Superior laryngeal nerve injury: An overlooked entity in the surgery of the head and neck

Bevan, K.; Griffiths, M. V.; Morgan, M.

doi:10.1002/bjs.1800750831

Cited by 5 publications

(3 citation statements)

References 5 publications

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“…The latter descends with the superior thyroid artery to supply the cricothyroid muscle, which is responsible for voice quality (especially high pitches). Its injury results in a lack of tension in the affected cord, leading to weakened voice and inability to hit high pitches [16]. This and other nerve injuries can be avoided by careful dissection close to the arterial wall.…”

Section: Discussionmentioning

confidence: 99%

Is the Retrojugular Approach Safer Than the Conventional Approach for Carotid Endarterectomy?

2009

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Section: Discussionmentioning

confidence: 99%

Is the Retrojugular Approach Safer Than the Conventional Approach for Carotid Endarterectomy?

2009

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“…Hepatic portal venous gas (HPVG), which was rst recognized in neonates by Wolf et al [1] and in adults by Susman et al [2], has been reported to be associated with three major inciting factors: bowel mucosal damage, bowel distention, and sepsis [3]. On the basis of early studies that used plain abdominal radiography, HPVG was regarded as a life-threatening pathology that principally re ected bowel ischemia [3,4]. However, the advent of more advanced imaging techniques, such as multi-detector computed tomography (CT), which have excellent spatial and contrast resolution, have increased the sensitivity of HPVG detection [5,6], and consequently the number of reports of HPVG patients without bowel ischemia.…”

Section: Introductionmentioning

confidence: 99%

Clinical features of patients with hepatic portal venous gas

Fujii

Yamashita

Tanaka

et al. 2020

Preprint

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Background: Hepatic portal venous gas (HPVG) is a rare clinical condition that is caused by a variety of underlying diseases. However, the factors that would permit accurate identification of bowel ischemia, requiring surgery, in patients with HPVG have not been fully investigated.Methods: Thirty patients that had been diagnosed with HPVG using computed tomography between 2010 and 2019 were allocated to two groups on the basis of clinical and intraoperative findings: those with (Group 1; n = 12 [40%]) and without (Group 2; n = 18 [60%]) bowel ischemia. Eleven patients underwent emergency surgery, and bowel ischemia was identified in eight of these (73%). Four patients in Group 1 were diagnosed with bowel ischemia, but treated palliatively because of their general condition. We compared the characteristics and outcomes of Groups 1 and 2 and identified possible prognostic factors for bowel ischemia.Results: At admission, patients in Group 1 more commonly showed the peritoneal irritation sign, had lower base excess, higher lactate, and higher C-reactive protein, and more frequently had comorbid intestinal pneumatosis. Of the eight bowel ischemia surgery patients, four (50%) died, mainly because of anastomotic leak following bowel resection and primary anastomosis (3/4, 75%). All except one patient in Group 2, who presented with aspiration pneumonia, responded better to treatment.Conclusions: Earlier identification and grading of bowel ischemia according to the findings at admission should benefit patients with HPVG by reducing the incidence of unnecessary surgery and increasing the use of safer procedures, such as prophylactic stoma placement.

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“…Hepatic portal venous gas (HPVG), which was first recognized in neonates by Wolf et al [1] and in adults by Susman et al [2], has been reported to be associated with three major inciting factors: bowel mucosal damage, bowel distention, and sepsis [3]. On the basis of early studies that used plain abdominal radiography, HPVG was regarded as a life-threatening pathology that principally reflected bowel ischemia [3,4]. However, the advent of more advanced imaging techniques, such as multi-detector computed tomography (CT), which have excellent spatial and contrast resolution, have increased the sensitivity of HPVG detection [5,6], and consequently the number of reports of HPVG patients without bowel ischemia.…”

Section: Introductionmentioning

confidence: 99%

Clinical features of patients with hepatic portal venous gas

et al. 2020

View full text Add to dashboard Cite

Background Hepatic portal venous gas (HPVG) is a rare clinical condition that is caused by a variety of underlying diseases. However, the factors that would permit accurate identification of bowel ischemia, requiring surgery, in patients with HPVG have not been fully investigated. Methods Thirty patients that had been diagnosed with HPVG using computed tomography between 2010 and 2019 were allocated to two groups on the basis of clinical and intraoperative findings: those with (Group 1; n = 12 [40%]) and without (Group 2; n = 18 [60%]) bowel ischemia. Eleven patients underwent emergency surgery, and bowel ischemia was identified in eight of these (73%). Four patients in Group 1 were diagnosed with bowel ischemia, but treated palliatively because of their general condition. We compared the characteristics and outcomes of Groups 1 and 2 and identified possible prognostic factors for bowel ischemia. Results At admission, patients in Group 1 more commonly showed the peritoneal irritation sign, had lower base excess, higher lactate, and higher C-reactive protein, and more frequently had comorbid intestinal pneumatosis. Of the eight bowel ischemia surgery patients, four (50%) died, mainly because of anastomotic leak following bowel resection and primary anastomosis (3/4, 75%). All except one patient in Group 2, who presented with aspiration pneumonia, responded better to treatment. Conclusions Earlier identification and grading of bowel ischemia according to the findings at admission should benefit patients with HPVG by reducing the incidence of unnecessary surgery and increasing the use of safer procedures, such as prophylactic stoma placement.

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Superior laryngeal nerve injury: An overlooked entity in the surgery of the head and neck

Cited by 5 publications

References 5 publications

Is the Retrojugular Approach Safer Than the Conventional Approach for Carotid Endarterectomy?

Is the Retrojugular Approach Safer Than the Conventional Approach for Carotid Endarterectomy?

Clinical features of patients with hepatic portal venous gas

Clinical features of patients with hepatic portal venous gas

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