3,333 results match your criteria Anesthesia Nose


Office-Based Cricopharyngeus Balloon Dilation for Post Chemoirradiation Dysphagia in Nasopharyngeal Carcinoma Patients: A Pilot Study.

Dysphagia 2019 Mar 19. Epub 2019 Mar 19.

Department of Ear, Nose & Throat, Queen Mary Hospital, Hong Kong SAR, China.

Dysphagia is a common sequela post chemo/radiotherapy for nasopharyngeal carcinoma (NPC), with cricopharyngeal dysfunction often a contributing factor. This study examined the impact of balloon dilation of the cricopharyngeus and cervical oesophagus on swallow competence for dysphagic patients with cricopharyngeal dysfunction post NPC. Patients with NPC were screened for dysphagia and cricopharyngeal dysfunction using fiberoptic endoscopic evaluation. Read More

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http://link.springer.com/10.1007/s00455-019-10002-3
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http://dx.doi.org/10.1007/s00455-019-10002-3DOI Listing
March 2019
6 Reads

The Effect of Different Doses of Isoflurane on Hemodynamic Changes and Bleeding in Patients Undergoing Endoscopic Sinus Surgery under General Anesthesia.

Anesth Pain Med 2019 Feb 18;9(1):e57864. Epub 2019 Feb 18.

Department of Anesthesiology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Background: Nowadays, endoscopic sinus surgery is one of the most common surgeries in the field of ear, nose, and throat. This surgery has always been followed by bleeding and can cause hemodynamic disorders due to the direct effect of the endoscopic sinus surgery.

Objectives: This study aimed to investigate the hemodynamic changes with different doses of isoflurane during endoscopic sinus surgery. Read More

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http://dx.doi.org/10.5812/aapm.57864DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413045PMC
February 2019

Introduction of a Less Invasive Revision Rhinoplasty Using Closed Nasal Chondrotome.

World J Plast Surg 2019 Jan;8(1):108-111

School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Rhinoplasty is the most common aesthetic surgical procedure in Iran. Dorsal bony and cartilaginous structures of the nose play an important role in nasal esthetics and function. Manipulation of nasal dorsum is one of the cardinal procedures during rhinoplasty operation. Read More

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http://dx.doi.org/10.29252/wjps.8.1.108DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409145PMC
January 2019
1 Read

Estimation of nares-to-epiglottis distance for selecting an appropriate nasopharyngeal airway.

Medicine (Baltimore) 2019 Mar;98(10):e14832

Department of Anesthesiology, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan.

The nasopharyngeal airway is an important equipment in airway management, a correct placement is crucial for its effectiveness. We measured the nares-to-epiglottis distance (NED) and examined the correlations of the optimal insertion length (NED-1) with patient characteristics and various external facial measurements. We aimed to develop a simple method for estimating the optimal insertion length and to help select an appropriate nasopharyngeal airway. Read More

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http://dx.doi.org/10.1097/MD.0000000000014832DOI Listing
March 2019
1 Read

The role of cross-sectional imaging in suspected nasopharyngeal carcinoma.

Ann R Coll Surg Engl 2019 Mar 11:1-3. Epub 2019 Mar 11.

Ear, Nose and Throat Department, York Teaching Hospitals NHS Foundation Trust , York , UK.

Introduction: Nasopharyngeal carcinoma is a rare neoplasm in the UK. The current gold standard for detection is endoscopic examination under anaesthesia of the nasopharynx with biopsy. Many clinicians are now advocating cross-sectional imaging as the primary investigation. Read More

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https://publishing.rcseng.ac.uk/doi/10.1308/rcsann.2019.0025
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http://dx.doi.org/10.1308/rcsann.2019.0025DOI Listing
March 2019
1 Read

Finger reduction of nasal bone fracture under local anesthesia: outcomes and patient reported satisfaction.

Arch Craniofac Surg 2019 Feb 20;20(1):24-30. Epub 2019 Feb 20.

Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background: Closed reduction of the fracture under general or local anesthesia with elevators or forceps is widely used to treat nasal bone fractures. However, operating under general anesthesia increases the risk of morbidity and raises the cost of management. Furthermore, using forceps or elevators may cause undercorrection, new fractures, mucosal damage, and nasal hemorrhage. Read More

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http://dx.doi.org/10.7181/acfs.2018.02222DOI Listing
February 2019
1 Read

The feasibility study of transnasopharyngeal esophagus echocardiography in the ultrasonic diagnosis.

Cardiovasc Ultrasound 2019 Mar 1;17(1). Epub 2019 Mar 1.

Lanzhou University Second Hospital, Linxia Road, Chengguan District, Lanzhou City, 730030, Gansu Province, China.

