Biomedical subjects

Julian Savage

Publications and source records attributed to Julian Savage.

3 recordsLinked to original sources

PubMed2005

Allergic rhinitis: an update.

Allergic rhinitis is extremely common and a global health problem. One study has quoted a prevalence of 16% and, as with asthma, it seems to be increasing. This increase and association with asthma have raised concerns about appropriate treatment. Fortunately, with new knowledge of the pathophysioLogic mechanisms, newer and better treatment strategies have been developed. This short review of allergic rhinitis highlights its prevalence, pathophysiology, clinical presentation, investigation and management. A new classification and recommendations by the World Health Organization's guidelines 'Allergic Rhinitis and its Impact on Asthma' are also discussed.

Airway Obstruction↗

PubMed2005

An alternative to a postnasal pack for the arrest of perioperative hemorrhage following curettage adenoidectomy.

Controlling bleeding with standard postnasal packing following curettage adenoidectomy is only occasionally warranted. Children find the packing experience unpleasant, and removal of the packing usually requires general anesthesia. We describe a simple technique for packing the nasopharynx with bilateral nasal tampons via an anterior approach. The tampons are much easier to insert than standard packing, they are well tolerated while in place, and they can be easily removed with perhaps only some light sedation rather than general anesthesia.

Adenoidectomy↗

PubMed2002

Fish bones in the vallecula and tongue base: removal with the rigid nasal endoscope.

The tongue base and vallecula are common anatomical sites for impaction of inadvertently swallowed fish bones. Many techniques for their removal have been described but this apparently simple procedure can still pose a surgical challenge. We describe a previously unreported technique using rigid endoscopy with the 4 mm 30 degree Hopkins' rod as a visual aid for transoral removal of the impacted bone. The technique has proved to be very well tolerated by the patient and more acceptable in terms of morbidity, time and resources than either flexible endoscopy or rigid endoscopy under general anaesthetic.

Endoscopy↗