Atlas of Head and Neck Surgery-Otolaryngology

2015

This journal is indexed in OCLC WorldCat, Google Scholar, OAIster, BASE, abcGATE, CiteFactor and listed in AcademicKeys and UIUC Repository. It is also registered in the OAI database of conforming repositories.

Effect of modified bipolar tonsillectomy on postoperative pain, 2021

Background: Tonsillectomy is commonly performed otolaryngological operation. It can cause considerable pain in children. Different types of tonsillectomy are described in the literature. Modified technique of bipolar tonsillectomy can significantly reduce postoperative pain. Objective: This study aimed to assess postoperative pain in children after modified bipolar tonsillectomy. Methods: 120 patients, age 6-12 years, were selected for this study. Indication for tonsillectomy was a history of recurrent tonsillitis. Spetzler-Malis bipolar forceps (tip size 0.5 mm) with low energy (5 W) was applied. We tried to preserve the pillars as much as possible. Pain was assessed on 1st, 3rd, 5th, 7th and 10th postoperative days. The pain was evaluated with visual analogue scale (VAS). Results: On the first day of the operation 114 patients (95%) had no pain, 6 patients (5%) had mild pain, on the third postoperative day in 95% pain was mild, in 5% pain was moderate, on the fifth postoperative day pain was mild in 84 patients (70%), 36 patients (30%) had moderate pain, on the seventh postoperative day 95% of patients did not present pain, 5% of patients had mild pain. On the tenth postoperative day no one had pain. None of them presented nausea, vomiting, otalgia or severe pain. Conclusion: Low energy electrocautery, direct cautery to the tonsillar bed and preservation of the mucosa are all effective measures that have diminished post-op pain in bipolar dissection.

Journal of Otolaryngology-ENT Research, 2017

Bangladesh Journal of Otorhinolaryngology, 2011

Stroboscopy: It is based on talbot law. According to it, physical images linger on retina for 0.2 seconds after exposure. Therefore, sequential images produced at interval <0.2 seconds produce the illusion of a continuous image. It involves use of a strobe light which is linked to the ...

2015

Cervical chylous fistula is an uncommon but serious complication of operative procedures in the neck. This complication is better avoided than treated, thus, the head and neck surgeon should be familiar with the detailed anatomy of the thoracic duct. The purpose of this study was to treat chylous fistulae following neck surgery after failure of conservative measures by free fat grafts and local muscular flaps. Between November 2001 and December 2004, eleven patients complaining of chylous fistula following different types of neck surgery were referred to the departments of otolaryngology and general surgery of Cairo University Hospital of Kasr Al Aini. All patients received conservative treatment before surgical repair in the form of parentral nutrition, pressure dressings and repeated aspirations. Repair was done by identifying the site of leak and over sewing it using non-absorbable suture, or packing it with sponge gel in cases where over sewing was difficult. The site of leak wa...

E x a m R e v is io n G u id e t o D O H N S O S C E . S t e w B (E d it o r ) . S e p t e m b e r 2 0 1 2 . 1 s t E d it io n . D o c t o r s A c a d e m y P u b l ic a t io n s v iii

As a consequence of being a multifactorial disease, multiple mechanisms are involved in OSA pathophysiology, including not only anatomical causes but also causes related to the muscular response during sleep and its effect on pharyngeal wall resistance, both predisposing the upper airway to collapse. The scientific evidence for OSA surgical treatment suggests that it must be indicated in well-selected cases, mostly in patients presenting anatomical causes, either by tissue hypertrophy or by craniofacial deformities. Electrical stimulation of the hypoglossal nerve presents promising results, reinforcing the role of the muscular response in OSA pathophysiology. The greatest challenge in choosing the best surgical treatment option is to define the predominant factor in each candidate, concept called phenotype, which explains the existence of numerous surgical options, presented in a comprehensive way in this paper.