OBJECTIVE This study aims to compare the effects of Merocel nasal packs and silicone nasal septal splints with integral airway on the ventilation and pressure of the middle ear when applied intranasally after septoplasty for isolated septal deviation. STUDY DESIGN A prospective, randomized trial. SETTING A tertiary referral center. SUBJECTS AND METHODS Fifty-one patients who underwent sep...

Sir,—For prolonged intubation in a children's hospital we prefer to use uncuffed plastic tubes, either Warne* neonatal tubes inserted orally, or nasal/oral bevel tubes introduced nasally. Fixation of these tubes has always been a problem, as adhesive tape irritates the skin and loosens when wet with secretions. With nasal tubes, there is always the danger of dislodgement of the tube connector, ...

In most circumstances, a nasal route for the delivery of pulmonary aerosol medications is rarely considered; however, in specific instances, this route may be quite useful. Consider, for example, the delivery of aerosol treatments during humidified high-flow nasal cannula use in pediatric critical care, or continuous aerosol delivery via cannula for medications with short durations of action. T...

Over five years 23 infants with evidence of respiratory insufficiency due to bronchiolitis were managed with continuous positive airway pressure (CPAP). This was applied through either a short nasal cannula (14 patients) or an endotracheal tube (nine patients). Clinical improvement was seen in all patients, and there were significant falls in mean respiratory and pulse rates and pressure of car...

Ensuring control and protection of the airway for surgical procedures requiring general anesthesia is the cornerstone of clinical anesthesia practice. Successful tracheal intubation is absolutely needed for head and neck cancer surgery because access to the airway is shared by surgeons and anesthesiologists. The approach, oral or nasal, depends on surgical requirements and the patient’s ability...

An adenoidectomy is the surgical treat ment that consists in the removal of hypertrophied lymphatic tissue (Lushka’s pharyngeal tonsil), which blocks the rhinopharynx, behind the nose. Hypertrophy is the result of an abnormal development of the lymphatic follicles either from birth or as a result of repeated infections of the upper respiratory tract. Hypertrophy, in its turn, favors recurrent i...