Background: Professor Xinfang Wang first introduced the clinical application of trans nose pharynx esophagus echocardiography (TNPEE) in 2014. Subsequently, we developed the technology. In the present study we assess the feasibility of TNPEE in the ultrasonic diagnosis. Read More

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http://dx.doi.org/10.1186/s12947-019-0154-2DOI Listing
March 2019
1 Read

Association between intravenous acetaminophen and reduction in intraoperative opioid consumption during transsphenoidal surgery for pituitary tumors.

J Anaesthesiol Clin Pharmacol 2018 Oct-Dec;34(4):465-471

Anesthesiology and Surgical Oncology Research Group, Houston, Texas, USA.

Background And Aims: Pain during and after transsphenoidal surgeries originates from stimulation of branches of the trigeminal cranial nerve that supply the inner aspect of the nose cavity and dura mater. Thereby, patients undergoing transsphenoidal surgery may require moderate-to-large amounts of analgesics including opioids. Intravenous acetaminophen provides analgesia and reduces opioid consumption for a wide variety of surgeries. Read More

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http://dx.doi.org/10.4103/joacp.JOACP_276_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360881PMC
February 2019
1 Read

Hemodynamic and pharmacokinetic analysis of oxymetazoline use during nasal surgery in children.

Laryngoscope 2019 Feb 20. Epub 2019 Feb 20.

Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, U.S.A.

Objectives/hypothesis: Oxymetazoline is an α-adrenergic agonist that is commonly used as a topical hemostatic agent in the operating room during ear, nose, and throat surgery. There are limited data on oxymetazoline pharmacokinetics in children who undergo general anesthesia. We assessed the hemodynamic effects and systemic absorption of topically applied oxymetazoline in children undergoing various nasal procedures. Read More

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http://dx.doi.org/10.1002/lary.27760DOI Listing
February 2019
3 Reads

A physiological study to determine the mechanism of carbon dioxide clearance during apnoea when using transnasal humidified rapid insufflation ventilatory exchange (THRIVE).

Anaesthesia 2019 Apr 15;74(4):441-449. Epub 2019 Feb 15.

Anaesthesia Research Group, Fisher and Paykel Healthcare Ltd, Auckland, New Zealand.

Clinical observations suggest that compared with standard apnoeic oxygenation, transnasal humidified rapid-insufflation ventilatory exchange using high-flow nasal oxygenation reduces the rate of carbon dioxide accumulation in patients who are anaesthetised and apnoeic. This suggests that active gas exchange takes place, but the mechanisms by which it may occur have not been described. We used three laboratory airway models to investigate mechanisms of carbon dioxide clearance in apnoeic patients. Read More

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http://dx.doi.org/10.1111/anae.14541DOI Listing

[Application of modified Weerda laryngoscopes in the ear, nose, and throat practice].

Orv Hetil 2019 Feb;160(7):264-269

Sebészeti Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged.

Microscope-assisted direct endoscopy of the airways and the upper gastrointestinal tract in general anesthesia is an essential diagnostic and therapeutic method of otorhinolaryngology. The quality of surgical exploration is a key for the good visibility and maneuverability of microsurgical tools. Beside the most commonly used Kleinsasser laryngoscope, the distending Weerda laryngoscope is a more favorable option for the exploration of the retrocricoid region. Read More

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http://dx.doi.org/10.1556/650.2019.31278DOI Listing
February 2019
3 Reads

Complications associated with nasotracheal intubation and proposal of simple countermeasure.

Anaesthesiol Intensive Ther 2019 Feb 6. Epub 2019 Feb 6.

Department of Paediatric Anaesthesiology and Critical Care Medicine, Asklepios Kinderklinik Sankt Augustin, German Paediatric Heart Centre, Arnold-Janssen Street 29, 53757 Sankt Augustin, Germany.

To the Editor, Nasotracheal intubation is a widely used technique in anaesthesia management for procedures including oropharyngeal, dental, and maxillofacial surgeries[1-3]. It provides an uninhibited access to the mouth and plays an important role when dealing with difficult airways[4-6]. It is also used in patients with cervical spine instability owing to injury[7] or in patients with a cervical spine fixation owing to a disease or previous operation[8]. Read More

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http://dx.doi.org/10.5603/AIT.a2019.0002DOI Listing
February 2019
2 Reads

Epidemiology and incidence of severe respiratory critical events in ear, nose and throat surgery in children in Europe: A prospective multicentre observational study.

Eur J Anaesthesiol 2019 03;36(3):185-193

From the Bolyai Institute, University of Szeged, Szeged, Hungary (KV), Département d'Anesthésie-Réanimation, Hôpital Armand Trousseau, Hôpitaux Universitaires Paris Est, Assistance Publique Hôpitaux de Paris, Paris, France (NS), Department of Anaesthesia, Great Ormond Street Hospital, London, UK (MT), Département d'Anesthésie-Réanimation pédiatrique, Hôpital Jeanne de Flandre, CHRU de Lille, Lille, France (FV) and Department of Anaesthesia, Pharmacology and Intensive Care, University Hospitals of Geneva and University of Geneva, Geneva, Switzerland (WH).

