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Vandana Esht – One of the best experts on this subject based on the ideXlab platform.
Posttraumatic Parotid Fistula Treated With Conservative Therapy: A Case Report, 2014Co-Authors: Rohit Sharma, Madhu Sindhi, Vandana EshtAbstract:
Parotid fistula is a rare complication following surgery of parotid gland and temporomandibular joint. This is an extremely unpleasant and painful condition for the patient. Various treatment modalities, conservative and aggressive surgical procedures have been documented in literature to treat this condition with varying results. In this paper we present the case of a 30yr old man with a diagnosis of posttraumatic parotid fistula treated using conservative method by aspiration and pressure dressings and Antisialagogue therapy only. The recovery was totally uneventful during follow-up period.
Venkatachalam Raveenthiran – One of the best experts on this subject based on the ideXlab platform.
reconstruction of traumatically avulsed parotid duct using buccal mucosa flap report of a new techniqueJournal of Trauma-injury Infection and Critical Care, 2008Co-Authors: Venkatachalam RaveenthiranAbstract:
Injury to parotid duct is frequently overlooked especially in multiple injuries settings. Consequently they are rarely reported in the literature. Treatment of these injuries is highly controversial. Short series and anecdotal case studies claim success with various approaches such as nonsurgical management, simple ligation of the proximal duct with or without Antisialagogues, microsurgical primary repair, creation of sialodocho-oral fistula, and vein-graft replacement. A novel technique of sialodochoplasty using buccal-mucosa pedicle flap is described in this report. Short-term result of this method in a 4-year-old boy with traumatic loss of right parotid duct was encouraging. Hypothetical advantages of this new operation are reviewed in the background of alternative procedures. It is concluded that buccal-mucosa flap technique appears to be a promising alternative in the management of parotid duct injuries.
Alik Saidov – One of the best experts on this subject based on the ideXlab platform.
dexmedetomidine as sole agent for awake fiberoptic intubation in a patient with local anesthetic allergyJournal of Anesthesia, 2011Co-Authors: Maxime Madhere, David Vangura, Alik SaidovAbstract:
A series of case reports acknowledges the efficacy of dexmedetomidine as a sole sedative for awake intubations in managing a critical airway. However, most case reports documented in the literature used topicalization of the oropharynx either via nebulized lidocaine or the spray-as-you-go technique with either 2% or 4% lidocaine spray to achieve successful intubation. The following case report presents an intensive care unit (ICU) patient with a critical airway who had a true documented allergy to local anesthetics. This case report demonstrates that dexmedetomidine appears to be useful for sedation during awake intubations in critical airways, without the need for airway topicalization. The ability of dexmedetomidine to act as a sedative, anxiolytic, analgesic, and Antisialagogue without causing respiratory depression is promising to the field of anesthesiology. Additional studies are needed to elucidate its potential role as the sole agent for awake fiberoptic intubation.