Clinical otolaryngology and allied sciences
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Clin Otolaryngol Allied Sci · Oct 2004
Letter Case ReportsHow we do it: emergency percutaneous tracheostomy: a case series.
Emergency percutaneous tracheostomy is a safe alternative method for providing a definitive airway in an emergency, in trained hands. A general anaesthetic is not required allowing the procedure to be performed outside of the operating theatre. ⋯ With experience the percutaneous tracheostomy can be performed without a bronchoscopy. Percutaneous tracheostomy can be utilised in a variety of emergency clinical situations requiring rapid access to the airway.
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Clin Otolaryngol Allied Sci · Oct 2004
Conservative management of vestibular schwannomas - second review of a prospective longitudinal study.
Vestibular schwannomas have been traditionally managed with microsurgical removal and in recent years, stereotactic radiotherapy. However, there is a group of patients in whom a conservative management approach might represent a desirable alternative. The aim of this study was to determine the natural history and outcome following the conservative management of 72 patients with unilateral vestibular schwannomas. ⋯ This prospective study further emphasizes the role of conservative management in selected cases of vestibular schwannomas. Tumours in this study confined to the IAC typically demonstrated minimal or no growth on serial MRI scanning. Regular follow-up with interval scanning is mandatory in all patients.