Background: Ear, nose and throat (ENT) surgery, the most frequently performed surgical procedure in children, is a strong predictor for peri-operative respiratory complications. However, there is no clear information about peri-operative respiratory severe critical events (SCEs) associated with anaesthesia management of ENT children in Europe.

Objective: To characterise the epidemiology and incidence of respiratory SCEs during and following ENT surgery in Europe and to identify the risk factors for their occurrence. Read More

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http://dx.doi.org/10.1097/EJA.0000000000000951DOI Listing
March 2019
2 Reads

Reducing the need for general anesthesia in the repair of choanal atresia with steroid-eluting stents: A case series.

Int J Pediatr Otorhinolaryngol 2019 Mar 7;118:185-187. Epub 2019 Jan 7.

Department of Otolaryngology - Head and Neck Surgery, The Cleveland Clinic, Cleveland, OH, United States.

Introduction: Choanal atresia (CA) is a rare pediatric congenital disorder resulting in upper airway obstruction and respiratory distress in the setting of obligate nasal breathing in infants. In 2016, a novel technique was reported in the literature utilizing drug-eluting stents to correct CA. However, 2 out of 3 patients in the study required a second operation under general anesthesia. Read More

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http://dx.doi.org/10.1016/j.ijporl.2019.01.004DOI Listing
March 2019
2 Reads

CT-guided nephrostomy-An expedient tool for complex clinical scenarios.

Eur J Radiol 2019 Jan 23;110:142-147. Epub 2018 Nov 23.

Department of Urology and Pediatric Urology, Mainz University Medical Center, Langenbeckstraße 1, 55131 Mainz, Germany.

Introduction & Objectives: Percutaneous nephrostomy [1] has emerged as a pivotal approach in the therapeutic management of the obstructed urinary tract. A consecutive incorporation of ultrasonic and radiographic guidance, the approach experienced an almost ubiquitious distribution while most centers currently applying either one or both of these tools jointly. However, success of ultrasound-guidance is limited in obese patients and non-dilated uropathy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0720048X183042
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http://dx.doi.org/10.1016/j.ejrad.2018.11.028DOI Listing
January 2019
18 Reads

Comparison of Isoflurane, Ketamine-Dexmedetomidine, and Ketamine-Xylazine for General Anesthesia during Oral Procedures in Rice Rats ().

J Am Assoc Lab Anim Sci 2019 Jan 20;58(1):40-49. Epub 2018 Dec 20.

Department of Physiological Sciences, University of Florida, Gainesville, Florida;, Email:

Rice rats () are an unconventional laboratory species that has been used to study photoperiodicity, periodontitis, and osteonecrosis of the jaw. Interventional procedures that require anesthesia, including oral procedures, are sometimes necessary in preclinical settings. The use of anesthetics including isoflurane and ketamine combined with α2-adrenoreceptor agonists, such as dexmedetomidine and xylazine, is well-established for laboratory rodents. Read More

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http://dx.doi.org/10.30802/AALAS-JAALAS-18-000032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351055PMC
January 2019
4 Reads
1.118 Impact Factor

Perioperative intravenous ketamine for acute postoperative pain in adults.

Cochrane Database Syst Rev 2018 12 20;12:CD012033. Epub 2018 Dec 20.

Department of Anesthesiology, Intensive Care and Pain Medicine, Division of Anesthesiology, Töölö Hospital, Helsinki University and Helsinki University Hospital, Topeliuksenkatu 5, Helsinki, Finland, PB 266 00029.

Background: Inadequate pain management after surgery increases the risk of postoperative complications and may predispose for chronic postsurgical pain. Perioperative ketamine may enhance conventional analgesics in the acute postoperative setting.

Objectives: To evaluate the efficacy and safety of perioperative intravenous ketamine in adult patients when used for the treatment or prevention of acute pain following general anaesthesia. Read More

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http://dx.doi.org/10.1002/14651858.CD012033.pub4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360925PMC
December 2018
42 Reads

Giant 'staghorn' rhinolith in a 15-year-old girl.

Authors:
Mohiyuddin Ali

BMJ Case Rep 2018 Dec 14;11(1). Epub 2018 Dec 14.

ENT Department, Ain Al-Khaleej Hospital, Al-Ain, United Arab Emirates.

We describe a case of a 15-year-old girl who presented to our clinic with long-standing right-sided rhinorrhoea which was occasionally foul-smelling and blood-stained with no other symptom of note. She had been treated many times with antibiotics. On examination, a rhinolith was discovered impacted posteriorly in right nasal cavity with mucopurulent discharge. Read More

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http://dx.doi.org/10.1136/bcr-2018-227587DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6301478PMC
December 2018
6 Reads

A Rare Penetrating Trauma of Both Orbit and Nasal Cavity.

