (87.5%) also thought that it could be integrated into surgical training. Conclusion. The Voxel-Man TempoSurg Virtual Reality simulator constitutes an interesting complementary tool to traditional teaching methods for training in otologic surgery.","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":"2017 ","pages":"2707690"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/2707690","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35035772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 25

Multiport Combined Endoscopic Approach to Nonembolized Juvenile Nasopharyngeal Angiofibroma with Parapharyngeal Extension: An Emerging Concept 多口联合内镜入路治疗非栓塞的青少年鼻咽血管纤维瘤伴咽旁延伸:一个新兴的概念

International Journal of Otolaryngology Pub Date : 2016-12-22 DOI: 10.1155/2016/4203160

T. N. Janakiram, Shilpee Bhatia Sharma, Vijayshree Nahata Gattani

{"title":"Multiport Combined Endoscopic Approach to Nonembolized Juvenile Nasopharyngeal Angiofibroma with Parapharyngeal Extension: An Emerging Concept","authors":"T. N. Janakiram, Shilpee Bhatia Sharma, Vijayshree Nahata Gattani","doi":"10.1155/2016/4203160","DOIUrl":"https://doi.org/10.1155/2016/4203160","url":null,"abstract":"Background. Surgical approaches to the parapharyngeal space (PPS) are challenging by virtue of deep location and neurovascular content. Juvenile Nasopharyngeal Angiofibroma (JNA) is a formidable hypervascular tumor that involves multiple compartments with increase in size. In tumors with extension to parapharyngeal space, the endonasal approach was observed to be inadequate. Combined Endoscopic Endonasal Approaches and Endoscopic Transoral Surgery (EEA-ETOS) approach has provided a customized alternative of multicorridor approach to access JNA for its safe and efficient resection. Methods. The study demonstrates a case series of patients of JNA with prestyloid parapharyngeal space extension operated by endoscopic endonasal and endoscopic transoral approach for tumor excision. Results. The multiport EEA-ETOS approach was used to provide wide exposure to access JNA in parapharyngeal space. No major complications were observed. No conversion to external approach was required. Postoperative morbidity was low and postoperative scans showed no residual tumor. A one-year follow-up was maintained and there was no evidence of disease recurrence. Conclusion. Although preliminary, our experience demonstrates safety and efficacy of multiport approach in providing access to multiple compartments, facilitating total excision of JNA in selected cases.","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/4203160","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64371567","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: 6

“Gauze Technique” in the Treatment of the Fungus Ball of the Maxillary Sinus: A Technique as Simple as It Is Effective “纱布法”治疗上颌窦真菌球:既简单又有效的技术

International Journal of Otolaryngology Pub Date : 2016-12-19 DOI: 10.1155/2016/4169523

Pietro Garofalo, A. Griffa, G. Dumas, F. Perottino

{"title":"“Gauze Technique” in the Treatment of the Fungus Ball of the Maxillary Sinus: A Technique as Simple as It Is Effective","authors":"Pietro Garofalo, A. Griffa, G. Dumas, F. Perottino","doi":"10.1155/2016/4169523","DOIUrl":"https://doi.org/10.1155/2016/4169523","url":null,"abstract":"Fungus ball of maxillary sinus generally affects immunocompetent and nonatopic subjects. Although endoscopic removal is the current gold standard treatment, removal is at times difficult due to an accumulation of fungal elements in the anterior ad inferior recesses. Aim. To present our experience of maxillary fungus ball treated by the “gauze technique” that avoids these removal difficulties. Materials and Methods. A retrospective, cross-sectional, and descriptive study of 25 patients affected by maxillary fungus ball was carried out: 19 were treated by the “gauze technique” and 6 were treated without “gauze technique.” Results. A comparison was made between the two groups for surgery procedure time, length of hospitalization, time from surgery to nasal unpacking, complications, and postsurgical patient satisfaction. The only statistically significant difference observed was a shorter surgical procedure time (p < 0.05) for the “gauze technique.” Conclusions. The data obtained in this study demonstrated that the “gauze technique” is a safe, simple, and quick technique, able to reduce surgery procedure time whilst providing excellent functional outcomes and patient satisfaction.","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/4169523","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64369793","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: 8

Bone-Anchored Titanium Implants in Patients with Auricular Defects: Three Years and 27 Patients' Experience 骨锚定钛在耳廓缺损患者中的应用:3年27例经验

International Journal of Otolaryngology Pub Date : 2016-11-09 DOI: 10.1155/2016/9872048

E. Mevio, L. Facca, Stefano Schettini, M. Mullace

{"title":"Bone-Anchored Titanium Implants in Patients with Auricular Defects: Three Years and 27 Patients' Experience","authors":"E. Mevio, L. Facca, Stefano Schettini, M. Mullace","doi":"10.1155/2016/9872048","DOIUrl":"https://doi.org/10.1155/2016/9872048","url":null,"abstract":"Different surgical solutions have been proposed for reconstruction of the auricle following loss of the pinna through traumatic injury or neoplastic disease or in patients with congenital defects. Surgical treatment may involve the insertion of an autogenous rib cartilage framework or the use of a porous polymer material inserted into an expanded postauricular flap. Reconstruction with rib cartilage has yielded good results but requires more than one surgical step, and adverse events can occur both at the donor and at the acceptor site; cases of prosthesis rejection have also been described following application of the polymeric prosthesis. The use of a titanium, dowel-retained silicone prosthetic pinna, fixed to the temporal bone, has recently been proposed. This useful surgical approach is indicated particularly after resection of the pinna caused by neoplastic disease or in traumatic auricular injury. Osseointegrated titanium implants used in 27 patients in this study provided them with a safe, reliable, adhesive-free method of anchoring the auricular prostheses. The prostheses allowed recovery of normal physical appearance and all the patients reported that they were completely satisfied with the outcome of the surgical reconstruction. No surgical complications, implant failures, or prosthetic failures were encountered over six months to three years.","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/9872048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64645632","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: 8

Critical Care Admissions following Total Laryngectomy: Is It Time to Change Our Practice? 全喉切除术后的重症监护入院:是时候改变我们的做法了吗?

International Journal of Otolaryngology Pub Date : 2016-09-26 DOI: 10.1155/2016/8107892

H. Walijee, A. Morgan, B. Gibson, S. Berry, A. Jaffery

{"title":"Critical Care Admissions following Total Laryngectomy: Is It Time to Change Our Practice?","authors":"H. Walijee, A. Morgan, B. Gibson, S. Berry, A. Jaffery","doi":"10.1155/2016/8107892","DOIUrl":"https://doi.org/10.1155/2016/8107892","url":null,"abstract":"Critical Care Unit (CCU) beds are a limited resource and in increasing demand. Studies have shown that complex head and neck patients can be safely managed on a ward setting given the appropriate staffing and support. This retrospective case series aims to quantify the CCU care received by patients following total laryngectomy (TL) at a District General Hospital (DGH) and compare patient outcomes in an attempt to inform current practice. Data relating to TL were collected over a 5-year period from 1st January 2010 to 31st December 2015. A total of 22 patients were included. All patients were admitted to CCU postoperatively for an average length of stay of 25.5 hours. 95% of these patients were admitted to CCU for the purpose of close monitoring only, not requiring any active treatment prior to discharge to the ward. 73% of total complications were encountered after the first 24 hours postoperatively at which point patients had been stepped down to ward care. Avoiding the use of CCU beds and instead providing the appropriate level of care on the ward would result in a potential cost saving of approximately £8,000 with no influence on patient morbidity and mortality.","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/8107892","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64551048","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: 3