3,532 results match your criteria Anesthesia Nose


Synchronous correction in secondary cleft deformities: a prospective cohort study.

Minerva Stomatol 2020 Jun 2. Epub 2020 Jun 2.

Department of Oral and Maxillofacial Surgery SRM Dental College and Hospital, Ramapuram, Chennai, India.

Background: Patients with cleft lip and palate deformities undergo multiple surgical procedures from infancy till adolescence. We hypothesized that combining these surgical procedures might offer a better quality of life without compromising on surgical outcomes.

Subjects & Methods: A prospective cohort study was conducted at our centre including all adult patients who reported to us for the correction of secondary cleft deformities. Read More

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http://dx.doi.org/10.23736/S0026-4970.20.04302-2DOI Listing

A model to predict postoperative complications for otorhinolaryngology and maxillofacial surgery procedures in elderly patients.

Eur Arch Otorhinolaryngol 2020 Jun 3. Epub 2020 Jun 3.

Head and Neck and Robotic Surgery, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.

Purpose: All kinds of ear, nose, and throat and maxillofacial surgery (ENT/MFS) procedures are being increasingly performed in the elderly although old age is a major risk factor for increased postoperative complications. With only scarce evidence on the topic, surgeons are asked to critically evaluate their procedures' indications and outcomes to balance the treatment risks and benefits. Our primary aim was to identify predictive factors for surgical outcomes in this setting and to create a predictive model for a tailored risk assessment. Read More

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http://dx.doi.org/10.1007/s00405-020-06084-7DOI Listing

Dermoid Cyst in the Postauricular Area.

J Craniofac Surg 2020 May 14. Epub 2020 May 14.

Department of Otorhinolaryngology.

Dermoid cyst is a rare benign tumor and about 7% of occurrences are found in the head and neck region. Its location is almost always in the midline of the body such as the orbit, oral cavity, and nose, but it is rarer in and around the auricle. The authors present a 31-year-old woman with dermoid cyst in the postauricular area which is a rare site for this lesion. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006499DOI Listing

The Effect of Inferior Turbinate Surgery on Quality of Life: A Randomized, Placebo-Controlled Study.

Ear Nose Throat J 2020 May 26:145561320927944. Epub 2020 May 26.

Department of Otorhinolaryngology, Tampere University Hospital, Tampere, Finland.

Objective: The purpose of this prospective, randomized, single-blinded, placebo-controlled study was to investigate the effects of radiofrequency ablation (RFA), diode laser, and microdebrider-assisted inferior turbinoplasty (MAIT) techniques on patients' quality of life (QOL) and to compare the techniques with a placebo procedure.

Methods: A total of 98 consecutive patients with enlarged inferior turbinates due to persistent year-round rhinitis were randomized into placebo, RFA, diode laser, and MAIT groups at a ratio of 1:2:2:2. All the procedures were carried out under local anesthesia with the patients' eyes covered. Read More

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http://dx.doi.org/10.1177/0145561320927944DOI Listing

Bioengineered airway epithelial grafts with mucociliary function based on collagen IV- and laminin-containing extracellular matrix scaffolds.

Eur Respir J 2020 May 22. Epub 2020 May 22.

Lungs for Living Research Centre, UCL Respiratory, University College London, London, UK.

Current methods to replace damaged upper airway epithelium with exogenous cells are limited. Existing strategies use grafts that lack mucociliary function, leading to infection and the retention of secretions and keratin debris. Strategies that regenerate airway epithelium with mucociliary function are clearly desirable and would enable new treatments for complex airway disease. Read More

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http://dx.doi.org/10.1183/13993003.01200-2019DOI Listing

Local Versus General Anesthesia for Balloon Dilation of the Eustachian Tube: A Single-Center Retrospective Study in a Chinese Population.

Ear Nose Throat J 2020 May 19:145561320923172. Epub 2020 May 19.

Department of Otolaryngology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.

Objective: To compare local anesthesia (LA) versus general anesthesia (GA) for balloon dilation of the Eustachian tube (BDET) using the Bielefeld Dilation System in a Chinese population with obstructive Eustachian tube dysfunction (OETD).

Methods: A total of 49 patients with OETD undergoing BDET under either LA or GA were included in the present study. Intraoperative blood pressure, heart rate, and pain sensation were recorded. Read More

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http://dx.doi.org/10.1177/0145561320923172DOI Listing

Counter Autografting of Dorsal Septum in Crooked Nose.

Aesthetic Plast Surg 2020 May 18. Epub 2020 May 18.

Department of Plastic, Reconstructive, and Aesthetic Surgery, Faculty of Medicine, Ondokuz Mayıs University, Samsun, Turkey.

