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Biomedical subjects

H Cantrell

Publications and source records attributed to H Cantrell.

6 recordsLinked to original sources
PubMed1998

Cytomegalovirus infection presenting as chronic sinusitis and nasal polyposis: a case report.

Cytomegalovirus (CMV) is the most common viral opportunistic infection in patients with acquired immunodeficiency syndrome (AIDS), affecting up to 90% of patients. CMV can manifest as primary, latent or chronic persistent infection, most commonly appearing as retinitis, encephalitis or gastrointestinal disease. Other less common presentations, including otolaryngologic expression of the virus, have also been noted. Described here is the first known documented case of CMV with both chronic sinusitis and nasal polyposis in an AIDS patient.

AIDS-Related Opportunistic Infections↗
PubMed1998

Surgical management of tracheocutaneous fistula.

Tracheocutaneous fistula (TCF) is a complication of tracheotomy that adds a difficult and bothersome aspect to the patient's care and may exacerbate respiratory disease. Closure of the fistula is recommended, but complications associated with fistula closure include pneumothorax and respiratory compromise. Several surgical approaches have been advocated in the literature. We reviewed the operative techniques and outcomes of TCF closures performed at Cooper Hospital/University Medical Center between February 1990 and April 1995. Direct, or flap, closure of large tracheocutaneous fistulas was associated with significant complications and morbidity. Therefore, the closure technique was modified so that we now recommend, in patients with large tracheocutaneous fistulas (a defect of the anterior tracheal wall of > or = 4 mm diameter), excision of the fistula, replacement of the tracheotomy tube and healing by second intention after a short recannulation period. No complications have occurred since the closure technique was adopted.

Adult↗
PubMed1997

Limited septoplasty for endoscopic sinus surgery.

Septoplasty, in its myriad forms, has been used for decades as a treatment to correct nasal airway obstruction. In some cases septoplasty is done to achieve adequate visualization for further work on the nose or paranasal area. With the onset of FESS the correction of the deviated septum has increasingly been done to facilitate adequate visualization and to allow room for endoscopic instrumentation. Limited septoplasty incorporates parts of both classic nasal septal reconstruction (or Cottle septoplasty) and submucous resection of the septum. Limited septoplasty is primarily used when there is a specific deviation of the septum that limits the ability of the surgeon to accomplish surgical goals-namely, adequate visualization of the surgical field during surgery and during postoperative care. Decreased nasal obstruction is only a secondary consideration for limited septoplasty.

Airway Obstruction↗