Ann Oto Rhinol Laryn
-
Ann Oto Rhinol Laryn · Jul 2013
Randomized Controlled Trial Comparative StudyComparison between dexmedetomidine and remifentanil for controlled hypotension and recovery in endoscopic sinus surgery.
We compared the efficacy of dexmedetomidine and remifentanil hydrochloride in intraoperative field conditions and recovery during endoscopic sinus surgery. ⋯ Although remifentanil and dexmedetomidine both enabled hypotensive anesthesia and good intraoperative fields for endoscopic sinus surgery, recovery was faster with remifentanil than with dexmedetomidine in the immediate postoperative period.
-
Ann Oto Rhinol Laryn · Jul 2013
Review Case ReportsMalignant transformation of respiratory papillomatosis in a solid-organ transplant patient: case report and literature review.
We report the case of a 77-year-old non-smoker and non-drinker with a solid-organ transplant who had malignant transformation of respiratory papillomatosis 3 years after the initial diagnosis of this benign lesion. This is the first case reported in the literature of malignant transformation of respiratory papillomatosis in a solid-organ transplant patient. ⋯ There may be a higher rate of malignant transformation of respiratory papillomatosis in immunosuppressed patients, as this is a virus-associated disease. Closer observation, airway evaluation with laryngoscopy and tracheobronchoscopy, and interval biopsies of immunosuppressed patients with respiratory papillomatosis is recommended.