Auris, nasus, larynx
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Auris, nasus, larynx · Sep 2004
Case ReportsIntractable epistaxis related to cavernous carotid artery pseudoaneurysm: treatment of a case with covered stent.
Although epistaxis is commonly seen in otorhinolaryngologic practice, it may rarely become a severe and life-threatening problem. Pseudoaneurysm of internal carotid artery (PICA) is an uncommon, but potentially fatal cause of epistaxis. Optimal management demands rapid recognition and treatment to give the best functional outcome. ⋯ The patient was managed by endovascular covered stent application successfully. In differential diagnosis of patients with intractable epistaxis and isolated sphenoid sinus lesions, PICA should be considered. Early treatment with covered stent of aneurysm can be a life saving therapeutic approach.
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Auris, nasus, larynx · Jun 2004
Case ReportsTwo cases of non-Hodgkin's lymphoma in the accessory parotid gland.
Primary malignant lymphomas in the salivary glands are relatively rare and tumors of the accessory parotid gland comprise only 1% of parotid tumors. We present two cases with a painless swelling of the cheek region. In both cases histological diagnoses of primary non-Hodgkin's lymphoma were made following complete excision of the accessory parotid gland tumor.
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Auris, nasus, larynx · Mar 2004
Case ReportsMetastasis of renal cell carcinoma to the thyroid gland 19 years after nephrectomy: a case report.
Although metastases to the thyroid are never uncommon at autopsy in patients who died of malignancy, metastatic thyroid carcinomas are rarely detected in clinical practice in most cases and cases of secondary thyroid cancer which require thyroid surgery clinically are few. A clinical case of thyroid metastasis from renal cell carcinoma with thyroidectomy is described herein. An 87-year-old Japanese woman was referred to us for a slow-growing palpable neck tumor with dysphagia. ⋯ The negative result of immunohistochemical staining for thyroglobulin also suggested metastatic renal cell carcinoma to the thyroid. Clinically significant metastases to the thyroid gland are relatively infrequent. However, if patient who bears a thyroid tumor has a history of malignancy, the possibility of metastatic disease should be taken under consideration.
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Auris, nasus, larynx · Mar 2004
Comparative StudyA comparison of patient satisfaction with conventional and nurse led outpatient follow-up after grommet insertion.
The need to reduce costs while providing a first class service has led to the expansion in the role of nurses in otolaryngology practice in the National Health Service (NHS) in recent years. The aim of this study was to compare patient satisfaction with conventional and nurse led follow-up after grommet insertion. The hypothesis was that patient satisfaction is much greater with doctor led conventional follow-up as compared with nurse led out-patient follow-up. ⋯ We conclude that nurses provide a high quality service resulting in high patient satisfaction. Nurse led grommet follow-up clinic has the potential for substantial reduction in outpatient access times in the NHS.
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Auris, nasus, larynx · May 2003
Randomized Controlled Trial Comparative Study Clinical TrialBeneficial effect of low-dose peritonsillar injection of lidocaine-adrenaline before tonsillectomy. A placebo-controlled clinical trial.
Most studies investigating the effect of preincisional injection of local anaesthetic with adrenaline in tonsillectomy have used rather large doses and an inter-individual study design. They are inconclusive regarding the effect on post-tonsillectomy pain but have shown that the peroperative blood loss is reduced. However, side effects to high adrenaline doses are common. In the present study, the effect of injecting a small dose of lidocaine-adrenaline was investigated by using an intra-individual study design. ⋯ Low-dose injection of lidocaine-adrenaline before tonsillectomy reduces blood loss and has a small but significant beneficial effect on early postoperative pain. Furthermore our results indicate that operation time is reduced. We therefore recommend subcapsular injection of 3 ml of 1% lidocaine with 1/200.000 adrenaline under each tonsil before tonsillectomy.