Introduction: The nasal septum plays an important role in nasal form and function. In this study, we describe a novel, alternative septoplasty approach that results in an aesthetically acceptable dorsal profile and improves airway function in patients with a crooked nose.

Patients And Methods: This study enrolled 26 patients who presented with crooked noses between 2012 and 2017. Read More

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http://dx.doi.org/10.1007/s00266-020-01756-5DOI Listing

Variation of Diagnostic Ultrasound-Induced Pulmonary Capillary Hemorrhage with Fraction of Inspired Oxygen.

Ultrasound Med Biol 2020 May 15. Epub 2020 May 15.

Department of Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA.

Pulmonary capillary hemorrhage induction by diagnostic ultrasound (DUS-PCH) was investigated with respect to the influence of the fraction of inspired oxygen (FiO). Sprague-Dawley rats were anesthetized with Telazol only (TO) or Telazol plus xylazine (TX), which can enhance DUS-PCH. A linear array probe (10 L, GE Vivid 7 Dimension) was used in B-mode at 7. Read More

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http://dx.doi.org/10.1016/j.ultrasmedbio.2020.04.005DOI Listing

Multidisciplinary guidance for safe tracheostomy care during the COVID-19 pandemic: the NHS National Patient Safety Improvement Programme (NatPatSIP).

Anaesthesia 2020 May 12. Epub 2020 May 12.

Department of Anaesthesia and Intensive Care Medicine, Warrington and Halton Teaching Hospitals, Warrington, UK.

The COVID-19 pandemic is causing a significant increase in the number of patients requiring relatively prolonged invasive mechanical ventilation and an associated surge in patients who need a tracheostomy to facilitate weaning from respiratory support. In parallel, there has been a global increase in guidance from professional bodies representing staff who care for patients with tracheostomies at different points in their acute hospital journey, rehabilitation, and recovery. Of concern are the risks to healthcare staff of infection arising from tracheostomy insertion and subsequent management. Read More

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http://dx.doi.org/10.1111/anae.15120DOI Listing

Dental needle foreign body in the neck: a case report.

J Dent Anesth Pain Med 2020 Apr 27;20(2):83-87. Epub 2020 Apr 27.

Hamad Medical Corporation, Clinical Radiology and Medical Imaging Department, Doha, Qatar.

Foreign body (FB) ingestion is commonly seen in the ear nose and throat (ENT) field, with different presentations and sequelae. FBs can arrest in the upper aerodigestive tract or continue further down into either the airway tract to the bronchus or the digestive tract to the intestines. The pathway of an FB depends on the size and shape of the FB and how sharp its edges are. Read More

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http://dx.doi.org/10.17245/jdapm.2020.20.2.83DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7193060PMC

Can't intubate can't oxygenate: It takes more than a patent airway to oxygenate a patient.

Eur J Anaesthesiol 2020 Jun;37(6):503-504

From the Department of Anaesthesia, Great Western Hospital, Swindon (EB, JB) and Department of Anaesthesia, Royal National Throat, Nose and Ear Hospital, London, UK (JR).

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http://dx.doi.org/10.1097/EJA.0000000000001143DOI Listing
June 2020
3.011 Impact Factor

Awake tracheal intubation in a suspected COVID-19 patient with critical airway obstruction.

Anaesth Rep 2020 Jan-Jun;8(1):28-31. Epub 2020 May 4.

Department of Ear, Nose and Throat Surgery Guy's and St Thomas' Foundation Trust London UK.

We report the airway management of a patient with suspected COVID-19 with impending airway obstruction requiring urgent surgical tracheostomy. To our knowledge, this is the first reported case of an awake tracheal intubation in a suspected COVID-19-positive patient. Various modifications were put in place during the awake tracheal intubation and surgical tracheostomy procedures to minimise aerosol generation from the patient, such as avoiding high-flow nasal oxygen, establishing conscious sedation with remifentanil before commencing airway topicalisation and avoiding transtracheal local anaesthetic infiltration. Read More

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http://dx.doi.org/10.1002/anr3.12041DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7197305PMC

Systematic endoscopic assessment of bleeding sites in severe epistaxis: the role of the S-point and the superior epistaxis.

Rhinology 2020 05 5. Epub 2020 May 5.

Federal University of Sao Paulo (UNIFESP-EPM), Department of Otorhinolaryngology and Head and Neck Surgery, Sao Paulo, SP, Brazil.

