Voice Outcomes Following Colon Interposition

xlomafota13 shared this article with you from Inoreader Voice Outcomes Following Colon Interposition Via ear nose throat Ear Nose Throat J. 2021 Aug 24:1455613211041786. doi: 10.1177/01455613211041786. Online ahead of print. ABSTRACT SIGNIFICANCE STATEMENT: This case highlights the consequences of colon interposition on phonation and swallowing. Findings in this patient included laryngopharyngeal reflux, vocal fold paralysis, poor esophageal peristalsis, failed bolus transfers, and others. The mechanical and functional differences between the colon and the esophagus can impact bolus transfer, reflux, and phonation. Further research is required to identify the mechanisms by which colon interposition can impact voice and swallowing. PMID:34427138 | DOI:10.1177/01455613211041786 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Clinical Approaches to External Auditory Canal Hemangiomas: A Systematic Review

xlomafota13 shared this article with you from Inoreader Clinical Approaches to External Auditory Canal Hemangiomas: A Systematic Review Via ear nose throat Ear Nose Throat J. 2021 Aug 24:1455613211042449. doi: 10.1177/01455613211042449. Online ahead of print. ABSTRACT OBJECTIVES: Hemangioma is a common soft tissue tumor that can be categorized mainly into cavernous, capillary, and venous subtypes. It usually develops in the head and neck and rarely in the external auditory canal (EAC). METHODS: A systematic review of patients with capillary hemangioma of the EAC was performed. A computerized systematic search was conducte d in PubMed, Scopus, and Web of Science to extract relevant studies for a qualitative review. RESULTS: A total of 38 patients were included in the systematic review, and half of them were men. Hearing loss was the most common presenting feature (n = 19; 50%), followed by aural fullness (n = 15; 39.4%). Cavernous hemangioma was the predominant type (n = 22, 57.8%). Endaural and transcanal surgical approaches were the most frequent, with 10 (26.3%) and 9 (23.6%) cases, respectively. Most of the patients (n = 31, 81.5%) had no recurrence. CONCLUSIONS: Hemangioma of the EAC may not be uncommon, as health care professionals may expect. Hearing loss, aural fullness, and tinnitus are possible symptoms, but many patients remain asymptomatic. Surgical excision is the main effective management option, and complete resolution is the most prevalent outcome. Computed tomography assists in the diagnosis, but histopathological examination after resection is mandatory for the definitive diagnosis. PMID:34427123 | DOI:10.1177/01455613211042449 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

CT Findings of Firework Injuries to the Head and Neck

xlomafota13 shared this article with you from Inoreader CT Findings of Firework Injuries to the Head and Neck Via ear nose throat Ear Nose Throat J. 2021 Aug 24:1455613211036242. doi: 10.1177/01455613211036242. Online ahead of print. ABSTRACT OBJECTIVES: The purpose of this study is to review the CT imaging findings of injuries in the head and neck caused by fireworks through a case series. METHODS: The imaging database from the University of Chicago Medicine was searched with "fireworks," "firecrackers," and "mortar" as keywords and CT as the imaging modality. Cases without acute CT findings or initial CT scans were excluded. RESULTS: Eighteen cases with acute CT findings of head and neck firework injuries were identified and included. The associated injuries included skull fractures (5, 28%), ocular injuries (7, 39%), soft tissue trauma (18, 100%), retained foreign bodies (8, 44%), and intracranial trauma (2, 11%). CONCLUSIONS: Fireworks can cause injuries of varying severity in the head and neck, including blunt and penetrating trauma, that warrant CT evaluation. PMID:34427141 | DOI:10.1177/01455613211036242 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Dural Bleeding After Endoscopic Sinus Surgery

xlomafota13 shared this article with you from Inoreader Dural Bleeding After Endoscopic Sinus Surgery Via ear nose throat Ear Nose Throat J. 2021 Aug 24:1455613211039038. doi: 10.1177/01455613211039038. Online ahead of print. ABSTRACT We present a case of an 80-year-old female patient who had an extensive dural bleed after endoscopic sinus surgery. A review of the literature regarding the surgical tools and materials used to treat dural hemorrhage was performed. We describe our preferred method of using the combination of endoscopic bipolar, DuraGen Plus, and DuraMatrix to stop significant dura l bleeding and show effective hemostatic regulation. PMID:34427140 | DOI:10.1177/01455613211039038 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Multidisciplinary Simulation Training for Surgical Tracheostomy in Patients Mechanically Ventilated Secondary to Severe Acute Respiratory Syndrome Coronavirus 2

