The Laryngoscope
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Comparative Study
Utility of positron-emission tomography/computed tomography imaging in the management of the neck in recurrent laryngeal cancer.
Patients who develop recurrence of laryngeal cancer after radiotherapy organ preservation protocols are offered salvage laryngectomy, often with bilateral neck dissection. However, there can be multiple complications of neck dissection in the previously irradiated neck, including poor wound healing and increased potential for fistula. Positron-emission tomography/computed tomography (PET/CT) may have the ability to spare some of these patients from the morbidity of unnecessary neck dissections if it can reliably exclude recurrent nodal disease. The purpose of our study was to determine whether preoperative PET/CT could correctly predict the pathologic status of the neck in patients with locally recurrent laryngeal cancer and clinically N0 neck. ⋯ We believe that this false negative rate is too high to warrant deferring neck dissection based on PET/CT, and we recommend that patients who are clinically N0 for recurrent laryngeal cancer be offered neck dissection along with salvage laryngectomy.
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Comparative Study
Late complications of nickel-titanium alloy stent in tracheal stenosis.
To investigate and treat the late complications of using nickel-titanium alloy stents in laryngotracheal, bronchial, and esophageal stenosis patients who developed severe laryngotracheal stenosis (SLS). ⋯ The nickel-titanium alloy stents should be used with extreme caution in patients with laryngotracheal, bronchial, or esophageal stenosis treatment that can be corrected by surgical therapy.
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Wire grill brushes are commonly used for cleaning grill grates. Accidental ingestion of a wire bristle from a grill-cleaning brush is a rarely reported foreign body, with only three prior case reports. ⋯ Additionally, we raise a consumer safety issue associated with the use of wire grill-cleaning brushes as there are currently no ingestion hazard warnings on these products. Laryngoscope,, 2011.
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To evaluate and describe airway complications in pediatric adenotonsillectomy. ⋯ The rates of laryngospasm (1.6%) and bronchospasm (1.8%) are significantly lower than reported in the literature, reflecting refinements in modern anesthesia/surgical technique. Knowledge of at-risk patients can facilitate planning to potentially reduce the incidence of perioperative airway complications during adenotonsillectomy.
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Randomized Controlled Trial Comparative Study
Laryngeal mask airway versus endotracheal tube in pediatric adenotonsillectomy.
Evaluation of safety and postoperative outcomes of the laryngeal mask airway (LMA) during pediatric tonsil surgery compared to use of the endotracheal tube (ETT). ⋯ Use of the LMA during pediatric tonsil surgery does not appear to have any major disadvantages compared to use of the ETT. In fact, analysis of safety, comfort, complications, and postoperative problems suggests that LMA may be superior for some outcome variables such as coughing and gagging. Use of spontaneous ventilation is more common among LMA patients, although the significance of this finding is uncertain.