Archives of otolaryngology--head & neck surgery
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Arch. Otolaryngol. Head Neck Surg. · May 2009
The mandibular advancement device and patient selection in the treatment of obstructive sleep apnea.
To evaluate retrospectively the efficacy of the mandibular advancement device (MAD) in Korean patients with obstructive sleep apnea (OSA) in terms of severity and to evaluate prognostic factors deciding the success of MAD application. ⋯ The application of MAD significantly improved nocturnal respiratory function and sleep quality in patients with OSA, even in patients with severe OSA. In patients with OSA, MAD can be used as a good alternative treatment modality regardless of severity because it is noninvasive, easy to manufacture, and has good treatment results.
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Arch. Otolaryngol. Head Neck Surg. · Feb 2009
Evaluation of soft palate changes using sleep videofluoroscopy in patients with obstructive sleep apnea.
To quantitatively evaluate the changes in the soft palate (SP) by sleep videofluoroscopy (SVF). ⋯ Sleep videofluoroscopy quantitatively showed that the SP was considerably elongated and angulated in patients with OSA even in an awake state. It is an easy way to measure the SP changes and may be a useful technique to differentiate OSA from simple snoring with short examination time.
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Arch. Otolaryngol. Head Neck Surg. · Feb 2009
The clinical value of pharyngeal pH monitoring using a double-probe, triple-sensor catheter in patients with laryngopharyngeal reflux.
To determine the clinical value of pharyngeal pH monitoring for the diagnosis of laryngopharyngeal reflux (LPR) by using a double-probe, triple-sensor catheter in patients with symptoms of LPR. ⋯ The adjustable, bifurcated, triple-sensor pH probe allows identifying true hypopharyngeal reflux episodes. If single-probe, double-sensor pH monitoring is to be performed, the proximal probe should be placed in the pharynx, not in the upper esophagus.
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Arch. Otolaryngol. Head Neck Surg. · Feb 2009
Prevalence and predictors of postoperative pain after ear, nose, and throat surgery.
To determine postoperative pain in different types of ear, nose, and throat (ENT) surgery and their psychological preoperative predictors. ⋯ Differences exist in the prevalence of unacceptable postoperative pain between ENT operations performed on different anatomical sites. A limited set of variables can be used to predict the occurrence of unacceptable postoperative pain after ENT surgery.
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Arch. Otolaryngol. Head Neck Surg. · Jan 2009
Existence of important variations in the United States in the treatment of pediatric mastoiditis.
To determine national variations in resource utilization in the treatment of pediatric mastoiditis. ⋯ In 2003, the median charge for a pediatric mastoiditis admission was $9600; 50% of patients underwent tympanostomy tube placement, and about 21.6% underwent a mastoidectomy. There was wide variation in total charges for admissions. Resource utilization was higher in teaching hospitals and in children's' hospitals.