scholarly journals Comparison of corrected serum calcium changes following thyroid and non thyroid neck surgeries

2018 ◽  
Vol 6 (1) ◽  
pp. 1-4
Author(s):  
Saloni Sinha ◽  
Dharma Kanta Baskota
Keyword(s):  
Head And Neck ◽  
Serum Calcium ◽  
Recovery Room ◽  
Neck Surgery ◽  
University Teaching ◽  
The Mean ◽  
Mean Differences ◽  
Operative Recovery ◽  
Prospective Longitudinal ◽  
Main Factor

Objective: To compare the corrected serum calcium changes following thyroid and non thyroid neck surgeries.Material and Methods: It was a prospective, longitudinal and comparative study, done in Ganesh Man Singh Memorial Academy of ENT and Head and Neck Studies, Tribhuvan University, Teaching hospital, Kathmandu, Nepal. Convenient sample size was taken of patients undergoing thyroid and non thyroid neck surgeries under general anaesthesia, between 1st November 2009 to 30th April 2011.Result: Total 87 cases were included which comprises 41 cases of thyroid and 46 cases of non thyroid neck lesions. Total females in thyroid cases were 39 out of 41 and in non thyroid cases 25 out of 46. The mean corrected calcium in thyroid cases were 2.04 ± 0.07, 1.75 ± 0.26, 1.92 ± 0.16 and 2.00 ± 0.07 in pre-operative, recovery room (immediate post-operative), post-operative day-1(POD 1) and post-operative day-4(POD- 4) respectively. The mean calcium changes in non thyroid cases were 2.04 ± 0.09, 1.89 ± 0.19, 1.94 ± 0.13 and 1.99 ± 0.04 in pre-operative period, recovery room (immediate post-operative), post-operative day-1(POD-1) and post-operative day-4 (POD- 4) respectively. In both thyroid and non thyroid group, the calcium drop was statistically significant  (< 0.05) in recovery. Rest were not significant statistically. The mean differences from pre-operative to recovery and preoperative to POD-1 corrected calcium changes were also significant in both thyroid and non thyroid groups. The mean difference between preoperative to POD-4 was not significant in both groups.Conclusion: After comparing the corrected serum calcium changes following thyroid and non thyroid neck surgeries, the transient post-operative hypocalcaemia is not a thyroid surgery dependent phenomenon. Haemodilution is the main factor for hypocalcaemia in immediate postoperative period in all major neck surgeries.Nepalese Journal of ENT Head and Neck Surgery, Vol. 6, No. 1, 2015 

scholarly journals Noise in Otolaryngology – Head and Neck Surgery operating rooms: a systematic review

2021 ◽  
Vol 50 (1) ◽  
Author(s):  
Gianluca Sampieri ◽  
Amirpouyan Namavarian ◽  
Marc Levin ◽  
Justine Philteos ◽  
Jong Wook Lee ◽  
...  
Keyword(s):  
Systematic Review ◽  
Head And Neck ◽  
Patient Outcomes ◽  
Noise Level ◽  
Neck Surgery ◽  
Operating Rooms ◽  
Head And Neck Surgery ◽  
Noise Levels ◽  
Surgical Performance ◽  
The Mean

Abstract Objective Noise in operating rooms (OR) can have negative effects on both patients and surgical care workers. Noise can also impact surgical performance, team communication, and patient outcomes. Such implications of noise have been studied in orthopedics, neurosurgery, and urology. High noise levels have also been demonstrated in Otolaryngology-Head and Neck Surgery (OHNS) procedures. Despite this, no previous study has amalgamated the data on noise across all OHNS ORs to determine how much noise is present during OHNS surgeries. This study aims to review all the literature on noise associated with OHNS ORs and procedures. Methods Ovid Medline, EMBASE Classic, Pubmed, SCOPUS and Cochrane databases were searched following PRISMA guidelines. Data was collected on noise measurement location and surgery type. Descriptive results and statistical analysis were completed using Stata. Results This search identified 2914 articles. Final inclusion consisted of 22 studies. The majority of articles analyzed noise level exposures during mastoid surgery (18/22, 82%). The maximum noise level across all OHNS ORs and OHNS cadaver studies were 95.5 a-weighted decibels (dBA) and 106.6 c-weighted decibels (dBC), respectively (P = 0.2068). The mean noise level across all studies was significantly higher in OHNS cadaver labs (96.9 dBA) compared to OHNS ORs (70.1 dBA) (P = 0.0038). When analyzed together, the mean noise levels were 84.9 dBA. Conclusions This systematic review demonstrates that noise exposure in OHNS surgery exceeds safety thresholds. Further research is needed to understand how noise may affect team communication, surgical performance and patient outcomes in OHNS ORs. Graphical abstract

scholarly journals Acute radiodermatitis in cancer patients: incidence and severity estimates

2021 ◽  
Vol 55 ◽  
Author(s):  
Priscila de Souza Maggi Bontempo ◽  
Marcia Aparecida Ciol ◽  
Amanda Gomes de Menêses ◽  
Giovana Paula Rezende Simino ◽  
Elaine Barros Ferreira ◽  
...  
Keyword(s):  
Head And Neck ◽  
Cancer Patients ◽  
Primary Outcome ◽  
Neck Region ◽  
Head And Neck Region ◽  
First Occurrence ◽  
The Mean ◽  
Secondary Outcomes ◽  
Prospective Longitudinal ◽  
Mean Time

