ENTtoday: October 2012

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Literature Reviews

PEG Dependence May Inhibit Swallowing Post-Irradiation

Does percutaneous endoscopic gastrostomy (PEG) use cause dysphagia in head and neck cancer patients? Background: PEG use is common in patients who undergo radiotherapy for head and neck cancer to maintain weight and nutrition during treatment. However, the true effect of PEG use on weight maintenance and its potential impact on long-term dysphagia outcomes have […]

Literature Reviews

Sleep Apnea Associated with Hypertension in Young People

What is the association between sleep apnea and hypertension in younger patients? Background: Younger patients with sleep apnea have a higher cardiovascular mortality rate compared with their normal counterparts. Because treating sleep apnea in hypertensive patients has been proven to reduce blood pressure, young patients with hypertension may be a good target screening population for […]

Literature Reviews

Ingestion of Wire-Bristle Grill Cleaners Is Medical Grilling Hazard

What medical hazard exists from outdoor grills? Background: Esophageal foreign bodies are frequently encountered in the primary care and emergency department setting and commonly require otolaryngology consultation for removal. In children, coins are the most common esophageal foreign body; in adults, fish bone ingestion is most commonly reported. Wire bristles used to clean outdoor grills […]

Literature Reviews

OSA Patients Less Likely to Have Post-Op Bleeding

What is the relationship between pre-operative clinical diagnosis of obstructive sleep apnea (OSA) and post-operative hemorrhage? Background: In general, post-operative complications following tonsillectomy are rare, with hemorrhage being one of the most serious complications. The overall rate of hemorrhage following the surgery is approximately 4.5 percent. The variability of primary and secondary hemorrhage rates can […]

Literature Reviews

Sinus Surgery Checklist Standardizes Practice and Safety Tasks

How does implementation of an endoscopic sinus surgery (ESS) checklist affect safe surgical practices specific to ESS? Background: ESS is one of the most common surgical procedures performed by otolaryngologists. A recent review of 62,823 ESS patients indicated a major complication rate of 1 percent. Additionally, rhinology claims represent 70 percent of indemnity compensation for […]

Literature Reviews

Alkaline Drinking Water May Benefit Patients with Reflux Disease

Does commercially available alkaline drinking water reduce pepsin activity? Background: Pepsin, a key enzyme in the pathogenesis of both laryngopharyngeal and esophageal reflux disease, requires acid for its activation. Excessive acid in American diets may increase reflux disease, because pepsin is activated by a low pH (<4.6), which is found in all bottled and canned […]