Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
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Otolaryngol Head Neck Surg · Apr 2007
Natural history of tracheostomy-dependent idiopathic congenital bilateral vocal fold paralysis.
To identify the age at which spontaneous improvement in vocal fold function occurs that will allow decannulation to be performed in tracheostomy-dependent children with isolated idiopathic congenital bilateral vocal fold paralysis (BVFP). ⋯ Conservative treatment could be considered as an alternative to surgery in severe idiopathic congenital BVFP.
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Otolaryngol Head Neck Surg · Mar 2007
Meta AnalysisSafe use of selected cephalosporins in penicillin-allergic patients: a meta-analysis.
Recent analysis of clinical data and a clearer understanding of the role of chemical structure in the development of cross-reactivity indicate that the increased risk of an allergic reaction to a cephalosporin in penicillin-allergic patients is smaller than previously postulated. ⋯ First-generation cephalosporins have cross-allergy with penicillins, but cross-allergy is negligible with second- and third-generation cephalosporins. Particular emphasis should be placed on the role of chemical structure in determining the risk of cross-reactivity between specific agents.
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Otolaryngol Head Neck Surg · Feb 2007
Outpatient parathyroid surgery and the differences seen in the morbidly obese.
This prospective study examined rapid patient discharge after routine parathyroidectomy to identify differences between morbidly obese and non-morbidly obese patients. The efficacy of supplemental calcium in preventing postoperative hypocalcemia was also assessed. ⋯ Immediate discharge after routine parathyroid surgery is extremely safe for nearly all patients although morbid obesity is associated with a longer operation, a more difficult airway, and a longer stay in the recovery room.
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Otolaryngol Head Neck Surg · Feb 2007
Randomized Controlled TrialEfficacy of dexamethasone for reducing postoperative nausea and vomiting and analgesic requirements after thyroidectomy.
To evaluate the efficacy of dexamethasone for reducing postoperative nausea and vomiting (PONV) and analgesic requirements after thyroidectomy. ⋯ Dexamethasone 8 mg effectively decreases PONV and analgesic requirements after thyroidectomy.