RESUMO
Removal of the voice box or larynx is the usual treatment for advanced cancer of the larynx. Tracheoesophageal puncture (TEP) has become an accepted method for voice restoration following total laryngectomy. Eleven patients under went total laryngectomy with TEP at San Pablo Hospital Medical Center between March 1989 and October 1995. Seven patients were available for voice analysis. Eighty six percent of the patient was able to talk. This is the first report of TEP being perform in Puerto Rico and with a complete Hispanic population of patients. Results compare favorably with those reported in the medical literature
Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Esôfago/cirurgia , Laringe Artificial , Laringectomia/reabilitação , Traqueia/cirurgia , Voz Alaríngea/métodos , Alcoolismo/epidemiologia , Neoplasias Laríngeas/cirurgia , Porto Rico , Punções , Recuperação de Função Fisiológica , Estudos Retrospectivos , Resultado do Tratamento , Tabagismo/epidemiologiaRESUMO
A survey between Otolaryngologist Head and Neck Surgeons in Puerto Rico and a prospective study was done, to evaluate the efficacy of ceftibuten in pediatric patients undergoing adenotonsillectomy. Surgery of the tonsils and adenoids is the most common operation performed in the pediatric age by the Otolaryngologist Head and Neck Surgeons in Puerto Rico. Over 70 are performed in a ambulatory setting and almost all of the patients are given antibiotics after surgery. Ceftibuten was given to 112 pediatrics patients after surgery. Adenotonsillectomy is a painful operation and children do not take medication well after surgery. One of the benefits of this third generation cephalosporin, is that is given once a day. Twenty events were reported taking the medication, but only seven patients had to discontinue its use. Ceftibuten had a tolerance rate of 94. Ceftibuten seems to be a safe antibiotic to use in pediatric patients undergoing adenotonsillectomy and has the convenience of being given once a day
Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Criança , Adolescente , Adenoidectomia , Antibioticoprofilaxia , Cefalosporinas/uso terapêutico , Padrões de Prática Médica/estatística & dados numéricos , Otolaringologia/estatística & dados numéricos , Tonsilectomia , Comorbidade , Cefalosporinas/efeitos adversos , Porto Rico , Procedimentos Cirúrgicos Ambulatórios , Inquéritos e Questionários , Uso de Medicamentos/estatística & dados numéricos , Ventilação da Orelha MédiaRESUMO
A survey between Otolaryngologist Head and Neck Surgeons in Puerto Rico and a prospective study was done, to evaluate the efficacy of ceftibuten in pediatric patients undergoing adenotonsillectomy. Surgery of the tonsils and adenoids is the most common operation performed in the pediatric age by the Otolaryngologist Head and Neck Surgeons in Puerto Rico. Over 70% are performed in a ambulatory setting and almost all of the patients are given antibiotics after surgery. Ceftibuten was given to 112 pediatrics patients after surgery. Adenotonsillectomy is a painful operation and children do not take medication well after surgery. One of the benefits of this third generation cephalosporin, is that is given once a day. Twenty events were reported taking the medication, but only seven patients had to discontinue its use. Ceftibuten had a tolerance rate of 94%. Ceftibuten seems to be a safe antibiotic to use in pediatric patients undergoing adenotonsillectomy and has the convenience of being given once a day.
Assuntos
Adenoidectomia/estatística & dados numéricos , Antibioticoprofilaxia/estatística & dados numéricos , Cefalosporinas/uso terapêutico , Otolaringologia/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , Tonsilectomia/estatística & dados numéricos , Adolescente , Procedimentos Cirúrgicos Ambulatórios/estatística & dados numéricos , Ceftibuteno , Cefalosporinas/efeitos adversos , Criança , Pré-Escolar , Comorbidade , Uso de Medicamentos/estatística & dados numéricos , Feminino , Humanos , Lactente , Masculino , Ventilação da Orelha Média/estatística & dados numéricos , Porto Rico , Inquéritos e QuestionáriosRESUMO
Removal of the voice box or larynx is the usual treatment for advanced cancer of the larynx. Tracheoesophageal puncture (TEP) has become an accepted method for voice restoration following total laryngectomy. Eleven patients under went total laryngectomy with TEP at San Pablo Hospital Medical Center between March 1989 and October 1995. Seven patients were available for voice analysis. Eighty six percent of the patient was able to talk. This is the first report of TEP being perform in Puerto Rico and with a complete Hispanic population of patients. Results compare favorably with those reported in the medical literature.