Iran J Otorhinolaryngol 2018 Nov;30(101):365-367

Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Introduction: Diagnosis of orbital foreign body (FB) penetration is usually obvious when part of the FB is still attached at the entry wound (1). However, the depth and course of the FB in this case was not visible.

Case Report: A 5-year old female presented with a pencil penetrating the left orbit. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6291816PMC
November 2018
2 Reads

Nonsurgical Rhinoplasty: Nasal Grid Analysis and Nasal Injecting Protocol.

Plast Reconstr Surg 2019 Feb;143(2):428-439

Verona, Italy; and Malvern and Melbourne, Victoria, Australia From the Division of Dental and Maxillofacial Surgery, "G. B. Rossi Hospital" and Medical University of Verona; Erase Esthetic Services; and Me clinic.

Background: Nonsurgical rhinoplasty using injectable fillers improved skin quality and texture, cost-effectiveness, and quick recovery. The aim of this study was to provide a valid and customized protocol for injecting the nose with the aid of a nasal grid.

Methods: From January of 2015 to October of 2018, 150 consecutive patients entered the trial. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005224DOI Listing
February 2019
2 Reads

Novel Methods for Intranasal Administration Under Inhalation Anesthesia to Evaluate Nose-to-Brain Drug Delivery.

J Vis Exp 2018 Nov 14(141). Epub 2018 Nov 14.

Laboratory of Pharmaceutics, School of Pharmacy, Nihon University;

Intranasal administration has been reported to be a potential pathway for nose-to-brain delivery of therapeutic agents that circumvents the blood-brain barrier. However, there have been few reports regarding not only the quantitative analysis but also optimal administration conditions and dosing regimens for investigations of nose-to-brain delivery. The limited progress in research on nose-to-brain pathway mechanisms using rodents represents a significant impediment in terms of designing nose-to-brain delivery systems for candidate drugs. Read More

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http://dx.doi.org/10.3791/58485DOI Listing
November 2018
3 Reads

A follow-up survey of total intravenous anesthesia usage in children in the U.K. and Ireland.

Paediatr Anaesth 2019 Feb 2;29(2):180-185. Epub 2019 Jan 2.

Department of Anaesthesia, Plymouth Hospitals NHS Trust, Plymouth, UK.

Background: Total intravenous anesthesia usage in children remains relatively unpopular in the UK and Ireland. A postal survey by Hill et al in 2008 indicated that only 26% of Consultants used a propofol infusion at least once a month.

Aims: Following an increase in teaching and training opportunities in pediatric total intravenous anesthesia in the UK, we repeated the survey among Consultant members of Association of Paediatric Anaesthetists of Great Britain and Ireland and Society for Intravenous Anaesthesia, to see if this had affected total intravenous anesthesia usage in children and how practice may have changed. Read More

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http://doi.wiley.com/10.1111/pan.13556
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http://dx.doi.org/10.1111/pan.13556DOI Listing
February 2019
20 Reads

Quality of recovery in patients undergoing endoscopic sinus surgery after general anesthesia: total intravenous anesthesia vs desflurane anesthesia.

Int Forum Allergy Rhinol 2019 Mar 19;9(3):248-254. Epub 2018 Nov 19.

Department of Anesthesiology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.

Background: For sinus surgery, some centers favor total intravenous anesthesia (TIVA) over inhalation anesthesia. However, whether TIVA affects the patient's perceived quality of recovery remains unclear. This study used the Quality of Recovery-40 questionnaire (QoR-40) to compare patient recovery between surgical patients who received TIVA and those who received desflurane (DES) anesthesia. Read More

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http://doi.wiley.com/10.1002/alr.22246
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http://dx.doi.org/10.1002/alr.22246DOI Listing
March 2019
17 Reads

Perioperative management of tracheocutaneous fistula closure in children: A review of 96 cases.

Paediatr Anaesth 2018 12 19;28(12):1129-1135. Epub 2018 Nov 19.

Department of Anaesthesia, Great Ormond Street Hospital for Children, London, UK.

Background: A tracheocutaneous fistula is a known complication following tracheostomy decannulation. Although surgical techniques for its repair are well described, there is no consensus about perioperative management and this procedure may generate significant airway and respiratory complications intraoperatively, and in the early postoperative period. We aimed to describe variations in perioperative management in tracheocutaneous fistula closure, estimate the incidence of early airway and respiratory complications, and identify any predisposing factors. Read More

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http://doi.wiley.com/10.1111/pan.13513
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http://dx.doi.org/10.1111/pan.13513DOI Listing
December 2018
33 Reads

Injectable profiloplasty: Forehead, nose, lips, and chin filler treatment.

