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Biomedical subjects

G A Wagner

Publications and source records attributed to G A Wagner.

5 recordsLinked to original sources

Ambulatory adult tonsillectomy.

The purpose of this paper is to demonstrate whether it is reasonable to perform tonsillectomies on adults on an ambulatory basis. The method was a retrospective hospital chart review of all 383 patients operated on by one surgeon over a sequential 10-year period. The findings were a low admission rate of 7.05%, no serious complications, and excellent acceptance by patients, surgeon, and other involved health care providers. The conclusion is that ambulatory adult tonsillectomy is safe, cost-effective, and convenient.

Adult

Epistaxis.

Epistaxis is discussed. Three unusual cases are reported. The first was a patient with a basal skull fracture due to a motor vehicle accident. He developed a carotid-cavernous fistula causing epistaxis severe enough to cause a cardiac arrest on one of his bouts of severe bleeding. The second was an unusual complication of a rhinoplasty due to damage to the anterior ethmoidal artery from the medial osteotomy. The third was due to psychopathology causing an adult female to traumatize her nose as an attention-getting or defence mechanism causing epistaxis with anemia requiring bi-annual blood transfusions of more than 175 units of blood over a 20 year period. Management is described.

Adult