Participants were not able to identify all of the risks associated with adenotonsillectomy. There was no difference in identification of risks associated with adenotonsillectomy among different modalities of counseling. Participants retained more information when there was less time between the preoperative counseling and day of surgery.
Objective: 1) To review the otological presentation of children with primary ciliary dyskinesia (PCD) treated medically and surgically. 2) To compare the audiological outcomes and complications of surgical management to medical management in children with PCD.Method: A retrospective chart review was performed of all patients with PCD and OME presenting to a specialized clinic at a tertiary-quaternary care hospital from 1991 to 2009. Patients were grouped into "medical management" and "ventilation tube (VT) insertion" groups to observe changes in hearing and postoperative complications.Results: Of 32 patients with PCD and OME, 20 received VTs, and 12 were treated by medical management strategies. A median of one set of VTs (range, 1-7) were inserted per patient. Audiometric pure tone averages improved from 28.1dB to 21.6 dB (P = .036) following VTs, whereas patients managed medically had stable thresholds from 22.7dB to 23.6 dB (P = .307). At least one episode of postoperative otorrhea occurred in 9 (40%) VT insertion patients during the study period, and four had multiple episodes. Otorrhea was well controlled with medical therapy with only one requiring tube removal.
Conclusion:Our data supports the use of VT insertion as an option for patients with PCD and OME with mild to moderate hearing loss. Patients should be counseled on the possibility of multiple insertions and the likelihood of postoperative otorrhea, although this was not a major problem in our study group.
Pediatric Otolaryngology
Multimedia Approach to Adentonsillectomy Preoperative CounselingMary Theresa Adams, MD (presenter); Brian S. Chen, MD; Mark E. Boseley, MD; Renee L. Makowski, MD; Scott Bevans, MD Objective: 1) Compare surgical risk retention in participants who received a handout or watched a video in addition to standard verbal preoperative counseling. 2) Determine if time from counseling to day of surgery affects risk retention.Method: We performed a prospective randomized control study in March 2010 through February 2011 in participants who had children undergoing adenotonsillectomy. Those unable to perform pre-and postoperative testing were excluded. We compared the preoperative and postoperative test scores of those undergoing verbal counseling, counseling with handout, or counseling with video.Results: A total of 27 participants were tasked to identify 9 risks of adenotonsillectomy. Preoperatively, participants identified an average of 6.5 (SD 1.08) in the counseling group, 7.1 (SD 1.9) in the counseling and handout group, and 6.77 (SD 1.5) in the counseling and video group; P = .54. Postoperatively, participants identified an average of 5.3 (SD 1.4) in the counseling group, 6.5 (SD 2) in the counseling and handout group, and 5.3 (SD 2.1) in the counseling and video group; P = .29. Time between preoperative counseling and day of surgery were inversely correlated with postoperative score, correlation coefficient -0.36; P = .07.
Conclusion:Participants were not able to identify all of the risks associated with adenotonsillectomy. Ther...
POSTERSResults: A total of 18 patients with moderate (13/18) and severe (5/18) dysplasia. Mean age was 59.6 years (range, 36-79 years). All patients were smokers. HPV DNA was detected in (18/18) 100% of samples.Conclusion: Determination of HPV status in OPC is recognized as a valuable prognostic indicator. However, HPV has rarely been identified in dysplasia of the anterior oral cavity. Recent studies provide conflicting results. Our results and metaanalysis of the literature suggest a potential role.
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