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 2019
Meta AnalysisMontelukast and Nasal Corticosteroids to Treat Pediatric Obstructive Sleep Apnea: A Systematic Review and Meta-analysis.
To systematically review the literature on anti-inflammatory medications for treating pediatric obstructive sleep apnea and perform meta-analysis of the available data. ⋯ Treatment with montelukast and intranasal steroids or montelukast alone is potentially beneficial for short-term management of mild pediatric OSA.
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Otolaryngol Head Neck Surg · Apr 2019
ReviewArtificial Intelligence for the Otolaryngologist: A State of the Art Review.
To provide a state of the art review of artificial intelligence (AI), including its subfields of machine learning and natural language processing, as it applies to otolaryngology and to discuss current applications, future impact, and limitations of these technologies. ⋯ In the coming years, AI is likely to have a major impact on biomedical research and the practice of medicine. Otolaryngologists are key stakeholders in the development and clinical integration of meaningful AI technologies that will improve patient care. High-quality data collection is essential for the development of AI technologies, and otolaryngologists should seek opportunities to collaborate with data scientists to guide them toward the most impactful clinical questions.
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Otolaryngol Head Neck Surg · Apr 2019
Comparative StudyConscious Sedation for Pediatric Peritonsillar Abscess: Comparison of Anesthetic Approaches.
To compare the efficacy, safety, and cost of incision and drainage (I&D) for pediatric patients with peritonsillar abscesses (PTAs) under conscious sedation (CS) versus unsedated (awake) and general anesthesia (GA). ⋯ CS for PTA I&D is a viable treatment option with tolerance and success similar to that of the awake and GA groups. Complications were observed for those who underwent CS, but they were manageable.
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Otolaryngol Head Neck Surg · Mar 2019
Occupational Burnout among Otolaryngology-Head and Neck Surgery Trainees in Australia.
Surgical trainee burnout has gained attention recently as a significant factor leading to poorer quality of patient care, decreased productivity, and personal dysfunction. As a result, we aimed to determine the prevalence and associated risk factors for burnout among otolaryngology-head and neck surgery (OHNS) trainees in Australia. ⋯ Burnout was found to be very common among OHNS trainees in Australia. The statistically significant predictors identified should be addressed to minimize trainee burnout.
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To survey patients following sinonasal surgery regarding postoperative pain and opioid use. ⋯ An evidence-based approach to postoperative pain control following sinonasal surgery that reduces the number of unused and potentially diverted opioids is needed. The current study suggests that 15 combination oxycodone (5-mg) and acetaminophen (325-mg) tablets provide sufficient pain control for 90% of patients in the immediate postoperative period following sinonasal surgery, irrespective of the specific procedures performed, use of acetaminophen, or use of systemic steroids. Smoking status may help surgeons predict which patients will require larger opioid prescriptions.