J Otolaryngol Head N
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J Otolaryngol Head N · Aug 2009
Randomized Controlled Trial Comparative StudyProspective randomized trial to determine whether inhalational anesthetics have any effects on hearing function.
The purpose of this study was to investigate and compare the effects of inhalation anesthetics (sevoflurane and isoflurane) on hearing function by using an audiometric test battery. ⋯ It was audiometrically demonstrated that general anesthesia did not affect the hearing function in any of the patients undergoing sinonasal surgery. These findings encourage the use of sevoflurane or isoflurane as a safe agent without any ototoxic effects in otorhinolaryngologic surgery with general anesthesia.
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J Otolaryngol Head N · Feb 2009
Randomized Controlled TrialProspective, double-blind, randomized trial evaluating patient satisfaction, bleeding, and wound healing using biodegradable synthetic polyurethane foam (NasoPore) as a middle meatal spacer in functional endoscopic sinus surgery.
To compare NasoPore (Stryker Canada, Hamilton, ON, Canada) and a traditional middle meatal spacer (MMS) composed of Merocel ((Medtronic Xomed, Mississauga, ON, Canada) placed in a vinyl glove finger in functional endoscopic sinus surgery (FESS) with regard to postoperative bleeding, wound healing, and patient comfort. ⋯ The absorbable pack did not significantly reduce the risk of bleeding or patient discomfort compared with a traditional nonabsorbable MMS and was associated with significantly slower mucosal healing initially, an effect that disappeared after 3 months postoperatively. There was no significant patient preference for either pack.
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J Otolaryngol Head N · Dec 2008
Randomized Controlled TrialHigh-dose ropivacaine versus bupivacaine for posttonsillectomy pain relief in adults.
To compare the efficacy and safety of preincisional high-dose ropivacaine with bupivacaine in relieving posttonsillectomy pain. ⋯ Preincisional infiltration of the tonsils with high-dose ropivacaine markedly decreased the intensity of pain after tonsillectomy when compared with bupivacaine or placebo, especially until postoperative day 4 in adults.
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J Otolaryngol Head N · Dec 2008
Randomized Controlled TrialPostoperative pain management with ketorolac in facial plastic surgery patients.
To evaluate the benefit of intraoperative locally or intramuscularly injected ketorolac in combination with local anesthetic versus local anesthetic alone on postoperative pain in patients undergoing facial plastic surgery. ⋯ Intraoperative locally injected ketorolac is an effective and safe means of reducing postoperative analgesic requirements.
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J Otolaryngol Head N · Apr 2008
Randomized Controlled Trial Comparative StudyPain management after tonsillectomy: morphine is not enough.
Tonsillectomy is usually done as day surgery, transferring to the parents most of the postoperative care. They often feel alone and incompetent in front of a child in pain. We developed a guide to help parents for both the evaluation and the management of postoperative pain. ⋯ No significant difference was demonstrated for the studied parameters, probably because the majority of the parents followed the prescriptions well. The guide was much appreciated. The children understood the VAS easily and liked using it. The combination of acetaminophen-morphine needs to be revisited since pain remains problematic.