Ear, nose and throat (ENT) surgery

2021 ◽  
pp. 126-139
Author(s):  
Norbert Banhidy ◽  
David Zhang
Keyword(s):  
Ent Surgery ◽  
Nose And Throat

scholarly journals 666 Innovations in ENT Surgery During The COVID-19 Pandemic

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Aziz ◽  
M Benamer ◽  
S Hany ◽  
Y Sahib
Keyword(s):  
Healthcare Workers ◽  
Sinus Surgery ◽  
Healthcare Team ◽  
Ear Surgery ◽  
The Past ◽  
Ent Surgery ◽  
Global Pandemic ◽  
Theatre Staff ◽  
Reduce Risk ◽  
Nose And Throat

Abstract Introduction Severe acute respiratory syndrome coronavirus 2 (SARS-COV-2), is responsible for the coronavirus disease 2019 (COVID – 19) global pandemic. Similar coronavirus epidemics over the past years affected healthcare workers significantly. Aerosol generating procedures (AGPs) presented a unique risk to ear, nose and throat (ENT) Surgeons. We introduce various methods of reducing risk in ENT AGPs. Recommendations During trachesostomies we advocate the adoption of a specialist checklist based on ENT UK guidelines. We also advise the use of a clear drape to create a clear barrier between the patient and staff. For ear surgery we advise suturing 2 microscope pieces together end-to-end so that a clear drape can sperate the patient from surgeon. During nasal and sinus surgery, we advise attaching a clear drape to the sterile camera drape used in rigid nasal endoscopy to create a barrier between patient and surgeon. Discussion Our recommendations will create an extra barrier between the patient and the rest of healthcare team. This should reduce the risks to theatre staff from AGPs. Conclusions COVID 19 is a serious health issue affecting healthcare workers, especially during AGPs in ENT surgery. We recommend several techniques to reduce risk. These can also be used during future epidemics.

Ear, nose and throat surgery

2021 ◽  
pp. 755-782
Author(s):  
Grant Turner
Keyword(s):  
Airway Obstruction ◽  
Nasal Cavity ◽  
Neck Dissection ◽  
Surgical Procedures ◽  
Radical Neck Dissection ◽  
Anaesthetic Management ◽  
Jet Ventilation ◽  
Ent Surgery ◽  
Nose And Throat

This chapter discusses the anaesthetic management of ear, nose and throat (ENT) surgery (otolaryngological surgery). It begins with a discussion of relevant general principles (including the shared airway), and covers airway obstruction and jet ventilation. Surgical procedures covered include grommet insertion; tonsillectomy; adenoidectomy; myringoplasty; stapedectomy; tympanoplasty; nasal cavity surgery; microlaryngoscopy; tracheostomy; laryngectomy; radical neck dissection, and parotidectomy. It includes pertinent anaesthetic features for a series of additional miscellaneous ENT procedures.

scholarly journals A Survey on National Selection for Specialty Training

2012 ◽  
Vol 94 (1) ◽  
pp. 1-6
Author(s):  
A Cunningham ◽  
CE Rennie ◽  
NS Tolley
Keyword(s):  
Advisory Committee ◽  
Specialty Training ◽  
Single Centre ◽  
Ent Surgery ◽  
Selection Interviews ◽  
Selection For ◽  
National Selection ◽  
The Uk ◽  
Nose And Throat

In April 2010 the first national selection interviews for otolaryngology specialty training year three (ST3) recruitment were held in Leeds. Like many other medical and surgical specialties in the UK and abroad, ear, nose and throat (ENT) surgery has now moved to a nationally coordinated system of application and shortlisting, and a single-centre interview. This change has been brought about by the governing bodies, the specialist advisory committee and the UK Association of Programme Directors in ENT following a pilot in 2009.

Robotics in ear, nose and throat (ENT) surgery

2012 ◽  
pp. 159-184
Author(s):  
B. Bell ◽  
M.D. Caversaccio ◽  
S. Weber
Keyword(s):  
Ent Surgery ◽  
Nose And Throat

ENT Surgery

2019 ◽  
pp. 95-108
Author(s):  
Ashis Banerjee ◽  
Anisa J. N. Jafar ◽  
Angshuman Mukherjee ◽  
Christian Solomonides ◽  
Erik Witt
Keyword(s):  
Emergency Department ◽  
Otitis Externa ◽  
Foreign Bodies ◽  
Peritonsillar Abscess ◽  
Short Answer ◽  
Ent Surgery ◽  
Accompanying Symptoms ◽  
Short Answer Questions ◽  
Nose And Throat ◽  
Emergency Doctor

