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Background: Achieving hemostatic control after intracapsular adenotonsillectomy with minimal cauterization may potentially lead to improved outcomes with respect to return to normal diet, normal activity, and less use of narcotic ...
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Background: Achieving hemostatic control after intracapsular adenotonsillectomy with minimal cauterization may potentially lead to improved outcomes with respect to return to normal diet, normal activity, and less use of narcotic pain medications.
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Objectives/HypothesisThis article focuses on the hiring trends of academic general otolaryngology practices to clarify the status of academic general otolaryngology in the face of today's changing medical landscape.
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Although laryngeal zoster-related cough syncope is rare, it should also be considered in the differential diagnosis in working up a syncopal episode. Pregabalin is an analogue of the neurotransmitter γ-aminobutyric acid (GABA). I...
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Although laryngeal zoster-related cough syncope is rare, it should also be considered in the differential diagnosis in working up a syncopal episode. Pregabalin is an analogue of the neurotransmitter γ-aminobutyric acid (GABA). It can reduce the depolarization and calcium influx of nerve terminals by binding and inhibiting the α2-σ subunit protein of voltage-dependent calcium channels, thereby inhibiting the release of excitatory neurotransmitters such as L-glutamate. The release of these excitatory neurotransmitters is associated with convulsions, pain, and anxiety. We found that pregabalin might be suggested as part of the treatment for its good tolerance, pharmacokinetics, and safety. This paper presents a rare case of a 51-year-old male who presented with cough syncope secondary to laryngeal herpes zoster. Short-term inhaled budesonide suspension stopped the syncope but not the coughs; however, the disturbing post-herpetic cough remained. Although many antitussives had been tried, the therapeutic effect was limited. Pregabalin was finally administered, with highly satisfactory results for cough relief without adverse effects. It provided new evidence that pregabalin use might be justified for the treatment of post-herpetic neurogenic cough.
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For those whose radiology practices involve a considerable amount of head and neck imaging, a readily accessible and convenient source of basic surgical otolaryngology information is desirable. In an easily portable (fits in one's...
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For those whose radiology practices involve a considerable amount of head and neck imaging, a readily accessible and convenient source of basic surgical otolaryngology information is desirable. In an easily portable (fits in one's lab coat) paperback publication, Drs. Lee and Toh have addressed such a need with their 336-page book, Otolaryngology: A Surgical Notebook. The book is composed of 43 brief chapters, many, but not all, containing line drawings of the surgical techniques involved. For the radiologist, there is valuable information in most of the book—for example, in functional endoscopic and image-guided surgery of the paranasal sinuses; in surgical approaches to base of skull masses; in surgery for neck and thyroid masses; and in the whole realm of temporal bone lesions, hearing restoration, and CSF leaks. It is always good for the radiologist to know, at least to a moderate extent, how the ear, nose, and throat surgeons approach those abnormalities that we identify at imaging. This short tome fills the bill
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Objective: Review otolaryngology literature for awareness of neurotoxicity from general anesthesia in children. Recently, there has been increasing focus in anesthesia literature on the long-term effects of general anesthesia on n...
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Objective: Review otolaryngology literature for awareness of neurotoxicity from general anesthesia in children. Recently, there has been increasing focus in anesthesia literature on the long-term effects of general anesthesia on neurodevelopment. Multiple animal models have demonstrated evidence of neurotoxicity from both inhalational and intravenous anesthetics. Cohort studies also have revealed modestly increased risk of adverse neurodevelopmental outcomes in children exposed to a single episode of general anesthesia prior to 3 to 4 years of age, with stronger evidence for multiple exposures in this age range. Otolaryngologists may subject children to general anesthesia via procedures or tests, including computed tomography, magnetic resonance imaging, and auditory brainstem response.
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Objective/Hypothesis Research has long been acknowledged as important to successfully matriculate into an otolaryngology residency position. The objective of this study is to perform a bibliometric analysis to quantify the importa...
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Objective/Hypothesis Research has long been acknowledged as important to successfully matriculate into an otolaryngology residency position. The objective of this study is to perform a bibliometric analysis to quantify the importance of scholarly productivity in the otolaryngology match process. Study Design Retrospective database review. Methods A list of all Accreditation Council for Graduate Medical Education–accredited otolaryngology residency programs were identified. Websites of programs were reviewed to identify first‐year otolaryngology residents for the 2016 to 2017 academic year and compared to two previous academic years. Research output measures were collected. Residencies were tiered 1 to 5 by departmental research output. Results Two hundred twenty‐two records of first‐year otolaryngology residents starting residency in 2016 were identified. After adjusting for number of total publications, number of original research articles, number of review articles, number of case reports, number of first author publications, number of otolaryngology‐related publications, highest journal impact factor, average journal impact factor, and years since publication, h ‐index and number of total publications were associated with increasing tier of matriculation based on research output ( P ?<?.0001). Only number of publications correlated with increasing h ‐index (B?=?1.11). With regard to applicant trends, there has been an increase in scholarly productivity as measured across all research parameters in the past 3 years. Conclusions Research is an important component of successfully matriculating into an otolaryngology residency program. The h ‐index is a reliable tool to quantify research output and predict the tier of matriculation with regard to institutional research output. There has been a steadily increasing level of scholarly output among applicants in the past 3 years. Level of Evidence NA Laryngoscope , 129:1561–1566, 2019
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Laryngeal tuberculosis is uncommon and most often associated with a primary lung infection in immunocompromised adults. We describe an atypical case in a pediatric patient with a relatively rapid onset and no history of travel or ...
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Laryngeal tuberculosis is uncommon and most often associated with a primary lung infection in immunocompromised adults. We describe an atypical case in a pediatric patient with a relatively rapid onset and no history of travel or exposure to high-risk settings. Despite the unusual presentation and relative lack of familiarity with procedural guidelines in managing this uncommon and capricious disease by otolaryngologists in developed countries, reporting is mandated at multiple governmental health department levels. Consequently, this contagious entity must be considered in the interest of avoiding untoward outcomes for not only the patient, but the public as well.
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Abstract Objective The aim of this study was to develop an international expert consensus on priority pediatric otolaryngology‐head and neck?surgery (OHNS) conditions and procedures for which all national health systems globally ...
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Abstract Objective The aim of this study was to develop an international expert consensus on priority pediatric otolaryngology‐head and neck?surgery (OHNS) conditions and procedures for which all national health systems globally should be capable of managing. Study Design The Delphi method is a multiround online questionnaire and was administered internationally to otolaryngologists with a focus on pediatric populations. This study was administered in parallel to a Delphi survey focusing on adult OHNS conditions amongst adult otolaryngology experts. Setting International online survey. Methods In round 1, participants listed the top 15 pediatric otolaryngological conditions and top 15 pediatric otolaryngology procedures for their World Bank region. In round 2, participants ranked round 1 responses in order of global importance on a 5‐point Likert scale. In round 3, participants reranked conditions and procedures that did not achieve consensus, defined as at least 70% of the round 2 Likert responses being ranked as either “important” or “very important.” Descriptive statistics were calculated for each round. Results The survey was distributed to 35 experts globally, with a 40% (n?=?14) response rate. Fifty percent (n?=?7) of participants were from low‐ and middle‐income countries, with at least 1 participant from each World Bank region. A list of 28 consensus surgical procedures and 11 consensus conditions were identified. Conclusion This Delphi survey method of world experts in pediatric otolaryngology identified a core list of medical conditions and surgical procedures that should be a part of every national health system's clinical goals of treatment, research, and capacity building.
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