xlomafota13 shared this article with you from Inoreader Multidisciplinary Simulation Training for Surgical Tracheostomy in Patients Mechanically Ventilated Secondary to Severe Acute Respiratory Syndrome Coronavirus 2 Via ear nose throat Ear Nose Throat J. 2021 Aug 24:1455613211042119. doi: 10.1177/01455613211042119. Online ahead of print. ABSTRACT OBJECTIVE: A proportion of patients with coronavirus disease (COVID) and severe respiratory manifestations of disease will require admission to intensive care for intubation and ventilation. When anticipating prolonged ventilation, the patient may proceed to surgical tracheostomy to afford safe respiratory wean. As surgical tracheostomy is an aerosol-generating pr ocedure, it poses a high risk of viral transmission and ultimately may prompt anxiety and caution in participating staff members. We aimed to mitigate these risks by providing staff with appropriate training and experience, to improve their confidence as well as practical ability. METHODS: We developed a multidisciplinary simulation training experience and checklist in order to optimize team performance during the high-stakes procedure. We evaluated staff confidence before and after the training with questionnaires. RESULTS: Post-simulation, surgeons were more confident with donning the high level personal protective equipment, and nurses were more confident in performing their role. CONCLUSIONS: Simulation allows the multidisciplinary team an opportunity to practice high-risk procedures and prompts the team to assess staff knowledge base, troubleshoot queries, and teach roles and responsibilities in a safe environment. In the context of COVID-19, simulation encour ages staff sense of preparedness and protection for true participation during a high-risk procedure. PMID:34427150 | DOI:10.1177/01455613211042119 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Intravascular Guidewire Residue After Endovascular Embolization for Intractable Epistaxis: A Case Report

xlomafota13 shared this article with you from Inoreader Intravascular Guidewire Residue After Endovascular Embolization for Intractable Epistaxis: A Case Report Via ear nose throat Ear Nose Throat J. 2021 Aug 24:1455613211040581. doi: 10.1177/01455613211040581. Online ahead of print. ABSTRACT Endovascular embolization (EE) has become an effective method for the treatment of intractable epistaxis (IE). However, complications such as facial pain, headaches, aphasia, hemiplegia, and transient blindness can also occur during or after surgery. In this article, we report a rare case of IE with residual intravascular guidewire after EE. Open surgery was used t o remove the guidewire. However, to avoid serious complications such as massive hemorrhage, only part of the guidewire was removed. PMID:34427152 | DOI:10.1177/01455613211040581 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Clinical Trial to Reconfirm the Efficacy and Safety of Cefetamet Pivoxil Treatment in Sinusitis Patients: A Double-Blind, Randomized, Parallel Designed, Multicenter, Active Comparator Study (CASIS Study)

xlomafota13 shared this article with you from Inoreader Clinical Trial to Reconfirm the Efficacy and Safety of Cefetamet Pivoxil Treatment in Sinusitis Patients: A Double-Blind, Randomized, Parallel Designed, Multicenter, Active Comparator Study (CASIS Study) Via ear nose throat Ear Nose Throat J. 2021 Aug 24:1455613211036236. doi: 10.1177/01455613211036236. Online ahead of print. ABSTRACT OBJECTIVE: To evaluate the clinical efficacy and safety of cefetamet pivoxil for the treatment of acute bacterial rhinosinusitis in Korean patients compared to treatment with cefdinir. METHODS: A prospective, multicenter, randomized double-blind, comparative study was conducted by the Departments of Otorhinolaryngology-Head and Neck Surgery at 17 hospitals o r universities in the Republic of Korea from March 2017 to April 2019. A total of 309 patients were screened and 249 patients participated in the study. RESULTS: Treatment with cefetamet pivoxil for 2 weeks showed 82.4% clinical cure and improvement rates in patients with acute bacterial rhinosinusitis compared to 84.68% in those taking cefdinir for 2 weeks, showing that cefetamet pivoxil administered twice a day for 2 weeks was as effective as cefdinir 3 times a day for 2 weeks for the treatment of acute bacterial rhinosinusitis. The overall adverse reaction rates of both drugs were 10.56% in the cefetamet pivoxil group and 15.49% in the cefdinir group, without serious adverse events or drug reactions. CONCLUSIONS: Cefetamet pivoxil twice a day was as efficacious and safe as cefdinir 3 times a day for the treatment of acute bacterial rhinosinusitis, which suggested that cefetamet pivoxil may be a suitable alternative to cefdinir. PMID:34427151 | DOI:10.1177/01455613211036236 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.