| Disinfection of Flexible Fiberoptic Laryngoscopes After In Vitro Contamination With Staphylococcus aureus and Candida albicans [Original Article] |
| Archives of Otolaryngology January 16, 2012, 12:00 pm |
| Objective To determine the efficacy of various cleaning and disinfective methods in reducing bacterial and fungal load on flexible fiberoptic laryngoscopes (FFLs).
Design In vitro model.
Subjects Flexible fiberoptic laryngoscopes contaminated with Staphylococcus aureus and Candida albicans.
Interventions Contamination with S aureus and C albicans was separately induced on FFLs, which were then disinfected with different protocols: 20-, 15-, 10-, and 5-minute soaks in ortho-phthalaldehyde (Cidex OPA; Johnson & Johnson) with or without presoaking in an enzymatic soap solution for 5 minutes; an isolated 5-minute soak in an enzymatic soap solution; a 30-second wipe with antibacterial soap and water; a 30-second wipe with isopropyl alcohol; a 30-second wipe with antibacterial soap, followed by a 30-second scrub with isopropyl alcohol; and a 30-second wipe with germicidal cloth, all accompanied by previous rinsing with 30 seconds of running tap water.
Results All protocols except the isolated 5-minute soak in enzymatic soap solution were successful in completely disinfecting the FFLs after experimental contamination with S aureus or C albicans.
Conclusion Various different cleaning methods appeared to properly disinfect FFLs after inoculation with S aureus and C albicans in an in vitro model. |
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| Balloon Dilation Laryngoplasty for Subglottic Stenosis in Children: Eight Years' Experience [Original Article] |
| Archives of Otolaryngology February 20, 2012, 12:00 pm |
| Objective To evaluate outcomes of balloon dilation laryngoplasty for laryngeal stenosis in children.
Design Retrospective study.
Setting Academic tertiary care department of pediatric otolaryngology.
Patients All children treated with laryngeal balloon dilation (primarily or secondarily following laryngeal surgery) from 2002 to 2010.
Main Outcome Measures Stenosis severity, measured using the Cotton and Myer classification.
Results |
| Balloon Dilation Laryngoplasty for Subglottic Stenosis in Children: Eight Years' Experience [Original Article] |
| Archives of Otolaryngology February 20, 2012, 12:00 pm |
| Objective To evaluate outcomes of balloon dilation laryngoplasty for laryngeal stenosis in children.
Design Retrospective study.
Setting Academic tertiary care department of pediatric otolaryngology.
Patients All children treated with laryngeal balloon dilation (primarily or secondarily following laryngeal surgery) from 2002 to 2010.
Main Outcome Measures Stenosis severity, measured using the Cotton and Myer classification.
Results |
| Minimally Invasive/Focused Parathyroidectomy in Patients With Negative Sestamibi Scan Results [Original Article] |
| Archives of Otolaryngology February 20, 2012, 12:00 pm |
| Objective To examine the feasibility of minimally invasive/focused parathyroidectomy in patients with primary hyperparathyroidism and negative results on preoperative sestamibi scanning.
Design Retrospective review.
Setting Hospital.
Patients A total of 452 patients with primary hyperparathyroidism underwent parathyroidectomy between January 2005 and December 2009.
Main Outcome Measures Preoperative sestamibi scans were reviewed, and their influence |
| Minimally Invasive/Focused Parathyroidectomy in Patients With Negative Sestamibi Scan Results [Original Article] |
| Archives of Otolaryngology February 20, 2012, 12:00 pm |
| Objective To examine the feasibility of minimally invasive/focused parathyroidectomy in patients with primary hyperparathyroidism and negative results on preoperative sestamibi scanning.
Design Retrospective review.
Setting Hospital.
Patients A total of 452 patients with primary hyperparathyroidism underwent parathyroidectomy between January 2005 and December 2009.
Main Outcome Measures Preoperative sestamibi scans were reviewed, and their influence |
| Effectiveness of Pediatric Tracheostomy Tube Cleaning [Original Article] |
| Archives of Otolaryngology February 20, 2012, 12:00 pm |
| Objective To determine the effectiveness of typical reprocessing of pediatric tracheostomy tubes (TTs) with detergent-soaked gauze pads.
Design In vitro microbiologic study.
Setting Department of Otolaryngology, University of Florida, Gainesville.
Participants Polyvinyl chloride and silicone TTs of 3 different manufacturers.
Intervention Thirty TTs were cultured with Pseudomonas aeruginosa or Staphylococcus aureus and reprocessed after |
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