Background: Systematic endoscopic assessment (SEA) of bleeding sites is critical for topodiagnosis and treatment of severe epistaxis, which is not limited to the posterior region. A bleeding site originating from the ethmoidal vasculature, the S-point, has recently been described. The aim of this study is to ascertain the prevalence of each bleeding site in severe epistaxis using a SEA protocol that includes the S-point. Read More

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http://dx.doi.org/10.4193/Rhin19.466DOI Listing

Response of a comprehensive cancer center to the COVID-19 pandemic: the experience of the Fondazione IRCCS-Istituto Nazionale dei Tumori di Milano.

Tumori 2020 May 4:300891620923790. Epub 2020 May 4.

Scientific Director, Fondazione IRCCS Istituto Tumori di Milano, Milan, Italy.

Background: The rapid spread of coronavirus disease (COVID-19) is affecting many countries. While healthcare systems need to cope with the need to treat a large number of people with different degrees of respiratory failure, actions to preserve aliquots of the healthcare system to guarantee treatment to patients are mandatory.

Methods: In order to protect the Fondazione IRCCS-Istituto Nazionale dei Tumori di Milano from the spread of COVID-19, a number of to-hospital and within-hospital filters were applied. Read More

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http://dx.doi.org/10.1177/0300891620923790DOI Listing

Apnoeic oxygenation and ventilation: go with the flow.

Anaesthesia 2020 Apr 29. Epub 2020 Apr 29.

Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK.

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http://dx.doi.org/10.1111/anae.15066DOI Listing

Nasal fractures: a dedicated clinic providing reduction under local anaesthesia improves time to manipulation.

Ann R Coll Surg Engl 2020 Apr 24:1-4. Epub 2020 Apr 24.

Pennine Acute Hospitals NHS Trust, Manchester, UK.

Introduction: Guidelines for nasal injury state that assessment should be at 7-10 days post-injury and manipulation within 14 days. We performed a plan, do, study, act improvement cycle to assess whether a dedicated nasal fracture service led to better outcomes.

Materials And Methods: A retrospective study was carried out of all patients undergoing manipulation under anaesthesia for nasal trauma between February 2013 and December 2016 in a district general hospital. Read More

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http://dx.doi.org/10.1308/rcsann.2019.0185DOI Listing

The prevalence of emergence delirium and its associated factors among children at a postoperative unit: A retrospective cohort at a Middle Eastern hospital.

Saudi J Anaesth 2020 Apr-Jun;14(2):169-176. Epub 2020 Mar 5.

King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.

Background: Emergence delirium (ED) has been reported among children at a postoperative setting, which delays their recovery and exposes them to traumas. The aim of this study was to determine the prevalence of ED and its associated factors among children who underwent surgeries at a major tertiary healthcare facility in Saudi Arabia.

Materials And Methods: Between March and August 2018, a retrospective cohort study was conducted based on a review of 413 medical charts of children (<14 years) who underwent an elective/nonemergency surgery and then were admitted to a Post Anesthesia Care Unit. Read More

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http://dx.doi.org/10.4103/sja.SJA_573_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164477PMC

A Mouse Model of Oropharyngeal Papillomavirus-Induced Neoplasia Using Novel Tools for Infection and Nasal Anesthesia.

Viruses 2020 Apr 16;12(4). Epub 2020 Apr 16.

McArdle Laboratory for Cancer Research, University of Wisconsin, Madison, WI 53705, USA.

Human head and neck cancers that develop from the squamous cells of the oropharynx (Oropharyngeal Squamous Cell Carcinomas or OPSCC) are commonly associated with the papillomavirus infection. A papillomavirus infection-based mouse model of oropharyngeal tumorigenesis would be valuable for studying the development and treatment of these tumors. We have developed an efficient system using the mouse papillomavirus (MmuPV1) to generate dysplastic oropharyngeal lesions, including tumors, in the soft palate and the base of the tongue of two immune-deficient strains of mice. Read More

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http://dx.doi.org/10.3390/v12040450DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7232375PMC

Emergency tracheal intubation in 202 patients with COVID-19 in Wuhan, China: lessons learnt and international expert recommendations.

Br J Anaesth 2020 Apr 10. Epub 2020 Apr 10.

Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA, USA. Electronic address:

Tracheal intubation in coronavirus disease 2019 (COVID-19) patients creates a risk to physiologically compromised patients and to attending healthcare providers. Clinical information on airway management and expert recommendations in these patients are urgently needed. By analysing a two-centre retrospective observational case series from Wuhan, China, a panel of international airway management experts discussed the results and formulated consensus recommendations for the management of tracheal intubation in COVID-19 patients. Read More

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http://dx.doi.org/10.1016/j.bja.2020.03.026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151238PMC
April 2020
4.853 Impact Factor

Anaesthesia and COVID-19: infection control.

