Clinical otolaryngology and allied sciences
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One hundred and thirty-four hemilarynges were examined for the presence of the ceratocricoid muscle. This muscle arises from the cricoid cartilage, below the posterior cricoarytenoid muscle, and inserts onto the posterior aspect of the inferior horn of the thyroid cartilage. A prevalence of 6.3% was found. The anatomy, relations and innervation of the muscle are discussed.
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Clin Otolaryngol Allied Sci · Dec 1988
Randomized Controlled Trial Comparative Study Clinical TrialLocal versus general anaesthetic in the management of the fractured nose.
Displaced fractured noses are usually manipulated under general anesthetic. The appearances of fractured noses were assessed and the airways measured by rhinomanometry before and after nasal manipulation in 29 patients. Seventeen received a local anaesthetic (LA) and 12 a general anaesthetic (GA) for the manipulation. ⋯ Bony manipulation did not affect the nasal airway. Local anaesthesia was acceptable to all but one patient. The benefits, including those of cost and safety, of local anaesthetic for manipulation of almost all fractured noses are discussed.
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Clin Otolaryngol Allied Sci · Dec 1988
Randomized Controlled Trial Clinical Trial Controlled Clinical TrialExperience with a new topical anaesthetic in otology.
Producing good local anaesthesia of the external auditory meatus and tympanic membrane has always been a difficult problem facing otologists. Previously used methods are mentioned and the use of a new eutectic mixture of local anaesthetics (EMLA) for electrocochleography, myringotomy and grommet insertion in adults and older children is described. A double-blind controlled trial involving 15 patients (30 ears) undergoing electrocochleography showed EMLA to be a very effective, safe and convenient preparation for outpatient otological use.
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Seventeen stab wounds to the cervical region presenting over a 3 year period are described. Clinical assessment, appropriate investigations and surgical management are discussed. ⋯ The use of urgent angiography in stab wounds high in the neck behind and above the angle of the mandible is recommended. Primary repair is optimal for all laryngotracheal, pharyngo-oesophageal and significant neurological injuries.