Archives of otolaryngology--head & neck surgery
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Arch. Otolaryngol. Head Neck Surg. · Nov 2010
Surgery for papillary thyroid carcinoma: is lobectomy enough?
To further understanding of treatment of papillary thyroid carcinoma (PTC). ⋯ The results of this study compel us to reinvestigate the current PTC surgical recommendations of total thyroidectomy based on tumor size because this may not affect survival across all populations. In addition, the current use of external beam radiation therapy for the treatment of PTC should be reexamined.
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Arch. Otolaryngol. Head Neck Surg. · Oct 2010
Obstructive sleep apnea syndrome and postoperative complications: clinical use of the STOP-BANG questionnaire.
To determine whether high risk scores on preoperative STOP-BANG (Snoring, Tiredness during daytime, Observed apnea, high blood Pressure, Body mass index, Age, Neck circumference, Gender) questionnaires during preoperative evaluation correlated with a higher rate of complications of obstructive sleep apnea syndrome (OSAS). ⋯ The STOP-BANG questionnaire is useful for preoperative identification of patients at higher than normal risk for surgical complications, probably because it identifies patients with occult OSAS.
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Arch. Otolaryngol. Head Neck Surg. · Oct 2010
Case ReportsUse of the King LT for emergency airway management.
To discuss the role of the King LT reusable supraglottic airway in emergency airway management. ⋯ The King LT offers benefits in emergency situations, but evaluation of the airway is challenging and often necessitates tracheostomy for establishment of a safe and secure airway. Even if tracheostomy is not required, serious complications may occur.
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Arch. Otolaryngol. Head Neck Surg. · Aug 2010
Dexamethasone administration and postoperative bleeding risk in children undergoing tonsillectomy.
To assess whether administration of dexamethasone during tonsillectomy is associated with a dose-dependent increased rate of postoperative tonsillectomy hemorrhage. ⋯ In this observational review of children undergoing tonsillectomy or adenotonsillectomy, perioperative dexamethasone administration is not associated with a dose-dependent elevation of postoperative hemorrhage rates after adjusting for age, sex, primary diagnosis, and surgical technique.