Br J Anaesth 2020 Apr 8. Epub 2020 Apr 8.

Department of Anaesthesia and Perioperative Medicine, University College London Hospitals NHS Foundation Trust, UK. Electronic address:

The world is currently facing an unprecedented healthcare crisis caused by a pandemic novel beta coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The pathogen is spread by human-to-human transmission via droplets exposure and contact transfer, causing mild symptoms in the majority of cases, but critical illness, bilateral viral pneumonia, and acute respiratory distress syndrome (ARDS) in a minority. Currently, controlling infection to prevent the spread of SARS-CoV-2 is the primary public healthcare intervention used. Read More

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http://dx.doi.org/10.1016/j.bja.2020.03.025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7142687PMC

Endoscopic dacryocystorhinostomy: A comparison of double-flap and single-flap techniques.

Ann Med Surg (Lond) 2020 Jun 8;54:1-5. Epub 2020 Apr 8.

Department of Anesthesia, Jordan University of Science and Technology, P.O Box 3030, Irbid, 22110, Jordan.

Background: Dacryocystorhinostomy (DCR) is a procedure to restore the flow of tears into the nose from the lacrimal sac when the nasolacrimal duct obstructed. This study aimed to compare the success rates of two different techniques in endonasal endoscopic DCR; namely single and double mucosal flap techniques.

Material And Methods: A nonequivalent quasi-experiment design was used in this study. Read More

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http://dx.doi.org/10.1016/j.amsu.2020.03.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153027PMC

Rhinoliths: Analysis of 24 Interested Forgotten Foreign Body Cases.

Ear Nose Throat J 2020 Apr 13:145561320908477. Epub 2020 Apr 13.

Department of Otorhinolaringology, Healty Science University Hospital, Afyonkarahisar, Turkiye.

Rhinoliths are petrified masses formed by accumulation of endogenous or exogenous salts around a nidus. Although rarely formed by the body, the most common cause is foreign bodies forgotten in the nose at childhood. Rhinoliths are rare and have been reported as a single case report in the literature. Read More

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http://dx.doi.org/10.1177/0145561320908477DOI Listing

Tympanostomy Tube Controversies and Issues: State-of-the-Art Review.

Ear Nose Throat J 2020 Apr 13:145561320919656. Epub 2020 Apr 13.

Department of Otolaryngology, SUNY Downstate Health Sciences University, Brooklyn, NY, USA.

Objective: To review current pragmatic issues and controversies related to tympanostomy tubes in children, in the context of current best research evidence plus expert opinion to provide nuance, address uncertainties, and fill evidence gaps.

Methods: Each issue or controversy is followed by the relevant current best evidence, expert insight and opinion, and recommendations for action. The role of expert opinion and experience in forming conclusions is inversely related to the quality, consistency, and adequacy of published evidence. Read More

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http://dx.doi.org/10.1177/0145561320919656DOI Listing

COVID-19 pandemic: Effects and evidence-based recommendations for otolaryngology and head and neck surgery practice.

Head Neck 2020 06 15;42(6):1259-1267. Epub 2020 Apr 15.

International Head and Neck Scientific Group, Udine, Italy.

The 2019 novel coronavirus disease (COVID-19) is a highly contagious zoonosis produced by SARS-CoV-2 that is spread human-to-human by respiratory secretions. It was declared by the WHO as a public health emergency. The most susceptible populations, needing mechanical ventilation, are the elderly and people with associated comorbidities. Read More

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http://dx.doi.org/10.1002/hed.26164DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262203PMC

Consensus guidelines for managing the airway in patients with COVID-19: Guidelines from the Difficult Airway Society, the Association of Anaesthetists the Intensive Care Society, the Faculty of Intensive Care Medicine and the Royal College of Anaesthetists.

Anaesthesia 2020 06 1;75(6):785-799. Epub 2020 Apr 1.

Department of Anaesthesia and Intensive Care Medicine, Warrington and Halton NHS Foundation Trust, Warrington, UK.

Severe acute respiratory syndrome-corona virus-2, which causes coronavirus disease 2019 (COVID-19), is highly contagious. Airway management of patients with COVID-19 is high risk to staff and patients. We aimed to develop principles for airway management of patients with COVID-19 to encourage safe, accurate and swift performance. Read More

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http://dx.doi.org/10.1111/anae.15054DOI Listing

Nerve Block for Septorhinoplasty: A Retrospective Observational Study of Postoperative Complications in 24 Hours.

Cureus 2020 Feb 12;12(2):e6961. Epub 2020 Feb 12.

