The Annals of otology, rhinology, and laryngology
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Ann. Otol. Rhinol. Laryngol. · Feb 2017
Review Case ReportsSoft Palate Injuries During Orotracheal Intubation With the Videolaryngoscope.
The videolaryngoscope has gained popularity for providing superior visualization in intubations. A rare complication of this technology is soft palate injury. Through a literature review and case series, we highlight the risks associated with the Glidescope and McGrath videolaryngoscopes and the management of soft palate injuries. ⋯ Proper training, an awareness of this potential complication, and direct oral cavity visualization are recommended while inserting the videolaryngoscope. Repair is recommended for through-and-through perforations or if a large hanging flap is present. Antibiotics should be considered for lacerations greater than 1 to 2 cm.
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Ann. Otol. Rhinol. Laryngol. · Jan 2017
Presentation and Management of Giant Fibrovascular Polyps of the Hypopharynx and Esophagus.
Fibrovascular polyps of the hypopharynx and esophagus are rare, with few case reports in the literature. In this article, we present our institutional experience with a focus on airway and surgical management. ⋯ Fibrovascular polyps are rare tumors of the hypopharynx/esophagus that present in older adults. Although benign, they can cause life-threatening airway compromise that may necessitate tracheotomy. We present 4 cases of fibrovascular polyps and discuss our evolving surgical management, including endoscopic removal.
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Ann. Otol. Rhinol. Laryngol. · Dec 2016
Development of an Innovative 3D Printed Rigid Bronchoscopy Training Model.
The objective of this study was to create a 3D printed airway model simulating the size and mechanical properties of various age groups for foreign body removal training. ⋯ The 3D printed airway model is able to be accurately scaled to various sizes and simulate the mechanical properties of the desired age group. The 3D printed model provides an excellent alternative to animal models in terms of practicality, logistics of use, and anatomical accuracy.
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Ann. Otol. Rhinol. Laryngol. · Dec 2016
Comparative StudyAntibiotic Prescribing by Physicians Versus Nurse Practitioners for Pediatric Upper Respiratory Infections.
This study investigates differences in antibiotic prescribing rates for pediatric upper respiratory infections (URIs) between physicians and nurse practitioners (NPs). ⋯ Nurse practitioners have higher rates of antibiotic prescribing compared to physicians for pediatric patients with URIs; however, this difference is less after adjusting for specialty. Examining comparative antibiotic prescribing is important to promote evidence-based practice and adoption of clinical guidelines.
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Soccer participation continues to increase among all ages in the US. Our objective was to analyze trends in soccer-related facial injury epidemiology, demographics, and mechanisms of injury. ⋯ The incidence of soccer-related facial trauma has remained stable, but the severity of such injuries remain a danger. Facial protection in soccer is virtually absent, and our findings reinforce the need to educate athletes, families, and physicians on injury awareness and prevention.