Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
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Otolaryngol Head Neck Surg · Feb 2011
Comparative StudyAn animal model for endotracheal tube-related laryngeal injury using hypoxic ventilation.
To explore whether hypoxic ventilation could allow a practical animal model of laryngotracheal injury secondary to endotracheal intubation. ⋯ Endotracheal tube-related laryngeal injury was demonstrated after only 4 hours of intubation using this animal model, and hypoxic ventilation increased the severity of injury. This study therefore provides an animal model that may be suitable for future investigation and prevention of intubation injury.
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Otolaryngol Head Neck Surg · Feb 2011
Comparative StudyComprehensive airway management of neonatal head and neck teratomas.
To determine the success of initial airway management and to characterize late airway-related complications in patients with airway obstruction due to congenital head and neck teratomas. ⋯ This study demonstrates that a multidisciplinary team and a standardized approach in the operating suite have led to successful initial airway stabilization. Furthermore, this study demonstrates the need for continued airway management after delivery. Reassessment of the airway after delivery and an airway management planning meeting with the multidisciplinary team may help decrease morbidity and mortality.
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Otolaryngol Head Neck Surg · Jan 2011
Comparative StudyInitial experience with a multidisciplinary strategy for initiation of propranolol therapy for infantile hemangiomas.
To outline a safe, standardized protocol for outpatient initiation of propranolol therapy for infantile hemangiomas. ⋯ In most children with infantile hemangiomas, propranolol therapy can be safely initiated as an outpatient. Careful cardiovascular evaluation by an experienced clinician is essential for pretreatment evaluation, inpatient admission (when necessary), blood pressure and heart rate monitoring following initial dosing, and parent education. This standardized multidisciplinary outpatient initiation plan reduces the cost of initiating therapy compared with inpatient strategies while still providing appropriate monitoring for potential treatment complications. Further evaluation of propranolol therapy efficacy at the current dosing and duration of treatment continues.
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Otolaryngol Head Neck Surg · Dec 2010
Randomized Controlled TrialEffect of pharyngeal packing during nasal surgery on postoperative nausea and vomiting.
The aim of this study was to evaluate the efficacy of pharyngeal packing in reducing postoperative nausea and vomiting (PONV) after nasal surgery by taking into consideration the surgery types. ⋯ Pharyngeal packing in nasal surgery has no impact on PONV.
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Otolaryngol Head Neck Surg · Nov 2010
Comparative StudyA prospective study of the clinical impact of a multidisciplinary head and neck tumor board.
There have been no studies undertaken on the effect of the multidisciplinary head and neck tumor board on treatment planning. The objective of this study was to determine the efficacy of the multidisciplinary tumor board in altering diagnosis, stage, and treatment plan in patients with head and neck tumors. ⋯ A multidisciplinary tumor board affects diagnostic and treatment decisions in a significant number of patients with newly diagnosed head and neck tumors. The multidisciplinary approach to patient care may be particularly effective in managing malignant tumors, in which treatment plans are most frequently altered.