Archives of otolaryngology--head & neck surgery
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Arch. Otolaryngol. Head Neck Surg. · Dec 2011
Utility of preoperative cardiac evaluation in pediatric patients undergoing surgery for obstructive sleep apnea.
To identify the prevalence of clinically relevant findings during cardiac evaluations of pediatric patients with obstructive sleep apnea (OSA) undergoing adenotonsillectomy (TA), and to determine the association between cardiac findings and postoperative respiratory complications. ⋯ The lack of clinically relevant findings during preoperative cardiac evaluations suggests that aggressive cardiac workup in pediatric patients with OSA may not be indicated unless dictated by comorbidities. Consistent with results in prior studies, preoperative AHI can identify patients at risk for respiratory complications following TA.
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Arch. Otolaryngol. Head Neck Surg. · Dec 2011
Multicenter Study Clinical TrialIntraoperative laryngeal electromyography in children with vocal fold immobility: results of a multicenter longitudinal study.
To determine whether laryngeal electromyography (LEMG) can predict recurrent laryngeal nerve function return in children and whether LEMG can aid in the management of vocal fold immobility (VFI). ⋯ Intraoperative LEMG is a safe, easy-to-use method for determining the likelihood of recurrent laryngeal nerve function return in children who have undergone patent ductus arteriosus ligation, in children with centrally correctable lesions, and in children with idiopathic VFI. More work is needed in the area of pediatric LEMG, but it is possible that LEMG data can be used to aid in management strategies and provide families with more information to make better informed decisions regarding their child's care.
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Arch. Otolaryngol. Head Neck Surg. · Nov 2011
Comparative StudyPatient-perceived and objective functional outcomes following transoral robotic surgery for early oropharyngeal carcinoma.
To evaluate changes in patient-perceived swallowing function over time following transoral robotic surgery (TORS) for primary T1 and T2 oropharyngeal squamous cell carcinomas. ⋯ After TORS-assisted resection of T1 and T2 oropharyngeal squamous cell carcinomas, approximately one-third of patients will experience a sustained decrease in perceived swallowing function. However, ongoing improvement of swallowing function over time is likely even after 12 months. Patients receiving adjuvant chemotherapy after TORS should be counseled about the possibility of prolonged gastrostomy tube dependence.
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Arch. Otolaryngol. Head Neck Surg. · Oct 2011
Clinical TrialLocal steroid injection via the cricothyroid membrane in patients with a vocal nodule.
To analyze the usefulness and safety of a steroid injection into vocal nodules via the cricothyroid membrane. Local administration of steroid directly into the larynx has been reported in many laryngeal diseases with different methods. ⋯ A local steroid injection via the cricothyroid membrane is a useful and safe treatment option for vocal nodules. However, vocal nodules are caused mainly by excessive voice use; therefore, nodules can recur unless the voice use pattern changes. Further study of this treatment technique, including long-term follow-up, is needed.