The Laryngoscope
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Randomized Controlled Trial Comparative Study
Xylitol nasal irrigation in the management of chronic rhinosinusitis: a pilot study.
To determine the tolerability of xylitol mixed with water as a nasal irrigant and to evaluate whether xylitol nasal irrigation results in symptomatic improvement of subjects with chronic rhinosinusitis. ⋯ Xylitol in water is a well-tolerated agent for sinonasal irrigation. In the short term, xylitol irrigations result in greater improvement of symptoms of chronic rhinosinusitis as compared to saline irrigation.
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To analyze the incidence of primary bleeding following tonsil surgery and to evaluate risk factors. ⋯ Primary hemorrhage following tonsil surgery is rare. During the study period, a significant decrease in primary bleeding rates occurred. The changes in practice with an increasing proportion of day-surgery cases and tonsillotomy have contributed to the reduced risk, but cannot completely explain the reduction.
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To develop and validate a clinical algorithm for management of patients with angiotensin-converting enzyme inhibitor-induced angioedema (AIIA). ⋯ The management protocol was successful in 40 consecutive patients to the appropriate level of care. History and physical examination may predict airway findings identified on laryngoscopy and help guide management when treatment by otolaryngology is not immediately available. A subset of patients will require acute airway intervention and can be identified at initial presentation.
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To review our favorable experience with a minimally invasive transfrontal sinus approach to tumors of the subfrontal region. ⋯ The minimally invasive transfrontal sinus approach to the subfrontal region provides ready expeditious access to the base of the anterior cranial fossa without the need for brain retraction, craniotomy or naso-orbital osteotomies. It represents an excellent alternative in the surgical access of both intra- and extradural tumors in this region of the skull base.
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Video-assisted endoscopic intubation (VAEI) has gained wide use in anesthesiology when difficult intubation is encountered. Even when excellent visualization of the larynx is achieved with VAEI, successful intubation can be difficult and/or traumatic due to awkward angles and rigid stylets. Presented is a modification of standard VAEI procedure that allows for minimization of intubation trauma. ⋯ The "smart stylet" concept allows for successful and safe endotracheal intubation when used with the Glidescope™.