Assuntos
Esôfago/cirurgia , Laringectomia/reabilitação , Laringe Artificial , Voz Alaríngea/métodos , Traqueia/cirurgia , Idoso , Alcoolismo/epidemiologia , Feminino , Humanos , Neoplasias Laríngeas/cirurgia , Masculino , Pessoa de Meia-Idade , Porto Rico , Punções , Recuperação de Função Fisiológica , Estudos Retrospectivos , Fumar/epidemiologia , Resultado do TratamentoAssuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Doenças da Glândula Tireoide/cirurgia , Hospitais Universitários/estatística & dados numéricos , Hospitais Urbanos/estatística & dados numéricos , Tireoidectomia/tendências , Biópsia por Agulha , Complicações Pós-Operatórias/epidemiologia , Doenças da Glândula Tireoide/diagnóstico , Doenças da Glândula Tireoide/patologia , Cuidados Pré-Operatórios , Estudos Retrospectivos , Tireoidectomia/efeitos adversos , Tireoidectomia/métodos , Tireoidectomia/estatística & dados numéricosAssuntos
Hospitais Universitários/estatística & dados numéricos , Hospitais Urbanos/estatística & dados numéricos , Doenças da Glândula Tireoide/cirurgia , Tireoidectomia/tendências , Adolescente , Adulto , Idoso , Biópsia por Agulha/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/epidemiologia , Cuidados Pré-Operatórios , Estudos Retrospectivos , Doenças da Glândula Tireoide/diagnóstico , Doenças da Glândula Tireoide/patologia , Tireoidectomia/efeitos adversos , Tireoidectomia/métodos , Tireoidectomia/estatística & dados numéricosRESUMO
The purpose of this paper is to review the changing trends in Adenotonsillectomies performed in San Pablo Medical Center during the last ten years. We have reviewed using a 25 variable questionnaire all patients undergoing this surgical procedure during the first six months in 1983 and compared the information with the patients having this procedure during the first six months of 1993. We conclude that the number of interventions, the indications, prior medical history and cost effects have changed substantially. Our data supports the accuracy of some of the trends being reported in the literature regarding this surgical intervention.
Assuntos
Adenoidectomia/tendências , Tonsilectomia/tendências , Adenoidectomia/estatística & dados numéricos , Adolescente , Criança , Pré-Escolar , Feminino , Hospitais , Humanos , Lactente , Masculino , Porto Rico , Estudos Retrospectivos , Tonsilectomia/estatística & dados numéricosRESUMO
Between 1978 and 1990, a total of 76 cases of esophageal foreign bodies were taken to the operating suite at San Pablo Hospital. Of the 76 patients, 26 were in the pediatric age group, and 56 adults. Dysphagia and foreign body sensation were the predominant complaint. The radiographic study most frequently ordered was soft tissue neck x rays. Coins were the most common foreign body in the pediatric group, while bones were the most frequent in the adult group. Rigid esophagoscopy was the predominant form of treatment in both groups. The majority of cases were performed by the Otolaryngologist-Head and Neck Surgeon. Several complications occurred and there was one death. For the purpose of analysis and discussion the cases were divided into the pediatric age group and the adults.
Assuntos
Esôfago , Corpos Estranhos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Feminino , Corpos Estranhos/complicações , Corpos Estranhos/terapia , Hospitais , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Porto Rico , Estudos RetrospectivosRESUMO
Ten years have passed since the introduction of the tracheoesophageal puncture. The voice restoration field has dramatically changed upon the introduction of this new technique. This permits the patients to speak as early as ten days after surgery. An overview of the results of the past ten years are presented. In this communication the technique, historic highlights, and the published experience with tracheoesophageal puncture as a secondary, primary and in extended laryngopharyngectomy with flap reconstruction are discussed. Tracheoesophageal puncture with placement of voice prosthesis for voice restoration after total laryngectomy, has become an accepted technique. The popularity of this method originally proposed by Singer and Blom has been widespread. This new method of vocal rehabilitation after total laryngectomy, has permitted patients to speak as early as ten days after their surgery. This is a great advance in the rehabilitation of the cancer patient.