The Journal of laryngology and otology
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This paper outlines our use of cricothyroid cannulation in those patients undergoing head and neck surgery in whom a 'difficult airway' is anticipated. Audit results are presented. ⋯ Cricothyroid cannulation can be a simple, safe, reliable technique which is a useful adjunct in the management of patients with a potentially difficult airway.
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Review Case Reports
Giant petrous carotid aneurysm: persistent epistaxis despite internal carotid artery ligation.
We report a rare case of giant petrous carotid aneurysm. ⋯ Some aneurysms are too large to be treated with endovascular occlusion techniques; in such cases, ligation of the parent vessel is indicated. However, our patient continued to experience persistent, mild epistaxis despite internal carotid artery ligation, as a result of the reperfusion phenomenon.
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Comparative Study
Immediate post-operative vocal changes in patients using laryngeal mask airway versus endotracheal tube.
(1) To examine the vocal symptoms and acoustic changes perceived in the short period immediately after laryngeal mask airway, and (2) to compare these findings in patients using laryngeal mask airway and endotracheal tube. ⋯ Shortly after reversal of anaesthesia, laryngeal symptoms following laryngeal mask airway are no less significant than those experienced following endotracheal tube anaesthesia. Both methods can be regarded as nontraumatic, in view of the lack of significant vocal symptoms and acoustic changes 24 hours after anaesthesia.
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We present a rare case of oesophageal perforation following ingestion of over-the-counter ibuprofen capsules. ⋯ To our knowledge, this is the first report in the world literature concerning oesophageal perforation with ibuprofen. We discuss pill-induced oesophageal injury and its prevention. Manufacturers, clinicians and patients can all take steps to avoid this potentially life-threatening complication.
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We report an extremely rare case of thyroid hemiagenesis with ectopic lingual thyroid. ⋯ To our knowledge, this is the first report in the world literature of thyroid hemiagenesis with ectopic lingual thyroid.