International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Sep 2009
Randomized Controlled Trial Comparative StudyComparing the effectiveness of "plasma knife" tonsillectomy with two well-established tonsillectomy techniques: cold dissection and bipolar electrocautery. A prospective randomized study.
To evaluate the effectiveness of a new device "plasma knife" for tonsillectomy by comparing to two well-established tonsillectomy techniques: cold dissection, and bipolar electrocautery. ⋯ Plasma knife is a useful and safe device in tonsillectomy. Its use reduces intraoperative blood loss and provides a fast tonsillectomy with acceptable morbidity.
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Int. J. Pediatr. Otorhinolaryngol. · Sep 2009
Randomized Controlled TrialThe effects of topical levobupivacaine on morbidity in pediatric tonsillectomy patients.
To reduce the post-tonsillectomy morbidity by swab soaked with 5 ml levobupivacaine hydroclorur (25 mg/10 ml). ⋯ Topical levobupivacaine seems to be a safe and easy medication for postoperative pain control in pediatric tonsillectomy patients.
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Int. J. Pediatr. Otorhinolaryngol. · Sep 2009
Case ReportsDexmedetomidine and proprofol in complex microlaryngeal surgery in infants.
We describe the case of an infant undergoing endoscopic repair of a laryngeal cleft where the combination of dexmedetomidine and propofol infusions was used as the anesthetic technique. With this regimen, endotracheal intubation was unnecessary during the perioperative period, the procedure lasted approximately 3h, and the child recovered uneventfully. Historically, the techniques used for microlaryngeal surgery involve the use of intermittent endotracheal intubation and insufflation of halogenated anesthetics to the oropharynx. Given the potential benefits of a technique that obviates the need for endotracheal intubation during microlaryngeal surgery and prevents insufflation of halogenated anesthetics in an open environment, the combination of propofol and dexmedetomidine should be considered as a viable and desirable anesthetic option for infants undergoing complex microlaryngeal surgery.
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Int. J. Pediatr. Otorhinolaryngol. · Sep 2009
Adding the third dimension--a new tool for constructing 3D models of the airway from 2D bronchoscopic video.
To develop a new method of using existing bronchoscopic video technology to generate a 3D model of the airway for clinical purposes. ⋯ It is possible to extract 3D data from a sequence of 2D images. Further, this 3D model can be used for the purposes of management and planning and is quantitatively accurate and reliable. Initial data suggests that these measurements correlate with actual airway size and may provide a better instrument with which to make surgical decisions.
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Int. J. Pediatr. Otorhinolaryngol. · Sep 2009
Case ReportsLudwig's angina following frenuloplasty in an adolescent.
Ludwig's angina is a rapidly progressive cellulitis of the submandibular space and has the potential for significant upper airway obstruction. Most reported cases follow an odontogenic infection. ⋯ To our knowledge, this is the first report of an iatrogenic Ludwig's angina attributable to a frenuloplasty performed for ankyloglossia. We briefly review the literature on ankyloglossia, pediatric Ludwig's angina and postoperative infections.