Archives of otolaryngology--head & neck surgery
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Arch. Otolaryngol. Head Neck Surg. · Mar 2012
ReviewAdverse laryngeal effects following short-term general anesthesia: a systematic review.
To conduct a systematic review to determine the occurrence and type of vocal cord injury, as well as the occurrence of hoarseness, in adults using an endotracheal tube or laryngeal mask during routine anesthetic care. ⋯ Hoarseness and vocal cord injuries are clinically relevant complications related to short-term general anesthesia using an endotracheal tube or laryngeal mask. However, more well-designed prospective studies are necessary to generate reliable data as well as to investigate techniques to reduce adverse laryngeal effects. For future research, a proposal to categorize the vocal cord lesions due to general anesthesia is presented. Furthermore, use of a preoperative and postoperative standardized measurement protocol using acoustic analysis and the Voice Handicap Index is advised.
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Arch. Otolaryngol. Head Neck Surg. · Jun 2010
ReviewSkull base manifestations of Camurati-Engelmann disease.
To describe presenting symptoms, evaluation findings, and surgical management of cranial base hyperostosis in patients with Camurati-Engelmann disease (CED). ⋯ Physicians should include CED in the differential diagnosis for patients with radiographic evidence of skull base thickening and synchronous cranial neuropathies or symptoms of elevated intracranial pressure. In mild forms of the disease, the clinical course of patients should be followed with serial examination, audiometric testing, and radiography. In select patients with progressive cranial base symptoms, aggressive wide decompression of involved neurovascular structures may provide benefit.