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ENT BASICS |
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ENT BASICS Posted: 06 Dec 2010 05:57 PM PST |
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This image, taken from Gray's Anatomy, is a view of the right-sided middle ear space with the external ear canal, eardrum (tympanic membrane) and hearing bones (ossicles) removed. The observer is looking at the medial wall of the middle ear, as seen from a lateral viewpoint. The facial nerve is seen to pass horizontally in a path superior to the middle ear, and then turn in an inferior direction and then pass vertically posterior to the middle ear. The Eustachian tube extends anteriorly and is directed inferiorly as its path towards the throat (nasopharynx) extends further from the middle ear. The jugular fossa is inferior to the middle ear space. |
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ENT BASICS CHORDA TYMPANI |
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ENT BASICS CHORDA TYMPANI |
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ENT BASICS CHORDA TYMPANI |
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First Successful Salivary Stone Removal With Robotics |
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First Successful Salivary Stone Removal With Robotics Reported By LSUHSC
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First Successful Salivary Stone Removal With Robotics Reported By LSUHSC
Dr. Rohan Walvekar, Assistant Professor of Otolaryngology Head and Neck Surgery, Director of Clinical Research and the Salivary Endoscopy Service at LSU Health Sciences Center New Orleans, has reported the first use of a surgical robot guided by a miniature salivary endoscope to remove a 20mm salivary stone and repair the salivary duct of a 31-year-old patient. Giant stones have traditionally required complete removal of the salivary gland. Building upon their success with the combination of salivary endoscopic guidance with surgery, Dr. Walvekar and his team have significantly advanced the procedure by adding robotics. The technique not only saves the salivary gland, it also reduces blood loss, scarring, and hospital stay. The case is published online in the Early View (articles in advance of print) section of the journal, The Laryngoscope
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Important Points about the New AAO-HNS Tonsillectomy Guideline |
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Important Points about the New AAO-HNS Tonsillectomy Guideline
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Important Points about the New AAO-HNS Tonsillectomy Guideline
Posted: 09 Jan 2011 06:52 PM PST
Important Points about the AAO-HNS Tonsillectomy Guideline
• Most children with frequent throat infection get better on their own;
watchful waiting is best for most children with <7 episodes in the past year, 5
per year in the past 2 years, or 3 per year in the past 3 years. Severe throat
infections are those with fever of >=101, swollen or tender neck glands,
coating on the tonsils, or a positive test for strep throat.
• Tonsillectomy can improve quality of life and reduce the frequency of severe
throat infection when there are at least 7 well-documented episodes in the past
year, 5 per year in the past 2 years, or 3 per year in the past 3 years.
• Children with less frequent or severe throat infections may still benefit
from tonsillectomy if there are modifying factors, including antibiotic
allergy/intolerance, a history of peritonsillar abscess, or PFAPA syndrome
(periodic fever, aphthous stomatitis, pharyngitis, and adenitis).
• Large tonsils can obstruct breathing at night, causing sleep-disordered
breathing (SDB), with snoring, mouth breathing, pauses in breathing, and
sometimes sleep apnoea. Physicians should ask parents of children with SDB and
large tonsils about problems that might improve after tonsillectomy, including
growth delay, poor school performance, bedwetting, and behavioural problems.
Although most children with SDB improve after tonsillectomy, some children,
especially those who are obese or have syndromes affecting the head and neck
may require further management.
• Physicians should give a single, intravenous dose of dexamethasone during
tonsillectomy to reduce pain, nausea, and vomiting after surgery.
• Physicians should not routinely prescribe antibiotics to improve recovery
following tonsillectomy surgery, because medical studies show no consistent
benefits over placebo and there are associated risks and side effects.
• Physicians should educate parents about the importance of managing and
reassessing pain after tonsillectomy. Strategies include drinking plenty of
fluids, using acetaminophen or ibuprofen for pain control, giving pain medicine
early and regularly, and encouraging their child to tell them if their throat
hurts.
SOURCE: American Academy of Otolaryngology -- Head and Neck Surgery
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Saturday, 4 February 2012
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Quote of the Day |
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Reading makes a full man, conference a ready man,
and writing an exact man-Francis Bacon
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Visitors |
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