The Journal of otolaryngology
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To evaluate the intrarater and inter-rater reliability of the Sunnybrook Facial Grading System (SFGS) by novice users. ⋯ The SFGS is as reliable when applied by novice users as by expert users.
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Biography Historical Article
The irony of being Oscar: the legendary life and death of Oscar Wilde.
In this second in a series of famous historic personages who suffered from ear disease (see Yardley M, Rutka J. Troy, Mycenae, and the Otologic Demise of Herr Heinrich Schliemann. ⋯ Very much the acerbic and iconoclastic wit, Wilde's private and later very public affair de coeur with Lord Alfred Douglas, the son of the Marquis of Queensberry, still continues to interest and paradoxically shock our sensitivities. Wilde's ultimate demise from an otogenic bacterial meningitis appears all the more ironic when one considers the role his father, Sir William Wilde, played as one of the founding fathers of modern otology.
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To determine whether preoperative erythropoietin can raise the hemoglobin levels of head and neck cancer patients prior to major ablative surgery. ⋯ Erythropoietin significantly increases hemoglobin levels in patients awaiting major head and neck oncologic surgery. It can be viewed as an important adjunct to other well-established blood conservation techniques aimed at reducing perioperative transfusion rates.
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The objectives of this study were threefold: to document complete glottic closure during artificially induced central apnea in lambs; to unequivocally confirm that thyroarytenoid muscle electrical activity during central apneas in lambs reflects complete glottic closure; and to evaluate the physiologic significance of this phenomenon in artificially induced central apneas in lambs. ⋯ Complete glottic closure is present throughout most artificially induced central apneas in lambs. Complete glottic closure is paralleled by TA EMG in artificially induced central apneas. Thyroarytenoid muscle electromyographic activity is a reliable way to document complete glottic closure during apneas, especially in the presence of positive subglottic pressure. These observations suggest that complete glottic closure could be a physiologic mechanism aimed at maintaining higher lung volumes to improve gas exchange during central apneas.
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This study was conducted to gain insight into the diagnosis, treatment, and outcome measures in adult patients presenting with acute epiglottitis. ⋯ Adult epiglottitis is different from its paediatric counterpart in that organism identification is less common, the clinical course is more gradual, there is less seasonal variation, airway compromise is more uncommon, and conservative airway management can be contemplated in the selected patient. Adult epiglottitis can be managed safely with a selective approach to airway management with airway intervention for any patient with signs of critical airway compromise.