JAMA otolaryngology-- head & neck surgery
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JAMA Otolaryngol Head Neck Surg · Sep 2014
Case ReportsCricothyroid onabotulinum toxin A injection to avert tracheostomy in bilateral vocal fold paralysis.
More than half of children with bilateral vocal fold paralysis require a tracheostomy for airway management. We report an innovative, minimally invasive approach consisting of onabotulinum toxin A injection into the cricothyroid muscles. ⋯ Onabotulinum toxin A injection into the cricothyroid muscles leads to an increase in the glottic space, providing an adequate airway. Onabotulinum toxin A injection in the cricothyroid muscles could be offered as a safe, effective, noninvasive first-line option for patients with bilateral vocal fold paralysis.
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JAMA Otolaryngol Head Neck Surg · Aug 2014
Randomized Controlled Trial Comparative StudyEffect of topical sucralfate vs clindamycin on posttonsillectomy pain in children aged 6 to 12 years: a triple-blind randomized clinical trial.
Postoperative sore throat is one of the most common problems after tonsillectomy. Antibiotics remove the local flora and reduce inflammation and thus may reduce postoperative pain after tonsillectomy. ⋯ This trial indicated that topical sucralfate and clindamycin are safe drugs with no important adverse effects that can significantly reduce posttonsillectomy pain in children and help them return to normal life sooner.
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JAMA Otolaryngol Head Neck Surg · Aug 2014
Risk of head and neck cancer in patients with diabetes mellitus: a retrospective cohort study in Taiwan.
An increasing body of evidence suggests that certain types of cancers are more common in people with diabetes mellitus (DM). However, the risk of head and neck cancer (HNC) in patients with DM has seldom been explored. ⋯ Diabetes is associated with an increased risk of developing HNC. The risks of developing oral cavity cancer, oropharyngeal cancer, and nasopharyngeal carcinoma were significantly higher in patients with DM.
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JAMA Otolaryngol Head Neck Surg · Aug 2014
A longitudinal study of emotional intelligence training for otolaryngology residents and faculty.
Emotions underlie and influence physician communications and relationships with patients and colleagues. Training programs to enhance emotional attunement, or emotional intelligence (EI), for physicians and assess training effects are scarce. ⋯ Emotional intelligence training positively influences patient satisfaction and may enhance medical education and health care outcome.