ORL; journal for oto-rhino-laryngology and its related specialties
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ORL J. Otorhinolaryngol. Relat. Spec. · Jan 2009
Cochlear implantation in China: review of 1,237 cases with an emphasis on complications.
The purpose of this study is to retrospectively review the complications of patients who underwent cochlear implantation at 51 hospitals in mainland China over a decade. ⋯ Cochlear implantation is a safe and reliable otosurgical procedure in China, and the rate of complications is similar to developed countries. Carefully preoperative preparation and standardization of the procedure are important for the development of cochlear implant programs in developing countries.
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ORL J. Otorhinolaryngol. Relat. Spec. · Jan 2009
Laryngeal mask airway in laryngoscopies: a safer alternative for the difficult airway.
This study was undertaken to highlight the method, usefulness and postoperative morbidity of using a laryngeal mask airway (LMA) to ventilate patients with difficult airways undergoing laryngeal procedures. ⋯ Insertion of an LMA and maintenance of airway and ventilation were performed with ease in all patients. The airway lesions were easy to visualize, there was minimal vocal cord trauma, and it served as a wide conduit for therapeutic bronchoscopes and laryngoscopes. Therefore, we recommend preoperative identification of difficult airways and consideration of elective LMA use with a flexible endoscope during laryngeal and upper tracheal procedures.
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Surgical treatment of hyperthyroidism requires an understanding of the pathophysiology of thyrotoxicosis and of differentiating hyperthyroidism from non-hyperthyroid causes of thyrotoxicosis. The surgeon must determine or confirm the etiology of the patient's hyperthyroidism for surgical planning and ensure that surgery is indicated. Furthermore, preoperative preparation with appropriate medication is essential for minimizing intraoperative and postoperative complications. This chapter outlines the differential diagnosis of thyrotoxicosis, preoperative evaluation and preparation for surgery.
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ORL J. Otorhinolaryngol. Relat. Spec. · Jan 2008
Comparative StudyPartial neuromuscular blockage levels with mivacurium during mastoidectomy allows intraoperative facial nerve monitoring.
Facial nerve monitoring during otologic surgery is helpful for facial nerve preservation, but its usage is closely related to anesthetic procedures. ⋯ We conclude that partial neuromuscular blockade with mivacurium permits intraoperative facial nerve monitoring.
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ORL J. Otorhinolaryngol. Relat. Spec. · Jan 2007
ReviewPediatric obstructive sleep apnea: current management.
Obstructive sleep apnea syndrome (OSAS) is a condition frequently encountered in children, and belongs to a spectrum of diseases called sleep-disordered breathing. Its pathophysiology is related to decreased ventilation despite respiratory effort, leading to episodes of hypopnea and apnea. Left untreated, this condition could have a significant impact on both physical and mental health. ⋯ This is why in clinical practice history and physical examination remain among the most useful diagnostic tools. Management of OSAS traditionally includes tonsillectomy and/or adenoidectomy to which most of the cases respond. However, other risk factors and coexisting conditions should be carefully investigated and treated prior to considering surgical treatment.