Journal Reviews

Percutaneous tracheostomy in anticoagulated patients

27 February 2020 | | Laryngology / Swallowing / Voice, Head and Neck | Dilatation percutaneous tracheotomy, anticoagulant therapy, bleeding complications, intensive care unit

This Belgian study looked at the risks and complications of bedside percutaneous tracheostomy in patients who received anticoagulant therapy. The 231 tracheostomies included in the study were performed over an eight-year period by two otolaryngologists using bronchoscopic guidance. The mean...

Otolaryngology - Head and Neck Surgery journal cover

Sphenopalatine ganglion block in endoscopic sinus surgery reduces intra and post-operative morbidity

1 September 2019 | | Rhinology / Sinus | adverse effect, bleeding, endoscopic sinus surgery, meta-analysis, postoperative pain, sphenopalatine ganglion block

The authors present results of a meta-analysis to investigate the role of sphenopalatine ganglion block (SPGB) in reducing postoperative pain in endoscopic sinus surgery (ESS). An electronic database search (Pubmed, SCOPUS, Google Scholar, Embase, and the Cochrane Register of Controlled...

Does Tranexamic acid reduce intraoperative bleeding during FESS?

1 March 2019 | | Rhinology / Sinus | Tranexamic acid, endoscopic sinus surgery, meta-analysis, operative bleeding, operative time, systematic review

Intraoperative bleeding during FESS can reduce visibility and obscure important landmarks. This can result in longer operative times, increase risks of complications and even lead to incomplete surgery. Tranexamic acid is a drug which prevents fibrinolysis and stabilises blood clots....

The effect of cocaine or adrenaline dressing during endoscopic sinus surgery

1 January 2015 | | Rhinology / Sinus | FESS, chronic rhinosinusitis, functional endoscopic sinus surgery, intraoperative bleeding, surgical field, vasoconstriction

A randomised controlled study of 37 patients took place that underwent endoscopic sinus surgery for chronic rhinosinusitis and received adrenaline or cocaine-soaked patties. The study showed no difference in the mean surgical field scores between adrenaline and cocaine sides. Adequate...