RESUMO
A comprehensive 5-year follow-up study of Paparella grommet use in UK. Study group consists of children previously treated with short-term grommets and with persistent glue ear. Mean functional period was 3.73 years with 52% being retainde for the full 5 year duration of the study. Infection and perforation rates increased with the duration of grommet in-situ and this was especially marked after 36 months. We advise the elective removal of these long-term grommets after 3 years of function to reduce compication rate.
Assuntos
Ventilação da Orelha Média/instrumentação , Otite Média Supurativa/cirurgia , Criança , Desenho de Equipamento , Feminino , Seguimentos , Humanos , Masculino , Ventilação da Orelha Média/estatística & dados numéricos , Fatores de Tempo , Perfuração da Membrana Timpânica/epidemiologiaRESUMO
Recent government initiatives in the UK have focused on streamlining oncology services by reducing waiting times between urgent referral, assessment and treatment of patients with possible cancer. The performance of the Quick Early Diagnosis Dysphonia Clinic of the Queen Elizabeth Hospital, Birmingham, between May 1997 and April 2001 was reviewed. Of 721 patients reviewed, 123 (17 per cent) had clinically suspicious laryngeal lesions. Thirteen cases of epithelial hyperplastic laryngeal lesions and 27 laryngeal malignancies were diagnosed. There was no statistical link between early cancer detection and assessment within two weeks of referral. However, rapid-access clinics for dysphonia serve an important role in the reassurance and multidisciplinary management of patients with persistent hoarseness. Greater financial commitments are necessary to achieve compliance with objectives for a maximum two-week wait for patients with suspected laryngeal malignancy.
Assuntos
Acessibilidade aos Serviços de Saúde/organização & administração , Neoplasias Laríngeas/diagnóstico , Laringe/patologia , Lesões Pré-Cancerosas/diagnóstico , Distúrbios da Voz/etiologia , Feminino , Humanos , Hiperplasia/complicações , Hiperplasia/diagnóstico , Hiperplasia/etiologia , Neoplasias Laríngeas/complicações , Neoplasias Laríngeas/etiologia , Masculino , Ambulatório Hospitalar/organização & administração , Lesões Pré-Cancerosas/complicações , Lesões Pré-Cancerosas/etiologia , Encaminhamento e Consulta/organização & administração , Estudos Retrospectivos , Fumar/efeitos adversos , Fatores de TempoRESUMO
We present the case of a 50-year-old man who developed bilateral cortical blindness and confusion following a seemingly uneventful right-sided radical neck dissection. Computed tomography (CT) scans confirmed bilateral occipital lobe infarctions. To our knowledge, there are no previously documented reports of this clinical event following head and neck surgical procedures. Although this is a rare occurrence, otolaryngologists should be aware of this potential post-operative complication. The possible aetiologies of this condition are discussed.
