The Journal of laryngology and otology
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Comparative Study
Immediate post-operative vocal changes in patients using laryngeal mask airway versus endotracheal tube.
(1) To examine the vocal symptoms and acoustic changes perceived in the short period immediately after laryngeal mask airway, and (2) to compare these findings in patients using laryngeal mask airway and endotracheal tube. ⋯ Shortly after reversal of anaesthesia, laryngeal symptoms following laryngeal mask airway are no less significant than those experienced following endotracheal tube anaesthesia. Both methods can be regarded as nontraumatic, in view of the lack of significant vocal symptoms and acoustic changes 24 hours after anaesthesia.
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Review Case Reports
Giant petrous carotid aneurysm: persistent epistaxis despite internal carotid artery ligation.
We report a rare case of giant petrous carotid aneurysm. ⋯ Some aneurysms are too large to be treated with endovascular occlusion techniques; in such cases, ligation of the parent vessel is indicated. However, our patient continued to experience persistent, mild epistaxis despite internal carotid artery ligation, as a result of the reperfusion phenomenon.
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We present a rare case of oesophageal perforation following ingestion of over-the-counter ibuprofen capsules. ⋯ To our knowledge, this is the first report in the world literature concerning oesophageal perforation with ibuprofen. We discuss pill-induced oesophageal injury and its prevention. Manufacturers, clinicians and patients can all take steps to avoid this potentially life-threatening complication.
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To assess the value of lateral soft tissue neck X-rays in patients presenting with upper aero-digestive tract foreign bodies. ⋯ A lateral soft tissue neck X-ray is a helpful tool in the management of patients presenting with upper aero-digestive tract foreign bodies. Junior doctors need better radiology training.
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To assess the significance of Streptococcus milleri in acute rhinosinusitis with complications. ⋯ Seventy-one case notes were reviewed, for 30 female and 41 male patients, representing 38 adults and 33 children. Streptococcus milleri was the most commonly implicated organism (52.1 per cent; 37/71). Patients from whom this organism was isolated tended to require more than one operative procedure, and had a protracted hospital stay.