Arch Otolaryngol
-
Patients with significant medical problems requiring major otolaryngology procedures are at high risk for both medical and surgical complications. ⋯ Prolonged anesthesia times of 8 hours or more, a history of hepatitis, and large-volume intraoperative fluid resuscitations predicted adverse outcomes. Special care must be taken in counseling these patients preoperatively and in caring for them during their operative and postoperative course.
-
Persistent elevation of parathyroid hormone (PTH) levels following parathyroidectomy may indicate residual abnormal parathyroid tissue. ⋯ Persistent PTH elevation occurs in 27% of patients following curative parathyroidectomy and is usually a transient phenomenon more common in patients with musculoskeletal symptoms and of the black race. It is not a manifestation of persistent disease but is most likely a secondary response to bone remineralization.
-
Randomized Controlled Trial Clinical Trial
Preincisional bupivacaine in posttonsillectomy pain relief: a randomized prospective study.
To determine the effect of preincisional bupivacaine hydrochloride infiltration on postoperative pain after tonsillectomy. ⋯ No statistically significant benefit is found for use of preincisional bupivacaine in tonsillectomy.
-
Comparative Study
Endoscopic stapling technique for the treatment of Zenker diverticulum vs standard open-neck technique: a direct comparison and charge analysis.
Presently, the 2 most widely used methods for the treatment of Zenker diverticulum are endoscopic stapling of the common party wall between the diverticulum sac and the esophagus and the standard open-neck technique involving diverticulectomy and cricopharyngeal myotomy. ⋯ Compared with the standard open technique, the endoscopic stapling technique for the treatment of Zenker diverticulum results in a statistically significant shorter operative time, hospital stay, and time to resume oral feedings. While the charges of the operative procedures were roughly equivalent, the total hospital charges were significantly less for the patients treated endoscopically.