This chapter on ear, nose, and throat (ENT) surgery contains seven clinical Short Answer Questions (SAQs) with explanations and sources for further reading. Possible disorders and accompanying symptoms of ENT origin that may present in the emergency department include epistaxis, vertigo, peritonsillar abscess, nasal fracture, foreign bodies, and otitis externa. It will be up to the emergency doctor to assess, diagnose, and decide upon a treatment path for each patient. The cases described in this chapter are all situations any emergency doctor is likely to encounter at some point in his or her career. The material in this chapter will greatly aid revision for the Final FRCEM examination.

scholarly journals Effectiveness of Propofol versus Dexamethasone for Prevention of Postoperative Nausea and Vomiting in Ear, Nose, and Throat Surgery in Tikur Anbessa Specialized Hospital and Yekatit 12th Hospital, Addis Ababa, Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Abere Tilahun Bantie ◽  
Wosenyeleh Admasu ◽  
Sintayehu Mulugeta ◽  
Abera Regassa Bacha ◽  
Desalegn Getnet Demsie
Keyword(s):  
Postoperative Nausea ◽  
Addis Ababa ◽  
Statistical Significance ◽  
Postoperative Nausea And Vomiting ◽  
Nausea And Vomiting ◽  
Dexamethasone Group ◽  
Ent Surgery ◽  
Group A ◽  
Group B ◽  
Nose And Throat

Background. Postoperative nausea and vomiting (PONV) remain as common and unpleasant and highly distressful experience following ear, nose, and throat surgery. During ENT surgery, the incidence of PONV could be significantly reduced in patients who receive dexamethasone and propofol as prophylaxis. However, the comparative effectiveness of the two drugs has not been assessed. The aim of this study was to compare the effectiveness of propofol and dexamethasone for prevention of PONV in ear, nose, and throat surgery. Methods. This study was conducted in 80 patients, with ASA I and II, aged 18–65 years, and scheduled for ENT surgery between December 20, 2017, and March 20, 2018. Patients were randomly assigned to Group A and Group B. Immediately after the procedure, Group A patients received single dose of intravenous (IV) dexamethasone (10 mg/kg) and Group B patients were given propofol (0.5 mg/kg, IV), and equal follow-up was employed. The incidence of PONV was noted at 6th, 12th, and 24th hour of drug administration. Independent t-test and Mann–Whitney test were used for comparison of symmetric numerical and asymmetric data between groups, respectively. Categorical data were analyzed with the chi-square test, and p value of < 0.05 was considered as level of significance. Results. The incidences of PONV throughout the 24-hour postoperative period were 35% in the propofol group and 25% in the dexamethasone group. Statistical significance was found in incidence of PONV (0% versus 22.5%) and use of antiemetic (0% versus 5%) between dexamethasone and propofol groups, respectively, at 12–24 hours. Over 24 hours, 5% in dexamethasone group and 12.5% in propofol group developed moderate PONV, while none of the participants felt severe PONV. Conclusions. Dexamethasone was more effective than propofol to prevent PONV with lower requirements of rescue antiemetics.

scholarly journals ANTIMICROBIAL RESISTANCE OF STAPHYLOCOCCUS AUREUS CAUSING OF SURGICAL SITE INFECTIONS IN EAR, NOSE AND THROAT SURGERY

2019 ◽  
Vol 72 (2) ◽  
pp. 154-158 ◽  
Author(s):  
Aidyn G. Salmanov ◽  
Volodymyr O. Shkorbotun ◽  
Yaroslav V. Shkorbotun
Keyword(s):  
Staphylococcus Aureus ◽  
Antimicrobial Susceptibility ◽  
Surgical Site Infections ◽  
The Other ◽  
Antimicrobial Susceptibility Test ◽  
Local Data ◽  
Ent Surgery ◽  
High Level ◽  
Major Pathogens ◽  
Nose And Throat

Introduction: Staphylococcus aureus is one of the major pathogens that causes of surgical site infection (SSI). Scant information is available on the occurrence and antimicrobial susceptibility of S. aureus in patients with SSI in Ear, Nose and Throat (ENT) surgery. The aim: To assess the activity of antimicrobials against S.aureus, isolated from patients with SSI by the ENT departments of Kyiv hospitals. Materials and methods: A total of 516 S. aureus isolates from of patients with SSI in ENT surgery. Antimicrobial susceptibility of S. aureus were determined, using automated microbiology analyzer. Some antimicrobial susceptibility test used Kirby – Bauer antibiotic testing. Interpretative criteria were those suggested by the Clinical and Laboratory Standards Institute (CLSI). Results: The most active antibiotics found in the study were linezolid and tigecycline, showing growth inhibition of 100% strains tested. Susceptibility to the other antimicrobials was also on a high level: 98,4% of strains were found susceptible to nitrofurantoin, 98.1% – to trimethoprim/sulphamethoxazole, 97.6% – to fusidic acid, 97.1% – to mupirocin, 95.9% – to teicoplanin, 94.7% – to vancomycin and fosfomicin, 90.6% – to moxifloxacin, 89.1% – to tobramycin, 87.3% – to gentamycin. Susceptibility to rifampicin (85.5%), cefoxitin (84.6%), levofloxacin (84.3%), erythromycin (82.6%), tetracycline (76.3%), and clindamycin (75.4%) was observed to be some lower. Resistance to oxacyllin S.aureus (MRSA) came up to 21.1%. Conclusions: S. aureus in ENT departments to be a serious therapeutic and epidemiologic problem. The constant monitoring of antimicrobials resistance in every hospital is required. Antibiotics application tactics should be determined in accordance with the local data of resistance to them.

