American journal of otolaryngology
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Randomized Controlled Trial Comparative Study
Does extensive dissection of recurrent laryngeal nerve during thyroid operation increase the risk of nerve injury? Evidence from the application of intraoperative neuromonitoring.
Extensive dissection of recurrent laryngeal nerve (RLN) is inevitable in some complicated thyroid operations. The study aimed to determine whether extensive dissection of RLN increases the risk of nerve injury. ⋯ The results of this study suggest that careful surgical dissection is well tolerated by the RLN.
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Selective conservative management of penetrating neck trauma is a commonly adopted procedure to manage patients of such trauma. However, at places where trauma services are inadequate on different counts and a low-intensity military conflict is on, relevance of this approach without compromising the safety and well-being of the patient remains to be evaluated. ⋯ Selective conservative management is a cost-effective approach for penetrating neck trauma even in areas where there is relative paucity of advanced trauma services. These results further reinforce the validity of careful physical examination as a reliable tool to guide further management without necessarily resorting to expensive and at times difficult to do diagnostic tests.
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Randomized Controlled Trial Comparative Study
The role of informed consent in risks recall in otorhinolaryngology surgeries: verbal (nonintervention) vs written (intervention) summaries of risks.
Informed consent is a phrase often used in the law to indicate that the consent a person gives meets certain minimum standards. It relies on patients' ability to understand risk information. Evidence suggests that people may extract the gist of any risk information to make medical decisions. Existing evidence also suggests that there is an inverse relationship between the perception of risk and the perception of benefit. Informed consent is the method by which fully informed, rational persons may be involved in choices about their health care. ⋯ The addition of a handout significantly alters recall of potential complications of otorhinolaryngologic surgery with the recall of specific risk highest for facial nerve paralysis.
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We report the rare case of angioedema (also known as Quincke edema), which was induced by valsartan, an angiotensin II receptor blocker (ARB). ARBs are a new class of antihypertensive agent that is developed to exclude the adverse effects of angiotensin-converting enzyme inhibitors. ⋯ In this study, we present the forth case and the first Asian case of angioedema due to valsartan, which is one of the ARBs. Otolaryngologist should be wary of the prescribing ARB and discontinue ARBs treatment soon, if angioedema is recognized.
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We report 2 patients with iatrogenic pseudoaneurysms, which developed following sinus surgery. ⋯ Iatrogenic pseudoaneurysms that develop following a vascular injury, though rare, can cause life-threatening epistaxis or a thromboembolism. In this report, we describe 2 different manifestations of iatrogenic vascular malformations following sinus surgery. The role of angiography and subsequent endovascular therapy in the management of these lesions is emphasized.