Ann Oto Rhinol Laryn
-
Ann Oto Rhinol Laryn · Aug 2010
Outcome of adenotonsillectomy for obstructive sleep apnea syndrome in children.
We evaluated the outcome of adenotonsillectomy for obstructive sleep apnea syndrome (OSAS) in children using polysomnography (PSG) data and a quality-of-life (QOL) instrument. ⋯ Adenotonsillectomy is associated with improvements in PSG, behavior, and QOL in children with OSAS. However, it may not resolve OSAS in all children. The efficacy and role of additional therapeutic options require more study.
-
Ann Oto Rhinol Laryn · Apr 2010
Randomized Controlled TrialRole of dexamethasone in reducing pain after endoscopic sinus surgery in adults: a double-blind prospective randomized trial.
We sought to study postoperative pain after endoscopic sinus surgery and to evaluate the efficacy of dexamethasone sodium phosphate in reducing pain and rescue analgesic requirements. ⋯ Dexamethasone injection at the time of induction of general anesthesia is not superior to placebo in controlling early postoperative pain in patients who undergo endoscopic sinus surgery.
-
Ann Oto Rhinol Laryn · Apr 2010
Use of double electrode pads for intraoperative monitoring of the recurrent laryngeal nerve.
We describe a novel technique using double electrode pads for intraoperative neuromonitoring of the recurrent laryngeal nerve. This is a novel setup of intraoperative neuromonitoring that helps protect against faulty readings due to tube migration during surgery and allows for the recording of "side-specific" recurrent laryngeal nerve information. This method has not been previously described in the literature. This original approach to neuromonitoring helps guard against tube migration, simplifies the intubation process, allows for the acquisition of side-specific information, and is less expensive than use of commercially available integrated endotracheal tubes.
-
We report the common surgical approaches, incidence of sinus tracts, and recurrence rates of floor of mouth dysontogenic (epidermoid, dermoid, and teratoid) cysts in the pediatric population. ⋯ Floor of mouth dysontogenic cysts most commonly present in the sublingual space, and most can be excised by an intraoral approach. Multiple dysontogenic cysts often require a combination of intraoral and extraoral approaches. Recurrence of a dysontogenic cyst may be secondary to a tract not identified at the time of surgery.
-
Ann Oto Rhinol Laryn · Mar 2010
Comparative StudyManagement of recurrent laryngeal sensory neuropathic symptoms.
We identify management strategies for the treatment of upper respiratory tract symptoms stemming from dysfunction of the recurrent laryngeal nerve. ⋯ Patients with suspected neuropathy of the recurrent laryngeal nerve frequently respond to neuromodulator therapy. The addition of reflux precautions and acid suppression therapy is helpful in cases of chronic and recurrent laryngospasm. Patients with evidence of motor neuropathy appear to have better outcomes with neuromodulator therapy.