Archives of otolaryngology--head & neck surgery
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Arch. Otolaryngol. Head Neck Surg. · Sep 2012
Comparative StudyEarly risk factors for enlargement of the tracheoesophageal puncture after total laryngectomy: nodal metastasis and extent of surgery.
To determine the early risk factors for enlargement of the tracheoesophageal puncture (TEP) after total laryngectomy. ⋯ These data suggest that 2 clinical factors-nodal staging and extent of resection-may help identify those at highest risk for TEP enlargement early after surgery. These simple indicators may ultimately aid in patient selection and prevention of an enlarged TEP after total laryngectomy.
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Arch. Otolaryngol. Head Neck Surg. · Sep 2012
The effectiveness of 1-point fixation for zygomaticomaxillary complex fractures.
To introduce the surgical technique of 1-point fixation at the zygomaticomaxillary buttress (ZMB) and to verify its effectiveness using 3-dimensional computed tomography (3D CT). ⋯ Our findings suggest that 1-point fixation at the ZMB provides sufficient stability of the zygomaticomaxillary complex without comminuted fractures of the lateral orbital rim.
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Arch. Otolaryngol. Head Neck Surg. · Aug 2012
Predictors of future success in otolaryngology residency applicants.
To evaluate the information available about otolaryngology residency applicants for factors that may predict future success as an otolaryngologist. ⋯ Many of the application factors typically used during otolaryngology residency candidate selection may not be predictive of future capabilities as a clinician. Prior excellence in a team sport may suggest continued success in the health care team.
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Arch. Otolaryngol. Head Neck Surg. · Jul 2012
Transoral robotic surgery alone for oropharyngeal cancer: an analysis of local control.
To evaluate local control following transoral robotic surgery (TORS) with the da Vinci Surgical System (Intuitive Surgical Inc) as a single treatment modality for oropharyngeal squamous cell carcinoma (OSCC). ⋯ As the only modality used for treatment of pathologically low-risk OSCCs, TORS provides high local control and is associated with low surgical morbidity.
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Arch. Otolaryngol. Head Neck Surg. · Jul 2012
Multicenter StudyAnalysis of pediatric direct laryngoscopy and bronchoscopy operative flow: opportunities for improved safety outcomes.
To study pediatric direct laryngoscopy and bronchoscopy operative flow. ⋯ Although a common pediatric otolaryngology procedure, direct laryngoscopy and bronchoscopy operative flow is ideal in less than half the cases. Areas for improvement include obtaining intravenous access, reducing operating room personnel turnover, verifying equipment, and educating staff on operating room setup. To our knowledge, this is the first observational quality improvement initiative in otolaryngology to study the operative flow of a specific procedure and provide insight into areas of patient risk and opportunities for improvement in efficiency.