Otolaryngology Head and Neck Surgery, Umm Al-Qura University, Makkah, SAU.

Septorhinoplasty is a surgical procedure that provides functional improvements and esthetic adjustments to the appearance of the nose. Pain is a common postoperative complication, and pain management is known to decrease postoperative complications and total cost. Local anesthetics can cost-effectively decrease postoperative pain scores and reduce analgesic requirements. Read More

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http://dx.doi.org/10.7759/cureus.6961DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7067574PMC
February 2020

Comparison of tissue oxygenation achieved breathing oxygen using different delivery devices and flow rates.

Diving Hyperb Med 2020 Mar;50(1):34-42

Department of Kinesiology, Faculty of Medicine, Université Laval, Québec, Canada.

Introduction: Divers with suspected decompression illness require high concentration oxygen (O₂). There are many different O₂ delivery devices, with few data comparing their performance. This study evaluated O₂ delivery, using tissue O₂ partial pressure (PO₂), in healthy divers breathing O₂ via three different delivery devices. Read More

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http://dx.doi.org/10.28920/dhm50.1.34-42DOI Listing

The Evolving Treatment of Diabetic Retinopathy.

Clin Ophthalmol 2020 4;14:653-678. Epub 2020 Mar 4.

Retina Center of Minnesota, Minneapolis, MN 55404, USA.

Purpose: To review the current therapeutic options for the management of diabetic retinopathy (DR) and diabetic macular edema (DME) and examine the evidence for integration of laser and pharmacotherapy.

Methods: A review of the PubMed database was performed using the search terms diabetic retinopathy, diabetic macular edema, neovascularization, laser photocoagulation, intravitreal injection, vascular endothelial growth factor (VEGF), vitrectomy, pars plana vitreous surgery, antiangiogenic therapy. With additional cross-referencing, this yielded 835 publications of which 301 were selected based on content and relevance. Read More

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http://dx.doi.org/10.2147/OPTH.S236637DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061411PMC

[Anesthesia for a cesarean section on a pregnant patient with Cockayne syndrome: case report].

Rev Bras Anestesiol 2020 Jan - Feb;70(1):51-54. Epub 2020 Feb 19.

Universidade Federal Fluminense (UFF), Hospital Universitário Antônio Pedro, Niterói, RJ, Brasil. Electronic address:

Cockayne syndrome is an autosomal recessive multi-systemic disorder due to DNA repair failure. It was originally described in 1936 in children of small stature, retinal atrophy and deafness, characterized by dwarfism, cachexia, photosensitivity, premature aging and neurologic deficits. The most typical feature is described as birdlike facies: protruding maxilla, facial lipoatrophy, sunken eyes, large ears and thin nose. Read More

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http://dx.doi.org/10.1016/j.bjan.2019.10.002DOI Listing
February 2020

Is Nasal Septum Deviation Severity a Significant Factor on Voice in Patients Undergoing Septoplasty?

J Coll Physicians Surg Pak 2020 03;30(3):287-291

Ankara Numune Training and Research Hospital ENT & HNS Clinic, Hacettepe Mahallesi Talatpaşa Bulvarı No.44 Altındağ, Ankara, Turkey.

Objective: To determine whether septoplasty is an effective factor on the voice in patients with varying degrees of nasal septum deviation.

Study Design: Descriptive study.

Place And Duration Of Study: Ankara Numune Training and Research Hospital, Ear Nose Throat Clinic, Ankara, Turkey, from November 2018 to March 2019. Read More

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http://dx.doi.org/10.29271/jcpsp.2020.03.287DOI Listing

In-Office Tympanostomy Tube Placement in Children Using Iontophoresis and Automated Tube Delivery.

Laryngoscope 2020 May 11;130 Suppl 4:S1-S9. Epub 2020 Mar 11.

Ear Medical Group, San Antonio, Texas, U.S.A.

Objectives/hypothesis: Evaluate technical success, tolerability, and safety of lidocaine iontophoresis and tympanostomy tube placement for children in an office setting.

Study Design: Prospective individual cohort study.

Methods: This prospective multicenter study evaluated in-office tube placement in children ages 6 months through 12 years of age. Read More

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http://dx.doi.org/10.1002/lary.28612DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187287PMC

Enhanced recovery and accelerated discharge after endoscopic transsphenoidal pituitary surgery: safety, patient feedback, and cost implications.

Acta Neurochir (Wien) 2020 Jun 6;162(6):1281-1286. Epub 2020 Mar 6.

Department of Neurosurgery, Leeds General Infirmary, Leeds, UK.

