Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
-
Otolaryngol Head Neck Surg · Feb 2006
Meta AnalysisSteroids for post-tonsillectomy pain reduction: meta-analysis of randomized controlled trials.
To determine whether meta-analysis supports the use of corticosteroids to reduce post-tonsillectomy pain for pediatric patients. ⋯ A single, intraoperative dose of dexamethasone may reduce post-tonsillectomy pain on postoperative day 1, by a factor of 1 on a 10-point pain scale. As the side effects and cost of dexamethasone dose appear negligible, consideration of routine use seems reasonable.
-
Otolaryngol Head Neck Surg · Jan 2006
Inhaled foreign bodies: presentation, management and value of history and plain chest radiography in delayed presentation.
To assess the clinical and management aspects of tracheobronchial foreign body (FB) in children and adults; to judge the influence of the operator's experience on the outcome of the procedure and to evaluate the factors associated with delayed diagnosis of FB aspiration (FBA) in children; and to compare clinical, radiologic and bronchoscopic findings in the patients with suspected FB inhalation (FBI). ⋯ C-4.
-
Otolaryngol Head Neck Surg · Jan 2006
Experience of first deployed otolaryngology team in Operation Iraqi Freedom: the changing face of combat injuries.
In September, 2004, an Air Force otolaryngology team was deployed to Iraq as a member of the multispecialty head and neck team, which had historically consisted of neurosurgery, ophthalmology, and oral surgery. We examined our operative and outpatient experience to determine if otolaryngology would be a critical component of this new head and neck team. ⋯ C-4.
-
Otolaryngol Head Neck Surg · Dec 2005
Comparative Study Clinical TrialCricoid palpability as a selection criterion for bedside tracheostomy.
To prospectively evaluate the significance of cricoid cartilage palpability as a selection criterion for bedside tracheostomy and to prospectively compare a cohort of patients undergoing bedside tracheostomy with another cohort receiving operating room tracheostomy. ⋯ These findings will aid in the development of protocols and pathways for surgical airway management in critically ill patients to maximize cost-effective, high-quality care.
-
Otolaryngol Head Neck Surg · Dec 2005
Randomized Controlled TrialBipolar radiofrequency dissection tonsillectomy: a prospective randomized trial.
To conduct a prospective randomized controlled study presenting and comparing bipolar radiofrequency dissection tonsillectomy (BRDT) to cold dissection tonsillectomy (CDT) regarding intra-operative blood loss, operative time, postoperative pain, and postoperative complications including hemorrhage. ⋯ BRDT is a new, easy, and safe technique that offers a complete eradication of the tonsillar disease, short operating time, minimal intra-operative blood loss, and a suitable cost with no additional increase in postoperative pain and hemorrhage when compared to the conventional CDT. Our experience promotes BRDT as the preferred method of tonsillectomy.