European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
-
Lidocaine has been used as an injection or spray solution to protect spasm reaction during tracheal intubation and bronchoscopy. The effect of lidocaine for local anesthesia is well known. However, the effect of the drug to tracheal smooth muscle is not well explored. ⋯ Using the same concentration, the drug also could totally inhibit the electrical field stimulation-induced spike contraction. Lidocaine elicited a negligible response to the resting tension of trachea as the concentration increased. The study indicated that lidocaine could cause bronchodilation not only from blocking parasympathetic tone, but also from directly antagonizing the effect of cholinergic receptors.
-
Eur Arch Otorhinolaryngol · Apr 2010
Randomized Controlled TrialEffect of nasal packing and haemostatic septal suture on mucociliary activity after septoplasty: an assessment by rhinoscintigraphy.
Nasal packing may influence the mucociliary clearance of the nose in the postoperative healing phase. In an attempt to overcome some of this problem, a haemostatic septal suturing technique was conceived. In this prospective study, we aimed to investigate the effects of nasal packing and septal suturing technique on mucociliary clearance by rhinoscintigraphy. ⋯ No significant differences were found between the groups regarding mucociliary clearance before and after surgery. Patients with septal deviation have a prolonged mucociliary transit time as compared with postoperative. Nasal packing did not significantly influence the mucociliary clearance in the postoperative healing phase.
-
Eur Arch Otorhinolaryngol · Mar 2010
Keyhole microsurgery for trigeminal neuralgia, hemifacial spasm and glossopharyngeal neuralgia.
The aim of the study was to describe and evaluate the efficacy of the keyhole microsurgery to manage patients with trigeminal neuralgia (TN), hemifacial spasm (HFS) and glossopharyngeal neuralgia (GPN). Two hundred and seven patients underwent microvascular decompression (MVD) and neurotomy via retrosigmoid keyhole approach in our department clinic: MVD for trigeminal neuralgia 169 cases, hemifacial spasm 31 cases, glossopharyngeal neuralgia 4 cases and neurotomy for glossopharyngeal neuralgia 3 cases. There was no serious complication such as deaths or infarction in the cerebellum or the brainstem. ⋯ Symptoms relief achieved in all 7 (100%) cases undergone MVD or neurotomy for glosspharyngeal neuralgia. Postoperative complications occurred in one case with moderate vocal paralysis. We think that microsurgery via retrosigmoid keyhole approach is safe and effective for CPA hyperactive cranial nerve dysfunction syndromes.
-
Eur Arch Otorhinolaryngol · Mar 2010
Comparative StudyComparison of the h index with standard bibliometric indicators to rank influential otolaryngologists in Europe and North America.
The Hirsch (h) index is an original and simple new bibliometric measure incorporating both quantity and quality. In this study, our aim was first to present characteristics of the statistical correlation between the h index and several standard bibliometric indicators and secondly we compared the h index between otolaryngologists from Europe and US. We used the Institute of Scientific Information (ISI) Web of Knowledge to identify citation reports from a random sample of influential editors from six otolaryngology journals: Journal of Laryngology and Otology (n = 21), Clinical Otolaryngology (n = 16), European Archives of Oto-Rhino-Laryngology (n = 49), The Laryngoscope (n = 66), Otolaryngology-Head and Neck Surgery (n = 15), and Archives of Otolaryngology-Head and Neck Surgery (n = 15). ⋯ However, the median C, CS and h were statistically significant. In conclusion, the h index is a simple yet powerful indicator as it combines productivity and impact. Overall, the US editorial panel have a higher h index.
-
Eur Arch Otorhinolaryngol · Jan 2010
Case ReportsCraniocerebral injury resulting from pencil penetration.
Penetrating craniofacial trauma in pediatric age group is quite rare. A case is reported that presented with a pencil penetration injury entering from the anterior maxillary sinus through the orbital medial wall, and ethmoidal cells and septum, reaching the contralateral gyrus rectus of the frontal lobe. ⋯ Early endoscopic surgical intervention was performed and the rhinorrhea was successfully treated in this case. This report discusses radiological and surgical characteristics of this unusual penetrating craniofacial trauma.