Acta otorrinolaringológica española
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Acta Otorrinolaringol Esp · Mar 1998
Comparative Study[Laparoscopic feeding gastrostomy: an alternative to the nasogastric tube].
Dysphagia is common in head and neck cancer and feeding becomes difficult. Nasogastric tubes cannot by placed in some patients and are poorly tolerated in others. However, endoscopic laparotomy techniques have advanced to a point in which they allow feeding gastrostomies to be used, which are non-aggressive, well-tolerated and a satisfactory alternative for patients with contraindications for upper endoscopy.
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Acta Otorrinolaringol Esp · Mar 1998
Letter Case Reports[Facial paralysis after non-otologic surgery under general anesthesia].
Peripheral facial palsy is rare after non-otological surgery under general anesthesia. The condition generally is attributed to damage produced by endotracheal intubation maneuvers in patients with anatomic variants of the facial nerve. We report three cases of facial palsy which occurred after abdominal surgery. ⋯ The diversity of these factors suggests that other mechanisms of production aside from damage produced by endotracheal intubation should be considered. The use of nitrous oxide increases middle ear pressure and could produce focal nerve compression. This does not invalidate earlier hypotheses, but does clarify pathophysiological concepts of this condition.