The Journal of otolaryngology最新文献_第9页

Return to home, school, and sports after electrosurgical adenoidectomy: when is it safe? 电切腺样体手术后重返家庭、学校和运动:何时安全?

The Journal of otolaryngology Pub Date : 2007-06-01

Jeffrey P Ludemann, Kevin K Wong, J Paul Moxham

{"title":"Return to home, school, and sports after electrosurgical adenoidectomy: when is it safe?","authors":"Jeffrey P Ludemann, Kevin K Wong, J Paul Moxham","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To determine when it is safe for healthy children to return to home, school, and sports after uncomplicated electrosurgical adenoidectomy (EA).Design: (1) A survey of Canadian otolaryngologists (COs) regarding their EA complication rates and their opinions regarding best practice standards for patient care after EA. (2) Informal retrospective analysis of approximately 200 children who have been allowed to resume sports 3 days after uncomplicated EA.Results: (1) Thirteen COs responded to the survey. The total estimated EA cases performed were 8617 over 10 years. Four patients were known to have bled mildly; none required reoperation. Eleven of 13 COs supported discharge home 2 hours after uncomplicated EA if other standard discharge criteria were met. Seven of 13 COs supported a return to school the next day if the child had returned to his or her usual state of health; however, 2 COs suggested 7 to 10 days at home. Four of 13 COs supported a return to sports 3 days after uncomplicated EA. (2) None of the 200 children who had been allowed to resume sports 3 days after uncomplicated EA have had any known bleeding. At least 10 toddlers have actually engaged in unplanned strenuous exercise within 4 to 6 hours of EA without adverse effect.Conclusions: Considerable variation exists in Canada in terms of current practice standards regarding return to home, school, and sports after uncomplicated EA. Survey data suggest that, after uncomplicated EA, it is safe for healthy children to return home after 2 hours and to school the next day. Preliminary data suggest that it may be safe for children to resume sports 3 days after uncomplicated EA; however, ideally, this should be studied prospectively, on a large scale.","PeriodicalId":76656,"journal":{"name":"The Journal of otolaryngology","volume":"36 3","pages":"156-60"},"PeriodicalIF":0.0,"publicationDate":"2007-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26899684","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

Ewing's sarcoma/primitive neuroectodermal tumour of the mandible: report of a rare case and review of the literature. 下颌骨尤文氏肉瘤/原始神经外胚层肿瘤:一例罕见病例报告及文献复习。

The Journal of otolaryngology Pub Date : 2007-06-01 DOI: 10.2310/7070.2006.0150

Hiroaki Kanaya, Hideki Hirabayashi, Yoshiyuki Tanigaito, Kohtaro Baba

引用次数: 8

Infectious causes of bilateral facial nerve palsy. 双侧面神经麻痹的感染原因。

The Journal of otolaryngology Pub Date : 2007-06-01 DOI: 10.2310/7070.0124

Dimitrios G Balatsouras, Antonis Kaberos, Stavros Korres, Anastasios Leontiadis, Dimitris Kandiloros

引用次数: 7

Malignant peripheral nerve sheath tumour of the paranasal sinus. 副鼻窦周围神经鞘恶性肿瘤。

The Journal of otolaryngology Pub Date : 2007-06-01 DOI: 10.2310/7070.2006.0088

Hyun Jik Kim, Chang-Hoon Kim, Haeryoung Kim, Joo-Heon Yoon

引用次数: 3

Non-nutritive swallowing and respiration coordination among states of alertness in adult sheep. 成年羊警觉状态下非营养性吞咽和呼吸协调。

The Journal of otolaryngology Pub Date : 2007-06-01 DOI: 10.2310/7070.2007.0022

S. Roberge, N. Samson, Stephanie S Dorion, D. Dorion, J. Praud

{"title":"Non-nutritive swallowing and respiration coordination among states of alertness in adult sheep.","authors":"S. Roberge, N. Samson, Stephanie S Dorion, D. Dorion, J. Praud","doi":"10.2310/7070.2007.0022","DOIUrl":"https://doi.org/10.2310/7070.2007.0022","url":null,"abstract":"Swallowing is a powerful inhibitor of respiration. Its coordination with respiration is therefore crucial to avoid aspiration and apnea. The aim of this study was to determine the coordination between non-nutritive swallowing (NNS) and phases of the respiratory cycle, including the assessment of the effect of states of alertness in adult sheep. Six animals were surgically instrumented under general anesthesia to record electroencephalography, electro-oculography (state of alertness), diaphragmatic electromyography (EMG), nasal flow (respiration), esophageal EMG, and the thyroarytenoid muscle (NNS). Our results revealed that (1) the highest NNS frequency is observed in rapid eye movement (REM) sleep, especially for bursts of NNS; (2) while NNS begins mainly during inspiration in all states of alertness, REM sleep, however, is responsible for an increase in the proportion of NNS beginning in expiration; (3) the link between inspiration and NNS is not affected by rumination. In conclusion, the link between NNS and inspiration in adult sheep is similar to that of lambs but contrary to previous reports on NNS induced by water in humans. Whether these differences are related to interspecies differences or the experimental techniques clearly needs further studies on spontaneous NNS in humans.","PeriodicalId":76656,"journal":{"name":"The Journal of otolaryngology","volume":"36 3 1","pages":"140-7"},"PeriodicalIF":0.0,"publicationDate":"2007-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2310/7070.2007.0022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68603051","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

