Coagulation studies prior to tonsillectomy: an unsettled and unsettling issue.
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Adult↗
Biomedical subjects
J H Nowlin
Publications and source records attributed to J H Nowlin.
Examination and occlusal analysis of the masticatory system.
Analysis of the occlusion and function of the masticatory system should be part of a thorough examination of the patient. This is especially important when signs or symptoms of functional disturbances are present or when planning extensive occlusal restorations. This article has strived to present (1) indications for occlusal analysis; (2) how to perform occlusal analysis and diagnostic aids that can be helpful in occlusal analysis; and (3) how information gained through occlusal analysis can be used in differential diagnosis of the three most common functional disturbancies of the masticatory system: trauma from occlusion, parafunction, and TM disorders.
Bruxism↗
Hemostatic assessment of patients before tonsillectomy: a prospective study.
The purpose of this prospective study in patients undergoing tonsillectomy was to determine whether perioperative bleeding could be predicted by use of a standardized questionnaire concerning bleeding risk combined with measurement of the activated partial thromboplastin time and prothrombin time. Of the 96 patients enrolled in the study, none had a history of a severe bleeding disorder, but 6 (6%) had histories suggestive of a mild bleeding disorder. Further evaluation showed possible von Willebrand's disease in one of these patients. Of the 90 patients with negative questionnaires, 16% had prolongation of the activated partial thromboplastin time. One of these patients had possible von Willebrand's disease. However, none of the patients with positive questionnaires or a prolonged activated partial thromboplastin time bled after surgery. Bleeding that resulted in additional hospital use occurred in 2% of patients, and blood-tinged sputum was described by 4% after discharge; all of these patients had negative questionnaires and normal screening studies. The data provide further evidence that routine measurement of the activated partial thromboplastin time and prothrombin time in asymptomatic patients is not useful for predicting postoperative bleeding. In addition, histories suggestive of a mild bleeding disorder are also not accurate predictors of postoperative bleeding. Excessive bleeding associated with tonsillectomy is usually not a result of an identifiable coagulation disorder.
Adenoidectomy↗
The stridorous infant.
A common problem facing the otolaryngologist is the infant with stridor. This article discusses an approach to diagnosis and treatment for this problem. Common causes of stridor in this age group and their therapies are discussed.
Humans↗