An Audit of Student Satisfaction with Under Graduate ENT Surgery Teaching

2013 ◽  
Vol 95 (4) ◽  
pp. 1-3
Author(s):  
ERM Carr ◽  
M Jones ◽  
M Pankhania ◽  
K Ali ◽  
H Pau
Keyword(s):  
Medical Students ◽  
Student Satisfaction ◽  
Ent Surgery ◽  
Nose And Throat

At our institution, ear, nose and throat (ENT) surgery is taught to fourth- and final-year medical students in a four-week long special senses module. This module is a joint ENT and ophthalmology placement. It is structured as an introductory week of lectures and practical sessions followed by a three-week period spent in ENT and ophthalmology clinics and theatres.

Ear, nose, and throat surgery

2019 ◽  
pp. 685-700
Keyword(s):  
Otitis Externa ◽  
Nerve Palsy ◽  
Clinical Skills ◽  
Acute Otitis Media ◽  
Peritonsillar Abscess ◽  
Acute Tonsillitis ◽  
Ent Surgery ◽  
Motor Neuron Facial Nerve ◽  
Nasal Fractures ◽  
Nose And Throat

Chapter 35 provides an overview of ear, nose, and throat (ENT) surgery. The most common presentations encountered in ENT surgery are summarized including acute tonsillitis and quinsy, otitis externa, head and neck cancer, and airway emergencies. A more detailed description of the clinical presentation of common diseases encountered in ENT clinics is provided covering otitis externa, lower motor neuron facial nerve palsy, nasal fractures, acute otitis media, neck lumps, and vertigo. The roles of investigations used to support diagnosis in ENT including audiography, ultrasound, and magnetic resonance imaging are described. The presentation and management of acute presentations in ENT seen in emergency departments including epistaxis, acute peritonsillar abscess, airway emergencies, periorbital cellulitis, including airway assessment are described. An overview of commonly performed ENT operations is provided including tonsillectomy, grommet insertion, thyroidectomy, neck dissection, and tracheostomy. An approach to clinical skills in ENT (including common OSCE stations in exams) is described, including history taking, examination of neck lumps, thyroid exam, and ear examination. Clinical tests of hearing are presented and their interpretation described.

Axillary versus Rectal Temperature Monitoring in Patients Undergoing Ear, Nose, and Throat Surgery under General Anesthesia

2020 ◽  
Vol 103 (9) ◽  
pp. 845-849
Keyword(s):  
General Anesthesia ◽  
Rectal Temperature ◽  
Repeated Measures ◽  
Temperature Monitoring ◽  
Anesthesia Induction ◽  
Axillary Temperature ◽  
Perioperative Hypothermia ◽  
Ent Surgery ◽  
The Mean ◽  
Nose And Throat

Background: Inadvertent perioperative hypothermia is a common occurrence during procedures performed under general anesthesia. Core temperature monitoring via esophageal, nasopharyngeal, or rectal temperature measurement has been considered reliable methods. However, placing a temperature probe at these sites might be unsuitable for patients undergoing ear, nose, and throat (ENT) surgery. Objective: Therefore, the present study aimed to determine the correlation of axillary temperature with that of rectal temperature for temperature monitoring. Materials and Methods: Forty adults with the American Society of Anesthesiologists physical status I-III that underwent ENT surgery were enrolled. All patients got standard perioperative warming procedures. Intraoperative axillary and rectal temperature measurements were concurrently obtained at 15-minute intervals. The data were analyzed using Pearson or Spearman correlation and repeated measures Bland-Altman analysis. Results: Axillary and rectal temperatures were well correlated with each other (r=0.549, R²=0.301, p<0.001). The Bland-Altman plot showed that the mean axillary temperature was 0.9℃ less than the mean rectal temperature. Overall, the 95% limit of agreement was 3.4℃ (–2.6 to 0.9), yielding a relatively poor agreement between axillary and rectal temperatures. Nevertheless, the mean bias was reduced to 0.6℃ when the measurements obtained 90 minutes after anesthesia induction were separately analyzed. Conclusion: Under standard warming procedures, axillary temperature monitoring may correlate well with rectal temperature starting of 90 minutes after induction of general anesthesia in patients that underwent elective ENT surgery with the difference of 0.6℃. Keywords: Axillary temperature, General anesthesia, Inadvertent perioperative hypothermia

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