Background: Enhanced recovery after surgery (ERAS) is a constant motivation. There is growing evidence that an endoscopic (rather than microscopic) transsphenoidal approach to pituitary tumours can play a role, facilitating faster recovery and a commensurate reduction in length of stay (LOS). Reducing LOS is beneficial to both patients and healthcare systems. Read More

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http://dx.doi.org/10.1007/s00701-020-04282-0DOI Listing

In-Office Tympanostomy Tube Placement Using Iontophoresis and Automated Tube Delivery Systems.

OTO Open 2020 Jan-Mar;4(1):2473974X20903125. Epub 2020 Feb 24.

Ear Medical Group, San Antonio, Texas, USA.

Objectives: (1) To evaluate safety, tolerability, and technical success of lidocaine iontophoresis and a tympanostomy tube placement system for adults in an office setting and (2) to meet regulatory evidence requirements for new drugs and devices.

Study Design: Prospective, multicenter, single arm.

Setting: Patients were recruited in 8 community-based practices in the United States between June and September 2017. Read More

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http://dx.doi.org/10.1177/2473974X20903125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040928PMC
February 2020

Childhood Nasal Foreign Bodies: Analysis of 1724 Cases.

Turk Arch Otorhinolaryngol 2019 Dec 1;57(4):187-190. Epub 2019 Dec 1.

Department of Otorhinolaryngology Head and Neck Surgery, Health Science University Kayseri Training and Research Hospital, Kayseri, Turkey.

Objective: This study evaluates the characteristics of the foreign bodies removed from the nose, the treatment methods used, and the complications associated with the foreign body, and discusses the reports in the literature.

Methods: Age, gender, type of foreign body, side of nose, clinical symptoms, complaints, diagnosis and treatment methods were retrospectively evaluated in all 1724 pediatric patients with foreign bodies.

Results: Of the 1724 patients, 841 (48. Read More

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http://dx.doi.org/10.5152/tao.2019.4096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7032551PMC
December 2019

Effect of Intravenous Lidocaine Infusion on Postoperative Early Recovery Quality in Upper Airway Surgery.

Laryngoscope 2020 Mar 2. Epub 2020 Mar 2.

Department of Anesthesiology, The Affiliated Huaian Hospital of Xuzhou Medical University and Huaian Second People's Hospital, Huaian, China.

Objectives/hypothesis: Systemic infusions of lidocaine have been widely used as perioperative analgesic adjuvants. The aim of this randomized, double-blinded, controlled trial was to investigate the effect of perioperative lidocaine infusion on postoperative early recovery quality in upper airway surgery.

Study Design: Prospective, randomized, double-blinded, placebo-controlled trial. Read More

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http://dx.doi.org/10.1002/lary.28594DOI Listing
March 2020
2.032 Impact Factor

Videolaryngoscopy to aid transoesophageal echocardiography probe insertion.

Anaesth Intensive Care 2020 Feb 26:310057X20905608. Epub 2020 Feb 26.

Department of Anaesthesia and Pain Medicine, Royal Perth Hospital, Perth, Australia.

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http://dx.doi.org/10.1177/0310057X20905608DOI Listing
February 2020

Surgical fenestrated approach to the maxillary sinus like alternative to Caldwell-Luc technique.

Minerva Stomatol 2019 12;68(6):308-316

Unit of Otorhinolaryngology, Department of Neuroscience and Head and Neck, Infermi Hospital, Rimini, Italy.

Introduction: In the last few years the surgical treatment of patients with maxillary sinus disease has shifted from more invasive maneuvers to more conservative approaches in order to save intraoral mucosa. Recently, some authors have proposed a modification to the classical Caldwell-Luc's approach (CL) for the removal of dental implants displaced into the maxillary sinus. The modified approach involves a fenestrated approach to the maxillary sinus. Read More

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http://dx.doi.org/10.23736/S0026-4970.19.04255-9DOI Listing
December 2019

The simultaneous use of three ventilatory techniques to maintain oxygenation in a patient undergoing tracheal laser resection of tumour.

Anaesth Rep 2019 Jul-Dec;7(2):70-72. Epub 2019 Aug 12.

Anaesthesia Royal National Throat, Nose and Ear Hospital UCLH NHS Foundation Trust London UK.

Patients undergoing subglottic airway surgery present a challenge to both anaesthetist and surgeon, and often a balance between surgical access and method of ventilation has to be struck. We report a case in which a 38-year-old female with a large mediastinal mass causing distal tracheal obstruction underwent tracheal laser resection. In order to maintain oxygenation throughout she required simultaneous transnasal humidified rapid-insufflation ventilatory exchange, supraglottic high-frequency jet ventilation and suprastomal manual jet ventilation through her tracheostomy stoma. Read More

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http://dx.doi.org/10.1002/anr3.12021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931295PMC

The Utility of the Maxillary Heuwieser for Oropharyngeal Foreign Body Removal Under Nebulized Local Anesthesia: A Case Series.

