Chapter 22. ENT Surgery
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- Joseph Tobias
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- Karen Zur
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- Myringotomy and Tube Placement – Reproduced with permission from: Klein JO, Pelton S. Patient information: Ear infections (otitis media) in children (Beyond the Basics). In: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA 2013. TubeCopyright © 2013 UpToDate, Inc. For more information visit http://www.uptodate.com.
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- Upper Airway Obstruction During Lateral Neck Rotation – 3D reconstructed MRI images of child with neck in neutral position, lateral rotated, and rotated with 10 cm H2O CPAP. NP=nasopharynx, OP=oropharynx, L=larynx.
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- Anesthesia for Myringotomy and Tube Placement
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- Positioning for Ear Procedures – For ear procedures, the OR is often turned 180 degrees away from the anesthesia machine.
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- Pediatric OSA – Categories of pediatric obstructive sleep apnea
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- Lateral Positioning After T&A – Lateral positioning may facilitate upper airway patency after T&A
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- Nasopharyngeal Airway After T&A – Preparing a nasopharyngeal airway with an endotracheal tube adaptor.
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- Nasopharyngeal Airway After T&A – Nasopharyngeal airway can facilitate recovery from T&A in children with severe OSA.
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- Nasal RAE – The nasal RAE tube is secured to the head wrap to prevent movement during an oral surgical procedure.
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- For rigid bronchoscopy, the OR table is turned 90 degrees and the airway is shared and managed by the ENT surgeon.
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- Bronchoscopy table contains various instruments for examination of the lower airway.
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- A foreign body with surrounding inflammation and secretions in the left main bronchus.
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- The ENT surgeon can choose from a variety of graspers to remove a bronchial foreign body.
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- Laryngeal papillomatosis obstructing the glottic inlet.
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- Local anesthetic is administered to the frenulum prior to excision.
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- A clamp is applied to enhance hemostasis.
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- An incision is made in the avascular frenulum.
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- An incision is made in the avascular frenulum.
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- The excised frenulum will be repaired with dissolvable sutures.
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- Thyroglossal Duct Cyst Excision – Reproduced with permission from: Randolph GW, Kamani DV. Thyroglossal duct cysts and ectopic thyroid. In: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA 2013. Copyright © 2013 UpToDate, Inc. For more information visit http://www.uptodate.com.
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- Tracheostomy for Cystic Hygroma – Large cystic hygroma requiring tracheostomy in infancy.
Basics of Pediatric Anesthesia/Pediatric Anesthesia Article of the Day 
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