Since its first description by Hunter in 1790, the nasogastric tube has become a frequently used method of alleviating gastrointestinal symptoms. Because the morbidity associated with its use is low the risks of complications are often underestimated. We present a case of bilateral vocal cord paralysis and supraglottic edema following nasogastric tube insertion-also known as Nasogastric Tube Syndrome (NGTS). Although this complication is rare, it can be life threatening. We discuss this phenomenon in the context of a meta-analysis of reported cases, notably: presenting symptoms, time at development and resolution of symptoms in relation to nasogastric intubation and propose treatment options.
Correspondence: Dr Nabil Fanous, 1 Westmount Square, suite 1380, Montreal, Quebec H3Z 2P9. Telephone 514-935-9906, fax 514-935-6482, e-mail cosmeticsurgery123@videotron.ca N Fanous, C Tawilé, VJ Brousseau. Minimal inframammary incision for breast augmentation. Can J Plast Surg 2008;16(1):14-17. The inframammary approach in breast augmentation, still the most popular technique among plastic surgeons, has always been hampered by the undesirable appearance of its scar. The present paper describes a modified approach to inframammary augmentation with saline-filled prostheses. This approach uses a very short incision, thus resulting in a much less noticeable scar. The surgical technique is easy to learn, simple to execute, does not necessitate any special equipment and gives consistent results. Decreasing the scar length to an absolute minimum ensures higher patient and surgeon satisfaction. Incision inframammaire minimale en vue d'une augmentation mammaire La voie d'abord inframammaire en vue d'une augmentation mammaire, la technique encore préférée des chirurgiens plasticiens, a toujours fait problème en raison de l'apparence indésirable de la cicatrice. Le présent article fait état d'une modification de la voie d'abord en vue d'une augmentation mammaire réalisée à l'aide de prothèses remplies de solution saline. Cette voie d'abord n'exige qu'une très courte incision, d'où cicatrice très discrète. La technique chirurgicale est facile à apprendre et à réaliser, ne nécessite pas de matériel particulier et donne des résultats constants. Ainsi, le raccourcissement de la cicatrice à une longueur mini-male ne peut que plaire aux patientes et aux chirurgiens.
A major problem for many rhinoplastic surgeons is the ability to predict, before surgery, the difficulty of the procedure (whether the rhinoplasties will be technically easy or technically difficult to perform) and the success rate of the result (whether the rhinoplasty will likely give good results or poor ones).The present paper outlines a systematic approach to nasal analysis, allowing the surgeon to consistently estimate, before surgery, the degree of technical difficulty of each rhinoplasty, as well as predicting its future result in terms of patient satisfaction. This preoperative evaluation is based on the analysis of the skin texture and the osteocartilagenous framework on lateral and frontal views. It allows for the nose to be classified as green (easy), yellow (moderate) or red (difficult), depending on two factors: the degree of surgical difficulty and the expected patient's satisfaction with the result.The essence of the present paper is to introduce a simple, systematic approach to assist the novice rhinoplastic surgeon to assess the complexity, the risks and the expected outcome of a rhinoplasty in the preoperative period, rather than postoperatively.
Objectives: The study evaluates the hearing result, complication rate and parental satisfaction following two different approaches in the management of external auditory canal atresia.Methods: A retrospective chart review of 30 patients with external auditory canal atresia was conducted. Twenty of them underwent external canal atresia surgery and 10 had Bone Anchored Hearing Aid (BAHA). Hearing results, pre-and post-intervention, complications, parental satisfaction rate and speech improvement were measured.Results: Closure of the air-bone gap (ABG) to 30 dB was seen in less than 50% in the surgery group. The BAHA group had closure of the ABG to less than 15 dB. Parental satisfaction was higher in BAHA group. The most common complications in the surgical and BAHA groups were group was soft tissue stenosis and adverse skin reactions for the BAHA group.Conclusion: In the treatment of auditory canal atresia, BAHA provides superior hearing results, greater parental satisfaction and fewer complications as compared to surgery.
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