Ear Nose Throat J 2020 Feb 13:145561320906329. Epub 2020 Feb 13.

Department of Otolaryngology Head and Neck Surgery, University of Rochester Medical Center, Rochester, NY, USA.

We describe a novel and safe use of existing instrumentation in the removal of select foreign bodies in the upper aerodigestive tract to minimize health-care costs. A retrospective review of 4 cases involving visualized upper aerodigestive tract foreign bodies were identified via flexible laryngoscopy and extracted under local anesthesia from 2016 to 2018. All 4 patients were not in any airway distress and underwent successful removal of the foreign body, which included 2 fishbones, a sewing pin, and a wire bristle with a maxillary Heuwieser or giraffe instrument under flexible laryngoscopy visualizing using local anesthesia without complications. Read More

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http://dx.doi.org/10.1177/0145561320906329DOI Listing
February 2020

Long-term results of polytetrafluoroethylene versus saphenous vein repair of degenerative carotid artery aneurysm.

J Vasc Surg 2020 Feb 5. Epub 2020 Feb 5.

Department of Surgical Research, The University of Poitiers, Poitiers, France.

Objective: To compare the results of polytetrafluoroethylene (PTFE) and great saphenous vein (GSV) bypass after resection of a degenerative aneurysm of the carotid artery.

Methods: From January 1994 to November 2017, 37 patients (27 men) with a mean age of 58 years (range, 39-82 years) with a degenerative aneurysm of the carotid artery (median diameter, 28 mm; range, 19-42 mm), underwent resection of the aneurysm followed by a bypass with either a GSV (n = 10) or a PTFE prosthesis (n = 27). Although 31 patients were asymptomatic, 6 patients were symptomatic: transient ischemic attack (n = 4), minor stroke (n = 1), and compression of the hypoglossal nerve (n = 1). Read More

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http://dx.doi.org/10.1016/j.jvs.2019.11.054DOI Listing
February 2020

Incidence of paediatric unplanned day-case admissions in the UK and Ireland: a prospective multicentre observational study.

Br J Anaesth 2020 Feb 4. Epub 2020 Feb 4.

McGill University Health Center, Montreal Children's Hospital, Montreal, QC, Canada.

Background: Failure to discharge home after day-case procedures has a negative impact on patients, families, and hospital finances. There are currently no national paediatric data on the incidence and causes of unplanned admission. We determined the incidence of unplanned admissions after paediatric day-case anaesthesia, and identified risk factors leading to unplanned admission. Read More

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http://dx.doi.org/10.1016/j.bja.2019.11.035DOI Listing
February 2020

Multi-Institutional Regional Otolaryngology Bootcamp.

Ann Otol Rhinol Laryngol 2020 Jun 29;129(6):605-610. Epub 2020 Jan 29.

Department of Otolaryngology, Division of Head and Neck Surgery, University of California, Davis, Sacramento, CA, USA.

Introduction: In order to increase junior resident physician proficiency and improve patient safety, simulation-based procedural training courses, or bootcamps, have been become an emerging educational tool.

Objectives: To compare pre- and post-course confidence levels and to assess station efficacy after completion of our single day bootcamp.

Methods: We developed the University of California (UC) Davis otolaryngology bootcamp, a single day course including six cadaveric task trainer stations and four simulations. Read More

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http://dx.doi.org/10.1177/0003489420903067DOI Listing

. Respiratory epithelial adenomatoid hamartoma - typical but underdiagnosed pathology of nasal cavity and sinuses.

Cas Lek Cesk 2019 ;158(6):253-255

Respiratory epithelial adenomatoid hamartoma (REAH) is relatively new diagnosis, firstly described in WHO tumour classification in 2005. It is a benign lesion affecting nose and paranasal sinuses. Although REAH was considered a rare entity, it is recently more frequently revealed in histopathological exam in patients undergoing endoscopic surgery for nasal polyposis. Read More

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January 2020

Risk factors for ala nasi pressure sores after general anesthesia with nasotracheal intubation.

Heliyon 2020 Jan 31;6(1):e03069. Epub 2019 Dec 31.

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.

Purpose: To prospectively investigate the risk factors that associate to ala nasi pressure sores after general anesthesia with nasotracheal intubation.

