ORL; journal for oto-rhino-laryngology and its related specialties
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ORL J. Otorhinolaryngol. Relat. Spec. · Jan 1993
Cell potential of isolated outer hair cells as a function of extracellular K+ concentration.
Outer hair cells were isolated from apical turns of the guinea pig cochlea. The membrane potential differences of cells in extracellular medium with 5.8, 14.0, 28.9 or 67.5 mmol/l of potassium were -72.0 +/- 0.6 (mean +/- SEM, n = 93), -50.1 +/- 2.1 (n = 4), -37.7 +/- 0.5 (n = 73) or -20.0 +/- 1.5 mV (n = 16), respectively. Membrane depolarization can explain two thirds of the K(+)-induced shortening of isolated outer hair cells.
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ORL J. Otorhinolaryngol. Relat. Spec. · Jan 1992
Randomized Controlled Trial Clinical TrialEffects of topical laryngeal lidocaine on sympathetic response to rigid panendoscopy under general anesthesia.
The sympathetic response to rigid bronchoscopy, laryngoscopy and esophagoscopy, performed under general anesthesia with isoflurane, was examined in patients who either received 5 ml of 2% lidocaine (n = 7) or 5 ml of saline (n = 7), sprayed on larynx and upper trachea under direct laryngoscopy, 2 min before the introduction of the rigid bronchoscope. Blood pressure, heart rate and plasma catecholamine and lidocaine levels were measured at specific time points of the study. Topical lidocaine led to a rapid and prolonged increase in plasma lidocaine levels. ⋯ Blood pressure and heart rate response during rigid panendoscopy, isoflurane requirements and time interval from termination of panendoscopy to extubation were not different between the two groups. However, in contrast to the control group, patients who had received lidocaine had no significant rise in blood pressure and heart rate from baseline following the introduction of the rigid bronchoscope. The benefit of this moderate hemodynamic stabilizing effect of lidocaine has to be weighted against the risk of decreased protective airway reflexes due to topical laryngeal lidocaine during recovery from anesthesia.
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ORL J. Otorhinolaryngol. Relat. Spec. · Jan 1992
Case ReportsVentricular fibrillation following local application of cocaine and epinephrine for nasal surgery.
We report the case of a 17-year-old female patient, scheduled for septoplasty under general anesthesia, who developed ventricular fibrillation after intranasal application of cocaine (350 mg) and submucosal injection of lidocaine (20 mg) with epinephrine (100 micrograms). Resuscitation by external chest compression was successful, and normal sinus rhythm was reestablished after lidocaine injection (50 mg, i.v.). The cardiac risk of the combined administration of cocaine and epinephrine during general anesthesia are discussed.
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ORL J. Otorhinolaryngol. Relat. Spec. · Jan 1990
Influence of perioperative transfusion therapy on the recurrence potential of locally advanced laryngeal carcinoma.
The present study was undertaken to determinate whether immunosuppression, induced by perioperative allogenic whole-blood transfusions (AWBTs), adversely affects prognosis after total resection of laryngeal cancer by promoting the appearance of recurrences. We studied 62 patients, aged 37-82 years with TNM stage III and IV (UICC, 1987) laryngeal cancer treated between 1977 and 1983. ⋯ After 4 years we found the following disease-free survival indexes: transfused, 12/30 (40%); nontransfused, 22/32 (70%; p less than 0.05). On the base of these dates, we conclude that AWBTs exert a significant influence on early recurrence and on survival in patients with laryngeal cancer.
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ORL J. Otorhinolaryngol. Relat. Spec. · Jan 1988
Histologic study of the growth of the subglottis after interruption of the circular structure of the cricoid.
In a previous study in growing rabbits it was demonstrated that after resection of a ventral part of the cricoid the lumen of the subglottic airway developed normal size during further growth up to the adult stage. Histologic investigations of these cases suggest that a subepithelial network of elastic fibres, ventrally suspended to the thyroid and the tracheal rings, ensures the airway lumen and prevents the development of a subglottic stenosis. ⋯ It was concluded that the larynx and trachea can be considered as an inner, elastic tube (= conus elasticus) lined with epithelium, suspended to an outer, segmented cartilaginous tube. At the level of the subglottis an intact conus elasticus is of more importance for the normal development of the airway lumen in young rabbits than an intact ventral half of the cricoid ring.