- The impact of prophylactic dexamethasone on postoperative sore throat: an updated systematic review and meta-analysis. [Review]
- JPJ Pain Res 2018; 11:2463-2475
- CONCLUSIONS: Intravenous dexamethasone ≥0.2 mg/kg within 30 minutes before or after induction of general anesthesia should be recommended as grade 1A evidence with safety and efficacy in reducing the incidence of POST, hoarseness, and PONV in patients without pregnancy, diabetes mellitus, or contraindications for corticosteroids.
- Pre-treatment wait time for head and neck cancer patients in Western Australia: description of a new metric and examination of predictive factors. [Journal Article]
- AJANZ J Surg 2018 Nov 12
- CONCLUSIONS: This study demonstrates that time from referral to biopsy represents a significant portion of total wait time, and we suggest that this be incorporated into future wait time metrics for improved clinical relevance. Furthermore, we have identified factors predicting increased wait time which can be targeted for future service improvement.
- Improvement of intellectual outcomes in 20 children with refractory epilepsy after individualized surgery. [Journal Article]
- SNSurg Neurol Int 2018; 9:203
- CONCLUSIONS: Individualized epilepsy surgery is safe and effective for children with refractory epilepsy. It can control or reduce the frequency of postoperative attacks as well as improve postoperative intellectual outcomes to different degrees.
- Multiple Cutaneous Metastases on 99mTC-HYNIC-TOC Scan in a Rare Case of Malignant Laryngeal Paraganglioma. [Journal Article]
- IJIndian J Nucl Med 2018 Oct-Dec; 33(4):348-350
- Laryngeal paraganglioma is a rare neuroendocrine tumor arising from neural crest cells of larynx, contributing to 0.6% of the laryngeal tumors. Patients usually present with compressive symptoms such...
Laryngeal paraganglioma is a rare neuroendocrine tumor arising from neural crest cells of larynx, contributing to 0.6% of the laryngeal tumors. Patients usually present with compressive symptoms such as hoarseness of voice. These tumors express somatostatin receptors, which can be imaged with radioligands such as 99mTc labeled hydrazinonicotinyl-Tyr3-octreotide (HYNIC-TOC). The percentage of malignant transformation in laryngeal paraganglioma is 2%, and they usually metastasize to lymph nodes, bone, and liver. Here, we report a 99mTc HYNIC-TOC scan of a 55-year-old male patient with recurrent laryngeal paraganglioma, who presented with painful multiple metastatic cutaneous nodules.
- Effect of air, anesthetic gas mixture, saline, or 2% lignocaine used for tracheal tube cuff inflation on coughing and laryngotracheal morbidity after tracheal extubation. [Journal Article]
- JAJ Anaesthesiol Clin Pharmacol 2018 Jul-Sep; 34(3):386-391
- CONCLUSIONS: ETT cuff inflation with air, anesthetic gas mixture, 2% lignocaine, and saline are comparable in terms of incidence of postextubation cough and postoperative airway morbidity symptoms such as sore throat, hoarseness of voice, and dysphagia.
- Lipoid Proteinosis: A Rare Cause of Hoarseness. [Journal Article]
- JVJ Voice 2018 Oct 29
- Lipoid proteinosis is a rare cause of voice problems. Hoarseness is often the first clinical manifestation of this disorder and can present years before any other symptom. Therefore, it is very impor...
Lipoid proteinosis is a rare cause of voice problems. Hoarseness is often the first clinical manifestation of this disorder and can present years before any other symptom. Therefore, it is very important as an otorhinolaryngologist to be familiar with the main characteristics of this disease. We present a case report and a review of current literature to provide a concise overview of this frequently missed diagnosis.
- [Laryngeal traumas in children caused by trampoline accidents]. [Journal Article]
- ULUgeskr Laeger 2018 Oct 22; 180(43)
- Laryngeal trauma is rare in children due to the anatomical placement and the trauma mechanisms required for injury. Recently the trampoline has become frequent in Danish households leading to more hi...
Laryngeal trauma is rare in children due to the anatomical placement and the trauma mechanisms required for injury. Recently the trampoline has become frequent in Danish households leading to more high-energy laryngeal traumas. This case report is about two incidents occurring within a year. The first patient had a laryngeal fracture despite minimum objective findings. The second patient had a compromised airway and needed acute intubation, although she only presented with light hoarseness. We strive to underline the severity of laryngeal trauma in children and briefly discuss the correct handling of these cases.
- Challenges in managing a vagal schwannomas: Lesson learnt. [Journal Article]
- IJInt J Surg Case Rep 2018 Oct 19; 53:5-8
- CONCLUSIONS: Vagal schwannoma is a rare paraganglioma of head and neck and the best treatment is still controversial. Unnecessary investigation and procedure should be avoided in order to reduce morbidity as well as improves patient's quality of life.
- Dysphonia (Hoarseness): AAO-HNSF Releases Updated Clinical Guideline for Treatment. [Journal Article]
- AFAm Fam Physician 2018 Nov 15; 98(10):606-607
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- Laryngopharyngeal Reflux and Functional Laryngeal Disorder: Perspective and Common Practice of the General Gastroenterologist. [Journal Article]
- GHGastroenterol Hepatol (N Y) 2018; 14(9):512-520
- Laryngopharyngeal reflux (LPR) is an extraesophageal variant of gastroesophageal reflux disease that is associated with chronic cough, hoarseness, dysphonia, recurrent throat clearing, and globus pha...
Laryngopharyngeal reflux (LPR) is an extraesophageal variant of gastroesophageal reflux disease that is associated with chronic cough, hoarseness, dysphonia, recurrent throat clearing, and globus pharyngeus. Due to nonspecific symptoms, laryngoscopy is often performed to rule out malignancy, and the diagnosis of LPR is considered with any signs of laryngeal inflammation. However, laryngoscopic findings have high interobserver variability, and, thus, most patients are tried on an empiric course of acid-suppressive therapy to see whether symptoms resolve. In this article, which focuses on the perspective and common practice of the general gastroenterologist, we review our understanding of the pathophysiology, diagnosis, and treatment of LPR based on important clinical articles in the gastroenterology literature. We also propose new diagnostic criteria for functional laryngeal disorder and review laryngeal hypersensitivity and treatment options for general gastroenterologists.