Material And Method: All Patients underwent oral and maxillofacial surgeries during May 2018 to December 2018 were enrolled in this prospective study. Alae nasi were evaluated after finishing of the operation under general anesthesia with nasotracheal intubation for having pressure sore or not. Read More

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http://dx.doi.org/10.1016/j.heliyon.2019.e03069DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6940667PMC
January 2020

Imaging and Dosimetry Study of Inter-fraction Setup Error in a Murine Xenograft Flank Tumor Radiation Model.

Radiat Res 2020 02 26;193(2):161-170. Epub 2019 Dec 26.

Department of Radiation Oncology, Mayo Clinic Rochester, Rochester, Minnesota 55905.

Modern small animal irradiation platforms provide for accurate delivery of radiation under 3D image guidance. However, leveraging these improvements currently comes at the cost of lower-throughput experimentation. Herein, we characterized setup accuracy and dosimetric robustness for mock/sham irradiation of a murine xenograft flank tumor model using the X-RAD SmART+ with the vendor-supplied Monte Carlo (MC) treatment planning system (SmART ATP). Read More

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http://dx.doi.org/10.1667/RR15526.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7079167PMC
February 2020

Lipid keratopathy and septal abscess: Case report.

Medicine (Baltimore) 2019 Dec;98(52):e17802

Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Chonbuk National University.

Rationale: Epistaxis is a common otorhinolaryngological emergency, but septal abscess has not been reported before as a complication of epistaxis.

Patient Concerns: We report a case of a 51-year-old man complaining of nasal obstruction and facial numbness for 3 weeks. He had a history of epistaxis, and had been treated with electrocauterization of the left nasal septum at a local clinic 1 month earlier. Read More

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http://dx.doi.org/10.1097/MD.0000000000017802DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6946360PMC
December 2019

Use of pre-induction checklists causes less discomfort in patients than anaesthesia providers expect: An observational study.

Eur J Anaesthesiol 2019 Dec 12. Epub 2019 Dec 12.

From the Department of Anaesthesiology and Pain Medicine, Bern University Hospital, Bern (SN, DS, LT, RG) and Department of Anaesthesiology and Intensive Care Medicine, Spital Limmattal, Schlieren, Switzerland (TP).

Background: Since the WHO release of the Safe Surgery Saves Lives Program in 2008, peri-operative checklists minimise errors and improve patient safety worldwide. Anaesthesia professionals are often reluctant to use these checklists in front of patients because they fear causing patients' discomfort before anaesthesia and surgery.

Objective: To assess and compare the subjective level of patient discomfort caused by the use of pre-operative checklists with the patient discomfort estimated by anaesthesia providers. Read More

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http://dx.doi.org/10.1097/EJA.0000000000001138DOI Listing
December 2019

"Read" and 'Tailor' Your Treatment.

Iran J Otorhinolaryngol 2019 Nov;31(107):377-381

Department of Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Mangalore, India.

Introduction: The sinonasal tract is an area that may be affected by various types of neoplastic lesions with more variety than what is encountered in other parts of the upper airway and food passage.

Case Report: An elderly gentleman of 65 years complained of nose block on both sides for 3 months. On examination, he had firm polypoidal masses arising from the middle meatus and septum on both sides. Read More

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http://dx.doi.org/10.22038/ijorl.2019.29914.1972DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6914319PMC
November 2019

The Comparison of the Right and Left Sigmoid Sinus Cross-Sectional Areas in Fetal Period and the Factors Affecting the Venous Dominance.

J Int Adv Otol 2019 Dec;15(3):409-414

Department of Otorhinolaryngology, Mersin University School of Medicine, Mersin, Turkey.

Objectives: Skull base is an important and a challenging area for surgeons. Success in skull base surgery depends on various factors such as pre-operative evaluation, appropriate surgical technique, anesthesia duration, intraoperative neuromonitorization and wound care.

Materials And Methods: This study was performed in the Anatomy dissection laboratory of M. Read More

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http://dx.doi.org/10.5152/iao.2019.5876DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937183PMC
December 2019

Ice versus lidocaine 5% gel for topical anaesthesia of oral mucosa - a randomized cross-over study.

BMC Anesthesiol 2019 12 16;19(1):227. Epub 2019 Dec 16.

Centre for Orthodontics and Paediatric Dentistry, Norrköping, Public Dental Service Östergötland, Region Östergötland, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.

Background: Topical anaesthesia is important to optimize pain control during dental injection. Our aim was to describe a new simple method for topical anaesthesia of oral mucosa and to compare the effectiveness of ice and lidocaine 5% gel for topical anaesthesia of oral mucosa.

Methods: A total of 40 patients aged 10. Read More

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http://dx.doi.org/10.1186/s12871-019-0902-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6913024PMC
December 2019