J Cosmet Dermatol 2018 Nov 15. Epub 2018 Nov 15.

Division of Dental and Maxillofacial Surgery, G.B. Rossi Hospital and Medical University of Verona, Piazzale L.A. Scuro 10, 37134, Verona, Italy.

Introduction: We propose a medical filler treatment algorithm of the profile which includes forehead, nose, and chin and to evaluate profilometric results and complications.

Materials And Methods: 83 case reviews of associated liquid forehead, nose, and chin plasty performed consecutively from 2014 to 2016. We monitored the horizontal and vertical sagittal stability into two age group: <40 y. Read More

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http://doi.wiley.com/10.1111/jocd.12792
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http://dx.doi.org/10.1111/jocd.12792DOI Listing
November 2018
18 Reads

Respiratory measurement using infrared thermography and respiratory volume monitor during sedation in patients undergoing endoscopic urologic procedures under spinal anesthesia.

J Clin Monit Comput 2018 Nov 14. Epub 2018 Nov 14.

Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, South Korea.

We aimed to evaluate changes in respiratory pattern after sedation by simultaneously applying a respiratory volume monitor (ExSpiron1Xi, RVM) and infrared thermography (IRT) to patients undergoing spinal anesthesia during endoscopic urologic surgeries. After spinal anesthesia was performed, the patient was placed in a lithotomy position for surgery. Then, we established the baseline of the RVM, and started monitoring the mouth and nose with the infrared camera. Read More

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http://link.springer.com/10.1007/s10877-018-0214-4
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http://dx.doi.org/10.1007/s10877-018-0214-4DOI Listing
November 2018
10 Reads

Peak airway pressure is lower during pressure-controlled than during manual facemask ventilation for induction of anesthesia in pediatric patients-a randomized, clinical crossover trial.

J Anesth 2019 Feb 12;33(1):33-39. Epub 2018 Nov 12.

Department of Anesthesiology and Critical Care, Medical Center, University of Freiburg, Freiburg, Germany.

Purpose: Facemask ventilation during the induction of general anesthesia in paediatric patients remains a challenge as it may result in hypoxic conditions and gastric insufflation with subsequent regurgitation and aspiration. So far, it is unclear if pressure-controlled or manual facemask ventilation is preferable in children. We hypothesized that pressure-controlled ventilation in apnoeic children results in lower peak airway pressure and flow rates compared to manual ventilation at comparable respiratory rates and tidal volumes. Read More

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http://link.springer.com/10.1007/s00540-018-2580-y
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http://dx.doi.org/10.1007/s00540-018-2580-yDOI Listing
February 2019
40 Reads

High flow nasal therapy in perioperative medicine: from operating room to general ward.

BMC Anesthesiol 2018 Nov 10;18(1):166. Epub 2018 Nov 10.

Department of Surgical, Oncological and Oral Science (Di.Chir.On.S.). Section of Anesthesia, Analgesia, Intensive Care and Emergency. Policlinico Paolo Giaccone, University of Palermo, Via del vespro 129, 90127, Palermo, Italy.

Background: High flow nasal therapy (HFNT) is a technique in which humidified and heated gas is delivered to the airways through the nose via small nasal prongs at flows that are higher than the rates generally applied during conventional oxygen therapy. The delivered high flow rates combine mixtures of air and oxygen and enable different inspired oxygen fractions ranging from 0.21 to 1. Read More

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12871-018-0623-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6230300PMC
November 2018
15 Reads

Delirium History and Preoperative Mild Neurocognitive Disorder: An Opportunity for Multidisciplinary Patient-Centered Care.

Am J Case Rep 2018 Nov 6;19:1324-1328. Epub 2018 Nov 6.

Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA.

BACKGROUND Delirium is a well-established clinical phenomenon that remains largely underdiagnosed. In light of its association with diminished postoperative outcomes, recent efforts involve implementing preventive strategies and fostering early detection. This report highlights how multidisciplinary interventions can inform risk for delirium and the challenges that accompany identifying at-risk patients. Read More

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https://www.amjcaserep.com/abstract/index/idArt/911437
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http://dx.doi.org/10.12659/AJCR.911437DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232917PMC
November 2018
11 Reads

A retrospective observational study of acquired subglottic stenosis using low-pressure, high-volume cuffed endotracheal tubes.

Paediatr Anaesth 2018 12 29;28(12):1136-1141. Epub 2018 Oct 29.

Department of Pediatric Critical Care and Anaesthesia, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland.

Introduction: The safety of cuffed endotracheal tubes in the neonatal and critically ill pediatric population continues to be questioned due to the theoretical risk of acquired subglottic stenosis. The incidence of acquired subglottic stenosis in the high-risk mixed surgical and medical critically ill pediatric cohort using high-volume, low-pressure cuffed endotracheal tube policy has not yet been described. The aim of our study was to describe and evaluate the use and complication rate of cuffed ETT's in our unit over a 5-year period. Read More

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http://doi.wiley.com/10.1111/pan.13519
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http://dx.doi.org/10.1111/pan.13519DOI Listing
December 2018
3 Reads

Comparison of professional and laypeople evaluation of nasolabial esthetics following unilateral cleft lip repair.