Endoscopic treatment of cis-T2 glottic cancer with a CO(2) laser: preliminary results from a Canadian centre. CO(2)激光内镜治疗cis-T2声门癌:来自加拿大中心的初步结果。

The Journal of otolaryngology Pub Date : 2007-04-01 DOI: 10.2310/7070.2007.0016

Matthew H Rigby, S Mark Taylor

{"title":"Endoscopic treatment of cis-T2 glottic cancer with a CO(2) laser: preliminary results from a Canadian centre.","authors":"Matthew H Rigby, S Mark Taylor","doi":"10.2310/7070.2007.0016","DOIUrl":"https://doi.org/10.2310/7070.2007.0016","url":null,"abstract":"In Canada, endoscopic resection using a CO(2) laser has been generally ignored as a treatment option. In this article, we present an introductory analysis of our clinical experience with the CO(2) laser at the QEII Health Sciences Centre in Halifax, Nova Scotia. Outcomes from a cohort of 36 patients with glottic cancer staged as Cis-T2 (7 Cis, 17 T1, 12 T2) who underwent endoscopic resection using a CO(2) laser between January 2002 and June 2005 were studied retrospectively. The mean follow-up was 16.2 months (range 0-41 months). At the time of the study, no patient had died of laryngeal disease, one patient had died of another disease, and one patient was lost to follow-up. There had been three recurrences in the cohort: two local recurrences and one recurrence in a regional lymph node. After salvage, all patients with recurrences were disease free at the time of the study. There were three postoperative complications in the cohort: one postoperative myocardial infarction, one case of respiratory distress postextubation, and one case of subcutaneous emphysema. The average time for the procedure was 0.97 hours (range 0.25-2.75 hours). The average postoperative length of stay was 1.2 days (range 0-12 days). Of 35 cases with follow-up, 60% had no reported problems with voice in their last visit and 11% reported consistent hoarseness or weakness. Although our oncologic results do require more follow-up, based on our positive experience thus far, we believe that endoscopic management of glottic cancer is a treatment option that may be underused in the Canadian health care system.","PeriodicalId":76656,"journal":{"name":"The Journal of otolaryngology","volume":"36 2","pages":"106-10"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2310/7070.2007.0016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26687721","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: 7

Triangular uvulopalatal flap. 三角舌腭瓣。

The Journal of otolaryngology Pub Date : 2007-04-01 DOI: 10.2310/7070.2007.0007

Murat Enoz

引用次数: 3

Reducing the incidence of revision rhinoplasty. 减少鼻整形手术的发生率。

The Journal of otolaryngology Pub Date : 2007-04-01 DOI: 10.2310/7070.2007.0012

Christopher Thomson, Martyn Mendelsohn

{"title":"Reducing the incidence of revision rhinoplasty.","authors":"Christopher Thomson, Martyn Mendelsohn","doi":"10.2310/7070.2007.0012","DOIUrl":"https://doi.org/10.2310/7070.2007.0012","url":null,"abstract":"Objectives: To evaluate reasons for revision rhinoplasty in a tertiary care setting to help reduce the incidence of revision rhinoplasty.Methods: Retrospective review of 184 consecutive revision rhinoplasty cases performed by a single surgeon, evaluating the major reasons for patients seeking revision rhinoplasty surgery.Results: The senior author performed 539 rhinoplasty cases during the period January 2001 to June 2003. 184 were revision cases. Within this group 56 were the author's own revisions and 128 had undergone primary surgery by \"other surgeons.\" Major revision indications were airway in 109, crookedness in 70, residual hump in 31 and irregularity in 25 cases. Less common problems included inadequate reduction, tip asymmetry, tip bossae, saddle deformity and change of mind. The incidence of airway restriction and crookedness in the author group was significantly less than in the other surgeon group (p<.0001 and p = .0002 respectively). Other indications did not differ significantly between the groups.Conclusion: The pattern of problems requiring revision rhinoplasty is changing as the improved skills of the surgeon are countered by the increased demands of the patient. The high incidence of nasal obstruction following rhinoplasty reminds us that attention to the airway should not be compromised in the focus on cosmetic outcome. Crookedness of the nose has become a notable complaint by a discriminating public. All patients undergoing primary rhinoplasty need advice that revision rhinoplasty may be necessary either during or after the healing phase.","PeriodicalId":76656,"journal":{"name":"The Journal of otolaryngology","volume":"36 2","pages":"130-4"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2310/7070.2007.0012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26687726","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: 43

