Indian J Otolaryngol
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Indian J Otolaryngol · Jan 2010
Nausea and vomiting after ENT surgeries: A comparison between ondansetron, metoclopramide and small dose of propofol.
To evaluate the antiemetic efficacy of ondansetron, metoclopramide or small dose of propofol following ear, nose and throat (ENT) surgery. ⋯ It was concluded that ondansetron was most effective in preventing occurrence of PONV while metoclopramide was least effective. Propofol was effective only in 50% of patients, thus not recommended for routine use.
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Puberphonia affects the adolescent males. Authors have used a novel approach by using a Macintosh laryngoscope for stretching of vocal cords, which gives immediate and permanent relief. This procedure, which was incidentally found to be useful, while doing a laryngoscopic examination of a puberphonic patient, was effective and superior to any method used in the past 26 cases treated during 1991 to 2005 had been followed with the excellent results.
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Indian J Otolaryngol · Jul 2005
Comparative study of percutaneous dilatational tracheostomy and conventional tracheostomy in the intensive care unit.
Tracheostomy is a one of the earliest described surgical procedure dating back to 2000 B.C. Percutaneous tracheostomy is becoming increasingly popular as an alternative method for conventional tracheostomy in the intensive care unit. In this study we compare the results of the use of these 2 techniques in 32 patients who underwent elective tracheostomy in the intensive care unit. ⋯ PDT is quicker to perform and has lower blood loss and complication rates compared to conventional tracheostomy. However percutaneous tracheostomy is not indicated in emergencies and in children. The cost of the percutaneous kit and use of bronchoscopy adds to the cost. It is a good alternative to conventional tracheostomy in properly selected patients.
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Firearm injuries to the head and neck contribute to substantial medical, medicolegal, economic as well as social problems. Internal wounds in the head and neck by firearms are usually complicated and are diagnostically and therapeutically challenging cases. Based on four cases of non-fatal firearm injuries, we discuss problems related to firearm wounds, their irregular path, final lodgment of the bullet and their diagnostic and therapeutic consequences. In the present study it was observed that a fatal looking firearm injury can result in a favourable and interesting outcome.
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Introduction of foreign body into the nasal cavity of the children by themselves is very common, but lodgment of foreign body in the nasopharyux following introduction through mouth is unusual. Here a case is presented from the Otorhinolaryngology department of S. S. ⋯ Hospital, Kolkata, where a child was brought by their parents with history of introduction of a metallic foreign body in the mouth of the child by himself and this foreign body was found to be lodged in the nasopharynx of the child. The foreign body was removed orally in the out patient department. The patient returned home without any complication.