Eur J Dent 2018 Oct-Dec;12(4):516-522

Department of Oral and Maxillofacial Surgery, Lagos University Teaching Hospital, Lagos State, Nigeria.

Objectives: The objective is to know the extent of agreement of clinicians' perception of nasolabial esthetic compared to that of laypeople (parents).

Materials And Methods: This was a prospective study of comparison of clinician's perception of nasolabial esthetics with that of laypeople following surgical repair of UCL. Participants were recruited from the Cleft Clinic of the Lagos University Teaching Hospital, and surgical repair of the cleft was performed under general anesthesia. Read More

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http://www.eurjdent.com/text.asp?2018/12/4/516/242598
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http://dx.doi.org/10.4103/ejd.ejd_31_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178684PMC
October 2018
11 Reads

Predictive ability of bedside nasal endoscopy to diagnose invasive fungal sinusitis in a pediatric population.

Int J Pediatr Otorhinolaryngol 2018 Dec 19;115:82-88. Epub 2018 Sep 19.

Division of Otolaryngology, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.

Introduction: Invasive fungal sinusitis (IFS) is a rare but deadly clinical entity that occurs in immunocompromised patients. Diagnosis in children typically requires operative biopsies under general anesthesia, which has associated risks. Findings on bedside nasal endoscopy (BNE) can be used with history, exam, and imaging to determine the need for surgery, however, the accuracy of this tool has not been established among pediatric patients. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01655876183047
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http://dx.doi.org/10.1016/j.ijporl.2018.09.019DOI Listing
December 2018
19 Reads

Adenoid hypertrophy affects screening for primary ciliary dyskinesia using nasal nitric oxide.

Int J Pediatr Otorhinolaryngol 2018 Dec 14;115:6-9. Epub 2018 Sep 14.

Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Hradec Kralove, Charles University, Faculty of Medicine in Hradec Kralove, Czech Republic.

Aim: In patients with primary ciliary dyskinesia (PCD), the release of nitric oxide (NO) is extremely low by epithelia of the nasopharynx and sinuses. Measurement of nasal NO (nNO) is recommended as a screening test for PCD. The study aimed to evaluate if adenoids affects nNO and may deteriorate the performance of the test. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01655876183046
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http://dx.doi.org/10.1016/j.ijporl.2018.09.007DOI Listing
December 2018
23 Reads

Lateral Proboscis (Elephant Tusk) with Orofacial Clefts: A Report of a Rare Case.

Case Rep Pediatr 2018 27;2018:6820972. Epub 2018 Sep 27.

Department of Histopathology, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State, Nigeria.

Lateral proboscis is a rare congenital anomaly. Lateral proboscis is a rare craniofacial malformation characterized by a rudimentary tubular, nose-like structure occurring in association with a wide spectrum of other anomalies. We presented a seven-month-old girl's lateral proboscis, cleft lip, and palate. Read More

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https://www.hindawi.com/journals/cripe/2018/6820972/
Publisher Site
http://dx.doi.org/10.1155/2018/6820972DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6180999PMC
September 2018
11 Reads

Surgical Approach for Hypoplastic Mirror Circumflex Aortic Arch.

Ann Thorac Surg 2018 Oct 22. Epub 2018 Oct 22.

Pediatric Cardiology, Royal Hospital for Children Glasgow, Scotland.

Surgical approach for mirror-form of circumflex aortic arch with a long-segment hypoplasia is described. Instead of "uncrossing" the arch, posterior aortic translocation aorta is required for the mirror-form. These surgical strategies addressed all the associated patho-mechanisms: (i) relief of vascular ring, (ii) removal of posterior arch compression on the trachea, and (iii) correct any arch obstruction. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2018.08.080DOI Listing
October 2018

Sinus arrest with prolonged asystole due to the trigeminocardiac reflex during application of local anaesthetic in the nasal mucosa.

BMJ Case Rep 2018 Oct 16;2018. Epub 2018 Oct 16.

Faculty of Medicine, University of Zurich, Zurich, Switzerland.

The trigeminocardiac reflex (TCR) is defined as a sudden onset of parasympathetic dysrhythmias during stimulation of the trigeminal nerve. We describe a peripheral variation of TCR during manipulation of the nasal mucosa. A 42-year-old patient suffering from severe obstructive sleep apnoea was scheduled for surgical treatment. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22642
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http://dx.doi.org/10.1136/bcr-2018-226427DOI Listing
October 2018
19 Reads

Characteristics and dimensions of the infraorbital canal: a radiographic analysis using cone beam computed tomography (CBCT).

