Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
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Otolaryngol Head Neck Surg · Dec 2014
Multicenter StudyAssociations between socioeconomic status and race with complications after tonsillectomy in children.
To determine if disparities exist for revisits and complications after pediatric tonsillectomy. ⋯ Significant disparities, particularly with respect to household income, exist in the incidence of revisits and complications after pediatric tonsillectomy. The disparate burden of increased revisits and acute pain diagnoses after tonsillectomy deserve further attention.
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Otolaryngol Head Neck Surg · Dec 2014
Review Meta Analysis Comparative StudyThe effect of early and late tracheotomy on outcomes in patients: a systematic review and cumulative meta-analysis.
To compare the effect of early tracheotomy (ET) and late tracheotomy (LT) on ventilator-associated pneumonia (VAP) incidence and short-term mortality in critically ill patients who received mechanical ventilation. ⋯ Early tracheotomy could improve short-term mortality but did not alter VAP incidence. Many factors may be responsible for the unstable results during cumulative meta-analysis, and further study is still needed to explore the optimal timing of tracheotomy.
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Otolaryngol Head Neck Surg · Dec 2014
Multicenter Study Observational StudyLong-term dizziness handicap in patients with vestibular schwannoma: a multicenter cross-sectional study.
(1) To characterize long-term dizziness following observation, microsurgery, and stereotactic radiosurgery (SRS) for small to medium-sized vestibular schwannoma (VS) using a validated self-assessment inventory; and (2) to identify clinical variables associated with long-term dizziness handicap. ⋯ At a mean of approximately 8 years following treatment, over half of patients with VS reported ongoing dizziness. The authors have identified several baseline features that may help predict the risk of lasting dizziness. Treatment modality does not appear to influence long-term DHI score. We found a strong association between posttreatment headache and poor dizziness handicap. Future study is needed to further define this relationship.
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Otolaryngol Head Neck Surg · Dec 2014
Comparative StudyIbuprofen with acetaminophen for postoperative pain control following tonsillectomy does not increase emergency department utilization.
To compare the performance of ibuprofen vs codeine for postoperative pain management after tonsillectomy as measured by need for emergency department (ED) treatment for pain and/or dehydration. ⋯ Ibuprofen with acetaminophen represents a safe and acceptable analgesic alternative to codeine and acetaminophen in patients undergoing pediatric tonsillectomy.