The Laryngoscope
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1) Assess current status of operative competency assessment and feedback among US Otolaryngology residency programs. 2) Evaluate correlations between assessment or feedback tools and remediation. ⋯ Standardized surgical curricula and assessment tools are needed. Programs with more intensive evaluation or remediation mechanisms are statistically more likely to report residents requiring remediation. This may reflect their ability to better identify the struggling resident. Alternatively, having a resident requiring remediation may be the catalyst that initiates the need for more intensive evaluation tools and remediation mechanisms. The Accreditation Council for Graduate Medical Education's and society will demand that we produce competent surgeons. Therefore, all Otolaryngology training programs should be developing and implementing formal surgical assessment tools, methods to identify residents requiring remediation, and remediation mechanisms.
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Randomized Controlled Trial Comparative Study
Tramadol for pain relief in children undergoing adenotonsillectomy: a comparison with dextromethorphan.
Establishment of good analgesia is of major concern in the postoperative period after adenotonsillectomy. The aim of this study was to compare the effects of dextromethorphan and tramadol on postoperative pain after adenotonsillectomy in children. ⋯ Intravenous tramadol (1 mg/kg) is more suitable than 1 mg/kg dose of dextromethorphan cough syrup oral in reducing posttonsillectomy pain in children.
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Randomized Controlled Trial Comparative Study
Multiple analyses of factors related to intraoperative blood loss and the role of reverse Trendelenburg position in endoscopic sinus surgery.
To find out the factors related to the volume of intraoperative blood loss during endoscopic sinus surgery and to validate the role of reverse Trendelenburg position (RTP) in controlling blood loss. ⋯ RTP may reduce intraoperative blood loss. Besides, fungal sinusitis and rhinosinusitis without polyposis may contribute to a lesser intraoperative blood loss.
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Gentamicin application is an important therapeutic option for Ménière's disease. However, even if given at intervals, a destruction of the cochlea was often observed in various animal models together with an increased content of nitric oxide (NO) and reactive oxygen species. The present study was undertaken to identify the correlation between hearing threshold alteration and the NO production in the lateral wall and organ of Corti of the guinea pig in response to gentamicin application. ⋯ The correlation between hearing threshold shift and NO production in the cochlea leads to the assumption that increased NO contributes to gentamicin-induced hearing impairment.
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Randomized Controlled Trial
Efficacy of sinonasal simulator in teaching endoscopic nasal skills.
To develop a nasal model (NM) which accurately simulates human texture and anatomy and to study the effect of training with NM on performance of video rigid nasal endoscopy and video flexible laryngoscopy. At the conclusion of this presentation, the participants should be able to demonstrate that training with nasal endoscopic simulation enhances efficiency and may improve comfort to the patient. ⋯ Our NM accurately simulates human texture and anatomy and provides an opportunity for endoscopic training without concern of bloodborne pathogens and expense of cadavers. Further development of the NM is warranted to expand the training utility.