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Surgery

Positron-emission tomography enhancement after vocal fold injection medialization

June 20, 2017  |  Nazaneen Grant, MD; Richard J. Wong, MD; Dennis H. Kraus, MD; Heiko Schoder, MD; Ryan C. Branski, PhD

Abstract

The potential for the misinterpretation of positron-emission tomography (PET) scans in the context of a possible malignancy has been confirmed in a case report showing increased 18F-fluorodeoxyglucose (FDG) uptake after unilateral vocal fold augmentation medialization. We...

Impact of a pediatric anesthesiologist on operating room efficiency during pediatric tonsillectomies and adenotonsillectomies

June 20, 2017  |  Nicholas A. Dewyer, MD; Yoseph A. Kram, MD; Stephen Long, MD; Marika D. Russell, MD, FACS

Abstract

We conducted a retrospective case review to determine if the presence of an Accreditation Council for Graduate Medical Education (ACGME) fellowship-trained pediatric anesthesiologist improves efficiency during pediatric tonsillectomies and adenotonsillectomies in hospitals that...

Quality-of-life outcomes in Graves disease patients after total thyroidectomy

April 30, 2017  |  Lukas H. Kus, MD; Wilma M. Hopman, MA; Ian J. Witterick, MD; Jeremy L. Freeman, MD

Abstract

Historically, research into surgical treatment of Graves disease has assessed subtotal rather than total thyroidectomy. Most clinicians now recommend total thyroidectomy, but little information is available regarding quality-of-life (QOL) outcomes for this procedure. Our aim...

The role of hypertonic saline in monopolar tonsillectomy in adult patients

April 30, 2017  |  Jian Ma, MD; Mei Zheng, MS; Jun-Wei Mu, MD; Peng Cui, MD

Abstract

This study's objective was to look for a simple and inexpensive method to reduce patients' pain during tonsillectomy. Bilateral tonsillectomy patients were enrolled and placed into different groups based on their admission numbers. Patients with odd numbers had electrical...

Long-term follow-up of KTP laser turbinate reduction for the treatment of obstructive rhinopathy

April 30, 2017  |  Hemal Raja, FRCS, ORL-HNS; Scott Mitchell, MBChB, MRCS, DOHNS; George Barrett, MRCS, DOHNS; Ashish Sharma, MBBS, MA, MRCS, MRCP; Derek W. Skinner, FRCS, ORL-HNS

Abstract

We investigated the subjective, long-term, patient-reported symptom control after endoscopic potassium titanyl phosphate (KTP) laser reduction of the inferior turbinates. Symptoms were listed preoperatively and patients were asked, via telephone interview, the status of their...

Therapeutic effect of hyaluronic acid in reducing nasal mucosa recovery time after septoplasty

April 30, 2017  |  Francesco Klinger, MD; Fabio Caviggioli, MD; Andrea Vittorio Emanuele Lisa, MD; Luca Maione, MD; Valeriano Vinci, MD; Mattia Siliprandi, MD; Federico Barbera, MD; Marco Klinger, MD; Luca Malvezzi, MD

Abstract

Mucociliary clearance represents a host defense mechanism of airways that can be compromised by various pathologic conditions, such as nasal septal deviation. Although septoplasty can resolve obstruction, it impairs mucociliary clearance in the immediate postoperative period....

Endoscopic view of long-term patency of the sphenoid ostium following balloon dilation

April 30, 2017  |  Joseph P. Mirante, MD, MBA, FACS; Dewey A. Christmas, MD; Eiji Yanagisawa, MD, FACS

In this case a 32-year-old patient with a history of recurrent sphenoid sinusitis had undergone balloon dilation of the sphenoid sinus ostium approximately 7 years earlier.

Facial nerve mimicking the fibrocartilaginous annulus of the tympanic membrane

April 30, 2017  |  Hande Senem Deveci, MD; Tülay Erden Habeşoğlu, MD; Cem Karataş, MD; Selami Uzun, MD

In this case, the mastoid segment of the facial nerve was mobilized with a microelevetor at the posterior quadrant, but the facial nerve was preserved.

Role of intraoperative ropivacaine in adult post-tonsillectomy pain control: A randomized controlled trial

April 30, 2017  |  William C. Yao, MD; Christian A. Corbitt, MD; Masayoshi Takashima, MD

Abstract

We sought to evaluate the efficacy of ropivacaine in post-tonsillectomy pain management in adults and evaluate the timing of intraoperative ropivacaine administration for this purpose. A prospective, double-blinded, randomized, controlled trial with a paired design was...

Speech perception and auditory performance following cochlear implantation in elderly Koreans

March 24, 2017  |  Sungsu Lee, MD, PhD; Hyong-Joo Park, MD; Hyong-Ho Cho, MD, PhD; Yong-Beom Cho, MD, PhD

Abstract

The benefits of cochlear implantation (CI) in the elderly remain debatable in terms of sound and speech perception. Moreover, the results of CI may be affected by the intensity and pitch of spoken language. We conducted a retrospective study to evaluate surgical and...

25 years of powered endoscopic maxillary antrostomy

March 24, 2017  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

Powered endoscopic maxillary antrostomy has continued to be a useful procedure during the past 25 years.

Predictors of adverse events after neck dissection: An analysis of the 2006-2011 National Surgical Quality Improvement Program (NSQIP) Database

February 20, 2017  |  Umang Jain, BS; Jessica Somerville, MD; Sujata Saha, BS; Jon P. Ver Halen, MD; Anuja K. Antony, MD, MPH; Sandeep Samant, MD; John Y. Kim, MD

Abstract

While neck dissection is an important primary and adjunctive procedure in the treatment of head and neck cancer, there is a paucity of studies evaluating outcomes. A retrospective review of the National Surgical Quality Improvement Program (NSQIP) database was performed to...

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