The overall complication rate was 29.1%, with a major complication rate of 1.8%. When deducting vertigo/disequilibrium, the overall complication rate was 18.3%. Adults had a complication rate of 58.8%, 1.6% being major. Vertigo/disequilibrium was the most common complication (25%), followed by wound infection (8.9%) and transient chorda tympani syndrome (5.7%). In the paediatric group, complications occurred in 14.7%, 1.9% being major. The children suffered most frequently from wound infection (3.8%), vertigo/disequilibrium (2.2%) and haematoma/oedema (2.2%).
In a prospective randomized clinical study the incidence of post-tonsillectomy haemorrhage was studied in 832 patients receiving either acetylsalicylic acid or paracetamol as postoperative analgesic (423 and 409 patients, respectively). Of 27 patients experiencing 1 or more bleeding episodes postoperatively, 18 received acetylsalicylic acid and 9 paracetamol. No difference was found regarding the incidence of bleeding within the first 24 h but, later on, a significantly lower incidence of secondary bleeding occurred in the paracetamol group (0.5%) compared with the acetylsalicylic acid group (3.1%). We conclude that acetylsalicylic acid is not the optimum postoperative analgesic following tonsillectomy and that other alternatives must be sought.
Thirty-six patients, aged 12-75 years, with dry, central tympanic membrane perforations and a negative Valsalva manouevre and/or a negative aspiration/deflation test, were included in a randomized, double-blind, placebo-controlled trial on the effect of a decongestant agent (xylometazoline chloride 0.1%) and placebo (saline 0.9%) applied directly to the pharyngeal opening of the Eustachian tube. Judged by the Valsalva manouevre, tubal patency was significantly improved after application of the active drug (P less than 0.003). In contrast, no effect was demonstrated by the aspiration test (P = 0.80) or the deflation test (P = 0.51). It is concluded that a topical decongestant improves Eustachian tube function but only at unphysiologically high pressures.
The aim of the study was to identify factors associated with the level of social well-being for cochlear implanted children and to estimate effect-related odds ratios for the children's well-being. Another aim was to analyse associations between speech and language level and the level of social well-being. Data relate to 167 children with cochlear implants. In structural interviews, parents rated their children's level of social well-being regarding the degree of their child's personal-social adjustment. Five different factors were considered. Logistic regression models and proportional odds models were used to analyse the relationship between the considered factors and the assessments. The analyses showed that the communication mode at home was the most highly associated factor. A statistically signifi cant association was found between the level of social well-being and speech understanding, speech production and vocabulary. Children who were exposed to a spoken language had considerably better odds of having a high level of social well-being compared to children with a mixture of spoken language and sign support or sign language. Copyright
Factors that affect the social well-being of children with cochlear implants 201The purpose of the study was, thus, to investigate whether the effect-related factors for speech and language outcomes also affect the social well-being of a paediatric cochlear implanted population. The study also sought to quantify data by estimating effect-related odds ratios for the level of social well-being of cochlear implanted children. Furthermore, the study sought to investigate whether the speech and language level post-implant was associated with the cochlear implanted children's level of social well-being.Factors that affect the social well-being of children with cochlear implants 213 child, not only for obtaining and securing a high level of speech and language, but also and very importantly to obtain and secure a high level of social well-being.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.