ABSTRACT
Removal of the voice box or larynx is the usual treatment for advanced cancer of the larynx. Tracheoesophageal puncture (TEP) has become an accepted method for voice restoration following total laryngectomy. Eleven patients under went total laryngectomy with TEP at San Pablo Hospital Medical Center between March 1989 and October 1995. Seven patients were available for voice analysis. Eighty six percent of the patient was able to talk. This is the first report of TEP being perform in Puerto Rico and with a complete Hispanic population of patients. Results compare favorably with those reported in the medical literature
Subject(s)
Humans , Male , Female , Middle Aged , Esophagus/surgery , Larynx, Artificial , Laryngectomy/rehabilitation , Trachea/surgery , Speech, Alaryngeal/methods , Alcoholism/epidemiology , Laryngeal Neoplasms/surgery , Puerto Rico , Punctures , Recovery of Function , Retrospective Studies , Treatment Outcome , Tobacco Use Disorder/epidemiologyABSTRACT
A survey between Otolaryngologist Head and Neck Surgeons in Puerto Rico and a prospective study was done, to evaluate the efficacy of ceftibuten in pediatric patients undergoing adenotonsillectomy. Surgery of the tonsils and adenoids is the most common operation performed in the pediatric age by the Otolaryngologist Head and Neck Surgeons in Puerto Rico. Over 70 are performed in a ambulatory setting and almost all of the patients are given antibiotics after surgery. Ceftibuten was given to 112 pediatrics patients after surgery. Adenotonsillectomy is a painful operation and children do not take medication well after surgery. One of the benefits of this third generation cephalosporin, is that is given once a day. Twenty events were reported taking the medication, but only seven patients had to discontinue its use. Ceftibuten had a tolerance rate of 94. Ceftibuten seems to be a safe antibiotic to use in pediatric patients undergoing adenotonsillectomy and has the convenience of being given once a day