Para-incisional tattooing with electrocautery

1999 ◽  
Vol 113 (3) ◽  
pp. 244-245 ◽  
Author(s):  
Akhtar Hussain ◽  
Michael S. W. Lee

AbstractThe authors present a technique using electrocautery diathermy to make surgical tattoos. This method has been used in over 300 patients who underwent head and neck surgery at Aberdeen Royal Infirmary and Albany Medical College, New York, over a period of five years. A wide variety of operative procedures such as total laryngectomies and neck dissections were performed. The electrocautery surgical tattoos have a major advantage of persisting until the end of the operative procedure by which time other types of tattoos have faded. The technique is widely available, inexpensive, and has to date been complication free.

2016 ◽  
Vol 155 (1) ◽  
pp. 15-21 ◽  
Author(s):  
Matthew G. Crowson ◽  
Kristine Schulz ◽  
Kourosh Parham ◽  
Andrea Vambutas ◽  
David Witsell ◽  
...  

Objective (1) Integrate practice-based patient encounters using the Dartmouth Atlas Medicare database to understand practice treatments for Ménière’s disease (MD). (2) Describe differences in the practice patterns between academic and community providers for MD. Study Design Practice-based research database review. Setting CHEER (Creating Healthcare Excellence through Education and Research) network academic and community providers. Subjects and Methods MD patient data were identified with ICD-9 and CPT codes. Demographics, unique visits, and procedures per patient were tabulated. The Dartmouth Atlas of Health Care was used to reference regional health care utilization. Statistical analysis included 1-way analyses of variance, bivariate linear regression, and Student’s t tests, with significance set at P < .05. Results A total of 2071 unique patients with MD were identified from 8 academic and 10 community otolaryngology–head and neck surgery provider centers nationally. Average age was 56.5 years; 63.9% were female; and 91.4% self-reported white ethnicity. There was an average of 3.2 visits per patient. Western providers had the highest average visits per patient. Midwest providers had the highest average procedures per patient. Community providers had more visits per site and per patient than did academic providers. Academic providers had significantly more operative procedures per site ( P = .0002) when compared with community providers. Health care service areas with higher total Medicare reimbursements per enrollee did not report significantly more operative procedures being performed. Conclusion This is the first practice-based clinical research database study to describe MD practice patterns. We demonstrate that academic otolaryngology–head and neck surgery providers perform significantly more operative procedures than do community providers for MD, and we validate these data with an independent Medicare spending database.


1992 ◽  
Vol 106 (3) ◽  
pp. 231-233
Author(s):  
A. E. Camilleri ◽  
K. Mackenzie

AbstractThe use of a tracheo-oesophageal voice prosthesis was introduced to the Glasgow Royal Infirmary Otolaryngology, Head and Neck Surgery unit in 1986. Although it was the authors' impression that most total laryngectomees since then had been offered this method of voice restoration, it was thought that long standing laryngectomees were seldom offered tracheo-oesophageal fistula (TOF) speech. Therefore all 58 total laryngectomees currently attending the combined head and neck surgery/radiotherapy clinic were assessed. Thirtytwo had a tracheo-oesophargeal fistula with voice prosthesis. All of these patients had undergone their total laryngectomy since 1986 and 83 per cent had achieved TOF speech. The remaining 26 patients (who mostly had their laryngectomy before 1986) had not been offered TOF speech. An outpatient consultation was arranged for these patients and 63 per cent of those offered, accepted TOF creation and a voice prosthesis. When compared to those who refused, it was found that good oesophageal speech, age or interval since laryngectomy were not good predictors of likely refusal. This study indicates that all fit long standing laryngectomees should be offered secondary TOF creation.


2019 ◽  
Author(s):  
Thorakkal Shamim

Background: There is a paucity of information about the dental sciences related articles published in an Otorhinolaryngology journal from India. This bibliometric study aimed to audit the dental sciences related articles published in Indian Journal of Otolaryngology and Head and Neck Surgery (IJOHNS) from 2014 to 2016 over a 3 year period.Materials and Method: Bibliometric analysis of issues of IJOHNS from 2014 to 2016 was performed using web-based search from Pubmed Central. The articles published were analyzed for topic of dental sciences, type of article, type of study, international collaborations, source of funding, number of authors and authorship trends.Results:Out of the total 60 published articles related to dental sciences, original articles (42), clinical reports (14),short communication(3) and review articles(1) contribute the major share. Regarding the relationship with dental sciences, the maximum number of published articles were related to oral and maxillofacial surgery (53) followed by oral pathology and microbiology (44), oral medicine and radiology (37), prosthodontics (17) and community dentistry (3).Among the articles published in IJOHNS, oral cancer (14) followed by diseases of salivary gland (13), oral mucosal lesions (6) and reconstructive surgery (5) form the major attraction of the contributors. The largest numbers of published articles related to dental sciences were received from Gandhi Medical College, Bhopal, Madhya Pradesh (5) and Basavatarakam Indo American Cancer Hospital and Research Centre, Hyderabad, Andhra Pradesh (3).Conclusion: This paper may be considered as a baseline study for the bibliometric information regarding dental sciences related articles published in an Otorhinolaryngology journal from India. IJOHNS have published dental sciences related articles based on the merit of the topic irrespective of the speciality of the author.


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