JAMA otolaryngology-- head & neck surgery
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JAMA Otolaryngol Head Neck Surg · Feb 2013
The significance of Streptococcus anginosus group in intracranial complications of pediatric rhinosinusitis.
To assess the significance of the Streptococcus anginosus group in intracranial complications of pediatric patients with rhinosinusitis. ⋯ Rhinosinusitis associated with the S anginosus group should be considered a more serious infection relative to those caused by other pathogens. Streptococcus anginosus group bacteria are significantly more likely than other bacteria to cause more severe intracranial complications and neurologic deficits and to require neurosurgical intervention. A low threshold for intervention should be used for infection caused by this pathogen.
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JAMA Otolaryngol Head Neck Surg · Jan 2013
The effects of intensive care unit staffing on patient outcomes following microvascular free flap reconstruction of the head and neck: a pilot study.
To determine if the implementation of the closed intensive care unit (ICU) at our institution altered clinical outcomes in patients who had undergone microvascular free flap reconstruction of the head and neck by the Otolaryngology-Head and Neck Surgery Service. ⋯ There does not appear to be a significant difference in patient outcome between open and closed ICU care in our study.
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JAMA Otolaryngol Head Neck Surg · Jan 2013
Comparative StudyClinical manifestations and treatment of idiopathic and Wegener granulomatosis-associated subglottic stenosis.
To compare and contrast the manifestations and surgical management of subglottic stenosis in patients with airway obstruction attributed to granulomatosis with polyangiitis (GPA), previously known as Wegener granulomatosis, and those with idiopathic subglottic stenosis (iSGS). ⋯ While surgical utilization is the mainstay of treatment in iSGS and GPA-SGS, iSGS occurs almost exclusively in females and presents with a greater degree of stenosis at the time of endoscopic dilation. In contrast, GPA-SGS is associated with greater rates of tracheotomy. Open airway reconstruction may be used in the treatment of iSGS and GPA-SGS but is much more effective in iSGS.