The Laryngoscope
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The purpose of this study is to describe the anatomy and relationships of the vidian canal to known endonasal and skull base landmarks. This will allow the endoscopic skull base surgeon to safely approach the anterior genu of the petrous carotid artery during expanded endonasal approaches to the skull base. ⋯ As a result of this study the endoscopic skull base surgeon has a number of anatomical landmarks and measurements that may be helpful in safely localizing the anterior genu of the petrous internal carotid artery during expanded endonasal approaches to the skull base.
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Randomized Controlled Trial
Pain treatment and recovery after endoscopic sinus surgery.
Early recovery and pain management after endoscopic sinus surgery (ESS) are largely unexplored regardless of the large number of ESSs performed by otorhinolaryngologists. In the present study, we evaluated whether scheduled administration of acetaminophen (paracetamol) for pain management after ESS would allow faster recovery to normal daily activities compared with acetaminophen administered on an as needed basis. ⋯ The present study suggests that patients recover in 9 to 10 days after ESS when provided with appropriate pain management. Our data indicate that by prescribing scheduled acetaminophen, postoperative pain after ESS can be controlled effectively without the need for opioid analgesics.