The Laryngoscope
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To describe patterns of patient involvement in head and neck cancer decision making. ⋯ Decision making in serious illness unfolds differently than in less serious problems. The conventional model does not fit this patient population, and reliance on trust of the physician figures prominently. Decision support should be aimed at physician decision making, promoting explicit incorporation of patient-specific data into the process.
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Comparative Study
Intralesional corticosteroid injection and dilatation provides effective management of subglottic stenosis in Wegener's granulomatosis.
To describe our experience with the use of intralesional corticosteroid injection and dilatation (ILCD) in the management of subglottic stenosis (SGS). ⋯ Our data supports the use of ILCD as a safe and effective treatment of SGS in both WG and non-WG patients.
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tracheitis is an acute, infectious, potentially life-threatening condition of the pediatric airway. Historically, patients have often required urgent invasive airway support, and have been treated with broad-spectrum antibiotics, often combined with direct laryngoscopy and bronchoscopy. ⋯ This study highlights the importance of early disease identification and urgent surgical intervention in the management of bacterial tracheitis. It also demonstrates an approach with the potential to improve patient outcomes from this dangerous condition.
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Comparative Study
Middle turbinectomy for exposure in endoscopic endonasal transsphenoidal surgery: when is it necessary?
To evaluate the benefits of middle turbinectomy on the exposure of the skull base structures. ⋯ Middle turbinectomy may not be necessary for endonasal transsphenoidal approach to the lesions of the sella, planum sphenoidale, and upper third of the clivus. However, gaining access to the middle clival region is facilitated by resection of middle turbinate.