The Journal of otolaryngology
-
Comparative Study Clinical Trial
Comparative study of acetaminophen-morphine versus rofecoxib-morphine for post-tonsillectomy pain control.
Although we routinely use morphine at our institution, moderate to severe pain often persists for several days after tonsillectomy. Nonsteroidal anti-inflammatory drugs could offer significant relief. Unfortunately, concerns about increased risk of bleeding limit their use. Selective inhibitors of cyclooxygenase type 2 (COX-2), such as rofecoxib, which do not affect bleeding time, could be an interesting option. ⋯ Rofecoxib (COX-2 inhibitor) significantly reduces pain scores after pediatric tonsillectomy. The combination of rofecoxib and morphine is safe and helps children return more quickly to their activities.
-
Case Reports Historical Article
Dilated endolymphatic fossae in a 2800-year-old Egyptian mummy.
-
To assess whether /i:/ ("ee") is the best sound to use during indirect laryngoscopy to produce the optimal view of the larynx. ⋯ For the optimal view of the larynx during indirect laryngoscopy, we recommend the use of the sounds /i:/ ("ee") and /[see text]/ ("err").
-
Day surgery constitutes an important part of modern otolaryngology practice. However, high rates of unplanned admissions remain an issue. ⋯ This study suggests strategies to reduce the rate of unplanned admission by means of careful preoperative assessment and planning, patient selection, careful scheduling of higher-risk patients, and appropriate postoperative observation and management.