Surg Radiol Anat 2019 Feb 17;41(2):169-179. Epub 2018 Oct 17.

Department of Oral Surgery and Stomatology, School of Dental Medicine, University of Bern, Freiburgstrasse 7, 3010, Bern, Switzerland.

Purpose: To analyze morphological characteristics and dimensions of the infraorbital canal-groove complex using cone beam computed tomography (CBCT), and to evaluate its relationship with adjacent anatomical structures.

Methods: This retrospective study included CBCT scans of 100 patients taken between January and May 2014. Linear measurements of the infraorbital canal (IOC), the infraorbital groove (IOG) and the infraorbital canal-groove complex (IOC/G) were performed. Read More

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http://dx.doi.org/10.1007/s00276-018-2108-zDOI Listing
February 2019
2 Reads

Minimally invasive treatment of sino-nasal aspergillosis in dogs.

J Vet Intern Med 2018 Nov 16;32(6):2069-2073. Epub 2018 Oct 16.

Hospital for Small Animals, University of Edinburgh, Edinburgh, EH25 9RG, United Kingdom.

Background: Sino-nasal aspergillosis is a common nasal disease in dogs. Recommended treatment protocols typically involve trephination of the frontal sinuses or the use of an antifungal solution instilled into the frontal sinus under anesthesia, both of which have associated morbidity and complications.

Objectives: To assess a minimally-invasive topical treatment protocol for sino-nasal aspergillosis in dogs. Read More

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http://doi.wiley.com/10.1111/jvim.15311
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http://dx.doi.org/10.1111/jvim.15311DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6271301PMC
November 2018
28 Reads

Comparison of Endoscopic Versus Microsurgical Resection of Pituitary Adenomas with Parasellar Extension and Evaluation of the Predictive Value of a Simple 4-Quadrant Radiologic Classification.

World Neurosurg 2019 Jan 9;121:e769-e774. Epub 2018 Oct 9.

Department of Neurosurgery, Università degli Studi "G. D'Annunzio", Pescara, Italy.

Background: The amount of parasellar extension is a known limitation for gross total resection (GTR) of pituitary adenomas. Endoscopic technique seems to improve resection of adenomas extending laterally. Knosp classification is used to evaluate the extent of parasellar invasion: increasing Knosp grades correspond with lower rates of GTR. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.09.215DOI Listing
January 2019
3 Reads

Minimally invasive injection laryngoplasty in the management of unilateral vocal cord paralysis after video-assisted mediastinal lymph adenectomy.

Wideochir Inne Tech Maloinwazyjne 2018 Sep 22;13(3):388-393. Epub 2018 May 22.

Department of Thoracic Surgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.

Introduction: Video-assisted mediastinal lymphadenectomy (VAMLA) is a valuable tool for invasive staging of the mediastinum. Unilateral vocal cord paralysis (UVCP) may occur in patients following VAMLA and may result in secretion retention within the lungs, atelectasis and associated infectious situations such as pneumonia. Minimally invasive injection laryngoplasty (ILP) is the treatment of choice in UVCP. Read More

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https://www.termedia.pl/doi/10.5114/wiitm.2018.75886
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http://dx.doi.org/10.5114/wiitm.2018.75886DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174176PMC
September 2018
4 Reads

Role of Lignocaine Nebulization as an Adjunct to Airway Blocks for Awake Fiber-Optic Intubation: A Comparative Study.

Anesth Essays Res 2018 Jul-Sep;12(3):735-741

Department of Anaesthesia, RUHS College of Medical Sciences, Jaipur, Rajasthan, India.

Context: Airway management is a crucial skill and area of concern for the anesthesiologist. Awake fiber-optic intubation (AFOI) remains the gold standard in managing difficult airway. Anaesthetizing the airway along with psychological assurance is the mainstay for Preparation of AFOI. Read More

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http://www.aeronline.org/text.asp?2018/12/3/735/240865
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http://dx.doi.org/10.4103/aer.AER_112_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6157241PMC
October 2018
24 Reads

Clinical features and management of antrochoanal polyps in children: Cues from a clinical series of 58 patients.

Int J Pediatr Otorhinolaryngol 2018 Nov 29;114:87-91. Epub 2018 Aug 29.

ENT Department, University Hospital of Ferrara, Italy.

Objective: To review the clinical features of pediatric patients affected by antrochoanal polyps (ACPs) and surgically treated at three University settings.

Methods: Retrospective study. The present research includes the clinical data of subjects affected by ACPs, aged <18 years and referred to three ENT Departments, between January 1st 2003 and September 30th 2016. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.08.033DOI Listing
November 2018
13 Reads

Cushing's reflex secondary to neck haematoma following thyroidectomy.

