Ann Oto Rhinol Laryn
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Ann Oto Rhinol Laryn · Apr 2009
Measurement of cross-sectional dimensions of the cricoid cartilage: a computed tomographic study.
We measured the cross-sectional dimensions of the cricoid cartilage and degrees of ossification of the marrow space for designing a cricoid implant. ⋯ Human adult cricoid cartilages have sufficient marrow space for cricoid implantation. Preoperative evaluation of the size and density of the cricoid marrow is recommended for individual application of the cricoid implant.
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Ann Oto Rhinol Laryn · Apr 2009
Efficacy and safety of adenotonsillectomy for pediatric obstructive sleep apnea in Prader-Willi syndrome.
We performed a retrospective analysis in a tertiary care children's hospital to evaluate the efficacy and safety of adenotonsillectomy for the treatment of pediatric obstructive sleep apnea (OSA) in Prader-Willi syndrome (PWS). ⋯ Adenotonsillectomy did not consistently improve OSA in this population of patients with PWS. No perioperative complications were noted. Postoperative polysomnography should be considered for evaluation of possible residual OSA, as additional interventions may be warranted.
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Ann Oto Rhinol Laryn · Mar 2009
Randomized Controlled TrialRopivacaine peritonsillar infiltration for analgesia after adenotonsillectomy in children: a randomized, double-blind, placebo-controlled study.
Our randomized, double-blind, placebo-controlled study evaluates the possible benefit of peritonsillar infiltration with 0.75% ropivacaine hydrochloride on the pain level after adenotonsillectomy in 3- to 7-year-old children. ⋯ Peritonsillar infiltration with 0.75% ropivacaine does not provide any major postoperative analgesic effect in 3- to 7-year-old children after adenotonsillectomy. A possible clinically minor analgesia 6 hours after surgery is suggested.
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Ann Oto Rhinol Laryn · Feb 2009
Comparative StudyClinical outcomes of bedside percutaneous dilatational tracheostomy with suspension laryngoscopy for airway control.
We sought to describe outcomes of a new technique blending suspension laryngoscopy (SL) with percutaneous dilatational tracheostomy (PDT), addressing concerns of airway control and risks of dire complications. ⋯ Bedside SL-PDT is relatively safe and effective, and offers advantages over traditional PDT and open tracheostomy. This novel technique may encourage a concerted multidisciplinary effort, including otolaryngologists, to continue to improve bedside airway management in critically ill patients.
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Ann Oto Rhinol Laryn · Feb 2009
Comparative StudyMultimodality education for airway endoscopy skill development.
Airway endoscopy is a difficult skill to master. A unique practicum was designed to help otolaryngology residents develop endoscopy skills. The learning modalities included lectures, an animal laboratory, high-fidelity manikins, virtual bronchoscopy simulation, and standardized patients. This study compares the relative subjective value of these learning modalities for skill development and realism. ⋯ Specific learning modalities (e.g., lecture, animal laboratory, high-fidelity manikin, virtual bronchoscopy, standardized patient) were perceived to have different values for teaching airway management, developing endoscopy skills, teaching clinical leadership, and providing a realistic experience. We propose that these learning modalities can be used in a complementary manner.