Indian J Otolaryngol
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Indian J Otolaryngol · Jun 2017
Rigid Bronchoscopic Placement of Fogarty Catheter as a Bronchial Blocker for One Lung Isolation and Ventilation in Infants and Children Undergoing Thoracic Surgery: A Single Institution Experience of 27 Cases.
One-lung ventilation (OLV) is a challenging task in infants and children as few techniques are possible because of narrow anatomy. The aim of this study is to evaluate and experience lung isolation with Fogarty catheters as a bronchial blocker placed by rigid bronchoscope for OLV in infants and children with lung pathologies requiring surgical management in an industrial hospital. This study is a prospective study carried out in J. ⋯ There were no major intraoperative and postoperative complications. There was no mortality in our study. We conclude that rigid bronchoscope can be safely and effectively used to place Fogarty catheter in main bronchus in infants and children for achieving OLV.
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Indian J Otolaryngol · Mar 2015
Congenital fibroepithelial polyp: a case report of difficult airway.
A 9 month old child presented with a growth in the oropharynx for removal. Only complaint was distressed breathing on crying. It turned out to be a case of difficult paediatric airway that was managed well. A diagnoses of oesophageal fibro-epithelial polyp was made after histopathological examination.
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Indian J Otolaryngol · Mar 2015
Practicability of submandibular gland in squamous cell carcinomas of oral cavity.
Current surgical treatment for oral cancers includes wide surgical excision of the primary lesion with appropriate neck dissection. Although tumor metastasis to the gland is uncommon, submandibular glands are frequently excised as a part of neck dissection because of their proximity to the primary lesion and afferent lymph nodes. Herein, we have retrospectively investigated the rate of involvement of submandibular glands in oral cavity tumors, and discussed the feasibility about resection of the submandibular glands. 94 patients undergoing 98 supraomohyoid neck dissections for oral cavity squamous cell carcinoma from 1st May 2010 till 31st May 2014 were retrospectively evaluated. ⋯ Submandibular gland involvement was due to direct invasion of primary tumors and via the metastatic periglandular lymph nodes. Decision regarding excision of the gland should be done during the operation with the help of visual examination and frozen sections instead of preoperative planned resection. Preserving submandibular gland is both technically as well as oncologically feasible and can achieve potential benefit in preserving the submandibular salivary flow.
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Indian J Otolaryngol · Jan 2014
Randomized double blind comparative study comparing efficacy of granisetron and ondansetron for the prophylactic control of postoperative nausea and vomiting in patients undergoing middle ear surgery.
The objective is to evaluate the prophylactic profile, efficacy of granisetron and ondansetron to prevent postoperative nausea and vomiting (PONV) after middle ear surgery. In a randomized, double blind trial, one hundred patients undergoing middle ear surgery received either granisetron 1 mg or ondansetron 8 mg in equal volume (n = 50 for each) intravenously towards the end of surgery and before reversal of anaesthesia. A standard general anaesthetic technique was employed. ⋯ The incidence of adverse events, recovery score and time to first feeding were comparable among the groups. Willingness to have the same prophylactic antiemetic drug in future was significantly high in patients receiving granisetron. Granisetron is more efficacious and desirable drug than ondansetron for reducing the incidence of PONV in patients undergoing middle ear surgery.
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Indian J Otolaryngol · Jul 2013
Study of efficacy of anaesthesia with propofol and fentanyl for rigid bronchoscopy in foreign body bronchus removal in children.
Anaesthesia for removal of foreign body bronchus by rigid bronchoscopy in children is a challenging procedure because it is difficult to maintain adequate ventilation and oxygenation in patients in whom pulmonary gas exchange is already reduced. The choice between spontaneous and controlled ventilation and type of drug used are still subjects of discussion. ⋯ In our study no side effects were seen in the study group. Spontaneous ventilation using propofol, fentanyl, midzolam and sevoflurane can be safely used in children for rigid bronchoscopy for foreign body bronchus removal.