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Identification of microbial contaminants in sinus rinse squeeze bottles used by allergic rhinitis patients

World Journal of Otorhinolaryngology-Head and Neck Surgery 2019年第1期5卷 26-29页

作者： Shaun A.Nguyen marc p.camilon Rodney J.Schlosser Medical University of South Carolina Department of OtolaryngologyHead&Neck SurgeryCharlestonSCUSA Medical University of South Carolina Department of OtolaryngologyHead&Neck SurgeryCharlestonSCUSARalph H.Johnson VA Medical CenterCharlestonSCUSA

Objective:To identify whether irrigation devices become contaminated when used by patients with allergic rhinitis (AR).Methods:Ten AR patients with no clinical or endoscopic evidence of active sinonasal infection were given a sinus rinse system and instructed on its proper use,cleaning,and *** squeeze bottles (bottle A and bottle B) were given to each patient for twice-a-day *** A was used in the morning and analyzed after four *** B was used in the evening and analyzed after 8 weeks of *** contaminants were cultured from the nose pieces and the inner surface of the bottles obtained from ***:Seventeen sinus rinse devices (17/20) from all individuals in this study grew bacteria commonly in the ***-four bacterial isolates consisting of 14 different species were cultured and identified with most common organisms being bacilli and *** addition,no correlation was apparent between the length of bottle use and the degree of contamination (r =0.13,p =0.76).During the study period,no patient developed acute sinus ***:Microbial contamination of the sinus rinse system occurs commonly,even in uninfected AR patients;however no evidence exists linking this to clinically relevant sinus infections.

关键词： Allergic rhinitis Microbial contaminants Sinus irrigation Sinus rinse Squeeze bottles

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Neck dissection does not add to morbidity or mortality of laryngectomy

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2019年第4期5卷 215-221页

作者： Christopher C.Xiao Sarah A.Imam Shaun A.Nguyen marc p.camilon Andrew B.Baker Terry A.Day Eric J.Lentsch Department of Otolaryngology-Head and Neck Surgery Kaiser PermanenteNorthern CaliforniaOaklandCA94612USA Department of Health and Human performance The CitadelCharlestonSC29409USA Department of Otolaryngology-Head and Neck Surgery Medical University of South CarolinaCharlestonSC29425USA Oregon Health&Science University Ear Nose&ThroatPortlandOR97239USA

Objectives:To examine the national rates of complications,readmission,reoperation,death and length of hospital stay after *** explore the risks of neck dissection with laryngectomy using ***:The American College of Surgeons National Quality Improvement program(ACS-NSQIp)database was reviewed *** database was analyzed for patients undergoing laryngectomy with and without neck ***,perioperative complication,reoperation,readmission,and death variables were ***:754 patients who underwent total laryngectomy during this time were *** analysis showed average age was 63 years old,566(75.1%)were white,and 598(79.3%)were *** these patients,520(69.0%)included a neck dissection while 234(31.0%)did *** comparing patients who received a neck dissection to those who did not,there were no significant differences in median length of hospital stay(12.5 days w/vs.13.3 days w/o,p=0.99),rates of complication(40%w/vs.35%w/o,p=0.23),reoperation(13.5%w/vs.14%w/o,p=0.81),readmission(14%w/vs.18%w/o,p=0.27),and death(1.3%w/vs.1.3%w/o,p>0.99).Furthermore,neck dissection did not increase the risk of complication(p=0.23),readmission(p=0.27),reoperation(p=0.81),death(p=0.94),or lengthened hospital stay(p=0.38).Conclusions:Concurrent neck dissection does not increase postoperative morbidity or mortality in patients undergoing total *** results may help physicians make decisions regarding concurrent neck dissection with total laryngectomy.

关键词： Laryngectomy Neck dissection Total laryngectomy Complication rates Outcomes

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