Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
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Otolaryngol Head Neck Surg · Aug 2013
Comparative StudyUsefulness of adenotonsillar size for prediction of severity of obstructive sleep apnea and flow limitation.
Adenotonsillar hypertrophy is considered the most common cause of pediatric obstructive sleep apnea syndrome (OSAS). This study aimed to evaluate the relationships between tonsil/adenoid size, parameters of polysomnography, and subjective sleep symptoms. ⋯ Tonsil/adenoid size did not predict the severity of AHI. Nevertheless, adenoid size might be related to lowest oxygen saturation, which is thought to be related to subjective symptoms. Although flow limitation was related to tonsil size but not to QOL in the control group, further research will be needed to understand the importance of flow limitation and upper airway resistance syndrome in the pediatric population.
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Otolaryngol Head Neck Surg · Aug 2013
Comparative StudyCosmetic rhinoseptoplasty in acute nasal bone fracture.
Traditionally, rhinoseptoplasty for nasal bone fracture is only considered after an unsatisfactory outcome from initial closed reduction. However, better surgical outcomes may be achieved if rhinoseptoplasty is performed at the same time as the nasal bone fracture reduction. This study investigated the surgical outcomes of patients who underwent rhinoseptoplasty concomitantly with nasal bone fracture reduction according to their computed tomography image-based nasal bone fracture classifications. ⋯ Rhinoseptoplasty for acute nasal bone fractures can be performed at the same time as nasal bone fracture reduction. However, nasal bone fracture with septal fracture should be managed carefully.
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Otolaryngol Head Neck Surg · Aug 2013
Comparative StudyUse of apneic oxygenation for the performance of pan-endoscopy.
To evaluate the efficacy of apneic oxygenation for the performance of pan-endoscopy. ⋯ With appropriate monitoring, sufficient nitrogen elution, and proper patient selection, we believe that this technique is superior to jet ventilation and intubation for pan-endoscopy, allowing unimpeded operative visualization.
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Otolaryngol Head Neck Surg · Jul 2013
The evolution of racial, ethnic, and gender diversity in US otolaryngology residency programs.
To examine the evolution of racial, ethnic, and gender diversity in US otolaryngology-head and neck surgery residency programs and compare these figures with other residency programs. ⋯ To our knowledge, this is the first study to describe the evolution of female and minority representation among US otolaryngology residents. Despite increasing gender, ethnic, and racial diversity among medical residents in general, female and certain minority group representation in US otolaryngology residency programs is lagging. These findings are in contrast to rising trends of diversity within other residency programs including general surgery.