ABSTRACT Objective: To estimate the incidence and distribution of the degree of radiodermatitis in cancer patients submitted to radiotherapy in the regions of head and neck, breast, and pelvis. Method: Prospective, longitudinal, quantitative study conducted from March 15, 2016 to May 4, 2017 with patients observed for five weeks of treatment. The primary outcome was the proportion of grade 1 or higher radiodermatitis each week. The degree of radiodermatitis and mean time of occurrence for each patient were secondary outcomes. Results: This study included 112 patients. The incidence of radiodermatitis was 100% among those whose head and neck region was irradiated, followed by 98% for breast and 48% for the pelvic region. The degree of radiodermatitis varied with the irradiated site; the worst degrees were found in the head and neck region, followed by the breast. In the three groups, the mean time of the first occurrence of radiodermatitis was approximately eleven days. Conclusion: The incidence of radiodermatitis in the studied groups was high, which reinforces the need to perform the same evaluation nationwide. This would support creating and standardizing protocols and recommendations for a proper management of radiodermatitis, specially concerning its prevention.

scholarly journals Brown Jaw Tumors: challenges and outcomes

2017 ◽  
Vol 4 (11) ◽  
pp. 3586
Author(s):  
Tarek Elsayed Ftohy Abdelrahman
Keyword(s):  
Head And Neck ◽  
Giant Cell ◽  
Serum Calcium ◽  
Clinical Examination ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Neck Surgery ◽  
Osteolytic Lesions ◽  
Brown Tumors

Background: Brown tumors are very rare giant cell lesions that arise as a result of hyperparathyroidism, brown tumors rarely affect the mandible and maxilla and its diagnosis and treatment is very challenging and needs a high index of suspicion.Methods: Retrospective chart review of nine cases diagnosed as brown jaw tumors treated in maxillofacial, head and neck surgery unit, department of surgery, Sohag University hospital.Results: They were 9 patients, 3 males and 6 females with a mean age of 43.3 years. Lesions were located in the mandible (4 cases), maxilla (3 cases), both mandible and maxilla (2 cases). The main presentation was a mass lesion. Clinical examination and serum parathormone, serum calcium, serum phosphorus, neck ultrasonography, parathyroid scan was used for diagnosis. Cases did excision with parathyroidectomy. There was no recurrence during a mean follow up period of 9.3 months. All patients had satisfactory results.Conclusions: All cases with osteolytic lesions in mandible or maxilla the possibility of brown tumors should be kept in mind especially if there is any manifestation of hyperparathyroidism. This report will aid in the recognition and treatment of the jaw brown tumors.

scholarly journals Evaluation of Pain Following the Use of Scalpel versus Diathermy for Skin Incision in Ear, Nose, Throat and Head and Neck Surgeries

2018 ◽  
Vol 16 (1) ◽  
pp. 58-60
Author(s):  
Diva Shrestha
Keyword(s):  
Statistical Analysis ◽  
Head And Neck ◽  
Randomized Study ◽  
Neck Surgery ◽  
Skin Incision ◽  
Head And Neck Surgery ◽  
Medical College ◽  
Vas Score ◽  
Post Operative Pain ◽  
The Mean

Background: Many studies have shown the benefits of diathermy over scalpel for making skin incisions in terms of post operative pain and post operative analgesics requirement. The objective of the study is to compare the pain following incision by scalpel and diathermy for skin in ENT surgery.Methods: We conducted a prospective, randomized study and compared early post operative pain and analgesics requirement in patients undergoing ENT and Head and Neck surgery in Department of ENT at Kathmandu Medical College from September 2016 to August 2017. The statistical analysis was done using MS Excel and SPSS software.Results: Out of 65 participants, 31 were allocated in scalpel group and 30 were allocated in diathermy group. The mean VAS score was significantly greater in scalpel group as compared to diathermy group in post operative 12, 24 and 48 hours (P<0.05). The mean ketorolac requirement was significantly more in scalpel group than in diathermy group in post operative 24 hours. Conclusions: The early post operative pain is less in ENT-Head and Neck surgery patients with skin incision by diathermy as compared to the patients with skin incision by scalpel.

scholarly journals The Prevalence of xerostomia occurrence after doing radiation therapy in patients with head and neck cancer

2017 ◽  
Vol 2 (1) ◽  
pp. 13
Author(s):  
Barunawaty Yunus
Keyword(s):  
Radiation Therapy ◽  
Total Dose ◽  
Head And Neck ◽  
Wilcoxon Test ◽  
University Teaching ◽  
Significance Level ◽  
Neck Area ◽  
Before And After ◽  
The Mean ◽  
Radiotherapy Treatment

Xerostomia is one side effect of radiation therapy that most commonly affects head and neck. This situation is a symptom and not a disease which is generally associated with reduced saliva. For patients this situation is not pleasant and for dentist, this symptom is considered as a challenging case. This research intended to know the prevalence of xerostomia after radiation therapy in cancer patients with head and neck area. The subjects of this study were patients with head and neck area cancer who underwent radiotherapy treatment at Hasanuddin University teaching hospital, subjects were then taken saliva before and after given a total dose of 20 Gy and a total dose of 40 Gy. The analysis of the data processed by the computer program and the Wilcoxon test significance level is accepted when p<0.05. The mean bulk saliva before radiotherapy was higher than average rainfall saliva after radiotherapy total dose of 20 Gy and 40 Gy. Radiotherapy of the head and neck area total dose of 20 Gy and 40 Gy may affect rainfall saliva so that patients feel the symptoms of xerostomia.

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