Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
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Otolaryngol Head Neck Surg · Jul 1997
Clinical Trial Controlled Clinical TrialTreatment of massive or life-threatening hemangiomas with recombinant alpha(2a)-interferon.
To assess the response of massive, life-threatening, or function-impairing hemangiomas in pediatric patients receiving daily alpha(2a)-interferon subcutaneously. ⋯ Daily subcutaneous alpha(2a)-interferon is well tolerated in pediatric patients and appears effective in hastening involution of symptomatic hemangiomas. A significant response is unlikely in lesions with features suggestive of a vascular malformation.
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Otolaryngol Head Neck Surg · Jul 1997
Randomized Controlled Trial Comparative Study Clinical TrialA comparison of ibuprofen versus acetaminophen with codeine in the young tonsillectomy patient.
To compare the use of ibuprofen with the use of acetaminophen with codeine for posttonsillectomy management. ⋯ Ibuprofen is at least as effective as acetaminophen with codeine for postoperative pain control in children after tonsillectomy.
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The improved survival of patients sustaining massive head injuries has increased the number of temporal bone fractures being managed by otolaryngologists and neurosurgeons. We performed a prospective analysis of 35 patients with head injury with temporal bone trauma. The major emphasis of this study was to investigate the incidence, management, and outcome of facial nerve injury in such patients and to evaluate the importance of electrodiagnostics in the surgical management of the facial nerve. ⋯ This study underscores the importance of evoked electromyography, or electroneuronography, in assessing facial nerve function. Electroneuronography provided the indications for surgical intervention for facial paralysis. All patients having surgery for facial paralysis as determined by electroneuronographic findings had pathology of the facial nerve.