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Biomedical subjects

P Tavormina

Publications and source records attributed to P Tavormina.

3 recordsLinked to original sources

Is pressure dressing necessary after ear surgery?

Compressive bandages carry intrinsic risks and complications. The purpose of this study was to assess whether compressive head bandages are necessary after ear surgery to prevent complications such as hematoma or wound infection. A prospective, randomized, controlled study was conducted from August 1, 1993, to June 1, 1999. We randomly assigned 420 consecutive middle ear or mastoid operations to either a pressure bandage group or to a no-pressure bandage group. A careful follow-up was planned, and complications were recorded. In the pressure bandage group, 3 patients had bruising over the pinna and 70 patients had minor skin erythema when the dressing was removed. No patient had bruising or erythema in the no-pressure bandage group. No patient had hematoma, wound infection, or any other wound complication in either group. As a result of this study, we have decided to abandon the use of compression bandages after uncomplicated ear surgery.

Adolescent↗

[Prevalence of squamous carcinoma of the larynx].

A study was made to determine how prevalent laryngeal cancer proved to be in 2000 E.N.T. out-patients upon their initial examination. The aim was to ascertain which population was at high risk for laryngeal cancer through the use of computerized analysis of the risk factors. Furthermore, the authors wanted to determine the sensitivity, specificity, predictive value and safety of fiberoptic laryngoscopy as a diagnostic tool to be used in screening. By scanning risk factors for laryngeal cancer, subjects were classified into 3 risk classes: low, medium and high. A total of 71 positive endoscopic tests were found in the high risk class alone. Further diagnostic procedures carried out on these subjects revealed 38 cases of invasive cancer, 43 'in situ' carcinoma and 24 precancerous lesions of the larynx. These data are discussed and the suggestion made that screening for laryngeal cancer only include males over the age of 40. Scanning risk factors such as tobacco and alcohol consumption could also be effective in identifying the high risk groups for laryngeal cancer.

Adult↗

[Significance of associated causes in the evaluation of post-traumatic vestibular damage].

Any evaluation of vestibular diseases following head and neck injuries must take into consideration the existence of other diseases which may act with the trauma causing lesions which might not have taken place otherwise or which would have had less import. In the present work the authors examine what medico-legal doctrine considers in regard to pre-existing, simultaneous and cropped up aggravations of lesions or of invalidity. Finally, an explanation is given of personal experience with 1500 patients with head and neck injury. It is pointed out how in 130 cases the presence of pathological conditions associated with the traumatic event was the cause of problems in evaluation of primary importance.

Accidents, Occupational↗