BMJ Case Rep 2018 Sep 25;2018. Epub 2018 Sep 25.

Nuclear Medicine Division, Radiotherapy, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Neck haematoma following thyroid surgery can present with respiratory distress which is generally attributed to airway obstruction. We recently had a 63-year-old female patient who underwent total thyroidectomy for toxic nodular goitre. However, within 4 hours of surgery, she developed sudden respiratory distress which was managed by prompt evacuation of the neck haematoma. Read More

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http://dx.doi.org/10.1136/bcr-2018-226639DOI Listing
September 2018
5 Reads

Nasal Tip Reconstruction following Skin Cancer Resection: A Novel Approach Combining Reconstructive and Tip Rhinoplasty Principles.

Authors:
Victor J Hassid

Plast Reconstr Surg 2018 12;142(6):990e-991e

1327 Lake Pointe Parkway, Suite 201, Sugar Land, Texas 77478,

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http://dx.doi.org/10.1097/PRS.0000000000005055DOI Listing
December 2018

Greater palatine canal injections reduce operative bleeding during endoscopic sinus surgery: a systematic review and meta-analysis.

Eur Arch Otorhinolaryngol 2019 Jan 20;276(1):3-10. Epub 2018 Sep 20.

Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Objectives: The use of greater palatine canal (GPC) injections of a local anesthetic and a vasoconstrictor to decrease surgical bleeding during endoscopic sinus surgery (ESS) is controversial. We investigated the role of a preoperative GPC injection to minimize intraoperative bleeding during ESS in patients with chronic sinusitis through a meta-analysis of the relevant literature.

Data Sources: PubMed, SCOPUS, and the Cochrane database. Read More

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http://dx.doi.org/10.1007/s00405-018-5138-6DOI Listing
January 2019
2 Reads

A 2-Year Follow-up Study of an Absorbable Implant to Treat Nasal Valve Collapse.

Facial Plast Surg 2018 Oct 18;34(5):545-550. Epub 2018 Sep 18.

Department of Otorhinolaryngology, Head and Neck Surgery, Ludwig Maximilian University of Munich, Munich, Germany.

The safety and effectiveness of an absorbable implant for lateral cartilage support have been recently demonstrated in subjects with nasal valve collapse (NVC) at 12 months postprocedure. This follow-up study aimed to assess whether the safety and effectiveness of the implant persist in these patients for 24 months after the procedure. Thirty subjects with Nasal Obstruction Symptom Evaluation (NOSE) score ≥ 55 and isolated NVC were treated; 14 cases were performed in an operating suite under general anesthesia and 16 cases were performed in a clinic-based setting under local anesthesia. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1672213
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http://dx.doi.org/10.1055/s-0038-1672213DOI Listing
October 2018
19 Reads

The Smell of Hypoxia: using an electronic nose at altitude and proof of concept of its role in the prediction and diagnosis of acute mountain sickness.

Physiol Rep 2018 Sep;6(17):e13854

University College London Centre for Altitude Space and Extreme Environment (CASE) Medicine, UCLH NIHR Biomedical Research Centre, Institute of Sport and Exercise Health, London, United Kingdom.

Electronic nose (e-nose) devices may be used to identify volatile organic compounds (VOCs) in exhaled breath. VOCs generated via metabolic processes are candidate biomarkers of (patho)physiological pathways. We explored the feasibility of using an e-nose to generate human "breathprints" at high altitude. Read More

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http://dx.doi.org/10.14814/phy2.13854DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6125242PMC
September 2018
2 Reads

Transnasal Endoscopic Removal of a Knife Causing Penetrating Brain Injury in a Child.

J Craniofac Surg 2018 Oct;29(7):e694-e695

Department of Otorhinolaryngology, Konya Research and Education Hospital, University of Health Sciences, Konya, Turkey.

Transnasal penetrating brain injuries are rare and a medical emergency, which needs to be treated promptly. A 4-year-old male patient was brought to our emergency room with a knife sticking out of his nose. The patient was immediately taken to the operating room and the knife was removed under general anesthesia. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004940DOI Listing
October 2018
18 Reads

Dacryocystorhinostomy with a thulium:YAG laser-a case series.

Ear Nose Throat J 2018 Aug;97(8):E39-E42

Department of Head and Neck Surgery, Kaiser Permanente Medical Center, 450 6th Ave., 2nd Floor, San Francisco, CA 94118, USA.

We conducted a retrospective chart review of 27 patients-7 men and 20 women, aged 47 to 94 years (mean: 71.3)-with symptomatic epiphora secondary to dacryostenosis who had undergone thulium: YAG (Tm:YAG) laser dacryocystorhinostomy (DCR). Among them, dacryostenosis had been documented in 35 eyes by dacryocystography. Read More

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http://dx.doi.org/10.1177/014556131809700808DOI Listing
August 2018
25 Reads