ABSTRACT
BACKGROUND: Autoinflation devices are commonly used for otitis media with effusion and Eustachian tube dysfunction. Generally, these are very safe devices, with few or no complications.Case reportThis paper presents a case study of pneumocephalus and orbital emphysema, associated with the use of an autoinflation device, in a 73-year-old woman with Eustachian tube dysfunction and otitis media with effusion, and a history of extensive endoscopic sinus surgery 13 years previously. CONCLUSION: A literature review showed autoinflation-related pneumocephalus in patients with skull base defects relating to cranial surgery or tumours; however, this has not been described previously with the Otovent system or its use in relation to functional endoscopic sinus surgery. Given the theoretical risk of undetected bony abnormalities in post-operative functional endoscopic sinus surgery patients, it is suggested that autoinflation devices are used cautiously in patients with a history of sinus surgery.
Subject(s)
Middle Ear Ventilation/adverse effects , Orbital Diseases/etiology , Otitis Media with Effusion/therapy , Pneumocephalus/etiology , Subcutaneous Emphysema/etiology , Acoustic Impedance Tests , Aged , Endoscopy , Eustachian Tube , Female , Humans , Middle Ear Ventilation/instrumentation , Orbital Diseases/diagnosis , Pneumocephalus/diagnosis , Self Care , Subcutaneous Emphysema/diagnosis , Tomography, X-Ray ComputedABSTRACT
OBJECTIVE: To determine if there is evidence that post-tonsillectomy dietary advice affects post-operative morbidity. METHOD: A systematic review was conducted of Embase, Medline, the Cumulative Index to Nursing and Allied Health Literature and PsycInfo, to November 2014. RESULTS: Seventeen articles were included; their heterogeneous nature prevented meta-analysis. Of these, all three small, randomised studies showed no statistical difference in morbidity between restricted and non-restricted diets. CONCLUSION: Most post-tonsillectomy dietary advice is based on historical anecdotes and not rigorous scientific testing. The existing small-scale, randomised studies show no statistical difference in morbidity between non-restricted and restricted diets.
Subject(s)
Diet/standards , Postoperative Care/methods , Tonsillectomy , HumansABSTRACT
INTRODUCTION: The aim of this study was to assess tonsillitis and tonsillectomy trends, both from a local and national perspective. METHODS: Retrospective analysis was carried out of tonsillitis admissions and tonsillectomy rates over a ten-year period in a university teaching hospital from 2003 to 2012. RESULTS: Since 2003 tonsillitis admissions have increased locally by 118% in adults and 179% in children despite negligible changes in tonsillectomy rates. Similar trends have been observed nationally. CONCLUSIONS: The findings of this study may be considered to be the result of current National Health Service policy. A reconsideration of agreed indications for tonsillectomy could potentially reduce hospital admissions of patients with tonsillitis in the long term.
Subject(s)
Tonsillectomy/trends , Tonsillitis/surgery , Adolescent , Adult , Child , Child, Preschool , Hospitalization/statistics & numerical data , Humans , Infant , Infant, Newborn , Retrospective Studies , Tonsillectomy/statistics & numerical data , Tonsillitis/epidemiology , United Kingdom/epidemiology , Young AdultABSTRACT
Seventy-six Irish red and white setter samples were tested for the recently documented CD18 point mutation which manifests as canine leucocyte adhesion deficiency (CLAD) in Irish setters. Six carrier dogs were identified, all originating from a lineage within which sporadic deaths from symptoms consistent with CLAD had been observed. This is the first demonstration that the CLAD mutation exists outside the Irish setter population, confirming that the mutation is present in a significant minority of Irish red and white setters. Routine testing by breeders to identify carrier animals will enable the eradication of CLAD from the Irish red and white setter population.
Subject(s)
Carrier State/veterinary , Dog Diseases/genetics , Leukocyte-Adhesion Deficiency Syndrome/veterinary , Animals , Dogs , Genotype , Leukocyte-Adhesion Deficiency Syndrome/genetics , MutationABSTRACT
No periodo de 11 anos foram observados 24 pacientes com paracoccidioidomicose no Hospital de Sobradinho-DF. Destes, 10 tinham acometimento agudo ou subagudo da doenca e 14, acometimento cronico. A maioria dos casos se apresentava na forma linfatico-visceral. Em quase todos o tratamento inicial foi feito com sulfa de acao rapida ou anfotericina B e o tratamento de manutencao, com sulfa de acao lenta. Faleceram tres pacientes durante o periodo de acompanhamento. Em dois (8%) dos 24 casos houve associacao com tuberculose pulmonar