Outcomes of the extended endoscopic approach for management of inverted papilloma. 扩大内窥镜入路治疗内翻性乳头状瘤的结果。

The Journal of otolaryngology Pub Date : 2007-04-01 DOI: 10.2310/7070.2007.0005

Gehua Zhang, Xavier Rodriguez, Abdulmohsen Hussain, Martin Desrosiers

{"title":"Outcomes of the extended endoscopic approach for management of inverted papilloma.","authors":"Gehua Zhang, Xavier Rodriguez, Abdulmohsen Hussain, Martin Desrosiers","doi":"10.2310/7070.2007.0005","DOIUrl":"https://doi.org/10.2310/7070.2007.0005","url":null,"abstract":"Background: Inverted papilloma (IP) is a benign tumour involving the paranasal sinuses. Given its tendency to recurrence and potential for malignancy, complete removal of the papilloma remains the treatment of choice. Since 1994, we have routinely employed an extended endoscopic approach for the resection of inverted papillomas. We present our methods and outcomes.Method: The study was conducted in an academic tertiary care hospital-based practice. It is a retrospective review of patients treated by a single surgeon. IP was diagnosed by biopsy before surgery. With computed tomography and magnetic resonance imaging, we attempt to identify the sites of origin and extent of IP. Cases with previous medial maxillectomy or invasive disease are treated via the open approach. Otherwise, the extended endoscopic approach is used. The tumour is debulked, and its attachment points are identified. Endoscopic medial maxillectomy is then performed. If maxillary sinus involvement in its anterior, inferior, superior, or lateral portion is suspected, a Caldwell-Luc approach is performed to allow for mucosal excision and complete removal of the anterior lateral nasal wall. When the lamina papyracea or ceiling of the ethmoid or sphenoid sinus is involved, the bony wall is resected. The frontal recess can be approached via a Lynch incision or an endoscopic transorbital approach.Results: Twenty-two patients were referred for IP. Nineteen patients were treated via the extended endoscopic approach. The average follow-up period was 23 (3-66) months. Only 3 of 19 patients (16%) presented with a recurrence or failure of initial surgery that required revision surgery.Conclusion: The extended endoscopic approach offers a safe, effective, and aesthetically acceptable treatment of most cases of IP.","PeriodicalId":76656,"journal":{"name":"The Journal of otolaryngology","volume":"36 2","pages":"83-7"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2310/7070.2007.0005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26687265","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: 10

Effects of hearing loss on the voice in children. 听力损失对儿童声音的影响。

The Journal of otolaryngology Pub Date : 2007-04-01 DOI: 10.2310/7070.2007.0009

Natalija Bolfan-Stosic, Boris Simunjak

{"title":"Effects of hearing loss on the voice in children.","authors":"Natalija Bolfan-Stosic, Boris Simunjak","doi":"10.2310/7070.2007.0009","DOIUrl":"https://doi.org/10.2310/7070.2007.0009","url":null,"abstract":"The object of this paper is to report on preliminary acoustic characteristics obtained from a group of 10 to 12 year old males from special institution from Zagreb with more than mild sensorineural hearing losses. The study was structured as an investigation of voice and resonance characteristics of Croatian children with and without sensorineural hearing loss, using sustained phonation of the vowel /a/ which was recorded using a high-quality tape recorder carried out by two voice clinicians. The samples were digitized and analyzed for frequency and spectral characteristics by EZVoice and Bruel & Kjaer Real-time Frequency Analyzer and high quality sound level meter (mouth-to-microphone distance = 30 cm). Differences were observed in perturbation measures; F0 variability; vocal intensity. Spectral deviations were also observed. Discussion focuses on application of these findings by Croatian speech and hearing specialists with the hearing impaired population. Results indicated the following: measures of jitter were significantly elevated in the hearing loss group as compared to the normal controls. A similar result was observed for measures of shimmer. Lack of voice professional's awareness of importance for making pleasant voice quality of hearing-impaired individuals was the initial idea of this study. Patients with hearing losses have been reported to show a wide variety of voice disturbances.","PeriodicalId":76656,"journal":{"name":"The Journal of otolaryngology","volume":"36 2","pages":"120-3"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2310/7070.2007.0009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26687724","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: 19